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HomeMy WebLinkAboutMiscellaneous - 201 BRADFORD STREET 4/30/2018N ON 0 O O W 0 0 O T V O Q O O � O M O m m o m ft 0 N _� i v m M d RA LL 4- 0 O N a -J i= l f E c ` f o f 0 Q >v E v 0 v- 0 m 0 Q. L L =u C O E C 3 .rd� CD40 Q) i7 r 0 V ` Q U O O C U C O in i 14 Q) E L 0 c m c 0 .N 0 c 0 Q) En C O v ► [O O CD C C: (Q d I ro Q) 2 O a L cc 0 I r Q) Q O L O n FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *"********"*'*'*****-**APPLICANT FILLS OUT THIS SECTION* APPLICANT ��,�2�'���IL�'� PHONE-(3-��{S 3 LOCATION: Assessors Map Number, PARCEL SUBDIVISION I LOT (S) STREET &�C-Cr O14 �� ST. NUMBER "*" _*"**"***+*'/4***OFFICIAL USE ONLY'**"****ri' — RECO CONS ERV COMMENTS DA JIONS T I/WN AGENTS: IMADMINI�TFYATOR — 40 hc�5.' TOWN PLANNER COMMENTS FOODINSPECTOR-HEALTH IC--INSPECTOR-HEALTH DATE APPROVED DATE REJECTED %N /gu DATE APPROVED DATE REJECTED. DATE APPROVED DATE REJECTED DATE APPROVED �/'!ty._ 7-3 — �z DATE REJECTED COMMENTS S37_p7,-1-c PUBLIC WORKS - SEWER/WATER CONNECTIONS DRJVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Town of North Andover, Massachusetts . �OAR15 OF AALTH ED , Z n i \Aoo° Ew.Pa`5* APPLICATION FOR SITE TESTING/INSPECTION Form No. 1 19 Applicant i •,r i� ("i ", �: NAME ADDRESS TELEPHONE Site Location Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN; BOARD OF HEALTH Fee Test No. w�5 S.S. Permit No. y D.W.C. No. C.C. Date�Z Plbg. Permit No. Gam— ,— PAGE II STEWART'S SEPTIC TANK SERVICE (CONT'D) 04-22-96 A 31 STONE CLEAVE ROAD 1,800 201 BRADFORD STREET 11000 04-23-96 585 BOXFORD STREET 1,500 HEAVY A 175 GREAT POND ROAD 2,000 04-24-96 1615 OSGOOD STREET 500 FIAODED A 122 OLYMPIC LANE 1,500 A 1116 SALEM STREET 750 04-25-96 A 75 FORREST STREET 11000 04-26-96 550 BOSTON STREET 2,000 2-1,000 TANKS 04-27-96 A 1015 JOHNSON STREET 11000 175 FOREST STREET 11000 350 SHARPNER'S POND ROAD 1,500 04-29-96 A 18 STEVENS STREET 1,250 A 100 FOREST STREET 1,500 A 82 PADDOCK LANE 1,500 04-30-96 A 133 SUMMER STREET 11000 A 347 HILLSIDE ROAD 11000 Board of Health, • North AndaverZHaas. OK IZ��I A SSPT'IC STSTEH INSTAMATICK CHECK LIST Di P'dIAT Ra sons t U LOT i 9/�/� % X AVATION OK FAIL 1. Distance Tot a. Wetlands b. Drains c.. Well 2. Water Line Location 3. No PPC Pipe 4. Septic Tank a. _Tees -_Length & To Clean Out Covers b. Cement Pipe to Tank On Both Sides of Tank 5. Distribution Box a. Covers & Box - No Cracks b. All Lines Flo Ang Equal Amounts c. No Back Flow 6. Leach Field or Trench a. Dimensions b. Stone Depth c. Capped Ends d. Clean Double Washed Stone 7. Leach Pits a. Dimensions b. Stone Depth c. Splash Pads d. Tees e. Cenent Pipe to Pit - Both Sides f. Clean Doub'le.Washed Stone 8. No Garbage Disposal 9.Final Grading Inspection 10. Barricading Covered System 11. As Built Submitted a. Lot Location b. Dimensions of System c. Location with Regard -to Perc Test d. Elevations " e: Water Table 'v >laTr.al . Cl till?; 586T f7T 1.40-1-eI.1. uo a :7% . u-elu T T s L4 � Eu�(EnTP6 'V :fg • quawqu-{odd-c fq pui' ()0:7 o- tloou ( J, 7T ABpsans uo ' -',.T ':tanopuN ilaxON utr,;,l 07C,1 ` 'U-IPTzl,� 'aOi330 uozsszun:00 UO -r -j AJZ)S3uo0 011-1 IP' aTq,'T?-VA-P DI -R • �u->_TTaMp ATru1124 OV5uls e 3o sasodand ao: a�,lPO uulZor/ au-pZ uoITx'=D 5"7 'IU'I -4v PUVT .19-ATu c I Isnal axo-qS Tipxaua0 gO aOTPON a41 uo VN `aanopuV qj xON ' jaax:j S LITP�j OZT `11100:.? 2u-rpTTng uMoZ au -1 -4E 'I,,T*j 00:8 -1u, S86T `CZ 2ulav8H oilgna V DIOL{ TT -Lha UO -ESS -EI -111110D UOT:j�'nxaSUO') a,q-4 "mL -q gig uOTIOalox.a puel oNs xanopu� 11 ---ION 3O ui,10,1 'papuame su 1017 uotioaS `TCT' aa:jdm4'D SMUT Tpxaua0 SgjOSrIlOi:sc.l—', •10V UOTIOalOad spuulgaM aul 90 XgTaO P'L au -4 01 quunsxn`. SOIL -£89 3NOHd3131 °o,"•", ,,,% NOISSIWWO:) NOIlVAN3SNOJ AO 331AA0 s.113snHOVSSVW 'H3AOaNV HIMON JO NMOJL BOARD -OF HEALTH No.Andover, Mass. APPROVED Provid6d: Title V Reg 2.5 SUBSURFACE DISPOSAL DESIGN CHECK : SST DATE (o ` lq-Y5 (/ 11 FAIL I Ob LOT P 5% DISAPPROVED DATE X �4 • /.�.�.�.. Reasons: G 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 3.001 of sewage disposal system or • disclaimer -check wetlands mapping (h) surface and subsurface drains within :.)0+ of sewage disposal system or disclaimer (i) location any drainage easements within 3A01 of serge disposal system or disclaimer -Planning Board fi''es (j) known sources of water supply with � 2�W of sewage disposal a system or disclaimer (k) location of any proposed well to serve 1--t-1001 from leaching facility (1) location of water lines on property -3A1 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) maximum ground water elevation in area sewage disposal system ;s) plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Reg 6 Septic Tanks . „ (a) capacities -150,% of flow, water table, -.ees, depth of tees, access, pumping (b) cleanout (c) 3.01 from cellar wall or inground swdmm' ng pool (d) 25+ from subsurface drains Reg 10.2 Distribution Boxes (a) sloP e greater Um 0.08 Reg 10.1 b) ,SUM F:. '�.:..,.. i�...�.::_..� w'. ... .u�.�u. ;�..... .�.. �.�....,e��..�..iv�uev�,u:x.r�t4:.uor. �v�'.sm�..�. �.��._ .t.. ��..� 1. I � � N INV. ELEV N 5 E ov- = k1-7. 3,1 TANK 10 = 117. 00 TANK OJT= 1\b-(6-7 0-50X IN )= I1S.33 D- BOX ou T 115-02- 115-00 15.02- 115.00 115.00 SEG. OP 7RENC4 115.02 t I9. SA 113.8 FWD of T-REMCN- 114. 71 I14. 15 1►a38 S��-ETAS -BUILT OF LOT I I')ZADf:0!fZD ST IN AAVERH1LL MA AS DRAWN FOR DAVID SAfekF-R k->rI DiPRETE • MARCHIONDA & ASSOCIATES INC. ENGINEERING i PLANNING CONSULTANTS 185 New Boston Street . FF.D. #3 Woburn, Massachusetts 01801 Manchester. New Hampshire 03103 (617) 938.1037 (603)43+8725 C) INV, ELEV 1A5E ov-7 = 11'1-3,{ TANK W = 117.90 I -A tit K oU T= 1\b-(6-7 D- 60)< 11J = 115.33 D- BOX 00 7-: 115-©2- 115,00 115.00 115.00 BEG. OF Tp-ENCu'• 115-02- 10.5-1 15.0210.5-1 113.8 F WP OP T?,EnJCN 114,71 114. 15 s-l-lz-----(ETAS -BUILT OF LOT I 5ZADFo2D ST IN A AV ER M I L L, MA AS DRAWN FOR DAV(D SACZ.kER DiPRETE • MARCHIONDA & ASSOCIATES INC. BNGINRKRING a PLANNING CONSULTANTS 185 New Boston Street RF.D. •3 Woburn, Massachusetts 01801 Manchester. New Hampshire 03103 (617) 938.1037 (803) 434-8725