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HomeMy WebLinkAboutMiscellaneous - 145 CRICKET LANE 4/30/2018 � '�� � �� C JW Lot & Street ,4-,i cj— C.�/G/C % Map/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit- l� Plan Approval: Date: /( Q Approved by: Q� j�jfjl4. Designer: Plan Date: y ' Conditions: Water Supply- _____ - WelI. j Well Permit: _.Driller: Well Tests: Chemical Da Ag roved �- Bacteria I Date- proved Bacteria H Date A roved - Plumbing Sign-Off: Wi a Sign-Off- Comments: Form"U" Approval: Approval to-Issue: YES NO Date Issued By: Conditions: Final Approval: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other YES NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: _ r r SEPTIC SYSTEM INSTALLATION Is the installer licensed? NO Type of Construction: REPAIR New Construction: _ Certified Plot Plan Review NO -Floor Plan Review S NO _— Conditions of Approval from Form U YES NO _Issuance of DWC permit: - ��j NO -DWC Permit Paid? % _ C �/ NO . --DWG_Permit# Installer: TD yy) -'g U) Begin_Inspection:_ YES NO - - Excavation Inspection: -Needed: —Passed: jW7 By: -Construction Inspection: Needed: As.BuiltPlan Satisfactory: YES: - Approval of Backfill: Date: By: --Final Grading Approval: Date: '���/ B : PP � y ,I Final Construction Approval: Date: Z- By: Certificate of Compliance: Approval:S Date: Town oover 0 No. 439 ;r o L^o nclover, Mass., cocnlc MEwlc" A04ATED S BOARD OF HEALTH PERMIT T Food/Kitchen O - � Septic System Zak L �.- e, THIS CERTIFIES THAT.....W—AIM.Or.....Rf�y-*...... BUILDING INSPECTOR R Foundation has permission to er t.........�....................... .. buildin s on e� . ...., �i? ;,KM..............ANC Rough/ _ -�. to be occupied as..... A t I ro t h�n6��-��,� . p �. .. ... ............ . .. ............. .................. ...... . .............. v provided that the person accepting this permit shall in every respect conform to the tomes of tha applica�on on file in Final - this office, and to the provisions of the Codes and By-Laws relating to the Insspwction, Attcraftn and Construction of ��= S/a�0f Buildings in the Town of North Andover. m 38 py6 PLUMBING INSPECWR VIOLATION of the Zoning or Building Regulations Voids this Permit. ugh/( PERMIT EXPIRES IN 6 MO:VTHS IN PE UNLESS CONSTRUCTION START- ZELECTR o ICAL sem. ........ � .. . BUILDING INSPECTOR Occupancy Permit Required to Occupy Buildtng GAS INSPECTo Display in a Conspicuous Place on the Premises -- Do Not Remove No Lathing or Dry Wail To S,Can-3 FIRE DEPARTMENT Until Inspected and Approved by thz Dug Inspector. Burne PM117 OEt—= e Street No. . tea» b -----; SEE REVERSE SIDE I d Smoke Det. uU E PERmiT� OK TOWN OF N , �k,AL , e SYSTEM PUMPING RECORD DATE: a.-O SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example:left front of house) L� DATE OF PUMPING: ' QUANTITY PUMPED : I 1 n f� GALLS IIN CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste Town of North AndoverftUR*M Office of the Health Department 0r'i`° Community Development and Services Division 04 27 Charles Street � o„�rp �{, North Andover,Massachusetts 01845 9SSACHU`�E� Heidi Griffin Telephone(978)688-954 Acting Public Health Director Fax(978)688-9542 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE May 4,.2001 . This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by Tom Sawyer at 145 Cricket Lane (former Lot #5) has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. . The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Brian LaGrasse -- Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 BUILDING TIES INVERT ELEVATIONS BUILDING CORNER A B 4" PIPE Q FDTN. = 185.23 SEPTIC TANK 23.6' 37.5' SEPTIC TANK IN = 184.71 DIST. BOX 66.0' 55,.8' SEPTIC TANK OUT = 184.64 CORN. LEACH FIELD #1 78.1' 94.0' DIST. BOX IN = 183.72 CORN. LEACH FIELD #2 95.2' 103.8' DIST. BOX OUT = 183.56 CORN. LEACH FIELD #3 84.1' 55.2' DIST. BOX OUT = 183.57 CORN. LEACH FIELD 4 64.2 70.5' END LEACH INE 1 = 183.0 END LEACH LINE #2 = 183.03 C) ' � C) ! A z _ Li Q G4 GV \ b' zt�n 27.1' w H� N\ �\ w m �7� L IN \ \ SEPTIC TANK (1 O'X7') Un O� O ` r / O CONC. ALK 1 i r > � / M FA ^ STONE AND MORTAR a f BOULDER ppRETAINING WAIL RETAINING WAL/ LANDIpNG / 4 i B.M. T F.= ` F.F. L-180.9 BIT. CONC. DRIVEWAY 189.04 AC ❑ 2 s 1 ' W.F N� RETAINING WALL Ac ❑ EL�18 SILL L=181.18 t Illi ' e 4 / CRUSHED WOOD DECK STONE LOT 5 s CAP \ 73,852 S.F. SMALL STONE ANDI n Q 1 •69 AC. CONCRETE WALKS J i I I � HAYBALE AND /77 SILT FENCE / 7 ^ AS— BUILT PLAN OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MA. NOTE: THIS PLAN CERTIFlCAT10�1 :s 1`JOT AS PREPARE]) FOR a�.S QF��4ss9c A WARRANTY OF THE SUBSURFACE DISPOSAL COPLEY DEVELOPMENT o QNY yGN SYSTEM. IT ;S A RECORD OF THE LOCATION DR 50 COPLEY DRIVE # °clwl*0 AND ELEVATION OF THE EXISTING MA. 01844 No.40706 SYST€M COMPONENTS. i METHUEN, 9 a " ` ;; c, E ��Q I MERRIMACK ENGINEERING SERVICES a SCALE: 1 =20' �: . , N DATE: APRIL 26, 2001 i PROFESSIONAL ENGINEERS e LAND SURVEYORS • PLANNERS SUBDIVISION LOT #5 CRICKET -LANE 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 TM 38, PARC_. #38;44,45,46; TM 107A, PARC. x#217 TEL (978) 475-3555 FAX (978) 475-1448 1 4 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 5/4/01 This is to certify that the individual subsurface disposal system constructed (X) or repaired () `C'v , ate by Tom Sawyer \ at N\(Lot 5) Cricket Lane has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. e f � Board of Health Inspector 'I l ATOWN OF i SYSTEM PUMPING RECORD DATE: �_DLS_�� SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example: left front of house) o �.C-0 ov� 6 ur ►�.���-� 14S C(- DATEOFPUMPING: 5-a3 QUANTITY PUMPED : GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: ` TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: SYSTEM OWNER &ADDRESS SYSTEM LOCATION C© �O (example: left front of house) 5 Cor c vc DATE OF PUMPING: `51 QUANTITY PUMPED L g r�)n GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY- COMMENTS: CONTENTS TRANSFERRED TO: � 6L� e�oRTH TOANM of over y39 o �0 over, Mass., COCHICHEWiCK Y AORATED BOARD OF HEALTH PERMIT T Food/Kitchen LM Septic System // L�iLi� BUILDING IINJSPECTOR THIS CERTIFIES THAT.....WA1.M.ht7......rV......�.� ......��.�.a.....�...�. ............ G„ """"' " Foundation, .. ....CrQ.....�C. N has permission to er p buildin s on CS ...!�........................ C Rou h to be occupied as..... . . , ...8A.........�. .. i ..:... a..... �.% 6-0-" ........ n `�- h4 f ey provided that the person accepting this permit shall in every respect conform to tho tc3rns of tf'3 applicaflon on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspcction, Altctntlan and Construction of Buildings in the Town of North Andover. �� P116PLUMBING INSPEC R VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS �'r ' -a� UNLESS CONSTRUCTION STAR ' ELECTRIC IN PE .0 "U a ...................................................... i BUILDING INSPECTOR p < in Occupancy Permit Required to Occupy Buildt ng GAS INSPECTO '�g)i d' '/ —� Display in a Conspicuous Place on the Promises — Do Not Remove No Lathing or Dry Wall To Oa Dtfm FIRE EPARTMENT Until Inspected and Approved by On B :din*q Inspector. Burner J Street No. SEE REVERSE SIDE !1 Smoke Det OK TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( constructed; ( ) repaired: by &) j17-6NI4-5- 5 4L,0 566e located at.,,L-o+ S C—P -r L.AAlr was installed in conformance with the North Andover Board of Health approved plan, System Design Permit# , dated with an approved design flow of-4/Vo gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance 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. Bed inspection date: L�di�j�n� �Ak Engineer Representative Final inspection date: /•? 1"K Engineer Representative Installer: G` Lic.#://y/ Date: e,11—& Design Engineer: --�� - Date: - �;'+ ly G l� F Nom og F, G TC3d i C `v'ii_ cea - ,0 t� AS-BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE 4 ` TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA r./ LOCATIONS OF DEEP HOLES & PERC ` TESTS U/ ELEVATIONS OF DISPOSAL SYSTEM 1.: TOP OF FDN ELEVATION i/ LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK& D-BOX ORIGINAL STAMP & SIGNATURE [/ IMPERVIOUS AREAS - DRIVEWAYS, ETC. (/- NORTH ARROW 1/ LOCATION&ELEVATIONS OF BENCHMARK USED INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Initial A. Bottom of Bed 14 ,J 1. Excavation to proper depth 2. With trenches,sides of excavation are beneath B horizon •7/O 3. Edge of excavation specified distance from foundation,etc. Comments: B. Retaining Wall ' 1. Wall height and width as specified 2. Waterproofed 3. Wall minimum 10'to leaching facility 4. Wall meets specifications of plan Comments: C. Building Sewer 1. Pipe diameter minimum 4" 2. Schedule 40 pipe 3. Watertight joints 4. Inlet to tank cemented 5. Slope minimum 0.01 or 1/8"per foot minimum 6. Pipe properly set on compact fine base 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90'change 10. 10' minimum offset to water line Comments: D. Septic Tank v7z Y - e 2. 1,500 gal minimum 3. Gas bale present on outlet '`' 4. Manhole to grade 5. Manholes over center and each tee 6. 3-20"manholes t%' 7. Inlgt tee minimum 12"under invert 8. Outlet tee minimum 14"under invert 9. Outlet line cemented 10. Air space 3"above tees 11. 2"-3"drop from inlet to outlet 12. Pipe set L/ 13. Compact base with 6"of 1/4"crushed stone under tank 14. Tank is watertight Comments: ! o o eo S- 51-r' ///,)0(::- 42 Z le -5- (5 t di r /0C-'t Z) _ all :54-5 , eS- C6' Cr e t�� 3 , A _7.,r+-14-00 10:01 Nord, Andover Com. Dev.. 608 sea 9542 P.03 Yes NO E_ Pump t hsMber 1_ if wMrate from M nk,Mnpa ct baser with 6"of stone underneath 2_ MittiRttam 2"pipe to d-box if Wavity sysean 3. 20"access maMole �- 4. I ank ievei -- "y. with 012n M06fIC260n 7. lutanhole to Wade S_ Check valve and bleeder hok present 9. Alarm in building On separste ciraut 10. Alarm nmaions - 1 i• attusi opRruiiuIS iin ---- , --- - .. I%,.—,_,w_I:..—.t—.;,q rn th:a«.i1M.ri�RnX 1 M-15 level �,,CY.')�� '1 -' -:7a 4- A Da%Q.0�%4�r I 2. Minimum 0.1 from inlet to outlet ly 'T. 3. Miaimum 6"-stump a. Nutlet pipe aitv..w:::.....,...,.......-- P r _ u— box 6. wat"ght Nr 7_ All tines cernertted with hydraulic cement S. Schedule 40 pipe —. Commenu. G. Soil AbeoM ien syatetn 1. All stmedouble`washed--Vi-- i h=. f eC� ✓ .;__. crone 21seve disSnl'bation lines ' -- 3, Mi";mTorn.or mune beneath oipe `N\ 4. b4;4bution lines capped or cartcaed together A an 0-- ✓ S. Cradlutg mecca 3:1 slope Npt'1n0 6. 14 ki mum Or V--01 au BFuoata v:w SYa.— 1. 1 ac vi •...: < Fb of nroeaty..if net than awale. a.va.iwc..s,a- N. Leach Trenchft i. Miximum 7 is ,. .r......i..e ae...R vriih nian. (MSX.lenjoh 1001 --- 3 tM.d!h of tre,ches nares with plan-Minimiatt 2';tttoxittttum-4'_ 4_ Vent Otesm if<50 feta at specified 3. Distan-Ce between.treaches Minimum A and maaimun►u. - 6_ Minintwa dLvtw to ber^w m ttvRars;i .10 - - 7. �pv SLOpC 7fl.nitc.Wu v.w-,=V,;t ✓._ ' .�...� ..�.�s. 4 boinw outlet invert minimum OfLa " o. ww•—•—--�•— - t�.,� rt if J� v v Yes NO 9. Pipes set on stable base. Comments: I. Leach Field 1. Maximum length of field 100' 2. Pipe slope minimum 0.005 or 6"per 100' ' 3. Separation between pipe 6'maximum 4. Pipes connected at end 5. Separation between adjacent fields 10' minimum 6. Pipes set on stable base 7. Maximum 4'separation from edge of field to first line 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: I Leaching Pits 1. Minimum inlet pipe 4" 2. Pits of concrete 3. Sidewall between 12"and 48"wide 4. Access manholes on each pit 5. Pipes cemented with hydraulic cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9"soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling 5. No areas over system that may pond INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property atAV- S' Cryc6e r- relative to the application of � der dated /p for plans by&Jp,-y,�rrac and dated /—/e-99 with revisions dated 3--4J —9`9 I understand and agree to the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable . 2. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against my company. a) Bottom of Bed—generally first inspection unless there is a retaining wall which should by-done first Installer must request the inspection but does not have to be present b) Final Inspection—Engineer must first do their inspection for elevations,ties,etc. As-built or verbal OK from engineer must be submitted to BOH,after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade—Installer must request inspection when all grading is complete. Does not have to be on site. �.y 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank,D-box,pipes,stone,vent,pump chamber,retaining wall and other components, 5. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed ptic Installer Date: /© 27-2000 Form No.3 Town of North Andover, Massachusetts BOARD OF HEALTH '�2 _ NORTH 1 O<tt`w ;e,b0 OL F P * c. DISPOSAL WORKS CONSTRUCTION PERMIT �SSACHUS� / TELEPHONE Applicant ' ADDRESS NAM _ fA Site Location Repair an Individual Soil Absorption Permission is hereby granted to Construct ( or P ( � �S.5�n Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH /-� D.W.C. No. r Fee `� of � 1 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: jp —a?- 2coD CURRENT INSTALLER'S LICENSE# LOCATION: C r.'aG e -c L o j Q LICENSED INSTALLER: oa�..9 SIGNATURE: TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As-Built? Yes No Floor Plans? �Yes__Ie- No Approval _� �/�/1�� Date:_/ �� FORM U - LOT RELEASE FORM INSTRUCTIONS: This form 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 or requirements. ��*************APPLICANT FILLS OUT THIS SECTION**—******** *** * APPLICANT W141,/sect �lC i?._ G/P� Z- I/- PHONE 7®'' �•� LOCATION: Assessors Map jNumber PARCEL- SUBDIVISION W(,,/,Vix, / lei LOT (S) STREET_6C ST. NUMBER *****************************************OFF 1 C IAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS f � `�r•�� 7 � f I r p i f j/�� TOWAIPLANNER L_v DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED L SEPTIC INSPECTOR-HEALTH DATE APPROVED ` G DATE REJECTED—'/ .'. COMMENTS ✓�Zi ��� A4, ✓ �� PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT � dam��� "_J i +if �rv'tn�rr r �Z+G-E`er �tlJ�J �/ ✓ C�)" �/���,r N GC . FIRE DEPARTMENTP yr t1 �C i RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm KET 1,AEtr_ FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve thea applicant cant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*******************"" APPLICANT k1a/Va j li !/e;✓. Z_ X 6 PHONE 9 `f70' c' LOCATION: Assessors Map Number PARCEL_ ); SUBDIVISION J /r,T Izvbc LOT (S)_ y� STREET ST. NUMBER E t� USE ONLY***°*************'t************ *** �1•�i�t•�p'P RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS 9 TOWN PLANNER DATE APPROVED DATE REJECTED .i COMMENTS 1 FOOD INSPECTOR-HEALTH DATE APPROVED ' DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTEDJS'/ ?r, . COMMENTS �41 `� 1 fr,� � � .f1 K _ ,. � )_ , I, PUBLIC WORKS -SEWER/WATER CONNECTIONSr.) a; DRIVEWAY PERMIT �f FIRE DEPARTMENT tv✓ ( G�'vs�3 � / moi,, / �} Glt_ RECEIVED BY BUILDING INSPECTOR DATE Feb-}05-99 09:37A Paul D. Tuvbide, PE/PLS 508-465-0313 P.03 `I I �lynaa„� S 14QQ Sandra Scali 1 North Andover Board , -Realth Administrator l Office of Community Development and Seg,:ces 30 School St. North Andover,MA 01845 . RE: Title V review for Lot 5 Cricket Lane Dear Sandra, I( PI4-lo£sed,.find the"Checklist for North Andover Septic System Plane'for the above- . J nientiored sake. The B.-Ilowina is a list of all the 'Problem' ?meas and defic,encies Port Engineering has iviiriu. f • 310 CMR 247(27)states that for a minimum of 3" of Iib to i2 iiicIt stone is to be placed on the top of the leaching bed. The pian design cabs for a layer of fi'rter fabric to be laid on top this stone. There is no regulation that 1 could find that allows filter fabric to be laid over the peastone,and therefore I would recommend that the filter fabric be removed from the design. The septic tank detail should show that the inlet tee is to extend a minimum of 10 .nc":s Ivelow,the#lcva line 1,227(6)�, and that there is to be a 3 inch air space above the ire a and outlet tees;227(4)). • Note 13 states that benchmarks are to be placed within 7; feet of the disposal are.- before construction. A condition of approval of this design should be that the benchmark will be set as noted. • The scale of the Plan view is not shown. If you have any questions or comments please feel free to contact me. Sincerer, Carlton A. Lrown,PEII'LS T I , II�GiNC �l E �iG Civil Engineers& Land St!rveyors One Harris Sireet Ne-wbury"-rt,MA. 01950 (978)465-RS94 : Town of North Andover, Massachusetts Form No.2 f HoRT1y BOARD OF HEALTH F w • s DESIGN APPROVAL FOR BSAC"USE'( SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant arze y D&vClo Test No. Site Location 1,oT Reference Plans and Specs. �6'✓zi/Yl.9l • 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 11-- Site System Permit No. ���� Town of North Andover r- --------- NORTH OFFICE OF �►�Oy't``o /era�OL COMMUNITY DEVELOPMENT AND SERVICES ° f- p # • 27 Charles Street :c04 WII LIAM J. SCOTT North Andover, Massachusetts 01845 �93SAcNuS���y Director (978)688-9531 Fax (978)688-9542 March 25, 1999 Les Godin Merrimack Engineering 66 Park Street Andover, MA 01810 Re: Lots 1-10 Cricket Lane, North Andover Dear Sir: This letter will serve as your notification that the proposed septic plans for the lots specified above have been approved for dwellings with a maximum of nine (9) rooms. If you have any questions, please do not hesitate to contact this office. Very truly yours, A. Sandra Starr, Administrator SS/gb cc: Copley Development BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 SEPTIC PLAN SUBMITTAL FORM LOCATION: LA U E Lf-a"uv"i lZ i 06- �;V aa� NEW PLANS: S $125.00/Plan t/ REVISED PLANS: YES $ 60.00/Plan TOWN OF NORTH ANDOVER/ BOARD OF HEALTH SITE EVALUATION FORMS INCLUDED: NO DATE: -2�' ��� 2 6 ( 191 DESIGN ENGINEER: M60e I h'IA c ::� . F—v,i c% SF(ZVi DATE TO CONSULTANT: /�Lq *If.you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. SEPTIC PLAN SUBMITTAL FORM LOCATION: Z,�J NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES C DATE: 3- 1 I~ 1 DESIGN ENGINEER: DATE TO CONSULTANT: *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. � t FORM 11 - SOIL EVALUATOR FORM Page 1 Dat ' ' "�NDOVER/ No. ........................ BOA 0 ALTH ��� ���� Commonwealth of Massachusetts NorTt-t ANDovr—ER , Massachusetts JAN 2 6 1" Soil . . A e iewa Performed By: ....SII..LLIAf`..-......DL).i:.. -SIS-4. ................ WitnessedByt'►►.IJ.II :A:.:::.:STiRRR : ..:.. .::.:::....:_..:.,.::.:::.:_......::n......:::..:.::::::a..:.: .............................................................................................. . t,=dw Address or ti Owner's Name. dorLrel Dv-ve—t aPl-'lrl..(1 L«r Adkphort r d rephonS,4,> e-,0PC.g-( oe,v10— Hg!�TNvaN , MA . Ot04y New Construction Repair ❑ Office Review Published Soil Survey Available: No ❑ Yes Year Published .-.1.Q.$...J.. Publication Scale .t.•.. %70i 0 Soil Map Unit —h � �t NWO Drainage Class ....�....... Soil Limitations ......Ma.►�Ef'n- ............................I......................... . ...........4 Surficial Geologic Report Available: No ❑ Yes ❑ Year Published Publication Scale Geologic Material (Map Unit) .....7777.7-. .............................................................:............................................................... Landform .......................................................................................... . ....................................................................................................................... Flood Insurance Rate Map: 2500116 0006' G It rX,00(�, l&_2..-IJ Above 500Y ear flood boundary No ElYes E�( Within 500 year flood boundary No Yes ❑ W Y Within 100 year flood boundary No L✓J Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) ........ AU......S.►.:?.e.....D LuE 'fi o. ................ Wetlands Conservancy Program Map (map unit).................................................................................................... Current Water Resource Conditions (USGS): Month Av6 5r Range : Above Normal ❑ Normal Below Normal ElASSuMED Other References Reviewed: V.,;- - 6.9 i HAPS FORM II SOIL EVALUATOR FORM Page 2 On-site Review Deep Hole Number Date: Time:... Weather �&.......... Location (identify on site plan) �Vr......b.v T 1.M.1.T. ................................................ Land Use Slope (%I ... Surface Stones /...................................................... VegetationWQQDT.!�D.............................................................................:................................................................................................................... Landform ......NO.IZAJ.WE�................................................................................................................................................................................................ Positionon landscape (sketch-on the back) ......................................................................................................................................................... Distances from: Open Water Body 1.00-keet Drainage way...1.00.t feet Possible Wet Area1.06.1f feet Property Line .....1.Q..+. feet Drinking Water Well ../.00.t feet Other ......................................... DEEP OBSERVATION HOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (inches) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency, %Gravel) w -07- A lo M Ar U 0 A C 'Z.S-,f g-I 1,!��14e S-je� Iri(F 5\1 613 Lt CI Z \i 7.sxlsl q c 3e, F S.L . jZ 44 j 6P,4U CiS, - I FbciceI-oic Parent Material (geologicla ................................................ Depth to Bedrock: Depth to Groundwater: Standing Water in the Hole: ...hjJA Weeping from Pit Face: Estimated Seasonal High Ground Water: FORM 11 - SOIL EVALUATOR FORM Page 3 peterminadort for Se High Water Table i Method Used: - ❑ Depth observed standing in observation hole inches El D pth weeping from side of observation hole inches Depth to soil mottles 3&�1,..`M3"inches ❑ Ground water adjustment feet Index Well Number '- Reading Date ................... Index well level ................... Adjustment factor ` Adjusted ground water level ............. .................................... Death 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? If not, what is the depth of naturally occurring pervious material? Certification I certify that on lam, '?� (date) I have passed the examination approved by the 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. Signature Date S� "�— FORhs 12 - PERCOLATION TEST i COMMONWEALTH OF MASSACHUSETTS MOM A1 WVaE , Massachusetts Percolation Test Dater � Time: ....... ..�- .............. ... .............. ..... Observation Hole # 11-7 A rDepthf Perc �q+,t 22 - „_e-soak , 3 l � End Pre-soak-------------- 1 :S Time at 12" Time at 9" Time at 6" Z : 3 Z 2 Time (9"-6") 2 l Hio . Rate Min./Inch Site Passed l!d Site Failed ❑ Performed By: � �?G t-)I �0 Witnessed By: ........... Comments: ....................................................... .................................................. ........................................................ .................................... . Town of North Andover f NORTH OFFICE OF ��0`,,to ,e 4, COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT .ISSAcNUS�� Director (978)688-9531 Fax(978)688-9542 February 25, 1999 Les Godin Merrimack Engineering 66 Park Street Andover, MA 01810' RE: Lots 1-10 Cricket Lane Dear Mr. God iii: This is to inform you that the plans for the septic systems proposed for the subdivision of Walnut Ridge have been disapproved for the following reasons: • The septic tank detail does not show the inlet tee extending a minimum of 10 inches below the flow line, nor that there needs to be a 3 inch space above the tees. (3 10 CMR 15.227(6)and 15.227(4)). • There are no benchmarks shown within 75 feet of the septic systems. (3 10 CMR 15.220(q)). In addition, for Lot 1: • Abutters' names are not shown. (NA 8.02j) • Design specifications for the proposed retaining wall are missing. (310 CMR 15.255(2)). For Lot 3: • The high water alarm for the pump chamber is not specified as to be located in the house. (3 10 CMR 15.231(9)) • Slope easement is required from Lot 4. (310 CMR 15.255(2)) • The slope of the two lower trenches will be in excess of 8% and at minimum a baffle is required to decrease the velocity. (3 10 CMR 15.232(3)(a)) Please consider a velocity reducer at the high end of the two lower trenches. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 l r` Lot 4: • Please note that the septic tank is drafted incorrectly. Lot 5 and Lot 6: • Scale of the Plan view is not shown. Lot 7: • The scale of the Plan view is not shown. • P,'mp Note#4 neglects to state that the high water alarm is to be located in the house. (310 CMR 15.231(9)). Lot 8: • The estimated seasonal high water elevation has not been adjusted to the highest existing grade. This results in the leaching area being less than 4 feet to groundwater. (3 10 CMR 15.212 a&b). Lot 9: • Slope easement required from Lot 10. (3 10 CMR 15.255(2)) • Slope to d-box exceeds 8%, therefore, at minimum, a baffle is required. (310 CMR 15.232(3)(a)) Lot 10: • Fill around system runs to property line of abutter. Toe of slope required to be 5 feet off the lot line. (3 10 CMR 15.255(2)) • Trenches#1 and#1 do not show 4 foot separation to groundwater. (3 10 CMR 15.212 a& b). Please feel free to call the Health Office with any questions you may have. Sincerely, Sandra Starr,R.S. Health Administrator Cc: W. Scott File RECEIVED ,C\ Commonwealth of Massachusetts JUL 13 2007 City/Town of TOWN OF NORTH ANDOVER System Pumping Record HEALTH DEPARTMENT y` Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. SySte11 `�1 lOCat10Cl� forms on the computer,use only the tab keyAddress to move your � S C.t kd� � cursor-do not Cityrrown Stale Zip Code use the return key. 2. System Owner: Name til Address(if different from location) Ckylrown S � 91aj Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) 0 eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes Er No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. S st Fuln 7,ped Br Name C� � Vehicle License Number Company 7. Locatio wh re co nts re disposed: �j . Si ////I at a of Hauler Date t5form4.doc•06103 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of RECH ED System Pumping Record yForm 4 OCT 2 0 2009 Wti DEP has provided this form for use by local Boards of Health. Itfi@MMSSs,f�ay bb q'T4d %Ut the information must be,substantially the same as that provided herve--S�e#orelusinNts-#ortn4, eck with your local Board of Health tQ determine the form they use.The System Pumping Record must be submitted to the local Board of Health or-other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of hous Left front of house ight front of house, Left rear of house, Right rear of house. Left rear of building. M§R rear of building. Address City/Town State Zip Code 2. System Owner. SD ( y �vA Name Address(if different from location) ' City/Town State 'p Cod �0 3 Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of Sys ��� / ck3 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: .L.S.D� Lowell Waste Water eL/--)— ( —c-D� Signature of Hauler Date t5form4.doc•06/03 System Pumping Record.Page 1 of 1 Commonwealth of Massachusetts - - -- City/Town of ! System Pumping Record y � Form 4 ' M TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Heal , but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health tQ determine the form they use.The'System Pumping Record must be submitted to the local Board of Health or-oth r approving authority. A. Facility Information 1. System Location: Left side of house, Right side of house, Left front of hous ht front of house Left rear of usejight r-aerrof hpuse. Left rear of building. Right rear of building. Address A I �� k L� 'Vj- City/Town State Zip Code 2. System Owner- ✓�. Name Address(if different from location) City/Town State Zip Code 2 Telephone Number B. Pumping Record 1. Date of Pumping t © — c) 2. Quantity Pumped: Date Gallons 3. Type of system: ❑ Cesspool(s) ESJ�Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes [�/No If yes, was it cleaned? Ej Yes n No 5. Condition of System: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: G. .S. Lowell Waste Water Signature of H ler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1