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HomeMy WebLinkAboutMiscellaneous - 250 JOHNSON STREET 4/30/2018I N �CT O l7 0 cFsb� z T CO O z o � �o m b m Z North Andover Board of Assessors Public Access ,toR01 �Of.,Y�.o cryo k>F 4?.- ?r Return to the Home page click on logo New Search Sales Summary Residence Detached Structure Condo Commercial Comparable Sales 9 Town of Aigorth Andover Bsoard of Assessors Parcel ID: 210/097.0-0044-0000.0 SKETCH Click on Sketch to Enlarge Page 1 of 1 EINN Property Record Card Community: North Andover PHOTO No Picture Available Location: 250 JOHNSON STREET Owner Name: GARBICK, GREGORY E KATHLEEN GARBICK Owner Address: 250 JOHNSON STREET City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 7 - 7 Land Area: 1.02 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2280 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 507,000 467,100 Building Value: 270,300 251,800 Land Value: 236,700 215,300 Market Land Value: 236,700 Chapter Land Value: LATESTSALE Sale Price: 300,000 Sale Date: 05/26/1998 Arms Length Sale Code: Y -YES -VALID Grantor: KUCHARSKI Cert Doc: Book: 05064 Page: 0002 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&LinkId=989214 6/6/2007 C WATERSHED RESIDENTS QUESTIONNAIRE 1. Name n 1 u f7 �C Y"6 (( �(f 2. Street Address Ef 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool Q/ septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for our sewage disposal system on file with the Board of Health? ❑ yes ❑ no do not know. 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years Q/ 11-20 years-.' _ ❑ over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes no ❑ do not know If yes, approximately how long ago? years. What was done? 8 How eve q �b j �� r �i 11� � (6 > nped out? Elannually IV every ] over 10 years ❑ never 9. Have you `tom sal system? ❑ yes El -"'no If yes, wh a- /P 35 5 ❑El jJ IT 17 10. How many �ewage disposal system? washing m �s ' �" _ garbage disposal ► dehumidif;� c -t _ toilet �3 roof/paver _ r s- 11. Please stat( z?c d detergent you use for: dishwasher 4 �e. clotheswasher (A %r1 r 12. Does your property have a lawn? [�fl yes ❑ no If yes, approximately what size? �/ El less than 1/4 acre El�;YJ 1/4 acre 1/z acre ❑ 3/4 acre ❑ 1 acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No. of applications per year I - Season(s) of the year f (/n 14. Please state the brand and type liquid or granular) of lawn fertilizer you use: u ❑ Check here if your lawn is maintained by a professional landscape contractor. APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I herby make app4cation for a permit for a sewage disposal installation at t,2 S G'ti 'L� . I will install this system in ac- cordance viYth all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the.house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. I will install a con- crete septic tank of I Qoo c A!9 in size. A manhole (s) permitting easy cleaning will be provided with iemovable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of _-2 a d lineal (square) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until a,pDroved by the inspection officer, as provided below, and to incorporate any additithal requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE Signature of Kip icant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE /� i ature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE 121 L��_j Signature o�'l nspecting Officer Percolation Test Garbage Grinder 1 �M BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. 1. NAME 2. ADDRESS , L ,,�f 64 T NO. TEL. 3. NO. OF BEDROOMS DEN Y X NO 4. GARBAGE GRINDER YES NO X 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. Q t BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL DATE -- ,p /71 NAME OF APPLICANTWalter Detour LOCATION_ 250 Johnson St. Address of lot no. BUILDING: Dwelling X Other SYSTEM: New x Repair GENERAL DESCRIPTION OF LAND high SUBSOIL: Clay__.I_ Gravel Sand PERCOLATION TEST 6 minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK 1,000 gallon capacity. LEACH FIELD 200 lineal feet of drain pipe. OJIL'- " -\\" L., -v illiam J. D i 66 11, Enginee Board of Heal ),` William F. Weld Govemor Argeo Paul Celluccl LL Governor Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection Trudy Cc" Secretary David B. Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION PropertyAddresC)SO P01CAr lAtJo �Aof Owner.Date of Ituipection: Name of Inspector. 7 (If different) �U� r LGE. o f ^ 10 P� i (T Company Name, Address and Telephone Number. BATESON ENTERPRISES, INC. TEL (508) 475-1474 Excavating - water & Sewer Lines - Septic systems & Pumping Service FAX: (508) 475-5451 CERTIFICATION STATEMENT 111 Argilla Road . Andover, Mass. 01810 I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _v Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: r The System Inspector shall submit a py of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AJ 3Y9PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration,.or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11/03/95) One Winter Street a Boston, Massachusetts 02108 a FAX (617) 556-1049 a Telephone (617) 292-5500 A r ! Pnnted on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A 11 v CERTIFICATION (continued) Property Address: a s p -So V 1 n sn� ST. I or4-Vi X v)c6jv--r Owner. H (-- ''vt>, r) k kV J -)4L CS I Date of Inspection: 5. 3. -4? -7 B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 3) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONME" Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. Z) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zona I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or leas than 5 ppm. 3) OTHER (revised 11/03/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: a 's-0 -3-0 /V0 Owner. Date of taspeatiatu S -- --rf`7 D) SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone H of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 $ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: asQ�o�'1n�n ls-�. tjcc�- -) lYN p- c Owner. L — 3 —g% Date of Inspection: J A -an Pc kv�hc�cs�� Check if the folio ' have been done: _ Pump' information was requested of the owner, occupant, and Board of Health. /Non/e of the system components have been pumped for at least two weeks and the system has been receiving normal Sow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. /V/ plans have been obtained and examined. Note if they are not available with N/A. t�'t or dwelling was inspected for signs of sew back-up. Y B Pe 8� � P the m does not receive non -sanitary or industrial waste flow si •was inspected for signs of breakout. ( components, excluding the Soil Absorption System, have been located on the site. :: e septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, terial of construction, dimensions, depth of liquid, depth of sludge, depth of scum. ZZ es ize and location of the Soil Absorption System on the site has been determined based on existing information or app ted by non -intrusive methods. e facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub- surface Disposal System. (revised 11/03/95) 4 IV, -, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: aJ 0 ITQV) YS30 ."l a2 — kLo <-4- k x l A",AJl9f.? -r Owner. kc - Date of Inspection: 6-- 3-9r7 FLOW CONDITIONS RESIDENTIAL: Design flow:�Ons Number of bedrooms: Number of current residents: a Garbage grinder (yes or no):P� Laundry connected to ayem (yes or no):��5 Seasonal use (yes or no): K� Water meter readings, if available: �5� (U /00 47+3,K 7, 5':-- Z6-,, r7S—,,jc, tS Z%LV K . D©a _ / a -Cr- c" S = �/ las + 1510 Last date of occupancy: Cu rren4- COMMERCIAL/INDUSTRL LL Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non -sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Inst date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: 14 U System pumped as part of inspection: (yes or no) _..yQ s If P"! rowwo 140p.d4-ons t Reason for pumping: 1(/�-�6tM - TYPE OF�SYSTEM Septic tank/distribution boa/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROI[IMATE, AGE of all components date installed (if known) and source of information: _ ��2Gv✓S ©t'� ' �- 7 _%"�_C Gi �ci - Sewage odors detected when arriving at the site: (yes or no) (revised 11/03/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address a W VD hV\son Owner r tj er n k kuchacskc; Date of Inspection: SEPTIC TANK: W (locate on site plan) Depth below grade: Material of construction: ticoncrete _metal _FRP —other(explain) Sludge depth: jt91 y Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: alt 8 to Distance from top of scum to top of outlet tee or baiile: Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumpiycg, condition,of inlet and outlet ,Fees or GREASE TRAP:Wv .e (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baine: Distance from bottom of scum to bottom of outlet tee or baffle: of lig4id level in relation to outlet i -L fid ACCT r- X0)1- _ A Comments: (MDWA41kdatton thr pumping, condition of Wet gad outlet tees or 0r0'1es, dopth of ligisid level its relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 11/03/95) 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: a5D Y\Sc)r \ AVO Q1<_ Date of Inspection: TIGHT OR HOLDING TANK: )Ore , (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP —other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX. +� (locate on site plan) Depth of liquid level above outlet invert: a Comments: (note if leve and ribution is eq evidence of solids carryover evide�}ce of leakage into r o t of bot etc.) /fL s.�c-� 0� 1 In I . �`�J ;,c�2< �C _ !'1 -7 (r C' PUMP CHAMBER: , O e-`cra'� (locate on site plan) V Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Addre= oj5Z-_) ToV, Owner. M"C _ 'PC0LAn, \,-- Date of Inspection: 5--3—`,r7 _3—`,r7 SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non -intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: 3 1� �U In leaching fields, number, dimensions: overflow cesspool, number: ` Comments: (note cqjn0'tion f soil, signs of hydralevel of pon ' g condition of veoptation,etc.) `� UQ ��A cV-Oa_ NCS Q1/\0. 0 �C.IC� _ CESSPOOLS: IOQV-e_ (locate on site plan) Number and configuration: Depth -top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 11/03/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM I,NNFFO\R�M,ATION (continued) Property Addrem a50:O(IN y\SDV, Owner.v �Ac Date of Inspection: 1. SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references locate all wells within 100' ptlpo ( - a 1,q A �o a : 02 Ll 1 DEPTH TO GROUNDWATER Depth to groundwater V Y-fn1p method of determination or amroaima (revised 11/03/95) 9 0 3 eQANG V BATESON ENTLRPRISES INC Septic Systems — Excavating — Walet A Seiner Lines i 1 i Argllld good Andover, Maseechumfl i t)ism Igoe)418-1414 Title 5 Inspection Report T property Addread e o�SC� �0��15ov1 SA- Nor`' Ajolj� Owner: Date Of Inspection: My report contaaihed hokei.ti dot?" not cohgtitute d guarantee of f4uro uwaitga and the a uhoblonoi.ity of the existing septic system, Such report issued herewith is mereiy badbd upon my bb9dtVat1on8► and I hereby disclaiM any farther operation of your current septic 6ydbemi 10 df 10 Nail #, bat@son natesdh ghterpriseg ihdg s i f 1 ` 1 4 i DANIEL A. GIARD 130A Appleton Street NORTH ANDOVER, MA 01845 Phone 686-7653 STATEMENT DATE q _ c7l 7 _ T3 A 0 PLEASE DETACH AND RETURN WITH YOUR REMITTANCE $ IVY" - DATE INVOICE NUMBER /11 DESCRIPTION I ,,; CHARGES BALANCE i BALANCE FORWARD PAY LAST AMOUNT DANIEL A. GIARD IN THIS COLUMN