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HomeMy WebLinkAboutMiscellaneous - 208 OLD CART WAY 4/30/2018O r:L 4-1 f J, CP �a I � rr b h Fj r o j n I Ib g� r C) :E 0 zF: tri f ,� rlj M H I c q J\ \ a� O N vi cn C: 0 in CL C� co C w O LL U 0 >' w C cB —a�C _ c�Q�3 v ul L C(lT O >E E J 0.2 O .N E con .? O 4 - Er cn c L- U- "M L O N -0 C C L a E L Q ❑- c Z a) (� O C) �- U -0 � D — -0 Q ca cn o v z co * * * * * * C3 Z w U ( OZ Z o ,; W �a �a vi F- F- t� J J U- F*- a * * * * * KK K K J z w cn 7 J U u. LU w aw �S CL w � ao w .f z O o f— 1= LL o� Zl�'iz 0 Q a Q o z Z O w �- w O W � O w ❑. > W H aw Qw 2 w Z z cn F J z z z w °L w g �O � O O U F- U D ❑. IJw F- W aw ❑❑ ❑ ❑. ww > H W w Qw w w ❑ F- O 0. O u0. NORTH q Q ASLEF i6t tiO O o coc..`�<iwlc. 1 ATE PUBLIC HEALTH DEPARTMENT Community Development Division �1IACYE27IFICf`� O F C0911'GjrVCE As of.- June f: ,dune 6, 2008 This is to cert that the individuaCsu6surface disposal system received a SA`ZIS1FACT0RT1 STECg70-rff of the: Distribution (Bo,-� Repair By. Todd oateson At: 208 OCddCart Way Map 107.B; Parref118 North Andover, W3 01845 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. usan T Sawyer Tu61�c Yfealth Director 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER f pORTM Office of COMMUNITY DEVELOPMENT AND SERVICES �r HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 NORTH ANDOV R, .ASSACHUSETTS 01845 ssACNllBtt Susan Y. Sawyer, .REHS/RS j / 978.688.9540 —Phone Public Health Director (Q j O��`,/ 978.688.8476 —FAX D -BOX Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets Observed even distribution Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel -less disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: Wastewater System Documentation — Feb 2006 Page 3 of 6 �R4y Commonwealth of Massachusetts Map -Block -Lot 107.6-0118- 7° s o ----------------------- Board of Health Permit No North Andover BHP -2008-0168 P.I. FEE ��s�ncMu Eta F.I.----------- $125.00-- Disposal Works Construction Permit Permission is hereby granted Todd -Bateson to (Repair) an Individual Sewage Disposal System. at No 208 OLD CART WAY=t - --------------------- as shown on the application for Disposal Works Construction Permit No. BHR2008'EI46' Dated May 28,-20A8 't Issued On: May -28-2008 Board of Health Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 14 AAppYca�ion for Septic Disposal System 0) Construction Permit -TOWN OF TODAY'S DATE �qORTH ANDOVER, MA 01845 $ 250.00 — Full Repair $125.00 - Component Application is hereby made for a permit to: ❑ Construct a new on-site sewage disposal system* ❑ Repair or replace an existing on-site sewage disposal system* epair or replace an existing system component — What? D_ A. Facility Information 01 SC -4 '_-t � �e Address or Lot # MAY 2 3 2008 Cityrrown >, _ 2.- *TYPE OF SEPTIC SYSTEM*: T��;EA TH t PAr�A NTS ❑ Pump ❑ Gravity (choose one) ***If pump system, 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) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D -Box Present) S.A.S. 2. Owner Information Name Address (if different from above) �v- City/Town /1-rC/'t D ('0 G9 r f f—"+ - State 77r 6, Telephone Number d f Yi -0 Zip Code —/91-3 3. Installer Information Name Name 6T175pany Address T City/rown State Zip Code 4. Designer Informati n Name Address City/Town Telephone Number (Cell Phone # if possible please) Name of Company State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 A Apal,ication for Septic Disposal System RConstruction Permit -TOWN OF .t ORTH ANDOVER. MA 01845 PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: ffResidential Dwelling or ❑Commercial B. Agreement TODAY'S DATE $ 250.00 - Full Repair $125.00 - Component The undersigned agrees to ensure the construction and maintenance of the afore -described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been iss y this Board of Health. Na Date Applicatio pproved By:( rd of Health Representative) Name" Date application Disapproved for t e following reasons: For Office Use Only: 1. Fee Attached.? 2. Project Manager Obligation Form Attached. Yes Yes No No 3. Pump Svstem? Ifso, Attach cogv ofElecuical Permit Yes No 4. Foundation As -Built. (new construction ronly). (Same scale as approved plan) Yes No 5. Floor Plans? (new construction only): Yes No Application for Disposal System Construction Permit • Page 2 of 2 � � t SEPTIC SYS'T'EM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: '- -0 a-- o W r,, -f L I s (Address of septic system) For plans by J� Relative to the application of (�' �,q �� Sd/✓ (Installer's name) And dated Dated --- X,3 ro o ay s ate With revision I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the apnroz ved plans and the permit on site when any work is being done. 2. As the installer, I must call for any and all inspections. If homeowner, contractor, project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or MY company a. Bottom of Bed — Generally, this is the first (V5 inspection unless there is a retaining wall, which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built of verbal OK (or e-mail to: healthdeptntownofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system, all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade — Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation) and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible. 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board ofHealth staff or consultant. d. Installation of tank, D -Box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer, I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner. general contractor. or anv other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: ame — Print (",'me — i (Today's Date) Town of North Andover F HORTN , OFFICE OF ? o �o c COMMUNITY DEVELOPMENT AND SERVICES A �t ;: 146 Main Street qp ... �4�i0 P, ty KENNETH R. MAHONY North Andover, Massachusetts 01845 "SSACHUS* Director (508) 688-9533 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE This is to certify that the individual subsurface disposal system constructed J>(J or repaired ( ) by _ i A4 Til es installer at / 1 dJ ti -90& 1,2 6 has been installed in accordance with the provisions of TITLE 5 of the State Sanitary Code and with Board of Health regulations as described in the Design Approval Permit #.,6-97 dated /9 l/. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY. Board of H alth Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell Ot NO oT" 1 16. ? ea ,n. ... , •s O 6. SSACHUSES Applicant Town of North Andover, Massachusetts BOARD OF HEALTH DISPOSAL WORKS CONSTRUCTION PERMIT L// Form No. 3 19 2 V rvnmt ADDRESS TELEPHONE Site Location_ L C- J `—^r n I c C, art b -I a-. \j Permission is hereby granted to Construct ( ) or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. df % F1�' /' '� ee l / CHAIRMAN, BOARD OF HEALTH D.W.C. No. A 9" q_ � I �y, �° ... ..4��ti.`�ai�. P. �.. ...,:� :'t...h. ,.� r.tU•.,, ... �.. ., j.ti ,..-.. _�. �..... ,.;\.. . ._ `. .\ ... \_ ... .. ..,. , n la. X.. •.l i... rA rA cz Y '< tnv o E U w d p w i z t5 LU s�-ac � w CC J� cc: I v LE cn C', r� w° ° U ii 7 w 7 ° a n°, v w ° C: a, v o a E > cc rA rA cz O 1 7&1 Z co O ui c cap p. LLe c5 CL. o } cc cut— ri :LAS Rw.CD CD L&J Ea ui o c� KE= °, ulop �cm O O •• }' 4 °' c -0 o. C', �. R CD •2NCL c w► o }� H d 3 '7 of C7 J C, C C m O •� L y r��-meq+' CA C= R CD c� ea n y .tL o cm � 1 acL m r� a� c Rc o O� CJ .� o ac o 61 y ® c c G � o. N rL. . coo C. - W O 4;:5 'O yL... ..... -M c M 0=-:5R Z WE v�Sc- o v m Vpm!E c cm GO a m� G Z m �C 0 S co co J Q z o E U w d p w ~ z t5 LU s�-ac � w CC cc: I v LE cn C', r� w° ° U ii 7 w 7 ° a n°, v w ° C: a, v o a E > cc Q M. 'E w w rn cn cn O 1 7&1 Z co O ui c cap p. LLe c5 CL. o } cc cut— ri :LAS Rw.CD CD L&J Ea ui o c� KE= °, ulop �cm O O •• }' 4 °' c -0 o. C', �. R CD •2NCL c w► o }� H d 3 '7 of C7 J C, C C m O •� L y r��-meq+' CA C= R CD c� ea n y .tL o cm � 1 acL m r� a� c Rc o O� CJ .� o ac o 61 y ® c c G � o. N rL. . coo C. - W O 4;:5 'O yL... ..... -M c M 0=-:5R Z WE v�Sc- o v m Vpm!E c cm GO a m� G Z m �C 0 S co co J Q z o E c ~ z t5 LU CL CC cc: I O CM z F- w c CD C 'a �= > cc Q M. 'E O m m Cw z W C) 0 C) U D co Q 0 A v Q L oa E: �a CA � � C R Cc Q Q .F= CA O Z C.3 J LA_ CA _z C.3 C !C C _ cc W V* C- F— G z z � cc z LU �� North Andover Board of Assessors Public Access ! 4 Page 1 of 1 KORTy 'own c f Wo Andover �yery ,•.� o R0ard of Assessors, h � +'7,gg..+nYa6 $�aProperty swCIM Record Card Return to the Home page click on logo [gQ Parcel ID: 210/107.11-0118-0000.0 Community: North Andover New Search Sales Summary Residence Detached Structure Condo Commercial Comparable Sales �. 4 is t,c Location: 208 OLD CART WAY Owner Name: VARGA, THOMAS ELIZABETH G VARGA Owner Address: 208 OLD CART WAY City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 8 - 8 Land Area: 1.1 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 3342 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 694,100 847,900 Building Value: 466,400 608,400 Land Value: 227,700 239,500 Market Land Value: 227,700 Chapter Land Value: LATEST SALE Sale Price: 400,000 Sale Date: 12/14/1995 Arms Length Sale Code: Y -YES -VALID Grantor: LEBLANC, ROMEO Cert Doc: Book: 04402 Page: 0012 http://csc-ma.us/NandoverPubAcc/J*sp/Home.jsp?Page=3&Linkld=l 182091 5/28/2008 FORM U APPROVAL: APPROVAL TO ISSUE YES NO A � BY DATE ISSUED CONDITIONSs FINAL APPROVAL: ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVALLY S� NO ..OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:_______,___ _BY: i f t # r #`f LOT,MAP PARCEL# ,�.<- . STREET CC�1 HAS PLAN REVIEW", FEE. BEEN PAID? YES NO _'.,PLAN APPROVAL: , DATE �� v APP. BY DESIGNER: rYl%'ll�l i� PLAN DATE` L �/ CONDITIONS�l�'�i� 7 • WATER SUPPLY: TOWN WELL WELL PERMIT DRILLER, WELL TESTS: CHEMICAL DATE APPROVED BACTERIA I DATE APPROVED -.---.---.- BAC A II DATE APPROVED. ` COMMENTS.: FORM U APPROVAL: APPROVAL TO ISSUE YES NO A � BY DATE ISSUED CONDITIONSs FINAL APPROVAL: ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVALLY S� NO ..OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:_______,___ _BY: ;„ .; • SEPT I_C S_Y_S.ZEM_ N..I9.4�.AT_QN. JS THE INSTALLER LICENSED? / NO _._ TYPE.OF CONSTRUCTION: NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW NO CONDITIONS OF.-APPROVAL YES_ NO ` (FROM FORM U) r :ISSUANCE OF DWC PERMIT YES NO to I INSTALLER: �DWC PERMIT N0. . BEGIN INSPECTION YES 0 ...EXCAVATION.INSPECTION: NEEDED: ' PASSED CONSTRUCTION INSPECTION= NEEDED: ` AS BUILT PLAN SATISFACTORY: E �f ��/ APPROVAL TO BACKFILL: DATE: BY DATE Z-15 �¢ BY FINAL.GRADING APPROVAL: '' FINAL CONSTRUCTION APPROVAL: DATE:_ _BY __ Board c -f Health t % 7 North Andover, Mass Applicant Water Supply Town Well Approved Date S.S. Septic System Design Approved Date Authority CONDITIONS+ Disapproved Reasons= DWC Date Excavation Inspection Final Inspection Approved Septic System Installation Date Date Additional Inspections (if any) Disapproved Date Reasons Pass Fail Approving Authority i' r i r r Final Approval Da+e Approving Authority CHECKLIS1 FOR PLAN REOUIREMENIS FOR SUBSURFACE SEWAGE DISPOSAL SYSIEMS TOWN OF NO. ANDOVER BOARD OF HEALI H MARCH, 1990 1. Locus_.__M4p . (Suggested Scale: I" = 20007 ) `.A. Locus identified. B. Streets and names within 1/2 mile. C. North arrow and scale 2. Site/-_P1_an (Suggested Scale: 1" = 20' ) r A. Lot to be served, its dimensions and area. :7 B. Fronting street. /_C. North arrow and scale. _.. i D. Assessor's designation. E. Abutters names and lot numbers. Easements. ,_.-__� S: Property lines. H. Footprint of proposed hotiae to be served showing garage (attached or detached). Where applicable setbacks to house. Number of proposed bedrooms. _ �,"'K. Location and type of material (if known) of driveway. Water service line from main in street or well. Location of existing or proposed well. ---N. Location of deep observation holes and percolation tests. _.,., ✓_ O. Existing and proposed contours. Bench marks (2) and ties to proposed system leaching facility from bench marks or other permanent physical features (storiewal lt;, .etc.) Q. Location and dimensions of nystrm (septic tank, V pipes and leaching facility) including the reserve area. _��.......R. Profile and section ,grows. Location of any streams,, water bodies, !-.urface and subsurface drains, known sources of water, supply within 200 -feet, and wetlands within 100 -feet (locate wetlands, specify type of .resource. and show 100 -foot buffer, zone line if applicable). _T. Erosion control devices as required by Cron. Comm., Board of Health or Planning Doard with detail and description of device proposed. i n 3. Res ign—Calc_ulat i_ons,and,___Note_s, A. Percolation rate used for design. 4B. Soil log results - designate various strata depths and description, depth to ledge and/or groundwater if encountered. C. Date of percolation and deep hole tests. D. Number of bedrooms. -'-E. Calculations for leaching area requirements. 4. Profile of Sxst_em (Suggested Scale: 1" - 41) ------'-- 'A. Finished floor of house. _B. Invert elevations at house, septic tank (inlet & outlet), and distribution box. If applicable for pump systems, inlet and outlet of pump chamber and pump bloat switch settings with supporting calculations. .''.._-C. Length, type and grade of pipe and length of leaching facility. Elevation of ledge and/or groundwater. Elevation of bottom of leaching facility. _,_,_/ F. Existing and proposed grades. KG. Slope (breakout) requirement and calculations. H. Scale. 5. Cross^Sect.ion of System (Suggested Scale: 1" A. Elevations of various components. B. Existing and proposed grades. —C. Type, dimensions and stone and system components specifications. .__D. Elevation of ledge and/or groundwater. —,___E. Elevation of bottom leaching facility. Dimensions. ._. __.___._....,_G. Slope (breakout) requirements and calculat ionm. Scale. Owner's name, address and phone number. l�B. Applicant's name, address and phone number. �, _C. Engineer's name, address and phone number. i L --'D. The designer should indicate any notes or special conditions peculiar to the site of interest to the Board, Installer or Owner. �._E. Plans should be dated. Any revised plans after the initial submission should show a revision date and abbreviated explanation of the revision. If a pump system, type, make, model, operation head and pump rates should be provided. n11 required alarm, power and float switch data ahoi_rld be provided for review and approval. ' ___ System components (septic tankv D -box, etc') details should be provided if other than standard as required from local suppliers. Component spec should be indicated somewhere on the plans for standard items. Reviewed and recommended by: Date REVIEW FORM FOR SUBSURFACE SEWAGE DISf'OSnL SYSTEM PLONS TOWN OF NORTH ANDOVER BOARD OF HEnL-1I-1 OWNER — NAME: ADDRESS: PHONE: APPLICANT NAME: ADDRESS: PHONE: ENGINEER NAME: - --- - -._...._._...._......._......_......_.................................... ADDRESS: _—��-`................ _..... ...... ......... ... _._....... .._... ....... ......_....... ............ _................. _ ........_ ............. ..... ............ PHONE:��j �3S PROPERTY .._PLAN_._.i)ATA ASSESSOR'S ' '� / 9 MAP _/'O% _ ...__.....-.._.._.._............_LO i__....c��....................._.........._.. 9.�'"� ,moo✓ STREET LOCATION FLAN llA-TE_Y1Z�/9� REVIEW COMMENTS, RECOMMENOAT_I.ONS RECOMMENDED DENIAL REASONS REASONS (CONT.) RECOMMENDED ARRROVA CONDITIONS/COMMENTS B v 1LT ELUAT i o l,1 OF F" jL,rt,.� . . T r= - ZC�q,67 NV o'e'a uo Pvc. tNv A- �.`T r ti, 14, �6T) d s.T =zo1. ty p- Box, 00-r.(�_ s.T_ -2�o�g9 , , „I NTC D-B'na[f_x11 = ?./��Y�� 1%) p 4V SCH . Ifo PfF2F.' P.V, C. Itiv c tl`1GET'-Fp W I - Zco • 21y II I, I, ,, ,, �� i�2�'Z = 2�► 2 S I, I, ,, ,, �� ,, It Tr' 42- ' zoo ► 0 1 It It It I AS But 1_-7 T r= F_av_ bt:fl , cl©6Z A- �.`T r ti, 14, �6T) p- Box, 62, q PQb TIZ601 qz , 6 ' I✓�.p T'2#u � l o � , g ' �g,zgz s.F? U �a Imo` A � �►�1 I �` . o•C. 1=x l s7" (.�ACtt lNL3 i'2F_ M o 'Co WC.5F-P:. TANIG I s,, , -014 % 1-iz*3 N As:EU I LT' PLAN OF SuBSURFACE:"DlSrr'e%SAL4�SYSTEM LOCATED IN MoRST, .­ANDovER., �_IA_. AS PREPARED FOR RorIE . LF—BLAKJC_. DATE-* l QE _.(q qq SCALE :. 1'_'=-_�-i0 . 1� 19 OLD kJAY CA R7 MERRIMACK. ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS �, LAND SURVEYORS • PLANNERS: 66 PARK STREET,....,* ANDOVER,MASSACHUSETTS 01810 0 TEL. (606) 475-3555, 373-5721 y 1-{, 83' I 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** (/ APPLICANT: �/1 C- Phone 3 ��� a� LOCATION: Assessor's Map Number Parcel giibHiviginn LW44K C1111kr-t- Lot(s) _ Street ���— 1�-�- y St. Number ************************Official Use Only************************ RECO DATIO S OF TOWN AGENTS: Conse ation AcIministrator Comments Date Approved _e?lz Date Rejected Date Approved Town Planner Date Rejected 1-1 Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections Fire Department driveway permit f Received -by Building Inspector Date Approved Date Rejected Date Approved Date Rejected Date DATE ZD L_ Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAIA DESIGN REVIEW FEE Ul PERMIT # DATE RECEIVED APPLICANT ADDRESS ENGINEER ADDRESS ASSESSOR'S MAP lt,)%,6 PARCEL # 1-7 LOT # 19 STREET PLAN DATE le/819z REVISION DATE CONDITIONS OF APPROVAL: y es;Lz-y, e)l-- APPROVED DISAPPROVED PLAN REVIEW CHECKLIST ADDRESS.. /9 DG,D rARr i JA Y ENGINEER /r/�/�/l,>,2i9,:f/-- GENERAL 3 COPIES STAMP L-� LOCUS 1-1� NORTH ARROWe—' SCALE C--� G CONTOURS !/ PROFILE (/ SECTION �� BENCHMARK/- SOIL & PERC INFO ELEVATIONS L,-- WETS. DISCLLAAIMER WELLS & WETLANDS �y WATERSHEWA, DRIVEWAY (Eley) WATER LINE FDN DRAIN, SCH40 TESTS CURRENT? /986 SEPTIC TANK MIN 1500G. � .17 INVERT DROP - GARB. GRINDER(+200% EDF) 25' TO CELLAR L-,-' MANHOLE TO GRADE t/ ELEV YC GWS D -BOX SIZE --DS8 --7- # LINES FIRST 2' LEVEL STATEMENT C/ INLETa6O-47 - OUTLET2pO,36 = ./ (2" OR .17 FT) TEE REQ 'D?4/0 LEACHING RESERVE AREA C/ 4' FROM PRIMARY? Ll --,-"100 ' TO WETLANDS �2% SLOPE 100' TO WELLS 35' TO FND & INTRCPTR DRAINS L-- 4' TO S.H.GW 325' TO SURFACE H2O SUPP—LZI"' 4' PERM. SOIL BELOW FACILITY t� MIN 12" COVER(/ FILL? L�(25' if above natural ele; 10'i� below) BREAKOUT MET? TRENCHES / MIN 660 gpol/ SLOPE (min .005 or 6"/100') t—'--- >3' COVER? - VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 6') IS RESERVE BETWEEN TRENCHES? l/1 IN FILL? t/ MUST BE 10' MIN.L-- 4" PEA STONE? 0< BOT X LDNG / 2+ SIDE �` oo g X LDNG_?Wl� = TOT (L x W x #) (G/ft ) (DxLx2x#) Town of North Andover, Massachusetts Form No.2 �,&ORTq BOARD OF HEALTH 41P "' �''•i DESIGN APPROVAL FOR HUS E`� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant�'AXWLM'� Test No. Site Location Reference Plans and Specs. -YY`� ENGINEER Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. Fee CHAIRMAN, BOARD OF HEALTH Site System Permit No. G70Y 7 4. S //EPEgY C'E.-T/fY Tb Tye T/TLE 1A/S46C0.C. VO 'V 7.4/E B4A/,r T.i/.4T TiVEGOe'ATEO O.V GGTAl.S.SW4WA/AAVO 7.444771704CS CO. ,caew !Y?i/ 7W4r 7'49A -J Of .w..#.voowe a 2'aVlWG ZeU41LATA2 -V AL'r6.4"Mig JE ,-X4eA-X SOA f JT.t'EG'TJ l GOT U. e..S s F!/.�77YGC GE.CTjfY TAri/T 7W1 -I' OA -e"1 S /SrvOT GOG4TE0 /A/ T.NE AdCjO"We- AZjOeO r;t 4ZAW 4.4Ei4. 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AS PREPARED FOR Ror-1Eo LF-BLaNc DATE: iJovEMRE¢ 17, Ig94f _.. SCALE: i"�'-10' �. V r - DLD CRT" WAY MERRIMACK, ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS 0 LAND SURVEYORS • PLANNERS: 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 0 TEL. (6,*) 475.3555, 373.5721