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Miscellaneous - 1615 OSGOOD STREET 4/30/2018 (2)
1615 OSGOOD STREET 210/034.0-0044-0000.0 -- - t l ommercial Property Record Card PARCEL_ID:210/034.0-0044-0000.0 MAP:034.0 BL4C .' 0044 T.0000.0 PARCEL ADDRESS:1615 OSGOOD STREET PARCEL INFORMATION Use-Code. 30 Sale Price: 9,150 Book: 03707 Road Type: T Inspect Date: 09/15/1997 Tax Class: T Sale Date: 04/20/1993 Page: 0176 Rd Condition: P Meas Date: 09/15/1997 Owner: Tot Fin Area: 1260 Sale Type: P Cert/Doc: Traffic: M Entrance: C MASON-DIXON REALTY TRUST Tot Land Area: 0.57 Sale Valid: H Water: Collect Id: JEL GEORGE A STELLA,TR Grantor: LETOURNEAU, RAYMOND Sewer: Inspect Reas: R Address: 160 COMMON STREET Exempt-B/L% / Resid-B/L% 0/0 Comm-B/LWO/100 Indust-B/L% 0/0 Open Sp-B/L% 0/0 LAWRENCE MA 01842 COMMERCIAL SECTIONS/GROUPS LAND INFORMATION Section: ID: 101 Use-Code:330 NBHD CODE: 34 NBHD CLASS: 4 ZONE: IS Category Grnd-Fl-Area Story Height Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class 2 1260 1 C 1960 1978 66,900 1 P 332 S 24852 0.57 162,130 Groups: DETACHED STRUCTURE INFORMATION Id Cd B-FL-A Firs Unt Str Unit Msr-1 Msr-2 E-YR-BIt Grade Cond%oGood P/F/E/R Cost Class 1 330 1260 1 0 AS S 23200 1972 A A 50///50 21,300 3 LI C 3 1972 A A ///79 3,200 3 OT C 1 1972 A A 50///100 2,100 3 VALUATION INFORMATION Current Total: 255,600 Bldg: 93,500 Land: 162,100 MktLnd: 162,100 Prior Total: 255,600 Bldg: 93,500 Land: 162,100 MktLnd: 162,100 SKETCH PHOTO 6 Mora! U sav I cuuao _ SHER AERE 1615 OSGOOD STREET Parcel ID:210/034.0-0044-0000.0 as of 7/12/05 Page 1 of 1 North Andover Board of Assecgors Public Access Page 1 of 1 Parcel ID: 210/034.!-0044 000.0 Community: North Andover SK C : PHOTO Click on Photo to Enlarge P No Ska'"Ach i �pI �.J A Ava ilable ENTER YTP-.- e HE E 1615 OSGOOD STREET Location: 1.615 OSGOOD STREET Owner Name: MASON-DIXON REALTY TRUST GEORGE A STELLA, TR Owner Address: 160 COMMON STREET City: LAWRENCE State: MA ZIP: 01842 Neighborhood:34 - 4 Land Area: 0.57 acres Use Code: 330 -AUTO-SALES Total Finished Area: 1260 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 255,600 255,600 Building Value: 93,500 93,500 Land Value. 162,100 162,100 Market Land Value: 162,100 Chapter Land Value: LATEST SALE Sale Price: 9,150 Sale Date: 04/20/1993 Arms Length Sale Code: H-NO-COURT- Grantor: LETOURNEAU, ORD RAYMOND Cert Doc: Book: 03707 Page: 0176 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=461730 7/12/2005 SEE PLAT NO. 61 2� S3 f 4'6 J 31 56 atuz 47 ,8 }Jz \ 2:2.0 ac 7 2 90 4 41 42 50 a' 52 9 v g" e g ej o z az 4a� 16},a a J.9)c 5.913 0 12 a OSGOOD 20 11 a 26 t 99 STREET 696$o 30 13 43 d'142 6 53 49 n 17 15 O q, 156.95 ac Z N 24 k 65.36 cc 1+.80 ac 10 °23 78 P 910 202 oc � 40 27 FISCAL 2004 MAPS DRAWN BY FRANK S, GILES, P.L.S. MEASUREMENTS ARE SCALED ONLY NOT FOR SURVEY PURPOSE. \SCALE-40 FEET=1 CH 27 Z SEE PLAT N0. 78 EE PLAT N0. 77 tq2�� 3 4 1615 OSGOOD STREET JS-2005-0246 Proiect Detail Report Printed On:Mon Sep 27,2004 Project Name: GIS#: 1628 Project No: JS-2005-0246 Owner of Record,MASON-DIXON REALTY TRUST AMap: 034.0 Date Submitted: Sep-16-2004 160 COMMON STREET - * ; Block: 0044 Status. Open LAWRENCE,MA 01842 Lot: Work Category: Septic System Work Location: 1615 OSGOOD STREET Zoning. Proposed Use: District: Llan - 330 Proposed Use Detail SubdivisionCHU -n Septic System Comments: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG BHJ-2004-0134 9/27/04-Presented by Chris Distefano of Bergman&Associates. Ms.Sawyer states that this a long overdue fix. This site is located next to Jimmy's Pizza. To the left is the automotive shop and behind that shop is a house. This was a small parcel which was separated into Lot 28 and Lot 44,and both now have failed septic systems. The previous Health Director recommended not renewing licenses at the automotive location. Follow-up on this property came about after the Health Department received a complaint from a tenant at the property who complained about the landlord shutting off the water,and it came to her attention. Both of the septic systems must be in the rear lot,as in the front area,there is no soil. A septic easement was created on both properties. Bergman and Associates is asking for a setback for a drainline in lieu of having to excavate. The first proposal called for removing drainline,but no one is sure what the line is. Would prefer to not excavate. Really tight with space. Decided to put in a 400 inch EPM water barrier at the suggestion of Susan. This will prevent leakage into drainlin,so any effluent cannot leak in. Need variance to allow 1.3 feet instaad of 20 feet. This is Lot 28. For Lot 44, want to put in barrier as well,so it's water tight put EPDM barrier as well,so if any leakage, will not get in. JM do the owners understand builout restrictions due to offset. JM has no problem putting in barrier to protect drain. This will be a variance for 20 feet to 13 leaching, for Lot 28,and 10 to 2 for the septic tank for Lot 44 Groundwater offset from 5 ft.to 4ft CB made motion,and TT 2nd. All in favor. 7/6/04-Called GF in Texas and gave update.--SS 7/l/04-Called Bergman re:water line and review.-SS 6/9/04-Received 1 additional copy via priority mail. Forwarded to Consultant.--p.d. 6/5/04-Per S.Sawyer-pass on to Consultant. Only one copy of plan-requested that Bergman&Assoc.Send additional copies.--p.d. i 6/4/04-Revised plans received from Bergman&Associates. Passed to Ms.Sawyer for GeoTMS®2004 Des Lauriers Municipal Solutions,Inc. Pagel of 2 1615 OSGOOD STREET JS-2005-0246 Proiect Detail Report Printed On:Mon Sep 27,2004 review.--p.d. Note: Michael T.Stella Attn: George Stella P.O.Box 1528 Lawrence,MA 01842 978.683.2132-Phone 978.683.5396-Fax 4/24/04-Tank pumped. 4/21/04-Setup meeting for 4/22/04 with all parties and Bob Nicetta,Building Commissioner, to discuss the issues at hand. 4/16/04-Susan called engineer:Bergman&Assoc. Engineer,Marty DeForge has left the firm. Problems. Asked to re-submit Lot 28 with changes and Lot 44 will be sent to engineer today. . Homeowner's Son: George Farkas 2110 White Lane Haslet,TX 76052 817.706.8301 4/16/04-Called George Stella-978.683.2132-left message. 4/13/04-Issues with property brought up by tenant. See complaint module for notes. 12/4/03-Per Brian-send plan for review to Dan. Note: this plan review was never looked at by Sandy Starr. Had a preliminary review by Brian in April 2003. 12/3/03-Atty.Stella stopped by to check on status of septic plan. On Brian's desk. Sent e- mail asking what status is. 11/26/03-Atty.Stella stopped by to check on status of septic plan. Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: Plan Review BHP-2004-0649 NEEDS REVIEW JS-2005-0246 Rev.3 GeoTMS&2004 Des Lauriers Municipal Solutions,Inc. Page 2 of 2 1615 OSGOOD STREET JS-2005-0246 Proiect Detail Report Printed On:Fri Sep 17,2004 Project Name: _ GIS#: 1628 Project No: JS-2005-0246 Owner of Record MASON-DIXON REALTY TRUST Map: 034.0 Date Submitted: Sep-16-2004 160 COMMON STREET rBlock: 0044 Status: Open LAWRENCE,MA 01842 Work Category: Septic System Work Location: 1615 OSGOOD STREET Proposed Use: District: 330 Proposed Use Detail Subdivision Description Septic System Comments: of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG BHJ-2004-0134 7/6/04-Called GF in Texas and gave update.--SS 7/1/04-Called Bergman re:water line and review.-SS 6/9/04-Received 1 additional copy via priority mail. Forwarded to Consultant.--p.d. 6/5/04-Per S.Sawyer-pass on to Consultant. Only one copy of plan-requested that Bergman&Assoc.Send additional copies.--p.d. 6/4/04-Revised plans received from Bergman&Associates. Passed to Ms.Sawyer for review.--p.d. Note: Michael T.Stella Attn: George Stella P.O.Box 1528 Lawrence,MA 01842 978.683.2132-Phone 978.683.5396-Fax 4/24/04-Tank pumped. 4/21/04-Setup meeting for 4/22/04 with all parties and Bob Nicetta,Building Commissioner, to discuss the issues at hand. 4/16/04-Susan called engineer:Bergman&Assoc. Engineer,Marty DeForge has left the firm. Problems. Asked to re-submit Lot 28 with changes and Lot 44 will be sent to engineer today. Homeowner's Son: George Farkas 2110 White Lane GeoTMS®2004 Des Lauriers Municipal Solutions,Inc. Page 1 of 2 1615 OSGOOD STREET JS-2005-0246 Prosect Detail Report Printed On:Fri Sep 17,2004 Haslet,TX 76052 817.706.8301 4/1.6/04-Called George Stella-978.683.2132-left message. 4/13/04-Issues with property brought up by tenant. See complaint module for notes. 12/4/03-Per Brian-send plan for review to Dan. Note: this plan review was never looked at by Sandy Starr. Had a preliminary review by Brian in April 2003. 12/3/03-Atty.Stella stopped by to check on status of septic plan. On Brian's desk. Sent e- mail asking what status is. 11/26/03-Atty.Stella stopped by to check on status of septic plan. Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: Plan Review BHP-2004-0649 NEEDS REVIEW JS-2005-0246 Rev.3 GeoTMSO 2004 Des Lauriers Municipal Solutions,Inc. Page 2 of 2 TOWN OF NORTH AN•DOVEr, UA I't SYSTEM PUMPING RECoKU SYSTEM OWNER ADDRESS sYsrEM 1.ocAnoN D DATE OF PUWNQ;_w,� �UATITY PUh4P6D., ._.....,... �.. sopuc Tank: NU Y Es !/ NA rUKU ON SestylCE: Kolu't'wej- _ �MkRU�NC t RECEIVED UMAVAnON1: I COOD CONDITION „ PUu. .1J cbvbR JUN 0 3 2005 Fuvy® 8 BAP YLES IN PLACE. ROOTS L6A•CF{I BLD RUNBACK TOWN OF NORTH ANDOVER 5XCUBIYB SOLUI?S, _. FLOODED HEALTH DEPARTMENT -SOLYO CARR YQ YAR OTKER EXPLAIN t VN I*EN'I'S rKANSYtKUD 1'0 w I.OWN Uf tti'UK"I ft E:,� 400 0 ED 7 2005 A 1 u,� i :=:T;�ANDOVER 4DDKESs �__ �_ -----.-_._,_.�___-._. �,�lA�TfdENT I sYs r M _ OATS 0� VMMvINq; QUANTITY PL MPFC 3POOL; NQ ... Y�3.. NA rVKtr UN 3egy, `a. KUu'ftNc a00D 0ON01, KOM MUMS sOt,lp$ FLOODED D KUNg�,I;w. �t000 �'uMM�NTs. uh I GN►'� (tl�N�t�KK U t c DWN u� Nox1 Ic '�h., SEF - 7 2005 SYS'TP-N1 PUMPIN j Y ___-__•_... ��.,;�.f ice._-,'/___ _A'-�\' Ts BATT OF PVM,p1NQ; / _. QUAN71TY PLIVFee 0 HA rVK� UN s�xvlc>a: xvv'rtNc Ub�t��Vrt !"IUNJ, 000D CUNOIT{UN Nut.: rc, wvr_r KMVY OUA53 g�'FG83 IN Pt,lt�:c KO�M a C .48IY6 SOLIDS - .. LaACF(AIl~1.p RUN�n�'w, 30LfDCARRYOYp,,�'.. FLOODED EXPLAIN �'UMM�Nrs. Lt'(� r , _ s LETTER OF TRANSMITTAL North Andover Health Department pORTiy 400 Osgood Street o<<syl O +6 North Andover, MA 01845 978.688.9540- Phone 978.688.8476-Fax - '�A tOt.atMMKa 1_ healthdept(actownofnorthandover com - E-mail www.townofnorthandover.com -Website Page of SS�+CHUS�� TO: DATE: jCOMPA .P ela DelleChiaie,Health Dept.Assistant RE: hone: Fax: / % � ��1 ,k✓ � � We are s ena Wng y ou: OCoo Letter OPlans OOther all in below) These are transmitted as checked below: OApproved as Noted OAs Requested OAs Required OResubmit copies for approval OFor approval OFor Review and comment OFor Your Use OSubmit copies for dist REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: ; J �� co LETTER OF TRANSMITTAL North Andover Health Department o� NORTIV � 400 Osgood Street 3,t e•`�``o 0 North Andover,MA 01845 O 0 978.688.9540 - Phone 978.688.8476- Fax s�o ' ••b ♦ eec•�iawwaw 1. healthdept(i ,townofnorthandover.com- E-mail www.townofnorthandover.com -Website Pageof_ sS�CNuSt� TO: DATE: COMPANY: z FROM:Pamela DelleChiaie,Health Dept.Assistant RE. Phone: ��,�, oG/� /lP`� �/✓ �� Fax: We are sending you: OCopy of Letter OPlans OOther ill in below) These are transmitted as checked below: OApproved as Noted OAs Requested OAs Required OResubmit copies for approval OFor approval OFor Review and comment OFor:Your Use OS ubmat copses for dut. REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: v ✓ 9, TRANSMISSION VERIFICATION REPORT TIME 09/14/2005 11:42 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 0004J120960 DATE DIME 09/14 11:40 FAX NO./NAME 89786835396 DURATION 00:00:20 PAGE(S) 02 RESULT OK MODE STANDARD ECM Town of North Andover ,N°RTh Office of the Health Department Community Development and Services Division 400 OSGOOD STREET "°,..��:�_.�•r� North Andover,Massachusetts 01845 �+s Ac us�' SACHU5 Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax %WJ-0 FICA OF COJK'1 AjA./L E As of: September 9, 2005 qI is is to cert that the individua(subsurface disposaf system Repaired ""-' by BilfYaff At 1615 OsgoodStreet aka LO`I'44 North Andover, 911,4 01845 Yfas been installed in accordance with the provisions of Titfe v of the State Sanitary Code and with the North Andover Board of Yfeafth regulations. the issuance of this certificate shaff not be construed as a guarantee that the system wiff function satisfactorily. an 7 Sawyer, REJfS, Tub&Yfealth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, September 14, 2005 11:44 AM To: Sawyer, Susan Subject: 1615 Osgood Street- Lot 44 Hi Susan, Received your note. I prepared the COC form Friday, was off Monday, and just found it in my box today, so I faxed the COC to Atty. Stella. 641 R¢gw�ds, PA�rry¢Ba D¢BB¢G�l�fwl¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com 1 Dl,I C-10 State: Zip: f1 . Insurance/HMO number: 1 I Date vaccine administered: Date VIS given: Date on VIS: Vaccine lot number: foes not.require use of this form. However, it does contain all the federall :ion and may be used for your clinic records. ZL=right leg, LL= left leg. Route given: SC=subcutaneously, IM July TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION 7The dersigned hereby certify that the Sewage Disposal System ( )'constructed; repaired; by located at 15 was installed in conform ce with the North Andover Board of Health approved plan, System Design Permit. �A, plan dated / 1_0L11 6 , with a design flow of 30D 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: Engineer Representative Final inspection date: Engineer Representative Installer: Lic.#:2cit-135 bate:I. � I :ine Eng Date: E r FINAL G INSPE TIO Date: Address: GAMED? SEEDED? ❑ COVER PER PLAN? Other: fOWN OF NORTH ANDOVER <NaRTM Office of COMMUNITY DEVELOPMENT AND SERVICES o�•'y ��°off HEALTH DEPARTMENT 400 OSGOOD STREET • , , NORTH ANDOVER, MASSACHUSETTS 01845C U <� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health.Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES �1 �S ADDRESS: /�/� S' pD��T MAP &LOT: INSTALLER: 13: 1I 14.1,11 DESIGNER: f 13 �„�,,� o PLAN DATE: vt �s BOH APPROVAL DATobN LAN: C 5 , 05 DATE OF BED BOTTOM INSPECTION: ` / 0 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = f�Z� LOADING OF PUMP CHAMBER = /if TYPE OF SAS = 4:_1 r,19 DIMENSIONS AND DETAILS OF SAS: X 7 SITE CONDITIONS Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: Page 1 of 4 TOWN OF NORTH ANDOVER f MORTH Office of COMMUNITY DEVELOPMENT AND SERVICES a°'`` • ' °� HEALTH DEPARTMENT * €x 400 OSGOOD STREET • , ,_::::., ti NORTH ANDOVER, MASSACHUSETTS 01845 �c►+u CHU se Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK v ottom of tank hole has 6" stone base El Weep hole plugged L1"j�V gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ED, -Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) C Inlet tee installed, under access port ©� Outlet tee (gas baffle or effluent filter) installed, under access port inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent /.filter is present I.� Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER 6'' Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ )vv'-'gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) l� Inlet tee installed, under access port Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 4 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES '``,'ol FAidIMMA 9 HEALTH DEPARTMENT * j i 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'ss'„CHU Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to soil layer, as provided on plan "Size of SAS excavated as per plan C7� Title 5 sand installed, if specified on plan 3/4-1 Y2" double washed stone installed C 1/8-1/2" (peastone) double washed stone installed laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan 0� Elevations of laterals installed as on approved plan 40 Mil HDPE barrier installed Retaining wall (boulder concrete timber/ block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: Page 3 of 4 TOWN OF NORTH ANDOVER °t IJORTa Office of COMMUNITY DEVELOPMENT AND SERVICES o F p HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 CN„5 Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 DelleChiaie, Pamela Subject: Susan-Final Const. Inspection Location: 1615 Osgood Street-Two Lots Start: Thu 8/25/2005 9:15 AM End: Thu 8/25/2005 9:45 AM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Required Attendees: Sawyer, Susan; Grant, Michele 8/25/05: Bill Hall, 978.360.5280 is ready for a final. Paul Bergman called yesterday afternoon and also said okay 978.372.1125. Bill all set with the visit today. 1 INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at relative to the application of z�/ 6/dated y�=1,4 for plans by cJ /1Xand dated with revisions dated 3711&1,9 I understand the following obligations for-management of this project: 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must 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 three shall be applicable. 3. 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. 4. As the installer I understand that only I may perform the work (other than simple excavation) required 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 to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. 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 or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: Disposal Works Construction Permit# INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for theconstructionof the septic system for the property at ��o��Os�4 �r"`��Ty relative to the application of Z///4//dated z`7 4` for plans by Z-4�Illwland dated I with revisions dated I understand the following obligations for management of this project: I. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must 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 three shall be applicable. - 3. 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. 4. As the installer I understand that only I may perform the work (other than simple excavation) required 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 to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. 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 or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: Disposal Works Construction Permit# APR-27-05 WED 07 :56 PM BILL HALL INC. 508 6870563 P. 02 04/2'7/ 35 14:40 ;70M7 S HEALTH PAQE U/03 i i INSTA ',I.,E+l<i'p) OJECT M.AlriAGEMEN)(`OBLIGATIONS As the North Andover licensed installer. for the construction of the septic cystern for the property at le�1� _ " `�� relative to the application . for plans by /!�/# -�W-and dated / with revisions dated�Z44— I understand the following obligations for management of this project: 1. As the installer I am obligated to obtain all permitLR and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections, If hom owner, contractor, proj"t manger,or any other person not associated with my company schedules an inspection and the system is not ready then item three shall be applicable. 3. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. T understand that requesting an inspection, without completion of the items if) accordance with'pile 5 and the Board of Health Regulations may result in a$50.00 fine being levied against Arty company, a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done first. Installer roost request the inspection but dors not have to be present.. b) Final inspection — Engineer mast first do their inspection for elevations, ties, etc. As-built or verbal OK from, engineer must be submitted to gourd of Health, after which installer calls for inspection time. Installer must be present for this inspection, With pump system all electrical work roust be ready and able to cause pump to work and alarm to function. c) 'Final Crude—Installer must request inspection when all grading is Complete. DocF not have to be on site. 4. As the installer I understand that only 1 may perform the work(other than simple excavation) required to complete the installation of the system identified in the attached application for installation, I further understand that work by others dttlicepsed to install septic systems in ;North Andover can constitute reasorts for denial of the system, and/or revocation or suspension of my liconse to operate in the Town of North Andover: significant fines to all persons involved are also possible. 5. As the Installer T understand that I must be on site during the performance of the following construction steps- a.) T)eterroirnation that the proper elevation of the excavation has been reached. b) Inspection of tho 91nd and stone to be used. 0 Final inspection by Board or,H.ealth staff or Consultant, d) installation of tank, D-box, pipes, stone, vent, pump chambor, retaining wall and other components. 6. As the installer I understand that T am solely responsible for the installation of the systern its per the approved plans. No institictions by the homeowner,,general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Disposal Works Construction Permit# _ O tl l Town of North Andover Health Department Date:: Location: (Indicate Address,if Residential,or Name of Business)- Check usiness)Check#: / O� � t> e 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 $ r•r Ut L;, .& tic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning , �s <�C�� $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) j _ 17 Health Agent Initials l� U3 White-Applicant Yellow-Health Pink-Treasurer TOWN OF NORTH ANDOVER f 001IT11 Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 $ACMUa 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.9542—FAX Public Health Director healthdeptatownofnorthandover.com-e-mail www.townofnorthandover.com-website APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: LOCATION: /5 DS ©v C �4 - ©� LICENSED INSTALLER NAME: PLEASE PRINT SIGNATURE: e TELEPHONE# 97S 6 0?,3 7/1 �I CHECK ONE: FULL SYSTEM REPAIR: ($250) COMPONENT REPAIR(indicate what parts): ($125) * NEW CONSTRUCTION: * If NE > CONSTRUCTION>please attach the Foundation As-Built Plan. t $250.00 or$125 Fee Attached? Yes No Project Manager Obligation From Attached? Yes No Foundation As-Built? Yes No Floor Plans? Yes No Approval of Health Agent `_( f,�-- Date: 2 �� � Town of North Andover Licensed Septic System Installers (Disposal Works Installer's) Year 2004 List Last Updated: 5/6/04 (Please note that the septic installer is licensed only--not the company) Name Company Permit# Phone# 1 Amor, Robert* R.T. Amor BHP-2004-0022 978-887-5468 2 Bateson,Todd* Bateson Enterprises, Inc. BHP-2003-0396 978-475-1474 3 Breen, Peter* Peter Breen Excavating, Inc. BHP-2003-0400 978-687-7774 4 Busby, Philip A.Jr.* Busby Construction Co., Inc. BHP-2003-0405 603-362-4650 5 Carr, John* Ramey Construction BHP-2004-0031 978-633-6791 6 Colosi, Philip A.* Colosi Construction LLC BHP-2004-0165 978-777-5679 7 Coyle, Kevin- NEW LaPlume Excavation BHF-2004-0159 978-479.2818 8 Currier,James H.* James H.Currier Construction Co, Inc. BHP-2004-0008 978-774-6685 9 Daigle, Rob* Creative Builders BHP-2004-0308 978-682-4948 10 DeLucia, Rocci Jr.* Frank DeLucia& Son, Inc. BHP-2003-0393 978-686-8200 11 DiVincenzo, John L.* Andover Septic/J&S Dev. Corp. BHP-2003-0394 978-521-5251 12 Giard, Daniel* Daniel A. Giard Septic Service BHP-2003-Q402 978-686-7653 13 Hall, Bill, Inc.* Bill Hall, Inc. BHP-2003-0407 978-689-3711 14 Henderson, George* G. Henderson Co., Inc. BHP-2004-0101 978-686-5845 15 Hutton,Arthur* Hutton's General Construction, Inc. BHP-2003-0398 978-685-2627 16 Innis, Robert L.* R.L.I. Corp. BHP-2003-0397 978-663-6006 17 Kellett,James* Kellett Excavating BHP-2004-0291 781.953.7146 18 Linskey,William M.* Linskey Construction, Inc. BHP-2003-0408 978-744-2700 19 Maker, Ronald* T Ford Co., Inc. BHP-2203-0404 978-352-5606 20 Marsh, Steve* The Westchester Co. BHP-2003-0316 978-742-9778 21 Maynard, Dave* Maynard Construction BHP-2003-0399 603-228-4436 22 McKee, Brian* D.P. McKee & Son Excavators BHP-2004-0023 781-942-7608 23 Osgood, Ben* New England Engineering 'BHP-2004-0024 978-686-1768 24 Patenaude, Richard* Dracut Sewer Service, Inc. BHP-2004-0034 978-452-4851 25 Petrosino,Angelo* Angelo Petrosino BHP-2003-0391 978-664-2030 26 Quinlan,Timothy* Quinlan & Rand Builders BHP-2004-0025 978-682-1570 27 Reilly, Michael W.* F.P. Reilly& Son's, Inc. BHP-2003-0401 978-475-1237 28 Richard, Roger* R.J. Richard Corp. BHP-2004-0035 978-686-7445 29 Sawyer, William T.* Arco Excavators, Inc. BHP-2004-0028 978-685-5113 30 Shaw,John III* Wildwood Excavation, Inc. BHP-2004-0265 978-474-8088 31 Simard, Ralph* Ralph Simard BHP-2004-0293 508-958-2002 32 Soucy,John J.* Soucy's Sewer Service BHP-2004-0026 978-470-1400 33 St. Hillaire, Paul* Andover Construction & Dev. BHP-2003-0403 978-749-0073 34 Surianello,Joseph* Ralph Surianello, Inc. BHP-2003-0406 617-799-3900 35 Todd, Charles R.* Charles R. Todd Contractor, Inc. BHP-2003-0392 978-667-7853 36 Zaher, Charles* Charles Zaher BHP-2004-0030 978-441-9429 Note: The Septic Installer Exam is held in January, March, May,July and September of each year. You must call the Health Department to sign up for the exam at 978.688.9540. The testing fee is $25. Last Updated: 5/6/2004 HP Fax K1220xi Log for NORTH ANDOVER 9786889542 Nov 24 2004 12:48pm Last Transaction Date Time Jypt Identification Duratio Ea= R ,s h Nov 24 12:47pm Fax Sent 818174391311 1:07 1 OK TOWN OF NORTH ANDOVER °<NOR*N , Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT w 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'SS��HUS K� Susan Y. Sawyer 978.688.9540—Phone Public Health Director 978.688.9542—FAX July 11,2005 Liff Mason-Dixon Realty Trust George Stella,Trustee 160 Common Street Lawrence,MA 01842 RE: Subsurface Sewage Disposal System Plans for 1615 Osgood Street,Map 34 lot 44,North Andover, Massachusetts � Dear Mr. Stella, Due to complications that were discovered during the construction phase of 1615 Osgood Street,the North Andover Board of Health required the engineer to redesign the septic systems for both sites, #44 and#28. In short, it was found that the water table was much higher than was fust found in 2002. If this had not been identified,the proposed septic systems would have been built in the water table,and could have failed prematurely.Hence, although this change has caused a delay and hardship,in the long run,it is best for the property owners and the environment that this high water table condition was found The response of the installer and engineer,who brought these conditions to light,was highly professional and ethical. The Health Department has completed the review of the septic system design plans,for the properties, submitted on your behalf by Bergman 8t Associates and last revised July 1,2005 and received on July 5,2005. All other conditions of approval are still in place as was listed in the September 29,2004 approval letter for both lots. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated The Health Department may be reached at 978-688-9540 with any questions you might have. Sincere , �zw _ Y. Sawyer,REHS/RS lic Health Director cc: Bergman and Associates George Farkas,Hanging Tree Realty Trust file Town of North Andover Heitth Department Date: Location /6/!5— /lam /I (Indicate Address,if Residentral,or Name of Business) Check#: / G 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 $ ❑ tic-Design Approval $ .. ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Traslt/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) Health Agent Initials 88 Ow White-Applicant Yellow-Health Pink-Treasurer Bergman & Associates, Inc. Engineers 20 Washington Street Haverhill, MA USA 01832-5524 Tel. (978) 372-1125 Susan Y Sawyer, RS Fax (978) 372-1130 Public Health Director Town of North Andover 400 Osgood Street North Andover, MA 01845 Reference: 1615 Osgood Street,Map 34, Lots 28 and 44 Dear Ms Sawyer: 1 July 05 Enclosed are revised plans for the referenced parcels. In response to the revised ESHWT, we have redesigned both systems. Please contact me or Chris Distefano with questions. Sin re yours, Paul A Bergman, PE Enclosed plans and check for review fees cc Atty George Stella TOWN OF NORTH ANDOVEROf NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES . o HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 "SS,CHUst` 978.688.9540—Phone Susan Sawyer,REHS/RS 978.688.9542—FAX Public Health Director healthdeptktownofnorthandover.com www.townofnorthandover.com i FAX TO:(Nance) From: Company Fax: �� , ` Pages: Phone: � ✓ Date: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑Please Recycle Please contact the Health Department at the above numbers for further assistance if required. TOWN OF NORTH ANDOVER °f NORTM , Office of COMMUNITY DEVELOPMENT AND SERVICES �:•'io HEALTH DEPARTMENT 27 CHARLES STREET '� ...=3:.• • NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer 978.688.9540—Phone Public Health Director 978.688.9542—FAX September 29,2004 Mason-Dixon Realty Trust George Stella,Trustee 160 Common Street Lawrence,MA 01842 RE: Subsurface Sewage Disposal System Plan for.1615 Osgood Street,Map 34, lot 44,North Andover, Massachusetts Dear Mr. Stella, The North Andover Board of Health has completed the review of the septic system design plans,for the above referenced property,submitted on your behalf by Bergman&Associates and last revised September 13,2004. The design has been approved for use in the construction of a replacement onsite septic system.The time period for this approval has been reduced to two years from the date of time that the septic system inspection did not meet the acceptable criteria in the state regulations.As this was identified as a failed system in 2002 the Health Department is requesting that this system be installed as soon as possible.A licensed installer must apply and be granted an installation permit from this office within the 6 next six months.In the event an imminent health problem such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. The following requests were approved at the Board of Health meeting held on September 23,2004. I. To allow the construction of a leach field to a subsurface drain from 20 feet to 13 feet. 2. To allow the construction of the tanks to a subsurface drain from 10 feet to 2 feet. 3. To allow the application for a Local Upgrade as requested,for a reduction in the separation between the soil absorption system and the high groundwater from the required five feet to four feet.There can be no future increase in calculated flow to this system with the granting of this local upgrade. This approval is also subject to the following conditions: 1. The attached DEP Form 9b must be submitted to the appropriate Regional Office of the Department of Environmental Protection at One Winter Street,Boston MA by the property owner 2. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 3. It is the responsibility of the applicant and/or the applicant's septic system designer,septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission,Zoning Board,Planning Board,Building Inspector,Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. 4. As the field of this system is being placed on the adjacent lot,(known as lot#28)a copy of the recording of the easement placed on lot#44 must be submitted prior to the Health Department issuing a Certificate of Compliance for this septic system. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerely, san Y. Sawyer,REH /RS Public Health Director cc: Bergman and Associates file t Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. The system owner shall provide a copy of the Local Upgrade Approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before commencement of construction. A. Facility Information knportaWhen ng out 1. Facility Name and Address fomrs on the coffpftr,use Mason—Dixon Realty Trust, George Stella,Trustee only the tab key Name to mom your 1615 Osgood Street, lot 44 cursor-do not use the return Street Address key. North Andover MA 01845 City/Town State Zip Code ISI 2. Owner Name and Address(if different from above): Name Street Address City/Town state Zip Code Telephone Number 3. Type of Facility(check all that apply): ❑ Residential ❑ Institutional ® Commercial ❑ School 4. Design flow per 310 CMR 15.203: 450 gpd ❑ RS stem Designer Paul Bergman 5. S Y 9 Name ® PE 20 Washington Street Haverhill MA 01832 Address City/Town Stale,ZIP B. Approval 1. Local Upgrade Approval is granted for. ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction 1615 Osgood 9b 9.04•rev.5/02 Local Upgrade Approval* Page 1 of 1 Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B B. Approval continued ® Reduction in separation between the SAS and high groundwater. Separation reduction 1 ft. <2 min/inch Percolation rate minA ch Depth h groundwater 4 g ft. ❑ Relocation of water supply well (explain): List local variances granted not requiring DEP approval per 310 CMR 15.412(4): Reduction in setback from edge of leaching facility to a subsurface drain from 20 ft to 13 ft and to the tank from 10 ft to 2 feet List variances granted requiring DEP approval: North Andover Board of Health APpvAg Auft ft Print or Type Name and TO slgpiture Date g0 l-F C H-YA1 i2 1615 Osgood 9b 9.04•rev.5102 Local Upgrade Approval-Page 2 of 2 f TOWN OF NORTH ANDOVER °t NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES o?•'; `' °°� v- .HEALTH DEPARTMEN41 T 27 CHARLES STREET • °. ..mss_. -�• NORTH ANDOVER, MASSACHUSETTS 01845 'asAc►ws�t Susan Y. Sawyer 978.688.9540—Phone Public Health Director 978.688.9542—FAX September 29,2004 Mason-Dixon Realty Trust George Stella,Trustee 160 Common Street Lawrence,MA 01842 RE: Subsurface Sewage Disposal System Plan for 1615 Osgood Street,Map 34,lot 44,North Andover, Massachusetts Dear Mr.Stella, The North Andover Board of Health has completed the review of the septic system design plans,for the above referenced property,submitted on your behalf by Bergman&Associates and last revised September 13,2004. The design has been approved for use in the construction of a replacement onsite septic system.The time period for this approval has been reduced to two years from the date of time that the septic system inspection did not meet the acceptable criteria in the state regulations.As this was identified as a failed system in 2002 the Health Department is requesting that this system be installed as soon as possible.A licensed installer must apply and be granted an installation permit from this office within the 6 next six months.In the event an imminent health problem such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. The following requests were approved at the Board of Health meeting held on September 23,2004. 1. To allow the construction of a leach field to a subsurface drain from 20 feet to 13 feet. 2. To allow the construction of the tanks to a subsurface drain from 10 feet to 2 feet. 3. To allow the application for a Local Upgrade as requested,for a reduction in the separation between the soil absorption system and the high groundwater from the required five feet to four feet.There can be no future increase in calculated flow to this system with the granting of this local upgrade. This approval is also subject to the following conditions: 1. The attached DEP Form 9b must be submitted to the appropriate Regional Office of the Department of Environmental Protection at One Winter Street,Boston MA by the property owner 2. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 3. It is the responsibility of the applicant and/or the applicant's septic system designer,septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission,Zoning Board,Planning Board,Building Inspector,Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. 4. As the field of this system is being placed on the adjacent lot,(known as lot#28)a copy of the recording of the easement placed on lot#44 must be submitted prior to the Health Department issuing a Certificate of Compliance for this septic system. • J Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerel/san wyer,REH /RS Public Health Director cc: Bergman and Associates file s - t Commonwealth of Massachusetts Cityrrown of Local Upgrade Approval Fon n 9B DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. The system owner shall provide a copy of the Local Upgrade Approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before commencement of construction. A. Facility Information �MW out 1. Facility Name and Address forms on the computer,use Mason—Dixon Realty Trust, George Stella, Trustee only the tab key Name to move your 1615 Osgood Street, lot 44 cursor-do nal Street Address use the retum key. North Andover MA 01845 Cily/Town State Zip Code aI 2. Owner Name and Address(if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility(check all that apply): ❑ Residential ❑ Institutional ® Commercial ❑ School 4. Design flow per 310 CMR 15.203: 450 gpd ' 5. System Designer. Na ul Bergman ® PE El RS 20 Washington Street Haverhill MA 01832 Address Cityrrmn State,ZIP B. Approval 1. Local Upgrade Approval is granted for. ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction 1615 Osgood 9b 9.04•rev.5102 Local Upgrade Approval, Page 1 of 1 Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B B. Approval (continued) ® Reduction in separation between the SAS and high groundwater. Separation reduction ft Percolation rate <2 min/inch min.fu>ch Depth to groundwater ft ❑ Relocation of water supply well (explain): List local variances granted not requiring DEP approval per 310 CMR 15.412(4): Reduction in setback from edge of leaching facility to a subsurface drain from 20 ft to 13 ft and to the tank from 10 ft to 2 feet List variances granted requiring DEP approval: North Andover Board of Health Approving Audwft �2 3/o c-/ Prim or Type Name and TIM "S. re Date Flo lk- C "A(i2 1615 Osgood 9b 9.04•rev.5102 Local Upgrade Approval-Page 2 of 2 i Bergman & Associates, Inc. Engineers 20 Washington Street Haverhill, MA USA 01832-5524 Tel. (978) 372-1125 Fax (978) 372-1130 13 September 2004 RECEIVED Susan Y. Sawyer, REHS/RS SEP 16 2004 TOW N Ur NOrZT I AtvGUVER Town of North Andover HEATH otrAFRTr4ENT Community Development& Services 27 Charles Street North Andover, MA 01845 Reference: 1615 Osgood Street Ma #34 rts #4]4nd #28 Dear Susan: Enclosed with this letter are the revised septic system design plans for the referenced lots at 1615 Osgood Street in North Andover. The revised plans reflect the decision to install a 0.040" EPDM barrier between the drain line and the septic system for both lots. We trust we have made the required modifications to our design, so as to be in full compliance for final approval by the North Andover Board of Health. Also enclosed are the applications for local upgrade approvals for both lots. In addition, we have contacted Tim Willett at the North Andover Department of Public Works in regards to the new water line connection for Lot#28. We are currently in the process of applying for a permit to access Route 125, and are putting together a Traffic Management Plan for that application. If you have any questions or concerns, please contact me at the number above. Sincerely, �j Christopher E. DiS ano Cc: Attorney George Stella Enclosed: Septic System Plans(8 Sets) Application for Local Upgrade Approval(2 Copies) ' i 0 Commonwealth of Massachusetts City/Town of 1 : - Form 9A ® Application' for Local Upgrade Approval 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. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where.full compliance,as defined in 310 CMR 5.404(1),is not feasible. 310 CMR 15.403(4)requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection,Bureau of Resource Protection,Title 5 Permitting Program,upon Issuance by the local approving authority and before commencement of construction. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405,or in full compliance with the requirements of 310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417., NOTE:Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flowto a cesspool or privy,or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important: When filling out 1. Facility Name and Address: formsMason—Dixon Realty Trust—George Stella Trustee computterer,,use g � only the tab key Name to move your 1615 Osgood Street - Lot 44 cursor-do not use the return Street Address key. North Andover MA 01845 City/rown State Zip Code 2 Owner Name and Address(if different from above): £ George Stella, Trustee 160 Common Street Name Street Address : :.::::.:..>.,<:':::..•... Lawrence MA Cltyrrown State 01842 (978) 683-2132 Zip Code Telephone Number 3. Type of Facility(check all that apply): ❑ Residential ❑ Institutional Commercial ❑ School 4. Describe Facility: Service station with no gas. 5. Type of Existing System: ❑ Privy Cesspool(s) ? ❑ Conventional ❑ Other(describe below): t5form9a•rev.5102 Application for Local Upgrade Approval*Page 1 of 4 Commonwealth of Massachusetts City/Town of �1 _( Form 9A ® Application for Local Upgrade Approval 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. A. Facility Information (continued) 6. Type of soil absorption system(trenches,chambers,leach field,pits,etc): 7. Design Flow per 310 CMR 15.203: Design flow of existing system: gpd N/A 300 (450 minimum allowable) Design flow of proposed upgraded system gpd Design flow,of facility: 45 0 gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): AVoluntary ❑ Required by order,letter,etc.(attach copy) ❑ Required following inspection pursuant to 310 CMR.15.301: date of inspection 2. Describe the proposed upgrade to the system: 13 " x 47' Leaching bed with a 1500 gallon septic tank along with a 1000 gallon pump chamber and a '-I horse power .Peabody Ba.rnes: Pump, model SE51 or similar 3. Local Upgrade Approval is requested for(check all that apply): ® Reduction in setback(s)–describe reductions: Asking for a reduction in setback between an existing drain and. the. proposed septic tank, from 10' to apnrox 2' ❑ Reduction in SAS area of up to 25%: SAS size,sq,ft. ^/o reduction -- Reduction in separation between the SAS and high groundwater: Separation reduction 1 — ft. Percolation rate <2 min./Inch Depth to groundwater 4n - t5form9a•rev.5/02 Application for Local Upgrade Approval*Page 2 of 4 r � Commonwealth of Massachusetts City/'fown of ....... Form 9A ® Application for Local Upgrade Approval 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. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well(explain): N/A ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: N/A If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation,an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 C R 15.405(1)(i,(.1); he soil evaluator must be a member or agent of the local approving authority High groundwater evaluation deter m(n• P Paul A. Bergman22 August 02 Daluatot's Name(type or print) �igna re "Date of evaluation C. Explanation Explain why full compliance,as defined in 310 CMR 15.404(1),is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: A fully compliant design would make a large area of a relatively small lot unusable for the service stations business. There are also dimensional constraints that limit the design and location of the 2. An alternative system approved pursuantto 310 CMR 15.283 to 15.288 is notfeasible: septeic system, t5form9a•rev.5/02 Application for Local Upgrade Approval,Page 3 of 4 Commonwealth of Massachusetts 1 City/Town of Form 9A — Application for Local Upgrade Approval 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. C. Explanation (continued) 3. A shared system is not feasible:• The adjoining lots are two 12) separate, legal lots, and the owner does not believe a shared system would be. appropriate. 4. Connection to a public sewer is not feasible: There is no public sewer system for- tbj s ar 5. The Application for Local Upgrade Approval must be accompanied by all of the following(check the appropriate boxes): ❑ Application for Disposal System Construction Permit Complete plans and specifications ❑ Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "I,the facility owner,certify under penalty of law that this document and all attachments,to the best of my knowledge and belief,are true,accurate;and complete.I am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisonrr}tnt for delibera. violations." 4 Facility Owner's,Signature Date George Stella, Trustee Print Name Bergman & Associates, Inc. September 8, 2004 Name of Preparer Date 20 Washington Street Haverhill. Preparer's address City/Town MA 01832 (978) 372-1125 State/ZIP Code Telephone t5form9a•rev.5/02 Application for Local Upgrade Approval,Page 4 of 4 r Commonwealth of Massachusetts Cityrrown of Form 9A — Application for Local Upgrade Approval 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. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where.fuli compliance,as defined in 310 CMR 5.404(1),is not feasible. 310 CMR 15.403(4)requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection,Bureau of Resource Protection,Tits 5 Permitting Program,upon issuance by the local approving authority and before commencement of construction. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405,or in full compliance with the requirements of 310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417.1 NOTE:Local upgrade,approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy,or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important: When filling out 1. Facility Name and Address: forms computterer,,use Mason—Dixon Realty Trust—George Stella, Trustee u only the tab key Name to move your 1615 Osgood Street - Lot 44 cursor-do not Street Address use the return key. North Andover MA X1845 City/rown State Zip Code 2. Owner Name and Address(if different from above): George Stella, Trustee 160 Common Street ' y Name Street Address Lawrence MA City/Town State 01842 (978) 683-2132 Zip Code Telephone Number 3. Type of Facility(check all that apply): ❑ Residential ❑ Institutional Commercial ❑ School 4. Describe Facility: Service station with no gas. 5. Type of Existing System: ❑ Privy Cesspool(s)? ❑ Conventional ❑ Other(describe below): t5form9a•rev.5/02 Application for Local Upgrade Approval,Page 1 of 4 r ` Commonwealth of Massachusetts City/Town of �1 ( Form 9A -Application for Local Upgrade Approval 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. A. Facility Information (continued) 6. Type of soil absorption system(trenches,chambers,leach field,pits, etc): 7. Design Flow per 310 CMR 15.203: N/A Design flow of existing system: gpd 300 (450 minimum allowable) Design flow of.proposed upgraded system gpd Design flow of facility: 45 0 gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): Voluntary ❑ Required by order,letter,etc.(attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of Inspection 2. Describe the proposed upgrade to the system: 13' x 47' Leaching bed with a. 1500 gallon. septic tank along with a. 1000 gallon pump chamber and a 1horse power .Peabody Ba.rn.es. Pump, model SE51 or similar 3. Local Upgrade Approval is requested for(check all that apply): ® Reduction in setback(s)—describe reductions: Asking for a reduction in setback between an existing drain a-nd the proposed septic tarik; from 10' to apnrox 2' ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction Reduction in separation between the SAS and high groundwater: P g Separation reduction 1 — ft. Percolation rate <2 min.linch 4 Depth to groundwater fc t5form9a•rev.5/02 Application for Local Upgrade Approval,Page 2 of 4 d' Commonwealth of Massachusetts Cityrrown of Form 9A ® Application for Local Upgrade Approval 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. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well(explain): N/A ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: N/A If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation,an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 C R 15.405(1)(i (,1j. he soil evaluator must be a member or agent of(lie local approving authority r, High groundwater evaluation determine y' Paul A. Bergman 22 August 02 Evaluatoes Name(type or print) igna W Date of evaluation C. 'Explanation Explain why full compliance,as defined in 310 CMR 15.404(1),is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: A fully compliant design would make a large area of a relativel- small lot unusable for the service stations business. There are also dimensional constraints that limit the design and location of the 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: septeic system. 15form9a•rev.5/02 Application for Local Upgrade Approval*Page 3 of 4 it Commonwealth of Massachusetts Cityrrown of . :"'. .. Form 9A — Application for Local Upgrade Approval 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. C. Explanation (continued) 3. A shared system is not feasible: ' The adjoining lots are tw6 .{2) separate, legal lots, and the owner does not believe a shared. system would be appropriate. 4. Connection to a public sewer is not feasible: There is no n„hlic sewer system for his—area 5. The Application for Local Upgrade Approval must be accompanied by all of the following(check the appropriate boxes): ❑ Application for Disposal System Construction Permit Complete plans and specifications ❑ Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification 1,the facility owner,certify under penalty of law that this document and all attachments,to the best of my knowledge and belief,are true, accurate;and complete.I am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisogrgiantfordeliberat violations." Facility Ownef's Signature Date George Stella, Trustee Print Name Bergman & Associates, Inc. September 8, 2004 Name of Preparer Date 20 Washington Street Haverhill. Preparer's address City/rown MA 01832 (978) 372-1125 State/ZIP Code Telephone t5form9a•rev.5/02 Application for Local Upgrade Approval*Page 4 of 4 Page 1 of 1 r F DelleChiaie, Pamela From: Dan Ottenheimer[info@milldverconsulting.com] Sent: Thursday,April 29, 2004 9:51 AM To: Susan Sawyer; 'Pamela Dellechiaie' Subject: 1615 Osgood Street Sue, We received the design plans for the service station at this property. I got the sense from our phone call last week that nothing was needed from us for this site at the moment. Is that correct or did you want the plan 1 reviewed? ' Dan F Daniel Ottenheimer,President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@millriverconsulting.com 4/29/2004 sa - e1 - L P ° QC'(,o j Town of Norl Request to Include Article For 1M (Town Division Submitted by: Board of Selectmen (Name of Department/Divisior Town Manager's Office (Name of Division Director) Mark Rees (Name of Department Director Date: March 18, 2005 Requested Article: To see if the Town will vote to make the North Andover Zoning Map, pursuant tf rezone the following described parcels Andover Assessors Maps as Map 98D Parcel 49, Map 98D, Parcel 6, 1 General Business; Map 25, Parcel 8, Map 25, Parcel 7', Parcel 43, from Residential 6 to Gent I�• BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL. TESTS DATE: I I Fta Zoo Z. MAP &PARCEL: / IRt *' -S4 , L o i 4`14 LOCATION OF SOIL TESTS: ��I� Ob6 t'Ob STR OWNER: G,ED R�,,� STELA , T�uST�� TEL. NO.: _Cg 7 e) (,93 - 2- 132- ADDRESS: - 132ADDRESS: 160 C'MmotO siR - LSI w2CNGE MA WS 12 ENGINEER: MARTit1 bE-Fvk&)6 B �.M/Nu ABLY. TEL. NO.: &. 7e) 37.2 I i2- CERTIFIED SOIL EVALUATOR: M AKT 1►J 1)E-FoR6,E, :P c-. Intended Use of Land: Residential Subdivision Single Family Home Comm g Y ercial Is This: Repair Testing: y/ 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$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$200.00 per lot for repairs or upgrades. (If time is not critical, fee for repairs is$75.00) 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"-100') shall be s ' of Health showing the location of all tests(including aborted tests). { oARH 7. Within 60 days of testing soil evaluation forms shall be submitted. 2 0 2V Please Do Not Write Below This Line N.A. Conservation Commission Approval: G Date Received: Check Amount: Check Date: ok �. 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Ns� MASON—DIXON REALTY TRUST \ ASSESSORS' MAP #34 LOT #44 (0.43 ACRES±) 1t�il(' TOP OF WALL ELEV = 106.5± I EXISTIBUGTORY LDING � I o� VELOCITY REDUCER - /o SEPTIC EASEMENT D-BOX SSDS FOR 1500 GALLON LOT #28 SEPTIC TANK PUMP CHAMBER C AMBE VENT ;. LOT #28 X21 _.,9' OF MAS \, a PAUL sq�G -- PROPERTY LINE Si BERGMAN Na 34699 20 0 10 20 40 SITE PLAN 1" = 20' NOTE: THIS PLAN IS NOT A WARRANTY OF ELEVATIONS: DESIGN AS BUILT 9 THE EQUIPMENT OR INSTALLATION SHOWN BUILDING OUT (INV. 4") EXISTING EXISTING ABOVE; IT IS ONLY A VERIFICATION OF THE (99t) (99t) LOCATION OF THE EXISTING STRUCTURES. SEPTIC TANK IN (INV. 4" INLET) 98.15 98.35 SEPTIC TANK OUT (INV. 4" OUTLET) 97.90 98.11 SEPTICSYSTEM AS BUILT PUMP CHAMBER IN (INV. 4" INLET) g7.g8 98.08 VELOCITY REDUCER -IN (INV. 2" INLET) 105.78 105.67 PREPARED FOR: MASON—DIXON REALTY TRUST VELOCITY REDUCER OUT -(INV. 4" INLET) 1.05.61 105.59 LOCATION: 1615 OSGOOD ST. LOT #44) N. ANDOVER, MA D—BOX IN (INV. 4" INLET) 105.59 105.58 SCALE: 1" = 20' DATE: 24 AUG 2004 LINE 1 START (4" PVC PIPE INVERT) 105.40 105.44 LINE 2 START (4" PVC PIPE INVERT) 105.40 ( 105.40 ' a 105.20 105.20 " LINE 1 END (4PVC PIPE INVERT) a PREPARED BY: LINE 2 END (4" PVC PIPE INVERT) 105.20 105.20 Bergman . & Associates, Inc. 20 WASHINGTON STREET , ®� HAVERHILL, MA 01832-5524 REr, (978) 372-1125 TEL _ (978) 372-1130 FAX SEP 7 2005 JOB #1027 SHEET 1 OF 1 '-R HEALTH L�EFAiI�!IE-NT4 / 1615 OSGOOD STREET, LOT #44 O MASON—DIXON REALTY TRUST ASSESSORS' MAP #34 LOT #44 0 (0.43 ACRES±) PAVED \ PARKING TOP OF WALL ELEV = 106.5± LOT EXISTING 1—STORY BUILDING I F.F. ELEV = 101± / (b/ o� ,o CONSTRUCTION BENCHMARK (MAG. NAIL SET) � I ��•�° ELEV = 103.58 I ' PERC #2 YP #2 a 1500 GALLON ,y w/ SEPTIC TANK PUMP CHAMBER D-BOX - UTILITY POLE #4776 (MECO) TP4 WATER .<' VELOCITY REDUCER LINE I \\ VENT I LOT #28 \ 91 SSDS FOR UP ., #4776 LOT #28 T. 1" (MECO) OF MASS PAUL q`ti �o��� SEPTIC EASEMENT q` F_ BERGMDRAIN Qe o IVJ �^ �y ,% 0, N0.34699 LINE v �Fc f;; /ST "F PROPERTY LINE 20 0 10 20 40 SITE PLAN 1 ps 20 NOTE: THIS PLAN IS NOT A WARRANTY OF ELEVATIONS: DESIGN AS BUILT THE EQUIPMENT OR INSTALLATION SHOWN BUILDING OUT (INV. 4-) EXISTING EXISTING ABOVE; IT IS ONLY A VERIFICATION OF THE (991) (991) LOCATION OF THE EXISTING STRUCTURES. SEPTIC TANK IN (INV. 4" INLET) 98.15 98.35 SEPTIC TANK OUT (INV. 4" OUTLET) 97.90 98.11 SEPTICSYSTEM AS- BUILT PUMP CHAMBER IN (INV. 4" INLET) 97.88 98.08 VELOCITY REDUCER IN (INV. 2" INLET) 105.78 105.67 PREPARED FOR: MASON—DIXON REALTY TRUST VELOCITY REDUCER OUT (INV. 4" INLET) 105.61 105.59 LOCATION: 1615 OSGOOD ST.(LOT #44) N. ANDOVER, MA D-BOX IN (INV. 4" INLET) 105.59 105.58 SCALE: 1" = 20' DATE: 12 SEPTEMBER 2004 LINE 1 START (4" PVC PIPE INVERT) 105.40 105.44 LINE 2 START (4" PVC PIPE INVERT) 105.40 105.40 PREPARED BY: LINE 1 END (4" PVC PIPE INVERT) 105.20 105.20 Bergman & Associates, Inc. 2 E"°RECEIVE®E�' 105.20 105.20 20 WASHINGTON STREET HAVERHILL, MA 01832=5524 (978) 372-1125 TEL SEP 15 2005 (978) 372-1130 FAX JOB #1027 TOWN OF NORTH ANDOVER SHEET 1 OF 1 HEALTH DEPARTMENT