HomeMy WebLinkAboutMiscellaneous - 2155 TURNPIKE STREET 4/30/2018 (2)o m
(D -
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rt
MAP # LOT it
PARCEL #
HAS PLAN REVIEW FEE BEEN PAID?[YE� \
PLAN APPROVAL-: DATE �J APP. BY
DESIGNER: PLAW DATE
CONDITION '
PEA 51-0,VZ-
WATER SUPPLY:
WELL PERMIT -
WELL TESTS:
COMMENTS:
FORM U APPROVAL:
DATE ISSUED
CONDITIONS:
FINAL APPROVAL:
DRILLER_............... ...... .... _________ _
/4/6// -s)Ql-r
CHEMICAL DAlE APPRUVED_______
BACIERIA I DATE OPPRUVED
'
BACTERIA II DATE
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES NO
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
OTHER YES NO
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL.: /°�
e
SERT z_G__S_Y_SIE(__� NS.T9.4L.RZ�_QN.
IS THE INSTALLER LICENSED? YES NO
' TYPE OF CONSTRUCTION: NEW REPAIR
NEW CONSTRUCTION: CERTIFIED PLOT PLnN REVIEW YES NO
CONDITIONS OF.APPROVAL YES NU
(FROM FORM U)
ISSUANCE OF'DWC PERMIT YES NO
_DWC PERMIT NO. � INSTALLER:_T_�
PASSED v, BY -------- ----
CONSTRUCTION INSPECTION: NEEDED:
AS
BUILT
PLAN
SATISFACTORY:
YES:
APPROVAL ,TO BACKFILL: DATE: HY`_—�-- -----
--- — --
FINAL GRADING APPROVAL: DATE BY —_
FINAL CONSTRUCTION APPROVAL: DATE: _BY
l 7 - 73
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Date:
Pages:
To:
Fax Phone:
From:
11
C= ]Fzx Coveir Sheet
C,4 -T 617
CHARLEGATE CONSTRUCTION CO. I 1 7 -
'Fax: 617.982.8020 Phone: 617.982.8002
A5 01:48 FAX THE SIMCO CO. C� U01
M/
March 1, 1995
Ms, Sandra Starr
Diictor, Board of Ith-- - -
Town of North Andover
North Andover, Mt4.
Dear Ms. Starr:
I am writing this letter to swe that my husband and I imderswid that the sodium level at 2155
Turnpike Street is at 50.4, which I also undemnd to be above the normal reading. We have a
written agreement with our builder, Santaro builder in Wilmington, to have a sodium filter
installed. Additio ), Santaro builders will re -test the level within 24-48 haws and provide you
with the test results,
1 apprmatc your continued help with our new house and with the inspection in general. Please let
me know if I cart be of Anther assistance or provide additional information. Thank you again
Singly,
Carol Casey C6nwell
(SOS) 681-5428
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OCT -18=1994 11126
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AoX
iifi3'GWUm -
A.
-MASS. 01931-IIS3
�4jCjkONIE.6A 28 42 FAX: 1.06)464314
crATIFICan S.F.:
A ,�
PUMP -flEPORTO.: 00059
VEL
INO W9LL N-4
OCTOBE01 is. 109
PMA
ARADIN(I MA 010,87
WR*H,QUALITY ONKYSIS
ludAt"WO: NOW.W191, 105 foot desp, loogted at 81E6 Tumpike Street, N. Ando.ar, MA.
.&IMpHop- Sipp" tlkk$o by Angsip CAano on SepternbOr.28, 1994-
TORI 0.01 ?w couistm 00 -ML
EL "IN
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0
0
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0
p_
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811fly AcIdIp
100
16
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NO
990
.250
-A
0.1
WO
20)
*401
1.3
A
0.05
23
150
-Aw LOW
(Continued)
OCT -18-1994 11;28 BIOMARINe
irk &0, tpr 010
AP IIA"31 Wows WO at
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- - - - - - -- - - - - - -
TOTAL P.02
•''" c5 BOARD OF HEALTH
ssACHUeAt NORTH ANDOVER, MASS.
APPLICATION FOR WELL AND PUMP PERMIT
Permit #
�(� Date 7
A permit is requested to: drill a well install a pump, -c-1
LOCATION:�� / U`c/Lot #
'�l S
Owner Address.l� Tel
�-
r
Well Contrctr / c ��dd •``,7�f5� Tel
Pump Contrctr J AddTel
WELLS (To be completed at time of pump test.)
Type of well 111-+,, Use y ME- 5 -
Diameter
Diameter of well (o Size of casing % r
Depth of bed rock � Depth casing into bedrock 1° +
Seal been tested? Yes () No (_) Date of test
Depth of well /0 S Water -bearing rock 9q—os — 9 y
Depth to water / �/ f Delivers f S GPM for y &rS .
(how long?)
Drawdown feet after pumpingJagnature-o-f—well
Z
t /5 GP
Date of completion 9- 28 S y
contractor
PUMPS (To be.filled in before installation.)
Name & size of pump j N P o 6:-t0 AN, J�-c , ,,j(jk Type I
Size of tank Z,/ OAA_ Pump delivers 1,5'- GPM
-T
Pipe used in well: Cast iron (_) Galvanized (_) Plastic
Sleeve used to protect pipe? Yes (_) No ( ) Type well seal
Date
(i' ign ure of pump installer
Date water analysis report submitted to Board of Health
Plumbing inspector Wiring inspector
Board of Health
Ilk
CERTIFY THAT
40,
THE OFFSETS
t
c
.SHOWN COMPLY
AND
W/TH THE ZONING
SBOTIC SSS
M
r
GO
NANDD VER MA.
O.
{ ' {�"/
y ..
%ED FCUN
Sl
t
.
-LOCATED`IN N0: AlVDO '
SCALE / 40
DAT
Scott L. Giles R. L. S.
'f
50 Deer Meadow Rood
r
North Andover, Moss.
SEPT/C SYSTEM AS -BUILT
TAH -E OFELEVATIONS
INV. OUTHOUSE- 5
IN TANK= 9 . 8
OUT TANK.= 92.'8
/hl 0.80X = 92 58 .
(1UT DOA
X= 92.4/ (2)
END PIPE= 9 /. 93 (I.
END PIPE= 9/.95.0 Tw'�
\DRIVE- -�-�
WA Y
EASME
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EXIST.
)9UILD.,,
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15000 TURNPIKE S TREET(RTE.. //4)
CERTIFY THAT
OF
THE OFFSETS
t
c
.SHOWN COMPLY
AND
SEPT/C SYSTEM AS -BUILT
TAH -E OFELEVATIONS
INV. OUTHOUSE- 5
IN TANK= 9 . 8
OUT TANK.= 92.'8
/hl 0.80X = 92 58 .
(1UT DOA
X= 92.4/ (2)
END PIPE= 9 /. 93 (I.
END PIPE= 9/.95.0 Tw'�
\DRIVE- -�-�
WA Y
EASME
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EXIST.
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15000 TURNPIKE S TREET(RTE.. //4)
ALL
5
Off.
i
FSETS SHOWN ARE FOR THE USE S} , : r�
THE. BUIL DING /NSPEC TOR ONLY
SUCH USE IS FOR THE
TERMIMAT/ON OF ZONING {
NFORMI r OR NON- CONFORMITY
, CONS.TRUC TED.Lao
" f
941
CERTIFY THAT
OF
THE OFFSETS
OF
.SHOWN COMPLY
AND
W/TH THE ZONING
. DE
BY LAWS OF,,.. J-
GO
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ALL
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i
FSETS SHOWN ARE FOR THE USE S} , : r�
THE. BUIL DING /NSPEC TOR ONLY
SUCH USE IS FOR THE
TERMIMAT/ON OF ZONING {
NFORMI r OR NON- CONFORMITY
, CONS.TRUC TED.Lao
" f
941
�CjeaLI 3*(,-vt (
W lcof
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Test before using.
Test befc
7 trademark of 3M.
-Highland' is a registered trademark of 3M.
"Highland'
Made in U.SA
Made in U,
gid'
Highland*
Hie
Notes
Not(
6539: 11/2 In. x 2 in.
6539: 1
6549: 3 in. x 3 in.
6549:3
6559:3 in. x 5 in.
6559: 3
h some surfaces
Important: May mark some surfaces
Importar
k
and lift correctable ink
and lift o
Test before using.
Test befc
J trademark of 3M.
"Highland" is a registered trademark of 3M.
"Highland
Made in U.SA
Made in U
Id..
Heghland�
His
lxand
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Notes
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6539:1,
6549: 3 in. x 3 in.
6549: 3
6559: 3 in. x 5 in.
6559: e
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WELL LOC
Address!
Department of Environmental Management/Division of Water Resources
WELL COMPLETION REPORT
TION
GEOGRAPHIC DESCRIPTION
UO ON S E of
(feet) (circle
City/Townn- 4V# . Aryto datz
Aur&.IDf Ka, Si.
Well owner R U lS 4 �! f7 1...t
(road/
Address
/�
�5�; i N SS E ( W,) of
(ml. in tenths) (clrcle7`"',�
Board Health 11'I'tersec[.
w/ 1 C.J
of permit obtained: yes
no
(road!
WELL USE
WELL DATA
Total depth 1 U 1T ft.
Domestic JR Public ❑ Industrial ❑
well
Monitoring ❑ Other
Depth to bedrock ft.
Water -bearing tock/unconsolidated material:
Method drilled ` �-�-'
--''p
Date drilled
Description Is 1 1"-_
Water. bearing zones:
CASING
1-i��
it From To
Type
2) From To
Length2O—ft. Dia(.I.D.)Gin.
10
3) From To
Length into bedrock ft.
Gravel pack well: dia.
Protective well seal':
Screen: dia.
Grout.[]Othe
Slot's length from_ to
STATIC WATER LEVEL (all wells)
_` r
Static water level below land surface ft. Date 2_
WELL TEST (production wells) rr
Drawdown �ft. after pumping - hr. 1 0 min. at JS gpm
How measured Recovery!9,Jft. after fir. 30 min.
0
LOG of FORMATIONS COMMENTS
rs
Materials From To
d Firm Avellino Well & Pimm
Address 244A Haven Street
City/Town Re>a l ung, MA 01867
Superv'sing Dri ler RegA 9
Plees■ Print firmly:.. - L-- - - --
BOARD .OF. HEALTH COPY
CERTIFIED FOUNDA TION PLAN
LOCATED /N NO. ANDOVER. MA
SCALE f". 40" DATE 11116194
Scott L. Gi/es R. L. S.
50 Deer Meadow Rood
North Andover, Moss.
Crc2T/�/FAD To �iE.o,eGr �
�c�ic.p i�.lC� /j .UcrT i`J A
LOT /A
M \ 54,376 S.F. e
OR/�E-
W.4 Y
SME
34'
'EX/ST. " 30.5
N ,PU/LD.,,
la2.4-5 30.5
/50.00'
TURNPIKE S TREE T
(R TE 114)
/ CERT/FY THAT
OFFSETS SHORN ARE FOR THE USE
THE OFFSETS
OF THE SU/L DING /NSPEC TOR ONLY
SHOWN COMPLY
AND SUCH USE /S FOR THE
WITH THE ZONING
DETERMINATION OF ZON/NG
SY LAWS OF
CONFORMITY OR NON-CONFORMITYSTER
72
NO. ANDO VER . MA.
WHEN CONS TRUC TED.
WHEN BUIL T.
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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: Phone
LOCATION: Assessor's Map Number a F G Parcel �^
Subdivision /l 4t Lot(s)
Street �L7��/i� �i Z� 5� St. Nu, e
Use Only************************
RECOMMENDATIONS OF TOWN AGENTS: /
Date Awproved
Conse rvaticn Administrator Date Rejected
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Com-nents
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections 1JOO5�
- driveway permi
Fire Department
wG 7
Received by Building Inspector
Date
NORTH 1
O �
F A
SgACHUSEt
Applicant
Town of North Andover, Massachusetts
BOARD OF HEALTH
DISPOSAL WORKS CONSTRUCTION PERMIT
I42L
AUUKLSS
Form No. 3
Q/ 19 94
Site Location //,,,0 S% -
Permission is hereby granted to Construct ( or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
Fee
CHAIRMAN, BOARD OF HEALTH
D.W.C. No. 714D
z t - {r .y -.'i+ i : �. t• v :. ft 4. t.•s a 7 4t 'S\i. ai ♦,{ - iS l 4 +y
+,� �1;}-:� 4ii;`�4' w�f •A.,yy
it M
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- - .. � - - � s- 'r 4 y ,.+y {�_.' it � i3iy 1 7 i •'` - - •
i"
w,
NUMBER
THE COMMONWEALTH OF MASSACHUSETTS FEE
TOWN of ORTH ANDOVER $ 2 5. 0 0
...........................-•---
This is to Certify that .... AvellinQ --- Ke
NAME &... pump
..........................................................
•-------2-4.4A-•-Saves n ---St_
T ead�n-g:,... MA ...............
ADDRESS
IS HEREBYGRANTED A. LICENSE
For :_.__.__.._ Well Drilli-- ng - rt -
------•-- --._ . Pemi Lot 1A 2155 Turn ike Street
-
._------•-•-------------•-----•-------... .....................-------- --._.-._... •_
This license is granted in conformit
expires---DeLaember___31 Y with the Statutes a94. -
ori i apses relatin thereto, and
. 143 4----------------;
unless end �r•i'�voke
P em
er---,L---------•----:19
cr
= =_
FORM 433' •'" - - ......__ �
HOBBS $ WARREN. INC.-------------------
x�
00147.
kS R i
y'- ,.�• BOARD OF HEALTH
�SSACHUS*NORTH ANDOVER, MASS.
APPLICATION FOR WELL AND PUMP PERMIT
Permit # PwUr �5 Dates
install apump-2--c-L.�
A permit is requested to: drill a well
LOCATION: ` �� y it ��a Lot #
Owner
Address P��!/�u �% T- Tel C�P/'t
Well Contrctr ,%ti/� c �� �� dd:L fit �T� Tel
Pump Contrctr Add Tel
WELLS (To be completed at time of pump test.)
Type of well Use
Diameter of well
Depth of bed rock
Seal been tested?
Depth of well
Depth to water
Size of casing
Depth casing into bedrock
Yes (_) No (_)
Date of test
Water -bearing rock
Delivers GPM for
Drawdown feet after pumping hours at
(how long?)
GPM
Date of'completion
Signature of well contractor
PUMPS (To be filled in before installation.)
Name & size of pump
Size of tank
Type
Pump delivers GPM
Pipe used in well: Cast iron (_) Galvanized (_) Plastic (_)
Sleeve used to protect pipe? Yes (_) No (_) Type well seal
Date
Signature of pump installer
Date water analysis report submitted to Board of Health
Plumbing inspector Wiring inspector
Board. of Health
BOARD OF HEALTH
October 18, 1994
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
Piero Piergentili
84 Shawsheen Avenue
Wilmington, MA 01887
RE: Lots lA and 1C Turnpike Street, No. Andover
Dear Mr. Piergentili:
TEL. 682-6483
Ext 2-3
This letter is to inform you that, on September 29th, 1994
the North Andover Board of Health granted one year extensions on
the septic plan approvals for Lots lA and 1C Turnpike Street.
If you have any questions, please do not hesitate to call
the Board of Health office at the above number.
Sincerely,
Sandra Starr, R.S.
Health Administrator
cc: G. Perna
File
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"WEYMOUTH 617-331-3550 CANTON 617-575-1150 CHELSEA 617-889-4590 LAWRENCE 508-686-8108z
BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
TO: Norse Environmental Sarv;aaa
3 Pondview Place
Tyngsboro, MA 01879
FROM: Sandra Starr
RE• 1A, 1B, 1C Turnpike Street
Dear Mr. Erickson:
TEL. 682-6483
Ext. 32
This is to inform you that the proposed septic design plans
for the above site dated 5-6 & 8, 1992 have been
APPROVED.
If you have any questions about the next step in the
process, please call the Board of Health office.
APPROVED WITH THE FOLLOWING CONDITIONS:
SCH 40 pipe throughout; elevations of foundation drains noted
DISAPPROVED FOR THE FOLLOWING REASONS:
BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
TO: Norse Environmental RPr-%TIPAC
3 Pondview Place
Tyngsboro, MA 01879
FROM: Sandra Starr
RE: 1A, 1B, 1C Turnpike Street
TEL. 682-6483
Ext. 32
DATE: a,g 2g, 1948
Dear
This is to inform you that the proposed septic design plans
for the above site dated 5-6 & 8, 1992 have been
APPROVED.
If you have any questions about the next step in the
process, please call the Board of Health office.
-.Ke7 APPROVED WITH THE FOLLOWING CONDITIONS:
SCH 40 pipe throughout; elevations of foundation drains noted
DISAPPROVED FOR THE FOLLOWING REASONS:
DATEz_
Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
APPLICANT
ADDRESS
ASSESSOR'S MAP
PARCEL #
LOT #
STREET #
ENGINEER All)CS
ADDRESS % Yh rfS bG/D
PLAN DATE ����� REVISION DATE
CONDITIONS OF APPROVAL: �Mi¢�/1�f1�C -o
�/ Z.-2- oG --ON b RAl tl
APPROVED
DISAPPROVED
SUBSURFACE
DISPOSAL
DESIGN REVIEW
FEE '�
PERMIT
#
DATE
RECEIVED�A
APPLICANT
ADDRESS
ASSESSOR'S MAP
PARCEL #
LOT #
STREET #
ENGINEER All)CS
ADDRESS % Yh rfS bG/D
PLAN DATE ����� REVISION DATE
CONDITIONS OF APPROVAL: �Mi¢�/1�f1�C -o
�/ Z.-2- oG --ON b RAl tl
APPROVED
DISAPPROVED
PLAN REVIEW CHECKLIST
ADDRESS / ENGINEER
GENERAL
3 COPIES I --
PROFILE
PROFILE &---'
& PERC INFO/1��//t/
WATERSHED? 10
SCH40
SEPTIC TANK
STAMP 1/ LOCUS L-- SrCALE �� CONTOURS
SECTION �/" BENCHMARK ele✓a� ��`� ELEVATIONS SOIL
WETS. DISCLAIMER !/ WELLS & WETLANDS
SLOPE
MIN 1500G. [/
DRIVEWAY_ WATER LINE DRAINS
.17 INVERT DROP GARB. GRINDER(+200% EDF)
25' TO CELLAR !/ MANHOLE TO GRADE /� ELEV GW
D -BOX
SIZE
# LINES
FIRST
2' LEVEL STATEMENT
INLET
- OUTLETS?.�O
= f /7 (2"
OR .17
FT)
LEACHING
RESERVE AREA C/ 4' FROM PRIMARY? 100' TO WETLANDS t,-� 2% SLOPE
100' TO WELLS V 325' TO SURFACE H2O SUPP — 35' TO FND & INTRCPTR
DRAINS 4' TO S.H.GW 4' PERM. SOIL BELOW FACILITY r MIN
12" COVER FILL? (25' if above natural elevation; 101if below)
TRENCHES n
, S
MIN 660 d LOPE min .005 or 611/100')L,-,"' >3' COVER? - V
gP (ENT
SIDEWALL DIST.
2X EFF. W OR
D (MIN 61) t/
IS RESERVE BETWEEN
TRENCHES? V
IN FILL?
MUST BE 10' MIN. bl-' 4" PEA STONE?,\<,/
BOT 390
X LDNG5162+
SIDE �,Co�% X
LDNG (�� TOT 746
(L x W x #)
(G/ft )
(DxLx2x#)
LIEUTE02 of UMMSMUITAlt.
! - NORSE ENVIRONMENTAL SERVICES, INC.
3 Pondv/ew Place
Tynpsb% Mass. 09879
TEL. 649-9932
TO
WE ARE SENDING YOU ( Attached O Under separate cover via
O Shop drawings O Prints ❑ Plans ❑ Samples
O Copy of letter O Change order ❑
COPIES OAT[ No. OESCRIPTIoN
THESE ARE TRANSMITTED as checked below:
O For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
O As requested ❑ Returned for corrections
O For review and comment ❑
O FOR BIDS DUE 19
REMARKS
7,)fr-o \\kk-
the following items:
❑ Specifications
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ PRINTS RETURNED AFTER LOAN TO US
UW4
COPY TO
SIGNED:
j, fli
1 �pL i
BOARD OF HEALTH
' 120 MAN STREET
�' •` ""'''�`g NORTH ANDOVER, MASS. 01845
1 .. ,SSACMUs�
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5f Norse Eny'ronmentalfGarv;aA�
a 3Pondview Place
,
Tyngsboro,' MA 01879
f tz ,
Andra Starr
. -
1'A,II.;1B, .a 1C . ;Turnpike Street
TEL. 682-6483
Ext. 32
DATE:. ZL ,,, 2 g o 1 9 92
J
N
Ill:
c
iDear Mr.�EErickson
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ry �h gWi s''[w'�.;�t�
r'�`�ahF� &'IIK� �t��t �,
�
This is`to inform:' -you that
the proposed septic design plans
for the
above site dated 5-6 &
8, 1992 have been
_
`APPROVED.
.,
` 6 if
you<have-any questions
about the next step in the
process,
please call the''Board
of Health office.
T
APPROVED WITH THE FOLLOWING ''CONDITIONS:
?DISAPPROVED
FOR THE FOLLOWING REASONS:
i A
,SCH 40, pipe throughout;
elevations of foundation drains -noted
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?DISAPPROVED
FOR THE FOLLOWING REASONS:
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Commonwealth of Massachusetts
W City/Town of NO. ANDOVER
a System Pumping Record
Form 4
�M
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.
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
rab
reran
A. Facility Information
1. System Location:
2155 TURNPIKE ST.
Address
NO.ANDOVER
City/Town
2. System Owner:
CAROL CORNWELL
Name
Address (if different from location)
City/Town
B. Pumping Record
1. Date of Pumping
3. Type of system: ❑
❑ Other (describe):
11/4/05
Date
Cesspool(s)
4. Effluent Tee Filter present? ❑ Yes R. No
5. Condition of System:
6. System Pumped By:
Benjamin Shute
Name
J's Septic & Drain
Company
7. Location where contents were disposed:
GLSD
MA
State
State
Telephone Number
2. Quantity Pumped
g Septic Tank
01845
Zip Code
Zip Code
1500
Gallons
❑ Tight Tank
If yes, was it cleaned? ❑ Yes ❑ No
H79 406
Vehicle License Number
11/4/05
Date
t5form4.doc- 06/03 System Pumping Record - Page 1 of 1