HomeMy WebLinkAboutMiscellaneous - 137 FOREST STREET 4/30/2018 137 FOREST STREET
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MAP # LOT # 1 _....._.._............................................
PARCEL # STREET .._. _._ ..
CONST RUCT L ON__..APPROVAL
HAS PLAN REVIEW FEE BEEN PAID? ES NO
PLAN APPROVAL: DATE_ APP. By-_.__.._......_......._..._...................-_..._.....
DESIGNER: PLAN DATE
CONDITIONS _.....
WATER SUPPLY: TOWNELL
WELL PERMIT DRILLE R.--....._...._.- .......__..__...........
._._._.. ...._...__.. ...._..
WELL TESTS: CHEMICAL DATE APPROVED......._.........
_�_._....___.
BACTERIA I DATE ()PPRUVEDB�s Iz .
BACTERIA II DATE APPROVED
COMMENTS:
7"646 0 r/v -_8 47--oIf6 e o F c
N m ArL6 14 AI s,:53
FORM U APPROVAL: APPROVAL TU ISSUE YES NO
DATE ISSUED746/�I ...... _. ._ .__......._.. _....._...__._._
CONDITIONS:
FINAL APPROVAL:
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES NO
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES N[]
OTHER YES NO
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: DATE:. ._.. . BY: . .
SEPT X C _Y_SZEM__�NS..T..9.4.L.R.Z�..QN.
IS THE INSTALLER LICENSED? YES NO
_._.
TYPE. OF CONSTRUCTION: NEW REPAIR
NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW Yl--s 1,10
CONDITIONS OF APPROVAL YES NU
(FROM FORM U)
ISSUANCE OF 'DWC PERMIT YES NO
DWC PERMIT N0. INSTALLER: ir�_M1�1� _
BEG I N .INSPECTION YE 0:
EXCAVATION . INSPECTION: NEEDED:
PASSED BY_- �-�----- ------
CONSTRUCTION INSPECTION: NEEDED:_____!
-------------------
AS BUILT PLAN SATISFACTORY: YES:
APPROVAL TO BACKFILL: DATE:
FINAL GRADING APPROVAL: DATE BY
FINAL CONSTRUCTION APPROVAL: DATE:__
Town of North Andover, Massachusetts Form NO'3
•
NORTH BOARD OF HEALTH
• �•'b•,,.o:�'`� DISPOSAL WORKS CONSTRUCTION PERMIT
• ,gsACHUS�S i..
• Applicant 1 1 M w�—
NAME ADDRESS TELEPHONE .
l;
Site Location
: Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption
,I
Sewage Disposal System as shown on the Design Approval S.S. No.
CHAIRMAN,BOARD OF HEALTH
Fee Igo D.W.C. No.
4
DATE �' ? �i
Sheet__ of f
BOARD OFHEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT #
DATE RECEIVED
APPLICANT ASSESSOR'S MAP
ADDRESS PARCEL #
LOT # . 74
ENGINEER STREET r SS
ADDRESS
PLAN DATE REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
---- ——�
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pr NOATN 1
KAREN H.P.NELSON Town of 120 Main Street, 01845
Director .' .f. NORTH ANDOVER (508) 682-6483
BUILDING $ae..... ta�
CONSERVATION DIVISION OF
PLANNING PLANNING & COMMUNITY DEVELOPMENT
FQK 01
5 a—
May 22, 1992
Mr. Eric Nitzsche
1253 Salem St.
North Andover MA 01845
Dear Mr. Nitzsche:
Please be advised that I have met on this date with Mr. Bill
Barrett and the North Andover Health Agent regarding the septic
system permit for lot 24A Forest St. The plans have recently
been revised as anticipated. The new plans, which show grading
and no retaining wall for the septic system, are dated May 13 ,
1992.
The North Andover Conservation Commission will vote at its next
meeting on May 27, 1992 to accept this plan as the final approved
plan. I fully anticipate that this plan will be acceptable to
all parties.
Sincerely,
Richard P. Doucette
Conservation Administrator
Town of North Andover
CC Bill Barrett
Sandy Starr
W
' ■ I N A , . �-'� 4 n b ♦n .+r Irk Y b`�..
111 i,4 """-- :�=�:r 3 CONS ER, T� , �'� iMt
o n oz
o ndover
No.319 0�
DRIVEWAY ENTRY PERMIT ! {
-North K Andover, Mass., Tu k'� 1 -5. 19 pP_
cuHi..nry ich d
PERMIT TIFOUILD
BOARD OF HEALTH
llaeIA3.
THIS CERTIFIES THAT... :kV.l..�a :�.' ... . W�� -Q „ ,e •s i
BUILDING INSPECTOR
has permission to erect RR�.F �. buildingson . ......... "'.� .1,., 443, ... BUILDING
Roughe, (, �—�/ J
to be occupied as j, Chimney aetj
Final �"�" ��• /�� ��3
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in )� /
PLUr�I,�ING NSP TOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of (�o'u�h� /`�637
Buildings in the Town PERMIT FOR FOUNDATION ONLY
g of North Andover. �!
REGULATED BY PARA 114.8-S. B.C. a ! 3
VIOLATION of the Zoning or Building Regulations Voids this Permit.
I'LWI I• LX11IIZLS I1'� C 1001 DATE,?-/q-9Z' FEE PAIDyw EL C RICA E R
Rough
MLf__SS C0 JST11(JC I I��( 1 I ,� l .� Service
PERMIT FOR FRAME/BUILDING q........ ..... Final��1� �_
J BUILDING INSPECTOR
rASPECT RDATE: �'� FEEYAI, ;�,I� � i- i����tttit ����y��ir�rl t�� t.�� ����� "fit+rl< �..1r. ��`'Dis la in a Conspicuous . 5 ��
Display Place on the Premises
IRE DEPT.
Do Not Remove Burner
No Lathingto Be Done Until Inspected and Approved b STREET Nr
- P PP Y Smoke Det. 11�
/3 6j '7 Building Inspector
i
DATE 2 Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE r PERMIT # DATE RECEIVED
APPLICANT ASSESSOR'S MAP
ADDRESS PARCEL #
LOT # '7L�
STREET ✓c(�'(' S�
ENGINEER
ADDRESS
PLAN DATE REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
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FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S) y�
PERMANENT ADDRESS ASSIGNED BY D.P.W.
STREET �P�s 5�
APPLICANT PHONE QJ
DATE OF APPLICATION '��1�
TOWN USE BELOW THIS LINE
PLANN NG BOARD
,, DATE APPROVED ?�• �.
TOW PLANNER DATE REJECTED
1;0 N7,
V TION t ISSION
DA'L'E APPROVED R�
CONSERVATION ADMIN. N d I DATE REJECTED
BOARD OF HEALTH
DATE: APPROVED 7�1v/;;z__1 _
HEALTH SANITARIAN llA'1'E REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT / 2
tS Dry �v
SEWER/WATER CONNECTIONS u p�(c,Qr ori-ci. 4 l O�
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning lle.iltl► Boards
the Conservation Commission prior to the issuance of any building pernitts
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
8, yt
s\
2• r' j Y! r'-. .fit ) ,! • ,i� '
NUMIzF.R FEE
THE COMMONWEALTH OF MASSACHUSETTS
A23-a-0
ToTtm...... of ..........NORTH..ANDOV-KR.............................
This is to Certify that LaROCque•,Wells
.. ................................ ......
' NAMB
.....2 AA..Iiauen...Streef.,....Reading.,...M&.._Q1..b7..............................................................
ADDRESS
IS HEREBY GRANTED A LICENSE
For ..........We11...Dr ... exmit...—..2AA.._Foxes ...Street
....................................•--••--•--....................-----............_.._...__.............................................................................
..................................................•----•--...-----......--•---...-•-•---•-------•-------.....�...... .. .............
This license is granted in conformity with the Statutes and $rd& ces relating thereto, and
expires....December'.--3.1,....19.9.2
... q
•--•-••._..-y ess sooner s nded v d.
/ -- ......
•................... ! • .............
...... uly..-8,A...............................19.9Z H
-
FORM 499 HOBBS 8 ..... -
REPORT NUMBER AA12389
AMERICAN ENVIRONMENTAL
LABORATORIES, INC. o
1�
-LAB ID#:MA076-
TO New England Clean Water. Co. DATE. COLLECTED 0.1/21/93
P.O. Box 1122- DATE RECEIVED 01/22/93
.Glouster, MA 01930 DATE ANALYZED .01/25/93
ATTN: .John Carter COLLECTED BY JOHN CARTER
PO/ID NUMBERMATRIX Water:
SAMPLE DESCRIPTION Bob. Moore,_ 137 Forest St, N. Andover
-ANALYTICALL RESULTS-
PARAMETER RESULT MCL I DESCRIPTION
COLIFORM BACTERIA NEGATIVE POSITIVE ANIMAL/VEGETATIONAL BACTERIA[P]
SODIUM 88.30 28 .0 MG/L MASS. D.E.P. GUIDELINE
POTASSIUM 0 . 67 NO LIMIT A COMPONENT OF SALT [S ]
COPPER 0. 01 1. 30 MG/L INDICATES PLUMBING CORROSION[S]
IRON 0 . 01 0.30 MG/L BROWN STAINS, BITTER TASTE [S ]
MANGANESE ND 0 .05 MG/L MAY CAUSE LAUNDRY STAINING [S]
MAGNESIUM 0._03 NO LIMIT A COMPONENT OF HARDNESS
CALCIUM 0. 26 NO LIMIT A COMPONENT OF HARDNESS
ALKALINITY 115 . 00 NO LIMIT. ABILITY TO NEUTRALIZE ACID [S]
CHLORINE ND 0 . 05 MG/L A DISINFECTANT (BLEACH)
CHLORIDE 35. 60 - 250 MG/L A COMPONENT OF SALT [S]
HARDNESS ND NO LIMIT 0-75 IS CONSIDERED SOFT
NITRATE ND 10. 0 MG/L INDICATOR OF BIOLOG. WASTE [P]
NITRITE ND 1 . 00 MG/L INDICATOR OF ORGANIC WASTE [P]
AMMONIA ND NO LIMIT GAS FROM ORGANIC DECOMPOSITION
SULFATE 9 .30 250 MG/L HIGH LEV. AFFECT TASTE&ODOR [S]
pH 7 . 00 6.5-8.5SU ACIDIC/BASIC DETERMINATION [S ]
CONDUCTIVITY 338. 00 700 umhos ELECTRICAL RESISTANCE(umhos/cm)
SEDIMENT NEGATIVE POSITIVE PRESENCE OF SEDIMENT
TDS 202 . 8 500 MG/L TOTAL MINERALS PRESENT [S]
COLOR 1. 00 15 . 0 MG/L CLARITY(0) /DISCOLORATION( 15 ) [S]
ODOR ND 3 . 0 T.O.N. ODOR DUE TO CONTAMINATION [S ]
TURBIDITY 0 . 40 5 . 0 N.T.U. PRESENCE OF PARTICLES [P]
ANALYZED BY ( )
FOR THE ITEMS TESTED ON THIS PAGE ONLY, THIS_SAMPLE_MEETS THE FOLLOWING
EPA GUIDEL ES FOR DRINKING WATER
[ J ] P-PRIMARY [ j S-SECONDARY [ ] NEITHER
60 Elm Hill Avenue, Leominster, Massachusetts. 01453
M -Not Detectedimurn Contamination Level (508) 534-1444 • 1 (800) 522-0094 • Fax: (508) 537-6252 *-Exceeds EP Guidelines
NT-NotTested
Please Recycle
REPORT NUMBER: AA1238;9
AMERICAN ENVIRONMENTAL PAGE 1 OF 1
LABORATORIES, INC.
-LAB ID#:MA076-
TO: New England Clean Water Co. DATE RECEIVED 01/22/93
P.O. Box 1122 NATE ANALYZED 01/25/93
Glouster, MA 01930
ATTN: ' John Carter DATE COLLECTED 01./21/93
COLLECTED BY JOHN CARTER
PO/ID NUMBER _ AA12389
MATRIX Water
SAMPLE DESCRIPTION: Bob Moore, 137 Forest St N. : Andover
- ANALYTICAL RESULTS -
PARAMETER ,:. >1 RESULT UOM `
MCL- MDL
LEAD ND MG/L 0.015 0. 0005
ANALYZED BY: ( �)
FOR THE ITEM TESTED ON THIS PAGE ONLY, THIS SAMPLE MEETS THE ,FOLLOWING
EPA GUIDELINES. FOR DRINKING WATER
N
` [ ] P-PRIMARY [ ;] S-SECONDARY [ ] N NEITHER
THIS STATEMENT IS INTENDED TO SERVE AS A GUIDELINE AND IS LIMITED TO THE NUMBER OF PARAMETERS ANALYZED..
60 Elm Hill Avenue, Leominster, Massachusetts 01453
*-Exceeds EPA Guideline (508) 534-1444 • 1 (800) 522-0094 • Fax: (508) 537-6252
MCL-Maximum Contaminant Level MDL-Minimum Detection Level
Please Recycle-®
WELL DATABASE
ADDRESS:
AGE OF WELL. l S WELL DRILLER:
WELL PERMIT#: WELL LOCATION:
WELL PERMIT DATE: DEPTH OF WELL-
TYPE OF WELL: a.. DRILLED b. DUG c OWN
TYPE OF WATER BEARING ROCK:.
WATER ANALYSIS DATE: GH MANGANESE: Y N
HIGH IRON: Y N 0 C TAMINANTS: Y N
AILWELL DATABASE
ADDRESS. �` �_ Q-', /
AGE OF WELL: WELL DRILLER:
WELL PERMIT#: WELL LOCATIO
WELL PERMIT DATE: DEPTH WELL:
TYPE OF WELL: a.. DRILLED b. DUG c. UNKNOWN
TYPE OF WATER BEARING ROC
WATER ANALYSIS DATE: �� 1 D Y.,� HIGH MANGANESE: (Y) N
HIGH IRON: OY N 0 R NTAMINANTS: l_r/ N ) ) () I C°IA
Biomarine
16 EAST MAIN STREET, P.O. BOX 1153,GLOUCESTER, MASS.01930
TELEPHONE: (508)281-0222 FAX: (508)283-3374 c+
Certificate of Analysis j- z
La Rocque Well Report No.: 28300
244 Haven Street July 28, 1992
Reading, MA 01867
Re: Well Water Analysis
Sample Description: Samples of water identified as Barletta, Lot 24,Andover.
Sampling: Samples delivered by Steve Murray of Northeast Environmental on
July 22, 1992.
Findings:
Results Guideline
Total Coliform Bacterial Count per 100 mL . . . . . . 0 0
pH Value . . . . . . . . . . . . . . . . . . 8.02 Slightly Alkaline
Hardness(as CaCO3, mg/L) . . . . . . . . . . . 209.0 Very Hard
Sodium Content (mg/L) . . . . . . . . . . . . . 10.7 20
Chloride Content (mg/L) . . . . . . . . . . . . . 54.98 250
Iron Content (mg/L) . . . . . . . . . . . . . . . 0.54T 0.3
Manganese Content (mg/L) . . . . . . . . . . . --0.41=-s 0.05
Nitrate Nitrogen Content (mg/L) . . . . . . . . . . <0.10 10
Nitrite Nitrogen Content (mg/L) . . . . . . . . . . <0.02 1.0
Copper Content (mg/L) . . . . . . . . . . . . . . <0.02 1.3
Methods: Standard Methods for the Examination of Water & Wastewater, 17th
Edition, 1989. *Guidelines are based on the recommended maximum levels of the Mass
Department of Environmental Protection Agency's 310 CMR 22.00, "Drinking Water
Regulations'.
Remarks: The Iron and Manganese levels detected can cause taste, color, and/or staining
problems, and also cause decreased well efficiency due to incrustation of the well screen.
Filtration is available to correct these levels.
By:
John Marietta
Lab Director
JM/dn
Mass. Certified Labs MA026 and MA123
p
30 Y I hereby certify that I have
inspected the construction
of this disposal system and that
the construction and final grading
has been in accordance with. the
_ designer ' s intent and that the
materials used conform to the
Paan specifications .and 310 CMR
J .15 .00 .
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