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Miscellaneous - 151 ROCKY BROOK ROAD 4/30/2018
ROAD ^Oad n 151 ROCK o1-0�0 0 2101090 I . D� 4 I. I i Qw— MAP # LOT # .___:__.�_�____._._._ PARCEL # STREET _._..__..._._.._.. � ....... CQNSTRUCTI_QN__.APP __......... L ' HAS PLAN REVIEW FEE BEEN PAID? YE� \ NO PLAN APPROVAL: DATE �Oz Z"/� � APP. BY_ DESIGNER: :2. 05e'-lc4Qh PLAN DA'CE: � � CONDITIONS �� '✓6w7— �Cll�i 2 WATER SUPPLY: TOWN WELL WELL PERMIT DRILLER.— — --.................._............ .._.__..._.......... WELL TESTS: �` CHEMICAL_ DA]E BAG:.T"ERIA I llATE f1RPRUVEU . ............ BACTER A" I•I DA1-E APPROVED— COMMENTS: . FORM U APPROVAL: APPROVAL TO ISSUE YE NO DATE ISSUEDLZZ BY F CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL <—€� NO OTHER YES NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: IIY: SEPI�S�L$ZENSS�4L,�T Q�4 IS THE INSTALLER LICENSED?.L: C . YE NO iw f TYPE. OF CONSTRUCTION: ? REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO r - CONDITIONS OF:.APPROVAL YES NO (FROM FORM UD : 1: • r j ' ISSUANCE OF DWC PERMIT _ ` NO D W C PERMIT N0. INSTALLER: SGS J,� BEGIN INSPECTION 10: , :EXCAVATION .INSPECTION: NEEDED: PASSED BY `• �`p CONSTRUCTION INSPECTION( NEEDED: S- AS BUILT PLAN SATISFACTORY: Y -� APPROVAL. TO BACKFILL: DATE: HY 1FINAL. GRADING APPROVAL: DATE BY ` .FINAL CONSTRUCTION APPROVAL: DATE: BY t h T x Gommonwealfh of Massachusetts City/Town:of NORTH ANDOVER MASSACHUSET� _.. ��® Sy..stem Pumping Record ,.Form 4 SEP - 6 2006 DEP has provided this form for use by local Boards of Health. The Sy tTer`�'F&IffiP' , infke�6FWF be submitted to the local Board of Health or other approving authority. A` iH ULPARrr✓ENT A. Facility Information - Importanc . When filling out 1. System Location: forms on the computer, use C-(L... 4. ad�C_,� only the tab key Addressto move your cursor-do not use the return City/Town key. Zip Code 2. System Owner: Name °f Address(if different from location)_ — -- —'—— City/TownState ---------- _ — '--���; Zip Code Telephone Number B. umping Record _. 1, Date of Pumping Date D -- 2. Quantity Pumped: allons— --- — Type of system: ❑ Cesspool(s) ❑ Septic Tank ❑ Tight Tank ❑ other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No r 5. Condition of System: - 1 6.. Sy em Pumped By: ams ----..-._._....___ — 'C Vehicle License Number ----' Company 7, Location where contents were disposed: ................ Si slurs of Hsu Date ---- — ---- ---- _... http://www,mas4�gov/dep/water/ proyals/t5forms.htm#inspect t5form4.doc-06/03 System Pumping Record Page i of TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: -11A9 SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) hC4 �20� }���. dmf c `�D , DATE OF PUMPING: 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: �i zx/l COMMENTS: CONTENTS TRANSFERRED TO: -Townof North Andover No. 1 North Andover, Mass., F110 19 i i BOARD OF HEALTH Food/Kitchen i Septic SystemPERMIT T.0 BUILD 44. BUILDING INSPECTOR THIS CERTIFIES THAT.............. .................... 1...... CLI /N ............................................ "" Foundation �o ......... buildin /rv� I ........ Rough has permission to erect...... gs on ......... ....... .... ..... .. . g �k !� .. to_be occupied as......�141,i. ...����.I.�.. ....�............. ......... ... ...��� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the app ication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of jBuildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLUMBING NSPECTOIU_. VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rough � Final DATE PAt4 ELECTRICALIyNSPEECTO`R, Rough Dec < 9,q PERMIT FOR FRAME/BUILDING 1 G ...... .. .. ...... ....................... Service? e%�/r ���C BUILDING INSPECTOR Final DATE:. z-;,; r. FEE PAID• °` :... GAS INSPECTOR Rough _ Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspe or. Burner C} Street No. j PLANNING K6C y" CONSERVATION " NAL Smoke Det. SEWER/WATER— FINAL DRIVEWAY NTRY PERMIT r - 4 ssa - NEW ENGLAND ENGINEERING SERVICES INC April 8, 1994 r North Andover Board of Health A9-- AS-A P" Main Street North Andover , MA 01845 V Attention: Sandy Starr Dear Sandy: Enclosed is a revised plan for Lot No . 8 Rocky Brook Road . Items 1 - 4 in your letter dated February 10, 1994, have been corrected on the plan. On April 13 Item No . 1 will be taken care of as we agreed by digging a deep water test in the southerly end of the proposed system. If you have any questions, please do not hesitate to call . Yours truly, Q � Beni in C. Osgood ,Wr Enclosure 33 WALKER RD. - SUITE 22 - NORTH ANDOVER, MA 01845 - (508) 686-1768 Town of North,Andover, Massachusetts Form No.2 ;j. FORTH BOARD OF HEALTH o ;�y Al `7 T . 19 a ss . DESIGN APPROVAL FOR ? ,ssACMUstt� .' SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM ` Applicant PP Test No. °,. Site Location eoc -'• Reference Plans and Specs. ENGIN ER DESIGN I I DATE Permission is granted for an individual soil absorption sewage disposal system to be installed 5: in accordance with regulations of Board of Health. • HAIRMAN,BOARD OF HEALTH f. 6D Fee • / Site System Permit No. A�. Town of North Andover, Massachusetts F°"""°'s ?� BOARD OF HEALTH } NORTH 1 . "O �l, 19 F 9 *,,.o� cq DISPOSAL WORKS CONSTRUCTION PERMIT y' 9SUCHUSEt f C. ` Appl icant��il1 0i5 G 0O NAME ADDRESS TELEPHONE f• Site Location � ��b,C` Permission is hereby granted to Construct. or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH - Fee 0 � D.W.C. No. (e3 .......... 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 local or state- law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone LOCATION: Assessor' s Map Number q16A Parcel Subdivision-020c,l�l'ifMok _r�4 _57 Lot(s) Street 004 LA Zjc(� St. Number RECOMMENDATIONS OF TOWN AGENTS: b67,�Pk Date Approved Conservation Administrator Date Rejected Comments 0- Date Approved L Tb-;;n Planner Date Rejected lw�cl LA Comments Date Approved Food Inspector-Health Date Rejected A Date Approved �/z Septic Inspector-Health Date Rejected Comments Public Works �. _/water connections arm />'tUp_ "!; Irk/ / >/.'�l"� driveway permit F ' e Dep tment 121 ptz, klx-,e( apf-ret r eceived by Building hpsnector Date PLAN REVIEW CHECKLIST ADDRESS Z-9 5,W�'�/Uff .S /�j� ENGINEER IV, ��+ �/(/6 GENERAL 3 COPIES STAMP L'-�" . LOCUS✓ NORTH ARROW SCALE CONTOURS ✓ . PROFILE L/ SECTION BENCHMARK L--` SOIL & PERC INFO✓ ELEVATIONS WETS. DISCLAIMER C-�� WELLS & WETLANDS &, WATERSHED?� DRIVEWAY� � (Elev) WATER LINE 2 FDN DRAINIZ`/ SCH40 TESTS CURRENT? SEPTIC TANK / MIN 150OG . 17 INVERT DROP ---,---' GARB. GRINDER(+200% EDF) 25 ' TO CELLAR ✓ MANHOLE TO GRADE ✓� ELEV GW D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET/7 - OUTLET /� _ . 1 7 (2" OR . 17 FT) TEE REQ'D? LEACHING MIN 660 GPD? L- RESERVE AREA ,"'�4 ' FROM PRIMARY? &--" 2% SLOPE 100 ' TO WETLANDS , 100 ' TO WELLS ✓ 4 ' TO S.H.GW t✓J 35 ' TO FND & INTRCPTR DRAINS ✓ 325 ' TO SURFACE H2O SUPP �~ 4 ' PERM. SOIL BELOW FACILITY 04 MIN 12" COVER 111� FILL? (25 ' if above natural elev; 101if below) BREAKOUT MET? �✓ TRENCHES to MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) >31COVER?-VENTS°" SIDEWALL DIST. 2X EFF. W OR D (MIN 6 ' ) LL/' IS RESERVE BETWEEN TRENCHES? ✓ IN FILL? MUST BE 10 ' MIN. -✓�' 4" PEA STONE? BOT 6Ri� X LDNG 160 + SIDE X LDNG �U� = TOT (L x W k #) (G/ft2) (DxLx2x#) (G/ft2) Copyright 1993 by S.L.Starr f pORT►, , BOARD OF HEALTH ` 120 MAIN STREET TEL. 682-6483 CHUSE��y NORTH ANDOVER, MASS. 01845 Ext23 TO: New England Engineering DATE: February 10, 1994 33 Walker Road Suite 22 North Andover, MA 01845 FROM: Sandra Starr, R.S. Health Agent RE: Lot 8 Rocky Brook Road Dear Ben: This is to inform you that the proposed septic plans for the site referenced above have been disapproved for the following reasons: 1. Additional soil test, (perc and deep hole) are requried. 2 . The driveway elevation is missing. 3 . The reserve is not 4 ' from the primary area. 4. A minimum of 4" of pea stone required or 2" pea stone with filter fabric. If you have any questions, please call the Board of Health office. Sincerely, Sandra Starr, R.S. Health Agent I •i'�`l�a`'vt' 1'�1':11}' t '�.� .v� .r.., \ :` t .v�ti.,lti �.fi,}�>,;.'..` ;".v`v\ 1��}�1�ro '`i+\\ `.�.;; �'� t.. i t`1\�\;.\I�-�7 N�l\t��v^.i.��C"1�fi�4h � ,, �" � � ��Y (( t.l� ,• .,fes v ,� ..w%,t i�`!�� v iy �.>v S,{ A. ,r,11\\ •.�. v �Y- �v.`t, i� L l \+4+� �� .`���� `i ,• t v , eti v `' • '� ,,� a e..-1 vi�t i 4 a���T } l ��� � �4 i 4 4 � �4 4 S.1t' t 4 \ }ti�; '♦ '� 4 \ 4 �� 1 1 t �r t v4 � ,v 4` ! � ' � '- i � •\ a ��t ; �\v ,Y,. �� r , f cJ , I j i I i II i I I I «1 i I DATE Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEE PERMIT # � DATE RECEIVED APPLICANToGKY C.�i'�T✓ %� ASSESSOR'S MAP ADDRESS '77e--) PARCEL # LOT # ' ENGINEER STREET i�DcK Y B rYSK �I W CNG. �� ��' QSceon, J2 ADDRESS33 Sy/ra -�a AJ -/9 PLAN DATE / 3/9� REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED ��-- �. 119a ,0/T/6NA6 5G/G %G 5i3 �P� 4x- LsA • CN-q•4.0q) I"1 15 5 >A'1 G . TUNE N PLAN REVIEW CHECKLIST ADDRESS �OGKY J, pp,C ENGINEER--B , (nSGpOD -)j�_ GENERAL 3 COPIES STAMP LOCUS ``� NORTH ARROW SCALE CONTOURS PROFILE // SECTION t- � BENCHMARK SOIL & PERC INFO `� ELEVATIONS WETS. DISCLAIMER f/ WELLS & WETLANDS ✓ WATERSHED? DRIVEWAY)(Elev) WATER LINE c. FDN DRAIN SCH40 TESTS CURRENT? SEPTIC TANK MIN 150OG (-,-- . 17 INVERT DROP t ,� GARB. GRINDER(+200% EDF) 25 ' TO CELLAR MANHOLE TO GRADE ELEV GW I D-BOX I SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET/a6: S 7 OUTLET 136 4 = 17 (2" OR . 17 FT) TEE REQ' D?) LEACHING ' MIN 660 GPD? t., r' RESERVE AREA 4,� 4 ' FROM PRIMARY? X 2% SLOPE 100 ' TO WETLANDS v---100 - TO WELLS /-/- 4 ' TO S.H.GW ✓" 35 ' TO FND & INTRCPTR DRAINSt// 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY X., MIN 12" COVER ILL?_&Q/ (25 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd �� SLOPE (min . 005 or 611/1001 ) >3 ' COVER?-VENTPa SIDEWALL DIST. 2X EFF. W OR D (MIN 6 ' ) / IS RESERVE BETWEEN TRENCHES? VT. 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