HomeMy WebLinkAboutMiscellaneous - 245 BOXFORD STREET 4/30/2018 (2).OIL
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MAP # ��
v LOT #___
' PARCEL # STREET�j,___.�______.__.
aIle OAS PLAN REVIEW FEE BEEN PAID? NO
PLAN APPROVALS DATE S �( APP. BY_C�
DESIGNER: PLAN DA'iE
CONDITIONS
Ii
M
I
WATER SUPPLY: TOWN WELL
WELL PERMIT�T DRILLER Ile- jr'.�
WELL TESTS: CHEMICAL DATE APPROVED_,_
' BACTERIA I DATE APPROVED.•.•.. `9 _•.•
BACTERIA II DATE APPROVED._^
COMMENTS.:
FORM U APPROVALS APPROVAL IP I NO
DATE ISSUED l BY
CONDITIONS:
FINAL APPROVAL._
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 sDATE s __.• •/%_.� BY: _
6
50
SEPT
I5 ,THE INSTALLER LICENSED?
TYPE OF CONSTRUCTION:
;NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW
kat41
'Nz��jN�,{rr,' tr CONDITIONS OF APPROVAL
(FROM FORM U)
,{ ' .,, ! �`'���+• tri t Glx � ' '
F�ISSUANCE OF DWC PERMIT
DWC PERMIT NO.
°.BEG IN .INSPECTION YES NO:
! EXCAVATION. INSPECTION:
o.
µ`! ,lf�,
PASSED
C STRUCTION INSPECTION:
r,FS' 11wo i 76 "�rG
T"
AS BUILT PLAN SATISFACTORY:
{.T•
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t •*' x 4; APPROVAL TO BACKFILL: DATE: _ .BY,__.-_._-_.._ ......
f
FINAL.GRADING APPROVAL: DATE BY
,FINAL CONSTRUCTION APPROVAL:
s
j
NEEDED •
YES
NO
IIQ��
AYES
REPAIR
IVO
YES
NO
YES NO
INSTALLER:_ - ony
BYv__"f?�5�
i
NEEDED:--.---' --_---_.._
YES:
DATE:
L`
NQ
GoT 66
fIi
LOT ?A
89, 57p S,
ELEVATIONS TAKEN AT TOP OF PIPE
THIS IS TO CONFIRM THAT I HAVE
INSPECTED THE CONSTRUCTION OF THE
DWELLING ELEV.: 13S,Q8
SAID DISPOSAL SYSTEM LOCATED ON
TANK IN: 135-.5-0
LOT 94 - (3oroPo ROAP,NORTH ANDOvrAIMA .
TANK OUT: 135-.-2-2
THE ` GM, -D ,,ARE AS SPECIFIED IN THE
D -BOX IN: /34.l�I
_
PLA; AND?NIFICATION DATED
D—BOX OUT: I34.9Z
B i fi`A 2CHfOND'A,'., & ASSO INC
END OF DISTRIBUTION
AF
LINE A: 134,11
No.
B: 134.!5
C.
D
PA►I rOATE
AS—BUILT SEWAGE DISPOSAL[ARONDA
do ASSOC., INC.
SYSTEM PLAN
G AND PLANNING CONSULTANTS
IN
80 MAPLE STREET
TONEHAM,, MA. 02180
L0T 94 - 6OXFo12D ROA®(617)
438-6121
NOTH ll1V0oI� MpAS
PREPARED FOR
= 44' DATE: RPtp 1L 14qI
FZJNTLOCI� rNCILE
No.: 3��I-Oj
0
r:x�sr
WELL
PROPOSED BUILDING ADDITION PLA N
LOCA TED IN: /✓,�� � 'ao��- /�' DEED BK. 470 9 PG. /�
GPLAN NO s/t? 76
� __' - - DK. ,� PG.
SCALE:
D,4 TE: �� ��� 7-- � �T�'�' =� ZONING DISTRICT: /
IC �-s, a����.���
,/� /,. ,✓ ASSESSORS gR/E,�Fv .' �°a -025-1
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,``a`' < A hereby certifythat l have examined the
To -
promises and that the existing structures are located on the ground as shown.
I also certify that this property is (,v,,,:,) located An the flood hazard area.
e without consent or knowledge by Northstar Land ,Survey ServIces
This plan Is not to be modified For any other us
1,� NORTHSTARLAND. SURVEY SERVICES �
x 533`
Pe ®. B®x 313r
A MESBURY, MA 01913
TEL :(978) 388--9900 FAX :(978) 388--9902
EmAn : NOR'THSTARLANDSURVEY®VEh'IZDN.NET
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Lewis W. Zediana Plant Chemist
Tewksbury Water Treatment Plant
71 Merrimac Drive
Tewksbury, MA. 01876
April 24, 1990
Wilmington Pump Supply
639 Woburn Street
Box 517
Wilmington, MA. 01887
Dear Sirs,
The results of the analysis of the
water samples submitted
on April 23,
1990 from Lot #9 Boxford Road North Andover
may be found below:
Test & Result
State Limit MCL
Type
Total Coliform: 0 colonies/ 100 mis.
1
Primary
Color: 7.6 Hazen Units
15
Secondary
Turbidity: 1.59 NTU
1 - 5
Primary
pH: 7.12
6.5 - 8.5
Secondary
Alkalinity: 31.6 mg/L as CaCO3
No Limit
Hardness: 50 mg/L as CaCO3
No Limit
Sodium: 9.7 mg/L
250 mg/L
Secondary
Iron: 0.38 mg/L
0.3 mg/L
Secondary
Manganese: 0.01 mg/L
0.05 mg/L
Secondary
Conductivity: 161 umho
No Limit
* Mass. Guideline
20.0 mg/L
Laboratory Mass. Certification # MA 126 Analyst: V 1
Lewis W. Zediana
Plant Chemist
Tewksbury WTP
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2.
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� APPROVED
'a
1
PLAN REOU I REVIEN I S
FOR
SUBSURFACE SEWAGE DISPOSOL SYSIEIIS
TOWN OF NO. ANDOVER BOARD OF HEAL'111
MARCH, 1990
LPc.us.....Map.._. (Suggested Scale: I" = 2000' )
A. Locus identified.
. _^..B. Streets and names within 1/2 mile.
_...__!/C. North arrow and scale
5_i_t-e.-P_1_an, (Suggested Scale: 1" = 20, )
,A. Lot to be served, its dimensions ,7rrd
_„.B. Fronting street.
__,.C. North arrow and scale.
__...... D. Assessor's designation.
................. Abutters names and lot numbers.
Easements.
.... _ ... _.G. Property lines.
_...... .......... __.H. Footprint of proposed hokinn to be served showing
garage (attached or detached).
I. Where applicable setbacks to Douse.
__............... I.J. Number of proposed bedrr,oms.
K. Location and type of materizal. (if I(nown) f
driveway.
.__----
- -----L. Water service line we 11.
M. Location of ■1) proposed We 1 1.
_.__ c�-N. Location of deep observation holds; z-rnd percolation
tests.
Existing arid proposed rontouv-•-,.
-_ .. P. Bench marks (2) and ties to
leaching facility from beach wav-ks or other
permanent physical features (storrewijl l ,, pt -c.)
_..................... Q. Location and dimenglorr s of ny trnr (ter. f.rt is t�anl(,
pipes and leaching facility) including the reserves
area.
-....---.--......__.R. Profile and section arrows-,.
Location of any streams, water bodies, surface and
subsurface drains, known SOLIrc:es of water supply
within 200 -feet, arid wept lArid , within 100-- feet
(locate wetlands, specify typr- of resource and show
100 -foot buffer zone line if applicable).
T. Erosion control devices as required by Carr. Comm. ,
Board of Health or Planning Doard with detail arid
description of device proposed.
�
*
3.
4.
A. Percolation rate used for design.
B. 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.
(Suggested Scale: 1" = 4*>
~^ . Finished floor of house.
_2. Invert elevations at housev septic tar.k (inlet &
outlet)» and distribution box. If applicable for-
pump
orpump systems, inlet and outlet of pump chmober and
pump bloat switch settings with supporting
5. (Suggested Scale: 1" = 41)
Elevations of various components.
Z -,_B. Existing and proposed grades.
m
C. Typev dimensions and stone and system components
specifications.
c -' -.-.D. Elevation of ledge and/or groundwater.
Elevation of bottom leaching facility.
c/
___F. Dimensions.
__. Slope (breakout) requirements and calUulat ior.s.
T!5__H. Scale.
6. er_De�ails
. Owner»s name, address and phone number.
' .
Applicant's namev address and phone number.
C. Engineer's n'me, address and phone number.
L/ D. The designer should indicate any notes or special
conditions peculiar, to the site of interest to the
Boardv Installer, or Owner.
Plans should be dated. Any revised plans after the
initial submission should show a revision date and
abbreviated explanation of the revision.
�»
_���_�F. If a pump system, type, make, modelv operation head
and pump rates should be provided. All required
alarmv power and float switch d�ta should be
provided for review and approval.
calculations.
Lengthv type
and grade of pipe and length of
leaching hi facility.
D.
Elevation of
ledge and/or groundwater.
E.
Elevation of
bottom of leaching facility.
Existing and
proposed grades.
���_s;.
Slope (breakout)
requirement and raiculatior`s.
Scale.
5. (Suggested Scale: 1" = 41)
Elevations of various components.
Z -,_B. Existing and proposed grades.
m
C. Typev dimensions and stone and system components
specifications.
c -' -.-.D. Elevation of ledge and/or groundwater.
Elevation of bottom leaching facility.
c/
___F. Dimensions.
__. Slope (breakout) requirements and calUulat ior.s.
T!5__H. Scale.
6. er_De�ails
. Owner»s name, address and phone number.
' .
Applicant's namev address and phone number.
C. Engineer's n'me, address and phone number.
L/ D. The designer should indicate any notes or special
conditions peculiar, to the site of interest to the
Boardv Installer, or Owner.
Plans should be dated. Any revised plans after the
initial submission should show a revision date and
abbreviated explanation of the revision.
�»
_���_�F. If a pump system, type, make, modelv operation head
and pump rates should be provided. All required
alarmv power and float switch d�ta should be
provided for review and approval.
"
P,
'
System components (scptic tank, D -box, etc.)
details should be provided if other than stindard
as required from local suppliel`s. Component spec
should be indicated somewhere on the plans for
standard items.
Reviewed and recommended by:
��....... .......
�
-°7�-'_�-� _ ---
ua ~~
~
REVIEW FORM
FOR
RECOMMENDATIONS
RECOMMENDED DENIAL
REASONS
F]
REASONS (CONT.)
RECOMMENDED APPROVAL
CONDITIONS/COMMENTS
DATE OF PUMPING-.,- . _
QUANTITY PUMPED 10 C�l GALLONS
CESSPOOL: NO _ YES"
SEPTIC TANK: NO YES
iZ
NATURE OF SERVICE: := ROUTINE
, EMERGENCY
TOWN. OF'NORTH ANDOVER
z n
r'
}r
SYSTEM PUMPING RECORD
�pqi.:CONDITION''
s
FULL TO COVER
HEAVY`GREASE
JAN - 6�
ROOTS .a
HATE:
2003
• EXCESSIVE SOLIDS -'
FLOODED
`
_-
OTHER (EXPLAIN)
DATE OF PUMPING-.,- . _
QUANTITY PUMPED 10 C�l GALLONS
CESSPOOL: NO _ YES"
SEPTIC TANK: NO YES
iZ
NATURE OF SERVICE: := ROUTINE
, EMERGENCY
z n
r'
}r
OBSERVATIONS:`
�pqi.:CONDITION''
FULL TO COVER
HEAVY`GREASE
_
°BAFFLES IN PLACE
ROOTS .a
LEACHFIELD RUNBACK
'
• EXCESSIVE SOLIDS -'
FLOODED
SOLIDS CARRYOVER
_-
OTHER (EXPLAIN)
' 7 SYSTEM PUMPED. BY: -
Q
,
art M. �,}•�v _� r t • { i.
COMMENTS:
` 'CONTENTS TRANSFERRED TO,:
S �.
33 -
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: :2C(/l (J �c ✓� Phone I ( �
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved /2
Date Rejected
Received by Building Inspector Date
Town of North Andover, Massachusetts Form No. 1
40RTH A BOARD OF HEALTH ,•
01 1.ED ib �"Ir
b�0 19
o --40A
°R <o . ,. ,° APPLICATION FOR SITE TESTING/INSPECTION
o'ATED ?
SA1
Applicant 5: e? , 5 lc 57"
NAME ADDRESS TELEPHONE
Site Location rte/ ?PC XX J -2D r`
Engineer
00
NAME ADDRESS % / TELEPHONE
Test/Inspection Date and Time 3/00
CHAIRMAN, BOARD OF HEALTH
Fee ��U Test No.
r
S.S. Permit No ,/0 00 D.W.C. No. �'C.C. Date Mbg:iPen,�+t-lslo
"D 47 79v M&Uk
CIA—
Board of Health Lot L7 6
North Andover, Mass �
Applicant A-
;,
3
Water Supply Town Well Approved Date
S. S. Septic System Design
Approved Date I/A 9e)
CONDITIONS+
Disapproved
Reasons=
DWC
Date
Excavation Inspection
Final Inspection
Approved
Approving A,�.-,: u�,thhority
- c
` =C �'Ut SGO M" c'-Cilk
Septic System Installation
Date
Date
Additional Inspections (if any)
Disapproved Date
Reasons
Pass Fail
Approving Authority
Final Approval Dafe Approving Authority
FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS
STREET
ASSIGNED BY D.P.W.
APPLICANT �C.C�. PHONE
DATE OF APPLICATION
PLANNING BOARD
TOWN PLANNER
CONSERVATION COMMISSION
CONSERVATION ADMIN.
TOWN USE BELOW THIS LINE
DA'Z'E APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
BOARD OF HEALT
DA'Z'E APPROVED
H L ITARIAN DATE REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
Department of Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT
WELL Lf GEOGRAPHIC DESCRIPTION
Addre `(OS E W of
(leer)/circ/
City/Tow
Well owner r ,.� (ro
Address .L!. V)^^ad/
S E W of
(mi. in tenths/ (circle]
Board of Health permit: yes no ❑ intersect. w/
(road/
WELL USE WELL DATA +�
Domestic Public ❑ Industrial ❑ Total well depth ft.
Monitoring ❑ Other Depth to bedrockL_ ft.
Method driWater-bearing rock/unconsolidated material-,
lled
Date drilled a� 3 _ Q Description
CASING Water -bearing n/^ e�s:
1) From�To
Type �3Q
//1/lit 2) From To
Length+ ft. Dia(.I.D.) ' in.. 3) From To
Length into bedrock _L,!ft.
Gravel pack well: dia.
Protective well seal:
Screen: dia.
Grout -0 Other Slot 0 length from_ to
PUMP TEST
Static water level below land surface [ ft. ►Date
1-� ' ��v�'"
Drawdown �3D ft. after pumping fir. min. at gpm
How measured f�Ln Recovery/49 ft. afterhr. min.
0
LOG of FORMATIONS COMMENTS
Materials From I To c
Driller
Ar Mass. 4ition 4 r7340 Fir r
WC/
AddreCity/T- Q
S
ature of su ervisin registered el! driller
Please print firmly v
BOARD OF.HEALTH COPY
• � BOARD OF HEALTH.
Town of North Andover)I'iasS .
Drate -- la-- 199D
`�
APPLICATION FOR WI LL & I'Utii' I'L1Z1lj'I
ade-for permit to drill a well ( application i -s
)n is hereby m
'
istall (-) a pump sys�temA
Address`
cacto
Add res�sGq� ✓ -_
Lot
Tel— .SOB"����'J O
5 00 9,
RACTOR (To be completed at Cirrne of puinp Lest)
Well used for
e 11 z..res ,.. ll //
of Well ! Size of C•asi llg
llepth casing into Bed Kock
Bed Rock : O 7
Tested? Yes (� No (_)
Date of Testing
Well i nded in Wha.L. Iial erial
t
�'o Delivers &0 Gals.i'er 1 -lin. -or jj -sr
Water `
�rN GPH
feet after pumping: _* `a t -?
;omp1etion
gnature dell o 1 ra.cto-r
ALECK ("l o be. f i 1 l' e d i n' before
'
1 �' Pump Type Used
ime Pump----- -- —
lip Delivers---.
Sire of l'anlc
Arial Used in Well: Cost Iron (_) CnJvnnizecJ (-) Plastic
(_) or Pitless Adapter (_)
protect pipe' Yes (_) 1JU(r) Type or Name Well Seal
,re e used p
'IIatLI,),C;��'��:I�C
er analysi-s repor-t 'submitted to Boarcl of Ifealtl�_
ease given (D owner of record & Bldg- lnsp
Ilcr�lth Inspector
°
"
1 Nommca
' '—
—
nHscommomwsAcrHoF MAssAo*ussrrs
.������.��'vf—..���l---. —.--_
This i, to
-- ---------'----
XDDRESS
IS HEREBY GRANTED A LICENSE
^�
For .� --'7----- ---
-----------------'—'—'--------------'--''---''—'------
--`----`---`—'—`—'—`—`-------`---------`-`----'--`--`---`
----------------- .................................. ........................... '.................................. ........................ ------------------------
This license io�xu�cJ �ur"ufxn`itywith the Statutes and ordinances relating thereto, and
expires ..................... --............ --------------- ------------ unless 0007�zvooD4F��m rorokoJ.
`—/1��� —7O.-- ^'-
'
ponw 433 x000a^WARREN. INC. ----'---------'----�
WELL DATABASE
AGE OF WET : G WELL DRILLER. -
WELL PERMIT,: _,3CI WELL LOCATION:
--WELL PER.&& T DATE:- -C�"�t 0 DEPTH OF WELL: _
TYPE OF WELL: _ D b. DUG c. 1G`iOWN -
TYPE:OF WA=BEARING OCK_
WATER ANALYSIS' DATE- SIGH MANGANESE: Y
Ig N. oy N T CONTANMTANL M. Y N
ADDRESS:
W"r_LI. DATABASE
V,
AGE OF WELL: WELL DRILLER.
WELL P"cT: �� WELL LOCATION:
WELL P- , �i DATE: DEPTH OF WELL: t?
TYPE OF L: b. DUG c. U\l FK OlwN
TYPE OF WA E R G ROCK.
WATER ANALYSIS DATE: - �% , HIGH MANGANESE: N
HIGH IRON: N OTHER CONTAI�4INA:NTS: Y N
� crr
THIS PLAN IS INTENDED FOR ZONING
PURPOSES ONLY. IT WAS COMPILED
FROM EXISTING PLANS AND RECORDS
WITH BUILDING LOCATIONS CONFIRMED
IN THE FIELD. IT SHOULD NOT BE
USED FOR PROPERTY LINE DETERMIN-
ATION.
THE BUILDING IS NOT LOCATED IN AN
ESTABLISHED FLOOD HAZARD AREA.
ZONING: izI
REQUIRED SETBACKS:
FRONT: 3p
SIDE: so
REAR: $0
CERTIFIED PLOT PLAN
IN
North And®v(r 14a
AS PREPARED FOR
`DSV . Yll QZ
M & A FILE . No.: 351.01
WE HEREBY CERTIFY THAT WE HAVE EXAMINED
THE PREMISES AND THAT ALL EASEMENTS,
ENCROACHMENTS AND BUILDINGS ARE LOCATED
AS SHOWN. ALL BUILDINGS SHOWN CONFORM
TO -THE ZONING LAWS OF THE MUNICIPALITY
WHEN CONST
OF
PAUL
ANRCHIGN
/ Ho. 30015 H I
9/
UL' ,A: A ION A, P.E. 0ArE
MARCHIONDA & ASSOC., INC.
ENGINEERING AND PLANNING CONSULTANTS
80 MAPLE STREET
STONEHAM, MA. 02180
(617) 438-6121
SCALE: 1 "_ _�0 ' DATE:l `�1
� a'T
THIS PLAN IS INTENDED FOR ZONING
PURPOSES ONLY. IT WAS COMPILED
FROM EXISTING PLANS AND RECORDS
WITH BUILDING LOCATIONS CONFIRMED
IN THE FIELD. IT SHOULD NOT BE
USED FOR PROPERTY LINE DETERMIN—
ATION.
THE BUILDING IS NOT LOCATED IN AN
ESTABLISHED FLOOD HAZARD AREA.
ZONING: lzI
REQUIRED SETBACKS:
FRONT: 20
SIDE: s0
REAR: V
CERTIFIED PLOT PLAN
IN
Norfh Andovcj -1 4
AS PREPARED FOR
M & A FILE No.: 351-01
WE HEREBY CERTIFY THAT WE HAVE EXAMINED
THE PREMISES AND THAT ALL EASEMENTS,
ENCROACHMENTS AND BUILDINGS ARE LOCATED
AS SHOWN. ALL BUILDINGS SHOWN CONFORM
TO- THE ZONING LAWS OF THE MUNICIPALITY
WHEN CONSTR,l TGD. -
Of 4
PAUL
MAURCHIC DA �
No. 39015
.15- /4�"9r
P. E. E
MARCHIONDA & ASSOC., INC.
ENGINEERING AND PLANNING CONSULTANTS
80 MAPLE STREET
STONEHAM, MA. 02180
(617) 438-6121
SCALE: 1"=!(�DATE:
N,
To
Z -o7 66
ISO 0GnQI-
,Y STIP.
X
o�
N
LOT ?A
89, 5?o s�
of ExT.
FENT
R
20 33ti 1�
0
EXISt
WELL
ELEVATIONS TAKEN AT TOP OF PIPE THIS IS TO CONFIRM THAT I HAVE
INSPECTED THE CONSTRUCTION OF THE
DWELLING ELEV.: 135',g8 SAID DISPOSAL SYSTEM LOCATED ON
TANK IN: 13'. 50 LOT 4A - r3oXro)?D poAp,Noplw ANQQvFA)MA .
TANK OUT: 13s.2-2 THE G E-5, ARE AS SPECIFIED IN THE
D—BOX IN: 139.61 PLA Np`fCIFICATIONS DATED
D—BOX OUT:
134.42 B� CRI"0.,,R�`J ASSOC., INC.
AJUL }
END OF DISTRIBUTION '` MIA
LINE A: 13¢,11
B: 134.15
D: pAA� J? D
AS -BUILT SEWAGE DISPOSAL MARCHIONDA & ASSOC., INC.
SYSTEM PLAN ENGINEERING AND PLANNING CONSULTANTS
IN 80 MAPLE STREET
STONEHAM, MA. 02180
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