HomeMy WebLinkAboutSoil Testing Results - 521 SALEM STREET 4/30/2018 r.
TOWN OF NORTH ANDOVER
Community & Economic Development
HEALTH ]DEPARTMENT
120 Main Street
NORTH ANDOVER, MASSACHUSETTS 01845
978.688,9540—Phone
978.688.8476—FAX
healthdept@northandoverma.gov
www.north9andoverma.gov
APPLICATION FOR SOIL TESTS
DATE: April 25,2018 MAP&PARCEL: 38-8-521.1 &38-8-521.2
LOCATION OF SOIL TESTS: 521 & 521R Salem Street
1) The Estate of Laura Deinlein c/o Arty. Stephen Peterson 1)978-658-8060
OWNER: 2) Mark Stein Contact#: 2)978-590-9875
i) The Estate of Laura Deinlein c/o Atty. Stephen Peterson 1)978-658-8060
APPLICANT: 2) Mark Stein Contact#: 2)978-590-9875
1) 521 Salem Street
ADDRESS: 2) 521R Salem Street
ENGINEER: John M.Morin,PE,The Morin-Cameron Group,Inc.Contact#: 978-777-8586
CERTIFIED SOIL EVALUATOR: Will Schkuta,The Morin-Cameron Group,Inc.
Intended Use of Land: Residential Subdivision X Single Family Home Commercial
Is This: Repair Testing: X Undeveloped Lot Testing: Upgrade for Addition:
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)
> Sir »
> Fee of$585.00 per lot for njt construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of$440.00 per lot for r�nairs or uy xades.
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
Signature of Conservation Agent.
Date back to Health Department: (stamp in): > -�
BK 9936 PG 216
CONDOMINIUM UNIT DEED
We. Dmiald Pearson and Charlene Pearson
Is" ()1'87 Riverview Rd, Gloucester Massachusetts.
For Consideration of. Three Hundred Eighty Nine Thousand Nine Hundred ($389,900)
Dollars. paid
G RANT TO: Laura A, Deinlein
Whose address is: 521 Salem .Street, Unit No. I North Andover Massachusetts,
Unit No. I of the 521 Salem Street Condominium created by Master Deed dated October
2005 and filed on October 18, 2005 with Essex North Registry District of Deed as
Document No_3)9903) Book 9829 Page 309 09 and as Amended by the First of Amendment
to Master Deed of 521 Salem Street Condominium, and 521 Salem Street Condominium
Trust recorded herewith.
And shown on a plan recorded labeled as "Condominium Master Site Plan of Land for
521 Salem Street Condominium, 521 Salem Street in N, Andover Mass" Scale I"=20'
dated April 28, 2005 by New England Engineering Services Inc, and recorded in Essex
North Registry of Deeds as plan #15211 of 2005 AND on a plan recorded herewith,
HIC Unit is conveyed subject to all easements as shown on said plan.
The unit is shown on a plan recorded herewith, to which is affixed a verified statement in::;-'�:.
the form provided by G.L. c. 183A s. 9 and is conveyed subject to and with the benefit 0172.*., N)*
Vi. .
the obligations, restrictions, rights and liabilities contained in G.L. c. 183A, the Master ' ` 7j)
Deed and the By-Laws as amended of record.
M
Each of the units in the Condominium is intended for residential purposes and such other
uses as are set forth in the Master Deed.
The undivided percentage of the unit in the common areas and facilities is 50%.
For title see deed recorded of Joseph W. Gerety and Julie A. Gerety dated October 3 1.
1997 and recorded in Essex Registry of Deeds at Book 4897 Page 332
id r
I'Lld
BK 9986 PG 217
Witness our hands and seals this day of )&et yA, 2006,
Donald Pearson
ze�
harlene Pearson
COMMONWEALTH OF MASSACHUSETTS
Middlesex, ss —1
JCAA VA
On this day of 2006,before me, the undersigned Notary
Public,personally appeared Do Id Pearson and Charlene Pearson and proved to me
rs
through satisfactory evidence o identification,which was_n(,�Z?,j to be
the person whose names are signed on the preceding or attached document and
acknowledged to me that they signed it voluntarily for its stated purpose.
N o
,�KPublic
My Commission Expires:
Mc�rtic J.salvotl
NOTARY pUBLIC
A#y
10nun ,ne)VresMar.52010
BK 9849 PG 158
CONDOMINILM,OJT JIBED
We, Donald Pearson and Charlene Pearson,
0111 Riverview Rd Gloucester Massachusetts.
For Consideration of., Three Hundred Sixty Thousand($360,000.00)Dollars,
GRANT TO: Mark Stein,
Whose address is: 52112 Salem Street Unit 2,N. Andover Massachusetts,
Unit No.2 of the 521 Salem Street Condominiti'm created by Master Deed dated October
3, 2005 and filed on October 18,2005with Essex Registry District of Deed as
Document#39903 Book IVAq Pagejb7.
And shown on a plan recorded labeled as: "Condominium Master Site Plan of Land for
521 Salem Street Condominium, 521 Salem Street in N. Andover Mass" Scale V'=20'
dated April 28,2005 by New England Engineering Services Inc,and recorded in Essex
North Registry of Deeds as plan#15211 of 2005
This unit is conveyed subject to all easements as shown on said plan.
;q gg
The unit is shown on a plan recorded herewith,to which is affixed a verified statement in
the form provided by G.L. c, 183A s. 9 and is conveyed subject to and with the benefit of
the obligations,restrictions,rights and liabilities contained in G.L. c. 183A,the Master
Deed,the By-Laws as amended of record. co
Each of the units in the Condominium is intended for residential purposes and such other 75-fl
uses as are set forth in the Master Deed.
The undivided percentage of the unit in the common areas and facilities is 50%.
For title see deed recorded of Joseph W. Gerety and Julie A.Gerdy dated October 31,
1997 and recorded in Essex Registry of Deeds at Book 4897 Page 332.
The Law OMm of �u T) C
r-strial Square B1,1116"ing
179 Smet Acton, MA 017M In
z,
BK 9849 PG 159
Witness our hands and seals this day of 205.
Ci earso
Charlene Pearson
COMMONWEALTH Of MASSACHUSETTS
MIDDLESEX,SS
On this-L� day of DLfi�?z .2005,before me,the undersigned Notary
Public, personally appeared,Donald Pearson and Charlene Pearson and proved to me
through satisfactory evidence of identification, which was Massachusetts driver's license,
to be the persons whose names are signed on the preceding or attached document and
acknowledged to me that they signed it voluntarily for its stated purpose.
'Vo— -Public
My Commission Expires-
Mak I SCOV0
NOTARy pUBLIC
Authorization Form
ke: .5.21 Salem StreetNor.th Ar.rd.over
1, Atty. Stephen Peterson (;on behalf of t-ke Estate of La'u:,ra DetnLet.n)l authorize The,Morin-
Cameron Group to sigh any and, alt, a'ppl'ications to the Town,of North.Arydover on my
behalf regarding the,above!Treferencecl property. .
'
14.
Atty. Stepen Peterson
For The ETate of
:aura,DeInlein
Date
� iuu
m �
M!U
A
i
0 20 40 80
THE MORIN-CAMERON GROUP, INC. ORTHOGRAPHIC MAP
66 ELM STREET, ®ANVERS, MA 0 1923 521 SALEM STREET
To
WWW.MORINCAMERON.COM NORTH
DATE: APRIL 23, 20,1,8 Scale I'° = '
AORTII
4 Town of North Andover
HEALTH EISARTMENT
CHECK #: DATE:
LOCATION:
H/O NAME:
0.
CONT I RACTOR NAME:
Type of Permit or License: (Check box)
• Animal $
• Body Art Establishment $
• Body Art Practitioner $
0 Dumpster $
0 Food Service-
0 Funeral Directors $
0 Massage Establishment $
0 Massage Practice $
• Offal(Septic)Hauler
• Recreational Camp $
0 Sun tanning $
0 Swimming Pool
IJ Tobacco $
• Trash/Solid Waste Hauler $
• Well Construction $
SEPTIC Systems:
Septic-Soil Testing
$
0 Septic-Design Approval $
0 Septic Disposal Works Construction(DWC) $
0 Septic Disposal Works Installers(DWI) $
0 Title 5 Inspector $
13 Title 5 Report $
0 Other. (Indicate) $
...........
I a-U*Agent Initials
�ite-Applicant Yellow--Health Pink- Treasurer