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HomeMy WebLinkAboutMiscellaneous - 33 SHERWOOD DRIVE 4/30/2018 (2)lc� 7 CONDITI WATER S Y: TOWN WELL WELL PERMIT WELL TESTS: C CAL DALE APPROVED -- - - - BACTERIA I DA I E (IPPRUVED BACTERIA II D APPROVED . COMMENTS: I-, �-P,4 FORM U APPROVAL: APPROVAL 1-0 ISSUE �YESNO DATE ISSUED BY CONDITIONS: FINAL APPROVAL:. ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YE NO FINAL BOARD OF HEALTH APPROVAL: DATE: BY: S , t � �Ty..i.fir R "d..�y � "� � " ' ���Li � ,. '� .... I: .; rr• �Sj _ ' ; � �. .� ��-�1Y+1' r "1 N-. . pt+�`• .J^ .. .. r �. "�.�� t r.Y J , • MAP # T LOT .# PARCEL # STREET ..• __ —.._ ' CONSTRUCTION APPROVAL HAS PLAN REVIEW FEE .BEEN PAID? YES NO PLAN APPROVALz DATE� APP. BY DESIGNER: /l�C-rU� /5 . 5�2f� Gid . PLAN DATE. -1 CONDITI WATER S Y: TOWN WELL WELL PERMIT WELL TESTS: C CAL DALE APPROVED -- - - - BACTERIA I DA I E (IPPRUVED BACTERIA II D APPROVED . COMMENTS: I-, �-P,4 FORM U APPROVAL: APPROVAL 1-0 ISSUE �YESNO DATE ISSUED BY CONDITIONS: FINAL APPROVAL:. ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YE NO FINAL BOARD OF HEALTH APPROVAL: DATE: BY: Town of North Andover, Massachusetts Form No. 3 NoRTM BOARD OF HEALTH cp ' 19� # F DISPOSAL WORKS CONSTRUCTION PERMIT �,SSACHUS t Applicant "z'—B06 :tZVA/I- NAME ADDRESS TELEPHONE Site Location DoT a �i 6e zob D4 Permission is hereby granted to Construct ('—�— Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. (6C-1 z . CH MAN, BOARD GFHEALTH Fee D.W.C. No. ! /` a 0 THOMAS E. NEVE ASSOCIATES, INC. Engineers 9 Land Surveyors • Land Use Planners 447 Boston Street US #1 TOPSFIELD, MASSACHUSETTS 01983 (508) 887-8586 FAX (508) 887-3480 TO V\A A p k 8dlS— WE ARE SENDING YOU Attached ❑ Under separate cover via ❑ Shop drawings ❑ Copy of letter Prints - ❑ Change order ❑ Plans IN] DATE DATE ATTENTION RE: i BO I.c__�-11 tis UC P . OCT 1119% 1 I ❑ Samples the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION I.c__�-11 tis UC P . THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted 14 Resubmit ?? copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKSGGc7p c -r\JC i -C <� R -A" V-cse-, Lcrf ".1e<tJct4 -�t'S"a vt Nva {Zt�"CA-'ice "GO Pae, p2am i f2r� W Ct(.t_"— L- A�.� V't'� 1 t4 yr • j -�Cb C�A-� 1N t-tb) tIIJ `1ti-}% �' � - '�� i�'C�s� cru ►2 �P2e�� Ash b - 9J fP, CIE5 'C RM p621-(. Wl U- (SE Lt—\ t N C -r iM`i L.81s D �'CPttJ�11.Si�' -C�trg'� 6J W JLJ , � ff_ttJ Cs-t.N&- Ak'UOY--�' 'CD CZL�lJ .`S VL�,'�C 10�fLV�n rn�. ►tom 2 - A&A 11 1 GtS�!--�'t . Qt_� C- C4Lk_ �40rye- . COPY TO / J- RECYCLED PAPER: Contents: 40% Pre -Consumer- 10% Post -Consumer SIGN�� • .�� G'c gaty c�.c-e - c If enclosures are not as noted, kindly notify us at once. [0u,Kr1LJ OF HEALTH OCT - f f 1996 SEPTIC PLAN SUBMITT. LOCATION: COT V!�� NEW PLANS: YES $60.00/Plan REVISED PLAN YES $25.00/Plan DATE: DESIGN ENGINEER: When the submission is all in place, route to the Health Secretary 5 NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE : *69 PERMIT # 8A6 DATE RECEIVED �/a /96 APPLICANT —6b8 J A)OSZ MAP PARCEL LOT # /c/ ADDRESS�A/� STREET # ENG. /V4wC STREET ADDRESS PLAN DATE 4/z 9h� REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: >v07- -3A-5eb Al A)O /UOT'ES 7:::-o/C' 5UlaE.eV/5EJl "-�5DE5/ •u �.uG/.0 E� W/Vo 5/rj9�C q— c5'1,9TT Z-&�57- -z D&EP 1906E5 @ ASTM TD circ -cam' f-Di2 LSD �5Ce wUo �i2- 210 10 %- GG 64,700 © /V TZ,4W Town of North Andover 40RTN OFFICE OF oa°, COMMUNITY DEVELOPMENT AND SERVICES p . - . 146 Main Street • i North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director November 12, 1996 Thomas E. Neve 447 Old Boston Road Topsfield, MA 01983 Re: Lot 19 Sherwood Drive Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Tests observed 8/14/96 - not located on plan. 2. Approval from Planning Board required before the Board of Health approval - violation of PRD buffer zone. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp cc: File Wm. Scott, Dir., PCD KB Colwell, Town Planner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 December 3, 1996 Ms. Sandra Starr, R.S. Health Administrator 146 Main Street North Andover, MA 01845 Re: Lot 19 Sherwood Drive, Jerad Place Phase IV Dear Sandy: Civ _ 41996 We are in receipt of your letter dated November 12, 1996 regarding the above -referenced lot. We are requesting a waiver from the Planning Board in response to Item #2 of your letter and we will keep you informed. We have added the tests onto the plan from 8/14/96 and have enclosed three (3) prints for your files. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. k� Thomas E. Neve, PE, PLS President, CEO TEN/km Enclosures #1449 JERADIV.WPS • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director January 14, 1997 Mr. Thomas E. Neve Thomas E. Neve Associates, Inc. 447 Old Boston Road Topsfield, MA 01983 Re: Lot 19 Sherwood Drive - Jerad Place Phase IV Dear Mr. Neve, TOWN OF NORTH ANDdW BOARD OF HEALTH 01-51997 On January 7, 1997, the Planning Board voted to allow grading in the fifty foot buffer zone for the septic system on Lot 19. The grading will be allowed on the condition that the buffer zone area be replanted up to the edge of the right-of-way with similar vegetation to that existing currently on site. The septic system must remain outside of the buffer zone. If you have any questions please do not hesitate to call me at 688-9535. Very truly yours, Kathleen Bradley Colwell Town Planner cc. J. Mahoney, Chair PB -S.-_Starr,_Health Agent R. Janusz BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 6 January 14, 1997 Ms. Sandy Starr, R.S. Board of Health 146 Main Street North Andover, MA 01845 Re: Lot 19 Sherwood Drive, Jerad Place Phase IV Dear Sandy - We °are in receipt of your letter dated November 12, 1996. Find attached our letter to you dated December 3, 1996 which addresses item #1 of your letter. On 'January -7"-: 19'97 -appeared before the Planning Board at their regularly scheduled meeting and received approval from them to re -grade in the PRD buffer zone in order to install the septic system as shown on our plan. I have asked Kathleen Bradley Colwell to memo you regarding the Planning Board vote. I trust now that you can approve the plan. If you should have any questions regarding this matter please do not hesitate to contact me. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. TEN -/km:_ Attachments #1449 JANUsz.wPs • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 December 3, 1996 Ms. Sandra Starr, RS. Health Administrator 146 Main Street North Andover, MA 01845 Re: Lot 19 Sherwood Drive, Jerad Place Phase IV Dear Sandy: We are in receipt of your letter. dated November 12, 1996 regarding the above -referenced lot:. We are requesting a waiver from the Planning Board in response to Item 42 of your letter and we will keep you informed. We have added the tests onto the plan from 8/14/96 and have enclosed three (3) prints for your files. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. Thomas E. Neve, PE, PLS President, CEO TEN/km Enclosures #1449 JERADIV.WPS • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 VnLL IAM J. SCOTT Director November 12, 1996 Thomas E. Neve 447 Old Boston Road Topsfield, MA 01983 Re: Lot 19 Sherwood Drive Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Tests observed 8/14/96 - not located on plan. 2. Approval from Planning: Board required before the Board of Health approval violation of PRD buffer zone. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp cc: File Wm. Scott, Dir., PCD KB Colwell, Town Planner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: " CURRENT INSTALLER'S LICENSE# 1. LOCATION: Z.27 4 / q�- LICENSED INSTALLER: R-9- A SIGNATURE: �a' TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF, NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As -Built? Yes v No Approval Date. i VN . i II � t- a s• Z Ira (I d m00OD s d = Do Aaa� O • � I � m � O � x �. ��� MNOF - N fn h IE io-8 Z'-4 12-5 - t I N 4 _ 1 J J UP f N A r 5TC.o J -canna A cc�m o �m .1 QI. �:FrizN+ss, :-•.��%t q:»�:•,:;_�'' �..« .,d�-. .ti,•r.��,rx�.. •:.yu wm z� �;IL- � - S • a n a 100 1 I �! / io-8 Z'-4 12-5 - t I N 4 _ 1 J J UP f N A r 5TC.o J -canna A cc�m o �m .1 QI. wm z� �;IL- � - S • a n a 100 1 I �! i nNj •-� J2 ,� O U � W 17- N - a � � v � a � L „O W CSC , . • _ ........:.:...: F F 0.1 -...-...... - .- ..,. ;ASE -FORM ierifytithat ali necessary )artments,:having-.jurisdiction aeve-:the applicant and/or inl`:cabTe local or state law, this section***************** Phone 373- `1539 Number imo Parcel EO 1 Lots) St. Number ************************Official Use Only************************ COMNB;NDATIONS OF TOWN AGENTS: T! Conservation Administrator Comments Town P1 ar. V Comments 11 Date Approved _ Food Inspector -Health Date Rejected f Date Approved pt'c nspe or -Health Date Rejected Comments i Public Works - sewer/water connections _T7 7 - driveway permit27 Fire Department, Received by Building Inspector Date Town of North Andover HORTM OFFICE OF°3�°,��"`° COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director January 14, 1997 Mr. Thomas E. Neve Thomas E. Neve Associates, Inc. 447 Old Boston Road Topsfield, MA 01983 Re: Lot 19 Sherwood Drive - Jerad Place Phase IV a, Dear Mr. Neve, On January 7, 1997, the Planning Board voted to allow grading in the fifty foot buffer zone for the septic system on Lot 19. The grading will be allowed on the condition that the buffer zone area be replanted up to the edge of the right-of-way with similar vegetation to that existing currently on site. The septic system must remain outside of the buffer zone. If you have any questions please do not hesitate to call me at 688-9535. Very truly yours, Kathleen Bradley Colwell VV Town Planner cc. J. Mahoney, Chair PB S. Starr, Health Agent R. Janusz 9nARn0F APPCFj c 6$8-9541 9TJIId?ING 688-9545 CONSFR.VA,TION 688-9530 HFALTH 688-9540 PLANNING 688-9535 Form No. 4 Town of North Andover, Massachusetts BOARD OF HEALTH Oct. 31 19 97 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed ( X) or repaired ( ) by Bob Innis - INSTALLER at Lot 19 Sherwood SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. R26 dated_ Tan 1 S 19 97 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. BOARD OF HEALTH MAP AND PARCEL �—(�I ADDRESS OWNER SIZE OF LOT IN SQUARE FEET # BEDROOMS /J l SEPTIC SYSTEM LOCATION (For example, FRONT YARD SOUTHEAST CORNER) FINAL GRADING DATE AS BUILT PLAN IN FILE?o INSTALLER / DWC PERMIT DATE CERTIFICATE OF COMPLIANCE DATE ENGINEER�� , FOR 111 - SOIL EVALUATOR FORM _ Page ? of 3 Location Address or Lot ivo. `=>H-vE-Zv-jCXxo Cie\V� On-site Review Deep Hole Number 1Z Date:. Time: Weather Location (identify on site plan) Land Use Slope (%) Surface Stones vegetation �S Landform Position on landscape (sketch on the back) ��'� ��'`'"� -`C P)SPo � �'�'s�� PE�►�o� C�-cxus av�,a.-P� Distances from: Open Water Body 'Z50 -V— feet Drainage way feet Possible Wet Area "ZSR*/— feet Property Line 6t47 feet CVIU-^ �'+_�►-� Lo -r �i � Drinking Water Well feet Other DEEP OBSERVATION HOLE BOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) - MINiMUM Ur' t nvuw ncuulncv - "v"' I , — - ,— ,..�. Parent Material (geologic) y--eWASN icy — DepthtoSedrock: �s Depth to Groundwater: Standing Water in the Hole: �' Weeping from Pit Pace: 1—TCA-G— Estimated Seasonal High Ground Water: ak—� DEP APPROVED FOR,M - 12/07/95 No. 144cD— 1�5 U Sui, FOR: 111 - SOIL EVALUATOR FORM Page 1 of 3 I Commonwealth of Massachusetts is,�c>'Yj; Massachusetts ility Assessinentlor On-site Sewa Date: 2� Date: S �lzl` 97 - Performed By: _ ........._..._ .............. _.. __._ .... Witnessed By: _...).........:SA. t._. _........ Locuion Address or Addrus. snd riE%��Yfl tCJ �t"1 W- TeIcQAorc ! ��C..►� �"�� ©i �(] ew Construction Repair ❑ �5t�o �1� X115 Office Review Published Soil Survey Available: No ❑ Yes ill—is ' Soil Ma Unit ............... Year Published 1."..... Publication Scale p l jr-t- t Akae0 Soil Limitations ... .......... .. .. ... ...�.....s.. Drainage Class l Surficial Geologic Report Available: No L7 Yes- ❑ Year Published Publication Scale Geologic Material (Map Unit)............................................................................................................... .................-.............. __..._ .............. Landform .�_. ..................................................................................................................................... . Flood Insurance Rate Map: ��-� Above 500 year flood boundary No &,, es ❑ Within 500 year flood boundary No L7 Yes ❑ Within 100 year flood boundary No Eles ❑ i Wetland Area: _ National Wetland Inventory Map (map unit) ............................... ' Wetlands Conservancy Program Map (map unit) .............................................................. Current Water Resource Conditions (USGS): Month - Range :Above Normal ❑Normal ❑Belvv Normal ❑ Other References Reviewed: iaDEP APPROVED FORM - 12/07/95 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 June 11, 1996 Mr. Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot # 19 Sherwood Drive Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Design not based on 110 GPD/660 GPD minimum. 2. No wetlands disclaimer, nor map & parcel. 3. Tank not 25 feet to foundation; no manhole to grade. 4. Notes for retaining wall needed: a) Retaining wall shall have no weep holes & shall be waterproof. b) Construction shall be supervised by design engineer who shall then prepare an as -built & certify that the wall has been constructed properly. c) Construction & certification of the retaining wall shall be complete prior to system installation. d) Board of Health shall inspect wall prior to backfill & system construction: 5. At least 2 deep holes at south end of system to check for ledge. If you have any questions, please do not hesitate to call the Health Office. Sincerely, __101 Starr, RIe— Sandra, Health Administrator SS/cjp cc: Bob Janusz BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 FORM 11 - SOIL EVALUATOR FORM Page ? of 3 Location Address or Lot ,Jo. On-site Review 1 Deep Hole Number Z�1-.3:> Date: �,��3,95 Time:�'1'Av-A Weather Location (identify on site plan)-E.s,-rp�.e-v. P�so�aaL s�qs-rEµ-. QEs�c Land Use Slope (%) Surface Stones VegetationAS.S Landform C—' - Position on landscape (sketch on the back) Distances from: Open Water Body 25cr�� feet Drainage way 1.� feet Possible Wet Area ZSok% feet Property Line 1C:)'K7- feet (Vtl&0^ Drinking Water Well IJ(>t-je feet Other DEEP OBSERVATION HOLE ! OG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) s� WosE MINIMUM Ut' L r'IUICJ nCUUMIZU Hi cvCni InvrvocU UIQFVQ-I—Qc Parent Material (geologic) �`��WDepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water: s FOR NI 11 SOIL EVALUATOR FORM Page I of 3 Date: A\zc-:�5kc-�(. tiro. \A49 — commonwealth of Massachusetts Massachusetts Soil Suitability for On-site Sewage D—is-p—OSal 1.> Date: Performed By: ....... ...... .... .... ......... WitnessedBy: .............. . ........ ... ..... . ...... .... .......................................... Location AddrMS Or L0( N Addrc3l. and Z-(-,C� O-e�� Telephone I ew Construction Repair Office Review Published Soil Survey Available: No ❑ Yes ❑ Soil Mao Unit ...... ........... Year Published ....... Publication Scale ............................... Drainage Class ......... Soil I Limitations ............................. Surficial Geologic Report Available: No 2e"'Yes ❑ Year Published ...... ...... .... . Publication Scale .. .............. ..... GeologicMaterial (Map Unit) ...................................................................... ........................ ....................... .................................... . . .................. a ' L dforTn ................................................................................................... Landform ......... Flood Insurance Rate Map: Above 500 year flood boundary No Blyes ❑ Within 500 year flood boundary No Eryes ❑ Within 100 . year flood boundary No Bly"es ❑ Wetland Area: National Wetland Inventory Map (map unit) .............. ................ ................................................ .......................... Wetlands -Conservancy ProgramMap (map unit) .................. ......... I .......... -............................. . I .......................... Current Water Resource Conditions (USGS): Month Range :Above Normal ONormal ElBelcw Normal ❑ Other References Reviewed: DEP APPROVED FORIM - 12/07/95 /I 03-c1-1996 14:36 Si? 932 7615 DEP NORTHEAST REGIONAL P.02 FORM 12 - PERCOLATION TEST Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS \ I�CLT� A+J3QWGZ—, Massachusetts ,i Percolation Test' Date: Time: Observation Hole Depth of Perc Start Pre-soak End Pre-soak { I Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./inch Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed ❑ Site Failed ❑ Performed By: Witnessed BY:�• Comments: .. ..._ w... oer AMC)Y= YORM - 13/9711a FORM 11 - SOIL LVALUATOR FORM Page 3 of 3 Location Address or Lot No. 1c3 V>e-tyC_-' Determination for Seasonal High Water Table Method Used: CSD � � �:_ ) ❑ Depth observed standing in observation hole...... .... inches ❑ Depth weeping from side of observation hole .......... inches ❑ Depth to soil mottles .. inches ❑ Ground water adjustment .................. feet Index Well Number ..... .......... Reading Date ........... _. Index well level Adjustment factor ....... ........ Adjusted ground water level ......... ... ...... ... _ ................... Deoth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �-(fS If not, what is the depth of naturally occurring pervious material? Certification I certify that on '11/94 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. i Signature Date 5/1/96 DEP APPROVED FORM . 12/07/95 03-21-1996 14:36 617 932 7615 DEP NORTHEAST REGIONAL P.02 FORM 12 - PERCOLATION TEST Location Address or Lot No.. COMMONWEALTH OF MASSACHUSETTS i' �Dg;-Nk p A<:YL- , Massachusetts Percolation Test' Date: 1F, Time: Observation Hole 9 Depth of Perc C�o� Start Pre-soak �, ,3t> VIM End Pre-soaki�,�_ Time at 12" 1 Time at .9" Time at 6" Time (9 6") Rate Min./Inch • Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed tom' Site Failed ❑ Performed By: Witnessed By :\. Comments: ..._ ner AYMOYM roRm - W 7n1 FORM 11 - SOIL LVALUATOR FORM Page 3 of 3 Location Address or Lot No. 1� Stogy �tZt�lE Determination for Seasonal High Water Table. _9 Method Used: ❑ Depth observed standing in observation hole......... ... inches ❑ Depth weeping from -side of observation hole inches ❑ Depth to soil mottles inches ❑ Ground water adjustmeht .................. feet Index Well Number ................ Adjustment factor ................. Reading Date ............. • Index well level ...... _ Adjusted ground water level ..... _. Deoth of Naturallv Occurrina Pervious Material Does at least four feet of naturally occurring pervious material exist in a areas observed throughout the area proposed for the soil absorption system?� If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/94 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date 5/1/96 DEP APPROVED FORM - 12/07/95 FORM 11 - SOIL EVALUATOR FORM Page ? of 3 Location Address or Lot Ivo. 19 - Z1iWX3q D�NVKe On-site Review Deep Hole Number Zuh_+ Date:. .t_F) Time: Weather Location (identify on site plan)..'�v�° '�TR2� bt-� Land Use Slope (%) Surface Stones vegetation Landform Position on landscape (sketch on the back) Distances from: _ Open Water Body "7-7-CY�11- feet Drainage way s feet Possible Wet Area ZZ7-0,'4— feet Property Line -1a feet QVO-.u-w\ V—"r vo-e Lt� Drinking Water WellE �a�-�c feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell! Mottling (Structure, Stones, Boulders, Consistency, % Gravel) C>� 'TO" _CDC.v SIL ZS4S/4 ,ao��Ftctxv�— ' W1ASSiV� �,Ip�yc - MINIMUM Ur G MULCJ r1C1.1U1nC1J NI cvcn1 —1-1 -1— Parent i1-1-1— Parent Material (geologic) `)TyoPP \tom C-(D%_-iP-r_( DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: ftJ �r� Weeping from Pit Face: Estimated Seasonal High Ground Water: DEP APPROVED FORM - 12/07/95 FOR -NI 11 - SOIL EVALUATOR FORM Page 1 of 3 No. IA�9- 1g Commonwealth of Massachusetts Massachusetts ,7 .Ci,itnhility Assessment for On-site Sewc Date: e Di �. �'L.1� .. '........_ .. Date: Performed By: Lj p pq... .. _......... _ Witnessed By: __........_.............................. ................. Location Address or - � - rAddress. iM Loc )r p , ew construction E?�'epair ❑ Office Review Published Soil Survey Available: No ❑ Yes a Soil 1�2� MUnit Year Published ...�...... Publication Scale ..... p ���................:..... L. PsrLC .....'P-��� Drainage Class Wt,�`'�2Rin�v Soil Limitations • ............... Surficial Geologic Report Available: No ITS Yes : ❑ Year Published Publication Scale Geologic Material (Map Unit)............................................................................................................ ..--............ Landform .—__. ................................................................................................................... Flood Insurance Rate Map: Above 500 year flood boundary No l�Yes ❑ Within 500 year flood boundary No �es ❑ - Within 100 year flood boundary No Wetland Area: National Wetland Inventory Map (map unit) ............................................................................................... . Wetlands Conservancy Program Map (map unit) ................................................................ Current Water Resource Conditions (USGS): Mont ..:,... ...... Range :Above Normal []Normal ❑Belcw Normal ❑ Other References Reviewed: DFP APPROVED FORT- 12/07/95 45-�1-1y96 14:i6 517 932 7615 DEP NORTHEAST REGIONAL P.©2 FORM 12 - PERCOLATION TEST .Location Address or Lot No. .COMMONWEALTH OF MASSACHUSETTS A'�-CDIK2U , Massachusetts Percolation Test' Date: Time: ^,© P> Observation Hole Depth of Perc Ale> Start Pre-soak -0-„C-4PIrA End Pre -soak I --------------- Time at 12” Time at 9" Time at 6" Time (9"-6") Rate Min./Inch Z • Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ v Performed By: Witnessed By:�_ %� '��=�-• Comments: aQ Armovm, roam - UNW91 FORA 11 - SOIL LVALUATOR FORM Page 3 of 3 Location Address or Lot No. Determination for Seasonal High Water 'Table' Method Used: ❑ Depth observed standing in observation hole ........... ... inches epth weeping from side of observation hole ......... .. inches Depth to soil_m,ottles . ""►® inches ❑ Ground water adjustment .................. feet Index Well Number ................ Reading Date ....' .. Index well level ....... Adjustment factor _............... Adjusted ground water level .._. ......... ........ ........ Deoth of Naturally Occurrina Pervious Material Does at least four feet of naturally occurring pervious material exist in aU areas observed throughout the area proposed for the soil absorption system? �s If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/94 (date) I have passed the soil evaluator examination j approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date 5/1/96 DEP APPROVED FORM - 12/07/95 PLAN REVIEW CHECKLIST ADDRESS—/- �AA-PWOOD ENGINEER GENERAL 3 COPIES C""_ STAMP LOCUS NORTH ARROW SCALE L� CONTOURS!,--' PROFILE SECTION ✓ BENCHMARK '�/ SOIL & PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS WATERSHED?A10 DRIVEWAY (Eley) WATER LINE I�—' FDN DRAINLi— SCH4 0 T/ TESTS CURRENT? c/ SOIL EVAL SEPTIC TANK MIN 150OG L­'� .17 INVERT DROP �/ GARB. GRINDER /� (+200% EDF) 25' TO CELLAR MANHOLE ELEV GW # COMPS. D -BOX SIZE # LINES FIRST 2' LEVEL STATEMENT INLET )47,33 -OUTLET 14713 = Z O ( 2" OR .17 FT) TEE REQ' D?/Vo LEACHING (3 leAL) IJP-) e_- 1k)TO -Pk b /9 )(� i MIN 660 GPD? /Y RESERVE AREA v 4' FROM PRIMARY? ' 2% SLOPE 100' TO WETLANDS 4_ 100' TO WELLS 4' TO S.H.GW /---&>2M/IN) 35' TO FND & INTRCPTR DRAINS/% 325' TO SURFACE H2O SUPP 4' PERM. SOIL BELOW FACILITY MIN 12" COVER L--' FILL? — ($5' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd_Z SLOPE (min .005 or 6"/1001) __�SIDEWALL DIST. 3X EFF. W OR D (MIN 6')z­-� RESERVE BETWEEN TRENCHES?J IN FILL? MUST BE 10' MIN. V 4" PEA STONE? 1/ VENT? �C� (>3' COVER; LINES >501) BOT �Ol� + SIDE o20 X LDNG -7 TOT 4 -Z66 J (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1995 by S.L. Starr 10 0 THOMAS E. NEVE ASSOCIATES, INC. Engineers • Land Surveyors * Land Use Planners 447 Boston Street US #1 TOPSFIELD, MASSACHUSETTS 01983 (508) 887-8586 FAX (508) 887-3480 TO 9 AN S-rAe_�- OS. eb19e_1P or- STH 1voe_v4 AN P6 ts€� "A WE ARE SENDING YOU attached ❑ Under separate cover ❑ Shop drawings ❑ Ints ❑ P ❑ Copy of letter ❑ Change order ❑ CLCEUUFM @IF UG Lal J�G�DUULaL� DATE r7 __.,C) JOB NO. 1 /j �J �'�`��) 1 ATTENTION 5- A _ 'r—P W , ERS � r'449-/ a. Samples following items: ❑ Specifications COPIES DATE NO. DESCRIPTION r'449-/ SAi�ri 774 f�LS l�sa� sY5TE�'! , F'ere> �ps�p P?>� LD-1"vT7.9 Pel 045 F'PWtr- ay _r1)bMd95 E. rvc xl SSO ur4�S. THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted [52esubmit � copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS 6 �O K sem- � * NL2 �'9JGl.�S� ,�Vl 5 �jP!(�' 190ol1(!5 ltitp1-rimu (n -v -7741_c�' R -4^_j AA 25cr�Q Vrs �U C_6M FL -"-r LU / -*4 U e- O� (_145S -7-S 45 S IIIJ X0 e- L t5776e__ 'e?Lf, --1C- � W6_'C / COPY TO gam' RECYCLED PAPER: SI7 pContents: 40% Pre -Consumer • 10% Post -Consumer If enclosures are not as noted, kin sat once. Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 April 17, 1996 Mr. Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lots 3,4,5,7,14,15,16,12,&19 Sherwood Drive The above named lots at Sherwood Drive have been incompletely submitted. The submission of new designs after January 1, 1996 requires the inclusion of soil evaluation forms. Until these forms have been received, the above mentioned plans will not be considered submitted. Should you have any questions, please call me at the number below. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp o -t., mac .e 'ry0 3� h° •� oL o A BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 PLAN REVIEW CHECKLIST��// ADDRESS � /e/ 5la6,b eU)OODe ENGINEER AfG Es GENERAL / 3 COPIES STAMP L---' LOCUS C---' NORTH ARROW i/ SCALE v CONTOURS f/ PROFILE ---' SECTION L,,--' BENCHMARK `-' SOIL & PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS WATERSHED?_110 DRIVEWAYr✓(Elev) WATER LINE �� FDN DRAIN ,_—SCH40 L/' TESTS CURRENT? Vl� SOIL EVAL, SEPTIC TANK MIN 1500G .17 INVERT DROP 2.5' TO CELLAR MANHOLE ELE D -BOX SIZE_ INLET LEACHING - OUTLET # LINES GARB. GRINDER(+200% EDF) GW ## COMPS. / FIRST 2' LEVEL STATEMENT (2" OR .17 FT) TEE REQ'D? MIN 660 GPD?,Z-- RESERVE AREA 1 4' FROM PRIMARY? `�- 2% SLOPE 100' TO WETLANDS °� 100' TO WELLS L----(5'>22M/I4' TO S.H.GW M/I N) 35' TO FND & INTRCPTR DRAINS v""325' TO SURFACE H2O SUPP L--- 4' PERM. SOIL BELOW FACILITY MIN 12" COVERel FILL? (25' if above natural elev; 10' if below) BREAKOUT MET?_L--'-1e6�_7_ uJ14Z (. TRENCHES MIN 660 gpd/)(' SLOPE (min .005 or 611/100') SIDEWALL DIST. 3X EFF. W OR D (MIN 6')"� RESERVE BETWEEN TRENCHES? `'--*- IN FILL?C--' MUST BE 10' /,MIN. L,,--4" PEA STONE? L --'VENT? (>3' COVER; LINES >501) BOT 4DO + SIDE Z0 X LDNG ^ 7q = TOT 444 L e-"- 6G (L x W x #) (DxLx2x#) (G/ft2) Copyright 0 1995 by S.L. Starr TOWN OF NORTH AN'DOVSp, UA 11SYSTEM PUMpINQ "CORI, SYSTEM v w m t&p, & ADDRESS ---- /Fa eY eln vo , 1 &,3 j�S/WWO&Z ll�w 1U0 - (flk)OIC) Ve- e- / iwa. DATE OF PVWNQ: l-*t4SI`O,0L: No_.��s SYST CATION QUANTITY PLJL4PED:_._._ sopdc I,Lnk: Nu "A rUKU OF SBRVICE: Kovrwe."EROf;Nc.y Y E s RECEIVED ObSbAVA-11ON3: OOOD CONDITION ..�<ryj (ovu JUN 0 3 2005 Huyy ovjwB .KolOT13 13AMES IN PLACL, LEACKNELD RUNBACK TOWN OF NORTH ANDOVER MUMS SOLIDS 1. FLOODED HEALTH DEPARTMENT -SOLID CAKRYOYU—" 071fER EXPLAIN 2( VUMMENT3, ,-:UN rum's rwisyem&) I-(, 1*'\N Commonwealth of Massachusetts City/Town of No Andover 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: When filling out forms 1. on the computer, use only the tab key to move your cursor - do not use the return . key. 2. System Owner: Name renun Address (if different from location) No Andover Ma _ 01845 City/Town State Zip Code City/Town B. Pumping Record State Telephone Number 1. Date of Pumping "' ^ �( 1 2 Quantity Pumped: Date 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other (describe): Zip Code Gallons ❑ Grease Trap 4. Effluent Tee Filter present? ❑ Yes IVo If yes, was it cleaned? ❑ Ye!�_CT_Jo 5. Condition of System: ��4 6. Sm Pumped By: Name` Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradfol Signa a u I e r Signature of Receivin F Ma 01835 Date Date t5form4.doc• 03/06 System Pumping Record • Page 1 of 1