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HomeMy WebLinkAboutMiscellaneous - 133 Carlton Avenue 133 Carlton Ave. 1 c •.-�. �-� ' � iii` � � se� .6 y�°—'� iK?y.� ,ea i' MAP # t LOT 1# _ F PARCEL # STREET ONSTRUCTIQN A.PPRO HAS PLAN REVIEW FEE .BEEN PAID? YES NO PLAN APPROVAL: DATE ���iTAff APP. BY L q DESIGNER: !T� � PLAN DATE CONDITIONS .1 AT 'R RRLY: TOW WELL WELL PERMIT DRILLER.__!.._____.___._ _ __.___.__.__......_.. WELL TESTS: CAL DA I E APPROVED.-.--.---- BACTERIA PPROVED._. _.____BACTERIA I DALE (1PPf2UVCU BACTERIA II DAi •PPRUVED_. _ COMMENTS: FORM U APPROVAL: APPROVAL 1'0 ISSUE YES, NO DATE ISSUED BY CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:. .,.._..._..__._ ....�Y: ._. . . y!lr 1 . i �. r. ♦1,iiy. '.' �,.',.r:..,;':'�. T ♦ ;rY \ t ,' 1 � 1 THE INSTALLER LI CENSED? ` NO TYPE OF- CONSTRUCTION: NE REPAIR' ". NEW CONSTRUCTION: ,:. CERTIFIED PLOT 'PLAN REVIEW ;� NO 1 CONDITIONS OF..APPROVAL YES NO ;�L _ , :• (FROM .FORM U) :. { `ISSUANCE OF DWC PERMIT NO DWC PERMITS NO ` q� r ~INSTALLER: �• 2AHC� BEGIN INSPECTION Y.ES -;:EXCAVATION ,INSPECTION: NEEDED: PASSEDfil " / BY :. CONSTRUCTION INSPECTION: NEEDED: AS BUILT PLAN SATISFACTORY YES: APPROVAL TO BACKFILL DATEBY :FINAL.GRADING APPROVAL: DATE B 1 - .'.FINAL CONSTRUCTION APPROVAL: DATE: � � B Address Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date m- Refer a other Purpose of Document/Action and notes. action Document/ document/ Num. Action Department --- Board of Appeals - Board of Health - Planning,Board _Conservatiion Commission - Building Departrnent — — TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby terrifythat the Sewage Disposal System(,, �consiructed; ( )repaired; by V 1 - 7— V-)\ located at—� c'n- was installed in conformance with the-North Andover Board of Health approved plan, System Design Permit# dated with an approved design flow of gallons per day. The materiars used ere conformance with those specified on the approved plan;the system was installed irraccordanee with the provisions of 310 CMR 15.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan. All work is -accurately represented on the As-built which has been submitted to the Board of Health. Installer: Lic.#: Date: Design Engineer. PC 1 Date: S°o II Town of North Andover,Massachusetts BOARD OF HEALTH Date: July 23, 2998 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed(x ) or repaired ( ) by, Charles Zaher, Installer, at Lot 11 Colonial Ave.,North Andover, MA 01845 has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit# 851 dated November 4, 1997. The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactory. B d and of Health SS/cjp Revised: 7/20/98 F c10RTN ToNNm of _ over No. S/ ' ° "2 Cvm Odover' Mass. � 1 CHEW AOgq T E U PP`y •�� S � BOARD OF HEALTH PERMIT T Food/Kitchen Septic System �.J.THIS CERTIFIES THAT.......... ..t... ...... .......4J..f„ „ Oil 0 17� �, B LDING INSPECTOR . ..................................... t Foundation has permission to erect.......... .... ildings ............... X33 . ter.�9...... ..... ... ... to be occupied as.. �....... .. .. ..... o. ..... ..... `. provided that the person acceptingt r �•��� �. e Ii •• -- --*i *' chimney P P permit shall in every respell orm to the terms of the applica 'on on file in this office, and to the provisions of t e Codes and By-Laws relating to the Inspection, Alteration and Con u io f Final Buildings in the Town of North Andover. V � PLXVIOLATION of the Zoning or Building Regulations Voids this Permit. o j PERMIT EXPIRES IN S Final UNLESS CONSTR LECTRI AL INSPE R u !� DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. r, s HAYES ENGINEERING, INC. 603 SALEM STREET WAKEFIELD, MA 01880 NOA-0042 (617) 246-2800 REFER TO FILE# FAX(617) 246-7596 November 6, 1997 Ms. Sandy Starr, Health Agent Board of Health 120 Main Street North Andover, MA 01845 FAX#(978) 688-9542 RE: Colonial Avenue - Lot 11 Dear Ms. Starr: was contacted today by Aurele Cormier as, in the course of excavation for the septic system on Lot 11 Colonial Avenue, ledge was encountered approximately 30 feet behind the house. I reviewed the situation in the field and determined that the best alternative was to revise the configuration of the leaching field, still utilizing a trench design, but making trenches 4 feet wide and, rather than making them parallel to each other, make them opposite each other, adjoining the distribution box. This would result in trench dimensions 2 feet deep, 4 feet wide and 38 feet long. Due to the depth of the left trench in the ground, it will require that a vent be added. trust this field change is acceptable to you and, of course, the final location of the leach trenches will be included in the as-built plan. Very truly yours, Peter J. Ogren, P.E., P.L.S. President PJO/dab Enclosure cc: Aurele Cormier- FAX 51,(f TCH PLAN /N NO, A ND 0 VER, MA 55, SC4LE. 1" 40' NOWM&W 13, 1997 KAYES MUNEER/NG, INC 60.3 SALEM STREET CML ENCMMMS & NWAKERZW, A64SS. 01880 LAND SURWYORS TEL. (617) 246-2800 SHO WING AL TERNATE TRfXCH L OCAT/ON LOT 12 • LOT 11 22,347 S.F. W4 rJW 7RE� RJESERNF 2 LOT 10 yC C LEauF — —® Z TUN 5BOX 2�4�r.TWMVCY /V COL ON/AL A VENUE PLAN REVIEW CHECKLIST ADDRESS /j /,Q/j�jl� ENGINEER GENERAL 3 COPIES STAMPIZ LOCUS L,--' NORTH ARROW SCALE CONTOURS 4:� PROFILE (/ SECTION L,--- BENCHMARK -� SOIL & PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS WATERSHED? DRIVEWAY L-""(Elev) WATER LINE L,- � FDN DRAIN10 SCH40 TESTS CURRENT? f SOIL EVAL �, "�G CSS D/J SEPTIC TANK MIN 150OG L-� . 17 INVERT DROP ✓ GARB. GRINDER/A(+200% EDF) 25 ' TO CELLAR C"�t MANHOLE ELEV GW # COMPS. _ D-BOX SIZE # LINES �J FIRST 2 ' LEVEL STATEMENT INLET OUTLET l 7J (2" OR . 17 FT) TEE REQ'D? LEACHING 04-0 MIN 660 GPD? L,-' RESERVE AREA L,- 4 - FROM PRIMARY?X 2% SLOPE 100 ' TO WETLANDS L"" 100 ' TO WELLS L--' 4 ' TO S .H.GW (5 '>2M/IN) 35 ' TO FND & INTRCPTR DRAINS "- 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY ---' MIN 12" COVER : - FILL? (25 ' c/ if above natural elev; 10 ' if below) BREAKOUT MET? TRENCHES /Ei(f)�� MIN 660 gpd SLOPE (min . 005 or 611/1001 ) ✓ SIDEWALL DIST. 3X EFF. W OR D (MIN 6 ' ) t�-' RESERVE BETWEEN TRENCHES? 1--'IN FILL? MUST BE 10 ' MIN. L/ 4" PEA STONE? VENT? (>3 ' COVER; LINES >501 ) BOT L�,5 + SIDE ,,f/( X LDNG = TOT �/o (L x W x #) (DxLx2x#) (G/ft2) R, e g 4-* Copyright O 1995 fL.Stair NAYES ENGINEERING, INC. jOWN (i �O�NIEA fl. I.,t 11.t :vi- Iz r o1 603 SALEM STREET 130 D Pwc I of .i WAKEFIELD,MA 01880 (s,7)246-2800 FAX(617)246-7596 ` No. P:A f c: JG>3 FILE Commonwealth of Massachusetts - - North Andover Massachusetts Soil Suitability Assessment for Oil-site Seiva e Disposal Performed Sy: --Gordon"Rogerson--- -- -- ---.----.----- -------------------. Witnessed By- --Susan Ford- - - `_° w, AW—S<K 0— A.C. BUILDERS Lo:t .Add,css.i2 ,-(�-,TT/ No. Andover, Mass. ew Construction F-_ Repair ❑ Office Review Published Soil Survey Available: No ll )`es ❑ Year Published ...................... Publication Scale---------.---------- Soil Map Unit ......_.__.._-_._--_.-_. Drainage Class-------------_. --- Soil Limitations Surficial Geologic Repots Available: No ❑ Yes ❑ Year Published Publication Scale Geologic Material (Map Unit) ................. --- - - -- - ----- Landform.----- - - - Flood Insurance Rate Map: _..... ...._ Above 500 year flood boundary No ❑Yes ❑ Within 500 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No ❑Yes ❑ Wetland Area: _ National Wetland Inventory Map (map unit) .................. Wetlands Conservancy Program Map (map unit) _ .......... ...... Current Water Resource Conditions (USGS): fvlonth Range :Above Normal ❑Norma' ❑Bel: Normal - Other References Reviewed: nEP APPRONTA)F'OR?1 1',07!95 l�OIZ,19 ! ! - tiU11, l:VAL�r�"['UR l�Olt;1j !'arc' ? or t � r ,, I,UC81I(rll !�dilrCtiS or I,(rl .��r _- .. - � FILE . On-site Review Deep Hole Number Date:.`, loI ._l.�" T (1)C. �� �Nr t liter Location (identify on site plan) Land Use _ ... . Slope (°rb)..... Surface Stones Vegetation.- _.. . . ._. ..... _ _ Landform Position on landscape (sketch on the back) Distances from: Open Water Body .- feet Drainage way feet Possible Wet Area. .. .. ... ... feet Property Line. . feet Drinking Water Well...... ..... feet Other - - DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency. % Gravel) i HOLESMINIMUM OF 2 to Parent Material (geologic) DepthtoBedrock Depth to Groundwater Standing Water in the Ho!r /lJ _ Wreping(turn P i Face Estimated Seasonal High Ground Water' DH'AI'l'KO\T-D FORM9� MV--iJ-01 inu iu.u0 r. ui .r HAYES ENGINEERING, INC. 603 SALEM STREET WAKEFIELD, MA 01880 NOA-0042 (617)246-2800 REFER TO FILE i FAX(617) 246-7596 November 6, 1997 Ms. Sandy Starr, Health Agent Board of Health 120 Main Street North Andover, MA 01845 FAX#(978)688-5542 RE: Colonial Avenue-Lot 11 Dear Ms. Starr. I was contacted today by Aurele Cormier as, in the course of excavation for the septic system on Lot 11 Colonial Avenue, ledge was encountered approximately 30 feet behind the house. I reviewed the situation in the field and determined that the best alternative was to revise the configuration of the leaching field,still utilizing a trench design, but malting trenches 4 feet wide and, rather than making them parallel to each other, make them opposite each other, adjoining the distribution box. This would result in trench dimensions 2 feet deep,4 feet wide and 38 feet long. Due to the depth of the left trench in the ground, it will require that a vent be added. I trust this field change is acceptable to you and,of course, the final location of the leach trendies will be included in the as-built plan. Very truly yours, r Peter J. Ogren, P.E., P.L.S. President PJO/dabs�- Enclosure cc: Aurele Cormier-FAX 5S 17uw ii—os inu lu.u7 r. ui HAYES ENGINEERING, INC. 603 SALEM STREET WAKEFIELt), MA 01880 NOA-0042 (617)246.2800 REFER TO FILE FAX(617) 246-7596 November 6, 1997 Ms. Sandy Starr, Health Agent Board of Health 120 Main Street North Andover, MA 01845 FAX#(978)689-9542 RE: Colonial Avenue-Lot 11 Dear Ms. Starr. I was contacted today by Aurele Cormier as, in the course of excavation for the septic system on Lot 11,Colonial Avenue, ledge was encountered approximately 30 feet behind the house. 1 reviewed the situation in the field and determined that the best alternative was to revise the configuration of the leaching field,still utilizing a trench design,but making trenches 4 feet wide and, rather than making them parallel to each other, make them opposite each other, adjoining the distribution box. This would result In trench dimensions 2 feet deep,4 feet wide and 38 feet long. Due to the depth of the left trench in the ground, it will require that a vent be added. I trust this field change is acceptable to you and,of course, the final location of the leach trendies will be included in the as-built plan. Very truly yours, Peter J. Ogren, P.E., P.L.S. President PJO/dab Enclosure cc: Aurele Cormier- FAX vvr to Of Inu iv-vo r.ur r • SKETCH PLAN /N ANDOVER U.NO, 55. � �•�_ �• ��}} NQ{�DI�9fIP fJj 1.99 • I61YES EN i INS \ 1C4K aim 01M SHO WING AL TERNA TY TRENCH LOCAT/ON LOT 12 LOT 11 g 22,347 S.F. LOT 10 C COL ON/AL AVENUE . ... .. ., ._ 5. �'�. ,,,�, • ", �. ;- ���� s�� � � < �. � �4 , F _,. ` i • _ 1 r ,r. � •. APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: ! . C'7 CURRENT INSTALLER'S LICENSE# LOCATION: LA Co 9- LICENSED LICENSED INSTALLER: Cj� SIGNATURE: ! , TELEPHONE ,. CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As-built? Yes �� No Floor plans on file? Yes No Approval Date: r�/¢� Town of North Andover, Massachusetts Form No.3 pORTM BOARD OF HEALTH 3�e•� .a oL /ICJ U `7 ¢ _ 7 A -4- 19T ''s'^'^•'�c�' DISPOSAL WORKS CONSTRUCTION PERMIT SACMUS! ' Applicant__ .�, NAME ADDRESS TELEPHONE I Site Location_ ADT Permission is hereby granted to Constructr e air (�' Rp ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. 1 �HEALTH CHAI MAN,BOARD OF ., , 3 Fee �S— 702 D.W.C. No. 77. 1 5 ti 4 SKETCH PLAN /N NO, A ND 0 VER, IVA 55, SC&f.- 1" = 40' OCTOBER ,31, 1997 HAYES ENUM&W/NG, INC. \ 60,3 SALEM STREET CML ENGINEERS & WAKEFIELD, MASS. 01880 LAND SURVEYORS TEL. (617) 246-2800 SHOW/NG EX/ST/NG FOUNDAT/ON TOWN OF NQR1 H AMDOVFR/ BOAR S� LOT 11 22,347 S.F. < ON C ?o�` llyh'� Z o F U )7NC ° Q-- ;�pN TOP OF i FOUNDATION N i ELEV=175.57 i 75 .00 F LoNIA �� co � � FORK U - LOT RE7RJcE FORK INSTRUCTIONS: This fora is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** LAPPLAPPLICANT: ICANT: A • G. 11(5 1AC Phone 1 05-8350 LOCATION: Ass essor's Map Number Parcel Subdivision 10AJ ES+QTZS Lot(s) J� Street co IO n i Q I Nut- St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: J Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected n/u Date Approved /oZ7 97 v Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Form No.Z Town of North Andover, Massachusetts BOARD OF HEALTH MpR,,, 19 g O w DESIGN APPROVAL FOR �'b,,•� � USOIL ABSORPTION SEWAGE DISPOSAL SYSTEM ,SSACMstt Applicant —C `C Test No. Site Location ( � , Reference Plans and Specs. ENGINES DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH ' -.Fe e Site System Permit No.�L Town of North Andover, Massachusetts Form No. 1 yf NORT1j BOARD OF HEALTH /.j�� ib'9�OL // - 19� q W APPLICATION FOR SITE TESTING/INSPECTION �9SSA HUS���� Applicant ,'4- NAME ,� 11 ADDRESS TELEPHONE Z Site Location Zo7- // %Qbe.,4it.JIS /4fO44.U/A Engineer Ala3 NAME ADDRESS TELEPHONE i Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee 6 Test No. /7423 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 F NORrti q BOARD OF HEALTH ,,ED " f APPLICATION FOR SITE TESTING/INSPECTION �9SSAC HUs���y Applicant - NAME ADDRESS TELEPHONE Site Location "'fjt) r-` ��CCG,(i�.�� •��' Engineer 'sr'�' NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. �l'Y rri i�)J 11CIFA h Tori IIIL i � +Ga11� C iiIII � III II r .- .„. � �,., a r+.... I"".'..'0'.�4 E;.«.., w.; .-;""r�..iX±�'T;. . ..nye r.,'.,,i� .r. _ ... ,,.,,,,, �,,.u�•�t' Ja; � rr,.��„ty��,+;,,. S - ---- - - u/d/Y"---5 ✓Q o c-c S G- 406 - - - I - s i y 5�9/V D G A Arl-- r� .r%+.1.'-+-. .. �nw„• ni,-. ,�-, .-..•,r„'+f �c::i -::. _t-. .,y,Nw;,.sy, V Z4 pl2le 4�/ Z, (L 2 -z-4 ti Z4 io" Ll Me,it 17 L711 cd Town of North Andover, Massachusetts Form No. 1 NORrij BOARD OF HEALTH bgti�L `-� 19 L r 4 °,E= " APPLICATION FOR SITE TESTING/INSPECTION A°gATe Ppa 45 SSACHUS�� Applicant NAME ADDRESS TELEPHONE j Site Location I ,0T 4 ( 1 LU-0-7)d1b Engineer NAME ADDRESS TELEPHONE Test/I nspection Date and Time e CHAIRMAN,BOARD OF HEALTH Fee F'1!2u Test No. CY S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 p1ORT1y BOARD OF HEALTH , 19 O v A APPLICATION FOR SITE TESTING/INSPECTION IT CHtJs���y Applicant C— < C' /] V,."Y--C NAME ADDRESS TELEPHONE Site Location .!�' "�'. 1 ( .( int] z' � �i�- 4;� Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. L `► S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.