HomeMy WebLinkAboutMiscellaneous - 14 B Johnny Cake Street I
MAP # I / / LOT # I��.--.__ ._.-- •-_.--..._.____
PARCEL # 7 STREET 'Vl..._..._....__.. �, a
HAS PLAN REVIEW FEE BEEN PAID? YE NO
PLAN APPROVAL: DATE APP
DESIGNER: AN DAI•E.--___—.—_-_____
CONDITIONS
WATER SUPPLY: TOWN WELL
WELL--PERMIT DRILLER._... ._.._...__........__._...__.._....._. __._._.._... ...
WELL TESTS: CHEMICAL DATE APPROVED.....-____.___•.___._.____
BAGIERIA I UA T E f1F'PROVEU
BACTERIA II DATE APPROVED_____.._..___.__
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:,._.. ., ,._..._ BY: __ .
a �E �S�L�ZEMJN15Ifl41ATIQU
t .
iIs THE INSTALLER LICENSED?_'-"' ' + YES NO
f .TYPE OF- CONSTRUCTION: ? NEW REPAIR
`.; :•NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW_ YES NO
-r = CONDITIONS OF..APPROVAL YES NO
t (FROM FORM U) ,
".,ISSUANCE OF DWC PERMIT YES NO
' DWC PERMIT N0. ,f INSTALLER:
BEGIN INSPECTION YES N0:
;+
EXCAVATION ..INSPECTION: ; NEEDED:
• r
i
` t �l .. . y •. T/ ` . ..
PASSED HY
< .:,CONSTRUCTION INSPECTIONS NEEDED:
AS BUILT PLAN SATISFACTORY: YESs
..,APPROVAL TO BACKFILL: DATE: BY
tFINAL .GRADING APPROVAL: DATE BY
FIN AL CONSTRUCTION APPROVAL: DATE: BY
DATE: ` G _ 7
LOCATION:
ENGINEER:
BOH WITNESS:
PERCOLATION TEST#
BOTTOM DEPTH OF PERC TEST:
TIME OF SOAK: ,�j �— ���5 2 (At least 15 minutes long)
TIME AT 12"
TIME AT 9"
TIME AT 6"
OVERNIGHT SOAK I I
I
TIME STARTED I s JCbz 0 / 3
NEXT DAY SOAK: 77,SJ� 9 ti 15 (At least 15 minutes)
6—TIMTIME AT 12" S .46—
TIME
E AT 9"
TIME AT 6" I
1 — 4
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Town of North Andover, Massachusetts Form No. 1
NpRTIy BOARD OF HEALTH
6
19
APPLICATION FOR SITE TESTING/INSPECTION
TE
�9SSACFIUS����
Applicant Je)
NAME ADDRESS TELEPHONE
Site Location
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
r CHAIRMAN,BOARD OF HEALTH
Fee ' Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
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BOARD OF HEALTH-ESS
TOWN HALL • 120 MAIN STREET
NORTH ANDOVER, MA 01845
{t
kO 'vim General ore Trust
�,N` 23 Walke Road
�g North And ver, MA 01845
NORTN
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to
BOARD OF HEALTH
1°
* i
120 MAIN STREET TEL. 682-6483
SACNUsNORTH ANDOVER, MASS. 01845 Ext23
October 29, 1993
Joseph Barbagallo
1 Westward Circle
North Reading, MA 01864
RE: Lot 14B Johnnycake Street
Dear Mr. Barbagallo:
At their meeting on October 28, 1993 , the North Andover
Board of Health granted a conditional waiver to North Andover
Regulation 2 . 14 of the Minimum Requirements for the Subsurface
Disposal of Sanitary Sewage provided the following conditions are
met:
1) Floor plans of the proposed dwelling must be reviewed by the
Health Agent and the three-bedroom maximum verified.
2) The three-bedroom maximum restriction must be recorded on
the deed and a copy must be filed with the Board of Health.
A copy of this letter is being sent to the General Store
Trust.
Sincerely,
Sandra Starr
Health Sanitarian/Agent
cc: aren Nelson, Director PCD
/General Store Trust
Building Inspector
Conservation Administrator
File
DATE: 6 — -- `7
LOCATION: U
ENGINEER:
BOH WITNESS:
PERCOLATION TEST#
BOTTOM DEPTH OF PERC TEST:
TIME OF SOAK: (At least 15 minutes Ion
TIME AT 12"
TIME AT 9" 215S
TIME rJ
EAT6
OVERNIGHT SOAK
TIME STARTED
NEXT DAY SOAK: (At least 15 minutes)
TIME AT 12"
TIME AT 9"
TIME AT 6"
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�._ Town of North Andover, Massachusetts Form No. 1
NorrTN BOARD OF HEALTH
F ED
,�,,. '64 41
o s ; A
14
APPLICATION FOR SITE TESTING/INSPECTION
7 A°RATED
�SSACHU5��
Applicant
NAME ADDRESS TELEPHONE
Site Location (J)T-
Engineer &M (-sq/c Uo (Z�A -
NAME DUDRESS TELEPHONE
Test/Inspection Date and Time
W CHAIRMAN,BOARD OF HEALTH
Fee 1 —�5 Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
j Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
Q�,"E° 1 6 6 0 9
Z.
,
° E APPLICATION FOR SITE TESTING/INSPECTION
SsACHUS���y
Applicant
NAME ADDRESS TELEPHONE
Site Location
Engineer
NAME ADDRESS TELEPHONE
� Test/Inspection Date and Time
CHAIRMAN, BOARD OF HEALTH
Fee Test No.
I
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
4
p0*TIj
?�' ° BOARD OF HEALTH
�
t M •
a i a
146 MAIN STREET TEL. 688-9 540
'SSACF4U50- NORTH ANDOVER, MASS. 01845
APPLICATION FOR SOIL TESTS
DATE:
LOCATION OF 801L TESTS: L c+
Assessor's map & parcel number:
OWNER: 6-,-e-1c ei ( ST,,/ TEL. NO.: Gq
ADDRESS: -2 2
ENGINEER:/Uc�.- TEL. NO.: 8� 17F�
CERTIFIED SOIL EVALUATOR: A2
Intended use of land: residential subdivision, single family home, commercial
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plot plan
3. Fee of$175.00 per lot for new construction. This covers the two deep holes
and two percolation tests required for each lot.. Fee of$75.00 per lot for
repairs or upgrades.
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design
septic plans.
3. At least two deep holes and two percolation tests are required for each septic
system.
4. Repairs require at least two deep holes and at least one percolation test, at
the discretion of the BOH representative.
5. Full payment will be required for all additional tests within two weeks of
testing.
6. 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).
7. Within 60 days of testing soil evaluation forms shall be submitted.
MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS
66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL. (508)475-3555, 373-5721 FAX(508)475-1448
Board of Health Date: -2
City/Town of _KtoM AJjDoVEEZ
Attention: pSTAM
1
.Request to Perform: / �o
Deep Observation Hole Testing v -A\
Percolation Testing
City/Town Map 107A
City/Town Lot
Subdivision Lot I L{ PD , Z
Street ' h'-JJ
Tests being performed for 710"AS I D Sf�M
Total number of areas to be tested �.
Testing Fees: Enclosed �� Have Been Paid
Will be forwarded by
Please contact me at this office so that we may arrange a date to perform the testing.
Thank you for your cooperation.
Very truly yours,
MERRIMACK ENGINEERING SERVICES
Les Godin
Project Manager �'OARD of
MAR L 2 1996
DATE d7 Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # ( /7 DATE RECEIVED-Z/21
APPLICANT 2- ASSESSOR'S MAP
ADDRESS Ll���,e�� � $�.�>z �/ PARCEL #
LOT # J4
ENGINEER
STREET JoHan�yc.�,�Es
_J.�/-�,�,�� � �,a
ADDRESS1)/NG
PLAN DATE Z E/,,T. 7, /94`3 REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
dA/-
J
SS
Board of Health Meeting - October 28, 1993 .
Additional Agenda Item:
Variance Request - Lot #14B Johnnycake Street - Letter attached.
I�
Joseph J. Barbagallo R.S.
1 Westwood Circle
No. Reading, MA 01864
October 25, 1993
Board of Health
120 Main Street
North Andover, MA 01845
RE: tot 14B Johnnycake Street
Gentlemen:
This letter is to request a variance to the Town of North
Andover's regulation 2. 14, minimum size subsurface disposal
systems for new construction shall be based on four bedrooms.
Since a three-bedroom dwelling shall be constructed, a
variance to construct a three-bedroom dwelling on Lot 14B
Johnnycake is requested. A three-bedroom restriction will be
written into the deed and recorded.
Thank you for any consideration given to this request.
Sincerely,
i�
Joseph arbagallo, R.S.
I
I
Town of North Andover, Massachusetts Form No,z
MORIN BOARD OF HEALTH
O'trio,�1.yo
X. q'3
� w
F
DESIGN APPROVAL FOR
SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
Site Location Ut , 4 ' ,
Reference Plans and Specs.
ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN,BOARD OF HEALTH
Fee Site System Permit No.
pORTIi
3? BOARD OF HEALTH
120 MAIN STREET TEL. 682-6483
' SA. „S�t`y NORTH ANDOVER, MASS. 01845 Ext23
October 29, 1993
Joseph Barbagallo
1 Westward Circle
North Reading, MA 01864
RE: Lot 14B Johnnycake Street
Dear Mr. Barbagallo:
At their meeting on October 28, 1993 , the North Andover
Board of Health granted a conditional waiver to North Andover
Regulation 2 . 14 of the Minimum Requirements for the Subsurface
Disposal of Sanitary Sewage provided the following conditions are
met:
1) Floor plans of the proposed dwelling must be reviewed by the
Health Agent and the three-bedroom maximum verified.
2) The three-bedroom maximum restriction must be recorded on
the deed and a copy must be filed with the Board of Health.
A copy of this letter is being sent to the General Store
Trust.
Sincerely/, 7L,
Sandra Starr
Health Sanitarian/Agent
cc: Karen Nelson, Director PCD
General Store Trust
Building Inspector
Conservation Administrator
File
f NORT" 1
3? BOARD OF HEALTH
I- �f
# 120 MAIN STREET TEL. 682-6483
S^CMUSNORTH ANDOVER, MASS. 01845 Ext23
September 23 , 1993
Mr. Joseph Barbagallo
1 Westward Circle
North Reading, MA 01864
Dear Mr. Barbagallo:
Recently plans were delivered to the Board of Health Office
for Lot #14B Johnny Cake Street. As you are aware, a plan review
fee of sixty (60) dollars is required when plans are submitted to
this office. Please submit a check for $60. 00 as soon as
possible to the Health Office. Please note that plans will not
be reviewed until this fee is paid.
In the future, please submit all plans with the required fee
to my secretary in the Planning Office.
If you have any questions, please call my office at 682-6483
extension 23 . Thank you for your cooperation in this matter.
Sincerely,
Sandra Starr
Health Agent
SS/cjp
PLAN REVIEW CHECKLIST
ADDRESS/C, JD�jylyYc4K6- ENGINEER
GENERAL
3 COPIES STAMP U LOCUS ✓ NORTH ARROW SCALE e�
CONTOURS PROFILE SECTION BENCHMARK Z.._.-- SOIL &
PERC INFO ✓ ELEVATIONS ✓ WETS. DISCLAIMER WELLS &
WETLANDS c/ WATERSHED?,&O— DRIVEWAY/(Elev) WATER LINE C---'
FDN DRAIN SCH40 TESTS CURRENT? /99,3
SEPTIC TANK
MIN 150OG L/ . 17 INVERT DROP GARB. GRINDER(+200% EDF)
25 ' TO CELLAR MANHOLE TO GRADE ELEV t)/L GW !MC
D-BOX
SIZE 18— 7 # LINES FIRST 2 ' LEVEL STATEMENT
INLET ,,SJ g,,SD - OUTLET /,S'S•&5 IL (2" OR . 17 FT) TEE REQ'D? lVo
gPLEACHING
Eh� O�rA
'D 3� MIN 660 GPD? RESERVE AREA v 4 ' FROM PRIMARY? Z✓ 2% SLOPE
b/i
100 ' TO WETLANDS 100 ' TO WELLS ✓ 4 ' TO S.H.GW t/
35 ' TO FND & INTRCPTR DRAINS_LZ 325 ' TO SURFACE H2O SUPP
4 ' PERM. SOIL BELOW FACILITY ► MIN 12" COVER FILL? 6-x(25 '
if above natural elev; 10 ' if belo6) BREAKOUT MET?
TRENCHES
MIN 660 gpd SLOPE (min . 005 or 611/1001 ) >3 'COVER?-VENT
SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN
TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE?
BOT X LDNG + SIDE X LDNG = TOT
(L x W x #) (G/ft2) (DxLx2x#) (G/ft2)
M/N, JZ '' 60VC-k OV69- rran/K
PITS
MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT
GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2x(L+W) xD x #) (G/ft2)
CHAMBERS
MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT
MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005
BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT
BOT + SIDE X LOAD = TOTAL
(L x W x #) (2 x (L+W)xD x #) (G/ft2)
FIELDS4qY- 8p2Mb
MIN 660 GPD, 900 ft2 BED x/ PERC RATE FASTER THAN 20M IN y
GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? --? — 'D
4" PEA STONE?4--' '' DIST LINE SLOPE . 005?__�( >31COVER-VENT
SCH 40 L,-" MIN 12" COVER C/
RATE XI-�Y/w LDG 9, 3 X 6 6 0 TOTAL
ft2/G REQ'D (ft2) LXW
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY gpm
L W D Vol.
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
gpm
MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1 ' below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL
OP. SWITCH