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HomeMy WebLinkAboutMiscellaneous - 1499 SALEM STREET 4/30/2018 (2) / - 1499 SALEM STREET 210/106.A-0030-0000.0 U r ��'1 Lot& Street Map/Parcel Mi g 1,0032) CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit= X0/3 Plan Approval: Date: Approved by: �- - Design e 'Ur 57 Plan Date: ""12 a jz Conditions: V Water Supply: (+-^oaf - -- Well. _Well Permi Driller: Well Tests: emical Date Approved Ba ra I Date Approved Bacte II Date Approved Plumbing Sign-Off -Wiring SiComments: V Form "U" Approval: App v'al to Issue: YES NO Date Issued L v. Conditions: Final Approval: All Permits Paid? 'YES NO Well Construction Approval? S-- -_-O ' NO Septic System Construction Approval? YE NO Certification? YES NO Other YES NO Any Variance Needed? YES NO FLNAL BOARD OF HE LTH APPROVAL: DATE:_ APPROVED BY: f l�,f SEPTIC SYSTEM INSTALLATION Is the installer licensed? NO r Type of Construction: REPAIR New Construction: - ___Certified Plot Plan Review NO --Floor Plan Review NO _— Conditions of Approval from Form U YES NO _Issuance of DWC permit: - NO _DWC Permit Paid? — NO .� --DWC-Permit# -! o _ Installer:_ ` —.----- _Begin_Inspection:_ .. YES NO _. -F-xcavation Inspection: Needed: —Passed: �' By: -- --Construction Inspection: Needed: �' uilt lan Satisfactory: S: _ Approval of Backfill: Date: / By: ' ---Final Grading Approval: Date: W-7 Aq By: Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: A COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS ;�' t" bEPARTMENT OF ENVIRONMENTAL PROTECTION t' J�tisk No AAD ao iti13V 1 4 2001 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS 4 SUB StJItACE SEWAO TiISOSAL Si'STEM F091V)f PART A CERTIFIOAfiION Property Address: 5 i Owner's Name: Owner's Address: Date of Inspection: ,1 D -a:2-01 Name of Inspector: (please print) e Compahy Name: Mailing Address: ; . ­; 'i l.er i o Telephone Numbers 17 („(,o Yj 5--.;2 CERTIFICATION STATEMENT I 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 the inspection.The inspection was performed based on my training and experience in-'the proper function and maintenance of on site "sewage disposal systems: I am a DEP approved§ystein inspector pursuant to Stetiod 15.340 bf Title 5(310 CMR 15.000).'The 3ysteni: . i , .. . ''a,.: i'i i Edi. •'F'f l.. r ?i5[f �.t�i . 1'li' (�. - .,'.y _jZfasses Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails f�` Inspector's Signature: Date: �—© The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or liar a design now of 10,000 gpd or greater;the inspector and the system owner shall submit the report t6 the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer;if applicable;and the approving authority. I Notes and Comments This report only describes conditions at the time of inspection and 'under the conditions of use at that time."phis,inspection does not address how the'system will perform in the future under the same br different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS t "SUBSUkVACE SkWAGE I)ISPOSAL SYSTEM INSPECTfON FORM PART A j CERTIFICATION (continued) Property Address: P/ 1 1 Owner: C- Date of Inspection: 16 - -O+ Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I E I have not found any information which indicates that any of the failure criteria described in 310 CMR I .303 or in 310 CMR 15.304 exist,Any failure criteria not evaluated are indicated below.+ ' Comments: 1_ i i B. System Conditionally Passes: rOne 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 Boal•d of Health,will pass. 1 } Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please The septic_tank is metal and over 20 years old*-or the septic tank(whether metal or not)is structurally' unsound;exhibits substantial infiltration ot•exfiltration or tank failure R imminent. System will pass inspection if the t existing tank is replaced with a complying septic tank as approved by the Board of Health. }A metdl septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipes)or due to a broken;settled or uneven distribUtion box: System will pass inspection if(with approval of Board of Health): t broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of I I ' OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS St hSUk#ACE SkWACE DISPOSAL SYSTfa M 1tNSPECTION FORM PART i, G { CERTIFICATION(continued) Property Address: qq 150 'Q pyt 4 Owner: ' 1 Date of Inspection: 46 :Iw 2 -a C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to-protect public health,safety of the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the 3y9tetti it hot functioning in a mahher which will protect public health#safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy it within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will tail unless the Board of Health(and Public Water Supplier,if any)determines that the tystem is functioning lh a maither that protects the public health,safety and environment: << e.'! 1 'EY _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water Supply or iribuimr to a surface water supply,!,I ,, \, l, i�,l i'li _ The system has a septic tank and SAS and the SAS is within a Zoned of a public,water supply.!.. ; The system has a septic tank and SAS and the SAS is within 50 feet of'a private water supply well. — The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply Well'*,Method used to dt:terhiine distmu '` { itit;;, r - ... , "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile orgahic compounds iddicates that the well is free from pollution from that facility and the presence of afrimbhia tiitrogeri and hitrate nitrogen is equal to or less than 5 ppm provided that tib other failure criteria are triggered.A ropy of the analysis must be atiached to this form. 3. Other: 3 t Page 4 of 1 I f f OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE I)ISPOSAL SI TIrM INSPECTION FORM PART A ' CERTIFICATION(continued) Property Address: Owner: 'd K A C tp,i- D9teof Inspection: - D. System Failure Criteria applicable to all systems: You most indicate"yes"or"no"to each of the following for all inspections: „l ,j: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓bischarge 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 ''/2 day flow Required pumping more than 4 times in the last yeat NOT due to clogged or obstructed pipe(s).Number of times pumped _ Any portion of the SAS,cesspool or privy is below high ground water elevation. _NzIny portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply., ��Any yportion of a cesspool or privy is within a Zone 1 of a public well. portion of a cesspool or privy is within 50 feet of a private water supply well. %.--'Any portion of a cesspool or privy is les$,ihatt'100 feet but gr@ater than 50 feet from a private water supply bell with no acceptable water quality ahalyhis:(Thiss"ystedt Basses If the well water analysis, perfo "ied at d DEP certified laboratory,for coliform Bacteria and volatlle organic compound's iridic Ates thAt&well is free from poliutiott froirl'that facility attd the 0l eikriee of ammotiii nitt•ogen'and filtrate fritrogeh is equal to or fess than 5 pptti provided that no other failure criteria are triggeredi-A copy of the analysis h ust be attdched to this form.] ,v I 0(Yes/No)The system fails.1 have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,'therefore the system fails.The systeht owner should contact the Board of Health to deteimine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with,a design flow of 10,000 gpd to 15,000 gpd 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) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 11 of a public water supply well • If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department: 4 Page 5ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSUk ACE SEWAGE BISPOW SYSTEM INSPECTION FORM PART B .� CI#ECkL-IST Property Address: VLQOwner: i Date of Inspection: 16 a--7 -01 Check if the following have been done. You must indicate`yes"or"no"as to each of the following: Yes No / V — Pumping information was provided by the owner,occupant,or Board of Health V-11were any of the system components pumped out in the previous two weeks? v Has the system received normal flows in the previous two week period? je��Have eriod? Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(if they were not available note as N/A) JZ_ Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site Were the septic tank manholes uncovered,.opened,and the interior of the tank inspected for the•condition ' of the baffles.or tees;tnaierial of construction,dimetisions,depth of liquid,depth of sludge and depth of scum?°i•'r1•' y-, Was the facility owner(and occupants if different from owner rovided with information on the.proper. P )P maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no I- Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance ! is unacceptable)[3 10 t✓Iv1R i 5.302(3)(b)] ' 5 +k 3 Page 6 of 11 sI OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSUI&ACE SEWAGE DISPOSAL;SI'STFM INSPECTION FORM' ` PART C SYSTEM INFORMATION Property Address: qq Owner: r ' Date of Inspections FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_J_ Number of bedrooms(actual): DESIGN flow'based ori 310 CMR 15.203 (for example: 110 gpd z#of bedrooms):�0 Number of eurtent fes idenfs: _ Does residence have a garbage grinder(yes oro:Z1,6 Is laundry On a separate sriwage System(yes or _W): [if yes separate inspection required] Laundry,system inspected(yes or no): G�_ (1J —e)c( Seasdhal use:(yes Water inetet readings,if available(last 2 years usage(gpd)): Sump Pump(yes orjw): { F I Last date of occupancy: �V f C P,r\� COMMERCIAL/INDUSTRIAL Type of establisilimenti Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sdft,etc.): . - Grease trap present(yes br Ito):_ lndustrial waste holding tank present(yes or no):_ Nonsanitary waste discharged td the Title 5 system(yes or no):_ Water meter readings, if available: Last date of occupancy/uses OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: W L o2Yp VS) Was system pumped as part of the inspects n(yes or no):ALO i If yes,volume pumped:_gallons=-140*was quantity pumped determined? Reason for pumping: I TYPE OF SYSTEM je!jeptic tank,distribution box,soil absorption system _Single cesspool Overflow cesspool Privy $LOShated system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be f obtained frohi 'system owner) Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installei4nown)and source f information: Were sewage odors detected when arriving at the site(yes or no : 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOILUNTARY ASSESSMENTS SUI#SU"ACE 9lkWAdt bISP07SALE 9V§ -M INS'0ECTION'FORM'' DART C ` t f i f• {.4 SYSTEM INFbkMATION(continued) Property Address: I SA6441 5� Owner: Date bf Inspection: Vo - a-2-01 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron V-40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of.oints`�ing,evidence of le age,etc.): 14Lt- l a62'Cl L12 SEPTIC TANK:_(locate on site plan) Depth below grade:_ � � Material of construction: (/concrete_metal -fiberglass polyethylene other(explain) ._ If tank is metal fist age: _ • Is age confirmed by a Certificate of Compliance(yes.or no):_(attach a copy of certificate) — Dimensions: ID 16 X s R X 5^ cL�Q Sludge depth: Distance from top of sludge to bottom of outlet tee`or baffle: Scum thickness: bistance from top P of scum to to of outlet tee or baffle: Distance froth bottom df§chin to bottoM of outlet te6"or baffle: I y. NOW were dimensions detettriined: '_ p66 oy e— Comments(on pumping fecontmendations'inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet• -rt,evidenc o leakage,etc:): 1 ; lef i { }�v rn P A-aY. Iv v 0y y 3 V5 m rr um GREASE TRAP41 locate on site plan) Depth below grade: ; Material of construction:_concrete metal fiberglass_polyethylene_other Dimensions: Scum thickness: bistadbe front top of scum to top of outlet tee or baffle: `bigtsrice 6dth boddiri of§ctirrt tb bbtioth bf outlet t66 or baffle: 1 'bate tit16st pumoing.lif%:t'mi III holfem)of oli1-t 1"o t'E - { 'Ctittutients(bh pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet inveti,evidence of leakage;etc.): f ' 7 Page 8 of OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS ' ' WhSI4d eE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART , F. SYSTEM INFORMATION(continued) t � lProperty Address: j Owner: D9te of Inspection: TIGHT or HOLDING TANK:(tank must be pumped at time of inspection)(locate on site plan) Depth below,grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): { Dimensions: Capacity: -allons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): } Date of Iasi pumping: Comments(Condition of alarm and float switches,etc.): it DISTRIBUTION BOX: �(if present must be opened)(locate on site plan) Q� Cgrne C i t d Depth of liquid level above outlet invert: Q Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of . leakage into or out of box;etc:) 1 PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): i Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): i i i I 1 8 Page 9 of I I i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE WSP08AL SYSTEM INSPECTION FORM 5 _ ; FART C SYSTEM INFORMATION(continued) Property Address: r\ oylpr^ MR ;z.. Owner: e { Date of inspection: lib —a7-61 SOIL ABSORPTION SYSTEM (SAS):3ocate on site plan,excavation not required) if SAS not located explain why: i Type leaching pits,number:_ leaching chambers;number: leaching galleries,number; bleaching tr6hches,number, length: leaching fields,number;dimensions: overflow cesspool,number: ihnovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure; level of ponding,damp soil,condition of vegetation, etc,): CESSPOOLS?&(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depih=top of liquid to inlet invert: Deptli of solids layer: Depth of scum layer: Dimension§of cesspool: Materials of construction: Indi6ti6n of groundwater inflow(yes or no): Comments(note condition of soil;signs of hydraulic failure, level of ponding,condition of vegetation,etc.): , PRIVY(L(locate on site plan) Materials of construction: Dimensions: Depth of solids: Cottiments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of I 1 OFFICIAL II I NSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSUFCE SEWAGE'I)ISPOSAL SVSTFM INSPECTION FORM PART C } 1 II' SYSTEM INFORMATION(continued) Property Address• A i Owner: Ecr Date of Inspection: { SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. y a j ,C I i I . t �y3 w' 4 10 I � Ir ' Page I I of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS §UitSUR�ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) L Property Address: T r Ownee: 916Cr Date of Inspection: ho -_-27-0 1 SITE EXAM Slope (6w r acs Surface water T10 r 9 Check cellar.dV y ra Shallow Wellsre Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: ✓Obtained from system design plans on record- If checked,date of design plan reviewed:19 g p c�V n ✓Observed site(abtitting property/observatioti hole within 150 ft o SAS) _Checked with local$oard of Health-explain: �oy i p U.) V, Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: i You-Must describe how you establishe the high groumd water elevation: i- I i 4 � II 11 O _ VATER-BILLIM6 HISTORY 8170588-KLOPFER- ERIC: »'METER: 1<7: 3179508 ------------------ -- I=1499 t'SALEN°ST' 1t:;CYCLE: SERVICE - PRIOR' �'-CURRE-Nt'l USE 'WATER ,-SEVER _,FEES -70TALL i' 2980=13 84/13/199.9 = 0 79 79 1-215:.67.; A'.00; 82'.09 297':6,. 2'-2089=23 ;'At'/A5/2AA9 '"79 98 'A 51'.87 ' 0':09 a.so Sin_8' a,2098-33 041031200Ar '98 1_116 -18 49;.l 4 a.,@@ - 9:08 -. 49,A 03.' 4,:24f81F-48 06/1G120®O x`-116 ' '-:128 A2. >'32'_76 0_09 _•0':00 -32"'7 ' a V2901-13 • X18/93/2008 11,128 =°145 17 =46:41 9-80- '111.00 57:41 s. w 7 ' 2"001- 23-112/29/2008 =145 161 ':1643:68 0:98 11'-80 5k_6 c " 7'7919t-33-=04/03/2001 161 179 `18 49..14 9..00 11'_89 69_1 - 8"2991-43,2 96/18/2001 °179 A86 7 "19_11 B.AO 11.:99 38:1'1 REVIEW CHOICE W or,<<EHTER>a MORE. HISTORY: � - t as _ -•�._ ,"-o-iy _a.` _ 'a r r:k;;.-.�. - c-5 �:5 - raT_s' 3 O H - O i TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 06/09/99 This is to certify that the individual subsurface disposal system constructed ( ) or repaired (X) by Dave Maynard at 1499 Salem Street 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 as described in the Design Approval Site System Permit# 1013 dated 5/5/98. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector i TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System) constructed; ( ) repaired- by located at was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # %> dated .S�S �� with an approved design flow of 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: En ineer Representative Final inspection date: Engineer Representative Installer: Lic. 9 Date: a� Design Engineer: Date: Z �he7- 'i ,a AS-BUILT CHECKLIST ✓ LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATION & DENIENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS 3. FROM SEPTIC TANK b. FROM LEACH AREA ✓ LOCATIONS OF DEEP HOLES & PERC TESTS a� ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES W/IN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW FINAL CONTOURS LOCATION & ELEVATION OF BENCHMARK USED 1/� LOCUS PLAN i I Town of North Andover, Massachusetts Form No.3 • 401?TH BOARD OF HEALTH ff 19 O 9 • ♦moo. ".�� +�''e�,,.o:•'`� DISPOSAL WORKS CONSTRUCTION PERMIT 'SS^CMU`°Et Applicant NAME ADDRESS TELEPHONE Site Location Az :' !z Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. P Y g CHAIRMAN, BOARD OF HEALTH Fee D.W.C. No I I f I APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSE# / / 9 LOCATION: G LICENSED INSTALLER:_ SIGNATURE: (XS/ 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 No Approval Date: i h { 27 January 1997 Kenneth J. Connors 1515 Salem Street No. Andover, NMA 01845 (508)685-4150 Town of North Andover Community and Development Department of Public Works All other pertinent departments I, the undersigned, being the owner of property at 1.499 Salem Street, North Andover, IVDA hereby give my permission to Daniel E. Connors, resident of 1499 Sale};Street, to do any and all testing, digging, or anything deemed necessary,for Daniel to receive permits that he requires. Thank you, 1 � KENNETH I CONNORS I f NORTH ANDOVER BOARD OF HEALTH �y DESIGN REVIEW REPORT DATE ��Id FEE: b PERMIT # DATE RECEIVED APPLICANT ^D)-9IJ/EL (foy1-)oe5 MAP PARCEL ADDRESS- �q�I �/�GC;7>') LOT ## STREET # 11W j ENG. S%�UE� "VP-66 STREET �j (�I'� -/�'� 577 ENGINEER' S ADD. Z2 2166 y /'%�mur) , IJOXrU� PLAN DATE REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED�'� REASONS FOR DISAPPROVAL: t J 7`/3 Nle -D,6T!9/G . V4. G&s IVO 7- /-.�3&-Z(f--,D ,��nrrCuLAx y �&vc6T ZO106- OF 5/9S G11&1,5 1'y)165I1(j6 y--/,�N 4-4-o G/�2P , S Aj o,C'1)&,e 1--o,6 D ez516I 7-/-1,---,n� -�F c- R / V/3 19 NC- 6- 6l'19/v7-C-J ; /� D�-�d 6--57-� icT-io.0 o.c/ 1 1 G2 sin �M�2 l v t 72) �� Cease and Desist Order Fraser Co. Ray Fraser An inspection by North Andover Health Department personnel on July 6, 1998 found that the construction site at Lot 6 Sherwood Drive exhibited significant changes in topography as compared to the approved design plan. Under 310 CMR 15.020 and North Andover regulation section 3.05, permit number is hear by determined to be null and void. In addition, the Site Plan Approval # is null and void. No work shall commence until a plan has been submitted which corresponds to the actual conditions and is approved by this department. If you have any questions, please call the Health Department at the phone number located below. Thank you for your cooperation in this matter. Sincerely, Susan Ford Health Inspector Town of North Andover NORTH OFFICE OF 3�O`tt t o 16 tiQOL COMMUNITY DEVELOPMENT AND SERVICES ° A 30 School Street ^ North Andover,Massachusetts 01845 ��`°4•r.°•°''�c5 WILLIAM J. SCOTT SSACHus� Director April 29, 1998 Mr. Steven D'Urso 22 Lilly Pond Rd. Boxford, MA 01921 Re: 1499 Salem Street North Andover, MA 01845 Dear Steve: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: �! Schedule 40 pipe not specified. (N.A. 14.04) i 2 ,Tanks specs. differ between profile and tank detail. VElevation of foundation drain unstated. (N.A. 5.02) 4�' Water line missing. [310CMR 15.220(m)] 5 Elevation of perc missing. (N.A. 8.02n) �5! Deep holes not labeled (unidentified). 7. Please show final grade, particularly on north and west side of system. [3 10 CMR 15.220(g)] Slope of SAS lines missing. [3 10 CMR 15.251(a)] 9. Design less than 440 GPD. In order for design to be less than 440 GPD there must be a local variance granted, a deed restriction on file and floor plans submitted. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely,, Sandra Starr,"iS. Health Administrator S S/gb cc: Daniel Connors File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 STEVEN J. D'URSO Environmental Designs 22 Lilly Pond Road W. Boxford, MA 01921 DATE (508) 352-9872 ATTENTIO TO >) A46jq,A RE > WE ARE SENDING YOU 7 Attached ❑ Under separate cover via the following items: ❑ Shop drawings tilc Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DE CRIPTION THESE ARE TRANSMITTED as checked below: YpFor approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS 1PY TO SIGNED: y If enclosures are not as noted. kindly notlN ue nt nnr& Town of North Andover AORTH Of Teo '� OFFICE OF �� yet �° COMMUNITY DEVELOPMENT AND SERVICES 30 School Street �9 , WILLIAM J.SCOTT North Andover,Massachusetts 01845 SSACNUS� Director July 10, 1998 Steve D'Urso 22 Lilly Pond Road W. Boxford, MA 01921 RE: 1499 Salem Street Dear Steve: This is to inform your that the proposed plans for the site referenced above have been disapproved for the reasons below. 1) Enlargement of trenches has caused the benchmark to be no longer valid according to 310 CMR 15.220(4)q. "The location and elevation of one benchmark within 50 to 75 feet of the facility which is not subject to loss during construction on the facility". 2) Under Design Data, the design flow for 3 bedrooms should be changed to 4 to reflect design change to 440 gallons per day. i If you have any questions, please do not hesitate to call the Board of Health office at the number below. Sincer usan Ford Health Inspector cc: Wm. Scott, Dir. CD&S Daniel Connors ' File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover NORTH OFFICE OF ��0 t a o ,6" , L COMMUNITY DEVELOPMENT AND SERVICES - p 384 Osgood Street North Andover,Massachusetts 01845 wII.I.IAM J. SCOTT SAC us Director August 7, 1998 Mr. Steve D'Urso, R.S. 22 Lilly Pond Road Boxford, Ma 01921 Re: 1499 Salem Street Dear Steve: This is to inform you that the proposed plans for the site referenced above have been approved. 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: Daniel Connors BOARD OF APPEA(-S 688-954! BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 PLAN REVIEW CHECKLIST ADDRESS .14gq �5�Z-& 4 ENGINEER GENERAL 3 COPIES STAMP C� LOCUS t� NORTH ARROW SCALE CONTOURS L--' PROFILE (/ (Sc) SECTION ?/ BENCHMARK 61 SOIL & PERCS Lf� ELEVATIONS WETS. DISCLAIMER L--' WELLS & WETS WATERSHED?-A/0— DRIVEWAY &1� WATER LINE FDN DRAIN ✓ M&P SCH40Y TESTS CURRENT? C/ SOIL EVA( 7 • UP-$o SEPTIC TANK MIN 150OG . 17 INVERT DROP `/ GARB. GRINDERIVil (2 comps +200 ) 10 ' TO FDNB MANHOLE ELEV / GW # COMPS . p� GB c/ D-BOX SIZE ## LINES �' FIRST 2 ' LEVEL STATEMENT !% INLET OUTLET 9�o•Q.5 = //7 (2" OR . 17 FT) TEE REQ 'D? LEACHING MIN 440 GPD?X— RESERVE AREA �� 4 ' FROM PRIMARY? 2% SLOPE 100 ' TO WETLANDS ✓100 ' TO WELLS `� 4 ' TO S.H.GW e-� (5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINS NS 400 TO SURFACE H2O S P U P 4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER L,"� FILL? ( 15 ' ) BREAKOUT MET? TRENCHES MIN 440 gpd.Z SLOPE (min . 005 or 6"/100 ' ), SIDEWALL DIST. 3X EFF. W OR D (MIN 6 ' ) �� RESERVE BETWEEN TRENCHES? y'IN FILL? _ MUST BE 10 ' MIN. (/ 4" PEA STONE? ` VENT? ( >3 ' COVER; LINES >501 ) BOT + SIDE -�tb = 3�6 X LDNG ',�ad = TOT 3,3,6 L 4-4v ( L x W x #) (DxLx2x##) (G/ft2 ) Copyright Q 1996 by S.L. Starr SEPTIC PLAN SUBMITTALS LOCATION: I Lt Ct NEW PLANS: YES $60.00/Plan REVISED PLANS: YES $25.00/Plan r DATE: j j D j q If DESIGN ENGINEER: \ )� U T-S-S3 When the submission is all in place, route to the Health Secretary / SEPTIC PLAN SUBMITTALS LOCATION: �� 1 NEW PLANS: $60.00/Plan REVISED PLANS: YES . $25.00/Plan DATE: DESIGN ENGINEER: When the submission is all in place, route to the Health Secretary Town of North Andover, Massachusetts Form No.2 NORTOV BOARD OF HEALTH 1 9p� c /O p DESIGN APPROVAL FOR ,ssACHUSE�� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant_ -fg/U/l1 G �NR�L?�5 Test No. +77,0 Site Location_ 1,422 sPGEM �Sy. 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. C OARD OF HEALTH / ' t Fee to D Site System Permit No. /l>/.3 SEPTIC PLAN SUBMITTAL FORM LOCATION: � �� NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan 23 SITE EVALUATION FORMS INCLUDED: YES NO DATE: ® �� DESIGN ENGINEER: r �CGy '.s L S O'er S DATE TO CONSULTANT: When the submission is all in place, route to the Health Secretary. 0 , 0 �1 NO. THE COMMONWEALTH OF MASSACHUSETTS FEE BOA ® OF HEAL'T'H OF� � j(-, APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct O. Repair (">4 Upgrade ( ) Abandon ( ) [5kComplete System ❑Individual Components Location Owner's N 1156A AaiO 9� Q Map/Parcel# .SZAddress Lot# clephone#,;i:7 Installer's_Name )esign ame Address Address ✓.�z �7-,?— Telephone# Telephone# Type of Building: Lot Size --Sq.feet Dwelling—No.of Bedrooms :3 i3i=s Garbage Grinder NO Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min re fired) gpd Calculated design flow gpd Design flow provided gpd Plan: Date Number of sheets _� Revision Date Title Description of Soil(s) R l Soil Evaluator Form No. ame of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in, oper on until a Certificate of Compliance has been issued by-the Board of Health. Signed Date Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 ------------------------------------------------------------------------ No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 t No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD F HEALTH OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 'Location 'T— Owner's Name SiU Map/Parcel# Address Lot# Telephone# Ins ler's Name Designe's N me z G� Address Add ss Telephone Telephone# Type of Building: @- Lot Size Sq.feet Dwelling—No.of Bedrooms 4t Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow( in. equired) & gpd Calculated design flow gpd Design flow provided gpd Plan: Date � 17S3 Number of sheets / Revision Date S" b Title nNlnq- _q otSpoSm-G ISYS t"XA1 4 V IX PCnint Description of Soil(s) VfZy G►u4VC-LA t S!9 a IPY L41114 Soil Evaluator Form No. Name of Soil Evaluator SI'IVIFAJ V iq&J 0 Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by,the Board of Health. Signed Date inspections rr '<% FORM I'- APPLICATtON FOR DSCP DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved n desig plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ORT 01AM Oft ®v O . r" No. zo. WSW s 6 m dover, Mass., 199's '9A,COCN CHEW ICN i�'�`` .9 0q p Pay SS BOARD OF HEALTH Food/Kitchen PERMI I T U Septic System T BUILDING INSPECTOR THIS CERTIFIES THAT.....A.C.551.00A.......1�. .......... o�.........17 cj. ............................... Foundation,�'�r'� �,�'�� has permission to erect........................................ bui dings on ......J.... .... .q.... 6 �. ..........� ...... Rough 41.42 < — �f4�!`�f j to be occupied as ' �� a d I �/v Chimney ... ...... .s:/1..........r. .............I.... ...............�........ ....42.....�..........I....................... provided that the person accepting this permit shall m every respect con or o the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Conttruction of Final Buildings in the Town of North Andover. PL IN INPECTOR ' VIOLATION of the Zoning or Building Regulations Voids this Permit. ou V. final PERMIT EXPIRES IN 6 MONTHS ELECTRI AL SPECor UNLESS CONSTRUC NART C .......... ................................ Service BUILDING INSPECTOR ina Occupancy Permit Required to Occupy Building CTOR Display in a Conspicuous Place on the Premises — Do Not Remove 9)0 . No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. C < < t . pORTIy 1 - p BOARD OF HEALTH i 1 146 MAIN STREET TEL. 688-9 540 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: o2--7— f7 LOCATION OF SOIL TESTS: 5WCIff Assessor's map & parcel number: OWNER: AC /We7l � �/- C�NNOre5 TEL. NO.: 6.9-5-VI50 ADDRESS: /5` 5- SSM 5 - N-0• AAt��� ENGINEER: STcV(E � UYz5Q TEL. NO.: 3S-A 797 CERTIFIED SOIL EVALUATOR: 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. Town of North Andover, Massachusetts Form No. 1 NORTH ABOARD OF HEALTH OF�t�e° 16.1 h� 6 a hri 19 A°R Ew°F, APPLICATION FOR SITE TESTING/INSPECTION 7 AOAATEO Ppa �h �SSAGHUS�� Applicant 1 NAME a ADDRESS TELEPHONE Site Location L4 1 y r Engineer NAME ADDRESS TELEPHONE I Test/Inspection Date and Time v� CHAIRMAN,BOARD OF HEALTH Fee )�� Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. i FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 No. Date: Commonwealth of Massachusetts Massachusetts Soil Suitability Assessment for On-site Beware Disposal : Performed By- Date Witnessed By ........ .. (aeatmn Address or _ Owner's Address.and . . Teleplaxa:/ i New Construction ❑ Repair Once Review Available: No El Yes Published Soil Survey Year Published Publication Scale L' ... Soil Map UnitrArION. �� Soil Limitations '::. Drainage Class _ .. ......._... ..._.. _ . ._.. ............... Surficial Geologic Report Available: No ❑ Yes Year Published Publicatic:l Scale i Geologic Material (Map Unit) .......................... ' ........................................................................................................................ Landform .......................................................................................... ..._...................., Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No 0'-Y-es ❑ Within 100 year flood boundary No Utes ❑- Wetland Area: . National Wetland Inventory Map (map unit) .............................................:........................................._...................... Wetlands Conservancy Program Map (map unit) ..........:......................................................F.........................._ Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Below Normal ❑ Other References Reviewed: DFP APPROVED FORM-12/07/95 I FORM 11 - SOIL EVALUATOR FORM , Page 2 of 3 Location Address or Lot No. Oft-site Review Deep Hole Number Date: Time: Weather Location (identify on site plan) Land Use Slope M Surface Stones Vegetation Landform Position on landscape (sketchon the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Weil feet Other DEEP OBSERVATION HOLE LOG' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) IUSDAI (Munsell) Mottling Structure, Stones, Boulders, Consistency, % Gravel), MINIMUM OF 2 HOLES REQUIRED I t:vt:KY PM0FM___ -AREA Parent Material(geologic) T' DeptMo a&ock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water: DEP APPROVED FORM• 12/07/95 t FORM 11 -SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. mw On - Site Review Deep Hole Number Date 11;41Time Weather Location(identify on site plan) ���p ,,, Land Use Slope(%) Surface Stones Vegetation �xP Landform �� � Position on landscape(sketch on the back) �� Distances from: Open Water Body � feet Drainage way feet 7/ate Possible Wet Area feet. Property Line !feet Drinking Water Well fj,�� —feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,.Consistency,% Gravel) 12sr -jam. C . r A _- � �G Z f r lS DB�i,S *MINIMUM OF 2 H ES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) Depth to Bedrock: r Depth to Groundwater. Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water. 764 .. DEP APPROVED FORM-12MI95 wilevd�am FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot1�tMMo ie JAW - Detennn ®n for Seasonal High Water, Tabre Method Used: t ❑ Depth observ,w,. nding in observation hole.................. inches ❑ Depth weeping' from-^side of observation hole............._.. inches Depth to sail`mettles L :, inches ❑ Ground water adjustment .. ............... feet Index Well Number .................. Reading Date ................. Index well level _........ . .e . Adjustment factor _................. Adjusted ground water level ................................................. .... V'. Depth of Naturally 0=10,incPervious Material Does at leastf"ur ,few of naturally occurring pervious material exist in all areas observed thro4u&;'l the area proposed for the soil absorption system? if not, what is ttiii th of naturally occurring pervious material? Certificae I cer2it ota -1/. (date) I have passed the soil evaluator examination approve the rrtent of Environmental Protection and that the above analysis was perfoftned'f... consistent with the required training, expertise and experience described in 310-, R 15.017. Sig� 'e:..,. Date i e DEP APPROVED FORM-12/07/95 FORM 12 -PERCOLATION TEST Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS , Massachusetts Percolation Test* Date: 1f-- e Time: Q _Z Observation Hole# / f' Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" 2, Time (9"-6") Rate Min./Inch *Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed [—V-7"]Site Failed Performed By: ` Witnessed By: Comments: DEP APPROVED FORM-12/07/95 Perte.LSAM MIN 5 T 1 i I I HTCI i• S s, o� FXV iT r l ! l IFF ! a 'J.1{ /� JAI ��-�• r--( —� —i-- -� III T I- 1�11�1� • 111NE11.�1�! 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PLAN#10428 FOUNDATION LOCATION PLAN THERHORIZONTAL SE79ACK R£OUIREAIENTS OF TFY THAT THE PRIMARY STRUCTURE HE SHOWN TO APPLICABLE ZONING BY—LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,WETLANDS.EASEMENTS, CLIENT: MESSINA DEVELOPMENT CORP. ORDERS OF CONDITIONS,ETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY THIS C£RTlF1CATION /S MADE AND LIMITED PURPOSE OTHER THAN THAT OUTLINED A8OVE.£XCEP7 WITH THE WRITTEN PERMISSION OF CHRIST)ANSEN R SERGI INC. TO THE ABOVE CLIENT. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRI571ANSEN & SERGI INC. AND ANY UNAUTHORIZED USE 1S PROHIBITED.CHRISTIANSEN t SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR— LOCATION: 1499 SALEM STREET AIATION CONTAINED HEREON. NORTH ANDOVER, MA SCALE: .1" = 60' DATE: DECEMBER 9, 1998 t:HRISTIANSEN ;hSERG PROS DIOSURVEYORS£ERS 160 SUMMER ST, HAVERHILLMA. 01830 TEL 508-373-0310 ©1998 BY CHRISTIANSEN t SERGI INC. DRAWING No. 98068001 i 5�-14