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Miscellaneous - 154 REA STREET 4/30/2018 (4)
154 Rea Street North Andover , MA 01845 i Residential Property Record Card ti PARCEL_ID:210/098.A-0011-0000.0 MAP:098.A BLOCK:0011 LOT:0000.0 PARCEL ADDRESSA54L-17 REA STREET PARCEL INFORMATION Use-Code: 101 Sale Price: 1 Book: 06315 Road Type: T Inspect Date: 07/20/2001 !" Tax Class: T Sale Date: 08/16/2001 Page: 0239 Rd Condition: P Meas Date: 07/20/2001 Owner: Tot Fin Area: 2136 Sale Type: P Cert/Doc: Traffic: M Entrance: C CHILES,CHRISTINE Tot Land Area: 1.03 Sale Valid: F Water: Collect Id: RB JAMES CHILES Grantor: CHRISTINE CHILES Sewer: Inspect Reas: S Address: 154 REA STREET Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LOW Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 7 Main Fn Area: 1368 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R3 Story Height: 2 Bedrooms: 4 Up Fn Area: 768 Bsmt Area: 1368 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 184 1 P 101 S 43560 1 168,577 Ext Wall: AV Half Baths: 1 Unfin Area: Bsmt Grade: 2 R 101 A 0.03 141 Masonry Trim: 28 Ext Bath Fix: Tot Fin Area: 2136 VALUATION INFORMATION Foundation: CN BathQual: T RCNLD: 190095 Current Total: 377,800 Bldg: 209,100 Land: 168,700 MktLnd: 168,700 Kitch Qual: T Eff Yr Built: 1965 Mkt Adj: 1.1 Prior Total: 361,600 Bldg: 200,700 Land: 160,900 MktLnd: 160,900 Heat Type: FA Ext Kitch: Year Built: 1958 Sound Value: Fuel Type: G Grade: AG Cost Bldg: 209,100 Fireplace: 1 Bsmt Gar Cap: Condition: A Att Str Vall: Central AC: N Bsmt Gar SF: Pct Complete: Att Str Val2: Att Gar SF: 682%Good P/F/E/R: /100/100/78 Porch Type Porch Area Porch Grade Factor W 425 SKETCH PHOTO 32 F41 425 Sq.R. 15 31 5 21 G No Picture 682 Sq.R. BfFM1i 22 22 25 660 Sq.R FU/B/FM �$ 768 Sq.R. 24 Avaol Rable Parcel ID:210/098.A-0011-0000.0 as of 2/16/05 Page 1 of 1 Home Screen Page 1 of 2 r lrovm Of WOr.th '(Mm poRTy {of,tom.•:•etia 'd OW A►SStSSOFS Return to the Home page click on logo IIf Parcel ID: 210/098.A-0011-0000.0 Community: Na New Search SKETCH PHOTO Sales Click on Sketch to Enlarge F N o Summary Pica Residence A. ��� Detached Structure Condo Commercial Comparable Sales Location: 154L-17 REA STREET Owner Name: CHILES, CHRISTINE JAMES CHILES Owner Address: 154 REA STREET City: NORTH ANDOVER State: MA ZIP: Neighborhood: 5 - 5 Land Area: 1.03 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2131 ASSESSMENTS CURRENT YEAR PREVIOU Total Value: 377,800 361,E Building Value: 209,100 200,' Land Value: 168,700 160,(1 Market Land Value: 168,700 Chapter Land Value: LATESTSALE Sale Price: 1 Sale Date: 08/16/200 Arms Length Sale Code: F-NO-CONVNIENT Grantor: CHRISTIN http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=465 890 2/16/2005 � w Home Screen Page 2 of 2 ICert Doc: Book: 06315 Page: 0239 http://csc-ma.us/NandoverPubAcc/jsp/Home jsp?Page=3&Linkld=465890 2/16/2005 r Lot & Street Map/farce! CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit# l l Z Plan Approval: Date: - �� Approved by: Designer:�� �� OSC�S Plan Date: v Conditions: Water Supply. Town Well Well Permit: Driller: Well Tests: Chemical [Date Approved Bacteria I Date Approved Bacteria II Date Approved"--,. Plumbing Sign-Off: Wiring 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: SEPTIC SYSTEM INSTALLATION CONDITIONS: Is the installer licensed? ---� N Type of Construction: NEW REPAIR New Construction: Certified Plot Plan Review YES NO Floor Plan Review - YES NO Conditions of Approval from Frm U Y NO Issuance of DWC permit: NO DWC Permit Paid? NO DWC Permit# �94 Installer: Begin Inspection: YES NO Excavation Inspection: Needed: Passed: /���� By: Construction Inspection: Needed: oc"It Plan S tisfact0 ES: n b (/ Approval of Backfill: Date: By: Final Grading Approval: Date: By: Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: Commonwealth of Massachusetts = City/Town of System Pumping Record 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 1. System Locatio . Le Rig front of hous , Left/Right rear of house,.Left/right side of house, Left/ Right side of buikWg, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town c State Zip Code 2. System Owner. Name Address(if different from location) City/rown State Zip d 'ILf 41 Telephone Number B. Pumping Record 46 �� 1 1. Date of Pumping in 2. u p 9 Date Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yeas No If,yes, was it cleaned? ❑ Yes ❑ No, " 5. Conditi��� � 0 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc- Company ncCompany 1 7. Lo re contents were disposed: DEC 2 _ G.LS'.Q Lowell Waste Water ����� � � V Si9 Haule Date t5form4.doc-06/03 System Pumping Record•Page 1 of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, May 19, 2006 11:15 AM To: Grant, Michele Subject: H/O: 154 Rea Street Christine Chiles; 978.685.1621 is calling to check on the status of her Building Permit. She was in on Tuesday. Please call her asap. 8¢sf R¢gAads, Pwtiy¢�u D¢BB¢G�liiwi¢ Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com 1 Ste- litz l�l 14� r 1 Nom Town of North Andover Health Department Date: �,/`/✓Com' r Location: ���• ��/ � (Indicate Address,if Residential,or'-., a. me of,,Business) Jj ?? , i Check#• Type of Permit or License: (Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) r Health Agent Initials 66 White-Applicant Yellow-Health Pink-Treasurer COMMONWEALTN OF MASSAC,F"TS,ETTS 1 F Essex, ss Superior Court Department Civil Action No.; 3-1266 CHRISTINE CNILES mid JAMES CHILES, lai ti 'f, SUBPOENA DUCES TECCJM V. PER MASSACHUSETTS RULE OF CIVIL PROCEDURE JOHN B , MARCIA RULE 4S BARR.ETT, t al;,. of'n gaits RECEIVED TO: sus Sa: er, Director FEB 16 2005 DEP R NT OF PUBLIC HEALTH Towr Offices TOWN OF NORTH ANDOVER 400 S ,O D STREET HEALTH DEPARTMENT N. A ndc Ve r, MA 01$45 YOU Af E HEREBY COMMANDED in accordance with the provisions of Rule 45 of the Ma sa �h setts Rules of Civil Procedure to appear and give testimony, before the Superior Court a artment of the Trial Court holden at 34 Federal Street in the City of Salem, withi a 'd for the County of Essex originally scheduled for. the 14th day of February, 20 5, is is an on -call trial. The new trial date has yet to be determined, y ely your appearance will be required for testimony at a given date bdhvean February 16`h and March 41" 2005, and from day to day thereafter until the action hereinatler named is heard by said Court, relating to Civil Action No. 3-1 6 then and there to be heard and tried between Christine Chiles and James Chile ,1'4ai tiffs, and John Barrett, Marcia Barrett, et al., Defendants.. *'You are tart icr required to bring with you those documents listed on Appendix A attnched he et our failure,without adequate excuse, to obey this subpoena may be deemed in cont(;r1 t of the Court in which this action is pending. PLEASE NOTI NOT. that you may quash or modify this subpoena as unreasonable or oppressive urs hant to .Rule 45(b) of M.R.C.P. Furthermore, pursuant to Rule 45(4)(1) of M.R.C.P. you a,e 1" rded an opportunity to object, in writing, to inspection or copying of the neater al.s d signated herein as Appendix A. PLEASE A. S OTE that your presence at the deposition may not be required if you deliver the doct.ments requested in Appendix A before the date of the deposition. ATRUE COPY ATTINT CONSTAS �l4* � AND DISIyTLAESTED AW" r HERB OF F T as failure, without.adeguase excuse,(' obey this subpoena may be deemed in.co iteth t of the Court in which this action is penamg. tnme . �i ori,J ,)✓squire lines, torneys-At-Law and Aven e lle, Mass husetts 021.43 7) 628-1.1 0 49722 COMMONWEALTH OF MASS AC . USETTS Middlesex C u ty ss, February 2005 On t1is �� ay of February,2005 before m the ndersigne notary public, personally a pe rs 'Ilr prove to a through s tisEactory evidence of'der.04 ication, whi.eh were, by Massachus Ms river Licen e, to be the.person whose narno is ig ied on the preceding or attached do um t, and tick owledgement to me that(he) ig ,e it voluntarily for its stated pur blic M.y comnissi n expires: ��f8447 0 nM1iM A. utlNai rL mn comm BXPM FEBRUr 2 soon i i r N err?:rmi_X.A 4 1, Any and al d 'c ments related to 1.54 Rea Street,North Andover., MA, including,but not limited t , al!r cords, bills, plans,correspondence, submissions, coMph ints, particularly septi ystem designs,etc.,with regard to the property located at 154 Rea Street,North An lover, MA currently owned by Tames Chiles and Christine Chiles formerly owr ed y Marcia Barrett and John Barrett. CONSTABLE RONALD W DIGIORGIO 3210 P.O.BOX 410409 5-7017/2110 CAMBRIDGE,MA 02141 Date--c740 Paytothe --� a,0 order of � 6 Dollars �.�. ' Citizens Circle Account CITIZENS BANK VOID AFTER 60 DAYS Massachusetts p�� 1: 2 L 10 ?0 L7L LO?0 L5577u' 32 LO ! I Town of North .Andover 0 of No oTH , t♦L 16<�� Office of the Health Department o? Community Development and Services Division , - 27 Charles Street North Andover, Massachusetts 01845 $^CRUSE Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 W TOWN OF NORTH ANDOVER BOARD OF HEALTH u. CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 10/02/01 This is to certify that the individual subsurface disposal system constructed ( ) or repaired (X) by John Soucy at 154 Rea Street has been installed 1n accordance with therovisions of Title V of the State Sanitary P amt Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as auarantee that the g system will function satisfactorily. oard of Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 i AS-BUILT CHECKLIST LOT NUMBER, STREET NAME / ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM INCLUDING RESERVE TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM V TOP OF FDN ELEVATION 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 t� ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW LOCATION&ELEVATIONS OF BENCHMARK USED i t`�� �\ � - � ••- ?t-_ - -: �::til�:•..•:•:�.. V: \' �1 �V���: T; ..�!}-�:-sem._ c\ ��j2v'y`�-c=�:•.�` �J�. ��\:'~,1\�. - _ _ _ _ _ _ - _ - � y TOWti Or voRrrzi ,NDOVER Sr<. V.-�CYr DISPOSAI. S) S` `\,I 1\STALLA_f101N CERTIFICATION The uneersismed here;_,v certify that the e%vane Disposal System by — located at 1,5— was :5was installed in conformance with the No.-th Andover Board of die:ith adproved plan, Svsten Design Pe rit --� dated. —, :vit:; an accraved des,,-n flow of gallons per day The mate: a:s,use, were in conformancz- %vit's those specibed oft the approved plan; the system ".as installed in accordar:ce ,,.ith the prmsion- of 31 10 C.N. 15.000, Title 5 and local r epalations, and the final Qradirg agrees substantially with the approved plan. .til ,work is accurate:v_ represented ;)r. the As-built which has been submitted to the Board e:t-iealth Bed inspection •nate: - �, Engineer Rcores`:::ative. I Final inspect-en date zG i.� f _ _ j C u j ti— — i E-nCireer Represer:tai::%e tnstal:er: _ — :c r:. Date: Cesis . Eng peer: H _ 3 - _ Date- C � RICWA C. TANGARD G/ST"iS : �k. Fss��NAI ENG` 0 0 BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: '-a - O( CURRENT INSTALLER'S LICENSE# u LOCATION: LICENSED INSTAL o c SIGNATURE: TELEPHON GI?t CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION,PLEASE ATTACH FOUNDATION AS-BUILT. ��'E�';(V»CF i+IUR�'i-i ANDOZftR/ BOARD OF FrEACTH� Administrative Use Only MAY 2 2 2001 $75.00 Fee Attached? Yes✓ No Foundation As-Built? Yes No Floor Plans? Yes No Approval Date: V �� 0 INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at�s � IiC�u �`�� relative to the application of 1^ a- "1!. dated ^ ^C7I for plans byC-. . . z'Q and dated 1G— �"©�with revisions dated p1F-W, )—(6`011 I understand 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 Tile 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 be 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 Board of Health, 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. 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 solve me of this obligation. Undersigned i nsed Septic staller C Date:_"`aa Disposalrrks Construct n Permit o� Town of North Andover, Massachusetts Form No.a NORTH BOARD OF HEALTH ' Oftt�aD •{1N� r O F 9 ♦i DISPOSAL WORKS CONSTRUCTION PERMIT SwCNUSE'� Applicant NAME ADD 5 TELEPHONE Site Location Permission is hereby granted to Construct ( ) or Repair ( vylan Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH Fee �� D.W.C. No. McDowell, o Edit jods Qt. Mainl in Piocess Ykw $epat @9 Widows Help g "= , �X .9s7 d Cy AP Bm- CM , CR EIS OL 77 SM y -4 ID iH' '11 r t 1 2� Project: 1770 OtTrce of Health Department 27 Charles Street,No.Andover, ;.,lG; Billing Group ID: p27 1 Billing Type: Fixed Fee Billing Fee: 150.00 Card ID; TTONA _ �- M21 Billing Info gontract Info ClassiticatiSn OLAccoynts Billing Messages Alerts I Stafihg Attfyit(es i� ssi y 9 Proposal Number: --__— �I pepartment: Contract Number: Contract Date: 12101 Work Start Date: 812!01__J r Expected Finish Date: 813101 I"'Use Government Invoice-Style' Description: Engineering service.required for a bottom of bed inspection. 154tnetAISSU111le StrNorg�Andover,MA ;; !4, Engir:Jehn Soucy 978.618.5895ApplChristine Childs I � �� t Project Request Record Town of North Andover Date: O Client Id:ToNA Card Id:ToNA Client/Company Name:Board of Health Card.TvAe-Client $S'T�9 Ft' 7o w-v.G i-ivptr r/H�tr`10 o al EG.�-i Contact Name: Ms.Sandra Starr Phone: 978-688-9540 'Title:Director Fax- 978-688-9542` Address:. 27'Charles,Street Email: Notes: Town:: North.Andover. Stater MA Zip Code: 01845 Other. contacts if applicable:;ie:Engineer/installer q Name:: . .16 H�U SOUc G Phone: 76— (O — Title:. Fax;. ' Address:, Email: Notes: - Townr t",1. N 000 State: Zip Code: Project: Project Id: 1770 Project Title: Town of North Andover.Board of Health (JOB NO) (PROJECT NAME&STREET ADDRESS) Manager:NOW Billing Group: Billing Code:Fixed Fee. /5 p Contract Info.Project Description for each billing oup BGT Applicant._ h i/c�S Assessors.Map Lot Street Z!LX !�Citi Si Type of.service. /1D IV Office/forms/jbrqutona PART I.—TO BE COMPLETED INSURING OFFICE MORTGAGEE SERIAL NO. MORTGAGOR OR SPONSOR PROPERTY ADDRESS, SUBDIVISION NAME : . Can attic or other area be made into additional bedrooms? New installation i A ®®® ■ E] ,-1 rM SYSTEM DESIGNED FOR j Public system Community system Individual NO.OF BDRMS. GARBAGE DISPOSAL ■WATER SUPPLY BY: SEWAGE DISPOSAL BY: Public system Community systemIndividual ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ori■■■■■■■■■■■■■■■■■■■■�a■■■■■■■■■■■■■■■ TO THE CHIEF UNDERWRITER: PART III.—FOR USE OF FHA OFFICE I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the Individual ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ri■■■rad■■■■ne■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ water-supply ■ Acceptable ■ Not Acceptable Sewage disposal be considered ■ Acceptable ■ Not Acceptable. SIGNATURE ■ CHIEF ARCHITECT DEPUTY■ fr REPORT OF INSPECTION-INDIVIDUAL SEWAGE-DISPOSAL SYSTEM f PRIMARY TREATMENT consists of 1 Septic tank. ❑ Cesspool. Septic Tank: .,. Distance from well, feet. Material, Number''f x+ Number of compartments Total liquid capacity, � ° gallons. Capacity inlet compartment, gallons. Inside length, 4'Ai feet. Inside width, feet. Liquid depth, t feet. Cesspool: Distance from: Well, feet; foundation, feet;.nearest lot line at ❑ front, 0 side, ❑ rear, +� � feet. Inside diameter, feet. Depth, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of ❑ Tile disposal field. ❑ Seepage pits. Other Tile Disposal Field: Distance from: Well, _ feet; foundation, •'� /! feet; nearest lot line at ❑ front, X side, ❑ rear, ✓' feet. Total length of tile lines, <y�'� feet. Number of lines, - Distance between lines, -feet. Trench width, -..'o,'j ' inches. Total effective absorption area in bottom of trenches, r' r' / square feet. Length of each line, .y'' 3K feet. Depth, top of rile to finish grade, -? inches. Type of filter material: ❑ Gravel. ® Broken stone. Other Depth of filter material beneath tile, /2 inches. Depth of filter material over tile, inches. Seepage Pits: Number of pits . Outside diameter, feet. Depth, feet. Lining material Distance from: Well, feet; building foundation, feet; nearest lot line at ❑ front, ❑ side, ❑ rear, feet. I Inspection made by: ❑ State: ❑ County. ❑ Local Health Authority. Inspected by v' Date of inspection 19_ (TITLE REPORT OF INSPECTION-INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells ❑ are ❑ are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequ,-te supply of water. Properties in neighborhood ❑ are ❑ are not being developed with both individual water-supply and sewage-disposal systems. Lot size: feet wide, feet deep. Dwelling set back from front property line, feet. Individual water supply from: ❑ Drilled well. ❑ Driven well. ❑ Dug well. ❑ Bored well. Distance of well from: Building foundation, feet; nearest lot line at ❑ front, ❑ side, ❑ rear, feet, cast iron sewer, feet; tile sewer, feet; septic tank, feet; disposal field, feet; seepage pit, feet; cesspool, feet; other sources of possible pollution, feet. Well construction: Diameter, inches. Total depth, feet. Type of casing, Depth of casing, feet. Approximate depth to pumping level of water in well, feet. Approximate yield, gallons per minute. Sealed watertight to depth of feet. Exterior space around casing sealed with: ❑ Cement grout. ❑ Puddled clay. ❑ Ordinary backfill. Well cover: ❑ Concrete. ❑ Wood. ❑ Metal. Openings in well cover watertight: ❑ Yes. ❑ No. Pump: ❑ Shallow well. ❑ Deep well. Length of drop pipe, feet. Pump capacity, gallons per minute. Located in: ❑ Basement. ❑ Pumproom off basement. ❑ Pumphouse above ground. ❑ Pump pit. Pumproom properly drained: ❑ Yes. ❑ No. Pump mounting watertight: ❑ Yes. ❑ No. Type of storage: ❑ Pressure. ❑ Gravity. Capacity, gallons. Has bacteriological examination of water been made? ❑ Yes. ❑ No. If answer is "yes," give date 19_ Quality of water ❑ is ❑ is not satisfactory for human consumption. Installation ❑ does ❑ does not comply with approved exhibits, if any. Inspection made by: ❑ State. ❑ County. ❑ Local Health Authority. Inspected by Date of inspection 19 (TITLE) U.S.GOVERNMENT PRINTING OFFICE:1957 0-F-427038 • September 13, 1958 Miss Peary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Rea Street building site (Lot #17) of Sherwood Homes, Inc. The subsoil in the area was of a sandy clay content and a 7-minute percolation test was conducted. The land in general is high. It is recommended that a 1,000 gallon concrete septic tank be installed together with 260 lineal feet of drain pipe. Very truly yours, Wil J. ]tri co 1 A • _- Sherwood Homes, Inc. r hea St. Lot #17 APPLICATION FOR SERAGE DISPOSAL MALLAT ION HEALTH DEPARTrZW.NWH AND0Mt MASS. I hereby make application for a permit for a sewage disposal installation at R.+±i- Lot.,& 17 . I will install this system in accordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further# I will construct the house sewer of bell and spigot pipe# the tninimpsl diameter being 4 inches# and will maintain a minimum grade of 1% until 10 feet preceding the septic tank# where the grade shall not exceed 2%. T will install a concrete septic tank of l000 Pal, in size. A manhole (s) permitting easy cleaning will be provided with remrnrable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal Field with open jointed bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenches.* the bottom of which will provide a minimum of 260 lineal (Mgmk feet of effective absorption area. The papas will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The ,points of these pipes will be protected from clogging and before filling the trench.* 2 inches of gravel or stone 1/811 to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inchesA00 feet. No single tile line will exceed 100 feet in length and in any case# two lines of tile w= be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall, not exceed 36 inches. No part of the in- stallation will be less than 100 feet from any private water supply.* 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further e nott any wxtiothill--invullAtl2n_=iI awroved W the inspection fficer, as provided below# and to incorporate any additional requirements that my be attached to the permit. Plot Plans must be submitted with application. DATE -f 8 gna ure of Applicant I hereby issue the above permit fpr t Board o lth of the Town of North Andover# Massachusetts. r _ L DATE gnature of Health Agent I have inspected the uncovered system indicated above aad find everything done as described. DATE Signature of pectins Officer Percolation Test 7 min. sandy-clay Garbage Grinder No BOARD OF HEALTH T•,OWN OF NORTH ANDOVER, AMSS. R i' 0 ,5,4 k R Lzs©o b }-1 c i" P s 1' c- 1. NAME ! " civ . . . . . . . DATE 2. ADDRESS ./��:� . :S�. . LOT N0. �.. . . . ..TEL. L ;c�s 2 .V 3. NO. OF BEDROOMS DEN YES N0. X. . 4. GARBAGE GRINDER YES . . . 0 N0. .X. . 5. SH017 DIh1'ENS IONS OF HOUSE b. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIlvENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10, SHGW LOCATION OF BROOKS, STREAY559 DITCHESt LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULAT IOIZ SHOULD BE READ CAREFULLY, f� r. ,471l/Cf`ip� /;�::zG 7 �1 Town of North Andover" a NOR71q Office of the Health Department Community Developinim,-ond Services Division o r Willia_i ,t Scott,I�ivision Director 27 Charles Street SSaCHU Sandra Starr p ( )978 North Andover,Massachusetts 01845 Telephone 688-9540 Health Director Fax(978)688-9542 January 23, 2001 Ben Osgood, Jr. New England Engineering 60 Beechwood Drive No. Andover, MA 01845 Re: 154 Rea Street Dear Ben: This is to notify you that the revised plans dated 1/10/01 for the repair of the septic system for 154 Rea Street have been approved. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, ` Sandra Starr, R.S., C.H.O. Health Director SS/smc cc: Chiles File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 Jan-19-01 05:OOP Paul D- Turbide, PE/PLS 978-465-0313 P.01 or ]7 Facsimile Cover Sheet To: SANDRA.STARR Company: NORTH ANDOVER BOH Phone: 976-666-9540 Fax: 976-666-9542 From: Pari D. Turbide, P.E./P.L.S., President Company: Port Engineering Associates, Inc. Rhone: (978) 485-8594 Fax: (978) 465-0313 Date January 19, 2001 Pages Including This Cover Page: 2 Comments: Sandy, I have attached our review of the SDS revision at 154 idea Street. Tbanks, Paul D.TurLide,P.E.JP.I,.S. PORT � II Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 03950 (978)465-8594 0 0 NEW ENGLAND ENGNIc EERING SERVICES January 17, 2001 Sandra Starr,Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 154 Rea Street,North Andover, Septic system design Dear Sandra: Enclosed are the following documents concerning the above referenced property. 1. 5 sets of revised design plans, 1 with original signatures. 2. Submittal form for approval. 3. Check to cover the fee. These revised plans include a 4 foot separation between the water table and the bottom of the stone in the leach field. The property owner would like to expand the kitchen in the future so the reduction to 3 feet has been eliminated. If you have any questions please do not hesitate to contact this office. Sincerely, BenWmin C. Osgd , Jr., EIT President - i i JAN 1 8 - 60 BEECHWOOD DRIVE-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 Town of North Andover, Massachusetts Form No.2 f MORTiy BOARD OF HEALTH • 3?._�. - 0 19 o F w F • � s DESIGN APPROVAL FOR ss"C""Sf` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant �,/19.P Test No. Site Location Reference Plans and Specs. • ENGINEER ESIGN 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. d�-- SEP C PLAN SUBMITTAL FORM LOCATION: L Pt (Z El-N ST 2E cF i NEW PLANS: YES $125.00/Plan REVISED PLANS: �' $ 60.00/Plan r�- SITE EVALUATION FORMS INCLUDED: YES NO _ �re v oosi"A DATE: DESIGN ENGINEER: DATE TO CONSULTANT: *If you want your plans expedited, please submit three 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. a OTown of North Andover 0 %ORTp� FrObR��sv�°,�Op Office of the Health Department Community Development and Services Division William J. Scott,Division Director ''' -�• '6 ' 27 Charles Street SSHCHUS� North Andover,Massachusetts 01845 Sandra Starr Telephone (978)688-9540 Health Director Fax(978)688-9542 January 2, 2001 Ben Osgood, Jr. New England Engineering 60 Beechwood Drive No. Andover, MA 01845 Re: 154 Rea Street Dear Ben: This letter is to notify you that the following variances have been granted for the site at 154 Rea Street. • Separation to groundwater from 4 feet to 3 feet • Use of poly barrier instead of concrete Please note that with this variance (separation to groundwater) that no additional rooms may be added to the dwelling unless it is tied into sewer. The Board of Health requires that a deed restriction be placed on the deed with a copy to the Board of Health before a Certificate of Compliance can be issued. With these variances the plans for the septic repair dated 12/18/00 are approved. If you have any questions, please feel free to contact this office. Sincerely, Sandra Starr, R.S.,C.H.O. Health Director cc: Chiles BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 c I Jan-19-01 05:01P Paul D. Turbide, PE/PLS 978-465-0313 P.02 January 19, 2001 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover,NIA 01845 lE: 'Title d Review for 154 Res Street Revision Dear Sandra, I find that the design plan for a SDS upgrade at 154 Rea Street with a revision date of January 10, 2001 adequately addresses the concerns outlined in my report dated December 11,2000. If you have any questions or comments please feel free to contact us. For Port Engineering'Associates,Inc rprL Paul D. Turbide PE/PLS gTVA L '144 g0ARO of 14 OUT Iti ENGINEERING, Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 {978}465-8594 4.doc \\server\p\nabh\2884\Rea Street 15 k;:r May-27-99 12 : 45P Norm-h! Andover- Com. Dev . 508 688 91542� 1 P.01 SEPTIC PLAN SUBMITTAL FORM LOCATION: I5''-t (Leo 'StO6J% ' � /U- / -luOGJ NL-W PLANS: YLS $12�.00/11Ian REVISED PLANS: �. $ 60.00[Plan_.- _ SITE EVALUATION FORMS INCLUDED: YES NO DATE: I-Z, tom! o� DESIGN ENGINEER: A)&,,u 4.v DATE TO CONSULTANT: *If you want your plans.expedited, please submit three 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. i 0 o NEW ENGLAND ENGINEERING SERVICES INC December 18, 2000 Sandra Starr, Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 154 Rea Street,North Andover, Septic system design Dear Sandra: Enclosed are the following documents concerning the above referenced property. 1. 5 sets of revised design plans, 1 with original signatures. 2. Submittal form for approval. 3. Check to cover the fee. The changes that were made are as follows: 1. The leach field has been raised 0.55 feet. 2. The invert elevations from the house to the distribution box have been corrected to provide positive flow. If you have any questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osg d, Jr.,EIT President 60 BEECHWOOD DRIVE-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 Dec-13-00 05: 24P Paul D. Turbide, PE/PLS 978-465-0313 P.01 O 0 Facsimile Cover Sheet To: SANDRA STARR Company: NORTH ANDOVER BOH Phone: 978-688-9540 Fax: 978-688-9542 From: Paul D. Turbide, P.E./P.L.S., President Company: Port Engineering Associates, Inc. Phone: (978) 465-8594 Fax: (978) 465-0313 Date December 91, 2000 Pages Including This Cover Page: 2 Comments: Sandy, I have attached our review of the SDS upgrade at 154 Rea Street. Thanks, Paul D. Turbide,P.EJP.L.S. P DW 01H ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 I I� f 4' NEE ';,OL^ TION �G I-i OIti1 -- , iNIE G l v ��jj S y , I IME E i r. ". I I G`� 0 INEXT Cl.=.vsir. —� —.l I I Ni T ilvl� Dec-13-00. 05:24P Paull D. Turbide, PE/PLS 978;-465-0313 P.02 u L �J December 11,2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School Street North Andover,MA 01845 RE: Title V review for SDS upgrade at 154 Rea Street Dear Sandra, Enclosed find our review of the"Checklist for North Andover Septic System Plans"for the septic system upgrade at the above-mentioned site. The following is a list of technical deficiencies that Port Engineering has found. o Groundwater separation not adjusted to the highest existing grade as required by 310 CMR 15.240(1). It appears that the leeching field needs to be raised by approximately 0.40 feet. o Invert elevations of the septic tank as shown in the System Profile need to be corrected to provide positive flow from the house to the D-box. If you have any questions or comments please feel free to contact me. Paul D. Turbide,PE/PLS IZ-lz Gt PORT MR ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 k1Saver PINAMP289AREA ST 154-DOC Town of North Andover O N°RT11 Office of the Health Department 0 ,•.� °� Community Development and Services Division William J.Scott,Division Director 27 Charles Street T4s SackusE North Andover,Massachusetts 01845 Sandra Starr Telephone(978)688-9540 Health Director Fax (978)688-9542 December 14, 2000 Ben Osgood, Jr. New England Engineering 60 Beechwood Drive No. Andover, MA 01845 Re: 154 Rea Street Dear Ben: This is to inform you that the proposed plans for the site referenced above have been disapproved and have technical deficiencies as followed: • Groundwater separation not adjusted to the highest existing grade as required by 310 CMR 15.240 (1). It appears that the-leeching field needs to be raised by approximately 0.55 feet. • Invert elevations of the septic tank as shown in the Systems Profile need to be corrected to provide positive flow from the house to the D-box. If you have any questions,please do not hesitate to call the Board of Health Office. Sincerely, Sandra Starr, R.S., C.H.O. Health Director cc: Chiles f file BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 May-27-99 12 : 45P Notrth- Andover Coma Oev. 508 668 954z, P. O1 SEPTIC PLAN SUBMITTA L FORM LOCATION: 15 '1 (Z a NEW PLAINS: YLS $125.00/1"lan REVISED PLANS: YES $ 60.00/Plan SITE- EVALUATION FORMS INCLUDED: YES NO DATE: 2 b DESIGN ENG[NEER: 0 Iq- �VIC,In, c--Y21N DATE TO CONSULTANT: *If you want your plans expedited, please submit three 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. i I I I I i C 0 NEW ENGLAND ENG�I EERING SERVICES December 4, 2000 Sandra Starr,Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 154 Rea Street,North Andover, Septic system design Dear Sandra: Enclosed are the following documents concerning the above referenced property. 1. 5 sets of design plans, 1 with original signatures. 2. Submittal form for approval. 3. Check to cover the fee. 4. Soil evaluator sheets. I have enclosed extra copies of all documents for forwarding to Port Engineering. If you have any questions please do not hesitate to contact this office. Sincerely, 3 Benjamin C. Osgood, Jr., IT President 5 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 Town Of Nort�i Andover Community Development Services William. Scott 27 Charles Street Director > ^ * (978) 688-9531 " - North Andover, Massachusetts 01845 ��SSACeKUS t� Fax 975-688-9542 Board of August 3, 2000 Appeals (978) 688-9541 Ben Osgood, Jr. New England Engineering Services, Inc. Building 60 Beechwood Drive Department North Andover, MA 01845 (978) 688-9545 Re: 154 Rea Street Conservation Department Dear Mr. Osgood: (978)688-9530 This letter comes to notify you that the proposed plans for the septic system Health repair of 154 Rea Street, dated July 10, 2000 have been approved. Department (978)688-9540 please call the Health office at 978-688-9540 if you have any questions. Public Health Sincerely, Nurse (978) 688-9543 Planning Department (978) 688-9535 Sandra Starr,R.S., C.H.O. Health Director 'Cc: Jon Barrett File 03-00 08:43A Paul D. Turbide, PE/PLS 97865-0313 P.01 I Facsimile Cover Sheet To: SANDRA STARR Company: NORTH ANDOVER BOH Phone: 978-688-9540 Fax: 978-688-9542 From: Paul D. Turbide Company: Port Engineering Associates, Inc. Phone: (978) 465-8594 Fax: (978) 465-0313 Date August 3, 2000 Pages Including This Cover Page: 2 Comments: Sandy, Enclosed is my review of 154 Rea Street. Thanks, Paul Turbide .1-03-00 08:43A Paul D.. Tut-bide, PE/PLS 978-465-0313 P.02 August 3, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover,MA 01845 RE: Title V third review for 154 Rea Street Dear Sandra, I find that the design plan datetl July 10, 2000 as prepared by NEES,Inc. on behalf of John Barrett adequately addresses the minimum design criteria as set forth by the Town ofMdover and Title V regulations. If you have any questions or comments please feel free to contact me. Sincerely Paul D. Turbide,PE/PLS P ODFU ENGINEERING Civil Engin.xrs& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 \\Server PWABH\P288AStred 444 OOAUG03.doc i o NEW ENGLAND ENGNIc EERING SERVICES July 12, 2000 Sandra Starr,Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 154 Rea Street,North Andover, Septic system design Dear Sandra: Enclosed are the following documents relative to the above referenced property. 1. 5 sets of septic system design plans. 2. Soil evaluator sheets. 3. Application for approval of plans. 4. Check to cover the fee. If you have any questions please do not hesitate to contact this office. Sincerely, Benj;2-n C. Osg , Jr.,EIT President 0�'•:f,i,�(j� t ..PLnCLI[��.i�e.J ri e'_aa� a, (•`°r [�01I ;:a JUL 'I'll �i 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 �.. Town of North Andover, Massachusetts Form No.2 NORT►, BOARD OF HEALTH • O:t �•o y�ti0 3:�- '• O A ++++b '���,�"'r"'����-;.•••.+++• DESIGN APPROVAL FOR : ss"CHU SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant ) est No. : Site Location 1 Reference Plans and Specs. 7/d �6 ENGINEER IGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. • C H A%tARD OF HEALTH : Fee Site System Permit No. May-27-99 12 : 45P North Andover Com. Dev . 508 688 9542 P . 01 SEPTIC PLAN SUBMITTAL FORM LOCATION: /.5-Y NEW PLANS: YLS $125.00/flan ✓_ REVISED PLANS: YES . $ 60.00/Plan SITE EVALUATION FORIVIS INCLUDED: YES NO DATE: r7) )--;z)00 DESIGN ENGINEER:—[��s,��_._ •� - ,s�� DATE TO CONSULTANT: *If you want your plans expedited, please submit three 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, mute to the Health Secretary. TC / �Ll V4 I l I jq ' I FORM 11 - SOIL EVALUATOR FORM Page I of 3 No. Date: Commonwealth of Massachusetts ,Aldp WAei�vP , Massachusetts ML —Sit ff—bilitv Asses Lewd Performed By: ...... . ....... ...i.e /���5'e ` ..... ...... ................ ......................................... Date: Witnessed By: ........... .................... .. .... .............................................................................................. ......... ........ LOMOon M&OXI or La I TOW- /Vo. ow construction ❑ Repair .!2fficg Rgview Published Soil Survey Available: No ❑ yes Year Published 11;W1 Publication Scale Soil Map Unit a,45-4'Z*........ Drainage Class ................... Soil Limitations .......................... .................I............... . Surficial Geologic Report Available:No El yes 0 Year Published Publication Scale GeologicMaterial (Map Unit) ........................ I.....I....................................... ................................. Landform .....I.................................................................................................................. 'L Flood Insurance Rate Map: Above 500 year flood boundary No 0Yes �2 Within 500 year flood boundary No DYes El Within 100 year flood boundary No 0 Yes 0 Wetland Area: National Wetland Inventory Map (map unit) ............. .............................................................................. Wetlands Conservancy Program Map(map unit) ............................................••..._. .......... Current Water Resource Conditions(USGS); Month 4,51� Range :Above Normal EJNormal 2PBelci-/Normal El Other References Reviewed: DEP AMRGVW FORM•12107/95 f � FORM I1 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. 'Z% p• ,4 a=sd `e .Reyie' /�' a Deep Hole Number .`3 ..,,.. Date: .. �,.�. Aev Time:. Y"/e;, Weatheri�/,C: .�. Location (identify on site plan) Land Sloe (%) . .z � 5 S P Surface Stones . . ., Landform Position on landscape (sketch on the back) .. ....,.� � Distances from: Open Water Body//O"" feet Drainage way4�� feet Possible Wet Area-4?d�°�., feet Property Llne ..!;�... feet Drinking Water Well Ifo feet Other - DEEP ther DEEP OBSERVATION HOLE LOG* Depth from Sol]Horizon Soil Texture Soil Color Soil Other Surface(inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, % Gravel) Parent Material(geologic),__. �G��L¢G �- DepthtoSedrock: Denth ig Groundwater•, Standing Water in the Hole: Weeping from Pit Face• _ Estimated Seasonal High Ground Water. DEP APPROVED FORM-12107/95 C� 0 FORM Il - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot i4o. /J�� On Review Deep Hole Number .. Date: ..���J`��a© '?jp �i12..-�� Time:. Weather Location (identify on site plan) ,:x..r •�r....T. ...--G , T Land Use Slope (a/o) . A7 Surface Stones ...,N..... . . ..........:...... .. . Vegetation " ...._.. ".. . .•.. :....... r.:...":":.. . ...... ..:..:....:.. Landform ...:....... Position on landscape (sketch on the back) .. - ....,. � � Distances from: Open Water Body //10�feet Drainage way'l�� feet Possible Wet Areae. feet Property Line ... ter... feet Drinking Water Welles/.0-1P feet Other DEEP OBSERVATION HOLE LOG" Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(inches) (USDA] (Munselli Mottling (Structure,Stones,Boulders, Consistency, % Gravel) �Y/e� G_5' �Q Parent Material(geologic) p DepthtoBedrock, Death to Groundwater, Standing Water in the Hole: Weeping from Pit Face: — Estimated Seasonal High Ground Water: DEP APPROVED FORM-U107195 a F014 11 - SOIL LVALUATOR FORM . Page 3 of 3 Location Address or Lot No. �leterminatc'on fOr Sencnnirl Hh7h Water Table Method Used: ❑ Depth observed standing in observation hole.............. . inches ❑ Depth weeping from side of observation hole.................. inches Depth to soil mottles '' inches "-3 _ 4/'' ❑ Ground water adjustment .................. feet rte" - 3-X Index Well Number .................. Reading Date ................... index well level .................. Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Ma#griaj 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 (date) I have passed the soil evaluator examination approved by the D p tment 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 e AEP APPROVED FORM•12/01195 i IIIIIIINIIIIIIINIIIIININIIIII IIIIIIIIIIIIIINIIIIIINIIIIIIIII � y- IINIIIIIIINIIINIIIINNII �"""'�""�� - �� 111111111111 NINNIIIIIIIIIIIII - -�'� 'c IIIIIIIIIIN IIINIIIIIIIIIIIINI Ni`� �� 1111111111111111111111111111 ���'��'' y� 111 IIIIIIIIIIIIIIIINIIil1111111 �' '� �; IIIIIIIIIIIIIIIINIIIIIIIIIIN 11 s ��� � �.:�, n1111111111111111N111111111 �""""'�� 11111NIIIIIIIIIN1111111111111Y IIIIIIIIIIIIIIIINIIIIIIIIIIIIIII z._ IIIIIIIIIIIIIIINIIIIIIIIIIIIIII � `�� �, 11111111111 IIIIIIIIII�IIIIIIIIA�� - - - :u � IIIIII�III�IIF�I�:1l�i�©i�7Eii1�.i1.�1 =-�= 1111111 IINIIIIIIIIIIIIIIIINII ��� :�`�: s 1111111 IIAIIlIIi�l�E"Ii111111111 _ !1lEIi11111i1ili111�11111i��lE �'�'���� u .� IIIIIIIIINIIJIIINIIIIIIIII r. � - 111111 � , , ��� 111lIIIINIIIi11�i11i1'1111�' - �` Sy. 11111111 IIIIIIINIIIIIIIIIIIIIII � "�• 11111111 1!iIIIIIn , , . _, 11111111111111 ., 11111111111,�� I�J111�il1IIIii1C� LFA` . ,.. IIIn�1��1���1iiG�i.�11A11111 i'., Lo LOC 71 IN ;COL i ICON �c--I 0 N I IDE. C, " i N I E C I= ..vim.;;.: 12 ` i _ C. . Ol fl, �, =NIC.- i I INI= —1 ;NI n. I I 2 S • I I J r' II -_ - -- - [ Ki•iC .?%��s�`+Z•SL�.iap'-�^,'.,` 4*�' M � Tim " � IIIIIIIIIIIIIIIIIIIIIIIHIHIIIHI - IIIIIIIIIIIIIIHIIIIIIIIIIIII : IIIIIIIIIIIIIIIIHilliHHiil ME 1/ � !!1!11111111 lIIHHHililillll11 IIIIIIIIIIN IIIHIIHIIIIIIIIHI IIIIIIIIIIIIIIIIIHIIIIIIIIIIIIH IIIIIIIIIIIIIIIIH111111111111 � 1111111111111111111111111111 111 �„���� HIIIIIIIIIIIIIIIIH11111111111111 1111111111111111111111111111111111 1111111111111111111111111111111111 � � IIIIIIIIIIIIIIIIH1111111111111111 �� :; 11111111111 11111111�11111111111��1 ` (1� Ilii®IIi�1111 11111111E111�1ii��11�G�11 �lI�L�` ` � -" IIIIIIIi�Ill�i�ll:Il�iG�®lIE1i1�:11��11 ���� ' IIIIIIIIIIIIIIIIIIIIIIIIIIIIHI 11 � � � �� -�; Ii�11111�i11�1il11l�I�E��,il_111111 11 � F �. IIIEiCIr111i11i11i11�11�111i�1E�-�CZ�1 �� IHIIIIIIHII�111111111111111111111 IIIIIIIIIIIi�i�1�i11ii1111�Ilili��1 � 11111/11 111111110111111111111111 . 11/11111 1!lllli11111111111111H11 - � l llliiiiiiiiiiii iiiiii!llilll/!l`iiol1 11111�11�1��1111plum11111 MINIMUM- 1111111111111111 11111 r k q1 l BOARD OF HEALTH NORTH ANDOVER,-MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE:; f l I `�'l�o') MAP & PARCEL: LOCATION OF SOIL TESTS: LSly cc N, OWNER: C�\ rri S -<: TEL.NO.: ADDRESS: 1,5`'1 fZ Cct, -re e+ ENGINEER: TEL. NO.: 7�-b8C�-iZ�� CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Sing�FamilyHome Commercial Is This: Repair Testing: _ �_ Undeveloped lot testing: In the Lake Cochichewick Watershed? yes No ?� THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of$275.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$75.00 per lot for repairs or u rpg adgs. GENERAL INFORMATION 1. Only Certified Soil Evaluators rr ay 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 disposal area. 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 fdr all additional tests within two weeks of testing. 6.1 Within 45 days of testing, a scaled plan(no smaller than 1"A 00') 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. Please Do Not Write Below This Line i i I N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: 1 � a b . BOARD OF HEALTH TEL. 688-9540 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: 61 )-Z ) C)c, LOCATION OF SOIL TESTS: I S 1Z r s 74 Assessor's map & parcel number: qO-'A OWNER: IoKti ;y9eaE.T7- TEL. NO.: ADDRESS: 1,15'-1 R Erb ENGINEER: c«. L- lG.�, , Qge�� TFL. NO.: CERTIFIED SOIL EVALUATOR: 12x. Intended use of land: residential subdivision g e family ho , commercial Repair testing Undeveloped lot testing N. A. Conservation Commission Approval: 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$275.00 per lot for new construction. This covers the minimum two deep holes and two'percolation tests required for each disposal area. 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 disposal area. ; 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° t0'0`);shall be submitted td 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. JUN�1 12 M �1 � a �-- —---------- —r ��J Lu��]�'r✓ i77 G .ti c�T� �L� �� ��� � -- �� �� i I � `� 7 t2 R � �� � �� Town of North Andover, P'�'sachusetts Form No. 1 p%ORTH •• BOARD OF HEAL`1 H p * f APPLICATION FOR SITE TESTING/INSPECTION h SSACHUs��� Applicant >E DRESS TELEPHONE Site Location Engineer AME DDRESS TELEPHONE Test/Inspection Date and Time l� CHAIRMAN,BOARD OF HEALTH Fee v Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, P�";achusetts Form No. 1 O� Nb4,'YORTH nn•• BOARD OF HEAVE II H Aj LED iO 19 o m rD h A4 °°°•°°w°°�"0 '` APPLICATION FOR SITE TESTING/INSPECTION 7�AERATED PPP��S SSACHUS� Applicant ' NAME ADDRESS TELEPHONE Site Location Engineer - NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. BOARD OF HEALTH TEL. 688-9540 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: fo h-z ) coo LOCATION-OF SOIL TESTS: 15� IZ Assessor's map & parcel number: q0A f/ OWNER: lottti �,vgaa-;'- TEL. NO.: 0 ADDRESS:- 1 5 LI R Ery s ENGINEER: c,_, ,.�ee vim TEL. NO.: q7Fj -: CERTIFIED SOIL EVALUATOR: c1ZcX C. n� Intended use of land: residential subdivisions g e family , commercial Repair testing Undeveloped lot testing N. A. Conservation Commission Approval: 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$275.00 per lot for new construction. This covers the minimum two deep holes and two'percolation tests required for each disposal area. 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 disposal area. 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°-1'0�,q:) 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. JUN 12 . �C N G Zdl 1111111111111111®1111 1111111 111111111111 IIIIIIIN®IIIINIIIII 1111 1111111111111111■IIIInn111 111111111111 111®1111111111111111 IIIIIIIIIIn 111®IIIIIIIIIIIINII � 1111111111111111®IIIIIIII111111 I r 1111111111111111®111111111111 � -.�� 1111111111111111 N �IIIII/IIU11111 n11111111111111Bn11111r'l�Z,�Ililr IIIIIIIII�IIIIIlA�111 1� ���• III�i11:,1 ►' � �I�IIii���'i I��IIIIi�11111111111111111 11���'��II�A11�11�IIIIIIIIIIIillloi III�i���1i11 ii��1�111111111A11111A HIM9111i1 11���ir111�`I/IIIi11G�:i IIIIIII�II���I����I�II� 'MENNENIIIr 11111111111�1111�111�1`111,�111 IOWAli Ia111f11111 ► ' �. 111 �I�ir�11L�/t.111��r � - pill 1111111l►� 11,741, IIIIIIIINII �111�11111111�11111111 11111111 III�f1 a�11f11NNI 110!1 11111111111 I111m11!1! 11If 11111 1111111!l11�. li�f'IIIf�r IIS.ANN', ����11111�Ir�i11■1111111� 111111 Iivl..�IIIr�111�111 �� 1 IIIC r�J�111 .: - aa � ° � L OC TIONJ2� - �0 N1 SE. ==COL i ION i T IINiE i C'v;==NICD `C. clivi= � i= � -40 NE-\ i l.'.=.v f �./ `� mac_. .-lel �'� Z T r ^' r ' J OCA' ON IME L'r `c'r.�.. _ _ 1 I. .. I___ _ C'_ C\; =;vIC Tiivi= E7 I Y`�•\ I �...�.�. � .�/^.^.. // -.l IIL7i7V//ill !� (/ Ni= : I - I I c J v FORM 11 - SOIL EVALUATOR. FORNI : Page 1 of 3 f f f No. / Date:�Zz�/d Commonwe Zth of Massachusetts IV' iv. �v. PA , Massachusetts o'l 'uitabir�ciAssessmen�, or' Qn-site ewae ,aisQsal; Performed By: ....... ° - T1F ....... < x � �� Date': ��Z�G . Witnessed By - Lcmdm Ad&css or // `�YC owner's Name. Address.mW Flo. �x.PIP �r9 ew Construction ❑ Repair ® 4flice Review Published Soil Survey Available: No ❑ Yos Year Published !.................. Publication Scale �,���� p �/.............. . Sol! Ma Unit Drainage Class l/` ............. Soil Limitations . Z! i . ....Rlor . .. 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 Q Within 500 year flood boundary No El Yes ❑ Within 100 year flood boundary No Dyes ❑ Wetland Area: National Wetland Inventory Map (map unit) ..................................................................... ..._..�...._.. ............_.:. Wetlands Conservancy Program Map(map unit) ..............................................................................._...._...... Current Water Resource Conditions(USGS): Month 14 r w_ Range :Above Normal ❑Normal QPelcw Normal ❑ . Other References Reviewed: DEP AMOYM FORM-12/07/95 '"" ' • f f f � FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or.Lot No. �✓�� /��._ ��• >����� On7iik .Review Deep Hole Number ..: Date: Time:. Time:. Weather /lam .So e ..:,.. Location (identify on site plan) 'Land Use .. /. -` / G Slope M . Surface Stones .l. 'Vegetation . .., Landform Position on landscape (sketch on the back) . .� ...,71� ..,.:_..:.��. Distances from: Open Water BodyAWC57 feet Drainage way �O feet Possible Wet Area 044 . feet Property Line . Zo.. feet Drinking Water Well ....-. feet Other .. DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Spll Texture Soil Color Soil Other < Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel) 3/ , -n�� sem. G�2 7- w4 Parent Material(geologic) �,�G ��17 �Sdrock, Depth to Groundwater: Standing Water in the Hole: '� Weeping from Pit Face: Eslimated Seasonal High Ground Water: �l, DEP APPROVED FORM-12107/95 Q . Q FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot Ido./J';il � j 0n-site Reyzew Z Z Z/� o Deep Hole Number Date: r... Time:. �f•�� Weather���— � Location (identify on site plan) Land Useslope Slope m . Surface Stones - Vegetation . .,X ..- �'.0j Landform Position on landscape (sketch on the back) Distances from: Open,Water Body�Od� feet Drainage way �a feet Possible Wet Area feet Property Line —,. l feet Drinking Water Well . feet Other , DEEP,OBSERVATION HOLE LOG' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(inchesl (USDA) (Munsell) Mottling (Structure,Stones,boulders, Consistency, % Gravel) .44 �f Irl GSpo� I MINIMUM OF 2 HULLS REQUIRED AT EVERY PROPOSED-DI AREA Parent Material(geologic) ogedrock: v DepSh to Groundwater. Standing Water in the Hole: Weeping from Pit Face: Eslimated Seasonal High Ground Water: 4-11 v DEP APPROVED FORA!•12/07/95 N I � FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. ��� �'�� �T, Alep , �Vja Determination for Seasonal HiPrh Water Table Method Used: ❑ Depth observed standing in observation hole.................. inches ❑ Depth weeping from side of observation hole........... .... inches © dDepth to soil mottles '.._ inches - ` 4,7 ElZ- ..: Ground water adjustment .................. feet 4¢ Index Well Number ................... Reading Date .................. Index well level ..:........:..... Adjustment factor Adjusted ground water level Depth of Naturally Occurring PerviousPk a is Does at least four feet of naturally occurring pervious material exist in 11 a eas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certifi ation I certify that ons fS (date) I have passed the soil°evaluator examination approved by the epartment 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 LDate DEP APPROVED FORM-12/07/95 i Commonwealth of Massachusetts RECEIVED \\\V City/Town of ' System Pumping Record- DEC 15 2009 Form 4 TOWN OF NORTH ANDOVER �M HEALTH DEPARTMENT 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 1. System Location: Left side of house, Right side of hous Left front of houses Right front of house, Left rear of house, Right rear of house. Left rear of building. Right rear of building. Address City/Town State Zip Code 2. System Owner: �4e� Name Address(if different from location) City/Town State _ Zip Code Telephone Number B. Pumping Record ` 1. Date of Pumping Date Gallons Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): / 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: � � �' (, 4s 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location re contents were disposed: G.L.S.D Lowell Waste Water _x � Signature of Hauler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 i (:�-OMMONWEALTI;I OF MASSAdC--'tTTS Essex, ss Superior Court Department Essex, ' Civil Action No., 3-1266 CHRISTINE CHILES and JAMES CHILES, SUBPOENA DUCES TECC.IM V. PER MASSACHUSETTS MULE OF CIVIL PROCEDURE, JOBN l3ARF.ETT, MARCIA RULE 45 BARRETT, et al;,. Defendants RECEIVED TO: Sus SO er, Director FEB 1 DEPAI ° NT OF N�LIC I,ALTH 6 2005 TOW 010k es TOWN OF NORTH ANDOVER 400 S ;0 D STREET HEALTH DEPARTMENT N. A nddve r, MA 01845 YOU E IJEREi3Y COMMANDED in accordance with the provisions of Rule 45 of theMa sa h setts Rules of Civil Procedure to appear and Sive testimony, before the Superior Ca rt e.artment of the Trial Court holden at 34 Federal Street in the City of: Salem, withi a 'd for the County of Essex originally scheduled for. the 14th day of February, 20 5 nis is an on -call trial. The new trial date has yet to be determined, J ely your appearance will be required for testimony at a given date b t een February 16"' and March 4"' 2005, and from day to day thereai'ter un it t he action hereinafter named is heard by said Court, relating to Civil Action No, -1 6 then and there to be heard and tried between Christine Chiles and Taanes Cllii.r ,r 4ai tiffs, and ;lohn Barrett, Marcia Barrett, et al., Defendants.. "You are rt ic required to bring with you those documents listed on Appendix A attnehed he ett , Your failure,without ndequate excuse, to obey this subpoena may be deemecl in cont(nipt of the Court in which this action is pending. PLEASE NOT. that you may quash or modify this subpoena as unreasonable or oppressive r urs.rint to .Rule 45(b) of M.R,C.P. Furthermore, pursuant to Rule 45(d)(1) of M,R.C.P. y ut, ftorded an opportunity to object, in writing, to inspection or copying of the materals.dc signated herein as Appendix A. PLEASE A. S OTE that your presence at the deposition may not be required if you deliver the ocu. nts requested in Appendix A before the date of the deposition. ATRUE COP'S'ATT WNi TABLE' . AND DIS1STSD P ARSOF FA .L ., , as failure, without b%dequa±e excuse, � bey this subpoena may be deemed in.co itethp t of the Court in which this action is pending, G arles J , Esquire S Ia ' Clines, torneys-at-Law 9 H.ig land Aven ic S n're ille, Massa Aiusetts 02143 Tel: (6 7) 628-1.1 0 3 BO #549722 COMMONWEALTH OF MAS AC , USETTS Middlesex County ss, rebury Z 0, 2005 On t! is �� ay of February,2005 before m e the ndersigneil notary public, personally a pe rs ' / , prove to a through s tisEactory evidence of ide ti ,cation, w.l3.i.ch were, by-Massachus tts E river Licen e, to be the.person whose nante is sigied on the preceding or attached do um t, and Fick owledgement to me that(he) 9ig ,e 1 it voluntarily for its stated pur my corn nissi n expires: Jajagq'7 TlrNiM A. UNUO AN. t�IrM► �r NAY coYw FEBRU ixt� i i 1. Any and al I d 'c ments related to 1.54 Rea Street, N rth Andover., MA, inelud.ing,but not limited to, a] 1 records, bills, plans,correspondence, submissions, complaints, particularly s--pti' ystom designs,etc.,with regard to the property located at 154 Rea Street,North An o ver, MA currently owned by Tames Chiles and Christine Chiles formerly owr ed y Marcia Barrett and John Barrett, i Town of North Andover Health Department Date: lz96�_� Location (Indicate Add r ,if Residential,o a e of usiness) Check#: Type of Permit or License: (Circl );- Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) �J Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer Ronald M. DiGiorgio&Assoc. Constable Service(781-229-5677) 11 Marrett Road Burlington, MA 01803 RETURN SERVICE REQUESTED F Department p t of Public Health Susan Sawyer, Director Town Office 400 Osgood Street North Andover, MA 01845 :D STONE10" 3/4" TO 1-1/2- DOUBLE WASHED STONE 4" SGH 40 PERF PVC 1 STONE 2'" 1/$" TO 3,/$" DOUBLE WASHED STONE / INVERT _ .97.5 96 7'-o" 9 5 COACH BED C H0 SCALE: 1 " – 2 94 93 REA STREET19 92 . � 1 500 GALL SEPTIC TAI INV. IN = 97. S76017'50"W — — — INV. OUT = 96. 94– — — \ VENT cr 5 9� � w TP 4 \ u PT 1 y`mb 20 MIL POLY BARRIER ,. � IN, � y j LIMIT OF SAND BENCHM RK: TOP LEFT Q i (SEE CONST. NOTE #4) CORNER 0 BOTTOM STEPco C-0 I 0 o ELEV. = 10 -..00 (assumed) � p -o o �' i TP 3- o 0 \ N 0 8, 1 0 i i -' EXIS.7-IN(; F R S/LL EL BEDROOM Hous J I i or, E I I 99*1p I . fl 1500 GALLON EXISTING I I ( SEPTIC WANK SEPTIC TANK DEOk i J 1 0) I I 1 J 1 I I I J 1,54 REA STREET ri I J J ASSESSORS ,MAP '98A, .-PARC 44,914 SQ. FT:. a� I �=� � ,� ► 1 � i I I I { I Pf I I l 1 t I FORM - U _ LOQ' RELEASE FORAY INSTRUCTIONS: This form is used to verify that all necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the from compliance with anY applicable requirements. ...................■..from .......................................■.... f�•applicant and or landowner2� APPLICANT �n( PHONE 1` ASSESSORS MAP NUMBER ► J LOT NUMBER LOT NUMBER SUBDIVISION �' STREET NUMBE STREET E R OFFICIAL USE ONLY RECO . NDATIONS. TOWN AGENTS ....... ......n.. ......... DATE APPROVED < <: CO IT STRATOR DATE REJECTED . uv ` `'. � Com l� �,ed e,t F�c� ons DATE APPROVED TOWN PLANNER DATE REJECTED CONIlviEN'TS DATE APPROVED FOOD INSPECTOR-T-I�:AT"TH DATE REJECTED DATE APPROVED oto SEMC INSPECTOR-f -TH DATE REJECTED CONRAENTS PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED / COMMENTS DATE RECEIVED BY BUILDING INSPECTOR l FORM U - LOT RELEAr v 1 p SL FARM `�-INSTRUCTIONS: This form is used to verify that all necessary approvals/permits on Boards and Departments having jurisdiction have been obtained. This does not relievE p Y applicable re the applicant and/or landowner from compliance with an a or uirements.9 **"''APPLICANT FILLS OUT THIS SECTION APPLICANT i " PHONE LOCATION: Assessor's Map Number PARCEL_ SUBDIVISION LOT(S) STREET ST.NUMBER. J J USE ONLY— �:. CO NDATIONS OF N AGENTS; CONSERVATION ADMINISTR R DATE APPROVEDZIIO16. DATE REJECTED COMMENTS �r""•� TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED. i Q DATE-REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm SILLARI & GLINES ATTORNEYSATLAW . 5 ELM STREET, SUITE J SOMERVILLE, MASSACHUSETTS 02143 A TEL: 617.628.1110 FAX: 617.628.0880 June 24, 2002 Sandra Starr Town of North Andover Health Department 120 Main Street North Andover, Massachusetts 01845 RE: 154 Rea Street,North Andover, Massachusetts Dear Ms. Starr: Please be advised that this office has been retained to represent Christine Chiles with respect to an issue involving the septic system at the above-mentioned property. On Friday, June 24, 2002 I attended your office to review your office's file regarding this property. I was informed that to obtain copies a request must be made in writing and that your office has 10 days from the date of the request to satisfy said request. I was also informed that the copies cost $.20 per page. Therefore, at this time I am formally requesting in writing a copy of the entire contents of the Health Department file for the property known and numbered 154 Rea Street,North Andover, Massachusetts. Please contact me once the file is copied to inform me of the cost and I will arrange for payment. Thank you for your assistance.. If there are any questions or concerns please do not hesitate to contact the undersigned. Very truly yours, f.h ri, Jr. Cc: Client C:\WINWWSU 1Clirn khilciWM ,d. SILLARI & GLINES ATTORNEYSAT LAW 5 ELM STREET, SUITE 1 SOMERVILLE, MASSACHUSETTS 02143 TEL: 617.628.1110 FAX: 617.628.0880 May 7, 2002 Sandra Starr Town of North Andover Health Department 120 Main Street North Andover, Massachusetts 01845 RE: Christine Chiles; 154 Rea Street North Andover Massachusetts Dear Ms. Starr: Please be advised that this office has been retained to represent Christine Chiles with respect to an issue involving the septic system at the above-mentioned property. I would like an opportunity to review the records kept by your office at your convenience. Please contact me at your earliest convenience to inform me of the procedure for reviewing these records. Thank you for your assistance. VeU truly yours, h les 3. S' 1 i, Jr. TWIN WS\U UMt Client it F '�QF NORTH ANDC'� EQARD OF HEAL