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HomeMy WebLinkAboutMiscellaneous - 197 BRIDGES LANE 4/30/2018 197 BRIDGES LANE 2101104.D-0108-0000.0 µ n 1 l I I 1 I '4 MAP # �6�', $ t`, LOT # .......... �____ PARCEL # STREET Ct]NSTRUCTI_QN_APMPLHAS PLAN REVIEW FEE .BEEN PAID? CN 0 PLAN APPROVAL: DATE �oZ I�La APP. BY._..__�.____.__.__.__.__..__._._.. DESIGNER: /�/ iL���'U'I CSC PLAN DATE. CONDITIONS Z-Ehf.'�l / . (5� 7-U WATER SUPTOWN WELL WELL PERMIT _ DRILLER._....__.._.:._.__........._..._......_._......................_...._.._... ..... WELL TESTS: C CAL llA I E APPRUVED..-.-..____.__ BACTERIA DA TE (IPPRUVEU BACTERIA Ii DA T E APPROVED COMMENTS: �G✓LO FORM U APPROVAL: APPROVAL TO ISSUE YES GNU . 1Z � _ DATE ISSUED BY CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YES NO (fj,&)G FINAL BOARD OF HEALTH APPROVAL: DATE:......_...,_..__. - a �E_�Q.SYZEM�NSS94l,A QK yX tT •,a::!t \ .r _' ti e.?r;.. . .. ..:-. , . :« .F ;rte #i �t -ia �;sJC�' i l; r' .: _ IS 7HE' INSTALLER LICENSED? NO -TYPE. OF CONSTRUCTION: NEW 'REPAIR ..*.-:,.NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW_ YES NO t; r CONDITIONS OF..APPROVAL YES NO (FROM .FORM U) l: `. ISSUANCE OF DWC PERMIT YES NO DWC PERMIT N0. INSTALLER: Z?, BEGIN INSPECTION �Y, 'NO: EXCAVATION .INSPECTION: : NEEDED: rASSED BY CONSTRUCTION INSPECTIONS NEEDED( " AS BUILT PLAN SATISFACTORY: YES: APPROVAL. TO BACKFILL: DATE: !G BY " �FINAL . GRADING APPROVAL: DATE HY DATE: FINAL CONSTRUCTION APPROVAL: BY • 'i .': , . ' i J Address l7 8P tDG 4e- Title of File Page of Date File Open: Date file closed: , [hoc Document/Action Title Date of Refer to other Purpose of Document/Action and notes action Document/ document/ fWun�. Action Department i I I Board of Appeals - Board of Health - Planning Board _ Conservation Commission - Building Department MAP AND PARCEL ADDRESS kat- OWNER SIZE OF LOT IN SQUARE FEET #BEDROOMS SEPTIC SYSTEM LOCATION (For example, FRONT YARD SOUTHEAST CORNER) FINAL GRADING DATE AS BUILT PLAN IFILE? D INSTALLER 9,44-1 �� r DWC PERMIT DATE — 7 CERTIFICATE OF COMPLIANCE DATE ENGINEER C.J �►ORTN °° °� BOARD OF HEALTH r° 120 MAIN STREET TEL. 682-6483 CHU$Et�y NORTH ANDOVER, MASS. 01845 Ext23 April 28, 1995 Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 Dear Phil: This letter is to confirm that on April 27, 1995 the North Andover Board of Health granted a variance to North Andover Septic system regulation 4 . 18, distances, to allow the construction of a leaching system not closer than 17 feet from a catch basin for Lot 59 Bridges Lane. If you have any questions, please call the Board of Health office at 688-9540. Sincerely, e G Sandy Starr, R.S. Health Administrator NORTown ofTjy t Andover No. � 3 m * idover, Mass., I AQ- 19 - LAKE '9q_COCH IC HEWICK 'P S E BOARD OF HEALTH ERMIT T D Food/Kitchen Septic System `�'��' THIS CERTIFIES THAT...................................... . ...........C.0?l7�. ..............o. .P............................................... BUILDING INSPECTOR Foundation has permission to erect................-.................. buildings on ..........5..9.......x.R.(.D.6.� ......... Rough t0be Occupied as................................................... /X�.'�..�, ........... i �..... .................................................... Chimney provided that the person accepting this permit shall in every respect conform to the�ferms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPkCTOR VIOLATION of the Zoning or Building Regulations Voids this Permit, ug it Final PERMIT EXPIRES IN 6 MONTHS CTRICAL INSPECT UNLESS CONSTRUCTION ST TS tRoubh �3 ............................... .... ..... ......... ..... Servi BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Finalh No Lathing or Dry Wall To Be Done Until Inspected_ and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. v0 � `) Smoke Det. f! LOT 58 45,524 S.F. rho, 1.045 Ac. 0 ry hry 1 2 B D H 17.96' A S55'5013 E @�-lk OOF 1p LCHARD ycc / u ,r tt, TANGA D L 133.00 INVERT ELEVATIONS: THIS IS TO CERTIFY THAT THE SUBSURFACE SEWAGE DISPOSAL FND OUT 175.22 SYSTEM CONSTRUCTED AT 59 BRIDGES LANE, NORTH ANDOVER TANK IN 174.62 DISTANCES: MASSACHUSETTS, HAS BEEN INSPECTED, SYSTEM GRADES AND TANK OUT 174.41 LOCATIONS ARE AS SPECIFIED ON THE PLAN PREPARED BY D BOX IN 173.77 1•-D BOX 79.5' MERRIMACK ENGINEERING SERVICES, INC. DATED JULY 7, 1995, D BOX OUT 173.62 2-D BOX 98,0' EXCEPT AS SHOWN HEREIN ON THIS AS-BUILT PLAN. FINAL PIPES 1-TANK 32.9' LOT GRADING NOT COMPLETED AT TIME OF INSPECTION. A 171.48 -TANK 5.5 1 - A 7p,5' SUBSURFACE DISPOSAL SYSTEM AS—BUILT PLAN ' 8 171.59 1 C 171.93 2 - A 73.0' 59 BRIDGES LANE D 172.04 E 172.48 1 -- a 56.0' NORTH ANDOVER, MASSACHUSETTS F 172.51 2 — B 68.01 PREPARED FOR: LEN GEM G 172.91 1 _ u 83.8' SCALE. 1" = 30' DATE: MAY 28, 1997 H 173.05 2 - J 101.0' -- 173.45 1 — I 93.6' RICHARD C. TANGARD, P.E. 173.53 2 — I 104.0' 33 PILLINGS POND ROAD IPT" LYNNFIELD, MASSACHUSETTS 0194-0 �3_A �v W.D. R.C.T. & 8.C.0. JR. (817) 334-5049 I 'D LOT 58 45,524 S.F. 1.045 Ac. o �ti aN�'~ 2 1 2 B D J H 17.96' A S55'5013 E 1SH OF�4q u \fit o RICI..IAR.D 'G w N yr 6 C. 1-�}h TAI�Gf D03 ;h:- L - 133.00 R = 278.15 INVERT ELEVATIONS: THIS IS TO CERTIFY THAT THE SUBSURFACE SEWAGE DISPOSAL FND OUT 175.22 SYSTEM CONSTRUCTED AT 59 BRIDGES LANE, NORTH ANDOVER TANK IN 174.62 DISTANCES: MASSACHUSETTS, HAS BEEN INSPECTED, SYSTEM GRADES AND TANK OUT 174.41 LOCATIONS ARE AS SPECIFIED ON THE PLAN PREPARED BY D BOX IN 173.77 1-0 BOX 79.5' MERRIMACK ENGINEERING SERVICES, INC. DATED JULY 7, 1995, D BOX OUT 173.62 2-D BOX 98,0' EXCEPT AS SHOWN HEREIN ON THIS AS-BUILT PLAN. FINAL PIPES 1-TANK 32.9' LOT GRADING NOT COMPLETED AT TIME OF INSPECTION. A 171,48 1-TANK 5 .5' SUBSURFACE DISPOSAL SYSTEM AS-BUILT PLAN 171,59 1 - A 7p,g' C 171.83 2 - A 73.0' 59 BRIDGES LANE D 172.04 E 172.48 1 - 8 56.0' NORTH ANDOVER, MASSACHUSETTS2 - B B$.01 PREPARED FOR: LEN GETTY G 172.96 1 - J 83.6' SCALE: 1" = 30' DATE: MAY 28, 1997 H 173.05 2 �- J 101.0' -- 1 173.45 1 - 1 93.6' RICHARD C. TANGARD, P.E. J 173.53 2 - 1 104.0' 33 PILLINGS POND ROAD X93-A BRA W,D. `� LYNNFIELD, MASSACHUSETTS 01940 >nr: R.C.T. & BC_0. JR. (617) 334-5049 W �+V+ TOW N MJF P�-IoR r`At•�DjvE Ln • T-- L-0 T In co GR.ID GE5 tiE � f} LE i Z 1 3 0. 4Y o 2.2 4 ' 14,0 14. Q 12.O b .4d . � 46 r •a� n { •� w i Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH June 3 , 19 97 CERTIFICATE OF COMPLIANCE This is to certify that -the Individual Soil Absorption Sewage Disposal System constructed (X ) or repaired ( ) by Ben Osgood, Jr. INSTALLER at Lot #59 Bridges. Lane, North Andover, MA 01845 SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. 724 dated 4/26/ 19 97 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. A OF HEALTH Town of North Andover, Massachusetts Form No.3 kORTN BOARD OF HEALTH ,�ti 1 Y 19� -^0O L O 9 I . �,`'•�..o:�'�c°� DISPOSAL WORKS CONSTRUCTION PERMIT SSA�NUS� Applicant NAME U ADDRESS TELEPHONE i 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. a CHAIRMAN,BOARD OF HEALTH D� ' Fee 5 D.W.C. No. q 09 i i a� APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE:f CURRENT INSTALLER'S LICENSE# LOCATION: �� LICENSED INSTALLER: DP�� ;n �s Do 7/Z, SIGNATURE: TELEPHONE# 60& -1760 CHECK ONE: REPAIR: NEW CONSTRUCTION: LIZ IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As-Built? Yes No Approval Date: 1 LOT 58 45,524 S.F. 4i �. 1.045 Ac. d`coo 2 1 2 ,B J ;H 17.96' 1 � �E A S55'5013 E L = 133.00 R = 278.28 INVERT ELEVATIONS: THIS IS TO CERTIFY THAT THE SUBSURFACE SEWAGE DISPOSAL TANK IN 174.62 SYSTEM CONSTRUCTED AT 59 BRIDGES LANE, NORTH ANDOVER TANK OUT 174.41 DISTANCES: MASSACHUSETTS, HAS BEEN INSPECTED, SYSTEM GRADES AND D BOX IN 173.77 LOCATIONS ARE AS SPECIFIED ON THE PLAN PREPARED BY D BOX OUT 173.62 1—D BOX 79.5' MERRIMACK ENGINEERING SERVICES, INC. DATED JULY 7, 1995, PIPES 2—D BOX 98.0' EXCEPT AS SHOWN HEREIN ON THIS AS—BUILT PLAN. FINAL A 171.48 1—TANK 32.9' LOT GRADING NOT COMPLETED AT TIME OF INSPECTION. B 171.59 2—TANK 59.6* .5' C 171.93 SUBSURFACE DISPOSAL SYSTEM AS-BUILT PLAN D 172.04 2 — A 73.0' 59 BRIDGES LANE E 172'48 1 - B 56.0' NORTH ANDOVER, MASSACHUSETTS F 172.56 2 - B 68.0' PREPARED FOR LEN GETTY G 172.91 H 173.05 1 — J 83.6' SCALE: 1" = 30' DATE: MAY 28, 1997 1 173.45 2 - J 101.0' RICHARD C. TANGARD, P.E. J 173.53 1 — 1 93.6' 33 PILLINGS POND ROAD 2 - 1 104.0' LYNNFIELD, MASSACHUSETTS 01940 X93-A D�II1i W.D. "' R.C.T. & B.C.O. JR. (617) 334-5049 : Town of North Andover, Massachusetts Form No.2 AORTN BOARD OF HEALTH O " L D ' t ' °•� -''�•'��r` DESIGN APPROVAL FOR �,sSACNUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant Test No. Site Location Reference Plans and Specs. S k r • 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. CHAIRMAN,BOARD OF HEALTH Fee�� / Site System Permit No. l FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phonel7 Zy to LOCATION: Assessor' s Map Number Parcel Subdivision (( Lot(s) ,$'� Street 311 C t es ��.,%-L- St. Number 7 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments 6411 A-U Date Approved 1 1 -2.. Town Planner Date Rejected Comments Date Approved Food Inssppector�Health Date Rejected �- A <��l Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections 1( JZ / 9� - driveway permit ��(Z C( 17 F Fire Department ' �ti Received by Building Inspector Date i I PLAN REVIEW CHECKLIST ADDRESS �v urq �i�JQG�S ENGINEER GENERAL 3 COPIES STAMP LOCUS (/ NORTH ARROW e� SCALE ci CONTOURS -' PROFILE SECTION BENCHMARK !� SOIL & PERCS f ELEVATIONS WETS . DISCLAIMER t--' WELLS & WETSy M WATERSHED?_,� DRIVEWAY (Elev)'�: WATER LINE L"� FDN DRAIN � SCH40c,-----TESTS CURRENT? �� SOIL EVAL__� . SEPTIC TANK MIN 150OG L-� . 17 INVERT DROP � GARB. GRINDER�/O (2 comps +200) 10 ' TO FDN U"'� MANHOLE1-::::— ELEV J GW # COMPS . / GB D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET 173. 77 - OUTLET /73 (o'O = /7 (2 11 OR . 17 FT)' TEE REQ'D? LEACHING FYI MIN 440 GPD? RESERVE AREA ' FROM PRIMARY?�� 20 SLOPE 100 ' TO WETLANDSi_,�100 ' TO WELLS c-' 4. ' TO S .H.GW (5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINS J 400 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY --KIN 12" COVER v�FILL? ( 151 ) BREAKOUT MET? TRENCHES MIN 440 gpd 01'r- SLOPE (min .005 or 6"/1001 ) '-�SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) r RESERVE BETWEEN TRENCHES?' L'f IN FILL? MUST BE 10 ' MIN.0 -/)�4" PEA STONE' � ;VENT?_ (>3 ' COVER; LINES >501 ) BOT + SIDE k—c) X LDNG ' (y = TOT 7`336 (L x W x #) (DxLx2x#) -(-G—/f—t2) 2-sieve zo(f) 40� Copyright © 1996 by S.L. Starr E At OI F VONI 6 1991 1%T A �1, 'T, 17� nlletll r .. -:u,,,�>3wa:�,.•�.�ry,,..�;:.e�;ren.�4r.�a.:�,.,�-�..a.,,.s�..v.s.<.,..�.:.,.. -r..,.,:.�-�......=..r.:=..,,w.:=,»-��.....•..,rt..•s.....,..a.,.......•a--.+,.r�-:.-m:,,...>•........;.- ,,,.�.-,>:�r,....r..-,:.•.-n.z-.,v<,m.s�.w..,t.:,.,.�=-r.m-�u.�e_,ra�...,.o..na.,,....a,n:�e..c.:,.-........v..m..:==�-....—..t<-•<.�.,=n,..:..::.:.�.a�.- .�..:=.�o.a.ee+4 s Y: R `• �`5`.''r �.1 �f le �./J1 .�._ ," 344,. . _} •• ,a c. ' a 6' a � .r '•A .7 Z W41, W TR IS 'a PROP, .: e .t °.X d.,� .-, Y—, +. ;p -t• �-�y " W.R:'d .6 .� f y? Vol- My. l,a: i ��t__.�t�_ ` R fs� n AIN: DC; S�6ra c 14 \ y,;;:�a..i,.,,;,.,,•..warann.,.wenn+�m�.�..+�.ncs�,F.>terms:-,.w�rx:,.•�„...,.r.aas.�,a-1�:,r,x - rr.:�ns s�•.+^.xe^rnzt..:::.r,..x�.�.e.�..:.-a_,e.zs���;:z- -c.:._.-U 1 Cf JlssfiRt:/r�v+s_—r.YY..r.¢e,.a��u.ysuv-mac.:a-<.-n_.Y.L.�W_�..r®...�,s`Y`r_^f.s.5✓ro a. .�Y+._,we»L`^.m"iinr.LW�n+F�ees�0."aw=,n.ov..e&.a.mu nu_wo..vn�u�YY'...T rLY. -- Town of North Andover, Massachusetts Form No. 1 NORT11 BOARD OF HEALTH Q� ,,ED �L 646 0 �C 19 9�/ U * ice - * APPLICATION FOR SITE TESTING/INSPECTION ATE SACHUS��9 Applicant !1 NAME ADDRESS TELEPHONE Site Location Engineer - o R -�-t _„ IJV`-F��•�ll�-QSt../�..1_ll,�.� NAME ADDRESS TELEPHONE Test/Inspection Date and Time N CHAIRMAN,BOARD OF HEALTH Fee �� Test No. S.S. Permit No. D.W.C. No. A - C.C. Date Plbg. Permit No. Wit t ■r w��' .r. •,_ .. on innrrri f,m M. V" gre r NNMNNI�rrr 1 � r WIN t rr ■r nn i tinli rM ■r ['2wo, NMI ism '3 . •,�, i'.°r,� t } t�,t L +�J+.r<rfi 4 y {.r ,a r n k .a �" 4 4 �(t Edi'�}{ ynids o� a` J�Mi'` %..=''> a dgr, ik'� ii r< •'•. }: ,i y �� T....� ['t. � ^ri ('[ ♦ �''.� '��4. 0 i�r f" x`�,�Y"fe � k 4i{'.t HH�r .t9 yn' � .gttl ' l:-.+' •. ... ,..�-tF �r{�t'�i �r},� $f t�,.'��jfx{ N'yr`,+t>r�'� •�+� v {. s a t 3 I- Y S li3T--- � x.{ ,'fig r + ' r y. my moi.•�,�.td,. p •'%114y �4�t'�`x.�'xy � '�. i�-r,,n Y'F' a .��('is-�""�e� PPPN�` a �J YP. Ry+��,y �.i�ly` �s+s t Y' '� �a�7 �i 7'�.':tE s ?try ^'� '`+x q.ts�,S."}•"} n � 'k a:P Im IBM ryrP n.b i , K _ aK JAY h y1� Yf .thy \�a� '&�?A* 1,� N• { - � - � 7 , a. aka �rrt^1•�'!�'d� ti.�c Y �"�""�.i'•r T w�i�°.�}"t i - i Y F 1 : .— t 'ri. Y}Nani a. f-3,I :" :' . :". c t,.s W: i I f i V c' i 1 i _..._.... — TRP r i 'j 'I i �4 1 � .;Y,.':..x F-.:;,,; r .,Y7-. ��qti-s v...�'... "f iscr,.xx.-r�•. s,s % t...ter' �' .� :F',.X� _� � � -+r ?� : �r,�. s� 4n K.. I I , J 4'a 1� n 3 i t :§2W r e/'-- •N� .� z�,,�� '-eel ��"�� -�- .: -'-.; :<. , �•.. - �,,.,f'w.= '.m�.� ice. . 4 k� s; 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.020: Dis oral S stern Construction Permits (1) No person shall construct, upgrade, or expand a system without a Disposal System Construction Permit which has been issued by the approving authority after the soil evaluation set forth in 310 CMR 15.100 through 15.107 has been completed. In the event it is discovered during installation of the system that site conditions differ from those contained in the soil evaluation and/or the approved designplans, the originally issued Disposal System Construction Permit is void, installation shall stop, the applicant shall and reapply for a new Disposal System Construction Permit. Except-for, M.G.L. c. 111, § 127P protection, M.G.L. c. 40B comprehensive the entitled to systems with approved plans and disposal system construction Permit land, and large to a variance issued 1995 all as set forth in 310 CMR 15.005 (transition rules or permits issued by March 31, by the Department in accordance with 310 CMR 15.415)a Disposal ursuantSystem Construction Permit shall not authorize increased design flow which would bring the total design flow to 10,000 dor n gP greater but less than 15,000 gpd Disposal System Construction Permits shall be in a form approved by the Department. (2) All systems for which a Disposal System Construction Permit has been issued shall be completed,and the Certificate of Compliance shall be obtained,within three years of issuance of the permit. Unless an extension pursuant to 310 CMR 15.020(3)is issued,the permit,and any variances or local upgrade approvals from 310 CMR 15.000 allowed therewith,pe expire if the work by it authorized is not th, shall completed leted within rthmn the three-year period. (3) The local approving authority or the De ,i partrnent may issue a written one year extension to the Disposal System Construction Permit r uired b request of the permittee, filed before the expiration date 310 CMR 15.020(1) upon written preventing , and acts P the doe g completion documented , p on of the approved system within the time frame of the original Permit. Only one extension shall be granted. 15.021: Certificates of Com liance (1) No person shall discharge sewage to a new, upgraded or expanded system obtaining a Certificate of Compliance from the approving authorityy m without first CMR 15.021(2) through (6). Certificates of Compliance shall be ia form approcordance ved y th0 Department. The approving authority shall provide the owner r operation' orOperator P tion and maintenance guide, or inform him'or her wherre a copy of the obtained. 'I copy can be it (2) Subsurface components of a system shall not be backfilled or otherwise concealed from view until a final inspection has been conducted by the approving authority has been granted b the g n an m Y approving au tY d r systems g thori Permission with a design flow of 2,000 tY to backfill the system. In addition,for systems gpd or higher, the designer shall inspect the construction after the initial excavation, prior to backf`mllin , inspection which shall be conducted by the approvi ng uthonng m addition to the final designer of record or his/her authorized agent prior to the issuance of a ry in the presence of the system 'I Compliance pursuant to 310 CMR 15.021(3). y Certificate of covered without such An component of the system which has been authority Permission shat] be uncovered upon the request of the approving i ty or the Department. ; j (3) Prior to the issuance of a Certificate of Compliance,m Designer shall certify in writing on a form approved bCethe D Department System Installer and been constructed in compliance with 310 CMR i5.000, the approved design plans and all local requirements, and that any changes to the design pent that the system has Plans which have been submitted to the approving autphlans have been reflected on as-built issuance of a Certificate of Compliance. The as-built plans shall be prepared in accordance authority y the Designer prior to the with 310 CMR 15.220. Prior to the issuance of a Certificate of Compliance for a system,the approving authority shall make sufficient inspections of the system in accordance with 310 CMR 15.021(2) to determine that the work has been completed in compliance with requirements of 310 CMR 15.000, the Disposal System Construction Permit th design plans, and any local requirements. the e approved MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL.(508)475-3555, 373-5721 FAX(508)475-1448 December 16, 1996 Town of North And, 4A) 1/`61 D Board of Health Town Hall - 120 Ma �- North Andover, MA a U ti b EAe RE: Lot 59 Bridge Owner: Josef Dear Board Member: On behalf of our clier Andover, Board of H sewage for the subjec Specifically, we reque — �_n-.--- .._%v..v�i-zpa.;i,tg-ue-reaucea`rrom ten feet, as required by Town Regulations, to six feet. This Variance is necessary in order to accommodate a redesign using leaching trenches in lieu of leaching pits as previously proposed. This design change was made in order to locate the leaching area away from an area of bedrock found during recent excavations performed on the site. Please schedule this item for action at the next available meeting of the Board of Health and feel free to contact me at this office should you have any questions or comments regarding the above. Very truly yours, MERRIMACK ENGINEERING SERVICES Les Godin Project Manager cd JI •4 ! I / MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL. (508)475-3555, 373-5721 FAX(508)475-1448 December 16, 1996 Town of North Andover Board of Health Town Hall - 120 Main Street North Andover, MA 01845 RE: Lot 59 Bridges Lane -North Andover, Massachusetts Owner: Joseph Contrada Dear Board Members: On behalf of our client, Joseph Contrada, we herein request a Variance to the Town of North Andover, Board of Health, minimum requirements for the subsurface disposal of sanitary sewage for the subject site. Specifically, we request that the required trench spacing be reduced from ten feet, as required by Town Regulations, to six feet. This Variance is necessary in order to accommodate a redesign using leaching trenches in lieu of leaching pits as previously proposed. This design change was made in order to locate the leaching area away from an area of bedrock found during recent excavations performed on the site. Please schedule this item for action at the next available meeting of the Board of Health and feel free to contact me at this office should you have any questions or comments regarding the above. 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'u, ay,"Y .t• :.i rrsr us .'+�:, _ +.fr b,*+u .,�'3:..., a`w ^a5^-'a a*hfe. _ V S •�-�Q� �.,��-r¢it cry� .�.72,'t � Q�_ _/ J „ - T "�..� �.�k.T ��'�r•.� as ,j.- °' �y_.. „ r ....�,�.,- ft „s"`•'f, r k 21 M r. f w a - �� t waY � y t I.V SJ>l��1 -R0 1/, f- ryp fDfl1`tC1-T Cc✓ - _s8o— 1 av {! /n LD �' I 1 2 --------- -- ------------------- r of "_-INJO/ , - Sr t_ n� t - °' - -� F- W4 } Y �T0 (o x _ r } o. -, - ,. ;,'> a :-�: �.�,..� ,-,,N„ �'�'.,� r:a}�',�'-�'..: .. .s..; �T � z a-•, .��. ±�r:r '` ',sk �i sc.. ,^a1: � c :,... `9t '!.. -,,,.>' .,r.. �+' ..�..t .ki .s-; ::wt s� a., •.a't? �, z -., 5- - }:' i.., �r. .0-. r�+;. rt PLAN REVIEW CHECKLIST ADDRESS ENGINEER GENERAL 3 COPIESs_� STAMP LOCUS_LZ--' NORTH ARROW L,--' SCALE L,-' CONTOURS :,,,� PROFILE i—" SECTION f/'- BENCHMARK SOIL & PERCS ELEVATIONS /W:ETS. DISCLAIMER WELLS & WETS C./ WATERSHED?A DRIVEWAY �/ (Elev) WATER LINE 6,--' FDN DRAIN_,�, SCH40y TESTS CURRENT? c/ SOIL EVAL SEPTIC TANK MIN 150OG L,-' . 17 INVERT DROP L,--' GARB. GRINDER(+200% EDF) 25 ' TO CELLAR MANHOLE L,---- ELEV GW # COMPS. D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENTy� INLET/7,J, 7 - OUTLET/73-��_ 17 (2" OR . 17 FT) TEE REQ 'D? Alb LEACHING MIN 660 GPD? RESERVE AREA &-----" 41 FROM PRIMARY? '--� 2% SLOPE 100 ' TO WETLANDS L--�' 100 ' TO WELLS L-, 4 ' TO S . H.GW (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS (/ 3/25 ' TO SURFACE H2O SUPP L---- Q� 4 ' PERM. SOIL BELOW FACILITY-X0 MIN 12" COVER( FILL? (25 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE? VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright O 1995 by S.L. SUwrr y PITS MIN 660 LEACHING MIN 1 (13-'x16' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM L---' EXC 2x EFF W OR D t'-- 12"-48" STONE t� BOT X77 �� + SIDE x LOAD = TOTAL t (L x W x #) (2x(L+W) xD x #) G ft2 CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W) xD x #) (G/ft2) FIELDS MIN 660 GPD 900 ft2 BED PERC RATE FASTER THAN 20M/IN GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? 4" PEA STONE? DIST LINE SLOPE . 005? >31COVER-VENT SCH 40 MIN 12" COVER RATE. LDG X 660 = = TOTAL ft2/G REQ ' D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY gpm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME 9Pm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1 ' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright O 1993 by S.L. Starr 9 Town of North Andover E NORTH OFFICE OF �,a o `"` "• �o c COMMUNITY DEVELOPMENT AND SERVICES xt * � 9 e 146 Main Street °`�y KENNETH R MAHONY North Andover, Massachusetts 01845 9SSACHU$ Director (508) 688-9533 August 21, 1995 Merrimack Engineering 66 Park Street Andover, MA 01810 Re: Lot 59 Bridges Lane To Whom it May Concern: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1) No soils tests in primary area of pit #2 or 'reserve #2 . 2) Variances needed to three bedroom at 110 gallons per minute. (Please change "prop. 4-bdrm" to 113- bdrm11) . 3) Please add manholes to pits. If you have any questions, please do not hesitate to call the Board of Health Office at the number above. Sincerely, C � Sandra Starr, R.S. Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Par ino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell Mtn & Rizza, D.M.D. 7 FIRST STREET, NORTH ANDOVER, MA01845 (508)685-5804 August 24, 1995 Mr . Gayton Osgood No. Andover Board of Health No. Andover, Mass. Re : lot 59 Bridges Lane Dear Mr. Chairman, In view of my absence at the August meeting, I would like to make my opinion known. Mr ,Contrada has shown a financial hardship. He has had all types of heavy equipment at this lot on three or four occasions , at considerable expense. He has presented to the board an acceptable plan , under new title 5 regulations . Our board has voted previously to grant Mr . Contrada what we believed he needed to go foward with his project . I recommend to the Board that he be allowed, without further delay, the ability to proceed with the existing plan for a subsurface septic system. If you have any questions, and need me for telephone discussion, kindly call at my home 686-0069 during your meeting. Thank you for this consideration, and I apologize for my absence at this meeting. very truly yours, o n S. Rizza D.M.D Board member • II DATE � - Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER / SUBSURFACE DISPOSAL DESIGN REVIEW FEE PERMIT # DATE RECEIVED /aT APPLICANT ASSESSOR'S MAP ADDRESS PARCEL # LOT # 9 ENGINEER /�/ % /}?�f/ , STREET ADDRESS PLAN DATE REVISION DATE CONDITIONS OF APPROVAL:_ elg11Ua APPROVED DISAPPROVED x /V d -6016 7`�67�5 /-0 � p/ A�CF << ��OP 4 - 3DRM 7-0 - 13APti9 ` --� 5 J9 iJ A I4 A)A/0 L 5 7-0 ���5 310 CMR: DEPART'vIENT OF ENV-MOIIMENTAL PROTECTION 15.041. continued �I (2) By January 1, 1998 the Executive Office'of Environmental Affairs and the Department shall issue a report malting recommendations based upon the information gathered above and other _ relevant materials, which shall provide clear and concise direction for the use of innovative, alternative, clustered and shared on-site sewage treatment and disposal systems on land not currently buildable. The reports shaU contain recommendations,based upon the studies and information gathered, for amendments to 310 CMR 15.000. By January 1, 1999 the Department shall revise 31,0 CMR 15.000 as it deems necessary to implement the recommendations. The Department is committed to increasing the maximum allowable percolation rate to 60 minutes per inch together with the use of soils analysis for new construction as well as the repair of existing systems unless the Department concludes based on the report that this is not appropriate. 15.050' Sey.rahility The provisions of 310 CMR 15.000 are severable. If any provision of 310 CMR 15.000 is declared to be invalid or inapplicable to any particular circumstance, that invalidity or inapplicability will not effect the enforceability of the remainder of 310 CMR 15.000. 15.100- General Provisions (1) Every location proposed for the construction,upgrade,or expansion of an on-site subsurface sewage disposal system shall be evaluated based upon an analysis of aU site characteristics which may affect system function and performance in accordance with the evaluation criteria specified in 310 CMR 15.101 through 15.107. (2) After January 1, 1996, every location (which has not filed for or which does not have a valid disposal works construction permit issued under the 1978 Code) shall be field evaluated for suitability for subsurface sewage disposal consistent with 310 CMR 15.000 by a Soil Evaluator approved by the Department in accordance with 310 CMR 15.018 prior to the commencement of final system design pursuant to Subpart C of 310 CMR 15.000 and application for a Disposal System Construction Permit. The evaluation shall include a soil profile on every proposed disposal area for which a Disposal System Construction Permit has not yet been issued. 15.101- Soil Criteria (1) Every proposed disposal area shall be examined P P to determine if the disposal area is compatible with the proposed sewage disposal system in relation to the design flow set forth in 310 CMR 15.203 and system location criteria set forth in 310 CMR 15.106. (2) Every proposed disposal area shall be assessed based on the following field test and analysis criteria: (a) deep observation hole testing;. (b) soil profile determination; (c) percolation testing; (d) landscape position;and (e) hydrogeologic properties (3) Soil evaluation may be conducted at any time of the calendar year, provided that the Soil Evaluator makes and records on the site evaluation form proper consideration of the hydrogeologic properties of the specific site as required in 310 CMR 15.107 for the period of the water year within which the evaluation is performed. 15.102• Deep Observation Hole Tet (1) The purpose of the deep observation hole testis to determine in accordance with 310 CMR 15.103 the soil profile�in the proposed disposal area, the depth of overburden above ledge, bedrock or impervious layer(s), and to determine the observed ground-water elevation at the time of testing and to gather evidence to determine the adjusted ground-water elevation. 11/3/95 310 CMR-504 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS .• PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL. (508)475-3555, 373-5721 FAX(508)475-1448 August 23, 1995 Town of North Andover Board of Health Town Hall 120 Main Street North Andover, MA 01845 RE: Lot 59 Bridges Lane -North Andover, Massachusetts Owner: Joseph Contrada Dear Board Members: On behalf of our client, Joseph Contrada, we herein request a Variance to the Town of North Andover, Board of Health, minimum requirements for the subsurface disposal of sanitary sewage for the subject site. This design is in conformance with the State Sanitary Code Title V 310 CMR 15.005 (3) with a maximum allowable design flow of 330 GPD. This Variance is necessary so that a three bedroom design with a total design flow of 330 GPD may be constructed on the site as opposed to a four bedroom design with a total design flow of 660 GPD as required. Please schedule this item for action at the next available meeting of the Board of Health and feel free to contact me at this office should you have any questions or comments regarding the above. Very truly yours, MERRIMACK ENGINEERING SERVICES Les Godin Project Manager cd • r � - I i � f ' I + •r l f Ln •� It +�''�� `. I f � ..'I Ii x.11 � 1 1:�.'1 zi ri f r U, L I X0 1 ' D oxF1� 597 ^'1 Ste, 73 SIN I � 6- 0 e Si - -- t I rt u r co CD07 ol - .. .. .- �,' ,. .- .. •-. ♦� T�;J\'�. 5$'C. Qt'�"-R i..0 .�. KS':�T.`I�.�7.1:1j�.�.t.r�.�-s,+y�rr ar• .. �3`�.Y R�'1:�--A' vi-�;r�•:1'i TY!'.r,..p,..�.t.i in... .. " THE COMMONWEALTH OF MASSACHUSETTS FISCAL YEAR 1994 REAL ESTATE TAX BILL TOWN O F NORTH A N C O V E R Based on assessments as of January 1, 1993 your REAL ESTATE TAX for the fiscal year beginning July 1, 1993 and ending June 30,1994 on the parcel of REAL ESTATE described below is as follows: OFFICE OF THE COLLECTOR OF TAXES MAKE PAYMENTS TO TCWN OF - 3R0 QTR - CUE FEB 1 1994 NORTH ANDOVER. OFFICE HCURS : BILL NUMBER ' CLASS, CLASS? CLASS 3 CLASS 4 M O N D AY T H R U F R I C A Y 8: 3 0 A M TO 4: 3 0 P P TAX RATE RESIDENTIAL OVEN SPACE COMMERCIAL INDUSTRIAL ER$100 TOT.TAX RATE . . . . MON EYE TIL 7: 30PM. 1539 PROPERTY IDENTIFICATIONDESC. CLASS RAL TATE VALU VALUE SPECIAL ASSESSMENTS TOT.TAX&SPEC.ASSESS.DUE 1 9 15 19• LAND 1LAND 110C L� • PRELIMINARY TAX • AREA /� PRELIMINARY CREDITS • MAP: I O 40 11 PRELIMINARY OUTSTANDING 0108 r^ 00000 EXEMPTION 1.®K 02202 3RD QTR.TAX PYMT.DUE FEB 1 Z91.61 068 D/DE 05/29/86 TOTAL VALUE REs. TOT.TAXABLE TOT.SP.ASSESSMENTS CURRENT CREDITS EXEMP. VALUATION SEE REVERSE • •- IMPORTANT TOT.REAL ESTATE TAX • CURRENT OUTSTANDING LOppCATION PAGE/LINE PRELIMINARY TAX • BALANCE DUE • BRII D GE S LAN E. 3RD QUARTER PAYMENT • .- THIS FORM APPROVED BY THE COMMISSIONER OF REVENUE 4TH QUARTER PAYMENT • COLLECTOR OF TAXES INTEREST CORTRADA9 JC.SEFH G KEVIN F. MAHONEY COLLEEN S C C N T R A D A Interest at the rate of 14% per annum will accrue on overdue Payments from the due date until payment is made. 209 B R I C G E S LANE T A X F A Y E R' S C O P Y NORTH ANDOVER NA 01845 fv:)/01/94 10:40 297.67 PAID 115 94 01539000 7 0000029767 1 COPYRIGHT 1993 ARLINGTON DATA CORP. I .---=- --- -, .,. .­-- - -- T' - __ � v, .. s ec . . 1. I ,1� � ., -1 , I I . ' -_.. I I - .. . .. I I. . - , I ..I � 11. . . I �. I � . . 11 . :, . . . . . " • . .I I � . . I. .w, ..» -. y ,7. v r. It: . -'S�.. -1 I. - � a - .--' - - . f Z '.. P . .TY }w K ri,. ., 3- 11_ s - _s B �'URFACE.. ­ , �. ­­ ,. ' ' .4a ? . �. . Z ti :, 11 ... . 1t _:t, - 0I � � . x zs'a` a. 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SUBSURFACE DISPOSAL DESIGN CHECK LIST J� LOT APPROM DATES DISAPPROVED DATE_____„ I p (o Provid6d: Reasons: Title V FAIL OK Reg 2.5 The submitted-plan must show as a minimum: A) the lot to be served-area,dimensions lot # abutters b location and log deep observation hoes-distance to ties c location and results percolation tests-distance to ties d design calculations & calculations showing required leaching area (e) location and dimensions of system-including reserve area f) existing and proposed contours (g) location any wet areas within 100' of sewage disposal system'dr disclaimer-check wetlands mapping (h) surface and subsurface drains within 100' of sewage disposal system or disclaimer (i) location any drainage easements within 100' of sewage disposal system or disclaimer-Planning Board files (J) known sources of water supply within 2001 of sewage disposal e , system or disclaimer (k) location of any proposed well to serve lot-1001 from leaching facilit; (1) location of water lines on property-101 from leaching facility (m) location of benchmark - - (n) driveways (o) garbage disposals (p) no PVC to be used in construction (q) profile of system-elevations of basement.. plumb, pipe, septic tank, . distribution box inlets and outlets, distribution field piping and '. other elevations (r) maxi= ground water elevation in area sewage disposal system (s) plan mast be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Reg g Septic Tanks (a) capacities-15U of flow, water table, tees, depth of tees, access, pumping (b) cleanout (c) 10, from cellar wall or inground swimming pool (d) 251 from subsurface drains Reg 10.2 Distribution Boxes (a) s ,pe,greater ME 0.08 Reg 10.4 b) .Bu4 k , 'J _Subsurface Design Check List Page 2 FAIL Cg Leaching Pits Leaching pits are preferred where the installation is possible Reg 11.2 calculations of leaching area-minimum 500 eq ft 11.4 ) spacing 11.10 c surface drainage 2% 11.11 dj cover material e) I'x2'x4N splash pad f) tee at elbow g) no bends in pipe from d-box to pipe Leachin Fields Reg 15.1 a) no greater t 20 mimites/inch b) area-minimum 900 sq ft 15.4 c) construction of field 15.8 d) surface drainage 2 % 3.7 e) 20' from cellar wa11 or inground s-A nd ng pool Leat Trenches Reg 14.1r/ id) a) calculations o leaching area-min 500 eq ft 14.3 r b) spacing-4 ft min 6 ft with reserve between 7.4.4 c) dimensions 14.6 construction 14.7 e) stone 14.10 f) surface drainage 2% Downhill Slope ) slope y x ---M be shown) b) y/x X 150 = (to be shown) s Reg 9.1 a approval 9.6 b) stand-by power ! I I \ — I I ,i I ��1 —�1 1 I - on III I I I I h�2 7 =z , - 'Doi ( ! I )0 42 ! .! ..i{^'.� �r�I Lbs f F z ,.�._, .6 •„ ' -,..£ ♦ _;: +r. .-. �'. yt' .::y 7 P 'fAy .. 3`�'-. 1M'. ...a6-,.mss -.�s::'.' '?,{: . ..�.�.. � �:,� .s3," i'�w•.�-'. ,- s� - ['�i r_g ..,� �r t_+ -ems '''#,h' '�" '"t#� � � v � .( �.. $�.�.5'w ',�;�. .c„� ... ?� 'u '�"yk,K--r.;k ,.� .��•a „�..�n. � .:� ',t� :.,+ Si•. r :y:''.�, ..:�,..�,� - _ N_ "''N+fr". t.e �,� a� � nom.t• - ,s.:. A.�.: Sn ,. zk".x}�. n -. �y'" _ -....x•_, s �.....: .: .. —. ... ;,,,u.e�y .. .- '- � - .��—_ -- _ -- .,..= a.�,-'«'w be ---moi - -�.,�1..�--»�.':."w�-.:•-.d a,..� - �..o. ....w.y..�.s:.>.:...°�Fa.�. ALT"t iN)47-1✓ - / TABLE OF DRAW Ul— / \•,:,•.-VIA KI' " I -T1"1-LL' 51-4 t--F- r CATC1 1•,ACIE "2'S-SURVEY 5UMDIVI`IC/1.1 GCME1.. 47 _r J Ct//a' 110-'.4- rOPOGRAPHY—UTILITIES 48 su1R.�oc1. .,,I, I j' '10-11-PROFI LES ELEG i Pd,(, r'aouLx, . '12 -GON5TRUGNTIO [)ETA1 LS �IAao 46 ° q9 � L�LOEX MAP . Exlsni O :.C-� E7A�A RtE-DEVIv1EN1- RUNC;FF FINISHII \ SO sl ^rlblro I" 200• 4 SOIL TYPES FIR[ l c:.ol�tr A•+• 7. �� %f3r"3B-'FbST UE.VMENT RUNOFF aCINFC 43 452 2 \ saw e ,I SS 01NAg01 \ lEw6' '41 54 N 5 roN e 37,/ 40 55 / 31S& \ Tarr S1�F;17 / r .BINNING / \.� ` sT 1 �€N G H tV�g(�� T H.M.1►1! \•ITRIc �Ip 1 57 JULA/ \ b ll-.S:c-�f.O.+r.;1 CII r•NC.L1<t. Ori I•.E--) 38 2 I r JAC/: \ •"FT OUT3IOC GOAI-JI M OC uOweq WA'rE KENNY k11 ./ \• BKIL•a 11T90 I{ I:.t- Saj�i !AI LM �r l9 E"-VAT 1014: Ia&24bDFlfl T(U b 4•�) \•3t/vii Oorn0.1► 3V 'S •27 ', 1 ' ��'• - ?5 2+ 23 22' 21 20 17 ! 35 �::r Jli►N \ 27 30 31 '2 II to ,/ �~ i ZONING DISTRICT \ t 2 3 + s 13 1+ r1-3-Re5i K11C.0 3 "t.TRI(:T 3 IY\I NOIYSK 1 •�� 4! 14WN. Of._1\lOR'CF1_.ANpf.•�fl� ,(')' ,\ 'a•/ APS'.IF6-.,t?.E._I►Ik_.'rclwfl .til-I;{tlt. .. t� fF•. ' �\ !I' •\ % nus •a In cuu al I.IAI •w. _- _..._..._ // • NL�.I'I.'l O III.K/ 1'.•{. .rr M•I•• A1,:•:�.M • �'` ,' `\/ 1•L ANIlIN.• 11•.•.f•Il i ,.iNl•/1.••1•'..1 •II V II.1: AM•MO+�I • 1•.•1 \1 I.•.,...i. f11►/ _ • •WIIIIIi f••I 11 IC01 11.1.1•• 1..♦1 4VIN.i • II.Wk II I:t1...\11 . 11.1111•.1 lM AHi AYM'AI. iM'M 1111. W.L1:•1:IN ' - It/jTC--�� TOAN Of kW MIOp1/Q• g1MY+CLCMN _r � NOT• 1 O b 60 lto 1Y0 top , DQPINITIVQ busO1 V1 Dl0** PLA** *AOOOTT • VILLAGE ESTATE i.A 0'.•1 . . 111 NOIIT** ANOOVt III. MA•DAC.NU DET ArxlorT ,1. KEY MAP: I'' GOO I I1 1tT/1..•.:.M .•1�. ./1..•: f , .-•_,n_,..,..1 V ,1. r:. ..a.: ."wAz.:..:..__.. .i �.::... ...:. I..: '.': - '.._- .•:�.. _......_ � 3.. �._,.{_ r_.�[.ny..l ..c-.. ....... .. ...1... .. ).s_.... ,._ ... ....._.•. ,... .. .. fl11i11.wn!•wr..�.v�e...., —..... _.._-.._ire Ficu............. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ro k/,/L/ .... .......OF.....H.0R.jY...A.W0-t ........................... . .�.�.�Iirati>.ut fur �li���l.�ntt� �i11.�rIt� C�1.1�iu�t•irr#snit ��rutit Application is hereby made for a Permit to Construct (>O or Repair ( ) an Individual Sewage Disposal System At: C ..................... ��1� ......(.Jl(.Jl�...... :....gid. ........... Location•Address or Lot No. ................................................0%,."er.......................................... ...................................Address................... ................... ...............................................I n.:.Ilcr......................................... ......................,...........I..........Add.... ........................................... rcss Size Lot....45jt%5:. . Q Type of Building .... Sq. feet U Dwelling— No. of Bc(lrooms.................4. ..................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Bid1dillb ...............I............. No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ................................................................................................................................................. Design Flow............... . 57 .gallons per person per day. Total daily flow..............:..60.0..............gallons 71 P4 Septic '1'Itnk — Liquid eapacityi--Qgalluns Length..1.0.. .-k" Width.6 ... Diameter................ De th..,5>...7 ... W Disposal Trench No. ZT.......... Width....3............Total Length.....�✓��?�.. Total leaching area...j6gk....sq. ft. r Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. Et. Z Other Distribution box (A) Dosing tank ( ) j Percolation Test Results Performed by...Nd j?�4k�dl . l� ld 1�L fs..� ll s.. Date..f1�hfl4 .Jt`AJ??,.. _ �7P e ..mttitlt.cs per ittcl� Depth of Test Pit......�.4..... Depth to round water........................ ,.� Test Pit No. 1.....`�'..... p p ..... P g .. tt t:. Test Pit No. 2.....6.......minutes per inch Depth of Test Pit...&Q......... Depth to ground water......-.............. TP Z) . ................................................................................................ ............................................................. O Description of Soil....... ...5.64.6.0......41.17.. ...!L9Y1W."A...I ?....Ca... ltti:j........ x UNature.of Repairs or Alterations—Answer when applicable....................................•.................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... .......... .. ................ Date ApplicationApproved By...................................:...... ................................I................... .................. .................... Date Application Disapproved for the following reasons:..................................................... .................................................z...... ...............:......................................................................................................................................................................................... Date PermitNo......................................................... Issued................. ................................. . Dale THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................OF..................................................................................... Talif irttbe of T111uplitturli THIS i.S TO CEIZTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.................................................................................................................................................................................................... Installer at................................................................................................................................ ................................................................ has been inst,lllecl in acc•.ardslice with the hrovisioos of TITIF, 5 of The State Snnitary Code as described in the application for Disposal Works Const.ructiun rennit No........:................................ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............ ........... ........................................ _ . Inspector................................................................... ............ THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ......................................OF..................................................................................... I, N 0......................... FEe........................ �i��n��t1 ►I nrltr C�ui�n�i•�x�intt �rruti� Permissionis hereby grantcd.............................................................................................................................................. to Construct ( ) or ileptir ( ) no Indivirinal Sewage Disposal System atNo...................................................................................................... .................................................................................... .Sircet as shown oil the application fur DispmA Works Construction Permit No..................... Dated.......................................... Board of Health DATE................................................................................ FORM 1255 HOBBS a WARREN, INC., PUBLISHERS Cnfa ts�s � t ►_.:fit? �t�s%.f ` !. 'a sa.! s, stc. . P.eOPosEo Suersve��ts �,�Ew.test �isaa-s4L �SYsrE.rt A14LZ 'dr �-,fder 1 }•� _.__ ..�__ .t�vo PCO,04deb LOT 4rR.4b/.v4* cSCAGE l = 4® L14rE : 5-+- P 7- -5,3 `'s �ocAr�o�v: L o try" t a. DEs/!s A/ER : co� �o r rq 3 �- t• • r G s ` �' / WESTtt/A�L� Ci/QGL� o ��' G \` .:;-Y t _ 2 S",'- G-,x L i s o 'I /e� �- .� .s-� x •�__--?! .� w_ __. o °� '\, ,�g No. �,vo✓�v�, , �lAss. q � " q = � w�. TEG. GG it-4983 %4�0170 m 17- 8 R !n' �� e• 1 rr f _ ` ` `� j TYPE OF OW441AICv c L3 R ,✓ :v a_ // r .S- '.�? `70 ; 1 1 •- �`�. — ,`� QARAGE CeUAC PG[/MB/.t14 FAC/G/T/ES /l•r `hL� tet_ SGu44-sE FLOW EST/MAS'• •, ( 'z �'•'- �� ` ! 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