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HomeMy WebLinkAboutMiscellaneous - 140 LACONIA CIRCLE 4/30/2018 140 LACOM IIA CIRCLE 21011O5_D-01A61-0000.0 - - - - t 1 s * -o LOT & STREET W� Ct" MAP/PARCEL CONSTRUCTION APPROVAL HAS PLAN REVIEW FEE BEEN PAID?�kr �� YES NO PLAN APPROVAL: DATE APP. BY �J DESIGNER: G���'//Lf (��" PLAN DATE CONDITIONS19A)fl,5 G%A J, %a�iQ/ WATER SUPPLY: TOWN WELL WELL PERMIT DRILLER WELL TESTS: CHEMICAL DATE APPROVED BA RIA I DATE APPROVED BACTERIA DATE APPROVED PLUMBING SIGNOFF WIRI DAT COMMENTS: FORM U APPROVAL: APPROVAL TO ISSUE YES NO DATE ISSUED /y -7 BY CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: BY: I i I • r SEPTIC SYSTEM INSTALLATION IS THE INSTALLER LICENSED? YES NO TYPE OF CONSTRUCTION: NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW ``= / NO CONDITIONS OF APPROVAL YES NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES NO DWC PERMIT PAID? YES NO DWC PERMIT NO. INSTALLER: 17'6-AJ p6-k5pl-) BEGIN INSPECTIONNp; EXCAVATION INSPECTION: NEEDED: PASSED 6,1 JA7,7 By CONSTRUCTION INSPECTION: NEEDED: AS BUILT PLAN SATISFACTORY: YES: APPROVAL TO BACKFILL: DATE: t BY FINAL GRADING APPROVAL: DATE--7/3)/q ;7 FINAL CONSTRUCTION APPROVAL: DATE: BY LZ ��.../// 1 >LtuClle Liberty Mutual Insurance New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,MA 01923 Tel:(800)566-0323 March 10,2015 Town of North Andover Attn:Building Inspector 120 Main Street North Andover MA 01845 Re: Property Address:140 Laconia Cir,North Andover,Ma 01845 Policy Number: H3221290042502 Underwriting Company: Liberty Mutual Fire Insurance Company Claim Number: 031628288-0001 Date of Loss:2/19/2015 Attn: Town/City Official Pursuant to M.G.L. c. 139, � 3B, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, 5 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, 599, if you intend to initiate proceedings designed to perfect a lien pursuant to Mass. General Laws, Ch. 139, § 3A &B, or Mass. General Laws, Ch. 143, � 9, or Mass. General Laws,Ch. 111,5 127B. This letter should not be construed as a waiver or estoppel of any of the terms,conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 t . .. III '' • 'WOF NORITH'ArOOVER". ..: .:; SYSTEM PUMPING LORI /I J J DRESS «.. SYSTEM LOCATION - -. (Mmple; Icfr from of house) QUANTITY PUMPQDLc» , i. 'I o L: N0. • Y E • S __ , -,SEPTIC('T I C Ta N K, N O YES N.aTUKE OF SERYI.CE, ROUTINE EMERGENCY 4'UU:V; CVNU11'ION . h'ULL:TU CUYCIZ' hlI'AfY;Y CR ;ASC,''. -8AFFLES IN Pt,ACP LEACHFICLD RUNBACK... CXCESSIYIr;;SOI�'IDS. . ' FLOODED' ,SOLID,�' CARRYOVER 7(JHFR (�'XPlA.1N) / t C�u.,i�I F.NTS'1 • I • t VNI 11'�'`I'S' 1'IZANS'l'CtZIZ D 'i'Ui Kql ►/h ) 11 �<(Y u F l hie 11 x �^q 1 i� , ♦ Sr' af�! \f,(r s•S tiro U ''4r e , t r .. ,:. 1 +'\1•'F�''�Cllr+ �g a 7 Pf 1 t 1 111 l,,i•ek{ r tIM L�i r�,jai�, ,7 t 1+ �,•, 3t i ixt tby,'t ,' ��!'��' ,'It\ s >r 'yi is q , l.li i!. ♦ ' 1 �tr1 >ri NEW ENGLAND ENGINEERING SERVICES INC January 10, 2000 North Andover Board of Health Town Hall Annex 27 Charles Street North Andover, MA 01845 RE: TITLE V REPORT: 140 Laconia Circle,North Andover, MA Dear Sirs: Enclosed is a copy of the Title V report for the above referenced property. The systemap sses our inspection. If there are any questions please call me at my office, 686-1768. Sincerely Benja;w C. Osgo .LT. President •6 p 2 ?nno 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 R • COMMONWEALTH OF MASSACHUSETTS F I LE EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 00 — ONE 0 "—ONE WINTER STREET,BOSTON MA 02108 (617)292-5500 TRUDY m3m i Secretary i ARGEO PAUL CELLUCCI DAVID B.STRURS Governor Commisr over SUBSURFACE SEWAGE DISPOSAL tYSTEM•INSPECTION FORM PART A i CERTIFICATION PropAddrass: /90 11lk&vIr/ Q--4"F Name of Owner M t". I uty O Yh Av f/rvvecle[ Address of owner: /YD LAURid Ci2Ct� . N.�iVltivF� Date of Inspection: 3/o 0 m Nae of Inspector:( case Print)Benjamin C. Osgood, Jr. j I am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) Company Name: New England Engineering gPrv;rPs, Inc. Mailing Address: 60 Beechwood r, MA 01845 Telephone Number 686-1768 CERTIFICATION STATEMENT 1 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-sitesewage disposal systems. The system: _& Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: The System Inspector shall submit a cop of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 "if submit the report to the appropriate regional office of the Department of*Environmentat Protection. The original should'be sent to-vw system owner and copies sent to the buyer•if applicable• and the approving authority. NOTES AND COMMENTS revised 9/2/98 Page or„ i h �1 Pmled e�Reeyckd P+pe• SUBSU&ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM; ' PART A CERTIFICATION(continued) Property Address:140 Laconia Cir.,N..Andover Owner:Mr.Tom IEkbatani Date of inspection: 113100 INSPECTION SUMMARY: Check A, B, C, or D: ` F(. SY TEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. r` 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. Indicate yes,no,or not determined(Y.N.or NO)., Describe basis of determination in all instances. If "not determined',explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(201 years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound, shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. i Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). 1 broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced • The system required pumpirtg•more than lour-times a yenrdue to broken or otrstmcted pipe(s). The system will inspection if(with approval of the Board of Health): -- broken pipe(s)are replaced obstruction is removed I I revised 9/2/98 Page 2of11 it ctIBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:140 Laconia Cir.,N.Andover Owner:Mr.Tom Ekbatani Date of inspection: 1/3/00 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: r r . Conditions exist which require further evaluation by the Board of Health in order to determine if the system Is failing td protect the public health,safety and the environment. 11 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 WHICKYVILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE UMBONMEttT_ _ Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. I i 21 SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM tS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER i it revised 9/2/98 Page 3orII i iUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ; CERTIFICATION(continued) Property Address:140 Laconia Cir.,N.Andover Owner:Mr.'Tom Lkbatani Date of Inspection: 1/3/00 i D. SYSTEM FAILS: r You must indicate either "Yes"or"No" to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility-or-s"tern component•due�to on overloaded orclogged 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipets). Number of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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 I of a public well. Any portion of a cesspool or privy is within 50 feet o1 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for -coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either "Yes"or "No" to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10.000 gpd or greater(Large System)and the system is a significant threat to public health and safety-and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system-ie-within 200 awter-supply -_ -- -- the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone It of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further inforQtation. revised 9/2/98 Page 4oru • . r�> • ,Iw �cts�,gn • yip�` `y��.rr •.'-{`'`:± ` T • z t�Y�'�a.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART 8 CHECKLIST Property Address:140 Laconia Cir.,N.Andover Owner:Mr.Tom Ekbatani s_ Date of inspection: 1/3100 ! g Check if the following have been done:You must indicate either 'Yes'or "No" as to each of the following: Yes No Pumping information was provided by the owner,occupant, or Board of Health. y _ None of the syr temcomponanU.haw?been pagnPocUorstleast two awadnd• u arhe'sm yctehas h&"=ec_bA_9Mow . rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. - As built plans have been obtained and examined. Note it they are not available-with N/A. V _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components,excluding•the Soil Absorption System,have been located on the site. _ The septic tank'manholes were uncovered,opened, and the interior of the septic tank was.inspected for condition of baffles or tees, meted at of construction,dimensions,depth of liquid,depth of sludge,depth of scum. The size and location of the Soil Absorption System on-the site has been determined based on:- Existing information. For example,Plan at B.O.H. _✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) / 115.302(3)(b)) ✓ - _ The facility owner(and-occupants.lf different irnm-owner).were,prnvided.with lnfnrMaton.,on tharp^par aintan-MC^^f SubSurface Disposal Systems. revised 9/2/98 Pace 5ofit i!'••..r,♦.,r.Y .. .•Jw • a � Viµ:. • ♦ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORA i , PART C r r SYSTEM INFORMATION x Property Address:140 Laconia Cir.,N.Andover Owner:Mr.Tom Ekbatani Date of inspection: 113/00 " FLOW CONDITION* s RESIDENTIAL: Desi n flow //� 9 g.p.d./bedroom. r Number e of bedroomsd I ( esignl.� Number of bedrooms(actuaq:,� - Total DESIGN flow i Number of current residents.� Garbage grinder(yes or nol:,& Laundry(separate system) (yes or no)-Al If yes, separate inspection required _Laundry system inspected (yes or no) Seasonal use(yes or no): N0 Water meter readings,if available(last two year's usage(gpd): Sump Pump(yes or no)-_" 2 Last date of occupancy:-Lugemr COMMERCIALANDUSTRIAL: Type of establishment: Design flow: apd ( Based on 15.203) Basis of design flow Grease trap present:(yes or no)_ Industrial Waste Holding Tank present:(yes or no)_ Non-sanitary waste discharged to the Title 5 system:(yes or no)_ Water meter readings,if available: _ Last date of occupancy: OTHER:(Describe) Lest date of occupancy: GENERAL INFORMATION PUMPING RECORD,S and source of information: I-vkmpllf'4 7=Gww H"OnMw System pumped as part of inspection: (yes or no)d/� If yes,volume pumped: gallons 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) I/A Technology etc.Attach copy of up-to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed4if known)-and source of4wormation: S_sTev?J C0ru7,C ♦,1 174�� Sewage odors detected when-arriving at the site:(yes or no) I revised 9/2/98 Page 6ofII ZrrBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C '" ^ .SYSTEM INFORMATION(continued) 11 Ci Property Address:140 aconla r.,N.Andover ,Kq.. owner:Mr.Tom Ekbatam Date of inspection: 113106 BUILDING SEWER: '3 (Locate on site plan) r Depth below grade:L Material of construction: cast iron_40 F.VC_other(explain) Distance fronj private water supply well or suction line N Diameter Comments:(condition of joints, venting,evidence of leakage,-etc.) PiyE //v C'ryo 0 e-p/KO AVMA /,V' ,B.�sEilrEit�` SEPTIC TANK-_ (locate on site plan) Depth below grade: /Z Material of construction: ✓concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ ls.age.confirmed by Certificate of Compliance_(YeslNo) Dimensions: 1500 CTA'44-4VS Sludge depth: Distance from top of sludge to bottom of outlet tee orbaffle:'33 Scum thickness: <1 rr �r Distance from top of scum to top of outlet tee or baffle: S rr Distance from bottom of scum to bottom of outlet tee or baffle- How dimensions were determined: / 46ffy,ee STICK Comments: (recommendation for pumping,condition of inlet and outlet tees or-baffles, depth of liquid level in relation to outlet invert,structutet4ntegrity. evidence of leakage,etc.) %fYNK ,,V 402,P TONr01/74NSCff 4fO -OPC- TFe.S iN QVPa f> 62kD1770"- iecoofeffEKo 1,-e.1i'[LArIU/V Or r2ISF,2S DvIrQ ALL e�PEit/iK lTS ro w rem/�f ro�' O F 4-r-,a Oc GREASE TRAP- (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explainl 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 lest pumping: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) i revised 9/2/98 Page 7orn SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM' 5" 4 PART C4 SYSTEM INFORMATION(continued! Property Address:140 Laconia Cir.,N.Andover Owner:Mr.'Tom Ekbatani Date of inspection: 113100 TIGHT OR HOLDING TANK- (Tank must be pumped prior to, or 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/day Alarm present Alarm level: Alarm in working order:Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.! DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: 0" Comments: (note if level and distribution is equal,evidence of solids carryover, evidence of leakage into or out of box, etc.) — — b 1 og D STR 18 cJ O t c PUMP CHAMBER:_NI/ (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber•condition of pumps and appurtenances,etc.) . I revised 9/2/98 1,2FraofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INS f EC710F1 FORM r . PART C Property Address:140 Laconia Cir.,N.Andover SYSTEM INFORMATION(continued) ' � x v F Owner:Mr.'Iom Ekbatani Date of inspection: 113100 SOIL ABSORPTION SYSTEM($AS)_ (locate on site plan.-if possible:excavation not.requirted,location may be approximated by non4ntrusive methods) If not located,explain: Type: leaching pits,number:_ leeching chambers,number:_ leaching galleries,number: c leaching trenches,number,length: 3 SO 7"AleW leaching fields,number,dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding, damp soil, condition of vegetation, etc.) I A7f�C14• D� S�-/S7�YYl t-a0�5 N��—'�� . Nd EyiDE/c�cE of dON4/�yC�, t9NuSuflt tlF�:�'rATcON� r4me 542/r— gre CESSPOOLS: (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: Materiels of construction: Indication of groundwater: inflow(cesspool.must be pumped as part of inspection) i Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of-vegetation. etc.) = PRIVY: (locate on site plan) Materjals of construction: Dimensions: Depth of solids Comments: (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation;etc.) I � i i revised 9/2/98 Page 9of to SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIQN FORM ; PART G SYSTEM INFORMATION(continued) Property Address:140 Laconia Cir.,N.Andover owner:Mr.Tom ikbatani Date of inspection: 113100 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into housel I}6/ 29 revised 9/2/98 Page 10 of 11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM:INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:140 Laconia Cir.,N.Andover Owner:Mr.Tom Ekbatani Date of inspection: 1/3/00 ( • ( NRCS" Report name 'arm 4"9s x "60117 /V ASS fic/t°S 00 ir/o2 er2.v P/fl•?i]% Soil Type_ r /AC P Typical depth to groundwater` ��•O� USGS Date website visited ` Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope /04 Surface water ArO ver _ Check Cellar p�2� Shallow wells ,JJ Estimated Depth to Groundwater&Feet Please indicate all the methods used to determine High Groundwater Elevation: J_Obtained from Design Plans on record Observed.Site (Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) uv p /t y` 8�6� (�o i m 6/_ �.cR{N T2EN�s I I revised 9/2/98 Page 11 of 11 Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH August 12, 19 97 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed ) or repaired ( ) by George Henderson INSTALLER at Lot 48 Laconia Circle, North Andover, MA 01845 SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. 8Bd dated 11/14 19 96 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. BOARD OF HEALTH Town of North Andover, Massachusetts Form No.2 f HORrM BOARD OF HEALTH O M1 �.a y 1h 9---!S. O L S ' • i i DESIGN APPROVAL FOR SSACHUSOIL ABSORPTION SEWAGE DISPOSAL SYSTEM t Applicant1C62.(f7ZNTest No. Site Location Lcic g e Reference Plans and Specs— ENGINEER 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. g q APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: — f: -2 -92('� , _ CURRENT INSTALLER'S LICENSE# LOCATION: 4o T ? L a C 0 -k7 / a CI v LICENSED INSTALLER: SIGNATURE: TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: !-- IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only J $75.00 Fee Attached? Yes No Foundation_ As-Built? Yes No Approval A�\ �17 / Date: i Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH q--�� ut NOR7h 13 6 19_LL O ^ F 9 �9•�,,,,;..a'�h DISPOSAL WORKS CONSTRUCTION PERMIT SSACMusE Applicant dCME �L'NA _ ��D `z� I A p TELEPHONE Site Location Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. 00, CHAIRMAN, BOARD OF HEALTH 5• Fee D.W.C. No. TOWN OF NORTH AN•DOVEP, SYSTEM PU M P1N u,�I'k U RECOKL' SYSTEM vwNtSK ADDRESS SYSTEM LOC�TIQN r 006Ap / a rc /u0. ciivdo DATE OF PVWNQ: ..._._�_......_..._...._.._QUA NTTTY PUMPED: .._l.`J. . .,.. . VtZISPOOL: NO YES _.......... .. Sn • 1' Puc ink: N NA rVKU ON SERVICE: RUu'rINE..._ _ i�MERUEN(')' � 6 tioa� 01JURVA-nom: ER ROOD CONDITION PULL 'rU COVER �; y ✓��N���� f AYY OREASB BAFYLBS IN PLACC. ROOTS L6ACHFIE! D RUNBACK . W6361YE SOLIDS­­ FLOODED PL04DED SOLID CARRYOYER OTHER EXPLAIN sr.tam PumpcJ by -- ..T�•..... h6l .. ,•... i VUMMENTS. C.: TENTS rKANSr'ERUL) I'U i FORM U - ER ICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments havin sdicti have been obtained. This does not relieve the applicant land/oron landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: TRAJ P PYRATANT Phone(s a 122 q9 � LOCATION: Assessor's Map Number tDSD Parcel 161 Subdivision Lots) Street 340 T-rG,,,,,T„ • St. Number -4-4 9 ********************** *Official Use only************************ RECO DATIO S WN AGENTS: Date A Conservation Administrator pproved Date Refected Comments ^ IINV 71a31 Town Planner Date Approved Date Rejected Comments Food Inst- -- Date Approved Health Date Rejected Date A Se i Inspector-Health Approved _ Date Rejected 17 Comments Public Works - sew er 'w / ater connections � � uL-244� - driveway permit 2 Fire. Department Received by Building Inspector Date I MERRIMACK 112V lJ 12Q ENGINEERING SERVICES INC. Engineers • Surveyors Y Planners 66 Park Street ANDOVER, MASSACHUSETTS 01810 DATE JOB NO. (508) 475-3555 ATTENTION TO Fax (508) 475-1448 RE: 966 Mb,, 97)1r Fax off' N�'ALTi-� t0 T_ 10 Toc wk( o'F:' W, A)4wL cZ LACok to c_t aL I WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: i > ! ❑ Shop drawings ❑ Prints ❑ Plans, —"❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION R'Cv 2-4-q-7 ( of 9-A--S F- 1 1 7 THESE ARE TRANSMITTED as checked below: ["For approval ❑ Approved as submitted ❑ Resubmit copies for approval El For your use El Approved as noted ❑ Submit copies for distribution As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKSf AS _ _ �D Cr��uGE Tb ��PT7G �yS7F"►-�� COPY TO //' SIGNED:- �� CAUDI�o if enclosures are not as noted,kindly notify us at once. MERRIMACK ENGINEERING SERVICES INC. Engineers • Surveyors a Planners 66 Park Street ANDOVER, MASSACHUSETTS 01810 DATE Boa No. 1 -16) _q (508) 475-3555 ATfENTIO Fax (508) 475-1448 IIID TO 32AM OF, H19XTH RE:lhfO 1000,4 OF No, AKOWIFEZ E cJooD u 1 TOWN 09:h'nPz h a- EI— i" OF H LTH� .�, WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the ffoliowing'itA > ❑ Shop drawings ❑ Prints ❑ Plans ❑ Sample s ❑ Copy of letter ❑ Change order ❑ f COPIES DATE NO. DESCRIPTION ROV 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 Q'As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS XLtbV rP(AMS, AW eEyfSID AS PEE yA�eL ICUL f F MOL2 RA U E A x.4�( QL.s=c1701<e COPY TO SIGNED: ff enclosures are not as noted,kindly notify us at once. Town of North Andover t HORTM 1 OFFICE OFF6 0 COMMUNITY DEVELOPMENT AND SERVICES11*0 146 Main Street 9 ; WILLIAM J. SCOTT North Andover, Massachusetts 01845 �9SSACHuS���y Director January 6, 1996 Mr. Les Godin Merrimack Engineering 66 Park Street Andover, MA 0 18 10 Re: Lot #8 Laconia Dear Les: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: I. Please locate perc 2A on site plan. Perc #2 was abandoned and is in center of system. 2. Foundation drain missing. (N.A. 6.02V) 3. Please add wetlands disclaimer. (N.A. 6.020) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp cc: Beechwood Builders BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATTON 688-9530 HEALTH 688-9540 PLANNING 688-9535 i DATE �ot1/C1r/ �a Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER / SUBSURFACE DISPOSAL DESIGN REVIEW FEE- PERMIT # ��g DATE RECEIVED lIz I/q6 APPLICANT` S ,[ WC6.j L701Cb&K-5 ASSESSOR' S MAP PARCEL T ADDRESS 3-30 AgS5,opol46 ,QUA `�'V O oh j L 0 T # g ENGINEER STREET T f,za�fA��� M�'�/l'�J�}C�' /Ga�i� ADDRESS PLAN DATE Az7A76 REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED Dr - ✓�. �ovn✓r��rl6� ��1��� rLlr 5s l06 . C/U./-�. ()V,/`T • PLAN REVIEW CHECKLIST ADDRESS 20 7- ENGINEER GENERAL 3 COPIES v STAMP LOCUSNORTH ARROW SCALE CONTOURSPROFILEy SECTION �� BENCHMARK SOIL SOIL & PERCS ELEVATIONS WETS . DISCLAIMER WELLS & WETS A WATERSHED?-AlaDRIVEWAY �(Elev) WATER LINES FDN DRAIN SCH40 c/� TESTS CURRENT? SOIL EVAL SEPTIC TANK/ MIN 1500Gy . 17 INVERT DROP GARB. GRINDER A/o (2 comps +200) 10 ' TO FDN 1,--' MANHOLE ELEV. � GW J# COMPS. I GB D-BOX SIZE b,8 �0 # LINES FIRST 2 ' LEVEL STATEMENT INLETI-fl.6 7 - OUTLET /-f/,5/--) - /7 (2" OR . 17 FT) TEE REQ'D? //u LEACHING MIN 440 GPD? y RESERVE AREA � 4 ' FROM PRIMARY? L--' 20 SLOPE 100 ' TO WETLANDS �100 ' TO WELLS '! 4. ' TO S.H.GW �� (5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINS kl-' 400 ' TO SURFACE H2O SUPP Lf 4 ' PERM. SOIL BELOW FACILITY L-,---- MIN 12;" COVER l-/ FILL?--&=-('1,5 ' ) BREAKOUT MET? TRENCHES MIN 440 gpd `� SLOPE (min . 005 or 6"/1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? Z,""' , IN FILL? MUST BE 10 ' MIN. 11"" 4" PEA STONE?D/ VENT?_ (>3 ' COVER; LINES >501 ) BOT__±5 + SIDE DCS X LDNG a 2_ - TOT Ja,S (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1996 by S.L. Starr ti. ` vc z ' r- 11--J' --- -- ----- - V-/=7 5-L------ 1: --------- ----- ---L- --- �/ v�1� 5�-..- S /D v d tett^� Ili f MIPS ti I M1Y* - n' 4 / t F ia^ M D t.• �/jffJ I '� �♦�l. .."� .. -___ `��s -_a_ __._ -.—;-/meq__/_..-_ —.. .___.. I ' Lo-- e1 rr � 7 t:TOR !p sf a�a..r "'a�`d.Rc r sd y'r."B..In».t''�'"'may���, ""7•" t,�y .x,,� S_' y f� yw r y. . fry r a t,*'M .o.+, td•.r •+.,,k'� _.�T} �c.a $ L�e if "�`Y ;a�*i�}[`'� t q.YYk. __ y cwt s 6Y" 9L o s ':� ^•� w �t d 3. a a FORM 11 - SOIL EVALUATOR FORM Page 1 No. . Date...�..�.".f��.." ..... Commonwealth of Massachusetts NO"i AwNvE2 , Massachusetts "TOWN OF ! :ar�ai�t �varri '� TH Soil uitabili Assessment or On-site Sewa a Disposal S S 9 � � 14 Is96 w� - E Performed By: ...........L1......h'1.........U... ........tS.1�-4...................................... -- -- Witnessed By: I !`[A.'_I . . QTR IZ.(L . :. .......................................................................................................................................................................................-....f.........(.�........p...................... ............................... Location Address or $r1 yd LAC0 Al i� L I QGL I� 0--'.N.-, B61SC RkJ odd Su i LI)G2S Lot M V' K-C• TephoAddress, � 350 MASSA PoA4 Air f— sRAf?4" , HA. 6z0671 6+7 -7gy --7oio New Construction LJ Repair ❑ Office Review Published Soil Survey Available: No ❑ Yes LJ Year Published ....�. �.. Publication Scale �.:.�Syd Soil Map Unit ...........b....6 d'Aki-OW Drainage Class Soil Limitations ........:......................:............. ........................................ Surficial Geologic Report Available: No ✓❑� Yes ❑ Year Published Publication Scale ......".... GeologicMaterial (Map Unit) ..............-.-............................................................................................................................_....... Landform ...... ....... ......................... ....................................................................................................................... ................................... Flood Insurance Rate Map: Above 500 year flood boundary No ❑ Yes Within 500 year flood boundary No d Yes ❑ Within 100ear flood boundary No � Yes ElY Y Wetland Area: !, National Wetland Inventory Map (map unit) O ..................... Wetlands Conservancy Program Map (map unit)................................................................................................... Current Water Resource Conditions (USGS): Month 7.'14' Range : Above Normal ❑ Normal Z'*� Below Normal ❑ Other References Reviewed: V _".(4,S 1-7ApS � FORM 11 ~ SOIL EVALUATOR FORM , Page 2On-site Review ! . � � | � Deep Hole Number -[^-Z Date: �'� Tima:'A.-.171. Weather � Location (identify onsite plan) - P4,AW.........-----_-___--'---__________________________ Land Use ��/"�^' An^«(F Slope <96> ��' �ur�u�» Stones 0�Y� / /�� --_--� -.'.�^~~.'�-----'--_------- Veoe1a1on -1.)O bs�p.............................__................... _________________________________________ Landform .................. .......... ____________________________________________________� Position onlandscape (sketch nnthe back) -............................................................................ � Distances from: � Open Water Body feet Drainage way... feet Possible Wet Area feet Property Umu fee Drinking Water Well 100.t. feet Other ...._........................... Consistency, % Gravel) 01 | DEEP OBSERVATION HOLE LOG Depth from�urface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) IMunsell) (Structure, Stones,Boulders, � L4 Z4411 0,,-111'1/6 tIASitie, Fj2jj46L9:-- � � � � � | � � Parent Material (Qeoogio) ...... Depth toBedrock: |~.-''.' ...... ��~^f' Depth to Groundwater: Standing VVe1er in the Hole: Weeping from Ph Face: 'k0/0E— ) Eodmo1adSeeaona| HighGround \Nmtar: 8D � ' FORM 11 - SOH, EVALUATOR FORM Page 3 I Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole.................. inches ❑ Depth weeping from side of observation hole ................... inches R Depth to soil mottles c4.��17.V inches ❑ Ground water adjustment feet Index Well Number ......—..... Reading Date ............... Index well level .............. Adjustment factor ............. Adjusted ground water level ..................................................... Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yffs If not, what is the depth-_of naturally occurring pervious material? `— Certification I certifythat on '�` – IG (date) I have passed the examination approved b the 1 P PP Y Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signatur ate rOV FOMI 12 - PERCOLATION TEST COMMONWEALTH OF MASSACHUSETTS ()F—TH A"_10 E(Z , Massachusetts Percolation Test Date: .Z-2y.-.q ...,..7.'30.-'Ifv Time: ......p►.1`1................. Observation Hole # P ZA Depth of Perc Start Pre-soak 12: s`i IZ ° 23 End Pre-soak 1 : Iy 12, 30 Time at 12" ° I y 121138 e. Time at 9 P 30 12 ° q3 Time at 6" Z ' S� Time (9"-6") Rate Min./Inch V1IkIIIS HIM,/)&I. Site Passed 1z/ Site Failed ❑ ................................................................................................................................................................ Performed By: LF—. OD IJ Witnessed By:y A1.1DiZA STAR2 Comments: .....S;TS...._ �...`�g�. .... ........................................................ 1 ")F HFA-�-1 nor �(-AO JJ4 c� Nol�j-hpovc-l-�, MA, s (,v TEf{ S�PN�7 �] UJELL autiJ APftur"D CayES QNO � SS StPTiG SYSTFv1 VES16,AJ APR?OVPJ6 /urhoJ?iTy COAJPi TI NJ5 . O t R�45oNS Dt �� , prf c SYSTEM 1 j STA L'tATIOA J PwAL I Q5('5--T7oo APPi�c�vED Di3TC ,6PPi�v�NG �4�r�toi��ry M d1��IT(D�AL In15c.i IONS ()F=.4jY) D�(�l�Pt'�UvE�7 D,arC FItiAL APPFQvAL D,Orc Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH ED 0��T` 6`b�OL � Z4 19 t `G' °q -4 -. " APPLICATION FOR SITE TESTING/INSPECTION Is,SAC14US���y Applicant -1-Amalk _ __ NAME TADDRESS TELEPHONE Site Location ('VT Engineer :Joann YV-4j-F - 'A M E ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee__ Test No. <' O S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH A BOARD OF HEALTH. 19 0` TIES 16�A. • * m APPLICATION FOR SITE TESTING/INSPECTION �9S's CHus���y �f Applicant NAME ADDRESS TELEPHONE Site Location .-C- 1 �' � Engineer, -1i�'►r1/� ruu '-�- NAME ADDRESS TELEPHONE Test/Inspection Date and Time #J CHAIRMAN,BOARD OF HEALTH .7�� ,, Test N o. Fee I S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. e+c�+rv.�+T s �a �..�H. {, 7}5}'.72�}...) }�.�.n`.1:iT. rY•. ..!^. +.<<�T..v.r. 5,. .,..�.,...a � ,.� _.. U rr ^^ v( cv 3c3'o / t, CU r m (U r u z8 -z8�w w r, � � cn y I ,,�• .I. , '' 'I ' to ;� .Tfl�r � � R 6 C 0 C d • d 4 2009 O�P.hei D/oY100 )hlr ioffn ref Sao JUS �o +V n`lllod Io 0r loch BCrrc: �1 nye 'pool 6oarc, OJ In p, CIfIp, pl n0e QbH�N Gad NObl'ANDOVER HEALTH DEpgRTMENT V4 ri r �.r Syaiam Owner, dfµ, (II OVf�r�nl ram b u VCn) I , ` 97r �� _ TI r�np�l h ,1'cf�jrl, ,. o1'Pvm,pin o 9. �_ �' •ry➢s 41 ryilam;••.: � Ca�s�ooi(9� �1., I ,S" la Ehtuan.► Too Fl�lo(,pfgj0nr? C YO n'o +�J•,'lfl``•�:{./;'�1,;"��,},r,�;�r;� ,� II ye,. „a� �; c�eanao� � r rl " ".;Coridlyori'Q(„9Y. m,'•�., I'i.r����.• (��� � Y,�' Il 'I' r n IC) G4n11 i .., loci on �'' ;.,,.,:i,•, , , :'I.•:, , ,lvhar� cor>•lenla;ri.00 019 osao: .porldo�YrelorlspproYeJsllblorm�,n:marns�eC1 135 LACONIA CIRCLE JS-2012-000064 Proiect Detail Report ` Printed On:Thu Aug 11,2011 Project Name: GIS#: 6586 Project No: JS-2012-000064 Owner of Record STAFFORD,CURTIS&BRIGITTE Map: 1105.D Date Submitted: Aug-11-2011 8 WHITTIER PLACE APT#4J o Block: 0136 Status: Open BOSTON,MA 02114 Lot: Work Category: Work Location: 135 LACONIA CIRCLE Zoning: Proposed Use: District: � c}wui� land Use: 101 Proposed Use Detail Subdivision Description Title 5 Inspection Comments: of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health RED FLAG BHJ-2011-000026 Thurs.-8/11/11-Carmen Shay(applied as new T-5 Inspector)pulled file to conduct a Title 5 Inspection. Will be submitting copy of inspection. Works for a relocation company to prepare homes for employee relocation. Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: Septic System BHP-2011-0767 Aug-11-2011 Open JS-2012-000064 Title 5 Inspection GeoTMS®2011 Des Lauriers Municipal Solutions,Inc. Page 1 of 1 North Andover Board of Assessors Public Access Page 1 of 1 t ,.ORTH North Andover Board of Assessors Ott+�+o s�NO � p 'ti •+no�''yt9 �SS`CN°5et roperty Record Card Click seat To Retum Parcel ID:210/105.D-0136-0000.0 FY:2011 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary M Residence Detached Structure . Condo 135 LACONIA CIRCLE Commercial Location: 135 LACONIA CIRCLE Owner Name: PAPASOULIOTIS,GEORGE Owner Address: 135 LACONIA CIRCLE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:7-7 Land Area: 1.09 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2890 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 521,200 541,000 Building Value: 294,900 314,700 Land Value: 226,300 226,300 Market Land Value: 226,300 Chapter Land Value: LATEST SALE Sale Price: 636,600 Sale Date: 05/11/2006 Arms Length Sale Code: Y-YES-VALID Grantor: STAFFORD,CURTIS Cert Doc: Book: 10179 Page: 128 I http://csc-ma.us/PROPAPP/display.do?linkld=1707635&town=NandoverPubAcc 8/11/2011 Residential Property Record Card PARCEL ID:210/105.D-01.36-0000.0 MAP:105.13 BLOCK:0136 LOT:0000.0 PARCEL ADDRESS:135 LACONIA CIRCLE FY:2011 PARCEL INFORMATION Use-Code:^ 101 Sale Price: 636,600 Book: 10179 Road Type: T inspect Date 04/30/2008 -� Tax Class: T Sale Date. 05/11/06 Page:: 128 Rd Condition: P Meas Date: 04/30/2008 Owner: _ _ — _ PAPASOULIOTIS,GEORGE Tot Fin Area: 2890' Sale Type: P Ce_rt/Doc: Traffic: M Entrance X Tot Land Area:" 1.09 Sale Valid_: Y Water: - Collect Id: RRC Address: _ _. ._ _ _. - - - C - 135 LACONIA CIRCLE Grantor: STAFFORD,CURTIS� Sewer: Ins ecf Reas: C - - — - --- - - -- --P-- - - NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 7 Main Fn Area: 1690 Attic: NBHD CODE: 7 NBHD CLASS: 7 ZONE: R1 Type S -Story Height:_ 2.00 Bedrooms: 4 Up Fn Area: 1200 Bsmt Area: 1690Se_ g YP Code_ Method q--Ft Acres Influ-Y/N Value Class _ Roof __ : G ' Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43560 1 .000 225,640 Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: 2 R 101 A 0 0.090 684 Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 289.0 VALUATION INFORMATION Foundation: CN BathQual: T RCNLD: 294917 , Current Total: 521,200 Bldg: 294,900 Land: 226,300 MktLnd: 226,300 Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: Prior Total: 541,000 Bldg: 314,700 Land: 226,300 MktLnd: 226,300 Heat Type: HW Ext Kitch: Year Built: 1985 Sound Value: Fuel Type: G Grade: G Cost Bldg: 294,900 Fireplace: 2 Bsmt Gar Cap: 2 Condition: G Aft Str Val 1: Central AC: N Bsmt Gar SF: Pct Complete: Att Str Val2: Aft Gar SF: %Good P/F/E/R: /100/100/89 Porch Tvoe Porch Area Porch Grade Factor P 32 W 448 SKETCH PHOTO W 4 7,4 12 448 Sq.Ft t4 zz FM/B FU r� 1690 Sq.R1200 Sq.R 30 30 16 135 LACONIA CIRCLE Parcel ID:210/105.13-0136-0000.0 as of 8/11/11 Page 1 of 1