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HomeMy WebLinkAboutMiscellaneous - 35 CHERISE CIRCLE 4/30/2018pN W w � Cl Q o � O m a c� o � g`� r p m ." -`' � l � i Town of North Andover, Massachusetts Form No. 1 o� NORT#j q BOARD OF HEALTH Q tiO J 4 0L - O nO S - 0y TED APPLICATION FOR SITE TESTING/INSPECTION 7 Q�RA^pP �(y 9SSACHUS�� Applicant An NAM ADDRESS TELEPHONE Site Location LST � � � �� 7 Engineer_�k� S 1'1( NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH D Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. MAR PARCEL # STREETWVOLU, CQNSTRUCTILYES LHAS PLAN REVIEW FEE.DEEN PAID? NO PLAN APPROVAL: DATE (ZAPP. BY._,._.�.__..__.._._.. DESIGNER: PLAN DATE:_��//�� CONDITIONS WATER SUPPLY: T N WELL `WELL PERMIT _ DRILLER._..._.-.-----_._....__.._...._.__.._.............._._._._. WELL TESTS: CHEMICAL DAIS A{='PCtUVED._._.___.___..__._,___. TERIA I UA I E (IPPROVED BACTERIA DA'T'E COMMENTS: FORM U APPROVAL: �) APPROVAL TO ISSUE YES NO DATE ISSUED % /�' /R ¢ BY CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID WELL CONSTRUCTION APPROVAL SEPTIC SYSTEM CONSTRUCTION APPROVAL OTHER ANY VARIANCE NEEDED FINAL BOARD OF HEALTH APPROVAL: YES NO YES NU YES NO YES NU YES DATE :4A... NO BY: I ' ` r}r 7 �E.�? G��L_S.ZE "1_�.NSIH4�flT� CI.N • 1 i. .e•'�T A= f {t \.i t >•i 7 i F ' j `+ l IS THE' INSTALLER LICENSED?'' + lti` J YES NO t' 'TYPE. OF CONSTRUCTION: + NEW REPAIR .a.. ...: �r ,REVIEW NEW CONSTRUCTION: :. CERTIFIED PLOT PLAN YE5 NO CONDITIONS OF..APPROVAL YES NO l .y (FROM FORM U) .. ISSUANCE OF DWC PERMITYES NO ,INSTALLER: DWC PERMIT N__ N0. J:~ 71 AAl �zv�A) ti -' BEGIN INSPECTION YES N0: :.EXCAVATION . INSPECTION: :NEEDED U d G Iv PASSED_=T/ DY :.:CONSTRUCTION INSPECTION= NEEDED: AS BUILT PLAN SATISFACTORY: APPROVAL. TO BACKFILL: DATE:BY '\ �'�� - FINAL .GRADING APPROVAL: DATE BY_�X� ':• FINAL CONSTRUCTION APPROVAL: DATE: �'� BY MAP # LOT # ---- PARCEL # STREET 00 LC CONSTRUCTI.ON_APPROVAL HAS PLAN REVIEW FEE BEEN PAID? YES> NO PLAN APPROVAL: DATE 7 1,9,6 (75 APP. BY_ DESIGNER: G� /��16,721011 A,) PLAN DATE:--�-�-� 6 I CONDITIONS �uC f� /1'�l� K 7`fi> �i 6 T - lelo !!� 71-6 WATER SU LY: TOW WELL WELL PERMIT DRILLER._...�._.___.__.__._...__._...__ �_.___._.............._ WELL TESTS: CHEMICAL DALE APPRUVED._.-_.+•.__._.__ BACTE I DA I E fIPPRUVED BACTERIA II DATE APPROVED______ COMMENTS FORM U APPROVAL: J APPROVAL TO fISSUEYES NU DATE ISSUED BY CONDITIONS: FINAL APPROVAL:. ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DAI'E BY:_.... t .,._,''; ' '';- ;:::•i:. 9EPTIG Y�I i NSI944�8 Q�t ,_ ,'. .fid.;3•N .1�';f 1 1 .. r,. .-•'•. ,f• :.•• _/•__ .- •� "! •. 1 �7•..r.. :.:T•�!f J^::�'- ~ .•*.?�»; _•ry + ; .. .`-``n.::av .M.- y t�,�'' ��j-::.:•=►�c.;i;.<3,: y.�'t - �' tIS THE' INSTALLER LICENSED? -,: .,, ;, r • :;..' YES NO .<• •. t,-: :<+4i.. Ali L .d+''- .� - _ .H. �• `i.i � - ,'`.t-:••'' _ .. - TYPE.OF CONSTRUCTION: NEW 'REPAIR' •REVIEW ='.NEW CONSTRUCTION: CERTIFIED PLOT 'PLAN YES NO ,... CONDITIONS OF:. APPROVAL'­ YES NO (FROM FORM U) . .d ..::- ',.�, i � ' •OF DWCr:';: `ISSUANCE • • • .. -; - ., • • PERMIT YES .. -. NO DWC PERMIT N0. ,':.f INSTALLER: '. BEGIN INSPECTION YES NO: EXCAVATIONINSPECTION: 'NEEDED: 'L z PASSED.BY • ', : <'; CONSTRUCTION INSPECTION: NEEDED s = ' AS BUILT PLAN SATISFACTORY: YES: - 1.• BY .' APPROVAL. TO BACKFILL: DATE: rte► FINAL.GRADING APPROVAL: DATE BY FINAL CONSTRUCTION APPROVAL: DATE: BY :t . NORTh oF • e _ i, �,SSACHUS S� Town of North Andover, Massachusetts BOARD OF HEALTH DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant ��11n., ��ltk 4 Test No. Site Location—Lar-11 Reference Plans and Specs (NEER 0 Form No. 2 —19-25 TE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. t Fee CMAIRMAN, BOARD OF HEALTH Site System Permit No. 9 3 ,C� PLAN REVIEW CHECKLIST ADDRESS Ly I'4 F .9 �, ENGINEER GENERAL 3 COPIES V STAMP L11 LOCUS NORTH ARROW "'� SCALE k CONTOURS PROFILE 4 SECTION ,-� BENCHMARK_K, SOIL & PERCS ELEVATIONS -2 WETS. DISCLAIMER WELLS & WETS J WATERSHED?/t/ Cj DRIVEWAYElev) WATER LINE !/ FDN DRAIN SCH40 V TESTS CURRENT?SOIL EVAL SEPTIC TANK MIN 1500G-2 .17 INVERT DROP k1 GARB. GRINDER(+200% EDF) 25' TO CELLAR ( MANHOLE ELEV GW # COMPS. D -BOX SIZE # LINES 3 FIRST 2' LEVEL STATEMENT INLETOUTLET d�-53 _ • I IT (2 11 OR .17 FT) TEE REQ' D? N D LEACHING MIN 660 GPD? RESERVE AREA v 4' FROM PRIMARY? C/ 2% SLOPE 100' TO WETLANDS 100' TO WELLS V 4' TO S.H.GW (5'>2M/IN) 35' TO FND & INTRCPTR DRAINS 325' TO SURFACE H2O SUPP 4' PERM. SOIL BELOW FACILITY 1/ MIN 12" COVER � FILL? (25' if above natural elev; 101if below) BREAKOUT MET? TRENCHES? MIN 660 gpd SLOPE (min .005 or 611/1001) SIDEWALL DIST. 3X EFF. 1 W OR D (MIN 61) BE 10' MIN. RESERVE BETWEEN TRENCHES? IN FILL? MUST 4" PEA STONE? VENT? (>3' COVER; LINES >501) BOT + SIDE X LDNG = TOT PITS MIN 660 LEACHING MIN 1 (131x16') PIT MANHOLE/PIT GW MIN 4' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W)xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE .005 BED/TRENCH (Bed max. 60' X 601) MIN 13' X 16' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W)xD x #) (G/ft2) FIELDS , MIN 660 GPD V 900 ft2 BED GW MIN 4' BELOW BOTTOM OF FIELD d PIPE ENDS JOINED? 1/ 4" PEA STONE? / DIST LINE SLOPE .005? �— >3'COVER-VENT [--� SCH 40 v MIN 12" COVER RATE LDG X 660 = � V A f 5rX -74— TOTAL 6 G/ft2 REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY gpm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE inlet) HWL LWL OP. SWITCH Copyright 0 1995 by S.L. Stern ALARM SEP. CIRC. CHECK VALVE GW (Min. 1' below BLEEDER HOLE MANUAL PLAN REVIEW CHECKLIST ADDRESS r T 8 GU jTE,Bjt'.. Y ENGINEER _ 6"1 z57'/"5e52) GENERAL 3 COPIES C/� STAMP L---' LOCUS !/ NORTH ARROWy` SCALE ee CONTOURS C� PROFILEt� SECTION C---' BENCHMARK �be� SOIL & PERC INFO ti ELEVATIONS WETS. DISCLAIMER C--' WELLS & WETLANDS �✓� WATERSHED? DRIVEWAY ti (Eley) WATER LINED FDN DRAIN Cf SCH40 �� TESTS CURRENT? /�9.5 SEPTIC TANK MIN 150OGy .17 INVERT DROP t--� GARB. GRINDERJ6(+200% EDF) 25' TO CELLAR C----- MANHOLE TO GRADE — ELEV e. GW D -BOX SIZE # LINES < FIRST 2' LEVEL STATEMENT INLET/' - OUTLET /o9J`cJ�= Z ( 2 tt OR . 17 FT) TEE REQ' D? Ma LEACHING MIN 660 GPD?y RESERVE AREA l/ 4' FROM PRIMARY? L,--'2% SLOPE_(_, 100' TO WETLANDS L1100' TO WlJILS ,-�, 4' TO S.H.GW �--� 35' TO FND & INTRCPTR DRAINS©/ 325' TO SURFACE H2O SUPP 4' PERM. SOIL BELOW FACILITY bl� MIN 12" COVER L-- FILL. 25' if above natural elev;'10'if below) BREAKOUT MET? C TRENCHES MIN 660 gpdy SLOPE (min .005 or 611/100')t/ >31COVER?-VENT SIDEWALL DIST. 2X EFF..W OR D (MIN 61) C,,--' IS RESERVE BETWEEN TRENCHES? Cl--�,N FILL? L -,-MUST BE 10' MIN�.f 4" PEA STONE?L,-"-- BOT. X LDNGCA + SIDE X LDNG = TOT 7/3 7 � 6Z) (L x W x #) (G ft2) (DxLx2x#) (G/ft2) Copyright © 1993 by S.L. Starr DESIGN REVIEW SHEET LOT 8 CHERISE CIRCLE PERMIT # 737 REC'VD 6/8/95 APPLICANT: DAN BETTY ENG: CHRISTIANSEN 160 SUMMER ST., HAVERHILL PLAN DATE: 4/27/95 DISAPPROVED a-1! NO BENCHMARK WITHIN 50' TO 75' OF SYSTEM / LEACHING AREA NOT 35 FEET FROM FOUNDATION 6l DRAIN. 0/1�1 Gil ov�jb w /1T6�9. BOARD OF HEALTH 120 MAIN STREET TEL. 682.6483 NORTH ANDOVER, MASS. 01845 Ext23 May 11, 1994 Christiansen & Sergi 160 Summer Street Haverhill, MA Re: Lots #3-9 White Birch II Dear Phil: I have briefly looked at these plans and find that most of them do not have sufficient test holes in the system. In addition, there will be changes in light of the testing done today. Would you please review these plans keeping in mind the criteria I recently sent you, add the new tests and re -submit the designs. Sincerely, Sandra Starr, R.S. Health Administrator cc: Karen Nelson, Director, Planning & Comm. Dev. Jim Grifoni File BOARD OF HEALTH 120 MAIN STREET NORTH ANDOVER, MASS. 01845 July 17, 1995 Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 Re: Lot #8 Cherise Circle Dear Phil: TEL. 682-6483 Ext23 This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reason: 1) No benchmark within 50 feet to 75 feet of the system. 2) Leaching area is not 35 feet from the foundation drain. 3) Primary leach area must be 5 feet to groundwater. If you have any questions, please do not hesitate to call the Board of Health Office at 688-9540. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 July 27, 1995 Ms. Sandra Starr North Andover Board of Health 120 Main Street North Andover, MA 01845 Re: Lot 8, White Birch II Dear Ms. Starr: (508) 373-0310 FAX: (508) 372-3960 In response to your letter of disapproval dated July 17, 1995, please find the enclosed revised plans for your review. A list of our responses to your reasons for disapproval are as follows: 1) No benchmark within 50 feet to 75 feet of the system. An appropriate benchmark has been added to the plan. 2) Leaching area not 35 feet from the foundation drain. The proposed invert elevation of the foundation drain is 127.6'. Since this is higher than the top of the proposed leaching facility, the setback distance may be reduced to 25' according to Town of North Andover Board of Health Regulation 4.18.7. 3) Primary area must be 5 feet to groundwater. The leaching field has been raised by 1 foot to comply with the 5 foot separation from groundwater. I trust that this information sufficiently addresses the issues raised in your letter of disapproval. Please call me if you have any questions. Ve Truly Yours Daniel J. 0'Co ell Encl. c.c. Dan Betty -n cn V N D *• r°w CCD D CD w CD 1" co v 7M1 y o . • jw ln riQr 3 n A°. J. cD N O x' ii;' O LA a � — CD z N CD D �_ � 3 LAm K CD 3CD°� O N � N ° ° r1" N D O r o c-):3 o 3Z 0 O LA Y O `D A n > a=a LA p o ? D °CD =o ° ° —i m � m � o n N z o = m CD ° Z TO c mN r O —1 = = D a m ID r 'n O i ° � l 3 0 2 p' Z I ° m w No................ __ -. __» THE COMMONWEALTH OF MASSACHUSETTSMAY � 19915 BOARD OF. HEALTH t ---__-_L0 LJn/ OF Ap,pliration for Btspuuttl Work,i Application is hereby made for a Permit to Construct ()Kj or Repair ( ) an Individual Sewage Disposal System at: ................. cwgl� t--t.....c00-�:....---•-----...._......__... ....... r._. .....W_N_.!X... ►6jgCR. Location _ Address »""'•' ............. c. pit c©�sf ►2uc__;�—tis�U e c N 1 Z 1 12.5 °� �°t No • _Owner ""^"'•'__' Address .................................................................................................................................................................................................... Installer Address Type of Building Size Lot.._. Z�L3B&____Sq. feet Dwelling — No, of Bedrooms................�...................... Expansion Attic ( ) Garbage Grinder ( ) Other — Type of Building............................ No. of persons ............................ Showers ( ) — Cafeteria ( ) Other fixtures ... .......................... Design Flow..............&2 .�t .....}............. galons per person per day. Total daily flow .................. (P.C?.............. gallons. Se tic Tank — Li uid ca acit$.��gallons Length..�"� . Width ...... :...... ' Depth...`�._...:�... Disposal ... Width ...... 1.5......... Total Length 60....... Total leaching area .....C10.Q_..sq. ft: Seepage Pit No ..................... Diameter ................... . Depth below inlet .................... Total leaching area ... ...sq. ft. Other Distribution box ( LI) Dosing tank ( ) i Percolation Test Results Performed by...._a1M T1k1N 4J_-!�••SJE.CL) jAJ.(4 f 95� . t. p®tS Test Pit No. 1..._.Z: ....... minutes per inch Depth of Test Pit ...... &3.._.... Depth to ground water .....:I?."....:P!° qS' d -t P.. Test Pit No. 2.....!%. -.-..minutes per inch Depth of Test Pit ....... g6:....... Depth to ground water...........TP. tI -'i &.I Description of. Soil ..... '7_.Y.ra��...J OA!!!iy..s!�!�� €. Mf��,1�?i � ���wa�....:................................ ........................... .............................................................._......................................................................................................... Nature of Repairs or Alterations — Answer when. applicable.............................................................................••.••..-» ...... Agreement: ................................................... The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the .provisions of TITLE 5 of the State Sanitary Code — The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed................................................................•--................... .......................... .... Application Approved By ................................ :............................................................... Date_ Application Disapproved for the following reasons: ......................................................... ........... ... Date .................... ..........--••........................................_...---...........................-•----.............----..._........_--.........------'•--_•--- Date PermitNo .....................................•----......_-- --- Issued. ..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ...... OF ........ . ...................................... (9prtifiratp of Tnnattin"ry a FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jrrisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or .itate law, regulations or requirements. + ****************Applicant fills out this section***************** APPLICANT: CCOI-K- C ayu-T- l C Phone -7% 0-7 y LOCATION: Assessor's Map Number Parcel �..e.. Subdivision (n��i ��'C / ,� Lot (s) Street aoo"Ll St. Number ************************Official Use Only************************ 4-5. NDATIONS TOWN AGENTS: Co ery ion Administrator Comments Town Planner Comments Food Inspector -Health "i /GC _ Septic Inspector -Health Comments Date Approved C7/70/ Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections__ - driveway permit �-6 - Fire Department Received by Building Inspector Daze Y) Ti r co Z= o D Z Z � Z G-) CO) D ri IN CO) CD DD O nr o Z CD O y T_J 11 11 M r M 03 O. d —• O y n� z7 O o p CDCD CD C3- 03 d CD 1 0 O O CD i = CDCD y. D �O y o z cc COD � CCO) 10 D Z Cl) r.*• cm -1. 71 M D� O r CD coC3 cr Gy co y WS CD o co Z O d CU -O H• .-r = CS .-r d = CD.. = tv CD - O CD y G O i =m v : CD O O O CA -p O C) C� -Oi. C O . � •-�. o Z:s.c O CA C•) C 3 =CD o. a.o'co a.....: ca o _ :� CD W O y C G O CA O tv CA y CA Q. r CA CD �• �► W CA CA`G O CD W cD W � y :.i CO CO .Oi =�. CD O CA o' CD rrlCD CDP , C � Shy CD W m m m _ --I m ' W T w O w �gi T O C 0 ILI It CLa C d , \S12 o y z 0 0 c co Z= o CIO ' W T w O w �gi T O C 0 ILI It CLa C d , \S12 o y z 0 0 c iWN OF NORTH ANDOVER/ Ci BOARD OF HEALTH OCT 2 7 1995 LOT 7 - 98, v"A � � n CL o � n L O / 8 EXIST. FND. EL.136.5' Crn LOT 9 FOUNDATION LOCATION PLAN CLIENT: JOSEPH BRAMANTI THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCATION: NORTH ANDOVER,MA. LOT 8 CHERISE CIRCLE SCALE: 1" = 40' DATE. OCTOBER 11,1995 CHRISTIANSEN 9 , SERGI PRFESSIONAL OLAND SURVEYORS ENGINEERS 160 SUMMER ST, HAVERHILL.MA. O1B30 TEL 508-373-0310 © 1995 BY CHRISTIANSEN 8 SERGI INC. I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS, WETLINDSEASEMENTS, ORDERS OF CONDITIONS,ETC) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE.EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC AND ANY UNAUTHORIZED USE IS PROHIBIT£D.CHRIS77ANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MA770N CONTAINED HEREON. BASED ON SCALED DATA ONLY THE PRIMARY STRUCTURE SHOWN IS NOT LOCATED IN A FLOOD HAZARD ZONE AS SHOWN ON FEMA FLOOD INSURANCE RATE MAP. COMMUNITY NO.: 250098 0005C _ . AaATE:6/2/93 �Uf4 No. DRAWING No. 93067016 z 0 O cN0 M O ooi h h h N N N N N N N N Q h W N N N N N N N N CHERISE CIRCLE O J 0