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Miscellaneous - 35 ROCKY BROOK ROAD 4/30/2018 (2)
10 35 �oc►�+� 3ro�k_ I�i�i ESR E� MAP # LOT #' n PARCEL # qTPIZ97T Q.QN$-iRul-QlT.QN—i9PPROV HAS PLAN REVIEW FEE .BEEN PAID? ES PLAN APPROVAL: DATE App. By DESIGNER: PLAN Dn'r CONDITIONS WATER 'SUPPLY: WELL PERMIT WELLTESTS: COMMENTS: WELL DRILLER CHEMICAL BAcTERIA�I� BACTERIA II DAIE DAIE fiPPRUVED US, FE APPROVED FORM U APPROVAL: APPROVAL TO ISSUE YES NO DATE ISSUED— BY FINAL APPROVAL: ALL PERMITS PAID WELL CONSTRUCTION APPROVAL SEPTIC SYSTEM CONSTRUCTION APPROVAL OTHER ANY VARIANCE NEEDED FINAL BOARD OF HEALTH APPROVAL: YES NO YES NO YES J1. YES A YES NO DATE:. BY: 4 MAP # LOT #' n PARCEL # qTPIZ97T Q.QN$-iRul-QlT.QN—i9PPROV HAS PLAN REVIEW FEE .BEEN PAID? ES PLAN APPROVAL: DATE App. By DESIGNER: PLAN Dn'r CONDITIONS WATER 'SUPPLY: WELL PERMIT WELLTESTS: COMMENTS: WELL DRILLER CHEMICAL BAcTERIA�I� BACTERIA II DAIE DAIE fiPPRUVED US, FE APPROVED FORM U APPROVAL: APPROVAL TO ISSUE YES NO DATE ISSUED— BY FINAL APPROVAL: ALL PERMITS PAID WELL CONSTRUCTION APPROVAL SEPTIC SYSTEM CONSTRUCTION APPROVAL OTHER ANY VARIANCE NEEDED FINAL BOARD OF HEALTH APPROVAL: YES NO YES NO YES NO YES NO YES NO DATE:. BY: 4 I _ -•y.4 . .iii' :4 .�_ . . ... ._ _._ • ..; .. . COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PRUX.ECTION JUN 2 2 2np4 TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY . . 5'li SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: Rno,�Ar©oe Rd ' , Owner's Name': Owner's Addres Date of Inspectic Name of Inspector: (please print),QjM u—sa Company Name: 4-4ei,U/1r, t � 9 G e?l C Mailing Address:an So, M! 1_/ s7 -- 1 J Telephone Number: q7:!R— =,7_2-7 421 CERTIFICATION STATEMENT 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. the inspection. The inspection was performed based on my training and experience in the proper function and mintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: i�qt Date:- The system inspector shall submit a copy of this insoectiob report to t14 Approving Authority` (Board of Health or DEP) within 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 DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. Thi§ inspection does not address how the system will'perform in the future under the same or: different conditions of use: ` Title 5 -Inspection -Form- 6/15%2000 page 1 I " Page 2 of 11 .,Y OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A n CERTIFICATION (continued) Property Address: 3 � �" no / &,-.r k tt . N r) - 6 N1^)/>V 0. n) 4 , Owner: W 6 11 < 1-� i Date of Inspection: (o — S Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D A. System Passes:,4-- 5 Y I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 3 ..,r7 lit. -- 91 - B. System Conditionally Passes: N. #- One or more system components as described in the "Conditional Pass" section need to be replaced or repaired: The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the for the following statements. If "not determined" please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): i . r. , , � � . �_ f , z broken pipes) are replaced ' , ; r obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): ND explain: broken pipe(s) are replaced obstruction is removed - ►N ry Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 0 c%' 8 rn A, z W. 1. N6 /) VeW, 11 n) n • Owner: lI 61 K Date of Inspection: (o — —O C. Further Evaluation is Required by the Board of Health: # 4— Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not, functioning in a manner which will protect public health, safety and the environment: _ 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 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: _ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, 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 less than 5 ppm, provided that no other failure criteria are triggered�A copy of the analysis must be attached to-thig form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 35 oe- .firG� 6 k) o1�ZN0 olvoo el?- nka. Owner: Date of Inspection: & -� _U _ D. System Failure Criteria applicable to all systems: You must indicate "yes" or "no" to each of the following for all inspections: Yes No -'Backup of sewage into facility or system component due to 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 cesspools 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''/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 SAS, cesspool or privy is below high ground water elevation. Any portion of 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 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. 1 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. [This system passes if the well water analysis, performed at a DEP certified laboratory, 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 less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] _ (Yes/No) The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: A/ To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. i You must indicate either "yes" or "no" to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ _ 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. II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes'.' in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. e r' 'Page 5 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 3.5C , Pd- &0 Sd - No 01yj00 X-, mgr . Owner: WOW Date of Inspection: to Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yes No Csf Pumping information was provided by the owner, occupant, or Board of tt Health W' any of the sys""tem components pumped out in the previous"two weeks ? C/ Has the system received normal flows in the previous two week period ? �..• Have large volumes of water been introduced to the system recently or as part of this inspection ? Were as built plans of the system obtained and examined? (If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up ? Was the site inspected for signs of break out ? Were all system components, excluding the SAS, located on site ? _ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the/b_affles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? _✓ _ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Y�o, — Existing information. For example, a plan at the Board of Health. _ ` Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [3 10 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: -3 S 2ocK 9 Pd, ll � •�n�[�nV� , mn . Owner: I) jQ /K Date of Inspection: (U "D FLOW CONDITIONS RESIDENTIAL / Number of bedrooms (design): `fi Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): Number of current residents: 4-- /v Does residence have a garbage grinder (yes or no)J Is laundry on a separate sewage system (yes or no):;�70 [if yes separate inspection required] Laundry system inspectedf(yes.or no):,._'� & i a Seasonal use: (yes or no): 21—/<3 Water meter readings, if available (last 2 years usage (gpd)): Sump pump (yes or no): k10 Last date of occupancy: O e('��% / P COMMERCIALANDUSTRIAL Type of establishment: �l / Design flow (based on 310 CMR 15.203): gpd Basis of design flow (seats/persons/sgft,etc.): 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: Last date of occupancy/use: . OTHER (describe): GENERAL INFORMATION Pumping Records Source of information:y %° Was system pumped as part of the inspection (yes or no):/' If yes, volume pumped: s p v gallons -- How was quantity pumped determined? Reason for pumping: TYPR OF SYSTEM eptic"tank, distribution box, soil absorption system _ Single cesspool _ Overflow cesspool — Privy _ Shared system (yes or no) (if yes, attach previous inspection records, if any) _ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) — Tight tank Attach a copy of the DEP approval Other (describe): age of all components, date installed (if known) and source of information: Were sewage odors detected when arriving at the site (yes or no): ZY-U 6 Q Page 7 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property. Address: 3.6 k6ckv JI) m I?d . Q o _K' m . Owner:(/t�Q i K Date of Inspection: in - SS -OL �- BUILDING SEWER (locate on site plan) Depth below grade: �____— / Materials of construction: _cast iront,- 40 PVC _other (explain): Distance from private water supply well or suction line: Comments (on condition of joints, venting, evidence of leakage, etc.): SEPTIC TANK M� s(locate on site plan) Depth below grade: O Material of construction:il-I'concrete _metal _fiberglass _polyethylene —tank If tank is metal list age: _ Is age confirmed by a Certificate of Compliance (yes or no): _ (attach a copy of certificate). r i1 Dimensions: 5 Sludge depth: " Distance from top of sludge to bottom of outlet tee or baffle:3-3 Scum thickness: / " ' Distance from top of scum to top of outlet tee or baffle -2 Distance Distance from bottom of scum to bottom of outlet tee or baffle: / c/ How were dimensions determined: O /-/ 5 / T`F Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): GREASE TRAP: _(locate on site plan) Depth bolos-, grade: Material "of construction: -concrete _metal _fiberglass _polyethylene _other E (explain): Dimensions: Scum thickness: Distance'from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 7 r 4 " Page 8 of l l OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: f\()("yLkRC1 Owner: Date of Inspection: (o - S " O TIGHT or HOLDING TANKS f � (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass _polyethylene other(explain): Dimensions:" :<< " c ? K �, ;d ► ,, , Capacity: gallons Design Flow: gallons/day Alarm present (yes or no): Alarm level: Alarm in working order (yes or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX: !/ '(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: '620d Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): G>y /7 `,JAI /)/ 7-,,- U /—/ PUMP CHAMBER: ZI # (locate on site plan) Pumps in working order (yes or no): Alarms in working order (yes or no): Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): • t Page 9 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _'e, Owner•wa Date of Inspection: (o - SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required) If SAS not located explain why: Type leaching pits, number: leaching chambers, number: leaching galleries, number: �,- `Ieaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): CESSPOOLS: '``(cesspool must be pumped as part of inspection)(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 (yes or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): � � r,., , 1 d 1 1 �,� c rF, N: � '• � , PRIVY:' '` (locate on siteP lan) Materials of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): • w Page 10 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM 'INFORMATION (continued) Property Address: 35 P oav19� i ��� Owner• _lNa iKN-0.0 Une � q . Date of Inspection: & --O'U SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. F i 10 E 9'30 Page 11 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: j rj 1) (->V e fl. ")/,I Owner: W(IT/K Date of Inspection: & SITE EXAM Slope Surface water Check cellar Shallow wells Es ry feet' timated �e`pthp g1trou'ridwatei-/ - Please indicate (check) all methods used to determine the high ground water elevation: L^''/Obtained from system design plans on record - If checked, date of design plan reviewed - Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health -explain: Checked.with local excavators, installers- (attach documentation) Accessed USGS database -explain: You must describe how you established the high ground water elevation: tl 6 /_9 12- 1:5 A4 0- 7 —1-e, Al e;l /` 91/ " Town of North Andover, Massachusetts Form No. 2 O MORTN BOARD OF HEALTH " 1, , o OX ,, w P • DESIGN APPROVAL FOR ,SS^CHU SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicanla-p't_.l &fr-(r . Test No. Site Location (OT4 101 Reference Plans and Specs. " ,w Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. Fee f pORTI� o F w a • w SSACMUSE� Applicant Q Site Location CHAIRMAN, BOARD OF HEALTH Site System Permit No. Town of North Andover, Massachusetts BOARD OF HEALTH 000LtA 3 ( 19—aL Form No. 2 DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM W6 Reference Plans and Specs. T l9L ENGINEER DESIGN Test No DA Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. Fee 60 CHAIRMAN, BOARD OF HEALTH Site System Permit No.�:-' —) 9 r APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT N'• DATE: CURRENT INSTALLER'S LICENSE# LOCATION: �� / /9 106 G `7 LICENSED INSTALLER: �e- f SIGNATURE: /��/% � `c v TELEPHONE# % 222 C( CHECK ONE: REPAIR: NEW CONSTRUCTION: V IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. Administrative Use Only $75.00 Fee Attached? Yes t/ No Foundation As -Built? Yes j_� No Approval Date: C9/�71 k7 NORTH 1 L FO p it • �. AS'.o ,S/1CHUSE� Applicant A Town of North Andover, Massachusetts ROARD OF HEALTH Form No. 3 DISPOSAL WORKS CONSTRUCTION PERMIT r'ee_- Site Location HONE 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 I' CHAIRMAN', BOARD OF HEALTH D.W.C. No. \ ¥ � _ « $ * ƒ CD / \ CD 0 C (D r $ / ƒ f CD & / m ®Ln ¥ < e ^o^�l / ® 0 3 //w$ > 2 2 2 / 7 cr 0 &0 n » = q = y ±• « ƒ 2 - Co / 00 0 ®S D J^k zC7 m » ° \ /t .j \ O \ \ ƒ\� m 3 j e3� ; O m 2 \ �ZCD 7 ~ / / 3 § $ ƒ 4 ® $ ® m 0 f = 7 0 m \ / > § / / \ . $ % r c ® CD E f CO � ƒ 7 0 a CD Ln 5 2 z / -n§ CD ƒ j / f ƒ /' FORM U - VERIFICATIOiN 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 090, Parcel 0 010 f Subdivision 2zooz Lot (s) 40 Street d a St. Number Use Only************************ !(�C;UP71"1r:1V 17 U AC;r:N'1'S: �Date Approved ! /; Conservation Admin" rator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector -Health Date Rejected Date Approved f Septic Inspector -Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Cncn � r� O N Q p —C m N cn Z m ocl) cn C7 O cn cn J ?.0 H Cb) o �_ °; m �a-*a O Mn O O 'fl cn CD C-2 Z CA n >� c � 06 O� z0 � � C o CL = y ►Z 1 O N� n CD ; CM cn v CD •n v1 O CL �..� cr CD m m N PL CD O CD O �- C CD r4) n _ av y -• o CO CD I d N N S- O ,CD CL CA CD A� o CO) CD 0 .� O CCD Cncn � r� O N Q p —C m N cn Z m ocl) cn C7 O cn cn J ?.0 H _I -n o �_ °; m �a-*a O Mn VJ CO) cn p m a C. > >� c � co O� z0 o Z<_.C-3 cnz 1 O N� n CD ; CM cn •n v1 CL m m N tz CDCD Cncn � O N Q p —C m N CA Z m ocl) m C7 O Nmac cn Z ?.0 H _I -n o �_ °; m �a-*a oN-. Mn mO m N CO) i m m p m a C. > >� c � co o Z<_.C-3 1 O N� n CD ; CM •n v1 CL m m N CDCD O d N N dN C CL CA CD O rA CO) CD .� O O 0 m O -No � r g m Oma: O d a� S� :o o Cncn � zn7J 'r1 C/� `t7 na Z ~ by r" zs a-• w C��j cn o tz 2� �Ix n •n v1 Mi 2) • OF, 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 or requirements. *******%%*********************APPLICANT FILLS OUT THIS SECTION APPLICANT- PHONE LOCATION: Assessor's Map Number. PARCEL SUBDIVISION., LOT (S) STREET/ L 0 0, ST. NUMBER `> USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED COMMENTS— TOWN PLANNER COMMENTS DATE, REJECTED ff G -L DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED 14 DATE REJECTED 6E" IWOECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Any appeal shall be filed within (20) days after the date of filing of this Notice In the Office of the Town Clerk. JOYCE BRA05�iAW To SS^CRUSE A1 9T TOWN OF NORTH ANDOVE4CT N ' 53 H� MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION 35 Rocky Brook Rd. NAME: Rick & Maureen Walker DATE: 10/16/97 ADDRESS: 35 Rocky Brook Rd. PETITION: 033-97 North Andover, MA 01845 HEARING: 10/14/97 The Board of Appeals held a regular meeting on Tuesday evening, October 14, 1997 upon the application of Rick & Maureen Walker, requesting a Variance from the requirements of Section 7, paragraph 7.3 and Table 2 for relief to allow an addition of a wood deck on the back of existing house, of the Zoning Bylaws which is in R-1 Zoning District. The following members were present: William J. Sullivan, Walter F. Soule, Robert Ford, John Pallone. The hearing was advertised in the Lawrence Tribune on 9/30/97 and 10/6/97, and all abutters were notified by regular mail. Upon a motion made by John Pallone and seconded by Robert Ford, the Board of Appeals unanimously voted to GRANT relief of 8 feet on the rear setback to allow to -add an addition of a wood deck 12'x38' to the back of the existing residence. Voting in favor: William J. Sullivan, Walter F. Soule, Robert Ford, John Pallone. The petitioner has satisfied the provision of Section 10, paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a Building permit as the applicant must abide by all applicable local, state and federal and building codes and regulations, prior to the issuance of a building permit as requested by the Building Commission. BOARD OF APPEALS William J. Sullivan, Chairman /decoct PLAN REVIEW CHECKLIST� % ADDRESS //jT/9©cy';�3,e�,� ENGINEER GENERAL 3 COPIES �'� STAMP L----" :LOCUS Z/� NORTH ARROW SCALE- CONTOURS" CALECONTOURS" PROFILE C,-' SECTION -4 BENCHMARK �/^ SOIL & PERCS ELEVATIONS WETS. DISCLAIMER U WELLS & WETS WATERSHED? -A/6 DRIVEWAY �(Elev) WATER LINE/ FDN DRAIN SCH40 ✓ TESTS CURRENT? "'� SOIL EVAL SEPTIC TANK MIN 1500G �r.17 INVERT DROP Ll --l- GARB. GRINDERJ/0(2 comps +200 10' TO FDN ✓� MANHOLE �� ELEV ^� GW # COMPS. GB D -BOX SIZE # LINES a FIRST 2' LEVEL STATEMENT INLET �d'Z 7J�� - OUTLET Id , /,5 = / 02 (, (2" OR .'17 FT) TEE REQ' D?//I/O LEACHING MIN 440 GPD ? RESERVE AREA/ 4' FROM PRIMARY? 20 SLOPE 100' TO WETLANDS �r100' TO WELLSL�---- 4' TO S.H.GW (5'>2M/IN) 20' TO FND & INTRCPTR DRAINS 400' TO SURFACE H2O SUPP ` 4' PERM. SOIL BELOW FACILITYL MIN 12" COVER FILL?x(15') BREAKOUT MET? TRENCHES i MIN 440 gpd v/ SLOPE (min , _.� c..•r 6"/1001) ��� SIDEWALL DIST. 3X EFF. W OR D (MIN 61) i/� RESERVE BETWEEN TRE;N't'HES? IN FILL? MUST BE 10' MIN 4" PEA STONE?(>3' COVER; LINES >50' ) POT `f�C� + SIDE Z -0 ,f3 X LDNG 1, %� (L x W x ##) (DxLx2x#) (G/ft2) Copyright 0 1996 by S.L. Starr FORM 11 - SOIL jUvv1gOA0) Qr rj;.`� otj 3 1996 Commonwealth of I lassa- cwhiEaTs Massachusetts c..r c,.;f„I„ht,e ccoccmpnt fnr on-site Sewa; VALUATOR FORM Page 1 of 3 Date: C�)C--T. 16, Performed By:.. ......... .... Date: ��'........ r�1tiQ� moi- `.�- . � ..... . .... .. . ..... Witnessed By: .. •.,......... L=uon Add=lu or 19 rzoc� ge©- ecru owner s n. O C�- a►-��1i fie- lC—`S 1 �L. rdephone 17Jq.ej e� eL�! S �ST�E-ET wew Construczicn Repair n Cogs- c.00z& C Office Review, Published Soil Survey Available: No ❑ Yes Year Published Publication Scale \1��................ Soil Map Unit J.••••�••• cnooErzcrre:c�{ YV�bC��eA'C�...�,SiAPe��...I,RP�c- Drainage Class '' c-0— � '' ..... Soil Limitations.....- Surficial Geologic Report Available: No U Yes ❑ Year Published Publication Scale GeologicMaterial (Map Unit)............................................................................................................................... _. Landform .'!..:............................................................................ ....... Flood Insurance Rate Map: Above 500 year flood boundary No ❑ Yes ❑� Within 500 year flood boundary No [Yes ❑ f Within 100 year flood boundary No1Yes ❑ I Wetland Area: National Wetland Inventory Map (map unit) ............................................................ Wetlands Conservancy Program Map (map unit) ..................................................................... I ................... . Current Water Resource Conditions (USS--GGSS): Month Range :Above Normal []Normale!cw Normal ❑ Other References Reviewed: DEF APPROVED FORM . 12107/95 FOR 111 - SOIL EVALUATOR FORM Pace 2 of 3 Location .address or Lot iJo. I9 P-oc-v-y E!�-2norL ZCAI�> On-site .Review Deep Hole Number 19 -.I Date:. ��.��� �3 Time: 1\'M Weather F7�l4 ie_ Location (identify on site plan) -5;<Z Land Use Slope M Surface Stones Vecetation Landform 1GArv�� Position on landscape (sketch on the back) 54 t— 'TPoc--C btStPo--A-c- Distances from: Ope6 Water Body '.)io+/- feet Drainage way 44K feet Possible Wet Area 2 ku4-/- feet Property Line -,apt/ feet Drinking Water Well QA feet Other DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) ( (USDA) (Munsell) Mottling (Struc-ture, Stones, Boulders, Consistency, % Gravel) dtt'®11 d t� `L tl j �l . I.A�E2- o� s►�-�C`7 �CLE`i C s'Zu Parent Material (geologic) (=jLY'rW W��� �A�� DeptfttoSedroclr r -A O N� � n�U Deoth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: il.s pts> -r--, Estimated Seasonal High Ground Water: 14 & DEP APPROVED FORM - 12107195 FORM 11 - SOIL LVALUATOR FORM Pave 3 of 3 Location Address or Lot No. - ic'3' 'I-oPA-:::> Determination for Seasonal High Wafer Table Method Used: 2 -"Depth observed standing gin observation hole...�o inches ❑ Depth weeping from side of observation hole inches 0 Depth to soil mottles ... inches ❑ Ground water adjustment .................. feet Index Well Number .............. Adjustment factor Reading Date .... Index well level Adjusted ground water level Deoth of Naturally Occurring 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? '(ES If not, what is the depth of naturally occurring pervious material? Certification I certify that on II /?�_ (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 Ate_ a -:/xAate DEP APPROVED FORM - 12/07/95 03-21-1996 14:36 617 932 7615 DEP NORTHEAST REGICNAL P.32 r FORA 12 - PERCOLATION TEST Location Address or Lot No.�- - COMMONWEALTH OF MASSACHUSET T S I' �13oe_,fta WJQO\IC�, Massachusetts Percolation Test' Date: jo `1�' 2 Time . Observation Hole Depth of Perc�� Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Fiats Min./inch 2 • Minimum of 1 percolation test must be performed in both the primary.area AND reserve area. Site Passed d Site Failed ❑ Performed By: �j�C�Vt� 'J 5l V,7.,o Witnessed sy:�_�JO� �`�LpcPS� Comments: - nv �►rntovm rowK • wo�n� FORM 11 - SOIL E",`.-1,LUAT0R FORM Page I of 3 Commonwealth of Massachusetts ky;bmEe_, Massachusetts *7;t,, A vc,,oczm,0nf fnr On-site Sew( Performed By: ............ ....... WitnessedBy: ..5....N.......A....9......0....1.(. k ...- ._CA.. � ?z �... I .. ....................... Location Address or " l9 — 000c.� e- r r"i ern i rri r, n FOX e n a i r F7 Date: ICd 1g 1` \0 - Date: 'r, ........... . . ..... ... ..... ... . . ..... 0wrier'%Natne. C:;>C-n"�QLAt1 Obt,,� OAS7 Office Review, Available: No 71 Yes E_/ Published Soil Survey k r (:� 6C \c-) Publication Scale ... V3.7-6 Soil Map Uni . ....... -J. Year Published ... . .. .... ..... C two...... Drainage Class ... Soil Limitations IQ .. . ..... .... Surficial Geologic Report Available: No VYeS ❑ Year Published Publication Seal . e .................. ............. Geologic Material (Map Unit) ............................................................................................................... ......................................................................................................................................... . ............. ...... La�dfbrm .......... . ........................... Flood Insurance Rate Map: Above 500 year flood boundary No, 7yes 1� Within 500 year flood boundary No 0?Y"'es 7 Within 100 year flood boundary No 2'es 7 Wetland Area: ................. National Wetland Inventory Map (map unit) ......................................... ................................... Wetlands Conservancy Program Map (map unit) .................. ............................................ Current Water Resource Conditions 7SG Month S Range :Above Normal EINormal Belc,.v Normal ❑ Other References Reviewed: DEF APPROVED FORM - 12107195 r , FORE 11 - SOIL EVALUATOR FORM Pace 2 of 3 Location .address or Lot ivo. On-site .Review Deep Hole Number O—Z Date:. Time: Weather f7lA10— Location (identify on site plan) Land UseSlope (%1 �4�- �5 Surface Stones Vegetation Landform Position on landscape (sketch on the back)f-'r�"C Distances from: Open Water Body t-1C3-i—feet Drainage way tsAA- feet Possible Wet Area �'1b�feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLELOG' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface iinches) I (USDA) (Munseil) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) �1l �b tl Io``_ gig" -ak- ti iviii, mum ur 4 riwLL-az nclluinCL MI cvcn, r(�vr cu ViJvVQML^nCM 1 I Parent Material (geologic) l,M �VJA� � (cc c�-"f DepthtoSedrock: N Qlc i Oeoth to Groundwater Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water: W ' DEP APPROVED FORK - 12107195 FORM 11 - SOIL LVALUATOR FORM Page 3 of 3 Location Address or Lot No. ??MC e-C)PV(} Determination for Seasonal High Water Table Method Used: K? 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 Naturallv Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist ineas observed throughout the area proposed for the soil absorption system? allr If not, what is the depth of naturally occurring pervious material? Certification I certify that on (date) I have passed the soil evaluator examination approved by the Depaftment 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. Signatur �Date DEP APPROVED FOR.M - 12/07/95 03-21-1996 14:36 617 932 7615 OE? NORTHEAST REGIONAL R.02 FORM 12 - PERCOLATION TEST Location Address or Lot No. .C-OMMONWEALTH OF MASSACHUSETTS f. Massachusetts 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: l7T! ov Armorm roam - nroxnf r Percolation Test' Date: 193 Time: Observation Hole Depth of Perc Start Pre-soak End Pre-soak Time at 12" t Time at 9" Time at 6" kL Time (9"-6") ly 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: l7T! ov Armorm roam - nroxnf r bio.j- 1� . „ , •7• FORM 11 - SOIL EVALU.aTOR FOR`1 Page 1 of 3 Commonwealth of Massachusetts �ADa;-f4 .PcNOC>J69—, Massachusetts e vcacvm ont fnr nn -site Sewa Performed By: ` r ,�f .::....�... -E��J ........................ . Witnessed By: _}`.:..._........................................ L aunn Address or ew construction ❑��air 17 Date: Ib 1 g Ddte:�� Address. rro Office Review Published Soil Survey Available: No ❑ Yes v Soil Ma Unit Year. Published 088 Publication Scale p ]...........� Y�M�GAri�L'.... `�......._....... Drainage Class es- rY� 7it-. .... Soil Limita ns �........._.. ....� Surficial Geologic Report Available: No Yes ❑ Year Published Publication Scale GeologicMaterial (Map Unit).............................................:..:.......:.....................................................................---.............._..._ Landform ......................._ ....— �. .................................................................................................. Flood Insurance Rate Map: Above 500 year flood boundary No ❑ Yes Within 500 year flood boundary No [E'fes ❑ Within 100 year flood boundary No I&z es ❑ Wetland Area: National Wetland Inventory Map (map unit) ..................................................... Wetlands Conservancy Program Map (map unit).................................................................... Current Water Resource Conditions (USGS): onth Range :Above Normal []Normal elc•v Normal ❑ Other References Reviewed: ffia DFP APPROVFI) FORM - 12107195 FOR 111 -SOIL EVALUATOR FORM Page 2 of 3 Location address or Lot Ivo. to oc�`� FiM� � F On-site Review Deep Hole Number 9LO°"?- Date:. ..` ` Time: hAA Weather L� Location (identify on site plan) "cf, ple'-RJ5' .. Land Use 0j1KilhI -L Slope (°'o) Surface Stones vegetation k)JL%V60 Landform Position on landscape (sketch on the back)i Distances from: Open Water Body 1i DD y feet Drainage way ti144_ feet Possible Wet Area k-90 A_/� feet Property Line !j-�--feet Drinking Water Well K -k feet Other DEEP OBSERVATION HOLELOG* Deoth from Surface (Inches) ( Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravel) IC MINIMUM UI- i HIU1Lt`z riI:_ �l�U�jltlt(U AI cv(cn�r� r�nQ�Qrw( cu U1Qrwj+t_rncr� p�j�y, Parent Material (geologic) oulvj k ` l i V"°"",'/� ` DeorMoSedrock: M-6 Deoth to Groundwater: Standing Water in the HoleQ\ 2: ;/� I Weeping from Pit Face: 11w Estimated Seasonal High Ground Water: Jp DEP APPROVED FOR,NI - 12107/95 FORM 11 - SOIL LVALUATOR FORM Pale 3 of 3 Location Address or Lot No. l�) -'zcic�� amV, Determination for Seasonal` Hioh Water Table Method Used: LJ 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 _.......... ... .. i Deoth of Naturally Occurrina Pervious Material ,l Does at least four feet of naturally occurring pervious material exist in pli 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 (date) l 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 [eq3) �te DEP APPROVED FOR.\t - 12/07/95 03-21-1996 14:36 6i7 932 7615 OEP NORTHEAST REGIONAL Location P.02 FORM 12 - PERCOLATION TEST or Lot No. MONWEALTH OF MASSACHUSETTS Massachusetts ereolation Test' Date: Time: Observation Hole K Depth of Perc Start Pre-soak End Pre-soak \�z Time at 12" Time at 9" Time at 6" Time (9"-6") Rats Min./inch • Minimum of 1 peola 'on test must be performed in both the pri reserve area. Site Passed ❑ Site F.;' ed ❑ Performed By: Witnessed By:` Comments: iinv AFMOvm FORK - U197191 v area AND October 23, 1996 Ms. Sandy Starr Board of Health 146 Main Street North Andover, MA 01845 Re: Lot 19 Rocky Brook Road Dear Sandy: Please find enclosed three (3) prints of the sanitary disposal system design for the above - referenced lot for your review. You will note that this design complies with the local Board of Health regulations except for distance to foundation drains and design flow. It is my understanding that the Board of Health has voted on accepting current "Title V" design criteria regarding design flow and foundation drain setbacks. Therefore, we are not requesting these waivers. However, if you feel that we are still required to file for these waivers please schedule us to be heard at the next scheduled Board of Health meeting. If you should have any questions or concerns please do not hesitate to call. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. John Morin, E.I.T. Civil Engineering Consultant JM/km Enclosures • ENGINEERS • • LAND SURVEYORS • 447 Old Boston Road U.S. Route #1 (508) 887 8586 1! #550 BREEN.WPS • LAND USE PLANNERS • Topsfield, MA 01983 FAX (508) 887-3480 BOARD OF HEALTH 120 MAIN STREET TEL. 682-6483 NORTH ANDOVER, MASS. 01845 Ext23 February 14, 1995 New England Engineering 33 Walker Road, Suite 32 North Andover, MA 01845 Re: Lot #19 Rocky Brook Road Dear Ben: This is to inform you that the proposed plans for site referenced above have been disapproved for the following reasons: 1) Records indicate a 9 min./inch percolation rate. 2) Minimum size for a leaching bed is 900 square feet. If you have any questions, please do not hesitate to call the Board of Health Office at the number above. Sincerely, J Sandra Starr, R.S. Health Administrator SS/cjp DATE r-.. Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEE 0/,/z) PERMIT # 7299 DATE RECEIVED �/O/q 117) APPLICANT 1;�C1cr- HOt RC. -y %/?, ASSESSOR'S MAP 0-1-9 ADDRESS PARCEL # 46 -vk LOT # /17 STREET `�c�c. K y �2oO,C `moi ..D ENGINEER�.4/l ADDRESS a3v96egg;f a PLAN DATE 11?4 REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED 19 9 /Ll /N//NG '//9 T� 141/MUS S?60 . PLAN REVIEW CHECKLIST ADDRESS. j�T/ �DG� 1� .0 ENGINEER GENERAL / / 3 COPIES STAMP V LOCUS � NORTH ARROW v SCALE CONTOURS( PROFILE SECTION BENCHMARK SOIL & PERC INFO ,;7 ELEVATIONS WETS. DISCLAIMER Ci WELLS & WETLANDS WATERSHED? /40 DRIVEWAY V (Eley) WATER LINE [/ FDN DRAIN L/ SCH4 0 i/ TESTS CURRENT? i 99 3 SEPTIC TANK MIN 1500G L/� . 17 I14VERT DROP �r GARB. GRINDER(+200 o EDF) 25' TO CELL AR MANHOLE TO GRADE ELEV ✓ GW i D -BOX SIZE # LINES FIRST 2' LEVEL STATEMENT INLET - OUTLEToL_ ' /7 (2" OR .17 FT) TEE REQ' D?/VO LEACHING MIN 660 GPD? Ll--� RESERVE AREA C----"4' FROM PRIMARY? �2% SLOPE 100' TO WETLAIiDS 100' TO -:ELLS 4' TO S.H.GW L 35' TO Fi�D & iNTRCPTR DRAINS/ 325' TO SURFACE H2O SUPP 4' PERIM. SOIL BELOW FACILITY MIN 12" COVER L. -FILL? (25' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min .005 or 6"/100') >3'COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61) IS RESERVE BETWEEIi TRENCHES? IN FILL? MUST BE 10' MIN. 411 -PEA STONE? BOT X LDNG + SIDE X LDNG = TOT (L x W x ,r`) (G/ft2) (DxLx2x#) (G/ft2) Copynght O 1993 by S.L. Starr 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 BED/TRENCH BOT 12"-48" STONE SPLASH PADS SLOPE .005 (Bed max. 60' X 601) MIN 13' X 16' PIT + SIDE X LOAD = TOTAL (2 x (L+W)xD x #) (G/ft2) FIELDS MIN 660 GPD t,-' 900 ft2 BED PERC RATE FASTER THAN 20M/IN cam/ GW MIN 4' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? ✓— 4" PEA STONE? DIST LINE SLOPE .005? (/ >3'COVER-VENT— SCH 40 L -----^MIN 12" COVER f RATE LDG_X 660 = �p �XZU = TOTAL �7'OC1 ft2/G REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = L W D Vol. DISCHARGE SIZE DISCHARGE RATE MANHOLES TO GRADE inlet) HWL LWL OP. SWITCH Copyright © 1993 by S.L. Starr ALARM SEP. CIRC. CHECK VALVE PUMP CAPACITY Spm Spm DISCHARGE TIME GW (Min. 1' below BLEEDER HOLE MANUAL y�,g� - --- .,. � 'F �}_:..: =�..�. -.-_.. a .. - .�____. - - �....�. ..-.,--�.-.r.....c.... .. ..:.. .�`� ��� r� V APF. -09-1997 11:59 THOMAS E. [IEVE ASSOC. P.02 �rl,ia� i'S �•� (2p�,titi �00 a FOR r ` ~f rU�,i'Oy� f�qf .r Sr d r'd fit— -- Id f�7 N O ' F`" O ' Cb Q PD O lu H PLAN OF LAND LOCATION NORTH ANDOVER, MA. OWNED BY RICK WALKER SCALE: 1"= 40' DATE: 9/14/97 01 40' 80' 120' SCOTT L. GILES, R.P.L.S. FRANK S. GILES NORTH ANDOVER, MA. Residence I Zoning District. Assessors Map 90A Parc. 40 kc5' co ti 11 N/F Kenneth & Joan Patti NORTH P BOARD DATE OF FILINI DATE OF HEAR e Lam DATE OF APPR THIS IS TO CERTIFY T14AT WITH THE RULES AND RE( REGISTERS OF DEEDS IN APF -09-1997 11: 59 res -96 IN, TE -OM '= E. HEIJE. 'A'l-::,SCC. P . C - -1 2 tj Ll ZE Ll F—li Ll ZE Ll