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HomeMy WebLinkAboutMiscellaneous - 193 FOSTER STREET 4/30/2018 (2) 193 FOSTER STREET 2.10/1-04-D-DD42�D00.0 ) 73 A L jE t Lot & Street 1 '1� A.,;L Map/Parcel MAjJ 16 Y 6 CONSTRUCTION APPROVAL P> � Has plan review fee been paid: YES NO Permit Plan Approval: Date: / Approved by: Designer: C�,�/2J,5�ji9/11 Plan Date: Conditions: Water Supp : Town _ _.-___ - Well. Well Permit: Driller: Well Tests: Chemical Date Approved Bacteria I Date-Approved Bacteria II to Approved - Plumbing.Sign-Off: - inn- Sign-Off: Comments: NO Form"U" Approval: Approval to Issue: YES � Date Issued Bv: Conditions: Final Approval: All Permits Paid? YE.S . NO -Weld-Construction Approval? S NO Septic System Construction Approval? Y-ES:--�' NO Certification? NO Other YES NO I n Any Variance Needed? S NO FLNAL BOARD, OF A TH APPROVAL: DATE: lILEz APPROVED B'�: * 1 f SEPTIC SYSTEM INSTALLATION Is the installer licensed? NO Type of Construction: NEW REPAIR New Construction: __._Certified Plot Plan Review YES NO Floor Plan Review YES NO _ - - Conditions of Approval from Form U YES NO _Issuance ofDWC permit: - NO _DWC Permit Paid? Per NO -w !� - C�' - NO . - Installer: Y�11(Cj4 -------- - --Begi_mInspection:_ - - YES NO -- _Fxcavation Inspection: -Needed: —Passed: --- By: -Construction Inspection: Needed` As�uiltP Satisfactory: Approval of Backfill: Date: ,2 By -Final Grading Approval: Date: !• Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: 1-14.1 "` neoposof FIRST-CLASS MAIL . Town of North Andover :;��=; ,w�-+�°•�Y"�� 11/16/2015 •��••'" HEALTH DEPARTMENT .:q COMMUNITY DEVELOPMENT AND SERVICES • o $00.482 O 5 1600 Osgood Street,Suite 2035 ' '' ZIP 01845 North Andover,Massachusetts 01845 041L10235393 4 IMPORTANT DOCUMENT14 COC (CERTIFICATE OF + RETURN T O SENDER i� MCOMPLIANCE)IS ENCLOSED ��; NOT DELIVERABLE dss ADDRESSED I UNABLE TO FORWARD I 8C.: 0:1845104899 A2021-0673-=3-;i6-46 S VT l D41 . RATED ��, PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF. COMPLIANCE As of- 11/16/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Repair of D-Box By: Todd Bateson At: 193 Foster Street Map 104.D Lot 00.42. North Andover, MA 01845 The'Issuance of this c ific.to shall no be construed as a guarantee that the system will function satisfactorily. Ache le Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com i PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 11/16/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Repair of D-Box By: Todd Bateson At: 193 Foster Street Map 104.D Lot 0042 North Andover, MA 01845 The Issuance of this c�tificate shall nobe construed as a guarantee that the system will function satisfactorily. Michele Grant Public Health Agent - 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com .. • S�gTt°-EDj 4 . x 1• North Andover Health Department (ommunity and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 193 Foster St. MAP: 104.D LOT: 0042 INSTALLER: Todd Bateson DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS D-Box INSPECTION: 11/16/15 DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF.FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned] ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading ❑ Monolithic tank construction ❑ Water tightness of tank has been achieved by visual testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon Pump Chamber installed ❑ H-10 loading ❑ Monolithic tank construction ❑ inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working . ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement Alarm signal located inside: basement Comments: DISTRIBUTION-BOX X Installed on stable stone base X H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) X Hydraulic cement around inlet & outlets X Observed even distribution X Speed levelers provided (not required) X Schedule 40 PVC Pipe p Comments: replaced cover on tank `a • Application for S00 -, ©isposal Systerr� TODAY'S DATE Construction; Permit — TOWN OF Full Re $ 0'— pair NORTH ANDOVER;:MA 01845 125:0a Component Important:. Application is hereby made for permit to: When-filling out ❑Construct a new on-site sewage disposal system' forms on the computer.use Repair or replacean existing onsite sewage disposal'system* only:;the tab key �ir or replace an existing system component–What? X to move your cursor-do not A. Facili Information use the return ty 1 � . key. 9-3 Fosf�/L Address or Nap 10 cityfrown ?015 2:*TYPE OF SEPTJC SYSTEM*: HEALTH DS HAM)oVE PARr R M [3-Gravitychoose one F —if pump syst m,attach copy of electrical permit to application"' ➢ [ 'Conventional System (pipe and stone system) ➢ ❑Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system.) ❑Pressure Distribution S.A.S.(No D-Box) ➢ ❑Pressure Dosed(D-Box Present)SAS. ➢ ❑ Does the system require an effluent filter? Yes No !f yes, does plan specify make and model of filter? YES=(no further info.needed) NO=(installer must specify brand of filter before DWC issuance) Wlratis the Make? What is thcModcts 2. Owner Information CIt"G.C. Mame Address(if different from above) pl/D� v.R� ys Cityrrown State Zip Code X33- 4/ Telephone Number 3. Installer Information BATESSON ENTERPRISES INC, Name Name of Company 111 ARGILLA ROAD /rte n rry /ANDOVER,MA 01810 Address yr'J,4 DlOilt� CitylTown State Zip Code !?"7? Telephone Number(Cell Phone#if posslb/e.please: ) 4. Designer_Information Name Name of Company Address State Zip Code City/Town Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 :7 . e�AppliCa#ion..for Septic Disposal sy-tern iZ TODAY'S DATE 41 a construction Perrrtit - TOWN. OF , "►R�, �': $:250.00-Full Repair �sy�,v. , ORTH 1�NDOV , MA 0145 $125.00.Component dACMUs PAGE 2 OF 2 A. Facility-Information continued.,.. S. Type*of Building: esldentialDwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on slte sewage disposal system In accordance with the provisions of Thle 5 of the Environmental Code,as well as the Local Subsun°ace Disposal Regulations for the Town of North Andover, and not to place the system 6 operation until a Certificate of Compliance has been lssu y this Board of Health. Nam Date A I ( Approv4yo4ar o e Ith Representative) _ Nme Date Application Disapprove . or the following reasons: For Office.Use Only:. 1 Fee Attached? Yes No 2.- ProjectMartager Obligation Form Attached. Yes No ' 3.; Puma System? gfso3 Attach copy aMAectrrcal Permit`; 'es No 4. Foundation As Built:?(hew construction•ronly). Yes No I (Same scale ss approrcdplaa) —' S. Floor Plans?thew construction-only): des_ No — Appl�catidn'fior•p(spGsat 4ysti3M`0on*Uc80r permit:Rage 2 of 2 V As flit-N;A AmvverSmsedhiats�fr t#e ttaizgc t f�•the sepfic ap�trx fat the•p�e?p tyae /� 3o� �zz A efuptk pba by RqW"to ft9puldou of (iia a 21111111104 Abd died DOW�� D .$a er W mildom aWd 7 17 rvPFaed duo I nademtand the fonowlag b%gadom far ent of This p;*Ct: r i. Aa tha iasbilkr,I am.obEpted ioabtz6afpeaPib and'Bostd oflfealth q4=vcd Plmspft to ►per anp:Warlc as R ale.• aad i�'l�u I£flio .I.�aeaII�say �Zdan� ha�nepa cont�ct+a��ajectmauaget,c�anp ibon 1ICs*upcfaftd whh my f in kgbcdoa sad the syateta is=tnadp,thea x tp> v�e `ettctscyaa •psio��te the t*CdOO 93 i-ximiad• tDed� .. - , - a►; •�:--�.ren�. is tlik ,�I"f os�,- .. hex 3s irpetarrr�ug�,y�iich. iaFect�osa ton doretfia have tD Nfor o OIC'(os ermsittr � I ttrust -ba ftbmItaod•to Ao.8o*W ofHo"sbqt:. '` fas eii�aap tithe. I�amlter mist ba rfa�r tiWasp ap tp q;l t'aP4��at 4pc*adable to C- Final mt:et 'iaepeonWhUot . nava to be Coate.• ; 4. the iostalies;'I end thu omy'I?tuy'P�1'atm ft io�ilc'�ol rMm s (e�)�1 Am flopued P.Zaethaasisttttitt Of the spst�egildattt tkti� p�' ht� - 1 5.. 1S1r tfielaaolltCf,•I tmderetsatii 3 Cit: pace flf ma 6nra-uv GL tLd&"A`a',',`,,`s Cori l?et arlarQtfamtlhirt.�rCp s'eJ(evsr afthr 1�sp.bmws�acb AIaVatiYoa aFtBe imd read*ieiia awed C. P}�ilptt�BO�1�A�. diltbdl101t�DdBQt d Ia+[!l�eedor$of�salti la- e:niq ,sem,ti+dat,p»rp chsbei, tt�rtD►sa�other . • s Ido 3wL�w►rfin�:�.s�'�,g��.•,...ir�y„t� '.:fk�.. � n �. .. Cry Ott uaddtaasapc .I �. 1 a Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments v5 193 Foster Street ' Property Address George Finn l Owner Owner's Name information is North Andover MA 01845 9/29/2015 required for every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information ' °" When filling out forms on the OCT G 7 2015 VA gR)J-1- computer, use 1. Inspector: only the tab key to move yourTOWN OF NORTH ANDOVER Neil J. Bateson ,,,r„Inc pT�ATZAiT cursor-do not Name of Inspector ° use the return key. Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover MA 01810 Cityfrown State Zip Code 978-475-4786 S115 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ® Conditionally Passes ❑ Fails ❑ Need urther Evaluation by the Local Approving Authority 9/29/2015 In toe Signat Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 1 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria;not evaluated are indicated below. Comments: B) System Conditionally Passes: ® One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ® N ❑ ND (Explain below): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 T V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): i ❑ broken pipe(s)are replaced ❑ Y ® N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ® N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ® N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ® N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ® N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not.for Voluntary Assessments M 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: Outlet cover on septic tank&d-box needs to be replaced. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6'° below invert or available volume is less than '/2 day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 1 0,000g pd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must servea facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M z193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? 1:1 ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. CitylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Yes 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: September 11, 2015 Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 ficial Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped four years ago, owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Measured tank. Reason for pumping: Inspect tank&tees Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityrrown State Zip Code Date of Inspection D. System Information(cont.) Approximate age of all components, date installed (if known) and source of information: 16 years old, 9/20/1999, as built plan Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): 4" PVC through wall. 3" PVC in house, no leaks visible. Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10'x 5'x 4' 3" Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts UWTitle 5 Official Inspection Form 5 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? Tape Measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumped septic tank. Inlet tee ok. Outlet tee ok. Outlet cover broken, needs to be replaced. Depth of liquid at outlet invert. No evidence of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 193 Foster Street Property Address George Finn Owner Owners Name information is North Andover MA 01845 9/29/2015 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle:condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box level &distribution equal. Evidence of carryover. No evidence of leakage. D-box badly corroded, needs to be replaced. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments , 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 3 trenches 46' long ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soil Ok. Vegetation ok. No sign of ponding to surface. I Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction i Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 13 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 193 Foster Street Property Address George Finn Owner Owner's Name information is required for North Andover MA 01845 9/29/2015 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 193 Foster Street Property Address George Finn Owner Owner's Name information is North Andover MA 01845 9/29/2015 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately a O � � Mem - aLt Vill t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments s 193 Foster Street Property Address George Finn Owner Owner's Name information is North Andover MA 01845 9/29/2015 required for every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water I ® Check cellar ® Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 10/2/1998Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Design plan ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test pit data on design plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 • Summary Record Card generated on 10/2/2015 10:44:49 AM by Karen Hanlon Page 1 • Town of North Andover Tax Map # 210-104.D-0042-0000.0 Parcel Id 16729 193 FOSTER STREET FINN, GEORGE 410 EAST MAIN STREET WASHINGTON, NC 27889 Class 101 Single Family Property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 2.03 Acres FY 2016 UB Mailing Index Name/Address Type Loan Number Active/Inact. From Until FINN, GEORGE Payor 410 EAST MAIN STREET WASHINGTON, NC 27889 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id. 17737.0-193 FOSTER STREET Last Billing Date 7/14/2015 3170403 03 Cycle 03 Active UB Services Maint. Account No. 3170403 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 49.40 /1 UB Meter Maintenance Account No. 3170403 Serial No Status Location Brand Type Size YTD Cons 32945034 a Active ERT HH b Badger w Water 0.63 0.63 423 Date Reading Code Consumption Posted Date Variance 9/9/2015 580 a Actual 13 -1% 6/10/2015 567 a Actual 13 7/24/2015 -7% 3/12/2015 554 a Actual 14 4/28/2015 -16% 12/12/2014 540 aActual 17 1/15/2015 -13% 9/11/2014 523 a Actual 20 10/15/2014 1% 6/9/2014 503 a Actual 19 7/16/2014 12% 3/11/2014 484 a Actual 17 4/11/2014 -26% 12/11/2013 467 aActual 23 1/17/2014 -1% 9/12/2013 444 a Actual 24 10/15/2013 21% 6/11/2013 420 a Actual 19 7/24/2013 -11% 3/14/2013 401 a Actual 22 4/22/2013 142% 12/12/2012 379 aActual 9 1/9/2013 14% 9/12/2012 370 a Actual 8 10/15/2012 -1% 6/12/2012 362 a Actual 8 7/16/2012 -16% 3/13/2012 354 a Actual 10 4/14/2012 2% 12/9/2011 344 a Actual 9 1/17/2012 27% 9/13/2011 335 a Actual 8 10/13/2011 276% 6/7/2011 327 a Actual 2 7/20/2011 -36% 3/7/2011 325 a Actual 3 4/13/2011 -24% 12/8/2010 322 aActual 4 1/12/2011 -72% 9/9/2010 318 a Actual 15 10/15/2010 -31% 6/8/2010 303 a Actual 21 7/15/2010 73% 3/10/2010 282 a Actual 12 4/14/2010 15% 12/11/2009 270 aActual 11 1/12/2010 -59% 9/8/2009 259 a Actual 26 10/15/2009 -19% 6/9/2009 233 a Actual 30 7/20/2009 188% 3/16/2009 203 a Actual 12 4/29/2009 20% 12/8/2008 191 aActual 9 1/20/2009 -45% 9/11/2008 182 aActual 18 10/10/2008 -20% : Commonwealth of Massachusetts City/Town of . ti 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 Location: Left/Right front of house, Left/Right rear of house,/right of hous Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town State Zip Code 2. System Owner. Name f( 0 Address(if different frpm location) AV -7 City/Town _ •� State yz Zip Code ; f �'. Telephone Number B. Pgmping,Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type-of system: ❑ Cesspool(s) eptic Tank E] Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 3__Ao If yes, was it cleaned? ❑ Yes ❑ No: 5. Condition of System: 6: System Pumped By: Neil.Bateson F5821 Name Vehicle Lioense Number Bateson Enterprises Inc- Company ncCompany 7. Location where contents were disposed: S. Lowell Waste Water Sign 9t Haul Date 0orm4.doc-06/03 System Pumping Record•Page 1 of 1 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 09/22/99 This is to certify that the individual subsurface disposal system constructed ( x) or repaired () by F.P. Reilly & Sons at 1. 193 Foster Street has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations as described in the Design Approval Site System Permit# 1043 dated 4/19/99. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector r TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (�f) repaired; r� by S RG-1 LLL-j 1- �GU located at was installed in conformance with the North Andover Board of Health approved plan, System Design Permit 9/6)1/� dated�l A with an approved design flow of D 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: X2 Lic.#: Date: e.o_g, Design Enginee Date: Z L I r AS-BUILT CHECKLIST �� 5 LOT NUMBER, STREET NAME I ASSESSORS MAP & PARCEL NUMBER -`f LOT LINES & LOCATION OF DWELLINGS LOCATION & DEMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ✓r ELEVATIONS OF DISPOSAL SYSTEM �rLTOP OF FDN ELEVATION ✓ LOCATIONS OF WELLS, DRAMS, WATERCOURSES W/IN 1 50' OF SYSTEM LOCATION OF WATER,"GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX _ STAMP & SIGNATURE EVIPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW i FINAL CONTOURS LOCATION & ELEVATION OF BENCHMARK USED LOCUSPLAN / �o hovSG Nov-19-98 09_39A Paul D. Turbide, PE/PLS 508-465-0313 P.02 November 19, 1998 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover,MAO 1845 3 ltE: Title V review of revisions to plans for Foster Street system upgrade Dear Sandra, Enclosed find the"Checklist for North.Andover Septic System Pians" for the above- mentioned site. The following is a list of all the`Problem' areas and deficiencies Port Engineering has found: e Minor Problem: Thero sed septic tank needs a 24"riser/manhole. P Po Pn 310CU R228(2) I also have the following general comments: o The leaching bed will be less than 100 feet from wetlands and therefore will need a variance from the local regulations(which in my opinion is acceptable). o As shown on the pian, a grading easement is needed from the Town ofNorth Andover(which is acceptable in my opinion, if granted by the Town). A condition of approval of this plan should be that the owner will receive a grading easement from the town. If you have any questions or comments please call me. Thank you. Sincerely, Port Enginecring Assoc.Inc. Carlton A. Brown PORT ENGINEERING f mem°-767A #of Pages ` p� Civil Engineers 8t gr(litta D — Land Surveyors WIA brand iax trap from rv- f/ One Harris Street Post- O aN Co t� Newburyport,MA 101J 01950 gone# C� 978 465-8594 Co. j E } Fax# Dept• �/ /� Fax# �a_ (rJC✓ i i i Town of North Andoverr y°RTM , OFFICE OF 3�° COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street ^o North Andover, Massachusetts 01845 WILLIAM J. SCOTT 9SSACmU51a Director (978)688-9531 Fax(978)688-9542 December 16, 1998 Christiansen& Sergi 160 Summer Street Haverhill,MA 01830 RE: 193 Foster Street Dear Mr. Christiansen: This letter is to confirm that the North Andover Board of Health at their regularly schedlaled meeting on December 14, 1998,voted to grant the following variance: a) a reduction in the offset from the approved wetland line to the soil absorption,system from 100 feet to 50 feet In addition this correspondence is to inform you that with this approved variance, the proposed plans ur the site referenced above have been approved. It should be noted that, as a condition of this approval, a grading easement must be obtained by the owner from the Town of North Andover and registered on the deed. If you have any questions, please do not hesitate to call the office at the number below. Sincerely, Sandra Starr,RS. Health Administrator BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TEMPORARY GRADING EASEMENT AGREEMENT The Town of North Andover, a municipal corporation duly organized under the laws of the Commonwealth of Massachusetts, through its Conservation Commission, (hereinafter called the "Grantor"), for consideration paid of less than One Hundred($100.00)Dollars, the receipt and sufficiency of which is hereby acknowledged, hereby grants to the Fleet National Bank,-Trustee Foster Trust u/d/t dated May 30 1985 recorded with the Essex North Di of o strict Registry of 0 Y g Y Deeds at Book 1985, Page 207 of 75 State Street, Boston, Massachusetts 02109 (hereinafter called the "Grantee"), its successors and/or assigns, the temporary right and easement to access and � e regrade a five-hundred and ninety square foot area of land (hereinafter called the "Easement m > y Area") shown as "Proposed Grading Easement from Town" on an unrecorded plan of land entitled "Septic System Repair Design, Map 104D, Lot 42" dated December 9, 1998 and revised January I 6, 1999 relating to 193 Foster Street, North Andover, Mass., and prepared for Owner/Applicant: Foster Trust, 75 State Street, MABOF, 03U Boston, MA 02109, by Christiansen & Sergi, Professional Engineers, Land Surveyors, 160 Summer Street, Haverhill, MA 01830, Tel. 978- . __ 373-0310," (hereinafter called the "Grading Plan"). The Easement Area as described above constitutes a portion of the 36.887 acre parcel as IQZ �i owned by the Grantor, abutting said Lot 42 on the above-referenced plan, the Grantor's land y being commonly known as Foster Farm, North Andover, Massachusetts and being more particularly described in a Deed dated September 24, 1998 as recorded at the Essex County North District Registry of Deeds at Book 5186, Page 255 and shown as Lot B on Plan Number 13321 (hereinafter referred to as "Grantor's Parcel"). Said access of the Grantee onto or in the Easement Area shall be solely for the purpose of regrading the Easement Area in connection with Grantee making repairs to the Grantee's Septic System at the parcel shown as Lot 42 on the Grading Plan, said 2.028 acre parcel being commonly known as 193 Foster Street, North Andover, Massachusetts and being more particularly- shown articularlyshown as Lot D on said Plan No. 13321 and being described in the Deed dated March 26, 1999 as recorded at the Essex County North District Registry of Deeds at Book 5380, Page 24 ("Grantee's Parcel"). Said access to and regrading of the Easement Area shall be in compliance with the terms and conditions of that certain Order of Conditions as issued by the Town of North Andover, Conservation Commission with regard to DEP file number 242-944 as recorded at the Essex County North District Registry of Deeds on April 24, 1999 at Book 5376, Page 272. Both Grantor's parcel and Grantee's parcel are reflected as Lot B and D respectively on a plan entitled "Plan of Land Located in North Andover, MA. Record Owner & Applicant The Foster Trust, Scale: 1" = 100', Date: September 4, 1998, Christiansen & Sergi Professional Engineers,'Land Surveyors, 160 Summer Street, Haverhill, MA 01830, TEL. 978-373-0310 being recorded at the Essex County North District Registry of Deeds on September 24, 1998 as Plan Number 13321. It is agreed and understood that Grantee shall have limited access to Easement Area for purposes of repair, replacement, and maintenance, as well as other operating requirements, in order to repair the Septic System on Grantee's Parcel in compliance with the Repair Design as approved by the Conservation Commission; and Grantee shall be permitted to remove, compile and/or alter the earth within the Easement Area in order to make the repairs to the Septic System at the Grantee's Parcel (hereinafter collectively referred to as the "Temporary Grading Easement"). Upon completion of the repair to the septic, Grantee shall make any and all - 2- reasonable efforts to return the Easement Area to its present condition as permissible without - causing detriment to the Septic System as repaired. Said Temporary Grading Easement shall be on a non-exclusive basis, for the benefit and appurtenant to the Grantee's Parcel. All references to Grantor and Grantee and the foregoing grant - of easements shall mean and include their respective successors and assigns, and any lessees, licensees, invitees or guests of either the Grantor or the Grantee and their respective successors and assigns, and the easements and rights as herein granted shall inure to the benefit of and be binding upon Grantor and Grantee, and, in each case, their successors and assigns, it being the intent of the parties that the benefit and burdens of the Temporary Grading Easement set forth therein are to run with the land, constituting Grantor's Parcel and Grantee's Parcel, respectively, during the life of this Easement until its termination in compliance with the terms and conditions as established herein. This Easement Agreement is subject to all easements, restrictions, conditions, reservations, agreements and other encumbrances of record, and insofar.as the same may be in force and applicable, as of the date hereof. The Grantee hereto agrees that Grantee shall not suffer or permit any mechanics' or materialman's liens claims to be filed against the lands of the Grantor in connection with any work performed under this Easement Agreement. Grantee hereby agrees to indemnify, defend and hold harmless Grantor, its successors and assigns, from and against any and all loss, claim, costs, I damage, liability, fine, penalty or expense resulting from, directly or indirectly, allegedly or actually, the construction, installation, maintenance, use, repair, replacement or restoration of its Temporary Grading Easement. - 3 - I This Temporary Grading Easement shall automatically expire upon the receipt of a Certificate of Compliance from the Town of North Andover Board of Health stating that the septic system as repaired is in compliance with Title V and the regulations promulgated thereunder. In witness whereof, the parties hereto have executed this Easement Agreement as a sealed - instrument this day of May, 1999. _ _—GRANTOR: GRANTEE: Town of North Andover Foster Trust Conservation Commission by Fleet National Ba -- - TrusteZssi'stant said- Al B B fj r; A ert P. nzi, Chairman Mc N' it Vic ,President Fleet National Bank, Trustee COMMONWEALTH OF MASSACHUSETTS ESSEX, SS May 1999 Then personally appeared the above named Albert P. Manzi, in his capacity as Chairman of the North Andover Conservation Commission, and acknowledged the foregoing instrument to be his free act and deed and the free act and deed of the North Andover Conservation Commission before me, G Z11i"A-1 Notary Public My commission expires: /65 COMMONWEALTH OF MASSACHUSETTS SS May 1999 Then personally appeared the above named G.-Bryan McNeil, in his capacity as Assistant Vice President of Fleet National Bank, in Fleet's capacity as Trustee of the Foster Trust, and acknowledged the foregoing instrument�to be his free act and deed, the free act and deed of Fleet National Bank and the free act and deed of the Foster Trust, before me, Notary Public My commission expires: _Z � ) 3 G:I REAL-ES71 EASEMEN71 fostenrustcampare.doc ( . $KEEN O'CONNOR BERNAlt Notary Public M Commission Ex ires December 4,1003 - 4- r. a North Andover �Department Memo To: North Andover Board of Health- From: Michael D. Howard, Conservation Administrator CC: file Date: 12-14-98 �.3 RE: Septic Repair @ Foster Street. Per the request of Sandy Starr, this Department inspected wetland resource areas potentially impacted by proposed work associated with the above referenced septic repair. I offer the following comments: 1. The applicant will have to file a Notice of Intent with the North Andover Conservation Commission (NACC) prior to performing any work within 100' of on-site wetlands. However, in order to facilitate the Board of Health's review this evening I reviewed the proposed wetland delineation. I have preliminarily approved wetland flags NU through NL11 only as depicted on the plan of record; the NACC will officially approve the delineation when the applicant files accordingly. 2. The applicant proposes to grade on that portion of Foster Farm owned by the Town but under the care and custody of the NACC. Formal approval will have to be granted by the Board of Selectmen, the NACC and Town Counsel prior to permitting said work. 3. According to FEMA-FIRM Maps, the 100 year floodplain associated with Mosquito Brook is elevation 125' (NGVD). It is not clear what datum was utilized by Christiansen & Sergi, Inc. but it does not appear as though work will occur within the 0 Page 1 3 jurisdictional floodplain. This matter should be discussed in greater detail. I trust that this correspondence will suffice. However, in the future it would be greatly appreciated if the Board of Health would mandate that all wetland delineation's be approved formally with the NACC prior to deliberating and/or rendering a decision with an applicant. Sandy and I have made it very clear to applicants that this is the correct procedure to follow yet for reasons unbeknownst to us they file irregardless of our recommendation. The wetland delineation must be approved during the initial design stages otherwise the Board's review specific to wetland setbacks is moot. Thanking you in advance. 0 Page 2 CHRISTIANSEN AND SERGI, INC. MEMO Professional Engineers & Land Surveyors 160 Summer St. Haverhill, MA 01830 (978)373-0310 FAX(978)372-3960 DATE: 7 1 T0: �J sitSUBJECT: V 2_ 0 reo w J c� U SIGNED Please reply. No reply necessary. TOWN OF NORTH ANDOVER/ BOARD OF HEALTH `APR 16 IM i f'➢ 3 t n�b Landscape Architecture and Environmental Planning 206 A Street,Boston,MA 02210 tel 617-437-G461 fax 617-269-4221 Christianson&Sergi c/o Phil Christianson 160 Summer Street Haverhill,MA 01830 September 3, 1998 Re: Wetland flagging-Foster St.,North Andover,MA Dear Mr. Christianson: On Friday August 21, 1998,Robert E. Marini, Landscape Architect, of Native Landscapes delineated the wetlands relative to the above referenced lot in Haverhill, MA. Pink flags numbering NL 1 - NL 8 were positioned in the field along the edge of BVW which borders a wet meadow / swale (See Wetland Diagram). The relevant Data Forms are attached corresponding to orange flagged Obsevation Plots IA (upland)and IB (wetland). There are no Estimated Habitat Areas or Certified Vernal Pools within the limits of concern of this site, according to the Atlas of Estimated Habitats of Rare Wetlands Wildlife, 1997 - 1998 Edition. This document is updated annually by the Natural Heritage and Endangered Species Program, Massachusetts Division of Fisheries and Wildlife. Please contact us if you have any questions. Ve#y truly yours, Nde Landscapes Robert E. Marini,LA Principal Attachments: Wetland Diagram,DEP Data Forms,DEP Methodology i Prepared for: FOSTER STREET NORTH ANDOVER, MA CHRISTIANSON&SERGI PROFESSIONAL ENGINEERSAND LAND SURVEYORS 160 SUMMER STREET HA VERHILL,MA 01830 Wetland Diagram Native Landscapes Landscape Architecture&Environmental Planners 205 A Street Boston,MA 02210 tel:(617)437-6461 fax:(617)269-4221 NOT TO SCALE N Foster St. House Garage Data point Fence NLA Wetland point NL 8 Wetland point Wetland point NL 1 Wetland Line Data point NLB i i I i i DEP Bordering Vegetated Wetland (310 CMR 10.55) Delineation Field Data Form Applicant: Christianson& Sergi Prepared by: Robert E. Marini Project location: Foster St., N. Andover DEP File#: Check all that apply: ❑ Vegetation alone presumed adequate to delineate BVW boundary: fill out Sections I only Vegetation and other indicators of hydrology used to delineate BVW boundary: fill out Section I and 11 ❑ Method other than dominance test used (attach additional information) Section I. Vegetation Observation Plot Number: Transect Number: 113 Cad NI-5 Date of Delineation: 8/21/98 A. Sample Layer and Plant Species B. Percent Cover C. Percent D. Dominant Plant E. Wetland (by common/scientific name) (or basal area) Dominance (yes or no) Indicator Category" GROUND COVER Mint/Mentha arvenis 11 14.5 yes FACW Purple Loosestrife/Lythrum salivaris 20 28.5 yes FACW+ Soft Rush/Juncus effesus 20 28.5 yes FACW+ Upright Sedge/Carex stricta 20 28.5 yes 0131- Use BLUse an asterisk to mark wetland indicator plants: plant species listed in the Wetlands Protection Act(MGL c.131, s.40); plants in the genus Sphagnum; plants listed as FAC, FAC+, FACW-, FACW, FACW+, or OBL;or plants with physiological or morphological adaptations. If any plants are identified as wetland indicator plants due to physiological or morphological adaptations, describe the adaptation next to the asterisk. Vegetation conclusion: Number of dominant wetland Indicator plants: 3 Number of dominant non-wetland indicator plants: 1 Is the number of dominant wetland plants equal to or greater than the number of dominant non-wetland plants? yes no If vegetation alone is presumed adequate to delineate the BVW boundary,submit this form with the request for Determination of Applicability or Notice of Intent. Plot 1A Section II. Indicators of Hydrology 1A Other Indicators of Hydrology: (check all that apply and describe) Hydric Soil Interpretation ❑ Site Inundated: 1. Soil Survey ❑ Depth to free water in observation hole: Is there a published soil survey for this site? yes no ❑ Depth to soil saturation in observation hole: title/date: Essex County, MA, Northern Part map number: 36 ❑ Water marks: soil type mapped: HfC ❑ Drift lines: hydric soil inclusions: Wareham & Medisaprists, shallow ❑ Sediment deposits: Are field observations consistent with soil survey? yes no ❑ Drainage patterns in BVW: Remarks: ❑ Oxidized rhizospheres: 2. Soil Description ❑ Water-stained leaves: Horizon Depth Matrix Color Mottles Color ❑ Recorded data (stream, lake, or tidal gauge; aerial photo; other): O 0-6" 10YR 3/2 none A 6-12" 10YR 3/3 none B 12-20" 10YR 5/6 none ❑ Other: Vegetation and Hydrology Conclusion yes no Number of wetland indicator plants ❑ Remarks: >_number of non-wetland indicator plants Wetland hydrology present: 3. Other: hydric soil present ❑ other indicators of hydrology present El N Conclusion: Is soil hydric? yes no Sample location is in a BVW ❑ Submit this form with the Request for determination of Applicability or Notice on Intent DEP Bordering Vegetated Wetland (310 CMR 10.55) Delineation Field Data Form Applicant: Christianson & Sergi Prepared by: Robert E. Marini Project location: Foster St. N. Andover DEP File#: Check all that apply: ❑ Vegetation alone presumed adequate to delineate BVW boundary: fill out Sections I only Vegetation and other indicators of hydrology used to delineate BVW boundary: fill out Section I and II ❑ Method other than dominance test used (attach additional information) Section I. Vegetation Observation Plot Number: Transect Number: 1A 0, NI-5 Date of Delineation: 8/21/98 A. Sample Layer and Plant Species B. Percent Cover C. Percent D. Dominant Plant E. Wetland (by common/scientific name) (or basal area) Dominance (yes or no) Indicator Category* GROUND COVER Clover/Trifolium Sp. 20 25.0 yes FACU Dandelion 20 25.0 yes FACU Nodding Fescue/Festuca obtusa 40 50.0 yes FACU SHRUBS Japanese Barberry/ Berberis thunbergii 10 100.0 yes FACU CANOPY Apple tree/Pyrus sp 40 100.0 yes FACU *Use an asterisk to mark wetland indicator plants: plant species listed in the Wetlands Protection Act(MGL c.131, s.40); plants in the genus Sphagnum; plants listed as FAC, FAC+, FACW-, FACW, FACW+,or OBL;or plants with physiological or morphological adaptations. If any plants are identified as wetland indicator plants due to physiological or morphological adaptations, describe the adaptation next to the asterisk. Vegetation conclusion: Number of dominant wetland Indicator plants: 0 Number of dominant non-wetland indicator plants: 5 Is the number of dominant wetland plants equal to or greater than the number of dominant non-wetland plants? yes no If vegetation alone is presumed adequate to delineate the BVW boundary,submit this form with the request for Determination of Applicability,or Notice of Intent. Plot 1 B Section 11. Indicators of Hydrology 1 B Other Indicators of Hydrology: (check all that apply and describe) Hydric Soil Interpretation ❑ Site inundated: 1. Soil Survey ❑ Depth to free water in observation hole: Is there a published soil survey for this site? yes no ❑ Depth to soil saturation in observation hole: title/date: Essex County, MA, Northern Part map number: 36 ❑ Water marks: soil type mapped: SrB ❑ Drift lines: hydric soil inclusions: Sudbury fine sandy loam ❑ Sediment deposits: Are field observations consistent with soil survey? yes no r ❑ Drainage patterns in BVW: Remarks: Hydric soil is consistent with the Walpole description ❑ Oxidized rhizospheres: 2. Soil Description ❑ Water-stained leaves: Horizon Depth Matrix Corior Mottles Color ❑ Recorded data (stream, lake, or tidal gauge; aerial photo; other): O 0-15" 10YR 2/2 none ❑ Other: Vegetation and Hydrology Conclusion yes no Number of wetland indicator plants ® ❑ >_number of non-wetland indicator plants Remarks: Wetland hydrology present: ® ❑ 3. Other: hydric soil present other indicators of hydrology ❑ present Conclusion: Is soil hydric? yes no Sample location is in a BVW ® ❑ suhinf,'hi,fonn with the Request for determination of Applicability or Notice on Intent DEP Field Data Form and Instructions The Department of Environmental Protection's field data form should be used when delineating the boundary of a Bordering Vegetated Wetland(BVW)under the Massachusetts Wetlands Protection Act(M.G.L. Chapter 13 1, Section 40)and regulations(3 10 CMR 10.55). It should be used whether the boundary is delineated by vegetation alone or by vegetation and other indicators of wetland hydrology. Note: if detailed vegetative assessment is not necessary for the site, make a note on the data form and submitted it. The field data form should be submitted with a Request for Determination of Applicability or a Notice of Intent. Details on the criteria for delineating a BVW boundary and the terminology used in this field data form are described in the handbook,Delineating Bordering i egetated Wetlands Under the Massachusetts Wetlands Protection.4ct(MA Department of Environmental Protection,Division of Wetlands and Waterways, 1995). INSTRUCTIONS The data form includes a section on project identification,including the applicant's name,the name of the person performing the delineation,project location,and the DEP file number,if available. If vegetation alone is presumed adequate to delineate the BVW boundary,mark the first box, complete Section I of the data form,and submit the document. If vegetation and other indicators of hydrology are used to delineate the BVW boundary, mark the second box,complete Sections I and 11 of the form,and submit the document. DEP has selected the dominance test as the preferred method of vegetation analysis at sample plot locations. The information gathered for that method should be recorded on the form. If a method other than the dominance test is used,mark the third box and explain the method and why it was used. Section I: Vegetation Section I should be used to record information about the vegetation within an observation plot and on a transect used to delineate the BVW boundary. Note the date of the delineation. Submit a separate data form for each observation plot. Attach supplemental sheets if more space is needed. A. Sample Layer and Plant Species Record each plant species using common and scientific names for the following layers: Ground Cover: woody vegetation less than 3 feet in height(seedlings),non-climbing woody vines less than 3 feet in height,and non-woody vegetation(including mosses)of any height within a 5-foot radius plot; Shrubs: woody vegetation between 3 feet and 20 feet in height within a 15-foot radius plot; Saplings: woody vegetation over 20 feet in height with a diameter at breast height(dbh)greater than or equal to 0.4 inches to less than 5 inches within a 15-foot radius plot;(note: dbh is measured 4.5 feet from the ground); Climbing woody vines: woody vines that are attached,rooted,or climbing on trees, saplings,or shrubs within a 30-foot radius plot;and Trees: woody vegetation with a dbh of 5 inches or greater and over 20 feet in height within a 30-foot radius plot. If you do not recognize a plant species or do not know a plant's name,call it a generic name. Unknown plants need to be identified only if they are determined to be dominant plants. In that case,a plant identification book or key may be used to determine the species. B.Percent Cover Determine percent cover(or basal area for trees)for each plant species in each layer by visual analysis or measurement. (See handbook for information about determining percent cover,page 12.) C.Percent Dominance Determine percent dominance for each plant species by dividing the percent cover or basal area for each plant species by the total percent cover or basal area for the layer. (See handbook for information about the dominance test,pages 15-19.) D. Dominant Plants 1. Identify the dominant plants. Dominant plants are: * plants with a percent dominance of 50 percent or greater,or plants whose percent dominance add up to immediately exceed 50 percent; * plants with a percent dominance of 20 percent or greater; * plants with a percent dominance equal to a plant already listed as a dominant species. 2. Determine common and scientific names for any unknown plants identified as dominant plants. E. Wetland Indicator Category 1. Identify the Wetland Indicator Category for all dominant plant species using the 'National List of Plant Species That Occur in Wetlands:Massachusetts. 2. Use an asterisk to mark the wetland indicator plants. Wetland indicator plants are any of the following: * plant species fisted in the Wetlands Protection Act; * plants in the genus Sphagnum; * plants fisted as Facultative(FAC),Facultative+(FAC+),Facultative Wetland(FACW-), Facultative Wetland(FACW),Facultative Wetiand+(FACW+)or Obligate(OBL); * plants with morphological or physiological adaptations(such as buttressed or fluted trunks, shallow roots,or adventitious roots). If any plants are identified as wetland indicator plants due to physiological or morphological adaptations,describe the adaptation next to the asterisk(e.g. White pine,Pinus strobus, FACU*/shallow roots,buttressed trunks). Vegetation Conclusion List the number of dominant wetland indicator plants and the number of dominant non-wetland indicator plants. If the number of dominant wetland indicator plants is equal to or greater than the number of non-wetland indicator plants, and vegetation alone is presumed adequate for the delineation,the plot is located in a BVW. jIf vegetation alone has been chosen for the delineation at this site,complete only Section I and submit the form with a Request for Determination of Applicability or a Notice of Intent. Otherwise,continue the delineation process and record information for Section H on the second page of the form. Section H: Indicators of Hydrology Section II should be used to record information on indicators of hydrology in those areas where vegetation alone is not presumed adequate to delineate the BVW boundary,or to overcome the presumption that vegetation alone is adequate. Hydric Soil Interpretation 1. Soil Survey: Record information about the site from the Soil Survey Report prepared by the U.S. Natural Resources Conservation Service(MRCS)-formerly called the Soil Conservation Service. 2. Soil Description: Record information based on observations at a soil test hole located within the vegetation observation plot. Describe the soil profile of each soil horizon, noting the depth. Identify the matrix and mottles colors by hue,value,and chroma(information from Munsell Soil Color Charts). For example,IOYR 5/2. Notes on soil texture and other soil characteristics may be recorded in the Remarks section. 3. Other: note any additional information used to determine if hydric soil is present, such as regional field indicator guides. Conclusion: Indicate whether the soil is hydric based on information observed in the field. (See list of Hydric Soil Indicators in the handbook,page 29.) Other Indicators of Hydrology Record observations of other indicators of hydrology. Check and describe all that apply,Due to their seasonal or temporal nature,these other indicators generally are used in conjunction with vegetation and soils to determine the location of the BVW boundary. Vegetation and Hydrology Conclusion Determine if the observation plot is in a BVW. The observation plot is in a BVW if the number of dominant wetland indicator plants is equal to or greater than the number of dominant non-wetland indicator plants,and if hydric soil or other indicators of hydrology are present, For an observation plot located in a disturbed area,any one of the three indicators is sufficient to determine that the sample location is in a BVW. In that case, make a note on the form about that conclusion. Submit the completed form with a Request for Determination of Applicability or a Notice of Intent. I oe Town of North Andover, Massachusetts Form No.3 a< NO RTM BOARD OF HEALTH e t Z. �'�'i�i�l�a-1.3 i 9 42101, 00 T �9"°•,.��'� DISPOSAL WORKS CONSTRUCTION PERMIT SSICMUSE Applicant G I�i:El L. NAME DD n RE55 TELEPHONE Site Location Permission is hereby granted to Construct ( ) or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. /c CHAIRMAN, BOARD OF HEALTH Feed D.W.C. No. Town of North Andover, Massachusetts Form No.2 f NORTq BOARD OF HEALTH 00 s t s DESIGN APPROVAL FOR ssACHUSEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM i ApplicantTest No. k ALA Site Location92 13 r Reference Plans and Specs— (�, ENGINEER DESIGN' DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. t CHAIRMAN,BOARD OF HEALTH c FeeSite System Permit No. CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830-6318 (978)373-0310 FAX: (978)372-3960 HHEALTH / December 4, 1998 TO ANDQVEPi Ms. Sandra Starrr_. North Andover Board of Health Administrator Office of Community Development Services Charles St. North Andover, MA. 01845 113 Re:-+39-Foster St. map 104D lot 42 septic system design Dear Sandra, Please find attached two copies of the revised design for the above referenced lot. Port Engineering's comment was to add a 24" riser/manhole to the septic tank. We propose to cut the existing grade so that the cover will be 6" from finished grade. We also request that you schedule us for an appearance at the board's next meeting. The purpose for this meeting is to request a variance from the Town of North Andover's Minimum Requirements for the Subsurface Disposal of Sanitary Sewage for the above lot. The variance requested is: 1. to allow the system to be built 50' from the wetlands per Title 5 as opposed to North Andover regulation Section 5.02. SincerelyPip . ristiansen P.E. PGC/epw enclosures I I Town of North Andover NGRT" OFFICE OF0 COMMUNITY DEVELOPMENT AND SERVICES 60 30 School Street WILLIAM J. SCOTT North Andover, Massachusetts 01845 �,''�,, ; x �SS�cHusEt< Director OUTSIDE CONSULTANT ESCROW AGREEMENT NORTH ANDOVER BOARD OF HEALTH Agreement is made between the Town of North Andover and of for Soil Tests, -Pan Review Cl r-3 5 KNOW ALL men by these present that the Applicant hereby provides the Town of North Andover with a check in the sum Of $ I , to be deposited in an escrow account for the Town of North Andover and has deposited in an interest- bearing account as designated by the Town Treasurer to be expended by the North Andover Board of Health to insure payment to any outside consultant (s) for Soil Tests, Plan Review for the above referenced project . This agreement shall remain in full force and effect until the specified project has reached completion . Board of Health Chairman Applicant or Agent 1---i-A Date Date. FAMILY MUTUAL'BANK CHRI6TIANSEN :and SERGI, INC' HAVERHILL MA 19 4 Jc1, 160 SUMMER,STREET HAVERHILL, MA 01830 53=7054/2113 CHECK NO 19451' .:: -: ? ro ". ONE HUNDRED TWENTY -..FIVE` DOLLARS .-DA AMO 0 TE T . 1030/98 *******$125 . 00 TO THE ORDER TOWN OF. NORTHANDO:VER OF 120 MAIN STREET NO ANDOVER, MP 018'45 _ � "Tti a et � +'.�h-:2 }r �. �Rx �•.-.c,� r ��n�x ,i,.. .,.. •,.x �:S�w+F� 'tr`,'A�ru� it * t;s�.2lr f�...: >..1`'f"x- , tom' ✓ns T" utc: _WNW -'Oft m Hu . x t�1 �"t';y� 'wys ,�t Y•a �� I / ��.. 111 r 111 ,i. 111 I st � 111 t � F ' 111 nl 111 111 111 t T t _ , } z Town of North Andover, Massachusetts Form No. 1 BOARD OF HEALTH NORTIy f� 19 320 SSLED 6 6'Y O L O " ... A 0y 0� ce<����<w�<. �> � APPLICATION FOR SITE TESTING/INSPECTION SACHUS Applicant `� 17Z TELEPHONE NAME ADDRESS Site Location f �®`�' `� 6,77- X Engineer Ch'&6 7!1912 A,) ADDRESS TELEPHONE NAME Test/Inspection Date and Time kZZ2 CHAIRMAN,BOARD OF HEALTH Test No. Fee S.S. Permit No. D.W.C. No. C.C. Date _Plbg. Permit No. yy 11"774 BOARD OF HEALTH a a 4 i • a � p• � a Cs4U5E� 30 SCHOOL STREET TEL. 688-9540 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: July 8, 1998 LCCA ION OF SOIL TESTS: 193 Foster Street, North Andover, MA Assessors map & parcel number: 104D - 42 & 43 OWNER: The Foster Trust TEL. NO.: 617-346-2352 ADDRESS. coo Fleet Bank, 75 State Street - MABOUF03U, Boston, MA 02109, Attn: G. Bryan McNeil ENGINEER: Christiansen & Sergi TEL NO.: 978-373-0310 CER71FiED SOIL EVALUATOR: Phillip Christiansen Intended use of land: residential subdivisic=,milyhomcommercial 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 per ICt for new c:,nstruc:icn. This covers t.e minimum ;Ne deep holes and t, r rCclaticn tests required fcr e-a& disp. csal area. Fee of ST-5.00 per lot fcr I pairs Cr upgra e . GENERAL INFORMATION 1. Cnly Cer:iried Scii Evaluators may pencrrn deep, hole Inscec:icns. 2. Only Mass. Registered Sanitarians and Prctessicnal E.^.CfnEerS Con CeSiCn ScCt(C clans. 3. =.t lest ',Nc deep holes and t`NC percciatIcn +estS are revulred fcr _-Z&l Septic sySzem dispcsai area. 4. Repairs require at least two deep holes and at le=st Cne cercclaticn -Lest. at the discretion of the BOH representative. 5. Full payment ,Nill be required 'or all additional tests within i'No weeks of testing. 6. Within 45 days of testing, a scaied plan (no smaller than I%100') shall be submitted to Lt-,e Board of Health showing the location of all tests (inc:udino aborted tests). 7. �Alithln '0 days of testing Scii evaluation forms shall be sucmitted. •.,a•r. ------- I ao 52 .... ... 'Alt,l ♦ Pow•n Lr ra.a.w ——— -- —— —-- _— 1..e1r. �\•- 1.5 41 let K I Yet a9♦'I ' t '' h/ � .\ � .•`+ �J � � � x..4 Ac. 075 <Lst lr �� 1.aer HE Ft. Mxo+ ,1•aN ail 1. •� -.. It ls.»t �1P •tea. � � 59 Is 62 76 7e 71 tlibow �W l IRO,r• / , '/ . ._ ._ �. y ,� •. 1.Pt <• r...r i d- � e5 r r� �y �t �e.m.e n.• �, ';, `•, "�:-� -^1,.11 ���„ +` ,,. M,Ill f+ <s 1,oeo•r �'I'' •' � r s/ Al, / n + ` W.•r. ♦� - JI. _ \ .�_J'i '� b6 o'er '� ^`` 'I OU - ...-, • ,i s.t•'• f.`/ ./o-ta" e 1 / 115 ge l ► 1 9 .. /rl t� J/.• �./` N� �•e I e� ya 1 •: 36 r ,ll •► •i ,. ItA 44 4 tt0 •e,t1l ° t •W -` ... 35 fl a I-Jt y 4, a C> 1t ia.1e••'' q g"AbU57•r '!� ,...•• 1'�� y .sy CG 6b 0� t7L n VI s• ;+ // i>4 : !it Cs alasr 1.11sr 1 Aae t 65 ea �. ea„ J•mss/' , sa ..� • Ibl ti e[. ,e• v A,w. i icy :�' �♦nr °a 57 GG 4G as ss st '. - ♦4r. / �� 12> 41 • !1'J ,aa+r' %A- Oen as 4: 0 ♦dj - a/ t er raati •.a•r •aar •,e ♦.1nr •.br Ls - \. _-_ice ._ ,. `a� — - --- --= -'u <••• �— bLi Hoag I - 3u G Nd �. IL Y M K / ` AL Po 34 �e� \ -u- ,3v- IN, v 13L N4 i IL f� �� � . B K 19 8 5 t 211 We. Earl L. Foster and Beatrice N. Foster. husband and wife. an joint tenants. _ � I of North Andover. Essex ' b gsoe n cried,for mnsideradon paid,and in fall C=fA=6=of less than One Hundred ($100.00) Dollars granr ro - Earl L. Foster and Beatrice N. Foster. Trustees of THE FOSTER 720ST. a ' May 30. 1985 and duly recorded with Essex North under Declaration of Trust dated gjc District Registry of Deeds herewith of 135 Foster St.. NortbAnd v r, NA with qugutat taQr�a 1 q t. x}siaatiac VDewipcas and eacambana.it sfltl A certain parcel of land situated in said North Andover. being Lot No. 1 on 1 ' a Plan entitled "Plan of Land in North Andover as subdivided for Adjutor Lavoie" E by Ralph B. Brasseur. C.E. dated July. 1948 and recorded with North District of Essex.Registry of Deeds as Plan No. 2111 and being more particularly bounded and. described as follows: r,eginning on the Nortnerly aide of Foster Street at a private vay; thence running Easterly by said Foster StrSe 1s 5.00 ftet to Lot No. 2 on said plan; thence running Northerly by said Lot No.21 2�ri. a ?Ser to land of Earl and Beatrice Foster as {{1 shown on said plan; thence running Southwesterly by said private way 359.9 feet to the point of beginning. 1 Containing .76 acres more or less. a ' Being the same premises conveyed to us by deed of James H. Dewhirst. Treasurer. Custodian and Auctioneer of Tax Title Property of the Town of North Andover dated October 4. 1978 and duly recorded with said Deeds at Book 1352. Page 765. o Subject to all easements, restrictions, rights of way and encumbrances of record to the extent that the same are in force and applicable. j i i j i3 3IItiarasia our brads and sol a dzs 30th day of Nay .1981 _...............__....__....._.._...................._......_... ¢...� � Earl L. Foster I ................._ _. I • Bea rue N. Foster � _..... .. ............_...._......._....................... ._......_.__..........-.........._...____.................... _ Essex, 1 n. Nay 30 1985 Then persnoallyapp=rdthe abovenamed Earl L. Foster and Beatrice N. Foster �I f and acl9owledgcd the foregoing inattw=t to be their free aC and aid before me _ j! I l , Richard A1ata<rP .11 i I 1 8 t1y a�i�iaa amimm 3/27/92 11 t: 'r;•:`,2�, l 'k -corded June 9 5 at 2:58PU #12028 ?l� = yam.` 1 t Vkry3; t l: KI985 i 2-1•- We, Earl L. Foster and Beatrice E. Foster (a/k/a Beatrice N. Footer) husband and rife of North Andover. . i sez - I� bear ` Dollarr Oan PO4 sad is fall c0oSUcC1ti0o of less than One Hundred cr f=r to Earl L. Foster and Beatrice N. Foster. Trustees of u t u der Declaration of Trust dated �7 30. 1985 and dui THE TR � `'• DI tract Registry of Deeds herewith y•recorded with Esse orth' }, 135 Foster St.. North Andover. MA gat2rlaim-saaM;M t �j XhXJ2nda A certain parcel of land situated in North Andoverand bounded and described 5 1 as follows: . e ;r. m Beginning at a point on Winter Street at land)now or formerly of one Gaetano Ferlico; thence running northerly by said Winter Street to land now or formerly "3 Of Calvin Rea; thence westerly by said Rea's land to a corner in the wall to land now or formerly of Harry Foster; thence southeasterly as the wall stands, and by o said Foster's land to a corner in the wall; thencesouthwesterly as the wall stands. _ ~~ 'o still by said Foster's land to a corner in the wall; thence southeasterly as the wall stands to a orner, still by said Foster's land thence southwesterly still ti II by said Foster's and to n the �fli to Foster Street v her tan%oF.e�r �$} • ���A�fi U-iu jtsrg)) r'%4ajje southerly o Mort easterly as t e a stands co land o sa erlito; thf_nce It Z northerly by said Ferlito's land to a corner in the wall; thence northeasterly by said Ferlico's land to Winter Street and the point- of beginning. �P y .g t, Meaning and intending hereby to convey those parcels of land described 1n _ plan of Archie 0. Foster Estate, recorded in the North District of of Deeds and numbered Essex Re isa is m 0 1512, and described on that plan as the "Sheep Pasture" ory li�• °' "Orchard." "The Cow Pasture," and "Few Field," and the "North Pasture," reserving. 'however, the right of way as the same now exists over what is known as Bruin Hill ; m lane for the benefit of Harry Foster, his heirs and assigns." j, II , Reserving, however. William e Sheep Pasture" and to cutdownsuceright on the h trees ashemay desire, until May d1. 1948. Being the same premises conveyed to grantors by I nd Charlotte N. Foster by deed dated June 13. 1945 and drecordedeed of lwith saidttle A. Deedsster r Book 674, Page 367. -'' Z � z Excepting from the above described property so much of the above described property 4 -c as was conveyed in deeds duly recorded with said Essex -North District Registry of Deeds, namely a (1) Deed to R. W. Baird recorded at Book 820, Page 396 on 9/23/55; and I e (2) Deed to G. Ferlito recorded at Book 687, Page 391 on 7/22/46. I , Subject to all easements, restrictions, rights of way and encumbrances of record i to the extent that the same are in force and applicable. "p l ` I ( $Ttitcrsa our hands and =xb ; �� °ttL-dar ef_ Maw ' 85 EarI"L:'roster.:....��' *,.._. II� I _ _ •._.. _».....•...._...._..._ ..........._.._... ..•...... -' E li � _..... _......»..••....... .............•..................._...._..........•.......•....._...._.., i P alp, rulik cf 2Saaaarhmartis I.• Essex I�7 ti j May 30 1985 •'r. k JThen P=X=ll7appeared the above as Earl L. Foster and Beatrice E. Foster and Acknowledged the focegoin 8+a3tr2mcnt to be their free ad and dead lief= Richard &.Cz an Aioary public— my - f;I� Recorded 11 1 E mymmminime p4cz May 27 t( orded June , 9 5 at 2:5P.PL' "12029 K Ili � V••'.• /l',•- f - f + i B 9 1985 f�. ;i We. Earl L. Foster and Beatrice N. Foster. husband_and wifeg as point tenants 213 %r of North Andover, Essex Cou=tT�I`�+ +uwess b�rf�rarenitd,for cros+drntion paid,sad m full eoatider+tioa of less than one Hundred (i100,00) – Dollars _ ff ��� CO Earl L. Foster and Beatrice N. Foster. Trustee of THE FOSTER TRUST, e C under Declaration of•Trust dated Hay 30. 1985 and duiy recorded with Esse; Kurth ti strict Registry of Deeds herewith with qudrlatm.tatrtaacrla `I 135 Foster St., North Andover. 1SA 1:.._.. dais"ic Two parcels of land, situated in said North Andover. j. Wa—P—sad---I esti 1. A parcel of property situated on 'the South side of Foster Street commonly called i t "Ryefield". the. triangular piece of property 1n front thereof upon which stands t theold Nathan Foster House, and the piece of land situated to the rear thereat, all of,which said parcels together are commonly known as the "Charles S. Poater House Lots or Home Fields".. and contain about 14 3/4 acres. 2. A parcel of. land containing about 16 -acres* commonly known as the "Town* Lend" which was once conveyed by Jacob Towne to Charles S. Foster by deed dated April 27. 1878, recorded with North Essex Registry of Deeds, Book 50, Page 467. Being the same premises conveyed to the grantors by deed of Laura C. Yard dated May 14. 1936 and recorded with said Deeds at Book 598. Page 276. 1 property P operty � Excepting from the above describedso much of the above described r > as was conveyed'in deeds duly recorded with said Essex North District Registry of ` c Deeds. namely 1 (1) Deed to Fickenworth recorded at Book 656. Page 162 on 2/24/43 s � w (2) Deed to Carter recorded at Book 757, Page 552 on 11/28/51 �. 0 (3) Deed to Delia De Paris recorded at Book 930. Page 74 on 1/10/61 z (4) Deed to A. R.Verville recorded at Book 959. Page 42 on 5/25/62 (5) Deed to R. C. Cable recorded at Book 964, Page 189 on 8/16/62 ti (6) Deed to Y. J. Chaput recorded at Book 1263. Page 462 on 7/17/75 a. rights of way and encumbrances of record Subject to all.essemeats, restriction o to the extent that the same are in force and applicable. ' � 1 z t s � f 33ttmem our hands and aceta rhe 30th day of -� y,� !9111 ...........».....»..«..»... T��'Fos ...Lr `"'�.._-.-............ .... . _.»......__................_.».«.».......»._»«...._....«... Be r ce osier ............ k Essex W U+saa+Y �M"M"'N SL May 30 1985 _ 7L=personally appeuvdthe aboreaarced Earl L. Foster and Beatrice N. Poster and scbwsrI dged the�c$oiDB iaatznmmt m their Ecce act me Xicha U1®y. March 27 Recorded June 11,1985 at 2:58FU #12030 _._..— ; d'•,�,,r,,,•;; � i -- BK1985 121-4 Z. Earl Poster (also known as Earl L. Foster) of !forth Andover. Ee� _ coact,,;Ddsao _ 1' "S fm—fid,for tnodduation Feld,and is 64 aon"watiom of lass than one ihmdred"($100.00) �n,rr to Earl L. Poster and Beatrice A. Poster Trustees of TEE FOSTER TRUST. !; ilnder Declaration of Trust dated May 30. 1983 and duly recorded vith Essex North 1: District Registry of Deeds herewith ! of 135Poster St.. North Andover. MA w� • r{alSrlataisamtaasrSs 1 tbeland Nc with the buildings thereon. being a barn. situated on the Southerly i i 1 side of Foster Street, in North Andover. Essex County. bounded and described as 0>�vwL..Ld .0-71 follows: Beginning at a point on the Southerly line 'Of said Foster Street at a . stone wall separating land of the grantor from the land of the grantee; thence_ running Easterly by said Foster Street, in two courses of twenty-two (22) feet. more or less. and fifty-six and 2/10.(56.2) feet to a stake set in the Southerly _ line of said Foster Street. said stake being the center point of a certain right of way running Southerly from said Foster Street; thence turning and running Southerly, sixty-four and 32/100 (64.32) feet to an iron pipe set in the ground; thence turn ing• and running Southea3terly twenty-two and 9/10 (22.9) feet to the end of a culvert; thence turning and running in a Southerly ind Southeasterly direction along the Westerly side of a ditch, two hundred nine (209) feet, more or less, to the inter- section of another ditch; thence turning and running Southwesterly and Southerly by the second ditch, thirty-four (34) feet, more or less, to a stone wall, one f hundred (100) feet to the intersection of another stone wall; thence turning and I? running Northerly by the said second stone wall.- three hundred fifteen (315) feet. more or less, to Foster Street, and the point of-beginning. Said parcel contains, twenty-four thousand three-hundred twenty (24320) square feet. more or less. and 0 is shown on "Plan of Rand in North Andover, Mass., as surveyed for F.H. Porter.-- Aug.. 1946, Ralph B. Brass2ur. C.E." _h I !! Being the same premises conveyed to me by deed of F. Howard Porter dated August 00 26. 1946 and recorded with said Deeds at Book 694. Page 174. f Subject to all easements, restrictions, rights'of way and encumbrances of record to the extent that the same are in force and applicable. e - m - 0 w - t z o N U O our hand s and td d.= 30th daof May o y 7 19�_ 'I 4 ..._.—.._..__�.�_�.__.._.._.._.._.—....... .. Earl Foster a/k/aPoscer.»._... I.�. Earl L. --- �._ _�.. ... �_ ........ ...._.__................... ..._..»» r Iter I Essex t LL May 30 1985 Tbmpenownysppearedthe above named Earl Poster tt I a: and ackaowiedgcd the forcgomg mstrvmcot to be his five ad and deed b � • $!char ��pa6Gc� tl� my ocunhdoo qty March 27 .........,j9 92 • - .fafl.dd�Cft 4F��p��•}•*�}•��J ' •-,b l&9tu•Lot de irtm>}- 1 andel ai;srt tLe-deed:• v} `Z Recorded June 11,1985 at 2:58PU #12031 ` •i^: .y lr � .BK19f35 _ --• rwaa�►cawasrrs sUrrC .�.Dasa p�mum p Dao►owrl w N 215 I ,i�. st: �.4 -1, Earl L. Foster qty,Mz=cbusetts ; Ease% • Horth Andover, `'•` 'rJ of less than One Hundred ($100.00) + _ bai7rg:f 1�rmerried,for mnsidrntioa paid.and in full coosideratioa of - 1 Dollars trustees of TAE FOSTER TRUST' • ;.i; i , -t fiat Earl L. Foster and Beatrice N. Foster, y under Declaration of Trust dated May 30. 1985 and duly recorded with Essex North ' '1 Registry of Deeds herewith with pdrlalm raazas� { District Reg i !+ of 135 Foster St., Horth Andover. MA .{,f iDecipt;oe d=71 11. shown as "Big Field 21.69 Two parcels of land situated in said North Andover, being i -', more or less" and "B .12 acres" on Plan Brasseur Part of CFE., Haverhill, Massporter. [ Acres, bounded Korth Andover, Mass., March 16, 1948. Ralph parcels are more particularly s which plan is to be recorded herewith. Said p ! and described as follows: line of Foster Street "Big Field". Beginning at au iron pipe is the Southerly i t at land of Charlotte M. Foster as shown on said plan; thegrantor, running in an Easterly I([ said Foster Street and other land of the grantor, fifteen hundred direction by said '* ten (1510) feet, more or less, to an an in the stone wall; thence running y ;1 f said stone wall in a Southeasterly direction two hundred fifty (250) feet by ` �y other land of the grantor to another angle in said stone wall; thence the grantor t said scone wall and other land of the g _ { S running in a Southerly direction by '-�- Westerly by said stone wall and land of Earle and crossing Mosquito Brook, two hundred eighty-five (285) feet to land of Farle r L. Foster; thence turning and running five hundred forty- I.0 L. FosteL _-•uses of eleven hundred seventy (1170) feet, tan thence a five (545) feet, and sixty-five (65) feet to a brook as shorn on said plan; thence a turning and running by the center line of said brook as showfeet, on fourteen (14) feet, 7Cortheasterly direction in courses of thirty-four (}4) feet. Zo fifty (50) feet. ninety (90) feet, sixty-five (65) feet. and ninety-one and 6/10 ? e at land of Charlotte M. Foster as shown on said p fty (150) feet (91.6) feet to an iron pip .; thence turning and running in an Easterly direction pi eOethencehundred turning and runn50) f et { s by said Charlotte M. Foster land to another iron pipe; f v Sorthwesterlyistill by FosterdStarlottereet and the Fpoint ofoster nbeglnningd, one ndred fifty (150) t i to the iron pipe t by Foster Street; . Parcel "B1': Northwesterly ninety-s lx and 18/lOarcel•lA, on said plan Easterly y o Northeasterly seventeen and 73/100 `ee" b Baia parcel "A"; Southwesterly twenty- :a Dae hundred three anu � C (1C..6) two and 9/10 (22.9) feet by other land of Ear le L. saldeland ofEarle L. roster =. and Westerly sixty-four and 221an01apdu12)recordefeet d with Esses North District Registry j Said p T as shown on said plan. of Deeds as Plan 11878. d se by deed of P. Howard Porter dated April Being the same premises conveyed to 15. 1948 and recorded with said Deeds at Book 709. Page 368. 1 s- is of way and encumbrances of record Subject to all easements. restrictions. rights ars in force and applicable. 1 to the extent that the same ! r • • j:i1 ?•• C ��•((( A, ` �I.. „.A _ .. -BH1985 I;,. - - ", 21R 39mw ,t hmd =.d=1 this ds7 of 1 L. Foster iii!'. �» ........_...».. `........•...... Essex ts. Ho 30 19 8S 1;.(i:: ` F Thm peace sppmred the sho"asmed Earl L. Poster ` ' sad admowledged the foregoing mstr�mt to be his five tads me .. y., :,; J/ .4G 11j E Rlch4II >i - i March 27 I9 92 Recorded June 11,1985 at 2:58PD! 1f12032 r I ' i i 4 BH1985 2_.S I. Earl L. Poscar '. North Andover. Ego" -. .. . of i•'�;.. less than one HUndred ($100.00) ` heir am..,ied,for 000siderstioa paid.and in full considlut of Dolrars • i' to Earl L. Poster and Beatrice N. Poster. Trustees of THE FOSTER TRUST. _ ugn er Declaration of Trust dated May 30, 19R5 and duly recorded with Essex North :'• IIistrict Registry of Deeds herewith � �ria{in �pr=ds n• D 135 Foster St., North Andover. HA i• theLwdia North Andover, ]mown as the Pry me land. and now or forrly known as part of the John Long Farm. bounded and described as follows: Beginning at the extreme �oa•;prion,ad mcvmbama'a.if m71 northerly corner thereof at a stake and stones by land formerly of Nathan Foster II and the heirs of Avijah Fuller, thence southeasterly seven (7) rods and twenty . two (22) links to a stake and stones. thence in about the same course twelve (12) ;r rods to a stake and stones. thence four (4) rods and twelve (12) Unica to a stake ^ and stones, thence more southerly four (4) rods to a stake and stones, thence three - (3) rods and sixteen (16) links to a stake and stones, thence twelve rods to a stake and stones, thence seven (7) rods and eight (8) links to a stake and scones,' thence six (6) rods to a stake and stones, thence si7:teen (16) rods to a stake and stouts, thence nix (6) rods and eight (8) links co a stake and scones, thence nine (9) rods to a stake and stones, thenco six (6) rods to a stake and stones to the road, thence crossing said road and running westerly by land formerly of sixteen (16) links to a stake and stones, thence Hannah Foster eight (8) rods and thirteen (13) links to a stake and stones southwesterly four (4) rods and i thence rods y southerly five (5) rods to a stake and stones. thence auc� '=ester << � and five (5) links to a stake and stones, thence eleven (11) rods and twelve links o ,< to a stake and stones, thence three rods and fifteen (15) links to a stake and ! stones. thence Fourteen (14) rods to a stake and stones, thence four (4) rods to r, a stake and stones, thence northwesterly eleven (11) rods and twenty (20) links. t`.c-.c three (3) rods to a stake and stones. thence six (6) rods to a stake and stones, thence four (4) rods to a stake and scones, [hence three (3) rods and seven i (7) links to a stake and stones, thence two (2) rods to a stake and stones, thence y three (3) rods and fifteen (15) links to a stake and stones, thence more westerly ., eight (8) rods to a stake and stones, thence eight (8) rods to a stake and stones. - 4 thence four (4) rods and ten (10) links to a stake and stones, the more northerly - t9 s to a stake and stones, to the road above mentioned. six (b) rods and eleven (11) link thence crossing said road tvency three (23) rods northeasterly, thence northerly twelve (12) rods to a stake and atones, thence nine (9) rode to a stake and scones. a northeasterly by land formerly of Nathan Foster eleven (11) rods to a stake ,t..,r•:. anent !'•�+• + and stones, thence eight (8) rods to a stake and scones, thence five (5) rods an 15•:� i. z o fifteen (15) links to a stake and stones, thence twenty (20) rads to a stake and - E, stones, thence ten (10) rods and twelve links to a stake and scones, thence fourteen (14) rods and ten (10) links to the corner, the bound first above named. ?' : Subject to takings of record. a w Being the same premises conveyed to me by deed of Edna W. Marshall, Chester C. - O Ward and-Mabel W. Foster dated August 22. 1942 and recorded with said Deeds at °i Book 653, Page 485. '7 -fr Excepting from the above described property so much of the above described property _ as was conveyed in deeds duly recorded with said Essex North District Registry of Deeds, namely =_ (1) Deed to A. Szelest recorded at Book 658, Page 313 on 6/2/43 (2) Deed to B. F. Robinson recorded at Book 934, Page 15 on 4/7/61 ..+: (3) Deed to N. C. Tardie recorded as Book 981, Page 373 on 3/20/63 (4) Deed to J. T. Sevigny recurdec' 1065, Page 23 on 7/22/66 (S) Deed to D. L. Carlson recorded at Book 1264, Page 96 on 7/25/75 .„ i' Subject to all easements, restrictions, rights of way and encumbrances of record to the extent chat the same are in force and applicable. :a i. w B K1985 ---. .. 85219 b� aad adt 30th •,,,_ ,.,,._. y C� I I R I ter ur-*. ' may30 1988 Essex SL named Earl L. Foster Thea pm.-UTappeared the above - I �;!►_ rl:�it and ad=w the to be his before me fotegoin$is Richard i i lI. iir .. M,c�.i.�. ,. „ — tsss _ A. ' 111» MIIMIII I I .i�. Recorded June 11,1985 at 2:58PU #1203 FORM 11 - SOIL EVALUATOR FORA Page 1 of 3 No. Date: Commonwealth of Massachusetts NOe--P-4 AADoVEk , Massachusetts Soil Suitability Assessment,for On-site Sewage Disposal Performed B Date: � : Dame l &C-0 . ne . _. . Witnessed By: S"a/r/612 - �- L=a,on Address ds acv owrc-1 Namc, 7NE F70-sT12 U 6T �- �G A)AT 64$J _ Lot�l �1 Adarw,ani /vt,p /0q -)l l"GWC Lk I3/'i Gcm A C 7`5 �?u� New Construction � Repair E3bSfa-n , Alt& Oa /0 1 Office Review Published Soil Survey Available: No ! Yes Year Published �`/�f'................ Publication Scale / % /S,..sC7 Soil Map Unit Drainage Class ................. Soil Limitations ......................... ....... .. ..... .. _....... Surficial Geologic Report Available: No ❑ Yes ❑ Year Published Publication Scale GeologicMaterial (Map Unit) ................. ............................................................. ............. Landform ................................................................................................................................................................... . .. .......... Flood Insurance Rate Map: .Above 500 vear flood boundary No 71Yes � i Within 500 year flood boundary No es ❑ �0V 4 Within 100 vear flood boundary No es 17 Wetland Area: National Wetland Inventory Map (map unit) - - - Wetlands Conservancy Program Map (map unit) F l (�meL ....._......................_...._ _..__ Current Water Resource Conditions (USGS): Month Ranee :Above Normal ❑Normal ❑Bele,•- Normal ❑ Other References Reviewed: DEP APPROVED FORM- 12/07/95 q f � FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot Ido. ��Sv On-site Review � G � n n 1 Deep Hole Number q�.'5 - Date: d014l Time:. Weather sU Location (identify on site plan) Land Use Slope (%) �'�� Surface Stones Vegetation . .:. LandformMt. .. � Position on landscape (sketch on the back) /U1 lboe-c- & PE - - Distances from: Open Water Body feet Drainage way feet i Possible Wet Area -5V-t" feet Property Line . . feet Drinking Water Well feet Other DEEP OBSERVATION HOLE '-OGr Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Grav�P 3l3 goofs to fa Mve� r oel 17 to 15-YP FOSS;Ire, 6F s ,t oam Co rn m 0-4 F ©© "5-Y& C. S+onq a,5�1 Garain�a�' �oa�e Z s C4Af Few r-00 CommO''` e- Loom s,Darn ss " lVjctss,ll�, V . oc>�/ 49 % P� - _ 0 e thtoBed rock: Parent Material (geologic) ��L1— p h o Groundwater: Standing Water in the Hole: Weeping from Pit Face: Dept t � Estimated Seasonal High Ground Water: DEP APPROVED FORM• 12107/95 �1 FORM 11 SOIL EVALUATOR FORM Page 21 of 3 Location Address or Lot Ivo. 1el FQ S 1 On-site Review Q / c f Deep Hole Number l��b Date: 1012-IG e Time: Weather SU/'I dl Location (identify on site plan) _ J Land Use /vlfado Slope Surface Stones Vegetation Gro-ss Landform k,a� T'Cwna t. ' I_ Position on landscape (sketch on the back) M ddl S1��"e-� Distances from: Open Water Body feet Drainage way t feet Possible Wet Area -5D feet Property Line 'ZJ0 feet Drinking Water Well feet Other DEEP OBSERVATION HOLE _OG' Depth from Soil Horizon Sod Texture Soil Color Soil Other Surface (Inches) I I (USDA) I (Munsell) Mottling (Structure, Stones. Boulders. Consistency, % Gravel) 313 vii l q 45 1 �� a,�� Y �.s ye ✓�I ass; - ry L. SaInd 5 .La m 41 &13MINIMUM OF 2 H ) (� Parent Material (geologic) -"7LL tr DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: l T Weeping from Pit Face: r! Estimated Seasonal High Ground Water: `tom i/£� DEP APPROVED FORM- 12/07/95 '03=21-1996 14:36 617 932. 7615 DEP'. NORTHEAST PEGI'ONAL. : P 02' r FORtii 1' PERCOLATION 'PEST` Location Address orlot No. _ COMMONWEALTH OF MASSACHUSETTS = Massachusetts Percolation Test' Date:. Time:_ - . Observation Hole # - Depth of Perc Start Pre-soak Erid Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./inch • Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed ❑ Site Failed ❑ Performed By: Witnessed BY:\ Comments: _.. i DIP AMOY=TORM-12wil! s FORM 11 - SUIL L� ALL:'>TU1� �'U1�j11 Pa-e ; of Location Address or Lot No. i3q �GSf�v 5 Dote rmination for Seasonal Fl i�h Water 7'able Method Used: _ Depth observed standing in observation hole inches _ Dept~ weeping from side of observatl0r, hale inches Dept. to soil monies Inches ground wale; adjustment Tei. index Wel! NLim Der __ . . . Readinc Dote _.. ... Index well level r;01l:St Tient f ac:Or .._ Adiusted ground water level Occurring M21eria' Does at least Tour feet 0i naturally occurring pervious material exist In all areas observed throughout the area proposed for the soil absorption system? IT not, what is the death of naturally occurring pervious material? ;ertiTV that On G r (Gate) I have Dassed the Soil evaluator examination a.^.Drcved Dv the Department of Environme.�tal 'rotection and that the aDOve anaivs:S was performed by me consistent with the reculrec training, expertise and ex,peNe11ca- nesc a V1 �. Signature PD,0,4uL �arvwd Date I)v-P APPROVED F0R.%1- :210'7/95 14:,3b air (01= U=F, NUK1 nCHb 1 KCUlUNNL n ' N FORM 12 - PERCOLATION TEST Location Address or Lot No. 13 FD SkV FaA,- COMMONWEALTH OF MASSACHUSETTS ,i M04, Ado YP-� , Massachusetts Percolation Test' Date: 10 2-I�,Y Time: Observation Hole # " Depth of Perc Start Pre-soak End Pre-soak Time at 12" U Time at 9" 2 Time at 6" C Time (9"-6") Z F /m ;rl Rate Min./inch l n " Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed El' Site Failed ❑ ................ .... ...................................... . Ct-A Mal Performed By: _ Dapa i O' .\ Witnessed By: � s Comments: �r_ __.... ...... . . . . .. _. )I?AF oy=FORK-uro7n! DATE: LOCATION: l 6 1 ENGINEER: BOF-, Wl i NcSS. PERCOL\TION TEST --,,' BO OM DEPTH Or PERC TEST. TIME OF SOAK: (At legis inures Icrc) TIME AT 1`'" 4 TIME AT 9" c I TIME AT t l 1 CVEr.NIG'r,T SOAK TlN1E STAR T=D NEXT DA" SOAK: (At ieEs; T M E AT 112" TIME T TIMEL' ATS" DATE; LOCATION: F � I BOH WITNESS. -te r "y OL^ITION TEST # I .. _ 50 77 i OM DEAFTH Or Pr TEST. I . TIME OF -5OAK; c rt leas �Iirutes Icrc I i rvl E A 1 _ _ TIME TIMEAT �" ZLTIME AT Y l CA, cvE .Nlc,-4 T SOr.K ^ RTE`D TiiviE STS.;, NAV T D,-"y SOAK: (. eZ-s Tiru-es c ) l\ TuIE , , I %„ I 'iME I TIME AT r .. DATE: 7 16 LOCATION. 3 ENGINE_ :: ` "7 BOH, VVI i NESS: PEP.COL"\TION TEST :; EOTT OM DEP H, OF PL:-::.IRC TEST. _ 3 ° - T WE OF SOAK.: IiMEAt 1%" TIME AT 2 T IME AT VE NIGI✓T 50=.K TiiviE T=D er N`;\ I CJ E A. I T i T TIME: AT 5" Commonwealth of Massachusetts RECEIVED City/Town of No Andover ��� `12013 Y g a System Pumping Record p TOWN OF NORTH ANDOVER M Form 4 HEALTH DEPARTMENT DEP has provided this form for use b local Boards of Health. Other forms may be used, but the Y Y information must be substantial) the same as that provided here. Before using this form, check with our Y P 9 Y 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, use only the tab key to move your Address cursor-do not No Andover Ma use the return City/Town State Zip Code key. 2. System Owner: Name ienen Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record -311. Date of Pumping Dae 2. Quantity Pumped: J Ions 3. Type of system: ❑ Cesspool(s) ❑/Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): / 4. Effluent Tee Filter present? ❑ Yes/p, es No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: �- 6. System Pump f I*) �- Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signature of Hauler Date Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 f 1'{j� I� �� } hl y y � .I, r 44 I I mr}�fi - ' i a,A ,�L'Y r IT11F"ir I j)r'PtCW$yYJ �� in •, t yr•`d �(�' If � 1 r�d�, Ic�l�. �1�All 7 1 1�2 Y^I � \ 1 • V/ � RECEIVED,.,. •",- f'UtiVN OF NUK1'M Y�NC1�.)� :.: . SEP — 7 2005 u� ,'e SYST-N-1 PUMPINQ RTCOKI TOWN OF NORTH ANDOVER �Y 1' M OWT�KR �npi�ss . _ HEALTHQEPAR'CMcNT i h t TSY�TQM lilN� on t DS..._. ...QUAN7�'TY PUMPPC `�L F UN 3�RY1c. xpV('lN�c, bnt�.KuhN� � oo CVNOI 1"j Y,Yrt 5� li7vrk ,"w. I)�t��a�1 r�1 .,'ZBCKF38Lq RUN s+�Ca 38IY8 s0i lOS „ Pt,OWED enc w, �4LCC�CARRYpY>rR;� OTHER, EXPLAIN I I�~ Y , MUNI t , r �tv 1'y l'K/1N�tGKR.hU J�G , 5 -.2 ttf t yf 5�J f4 1 1 � r • ;f 6VN OF NORTH OVER SYSTEM PHfPiNG RECORiS JUJU ^ 3 2003 l"s'TEM (lVYM&R A ADDRESS SYSTEM LOCATION—- (example: (example: left front of house)193 /vic�ove r, 'AP% VATE OF PUMPINC: o QUANTITY 0UMPED /L"Ud {iALLU1� F.SSI100L: NO YL? SEPTIC TANK: NO YES NATURE OF SERVICE; ROUTINE , EMERGENCY , mis RVATIONSr GOOD CONDITIOX FULL TO COY fit HEAVY GREASE BAFFLES IN PLACE ROOTS LEACNFIELD RU,I BACK- EXCESSWE SO MDS FLOODED SOLIDS CARRYOVER ,D.WHRR (EXPLAJN) PUMPED BY: • '' ��-` ' �fi ua'I I E.NTS: u�"I•I:n•I•s TRA NsrEItRE0 TO: d 11 4.f rA4+ i r r i TOWN'OF'NORTH ANDOVER SYSTEM PUMPING RECORD ,a SYSTEM OWNER&ADDRESS SYSTEM LOCATION (example: left front of house) 1 .. t A 'tlrt Sri, •�e, J.ZZ � ... 9 ell PUMPING: QUANTITY PUMPED 6GALLONS �.�1sT'�•�tt? ^ n��Iv�r' �� t i �1t,� >✓! t + "' - f ! CESSPOOL: NO_ YES SEPTIC TANK: NO YES -96 NATURE.OF-.SERVICE: ROUTINE• EMERGENCY - - - 3 pa �fipxOpst } },,Ptd r {.i i rlb. _ d a as r t �SERVATIONS. GOOD,CONDITION' FULL TO COVER HEAVY -- GREASE BAFFLES IN PLACE _ ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED ' SOL IDS.CARRYOVER OTHER EXPLAIN a fsr'Y S �a ( � 4t " v.... �,.... ...Y-w.--�-•. - .c...r..n .sw- - ._ _„h-�.v. _-.�.�•c�-�-v:'+t,.nm-.`""_'.°"-��.� - .. -._-_ �,., tr' Ft�<ti1viF�Y 4'!'ti; °SYSTEM BUMPED BY: �bv _ �.QD Q� _��.� + / is Ek �;°xr+� 4M ENTS. :. t� g-=A I 41ti t i�it� r t"Jtip{Iil � tip phi �j�w���'��{•+i��lr.��i�'fb g � � -. - � � � R 1 � n ^ f1wzUNTENTS,TRAISFERRED.TO. �Q oJ t kn,t517, U 1.rq,' 0V. ' �1`I"���'F�`I �'gi��ki�"Yr}t��,,�§;i i!`6�p ;.r,➢�; , r ,�' _ - �� , . +- '�:, k s X � ;Q Oil RTH.'ANDOVER° MASSACHUSETTS r,SV xe Pumping Rocord '�!C.: qk{�J' •'�i�''�J���t��1i°.,r�.;t .tl j�+�1'1-r1 .. DEP..has provided thts form for use by local Boards of Health. The System Pumping Record must be submitted to the.local'Board of Health or other approving author( , :A:.,Facility Inforrifiation . R:DT7 (ITIRprtant:: , SE ;j;•Y."n,NMO out 1 System Location .on the n AL1 I TOWNCCnlputel,use,;- 190 . �/ i� OF HEALTonly the tab key Address to move your;; ., / 07, .cursor•do Ito( `use therotum Cltyrrown ,: . State �y p Code -`Y 2 System Ownar. 1Yr�J•- x;J :J. �' Ja, ' t, �r.t 'f k.• :r„'7, ...�j��j��/� - i �..�.,• ;+< ;, ; ��.•Name ,. r,. Address(if different from location CltylTowrt State' Telephone Number umping:Re`,,cord .,.� �. �• • 1.;. Date' P � 2, ua t Q ntl . Pumped: to ry ' Gallons .Typ9 9f.system- ❑ Cesspool(s) 0Stptic Tank C3 Tight Tank ❑'/Other(describe), . ' Effluent Tee Filter present? ❑ Yes•( o If yes, was it gleaned? ❑ Y No ConditJon ofS stm, n ` ( :.'/ Ir�l 4,.fi+liruil!��• t,J.tJ ,,'{,+•l:a�V�')JI +' � C• i rFC ,' 5; .fb ,« Vehicle Ucen4e Number /1 `�, S +1 Y!l ✓. , '• !q,(i'•r ,�- T.. f,�y t�Y.���: r`141 :►rk ... •� '!`��1..�•fit 7. 1��✓tr,�A� 'w„ ocatlon where contents yvere'di;3posed: .,, I i 'r. ,at.:a+ .t:,'.v'�r'i"F!•` '� '•'•5���•"�•� fd'";.t 1,•% ,}5• ///1/X��- . ,;`; :':: ;;�.:. «.°a.K:•4'.�.':'�.°;Signature of Date littpJ/www mass gov/dephvater/approva;s/t5forms,htm#inspect t5forrr;4.doca'0Ql03 System Pumping Record Page 1 of i I. • r' 1' t ►. oil Reco'rd V R � �USEl r:'•K l:,,,,tt� �1 a 0 y 1 ,fit!',�, ;.��.,, ;;,,,..;,'�,,'' N 1 0 2009 .:'I'fr"'' OfP ''�'r.frlli;f�'•I'1:("a•'�'4.y��,•i;' h++ PINY Cfld Wit lorrn C o r t lrI vcm 1dyr► i ,c o l c8t°IoCrI 8prlc: nMMG$WORTK A'NVOVER 11, 1 NT!It,n A' Faclllty In(orm��lon `."�'/�'',�'�n i, !•. 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Commonwealth of Massachusetts City/Town of - ~' IS - w System Pumping Record Form 4 OCT I NO �M DEP has provided this form for use by local Boards of Hitj� e� sed, but the information must be substantially the same as that provid e0t orm, 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 front of house, right front of house, left side of house, right side of house, Left rear of house, right rear of hous<left side o buiIn right rear of building, under deck. City/Town State Zip Code 2. System Owner: Name Address(if different from location) Citylrown State � � � ^ Z�ip�C de Telephone Number 7� B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes D-No If yes, was it cleaned? ❑ Yes ❑ No 5. Conditp n Pf System. (IV cg�-AaA ky� \ '-" 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Locati ere contents were disposed: L.S. w aste ter Signature Wull Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1