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HomeMy WebLinkAboutMiscellaneous - 1320 OSGOOD STREET 4/30/2018 (2) / 1320 OSGOOD STREET J .. 210/034.0-0030-OOOiO.0 J --- ---- ------ --- I �j K FISH BROOK DESIGN PO`s STUDIO architecture consulting design Matthew E.Juros,AIA Principal 57 Wingate Street Suite 401 - Haverhill,MAo1832 V 978.914.6876 C 252.245..2011 E mjuros@fishbrook.com www.fishbrook.com I Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Thursday, February 19, 2015 2:18 PM To: Blackburn, Lisa; 'Pam Lally' Cc: Grant, Michele;Isaac Rowe Subject: RE: 1320 Osgood St. Attachments: 1320 Osgood St- soil testing results 2-19-15.PDF Lisa/Michele, Attached are the soil testing results for the above referenced property. You will notice we logged (2)test pits behind the building which will be used for the new drainage infiltration system. This information is not required to be recorded by the Health Dept since it is related to the drainage system but l figured it could not hurt to have it. Please let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone:978-282-0014 ext.804 Fax: 978-282-1318 irowe@millriverconsultine.com www.millriverconsulting.com -----Original Message----- From: Blackburn, Lisa [mailto:LBlackburn@townofnorthandover.com] Sent:Tuesday, February 03, 2015 9:19 AM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 1320 Osgood St. Good Morning, Please contact James Fairweather to set up soil testing.Thank you. -----Original Message----- From: noreply@townofnorthandover.com [mailto:noreoly townofnorthandover.com] Sent:Tuesday, February 03, 2015 9:30 AM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). 1 Scan Date:02.03.2015 09:29:51 (-0500) Queries tQ:.noreoly@townofnorthandover.com 2 I } `+ 1 , t1� 1r � �zz� f7 57awr lit IA -� i f r L I t 7d� i � I cl-T • of NORTN,h 6931 Town of North Andover '�,'•°;;;o HEALTH DEPARTMENT ,SSACN�5�4 CHECK#: DATE: LOCATION: O H/O NAME] CONTRACTOR NAMEMWY C&qhyAt 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: nl Septic-Soil Testing $ (� ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer TOWN OF NORTH ANDOVER °° R°' Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX ' healthdept@townofnorthandover.com www.townofnorthandover -om-- APPLICATION FOR SOIL TESTS DATE: January 23, 2015 MAP&PARCEL: 34-30 F td 0 3 2015 1320 Osgood Street T LOCATION OF SOIL TESTS: ov , OWNER: 1320 Osgood Corporation Contact#: (978) 681-5700 APPLICANT:Andover Consultants Inc Contact#:(978) 687-3828 ADDRESS: 1320 Osgood Street ENGINEER: Andover Consultants Contact#: (978) 681-3828 CERTIFIED SOIL EVALUATOR: James Fairweather Intended Use of Land: Residential Subdivision Single Family Home Commercial/Office Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition:X In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan&Location of Testing(please indicate test pit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: —ox Is Signature of Conservation Agent: _e A- Date back to Health Department: (stamp in): BIT. / PARKING / D LOT ———— r off° I r-- IP-RAP 1 / �I � 1 N RIP-RAP / / J LAWN DOWNSPOUTS ' /- GNC.WALK m II> �co n I I \ PATIO PATIO. 1 � 1 i m I � 1 I I EXISTING BUILDING >. #1320 {v� IA 3.\092 SF FIRST FLOOR - }{�cAs I 1 ETER I r METER f ! / BRICK WALKS ' OWNSPOUTS DECK t / \�\ OWNSPOU75 RAMP 4' ,? r.1 j4'h,. ,,_ l. n� LAWN / BIT. '�.i:,x`• � 'y��:• _f:. j l y - `AY CRUSHED STONE) 1 if LOT / 1 — tI 8 TP-1 TP-2 / 0 TP-3 BENCH MARK r•'" �- HYDRANT SPINDLE ELEV.=174.82 (NAVD BB) I i2• '>ru U.P.#3056-0 / — —IL=40.50' _ r r` '~Sl l4 25"W Ij=869.09'/ — 28.66' 102.56' / PIPE I J S21'17'12"W / (FND.) M.H.B.(FND.) C—{$— S.G.E. 1 �` :a o 0SG0Q STR EE \\TSCLI ENT\P\14\14-82\DWG\14-82SI TE.DWG Andover TRANSMITTAL Consultants Inc. 1 East River Place Methuen,MA 01844 Date: January 26, 2015 Reference 14-82 T-(978)687-3828 F—(978)686-5100 Project: Re: 1320 Osgood Street To: Town of North Andover Health Department Andover,Massachusetts 1600 Osgood Street Soil Testing Building 20; Unit 2035 North Andover,MA 01845 We are sending you: ® Enclosed ❑ Under Separate cover via Regular Mail the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Diskettes ❑ Specifications ❑ Copy of Letter ❑ Change Order ® Other Check Copies Date No. Description 1 1/26/2015 Soil Testing Fee _ i These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit Copies for approval ❑ For your use ❑ Approved-as noted ❑ Submit Copies for distribution ® As requested ❑ Return for corrections ❑ Return Corrected prints ❑ For review and comment ❑ For bids due ❑ Returned prints on loan REMARKS: Please find attached the fee for the soil testing at 1320 Osgood Street. Feel free to call or email with any questions. Thank you. Copy to: By: Dennis A.Griecci,P.E. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Os ood Street Property Address Bartholomew For etta Owner owners Name information Is North Andover MA 01845 12-10-11 required for Cityn own State Zip Code Date of Inspection every page. 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. I'°poft't A. General Information When filling out forms on the computer,use 1. Inspector only the tab key to move your Benjamin C. Osgood,Jr. cursor-do not Name of inspector use the return key. none ow Company Name NtO 16 Hillside Avenue, Unit 3 Comparry Address AmesburyMA 01913 City/rown State Zip Code 978-834-6585 870 Telephone Number License Number B. Certification I certify that I have personally inspected the.sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system Inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 12-10-11 Inspectors: ' nature 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. 4 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is North Andover MA 01845 12-10-11 required for every page Cityrrown 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: ® 1 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): y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta - Owner Owners Name information is North Andover MA 01845 12-10-11 required for every Page. �y C Rown 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 5Fi'Tc. i APP. i 5tT LN 9T'b'`JE J /e' AT F�D . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. City/Town State Zip Code Date of Inspedion D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: feet Please Indicate all methods used to determine the high g ground waterelevation: ❑ Obtained from system design plans on record If checked,date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: Basement is 6 feet below ground, no sump pump,and it is dry. System built on the side of a hill and is 18"below ground at the end of the system. USGS maps indicate water table is>6 feet below grade Before filing this Inspection Report,please see Report Completeness Checklist on next page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is North Andover MA 01845 12-10-11 required for Code Date of Ins every page. CitylTovm state ;5p Code 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 Commonwealth of Massachusetts IVTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name informations North Andover MA 01845 12-10-11 required for 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner owner's Name information is North Andover MA 01845 12-10-11 required for every Page. cityrrown State Zip Code. Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier,N 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 feet of a surface water supply or tributary to.a surface water supply. 100 pp Y ry se❑ The system has a tic tank and SAS and the SAS is within a Zone 1 of a public water Y p 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 Commonwealth.of Massachusetts. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street ' Property Address Bartholomew Forgetta Owner Owner's Name inforrnatrequired fo is North Andover MA 01845 12-10-11 required for 6"ry pop. Cltyrrown State Zip_code Date of Inspedion 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 N 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- 1.0,000gpd. ❑ ® The system f,1ik—. I have determined that one or more of the above failure criteria.exist as.described in 31.0 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 11.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. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner. Owner's Name requiretiond North Andover MA 01845 12-10-11 required for every page. Cityrrown State, Zip Code Date-of Inspection C. Checklist Check if the following have been done.You must indicate',yes"or"no"as to each of the following: Yes No ® ❑. Pumping,information was provided by the owner,occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as.N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected.for signs of break out? ® ❑ Were all system components,excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected.for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example,a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable).[3.1.0 CMR 1.5.302(5)] D. System.I nfoirmation Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owners Name Information is required for North Andover AAA 01845 12-10-11 every page. cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: vacant 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)): well Detail: Sump.pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CARR 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is North Andover MA 01845 12-10-11 required for everypage. cityRown state Tip Code. Deft of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped last summer per owner Was system pumped as part of the inspection? ❑ Yes ® No. If yes,volume pumped: gallons How was quantitypumped determined? Reason for pumping: 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.l/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ® Other(describe): Septic tank with one leach trench Commonwealth of Massachusetts Title 5 Official Inspection Form 1W Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner owner's Name information is required for North Andover MA 01845 12-10-11 every page. Cityrrown state Zip Code. Date of Inspection D. System Information (cont.) Approximate age of all components,date installed(if known)and source of information: Constructed in 1961 per owner with possible rework more recently. Were sewage odors detected when arriving.at the site? ❑ Yes ® No Building Sewer(locate on site plan): � Depth below grade: 6'feet Material of construction: ®cast iron ❑40 PVC ❑other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting,evidence of leakage, etc.): Pipe looks good in basement Septic Tank(locate on site plan): 6' Depth below grade:. feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain) If tank is metal, list age: Years Is age confirmed by a.Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallons Sludge depth: 2" Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner owners Name information is required for North Andover MA 01845 12-10-11 every page. CRYrrown State Tp Code Date of Inspection D. System Information (cont.) Septic Tank(cont) Distance from top of sludge to bottom of outlet tee or baffle N/A Scum thickness 0 ff Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? measure tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tank in good condition. Outlet baffle missing and should be replaced with a schedule 40 PVC TEE 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta - Owner Owner's Name information is North Andover MA 01845 12-10-11 required for City/Town State Zip Code Date of Inspection every Page. D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert N/A 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.): No Distribution box 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owners Name M ons requiredaired for North Andover MA 01845 12-10-11 every page. City/Town 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 N/A Scum thickness 0" Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? measure tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank in good condition. Outlet baffle missing and should be replaced with a schedule 40 PVC TEE 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Foran-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is North Andover required for MA 01845 12-10-11 9"ry page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert N/A Commentsnote if box i ( s level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box, etc.): No Distribution box 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information Is North Andover MA 01845 12-10-11 required for City/Town State Zip Code Date of Inspection every page. D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert N/A 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.): No Distribution box 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta owner owners Name M uiredfn rNorth Andover MA 01845 12-10-11 required for every page. cKyrrown State zV Code Date of Inspection D. System Information (cont.) Septic Tank(cont) Distance from top of sludge to bottom of outlet tee or baffle N/A o" Scum thickness Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? measure tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tank in good condition Outlet baffle missing and should be replaced with a schedule.40 PVC TEE 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 Commonwealth of Massachusetts qw-am an Title 5 Official Inspection Form lawSubsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information for ation North Andover MA 01845 12-10-11 requir every page. cityrrown State Trp 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 evCihr/Town every page. State Zip Code Date of I ion nspect D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert NIA 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.): No Distribution box 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: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Foraetta Owner Owners Name information is North Andover required for MA 01845 12-10-11 every page. Ckyfrown State Zip Code Date of Inspection D. System information (cont.) Type: ❑ leaching pits number ❑ leaching chambers number. ❑ leaching galleries number. ® leaching trenches number, length: 195' long trench ❑ leaching fields number, dimensions: I ❑ overflow cesspool number ❑ innovative/aftemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,etc.): Area of trench is a farm field and looks normal. Inspection of clean out box at end of trench indicates system is functioning properly. 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 0 Yes ❑ No Commonwealth of Massachusetts City/Town of No Andover System Pumping Record HAY 19 2014 Form 4 TOWN OF NORTH ANDOVER HEALTH DEPAR-MENT DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, ��,, use only the tab 13a6 'o-s6-60-C) key to move your Address cafisor-do not No Andover Ma use the return key. City/Town State Zip Code 2. System Owner: 0-) Trn ► ns�rgn� Name rearm Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping ate — 2. Quantity Pumped: Dons 3. Type of system: ❑ Cesspool(s) [�Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes/. No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System d By: Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signa ro'o'f Ha I Date Si ceiv Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 ICN Commonwealth of Massachusetts City/Town of W System PumpingRecord Lmabe IVE 1b SVS J Form 4 u L U 11 DEP has provided this form for use by local Boards of Health. Other fored, but theinformation must be substantially the same as that provided here. Befoh your local Board of Health to determine the form they use. The System Pum Mwifted to the local Board of Health or other approving authority. A. Facility Information 1. System Loca ion: Left front of house, right front of house, left side of house, right side of hous Le ouse, rig t rear of house, left side of building, right rear of building, under deck. 0� City/Town State Zip Code 2. System Owner: Name Address(if different from location) CitylTown State, G 3 ode Telephone Number B. Pumping Record 1. Date of Pumping p g Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) epbc Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition f Sy�Z� � 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Lo io ere contents were disposed: G.L.S. well W ter Sign r of .auler Date / t5form4.doc•06/03 System Pumping Record.Page 1 of 1 North Andover Health Department (ommunity Development Division MEMORANDUM To: Judy Tymon,Town Planner CC: Curt Bellavance, Com.Dev. Director Jim Scanlan, Scanlan Engineering Stacy Carpenter, Caspian Associates Gerald Brown, Insp. of Buildings From: Susan Sawyer, Health Director , Date: June 14, 2012 Re: 1320 Osgood Street parking construction plan This memo is to inform you that the Health Department has reviewed the changes that Scanlan Engineering has made to the construction plan for 1320 Osgood Street, dated June 15, 2012. There were no problems observed with the parking plan that could be associated with the existing 40+year old, on site, subsurface disposal system.Notably: 1) There is no driving area shown over top of any portion of the leaching trench. 2) The septic tank is now shown on the plan. 3) The"forebay"to capture water runoff,which was previously too close to the leach trench, has been removed from the area of the system. I have received a copy of this plan for our records. If there are any additional changes made to the plan please let me know,I will be happy to comment on them as well. As there was no formal application to this office, there is no approval process. Please accept this memo as notification that the Health Depar-ftnent has no issues with this plan. I greatly appreciate the cooperation of al l parties in this important issue of public health, 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 418.688.8416 Web www.lownofnorthandover.com i DeiEleChiaie, Pamela ` From: Sawyer, Susan Sent: Thursday, June 14, 2012 2:43 PM To: Grant, Michele; DelleChiaie, Pamela Subject: FYI on 1320 Osgood Street Attachments: 20120614141601650.pdf The issue is closed. From: Sawyer, Susan Sent: Thursday, June 14, 2012 2:42 PM To: Tymon, Judy Cc: 'Jim Scanlan, P.E.'; 'Stacy L. Carpenter'; Bellavance, Curt; Brown, Gerald Subject: 1320 Osgood Street Good Afternoon, Please find the attached memo in regards to the project at 1320 Osgood Street. Thank you Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Bldg.20,Unit 2-36 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawver@townofnorthandover.com Web www.TownofNorthAndover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:htti)://www.see-state.ma.us/ore/l)reidx.htm. Please consider the environment before printing this email. 1 -�,•--,-�.r'`rte• North Andover Health Department (ommunity Development Division MEMORANDUM To: Judy Tymon, Town Planner CC: Curt Bellavance, Com. Dev. Director Jim Scanlan, Scanlan Engineering Stacy Carpenter, Caspian Associates Gerald Brown, Insp. of Buildings From: Susan Sawyer, Health Director Date: June 14, 2012 4 Re: 1320 Osgood Street parking construction plan This memo is to inform you that the Health Department has reviewed the changes that Scanlan Engineering has made to the construction plan for 1320 Osgood Street, dated June 15, 2012. There were no problems observed with the parking plan that could be associated with the existing 40+year old, on site, subsurface disposal system. Notably: 1) There is no driving area shown over top of any portion of the leaching trench. 2) The septic tank is now shown on the plan. 3) The "forebay"to capture water runoff,which was previously too close to the leach trench, has been removed from the area of the system. I have received a copy of this plan for our records. If there are any additional changes made to the plan please let me know, I will be happy to comment on them as well. As there was no formal application to this office,there is no approval process. Please accept this memo as notification that the Health Department has no issues with this plan. I greatly appreciate the cooperation of all parties in this important issue of public health. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townafnorthandover.com X158' LEGEND-• ZONING.• i mama pRavc= 100 r1Bh1 aVVWP BLIMVM 1 t fauro SPOT slim r•I°o STANDARDDIMENSIONAL KEGULA770NS.• FERMI T SITE S•OBt7325"W APPWox PRamerr UNES FG —— — -'� -__--- DIMDV90NAL REOU/RS0VT.• R0%,,,1£D(81-ZONE) FRONDED PLA N MIN LOT AREA ((SF) OD�7 ` �' �r6 S7OVFWALt 000aooceo• MIN fR TAG(_()FTI 5 FT 1FT SJR at\ EDG£OF IMv —..— MIN SIDE//JJ77£AR 30 FT 50+ FT Y FFARdTTS FT) 2 C/ient MAX BUILDING co MAX HEIGHT(FT) 35 FT 5.I FT \ EDGE OF PAmvmvT Laurie Man cin e//i \ CPE C„a5W RECORD OWNER: 1320 Osgood Street SET awm ` Dow Sowr 0 May A FO.yette North Andover MA 01845 - r 1320 Osgood SL•vet -n- North Andowr,MA (7m) m 86•RmMw eVR) -p FDVCE p LOCUS- AL OCUS Q.1Ka ARCA L 0010 wo q enaEmvsar � USE ORP70£AND SUSyN SERNCES DATA PROCESSING ARK£nNG AnGYVS s<l'snv a rtie snera_ 4L 1Ko \ F 6.0 P.,ksc=5WX AREA 6 _• \�` S - -164— 1 -"----= ypVoN GSA: 3700*SF �a, toays r ___ REQUIRED: 1�-T I \ 3700 SFX 6.0 SPACES 000 SF= 23 SJ°A15 BM C\ /� 1 1 HANDICAPPED SPAG£ l`• 'J 5�t 2. v HARDHOW ST -s n- " - 28 SPA (/NCLUD/NG f HAND/CAPPED) ! _ _�s% ss�„� NCE%' ,.. "�'• � .� \ -- :___--i �• sK'"' B AARP T•'; .��, �1.t� �' 1`�� \11 ' 1 -_166 J ----_•_ 8, g' r MSEQ%Lmw 113 r ' iwmrY \ -----� --- _= SCALEI'=101010f .•• : 22' 18' N SAF ! f''\ \ ---- -i •.•.w NOmE SILTnwcr fmwBEwrALLm 5' Site• fOe31r 1 N A 6•DEEP Mmw mD Pmvwr SEA'AAEIVT Z 1� I now BQOW INE faicE ��18� I✓20 Osgood Street 9911V as o \\ AA7BALES W BE DOLME SMAW. P l X HAMGrcwPLD PAVOW ASE PAS North An do ver MA • ... PA tfD,; "':`• �p (7ypy�� SPACE* CAR ACCE59" SPADE.'` g'X 18' 1 PAWWGi:►ere.r. 2 S a c r (r►»cAU "CAL)`� • ''• LOT...•..'.•..cvnLr. `'! � � A;� Q.1Ka: ' M YBALEISILTFENCE DET, IL PARKING SPA CEDETAILS.- a. o 1 \ (NOT TO SCALE) Nor mo smr �. ?- ' v Deed Reference: Assessors Referen,= Soak 11913 Pa a ^ F.a .• Lb6LE ;F6;..•.:: --,;.1 .iees I.2.f, . ;:.. .:• _ ge: 35 Map: 34 Lot. 30 y ❑ 'I"1 2 ~ '� •••.... �f \ AAAAWW EN7RANlL�/EA1r WDn* 12 Fr(dVF-WA»20 Fr(7M17-WA f U , »» i ill N L7 \ AI/hlMtd/ALUVLLN71lNG AME tMOn/ 90'A1LUZ PARXNC 20 FT( WA 17 � � �'`-•• �•-•.' ,.. .. : �� PARALLQ PAA'�1vS-12 fT(OVE-wAr) : AMM44V&-mac nwm LOT thws.PA MM SPACES-S FT k $ ❑ s' \_\ •Oltx rM (MAIL 5 Fr nW FROVT LOT Lft i u� .� i AMMCUBO RAA91S-15 fUr /��( 4 „BS 5/21%12 Affl E•O V FL" I13 . :.. _ r1. '1 z'. ® ' ' f 1/3'LA•T. oaVG NEAlsivo c1auRSE 5 N v...' /8/12 REHEMER CAItMENms OB/SS OP AOUICH 'G �iT� W I `P' -y �' A 2'Nr IXWG 6 VD?L 1D' 2 .. / ?" ' 4/27/Y rBENENER COWIEN75 r �ri &WAMOUS CAPE CW LM 2' l� k,, o ON TING BL tOAM 1 3/3/°/2 MINOR REN.S)'pV �sIl+ E STQ DG, �+ 42- r .6RYM : .... �...:_.:A/� Z/ Da,•K+.�i' E s' 'Bf! L iE�O�[ A cri J.4� a is 310 1?' :.�• Ofe / )... .. T MRA N Y, s t,v ! �{•" _, l.: 8'' , 1 sEcnav �l�f s7LwE K% s'Del M SlrCnav PARKINGPAVEMENTDETA)L: BITUMINOUSCAPECOD BER M B MIiZIRAAp / NOT 7D SCALE NOT 7L1 So" AWA LA Nor fD / W av; 1 coNTRAC7OR SHALL CANTACr DIGSAFE AT f-888-344-7233f-888-344-723321. FaR UNDE7?C+RCUND UIIUTY MARK/NGi AT LEAST 3 BUSINESS DAYS PrOQR TO ANY CAVS7RUCnaV /Pr * 2.' ��"'' •! r s A+ 2 LOCAnON OF EX/SANG UNDERGROUND UnUnES AS SY/ONfV OW PLAN ARE ` + �� APPROX/MA7E THERE MAYBE AUO/nOYYAL UAUnEs 7RUC7URE5 NOT SJHONIV OV PUN. �` / Lm�Sp _ / � UUS1 aCT7RUCTUR Sy BO O OINV AN PLAN AND 7F/OSE NOT ONN UNDERGROUND "' 3 ALL N�EE1W(UAUTES Sf/ALL BE LOCiI TED UNDERG/PGY/ND, UNLESS STATED OTt1ERINSE i / 20 MF F N117425 E /��U-PGYE b y �°' NO 4 CAVn2ACTGIR SY/ALL BE RESpaN57BLE Fa4 ANY DAMAGE 70 EX/ST1NG/MPROVEMEN75 NOT ELtQhtIIOt` _.. ' PROPOSED TO BE RE11fOtE0 aR DEAfOUS7oED. ANY DAMAGE SHALL BE REPAIRED 70 7H£ Soon/an Englneerbg LLC / SAnSFACnON Olr THE OMNE7?, BY THE CCW7RAC7DR. 5 CON7RACTaR 57tALL COaRD/NA7E AND a9TA/N ALL NECESSARY PERM/75 FOR COI6S7RUC770N PO BOX 9016 AS REGX//RFdI BY REGULA7nYPY AU7NAq/nES. Georgetown AM 01833 6 CaV77iAC7UR S YAU BE RESBOOIVS&£FOR SAFETY MEASURES; C0lVS7RU077aV A&-7NODS AND U \O OS/ 1--_•__.___._....__. ._ _..._. / CAVTROL pow ALI HOW AN VIE: \ (ROUT 'G_00D STREET / /f 7 7HIS PLAN/S NOT/N70VDED 70 5YOW AN ENGYNEERED BUILD/NG FOUNDAnAN DESIGN, 2Ms/ICH WOULD INCLUDE DETAILS AND nNAL EYEVA71aYS 011 FOOnNGS WALL AND L;1D r«+tr ad n°�a^•'1a..Ftyolao. +lO -cape,�mr y�oiaap�cAq n t� / 57JBSURFAOLc DRNNAL� 76 PREYE7VT/N7ER/OR FLOODING* SEE ARG 17EC7URAL AND/AR rU91-IC WA Y /p 57RU07URAL PLANS/DRAMNGS I V,4/�• WIDTH) / 8 CAV7RACrOR SIVALL MAKE 7HEWSELVES AWARE CF ANY AND ALL CaySIRUCnON PLAN r1Ew D£rals Plan Datum:Assumed 1 t BY 7/ER WULANYAU7NOW17a PR/AR 70/CaVSn7UCnL l75 AND APPROI/ALS/S57/m 9 COV7RACIOR S7 ALL HIRE PROFESSYAVAL LAND SURW'MR To STAKE PROWOSED VIF -+ .(d / /MPROV£ME7VTS AND LAYvvr Or PRacosiv ADD/nov. _ 10 7HESE PLANS 727 BE FILED W7H THE NORTH ANDOW9?PLANNING BOARD FOR SY7E PLAN APPROVAL 9GEaRGEMWN 7 7DVNEY MA 018337 1 1 ANY)N7DVDM REW-51aVS OF cy IM SlE NV aV PLANS -WALL£R ASD D ROIED BY THE ENG NEEIP qq R7 �et (.5pg) -11214 /MPL£A/ENTAnGW • • (509J 038 ax '3 � �� � .�,r-`""`-_�-_=_--• 12 PRao05£D OU7DOa4 UGY•/nNG/S 70 REA/A/N LOGgIED aV 1HE SIDE GF THE BU1L0/NG AND SJ�IALL SITEPLAN• MEFr Nom AmDo►ER ZGW/NG REGY/LAnav a I.5(f) ISH77NG OF PARKING AREAS"REQU/REVENIS 13 SNOW S70►RAOE SHALL B£LOCATED ON DESmGINA PARKING SP07S AND 01MER S hALL MAKE* 1nianosso�tes,cam SCALE 1-20' SNOW PLON£R AWARE OF LOCA 770V PR/a? r0 PLOWA(G. www.aysp Onossoc es com 1 _ !s'WAS7YED=01W PAAKNO LOT SHEET FLOW FlN/SFl GRADE • ° 0 0 0 0 ° S>:> '' : ::= 1 3 ;�: PERMIT S/TE siH)x 27'TlfDnq x rrDEPIN) `�`5 '" ";:~ W W W W W W W W W W •t•�•,•• 3/4— 1 1/7-WASHED pWWM S1 W.- PLA N W W W W W W W W W W W W l �:•• ;i.♦1•'•' •" W W W W W W W W W W CRASS R1YER FOREBAY OUTLET •° `'"'"' •` ••=' W W W STRIP LOAA/•&SEED',. Went: MET .3 , Laurie Man cin e//i q�/7�� 1320 Osgood Street II 6H0 GRASSED WATER QUALITYSWALE,• North Andover MA 01845 G1ERV -- (NOT TO SCALE) to r A PLAN NEM' 12'PONDING —aEV 1645 DI� R-3-MUL T —ELEV. 16'RS BO 16&0 LOCUS- S?w —fZEI f6�13 EL 16G0 �L�� H r..%�_ ` - ♦, y SEC770N � r, f=6'PLAN7byo ) ll SAND ASM 012? Iiliiiiiii FEA SEDIMENTFOREBAY.• _ Larws 1:' —EtEU 1628 ELEK 162 —a". 1623 (Nor To SCALE) �� E". 161.5 ESMW W.$ NCE,, PROFILE TYP/CAL sECAGW AIRP T,' C1 i BIORETEVTIONAREA: /MsrrTAnrw caYVIROL• NOT Tb7 51pILE 1 THE CONTRACTOR SHALL KEEP ADDITIONAL MATERIALS ON-SIZE, TO REPLACE OR REPAIR ANY SCALE-11-10001 EROSION CONTROL DEWSE 2 MATERIALS 719 KEEP ON HAND INCLUDE HAYBALE$ -%T-FENCE; AND GRAVEL 3 THE COW77?AC70R IS RESPONW&F FOR MAINTAINING ALL EROS/O'V CONTROL MEASURES ON 7H£517E SU DOMN57TWT PR/OR TO AROt.ECT CYM/PLEAON. 4 THE'CONTRACTOR SHALL CONSTRUCT A STA8112ED CONSTRUC77ON ENTRANCE AT THE DI/SANG E7V7RANCE 1320 Osgood Street OFF OF OSGOOD STREET, T27 AWWVT EXCESS SILT AND POLLUTANTS FROM BEING TRANS-CR7F0 OFF-SYTE: North Andover MA SMNE USED FOR STABILIZED CANS7RU0770W DVrRANCE SH41L HAVE A MIN/MUM OF 2 INCH DIAMETER. AHP RAP D50 WYE 5 ALL AM WWALS ENCAVATED ON-SSE SHALL BE S7VCKP/LED, SEPARA77NO THE TOP SOIL FOR FU7URE USy AND SHALL BE SURROUNDED BY A SYLTA7TON/HAYBALE BARRIER ON 7HE DOWN--SLOPE SIDE IF TO BE 4ERfLOW PYRE LEFT FOR TMC! NEWS OR MORE. IF HEAVY RAINS ARE DPECTED CON7RAC7OR SHALL RENW E EROSION CONIMS AND SUPPLEMENT NHERF NEEDED. 6 THE DRAINAGE ShT11077U/RES SHALL BE PROTECTED DURING CONS7RUCAON Deed Reference.• Assessors Reference: AND PROMIC7ED FROM ALL RUN-OFF UN77L THEY ARE TO BE PUT IN76 O°ERA77OW. 2-QpUM BASE SPLASY PLA IE 7 THE FLOW D/FFVSER SHALL BE INSTALLED PR/OR Tt7 7HE GRASSED SWALE: Book: 11913 Page: 35 Map: 34 Lot 30 OR EWAL FABRlC /r GRADE 6 DRAINAGE SYSTEM SHALL BE CaVS7RUCW FROM/ THE DOWS7REAM END UP. / 9 THE 'wr-GARDEN'&GRA55LF0 sWALE SHALL BE CLEANED of ALL sE0/ME7VT AND DEBRIS AFTER ANY HEAVY SEC770N RAIN E•VFNT, AND AT THE END OF CCYVSTRUCAGYV• 10 REMOVAL OF ER0.00W/SYLTA77OW CO'V7ROLS SHALL REMAIN ON-SYZE UN77L FINAL STAB/LIZ4770N OF ALL CONS7RUC77OV AREAS RIPR".- 11 LANDSCAPING SHALL OCaIR AS SOON AS POSSIBLE TO PROVIDE A PERMANENT STAB/LIZ4770W OF 4 „ 5121112 IENSacv FtAN ALL DISnIRSED AREAS E (NOT 70 SCALE) 12 AA Ar/N/M SYes NOHES OF TOPSOIL OR MULCH SHALL BE PLACED AND GRADED 70 R7NISH GRADES 6�2 6'/FDPE qoE 13 HYDROS£fD/NG SHALL BE USED FOR ALL PROPOSED GRASSED AREAS 3 ,195 5/ REtlEilER 0011669NN IG OVAMdERS 2 .ASS 4/27/12 RE•NEIIER C0114197 75 OPERA M A/MT&VANCE ALAN, 1 .6S 3/3/12 MINOR REWWON DOWNSPOUT OVERFLOW SYSTEM OWIIER.- MIM INSURANCE INC (NOT TO SCALE) C/O LAURIE MANCINELU 1320 OSGOOD STREET NORTH ANDOVER MA 01845DA 2 2012 THE PARTY RESIRMSYBLE FOR OPERA77ON AND MAINTENANCEi s - SAME-1 S7RELFT SWEEPING` 57RELFr SWEEPING OF THE•D RIIEWAY AND PARKING AREA SHALL OCCUR S 411-ANNUALLY, ONCE/N THE SPRING FOU OWNG SNOMA/ELT AND ONCE LN 7HE FALL. 6'spy-rp P4i:PPE 772STONEDIAPHRAM THE STYWE DIAPHRAM SHALL BE INS DE07M AT LEAST ONCE PAR MONTH AND AFTER ALL LNsp£cnaN PA4T LNAEAISE RAIN EVDVM AND SHALL BE CLEARED OF ANY ACCUMULATED S)ETA776W AND DEBRIS: STONES SHALL OF INSPECTED PERIODICALLY AND REPLACED AS NEFDEi7 ANY REMOVED SEDIMOWS SHALL 61 PIC END GIP OR CL£ANWT BE DISPOSED OF PROPERLY, IN ACCORDANCE-WTH LOCAL, STATE AND/OR FEDERAL GUIDELINES ANY FLOW IEC NO 410 fK7E7P FAMC 6'hVTD NAL COUPLM 94!CGMPAMM FIIL OBSTRUCTIONS/NCXUO/NG TREE OR SHRUB SAPLING=S SHALL BE REM04ED. REMOVAL EQUR44ENT SHALL BE RM/-W LWACEE I UM/7FD AD HAND 7OQLS AND PONER SWEEPING 3 GRASSED R7L7ER SMYR THE GRASSED RL7ER 57R/P SHALL BE INSPECTED AT LEAST ONCE PET?MONTH AND 6.25 6• r2'MAI AFTER ALL /N7E7VS£RAIN EVENTS AND SHALL BE IXEARED OF ANY ACCUMULATED S'LTA77ON AND DEBRIS. ANY REMOVED SED/MEN75 SHALL BE DISPOSED OF PROP0MY, /N ACCORDANCE W7H LOCAL, STA.7E AND/AR fIDERAL GVU ffLINES ANY FLOW OBS7RU077ANS INCLUDING 7RELF CW SHRUB (MAX) SAPJMO SHALL BE REMOVEIS RER/OVAL EOU/PMENT SMALL BE UM17ED TO HAND TOOLS AND 16- POM£R SWEEP/NG RL TER S71VP WALL BE RAKED AND MOM£D FREQUENTLY. 1 4 `NET GARDEN'B GRASSED SWALES• 7HE`£T GARDETV'& GRASSED SWALES SHALL BE INSPECTED AT LEAST ONl?E A MGN7H AND AFTERALL /N7DVSZF RAIN EVENTS, AND-WALL BE CLEARED OF ANY ACCUMULATED Scan/an En Lneen'n LLC • •75• - - 6- ..- 2=5' SILrA770N AND DEBRIS. ANY REMOVID SEDIMENTS SHALL BE DISPOSED OFPROPERLY, /N ACC RDANCE WTH n L fh 9O6 CY/L7EC G1pVTAC7g4 12550 . LOCAL, STATE, AND/O4 fFOERAL GY!/D£IJNES ANY fZOW OBS7RUC77ONS INCLUDING FREE O4 SHRUB Georgetown MA" 01833 Sy,/ameDAW C7/A2-w SAPLINGS, SHALL BE REMOVED. REMOVAL EIX//PMDVT 5Y/ALL BE LIMITED 717 HAND 70OLS AND NOTES: f z'WASYED aeUSHm STDNE POWER SWEEPING SWALE SHALL BE RAKED/MONED 2-12X PER GROWNG SEASON. AIOWNG SHALL OCWR rO KEEP 7H£GRASS NO GREATER THAN 6-INCHES CHECK SWALE FOR VEG4TA77lE HEALTH AND SLOPE STABIUTY. Contactor 125 Is 7.5'x 30'x 18' MULCH SHALL BE MAINTAINED ANNUALLY. C%M—te and Sslthp•1o��10rdgoWanhp+lam-� IdeH1 P dLY n unit based an recommended method of installation. 1)BOTTOM QF EXGI YAl7QV SiLILL BE L£IEZ AND SL^Al0'fIED ft9�QR 7D Design AUCING 570AE 5 RODE/Nf1L7RATORS 1H£COVERS SHALL BE OPENED AND THE BASNS INSPECTED FCI4 APPARENT Capacity of ContCapacity b 13.87 cubic fed per unit 125 b 2.22 cubic feet per Bnear toot Chamber Storage Cap2)MAIE%AL L6SED M BACYFBL INE C1YAWERS SHOULD E8'aZ4AL PDWEAW S7RUC7URAL SOUNDNESS AND BLOCKAGE BASINS SHALL HA IE SLTA770/V AND DEBRIS REMOVED BY • S"tor sae�T Surrounded in Stone to 29.16 cubic feet per un7t AND FREE AF LARGE STONES SUC77CW AS REOUIRED. N07ES h DETAILS Plan Datum:Aawmed required around the chamber bed. 6 SEDIMENT FORE&1 M 7HE SEDIMENT FOREBAY5.SHALL BE INSPECTED AT LEAST ONCE PER MONTH AND AFTER ALL INTENSE EMVM AND SHALL BE CLEARED OF ANY ACCUMULATED at rA77ON AND ROOFINFILTRATIONCHAMBERS DEBRIS ANY REMO4W SEDIMEN7S SMALL BE DISPOSED OF PROPERLY, IN ACCORDANCE WhY LOCAL, Oak 97 7ENNE'Y smEr-SY//TE 7 CULTEC CONTACTOR 125 CHAMBER DETAIL STATE AND/OR FEDERAL GU//DEUNE'a ANY FLOW O4S7RUC710WS INC:ULNNG TREE OR SHRUB GL-ORGLFTOiw MA 01633 S4PL/1VG$ SHALL BE REMOVED. REMOVAL EOWPMENT SVALL BE UM/TED 727 HAND TOOLS AND CASPIAN'! Manufactured 8 CULTM hm of 878 Federal Rood Brookfield.CT OWN LISA 0 KEEP THE GRASS F NO AY TER THAN R6/Ar LEAST IYNCE PER QROWNG 57:ASOK MOWNG SHALL oCL'Y/R T� (�Q¢) 79�-11214 Engineering • • Fa lona/ 75 038 40aanne 1 tescam N o a�iscovn i -- � PERMIT SITE PLA Laurie Man cineiii —— rn>NaM BALLS-EASMW AROWWTA£ 1320 Osgood Street _—160— — AAFA maEa LAD North Andover MA 01845 scT or roar \ (20r`Ni°`-•-=� INSTALL —^ bUXUS-BOXIM7LI0 -- AIPRAP sgTLwrtz.Eases I OA=- — � AL- — y TREE/SHRUB SCHEDULE.07 # Affe'fM7.Ho Lrtresr,a NC { [L.rano •�j: , '�`' LOLY/S _ �,_ 1 ----- ® � DIY ` � =_- 3 Z a Sawyer, Susan From: Sawyer, Susan C � " Sent: Wednesday, June 13, 2012 11:12 AM To: 'Jim Scanlan, P.E.' Subject: RE: 1320 Osgood Street Jim, Thank you for informing me of your decision. I hope this plan allows your client to proceed in an acceptable timeline. I would be happy to look at it prior to you going to the planning board, so I can send my recommendation to the Town Planner. Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Bldg.20,Unit 2-36 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawver@townofnorthandover.com Web www.TownofNorthAndover.com } From: Jim Scanlan, P.E. [mailto:jim(ascanlanengineering.com] Sent: Tuesday, June 12, 2012 6:32 PM To: Sawyer, Susan Subject: 1320 Osgood Street Susan: Thankyou for meeting with me last week to discuss your concerns regarding this project, and specifically the existing septic system. After some discussions with the client, and a re-working of the driveway/parking design, we have found a way to eliminate the need for the driveway which passes over the existing septic trench. We are going to provide a two- way drive on the other side of the structure, eliminating the drive that extended from the front of the building around the right side of the building (looking from the street) and connecting to the parking lot in the rear. This actually works better for the client, as it provides the same ultimate concept, with less pavement, which means less money and less impervious area. A win-win situation. We will therefor not be proposing anything over the existing leach line, including the concrete protective slab. Additionally the grassed swale, which had been proposed down the right side of the parking lot, will be removed from the plans. A few minor concessions were realized by the revised plans, such as a slight reduction in parking spots, but we still have more than required by local code. I hope that the new plans will meet with your approval, as we have taken care to avoid the existing system and not propose anything in its vicinity that could compromise its functioning. 1 i Please contact me with any questions or concerns. We will hopefully be submitting the revised plans this week, to the Planning Board. Sincerely Jim Scanlan James B Scanlan, P.E. Scanlan Engineering LLCy PO Box 906 Georgetown, MA 01833 (978)-372-3440 jim .scanlanengineering.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 2 i V I Sawyer, Susan From: Sawyer, Susan Sent: Wednesday, May 30, 2012 3:04 PM To: 'Stacy L. Carpenter' Subject: RE: FW: 1320 Osgood Street Stacy, I spoke to your engineer. I am sure he has called you already. Unfortunately,the depiction of this 40+year old,single trench,septic system, as interpreted from the Title V Inspection,was drawn in error. This is not good news, but the most positive aspect is that this issue was not discovered when the digging had already started and irreversible damage to the system was done. I have passed on the information to our Town Planner,Judy, and she is contacting the property owner. Please call me if you have any questions. Thank you Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Bldg.20,Unit 2-36 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawyerCoDtownofnorthandover.com Web www.TownofNorthAndover.com From: Stacy L. Carpenter [mailto:wetsci(a)gmail.coml Sent: Wednesday, May 30, 2012 9:47 AM To: Sawyer, Susan Subject: Re: FW: 1320 Osgood Street Good morning, Thank you for reaching out to me. 1 I have forwarded this communication to our engineer and after I speak with him, I will be contacting you to discuss. I expect we will be communicating today. Cheers— Stacy On Wed, May 30, 2012 at 8:54 AM, Sawyer, Susan<ssa , er e,townofnorthandover.com>wrote: Jean in Planning gave me this email so I am forwarding the 2 emails to you again in case you did not receive them. Thank you, Susan -----Original Message----- From: Sawyer, Susan Sent: Tuesday, May 29, 2012 4:11 PM To: 'scarpenter@c� aspianassociates.com' Cc: Tymon, Judy Subject: 1320 Osgood Street Stacey, This is a follow-up to the previous email I sent you this afternoon. Please find the attached Title V document for 1320 Osgood Street conducted on 12/10/11. The plan associated with the Planning Board approved design does not reflect the locations of the components as found in this inspection report. Please contact me as soon as possible so that the concerns can be addressed. Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Bldg. 20, Unit 2-36 North Andover, MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ss4Mer(c�r�,townofnorthandover.com Web www.TownofNorthAndover.com -----Original Message----- z From: norenly(2townofnorthandover.com [mailto:noreply_ktownofnorthandover.com] Sent: Tuesday, May 29, 2012 3:30 PM To: Sawyer, Susan Subject: This E-mail was sent from "RNPOA428C" (Aficio MP C5000). Scan Date: 05.29.2012 15:30:24 (-0400) Queries to: noreply@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: hgp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 3 i i C 5 Q SOc.«reS Coll') �jTG� AL . — A. RD�� • �.•DUR/l1/.G.S�T,�:•COIIF;S I � 166 ,3' WlD L A TER W. 25 ICG1N u ALE 'V R, GRASSED I �V V WATER QUALITY FOREBA Y , WALE I OUTLET 1 S VI EL. 168.0 RI � w FOREBA Y BOTTOM EL 166.0 V W� BERM EL 168.5 Q- P I \ RARKING. FOREBA•Y , I w Q o 'LOT .'. ouTLET' I mw WOW ' ' " • ' _ •Ec.. rsa.4.:• W o cn m FOREBA Y O Q M FORAGE' I � Z,-, \ `� •BoJ76M EL•166.0• 1 6 _ --- BERM EL. 168.5jM/N) \ /2 l - 69Z C ^ -=• ' _ ' E9.,2 :'� ��°A l/Ep �.• '.[._ 168.5 ✓ c� ❑ I I QA ••INSTAL . ' I 4� �© \ NC• PAD E !y' k \ . ODER EXIST 0 Li ROOF qL LEA •LINE, IN L TRA TION AREA n ❑ p �p 0 I Q05 I OOF C7 ❑ Q,Q �Q lNFIL 7RA'T10 0 -I Q I AREA - , �l7 I rPQ I 2 2 D —I ❑ I , '' E I oa NC C:: 9 BLDG l S r Q� . GF��71 9 ,F 73 6 R1' WpOD F qe� . �n / . R Q A M E D �2 si X32 I DO NOT ' ENTER SIGN '� DE F.G. yigLK, v "9 9' ROOF p / 171.5' �'.• %NF./L TRAT/0/v V S OW ��, F G. AREA / W S RAG 3 Q V / 171.0 F.G. NOT FDR/t� N /PT 3 GR f: OUND SIGN 4O Sp 20' MF•• F N112425"E C Qj U-P( STOP SIGN. NOT FD / /P ® O �o CS COOD � ST � � �E R ET / PU291 /C WA y _ WIDTH) CD SLOPED GRANITE CURB i d SITE. SCALE I EMOR r 5 92- 7 o;�•yo h S V ` Town of North Andover ` '• ;o:: HEALTH DEPARTMENT ,SSACHUStt CHECK#: Dol DATE: LOCATION: (� H/O NAME: �,/�--- CONTRACTOR NAMES 4L� 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) $ ❑ Ti Inspector $ Title 5 Report $ ;z- ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer f � t � y 5 .� � � V � � ��'^`J/� N� 4 � � � � T,�.� - �� 1 �. � � _� �� , . �. Commonwealth of Massachusetts Title 5 Official Inspection Form RE EIV Subsurface Sewage Disposal System Form-Not for Voluntary Assessme is y� OEC I a Zell 1320 Osgood Street Property Address Bartholomew Forgetta Owner owner's Name information is required for North Andover MA 01845 12-10-11 every page. Citylrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Benjamin C. Osgood, Jr. cursor-do not Name of Inspector use the return key. none Company Name 16 Hillside Avenue, Unit 3 Company Address —–A Amesbury MA 01913 Cityfrown State Zip Code 978-834-6585 870 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority pl'� 6 r 12-10-11 Inspector ignature 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. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 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): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is North Andover MA 01845 12-10-11 required for 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 Commonwealth of Massachusetts Title° 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. Cityrrown 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 El ® 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 El ® 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 '/2 day flow Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is North Andover MA 01845 12-10-11 required for every page. Cityrrown 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. I Commonwealth of Massachusetts, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '~ 1320 Osgood Street f Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. City/Town 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): Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): f Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: vacant 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 ears usage d well 9 ( Y 9 (gp ))� 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: Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped last summer per owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: 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): Septic tank with one leach trench f . i Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments I 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 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: Constructed in 1961 per owner with possible rework more recently Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 6' Depth below grade: feet Material of construction: ®cast iron ❑40 PVC ❑other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): Pipe looks good in basement Septic Tank(locate on site plan): 6' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallons Sludge depth: 2" Commonwealth of Massachusetts' Title 5 Oficial Inspection Form m Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 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 N/A Scum thickness 0" Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? measure tape Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank in good condition. Outlet baffle missing and should be replaced with a schedule 40 PVC TEE j 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 Commonwealth of Massachusetts' ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is North Andover MA 01845 12-10-11 required for every page. Citylrown 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 Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 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 N/A 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.): No Distribution box 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: Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 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: 1 95' long trench ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Area of trench is a farm field and looks normal. Inspection of clean out box at end of trench indicates system is functioning properly. 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 Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments t 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. Cityrrown 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.): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew For etta Owner information is Owner's Name required for North Andover MA 01845 12-10-11 every page. cityrrown State Zip Code Date of Ins D. System Information (cont.) perxlon 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 , in feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below Ca drawing attached separately 3 W a e v% ::16 t C_L_ 'r C Al 07-b 0 e:' J t a 54:LJL4J 6-2AIDE -� tkT JIR0D ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: >6 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: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: Basement is 6 feet below ground, no sump pump, and it is dry. System built on the side of a hill and is 18" below ground at the end of the system. USGS maps indicate water table is>6 feet below grade. Before filing this Inspection Report, please see Report Completeness Checklist on next page. J I Commonwealth of MassachUsetts` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1320 Osgood Street Property Address Bartholomew Forgetta Owner Owner's Name information is required for North Andover MA 01845 12-10-11 every page. Citylrown 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 Hospital per bed 200 p ital - —- Nursing Home/Rest Mme per bed 150 Public Park,toilet per person 5 waste only 4/21/06 310 CMR-510 North Andover Board of Assessors Public Access Page 1 of 1 NORTH North Andover Board of Assessors s •, o 49 'J7 •ono nt�� 'SS�ICHUSE�4g roperty Record Card Parcel ID:210/034.0-0030-0000.0 FY:2012 Community:North Andover Click on Sketch to Enlarge Click on Photo to Enlar e r , 4 i 1320 OSGOOD STREET `' Location: "1320 OSGOOD STREET Owner Name: FORGETTA,MARY A. Owner Address: 1320 OSGOOD STREET 'City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5-5 Land Area: 1.15 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1312 sqft FVI e U S WAR Total Value: 331,800 331,800 Building Value: 133,300 133,300 Land Value: 198,500 198,500 Market Land Value: 198,500 Chapter Land Value: Sale Price: 1 Sale Date: 01/19/2010 Arms Length Sale A-NO-FAMILY Grantor: B AND M FORGETTA Code: REA Cert Doc: Book: 11913 Page: 35 0 http://csc-ma.us/PROPAPP/display.do?linkld=1889351&town=NandoverPubAcc 3/7/2012 Bk 12798 P0327 02647 01-31-2012 a'i 12 x 12o MASSACHUSETTS STATE EXCISE TRX Essex Horth Resistrg Date: 01-31-2012 1 12:12oa CUP 76 Dor:: 2647 e: $1073.84 cons: 4384.D00.00 fiburtarp O I, Bartholomew J. Forgetta, Jr., as Executor of the Estate of Mary Forgetta, Essex County Probate Court, Salem MA, Docket Number ES11 P0335EA, of 22 K Street, Unit 101, Hampton, Rockingham County, New Hampshire 03842, by the power conferred by the Essex County Probate Division, Salem, MA, and every other power, In consideration of Three Hundred Eighty Nine Thousand Dollars ($389,000.00) paid grant to 1320 Osgood Street Corporation, a duly constituted Massachusetts Corporation having as its business address as, 1320 Osgood Street, North Andover, Essex County, Massachusetts, 01845, with quitclaim covenants: the land in said North Andover with the buildings thereon, being shown as containing 50,232 square feet, more or less, on "Plan of a Portion of Land in North Andover, Mass." Owned by Antonio Forgetta, dated January, 1957, Ralph B. Brasseur, C.E. (Plan No. 3433). Said land is bounded and described as follows: EASTERLY in three (3) courses by Osgood Street as shown on said plan, 55.22 feet, 80.28 feet and 40.50 feet; NORTHERLY by land of Holt as shown on said plan 350 feet; WESTERLY one hundred thirty-five (135) feet; and SOUTHERLY three hundred ten (310) feet. i Bk 12798 Pg328 #2647 I i The last two (2) courses being by land retained by Antonio Forgetta and Pasqualina Forgetta. Being the same premises conveyed to the Grantor(s) by deed dated January 5, 2010 and recorded with Essex North Registry of Deeds in Book 11913, Page 35. In Witness Whereof, the said Bartholomew J. Forgetta, Jr., Executor of the Estate of Mary Forgetta has caused these presents to be executed this aZ—day of January, 2012. A rb.a -V-Aj, artholomewtta, ., Executor of the Estate of Mary76rgetta _�'pr►,v►,otiv�-cam/� vl�.�i�i'�rti ?j 518 ' e �� ss . On this--3 ay of January, 2012, before me, the undersigned Notary Public, personally appeared the above-named Bartholomew J. Forgetta, Jr., Executor of the Estate of Mary Forgetta, provedp me by satisfactory evidence of identification, being (check whichever applies): [ driver's license or other state or federal governmental document bearing a photographic image, [ ]oath or affirmation of a credible witness known to me who knows the above signatory, or[ ] my own personal knowledge of the identity of the signatory, to be the person whose name is signed above, and acknowledged the foregoing to be signed by her, as her free act and deed, voluntarily for its stated purpose. OFFICIAL SEAL Notary u is ALB Nor RY PUBL C�20'13 JMy commission expires: L NWEALTHOFMkTA CHrnet.Expires qua.3 I 1320 Osgood Street Corporation- Massachusetts Company Profile (People Search and Co... Page 1 of 1 �&zapedia Home Company Search People Search Contact Us 1320 OSGOOD STREET CORPORATION 7 1 —o Adchoices D ®p I This information is current as of February 23,2012. Virtual Phone ; Company Name: 1320 OSGOOD STREET CORPORATION Numbers Status: Unknown Filing Date: 01/10/2012 A Mobile Solution For Your Business Entity Type: Domestic Profit Corporation File Number: 001069215 Communications. 5- Filing State: Massachusetts(MA) Month Free Trial www.eVoice.com Company Age: 2 Months i Principal Address: 114 Turnpike Rd Suite 107b Westborough,MA 01581 Registered Agent: Robert J Travers ! 114 Turnpike Rd.Suite 107b Westborough,MA 01581 ! Form an LLC in Minutes Form a Limited Liability Company.As Seen on CNN,MSNBC&Fox News.ywwy.LegalZoom.coMLLC ! Truly Self-Directed IRA Get Checkbook Control&Greater Diversity With A Self-Directed IRA!www.GuidanrFinancial.com Brother®Official Site Visit Our Official Website to Find Printers,Fax,All in One&More.wiw✓.Brother-USA.com ! ®Q AdChoices D 1 DIRECTOR i Robert J Travers 114 Turnpike Rd Suite107b Westborough,MA 01581 I Previous Next Search More Companies Order Business Services For 1320 Osgood Street Corporation Bizapedia.com is not affiliated with the Massachusetts Secretary of State. ! i E ..yright o 2011-2012 Bizapedia.coin All rights reserved. Terms of Use Privacy Policy Sitenralp Achnin Login http://www.bizapedia.com/ma/1320-OSGOOD-STREET-CORPORATION.html 3/7/2012 MA SOC Filing Number: 201264338470 Date: 1/10/2012 11:05:00 AM ,- 5;=��► s The Commonwealth of Massachusetts Minimum Fee:$250.00 William Francis Galvin Secretary of the Commonwealth,Corporations Division + One Ashburton Place, 17th floor M Y Telephone: (6 02108-1512 ) 10279640 Federal Employer Identification Number: 001069215 (must be 9 digits) ARTICLE I The exact name of the corporation is: 1320 OSGOOD STREET CORPORATION ARTICLE II �I I Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose of engaging in any lawful business. Please specify if you want a more limited purpose: REAL ESTATE MANAGEMENT AND ALL LAWFUL PURPOSES ARTICLE III State the total number of shares and par value, if any,of each class of stock that the corporation is authorized to issue.All corporations must authorize stock. If only one class or series is authorized, it is not necessary to specify any particular designation. Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares CWP $1.00000 1,000 $1,000.00 1,000 G.L. C156D eliminates the concept of par value, however a corporation may specify par value in Article III. See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one class of stock is authorized, state a distinguishing designation for each class. Prior to the issuance of it any shares of a class, if shares of another class are outstanding,the Business Entity must provide a description of the preferences,voting powers, qualifications, and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions, if any, imposed by the Articles of Organization upon the transfer of shares of stock of any class are: THE COMPANY RETAINS THE RIGHT OF FIRST REFUSAL ON ALL STOCKHOLDER TRANSACTIONS ARTICLE VI I Other lawful provisions, and if there are no provisions,this article may be left blank. Note: The preceding six(6) articles are considered to be permanent and may be changed only by filing appropriate articles of amendment. ARTICLE VII The effective date of organization and time the articles were received for filing if the articles are not rejected within the time prescribed by law. If a later effective date is desired, specify such date,which may not be later than the 90th day f after the articles are received for filing. Later Effective Date: Time: ARTICLE VIII The information contained in Article VIII is not a permanent part of the Articles of Organization. a,b. The street address of the initial registered office of the corporation in the commonwealth and the name of the initial registered agent at the registered office: Name: ROBERT J TRAVERS No. and Street: 114 TURNPIKE RD. SUITE 107B City or Town: WESTBOROUGH State:MA Zip: 01581 Country:USA c. The names and street addresses of the individuals who will serve as the initial directors, president, treasurer and secretary of the corporation (an address need not be specified if the business address of the officer or director is the same as the principal office location): Title Individual Name Address(no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code PRESIDENT ROBERT J TRAVERS 114 TURNPIKE RD SUITE107B WESTBOROUGH,MA 01581 USA TREASURER ROBERT J TRAVERS 114 TURNPIKE RD SUITE107B WESTBOROUGH,MA 01581 USA SECRETARY ROBERT J TRAVERS 114 TURNPIKE RD SUITE107B WESTBOROUGH,MA 01581 USA DIRECTOR ROBERT J TRAVERS 114 TURNPIKE RD SUITE107B WESTBOROUGH,MA 01581 USA d. The fiscal year end (i.e., tax year) of the corporation: December e.A brief description of the type of business in which the corporation intends to engage: REAL ESTATE MANAGEMENT AND ALL LAWFUL PURPOSES f.The street address (post office boxes are not acceptable)of the principal office of the corporation: No. and Street: 114 TURNPIKE RD SUITE 107B City or Town: WESTBOROUGH State: MA Zip: 01581 Country:USA g. Street address where the records of the corporation required to be kept in the Commonwealth are located (post office boxes are not acceptable): �++ No. and Street: 114 TURNPIKE RD SUITE 107B 9 City or Town: WESTBOROUGH State: MA Zip: 01581 Country:USA which is X its principal office _ an office of its transfer agent P an office of its secretary/assistant secretary _ its registered office Signed this 10 Day of January,2012 at 11:07:25 AM by the incorporator(s). (If an existing corporation is acting as incorporator, type in the exact name of the business entity, the state or other jurisdiction where it was incorporated, the name of the person signing on behalf of said business entity and the title he/she holds or other authority by which such action is taken) ROBERTJTRAVERS O 2001 -2012 Commonwealth of Massachusetts All Rights Reserved MA SOC Filing Number: 201264338470 Date: 1/10/2012 11:05:00 AM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that,upon examination of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: January 10, 2012 11:05 AM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth