Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 350 SUMMER STREET 4/30/2018 (2)
r ti. ? �` b ,. ti"^i x *t .�40 ���u��. a � �i �L'Lpdn�:+ gyp_.-°= Y:ae� •' � _ - � 5._ r } ..�� yam. w`t r �� 1-.�`y94 .i',;• %07-1y�'i` ,r�t�?w�`c�1,':, .. '� 4 • °" .,. re i 'S • MAP # ; , �.a �r� s �:� LOT — PARCEL # ;:` STREET . • �ONSTRUCTIO.N_APPRO_..:At� '; HAS PLAN REVIEW FEE .BEEN PAID? YESNO PLAN APPROVAL: DATE �� APP. BY__��!:�!��!._ DESIGNER: PLAN DA'f E._C� CONDITIONS WATER SUPPLY: W WELL WELL PE WELL TESTS: COMMENTS: CHEMICAL BA DA I E I llA T E f1PPROVED BACTERIA II DATE APPROVED FORM U APPROVAL: APPROVAL TO ISSUE YE NO DATE ISSUED 7/7 A5— / 7A- BY CONDITIONS: FINAL APPROVAL:. ALL PERMITS PAID YEB� NO WELL CONSTRUCTION.APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL Q--YZ-5D NO OTHER YES NO ANY VARIANCE NEEDED YES NO ll FINAL BOARD OF HEALTH APPROVAL: DAT'E:j(w....._.BY: �EPTIrLT►i"�1.N�Lii134"CLL ... , • - ' :d -:♦. -y � T 1 r 1(r +:1 'i. �. :_ .,.•>>-.: ., '.9 ..:. . ri ..r .- t .♦ . iii t s ,z ISTHE INSTALLER LICENSED? :: `+ �+ _ Y NO _ OF. CONSTRUCTION:`"' - NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW Q-.=yEZ-- NO CONDITIONS OF.. APPROVAL YES NO !: FROM FORM U) ' _,ISSUANCE OF DWC PERMIT. YES - •. - NO -. -.y .. = - -. .. `1 ` .- DWC PERMIT - N0. _, INSTALLER:D4ile JYAXIVA-� BEGIN INSPECTION NO: :EXCAVATION . INSPECTION: :NEEDED: Iv By PASSED CONSTRUCTION INSPECTION: NEEDED: ~' AS BUILT PLAN SATISFACTORY: `z---YES: APPROVAL TO BACKFILL. DATE: ` Z/. BY _ FINAL.GRADING APPROVAL: DATE J/�/G-� B �i YAj FINAL CONSTRUCTION APPROVAL: DATE: //HY-- 172 LOCATION OF STRUCTUhE(S) BASED ON LINES OF OCCUPATION ONLY. AMORE ACCURATE LOCATION WILL REQUIRE AN INSTRUMENT SURVEY. %i JOHN S.� LAUPETAi". ' .j Y 10 P`- p�lx � tt 1�0µtavt� � La �. 2 tie Scale: l tt-='.Q DORM U,- LOT RELEASE FORM INSTRUCTIONS: 'xThis form is used to verify that all -necessary approval /permits from Boards and Depart rents having jurisdiction have been obtained. This does not relieve the applicant,and or landowner from compliance with any.applicable requirements. APPLICANT PHONE J& ASSESSORS MAP NUMBER % LOT NUMBER A SUBDIVISION LOT NUMBER STREET `/ir' J STREET NUMBER zFt:eJ OFFICIAL USE ONLY COMMENDATIONS OF TOWN AGENTS lZmZNSERVATION ..................DATE APPROVED' ADNIINIST RATOR DATE REJECTED CONUVfEN `S DATE APPROVED TOWN PLANNER CONHVIEII Tm FOOD INSPECTOR - HEALTH' 7CINg tCTOR-HEALTH COMMENTS ZS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED , 3 DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE Oo zo LL 0® zCD 5� 0 7 5Fto Lo�`p. m W " G Q G T J Q 2 Wp��-� > O V- _j o J U)>>� Z.< j0 W W W 0� Z 2 UT J J Z F- F-- H' O w LO LO O 0 �<��z w U) Z w 5 U) Oo zo LL 0® zCD 5� 0 7 5Fto Lo�`p. R IO\NG G EX���,N 1016 O V- W W z_ z J J LO LO 0 >° °Ycn LU w�YQ000z LLj Ll.=z�mOJ 0 Q wozozow D :) :) Z \ zzzzzz Rol rn O J T, T�EF-T SUMMER S 9// .JYS'T''�1 PUMPINU RF - co Y31"eH ()1VVNQR & AIDXDDIR.'�55 OCT 0 7 2005 TOV'\-, vr- NORTH ANDOVER HEALTH DEPARTMENT S�, �..E; M _ _..,._ _...,_.._...__........ r i ; ATE OF pVMF1Na rVKb ON 3eRYiCp. Mvu'r,NC /y\ UdstsR Y,� t � a000 CUNOI riUly/�Nvt_.:. �v c:�citi r,r. �MAYY OUA38KOM yr,�Yl 85 ;N Fi ni:L OXCUMB SOL100 L40D$p YOLfDCARRYq + �., C)rgeR EVLAIN ,rl .� S}•Kh� i Ar'1 r j + I - a• h � u' t yst! tC,tJ 'pF11:t4ff it`WJ R9 � ' i'� NSt•r 7NiM't�j'�, K i' r t ;* 1 f" 9 17�,irp+��;t'�����'�flrll'.At\��r�f,/'�' �,; rre "')i �f 5 , � r-I��ti r� ' • L'i^u ,� •�,;1"�♦♦t r, fk�� ]Sr krrh"'\. •a,�• 11 7 .� rV. , �7 � / r R $�� r•�n",(,yy �t �^i.. • 1,. `{ ^f. t `' }' 1 ah i Y q � 1 �j > ,' •'. � ,' 'i Yi'Alry11•N'�+''p}li` 4 N' "i( , ,a dN � f..j �t j .�'lNyt.•• ", OF,•NQ tRM AND SYS'l'EM P PING RECORD i•''�tii+Fla�M11�%Zi';�,''1!`;�rS1l'�" ,►A`'er • .•..' ? r; . r f .. h . ar t' � 'vl 74`��`!}J r 'i�;7:"V''� V I h�.V .•. ,y .. r•.v.wuM1A+'i'F'e tf !;M,�,,t,,yc a , •}ti..��r , SYSTEM LOCATION ti) f •hoot of douse) Y, lQVA ..r ,,t : t , .7 ;, �1.,�'•j �• n , 't, w�' i{�;.� r ,+�ir,,t,,t. ,1 • � ..r r , �Y ' I ^ � ,liT F j �"..,y •.11 i'r�l��.%;�,�ill ,li.7 • ., 1r '• ' , , ,'1 j •' •r7Nrt iY hyh�'. ;.; J4 r?'9' T ,rr� S f' .rl A i�, r, .f „;�• ���RI� C TANK. +,O(t t .1 y .,w, t' .,�uMj. •(r ti nN 1 ' r M t' r .waw j ��7 R'VEN/ 'ti �l rY it')k..�ih*T �'" p'�'"af^I t(�• �- Ij�1 w•-]�+itt',r•\�•i1� �.'� 4-11 "i �'� �^ tr. •1;'Rr r•-. , VA1'�ONS. t ,rl , 7)�4 � ! •'' V t.� II r t M . �' .. . .. ._f � "• . • ' ,, • '`!` "; ,' BRAVY I TLL'TO CO VEg r ' 1 St .4�, it t r+ �•' Mt�!•rMfaS�, tl •� 1f a f ; �.'KpOTS .......� ' BAFFLES IN PLACE '� ; ' ''•, ��: EXC��!�SIVE SOLIDS -- LEACSFlEI,D RUNBACK �At ' .w O� A �,} ----•�,. FLOODED OTHER owwm op i� yh�, ,. M, ,moi'1►' , , . udoom ♦1'R.r1 fi,`yse r w�,• 7 �G.•) "� wi , 4 I ,. �y�1y�.�, ) y�`7y,�a:r+r�r`�jr�•',-w+ ,6p��C o •,�1y1r�,M, •VL '..}�•r�1•'�f1"(i�'7rtf .).,♦ 1... _ .' N Ui •a' . 1' f �?=,n�i`�'� !'ri�aLds�J 1 fv i �'� SZ•� f. �,rr) �, , r t , :. :, ..WMralij,n�E�et,1 )�f.'4,.tiy; � :} �,..I �.ii'ail+.tlH.".` 1:� a;J.r�rtri,.. �J" ^ L • , 1 N�dhMa tr,.�•fJ Tn•Itm rr )f r ,� ► y Ir�`.y1.� ,� "' "erre I i/N`t6 y' ��i�rY�rtrrv��'��� r ca 7 0,II`rtbc�l��P� Fr VO4- V. nil J z Q E _. O i O GO O v CD Z Q O D y � z u ] cc C o a x v z O v La V) p O w U w" w p � w" . w w w V)V) i O F=4 O z tv .CD c p ai I _ C, 0c 0�.�� c H ¢ •-+ - o c D %58 =� : 4.ev c5�a rLAQo m c E¢ �5 i- LUCD CD � W O. N EE Vim: :0 Co c M,tCD cm S,a N C O co 'C 0 .1• C �` O -o 0 N 4i d ym� C N Q — c.cs m m o � CC., in o .1MZ o cc .:c18c c CL Q i o .c 3 coo W O a +r 'O y=. .� ycc , CCD N G C R m W o U a c a C/3 CL 0 o S R -0H = O D m cc LL 12 - cc cc H z LL Q c J z Q E ti O i O O v CD Z Q O D y � z CD o COLU CM •�w0o co R CO z CD 0 CD = R � O CD 0 0 R Q Oce o- �a .o oCcCc V J 'C c CD CD Z L) z_ V y C C R Q. y. C'3 z z z Q a - cc LL 12 - cc cc H z LL Q c NEW ENGLAND ENGINEERING SERVICES INC December 13, 1999 North Andover Board of Health Town Hall Annex 27 Charles Street North Andover, MA 01845 RE: TITLE V REPORT: 350 Summer Street, North Andover Enclosed is a copy of the Title V report for the above referenced property. The systemap sses our inspection. If there are any questions please call me at my office, 686-1768. Sincerely BenjamC. Osgood Jr., 2 .T. President —101 DEC 14 1999 r d i 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 • COMMONWEALTH OF MASSACHUSETTS , EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY. CORE ARGEO PAUL CELLUCCI DAVID $• STRUM Governor Coroner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: ;WJ . e- vtmew t ST. Name of Owner fq) bCZT & fzoc s- N- AN oc;JG Address of Owner: •7v �-Oji 44,vr Ej2 Sl. ZV A130 Date of Inspection: 1 z 1 a 1 el r{ Nwne of Inspector: (Please Print) ben iamin C. Osgood, Jr. 1 om a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: New England Engineering Spry -ices, Inc. Mang Address: 60 Beec w r, MA 01845 Tdept. Number 686-1768 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: �Pesses Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority (Board of. Health or DEP)within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner - shall submit the report to the appropriate regional office of the Department of -Environmental Protection. The original should'be sent to -ow owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS revised 9/2/98 Page I or II SUBSURFACE SEWAGE DISPOSAL SYSTEM :INS PECTION FORM PART A CERTIFICATION (continued) Property Address: 3S0 S +A^,..tr 12 S.7-, A.)- A-.00,ji r2 Owner: 14>. B E 12Y Cr12ovS Datetrupection: t t(1 Ol �i9 INSPECTION SUMMARY: Check A, B, C, or. D: ` /{. SYSTEM PASSES: 1 have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure ` criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: 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. Indicate yes, no, or not determined (Y. N. or' ND). Describe basis of determination in all instances. If `not determined'. explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (201 years prior to the date of the inspection: or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping -more than four -times n yerardue to broken or obstructed pipe(s). The system VVRI-PasS inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed revised 9/2/98 PaCe2ofIt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOAM PART A CERTIFICATION (continued) Property Address: 60'0. ezr &QGOS- Owner: 3. a7' S,, nn,t,ar /t S i 2G r^� r N . /f �+ 0 -IF 0C Date of Irsspecbon: C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: r r Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing td protect the public health, safety and the environment. r: 11 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 ynilCH_YALL PROTECT THE PUBUC HEALTIi AND SAFETY AND THE ENVIBONMEN_T_ Cesspool or privy is within 50 feet of surface watkt 7— Cesspool or privy is within 50 feet of o 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 tS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 Page )ar11 Y` t I I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 3Su S�M M t 2 Owner: Date of Inspection: �a i D. SYSTEM FAILS: r r You must indicate either "Yes" or "No" to each of the following:' ., I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine whet will be necessary to correct the failure. i Yes No Backup of sewage into iocilitror-e"tem component -due to an overloaded orebggod SAS or•cesspooL -� --' Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is -within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet o1 a private water supply well. Any portion of a cesspool or privy is less -than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for —coliform bacteria, volatile organic -compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: 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: The system serves a facility with o design flow of 10,000 gpd or greeter (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system -is -within 200 (eetof-0-44 Lary -toe surfaoad.inkirsg-water -supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA) or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 rage 4of11 ± SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FdRM PART B CHECKLIST Property Address: 3S0 Sv AA ,,.t Owner: Ht t3 E Date of kuvection: t 21to t�tq • r r , Check if the following have been done: You must indicate either "Yes" or 'No' as to each of the following: Yes No V _ Pumping information was provided by the owner, occupant, or Board of Health. None of the system compoAenu.I a. n pumpeddor.atleas ( two wanks, Wo sryctem hesbaaosecain:ogw*wcaJ flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non -sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components, excluding -the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was, inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System orrthe site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) 115.302(3)(b)) The facility owner tand.occupants.if different from.nwner).were prnuidad.with informatioapn thn 4r,pw. axairtanaoc rf SubSurface Disposal Systems. revised 9/2/98 Page 5ofII r ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ! PART C ! SYSTEM INFORMATION Property Address: STACI 1 N. t/}J aoj1 .2 Owner: Rt_t3� (t i Date of lnspcct on: r'r{LGO• S I FLOW CONDITIONS RESIDENTIAL: Design flow: /it) g.p.d./bedroom. Number of bedrooms (design): Number of bedrooms (actual): Total DESIGN flow til N� Number of current residents -.-,SL Garbage grinder (yes or no): ,/ Laundry (separate system) (yes or no)4[_: If yes. separsteinspaction required Laundry system inspected (yes or no) Seasonal use (yes or no): ^/ f Water meter readings, if available (last two year's usage (gpd); Sump Pump (yes or no): A.1 Last date of occupancy: COMMERCIALANDUSTRIAL: Type of establishment: Design flow: apd ( Based on 15.203) Basis of design flow 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: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: /7v n -• y r n D N( C -- System System pumped as part of inspection: (yes or no) lVc-, If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM _ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, ii any) UA Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date instaked{if known) -end source o(rn(ormation: 3 tZ 5. Sewage odors detected when -arriving at the site: (yes or no) A/0 revised 9/2/98 Pagr 6 of 1 I SUBSURFACE SEWAGE DISPOSAL SYSTEM tNSPEdnON FORM PART C SYSTEM INFORMATION (continued) Property Address. 6"J M An r 12 S T N N Dom tV'L Owner: Ill $r oo Date of kuOpe` ': &-aS I I2tlo�sfct. � • BUILDING SEWER: (Locate onsite plan) Depth below grade: Material of construction: _ cast iron ✓40 PVC — other (explain) Distance from private water supply well or suction line Allt Diameter q K Comments. (condition of joints, venting, evidence of loakage,-etc.) P v� h� a �•, > Cs c u n t V �3 r4s t: t: SEPTIC TANK:_ (locate on site plan) h Depth below grade: Material of construction: lef�concrete —metal _Fiberglass —Polyethylene—other(explain) If tank is (netal, list age _ Is.age.cont-wmed by Certificate of Compliance _ (Yes/No) Dimensions: /-6-0o rrA Ls-oNS Sludge depth:. a /" Distance from top of sludge to bottom of outlet tee or baffle: Tec. /) o T et e e e4 -5A 64-&F Scum thickness: [I' 1.v s j>C-- c F) 0 .v Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How dimensions were determined: -MCV, Comments: (recommendation for pumping, condition of inlet and outlet tees or -baffles, depth of liquid level in relation to outlet invert, structur.&t4ntegrity, evidence of leakage, etc.) TfIn+K lAl Crc>" D v J I 70.✓ 3 �Q,JD1Td ^J 7-�F-(F s SHC'v" L) r3 R!; cvC'9iD57 O TV 3r 19-efcs-)A1A/-C j=W0A 1 IAJ.PNLi%aiN eJJCP. GREASE TRAP:L✓1¢ (locate on site plan) Depth below grade:_ Material of construction: _concrete _metal —Fiberglass _Polyethylene—other(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: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) revised 9/2/98 P.cr7of11 • 1 1 � ' it r r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIOU FORM' PART C SYSTEM INFORMATION (continued) Property Address: 3Sd 60 M A4 r 12 Si AC r T ; A.I. Ii n/ JuJc 2 Date of kupection: 1 aL I •l O l'CI ct ! , TIGHT OR HOLDWG TANK -W#4 (Tank must be pumped prior to. or at time of, inspection) (locate on site plan) r Depth below grade:_ r Material of construction: _concrete _metal _Fiberglass _Polyethylene _other(expleinl ` Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order: Yes _ No_ Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert:_ Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) -- /&-, , X .v &-o c' o 10 ,...3 r 11 It .v /V,;, c L) i /j E.✓ c r' e i L Pro K fiG G-- 1 �✓ o !1 ��.i-T•- nc.57/2% i1 Ga %-j L /V•✓ G✓doVFW GL PUMP CHAMBER-A�� (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.) revised 9/2/98 1,2rr9Ursl i..,.... : SUBSURFACE $EWAGE DISPOSAL SYSTEM INSPECTION FARM , ,PART C SYSTEM INFORMATION (continued) Property Address: Owrw: Rt_3 s Date of Inspection: 2 lib I qC1 SOIL ABSORPTION SYSTEM ($AS) (locate on site plan; i( possible; excavation not requiried, location may be approximated by non -intrusive methods) I r If not located, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: 12 overflow cesspool, number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) J3i2rR �F Y... Tr --^,t A=20 62 G-o1:1'�k nV�d E✓1nrti��_ ter- Puuor✓C; Cvt—tOS G'R•22VOJC 2 CESSPOOLS:' (locate on site plan) Number and configuration: Depth -top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part o1 inspection) Comments: (note condition o1 soil, signs of hydraulic failure, level of ponding, condition of -vegetation. etc.) PRfVy: (locate on site plan) Materjals of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation: etc.) revised 9/2/98 Page 9of11 : SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Addreu: 3�$T! 60n. -w i2 S 7 2� L � . Al. f}cJ Owner: 6F�BEt2 T r Date of kupection: CriLC o I 12��o1aCl � SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent refererice landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) revised 9/2/98 Pagc 10 of II • r t I r SUBSURFACE SEWAGE DI$POS4L SYSTEM INSPECTION FORM PART C SYSTEM WFORMATION (continued) Property Address: -4,SJ ✓✓M11C 12 ST ,v . HN 00VC eL own«: Iar^f3 2r (rot co Date of kupection: )21r�'ltiti NRCS Report name So.r. '' 2✓1 —,y NJ /L -dw i/L.t/ �4YL-T Soil Type_ r O B Typical depth to groundwater j (I.0, USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater & Feet Please indicate all the methods used to determine High Groundwater Elevation: 4_ Obtained from Design Plans on record Observed.Site (Abutting property, observation hole• basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records 'Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) (. SysTr •. T ►{ A13c,✓i wA-i�.2 iY; a�� w ; pe- T1413LC FTC 9- m,jt f7 g" Siert Mv1'9tt, j. revised 9/2/98 Pagc II of II QLL o(Ij r M F- lr OM J � _a F- 0 J J � M� Q W0', V) Q c QG�_JQ 0 W W W0 crW Q�> tnz��WoJQ �. Z QD�Z Q U F— o Z Z ;-- ' O Q(/) J Z W Z Wcn 0 ji0 ~ 0 00 \�o`NG OJ zz \ J .J ui LO co Z�-o�c�o Oti�C°coo�°o c9 Y ljcoyncX z a w0?O?OW Q >»»> <zzzzzz SUMMER STREET 31.1 0/C TO i5s ve' t,0G v N��y�)Ae r- 172'0 F BOARDNORTH F HANDOVER/ HEALTH ` s OCT 1.8 M J C' L 0 T 1 OA EXISTING FOUNDATION TOP OF NDA -TION ELEV = 109.6' LOT 9AA NcP •W •to LOT 11A N • -s �. � •— TREET 23.0, MMER 5 SEE PLAN N. E. R. D. 7879 S U. FOUNDATION LOCATION PLAN THE HOTHEPRIMARY STRUCTURE SHOWN RMS TO RIZONTALSETBACKREOUEMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (HIS CER70CAT,ON DOES NOT CONSIDER ANY 07HER RES7RIC77ONS SUCH AS COVENANTS,WETLANDS,EASEMNTS, CLIENT: MESSINA DEVELOPMENT ORDERS of cDND,nDNs,ETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY THIS CERTIFICATION IS MADE AND LIMITED PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN d SERGI INC. TO THE ABOVE CLIENT. FURTHERMORE THIS DRAWING IS HE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF HIS DRAWING OR ANY INFOR- MA770N CONTAINED HEREON. LOCATION: LOT 10A SUMMER, STREET NORTH ANDOVER, MA. SCALE: 1 " = 60' DATE: OCTOBER 16, 1995 CHRISTIANSEN ,9,SERGI PRDIN10AL ENGINEERS o 160 SUMMER ST. HAVERHILL,MA. 01830 TEL 508-373-0310 @1994 BY CHRISTIANSEN 8: SERGI INC. 33�j; ORA WING No. 95033001 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************/A-pplicant�I fills out this seection*****//************ APPLICANT: (1 S j(/ /� ( ) U (�e�,�/ Phone `T 70 - ar L LOCATION: Assessor's Map Number 4Q 7Z Parcel Subdivision —F6 Hwy is Lot(s) 1414 Street S(A M Me i2 �i �--et- I- St. Number 5151D ************************Official Use Only************************ RECOMMENDATIONS O AGENTS: /.. Conservation Administrator �I, Comments t cc4 t� !'c K*ft� vle�, q� �$ Town Planner Comments Food Inspector -Health L. Q n Septic Inspector -Health Comments Date Approved Date �e'ected (1�t� �'1 Date Approved 8 �� Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections 6-S-5 - driveway permit Fire Department Received by Building Inspector Date e VkO*T►f o � SACHUS t� Town of North Andover, Massachusetts BOARD OF HEALTH Form No. 2 DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM ApplicantS416-- Test No. Site Location L -) _I Reference Plans and Specs— ENGINEER ENGINEER DESIGN a DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. - /� Q) FeeGO ' CHAIRMAN, BOARD OF HEALTH Site System Permit No. 15 PLAN REVIEW CHECKLIST ADDRESS --&/0A Silt ilt"ge ENGINEER liN%Z � STI ANSE�V GENERAL 3 COPIES STAMP _� LOCUS L-.-- NORTH ARROW L---- SCALE ✓�� CONTOURS L/ PROFILE L� SECTION e/ BENCHMARK '-�' SOIL & PERCS _6Z ELEVATIONS WETS. DISCLAIMER L, ---WELLS & WETS C� WATERSHED?AL DRIVEWAY (Eley) WATER LINE 6----- FDN DRAIN SCH40 TESTS CURRENT? �� SOIL EVAL SEPTIC TANK MIN 1500G L/ .17 INVERT DROP :/� GARB. GRINDER (+200% EDF) 25' TO CELLAR L--' MANHOLE ELEV GW # COMPS. D -BOX SIZE # LINES FIRST 2' LEVEL STATEMENT INLET /M- 37 -OUTLET /06 • ZO = , 17 (2" OR .17 FT) TEE REQ' D? A%,0 LEACHING / MIN 660 GPD? L,-' RESERVE AREA 4--___4' FROM PRIMARY? 2 SLOPE 100' TO WETLANDS 100' TO WELLS ✓ 4' TO S.H.GW ✓/ (5'>2M/IN) 35' TO FND & INTRCPTR DRAINS325' TO SURFACE H2O SUPP 4' PERM. SOIL BELOW FACILITY f MIN 12" COVERT - FILL?c/ (t5' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min .005 or 611/1001) SIDEWALL DIST. 3X EFF. W OR D (MIN 61) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10' MIN. 4" PEA STONE? VENT? (>3' COVER; LINES >501) BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1995 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) 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 900 ft2 BED L,""' GW MIN 4' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? i-� 4" PEA STONE? !/` DIST LINE SLOPE .005?e-' >31COVER-VENT - SCH 40`- � MIN 12" COVER �^ RATE LDG X 660 = /G Sy X = TOTAL 6190 G/ft2 REQ'D (ft2) LXW Z..1 78, DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY 9Pm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME Spm MANHOLES TO GRADE inlet) HWL OP. SWITCH Copyright ® 1995 by S.L. Starr ALARM SEP. CIRC. GW (Min. 1' below LWL CHECK VALVE BLEEDER HOLE MANUAL No........................ THE COMMONWEALTH OF MASSACHUSETTS W/ BOARD OF. HEALTH /lI/OF OR -ANDV V64 Applirafiun for Diripuual lVarkii AUG - Application is hereby made for a Permit to Construct ( r�or Repair ( ) an Individual Sewage Disposal System at ............ I ... --.........S.uMNl.... S EI LOT _/014 Location - Address or Lot No• ....-----..N►KS�C(.�..br=.V--�►�"'!� ``T �'-�° ........1.�3.. .y. !�. CY ....I N�Q.vk �.1�?A....... .- ._ . Owner Address InstallerAddress ---------------------------------- Type 3'P of Building Size Lot ... A31.J.9.a ---- Sq. feet Dwelling —No. of Bedrooms............ �..........................Expansion Attic ( ) Garbage Grinder ( ) Other — Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures............................................................. ...... Design Flow...............15Z: 5..................gallons per person per day. Total daily flow ..................... -0............. lons. Septic Tank -- Liquid capacity /S QO gallons Length./Q.-r.6.11. Width ... 61-4 `:. Diameter..:..- ....... Depth....'�.S Disposal �� -T e.,�i.l. .+o. ......�...�..... Width...��.......... Total Length ...... Total leaching area...1�a�_..sq. ft. Seepage Pit No .................... Diameter.................... Depth below >nlet................... Total leaching area .................. sq. ft. Other Distribution box Dosing tank ( ) Percolation Test Results Performed by .... C. -H .1.S.IIR!!1•S /!�•4,. > !ZG,1� (�vC: , Date...:9F.4!?��5�..iA �9$� P-3 Test Pit No. l .... Z4 ..... minutes per inch Depth of Test Pit_.:J0. 2........ Depth to ground water ..............:TP- 3 P-4- Test Pit No. 2....._I ...... minutes per inch Depth of Test Pit ......110O%�_.... Depth to ground water... Z..`�......_...Tp'¢ ........................--__ •••••--•-____..__•-•..................--.......... ....:............. Description of, Soil.....:. :.%S,!4....? vrG(ky-, 56gy.%.!Qui.�..1531.5�..�.fn!F►. Ck�..C?T S . ....... ....................................................................._......................................................................................................... ................................................................................................................................................................................ 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 TI'111 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...................................................................................... ..... .... Date Application Approved By...........................•--•-•---................................. Date Application Disapproved for the following reasons:................................................................................................................ -•-•...............................................••-----........................................----............---•-..._........--•-•..........--•--•--................------...........---------••- Date PermitNo ......................................... ......... ---.. Issued ...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... OF ........ . ...................................... (Irrfif irate- of Tuutplianrae THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............................• •• ••...................................................................................................................---•--........................................-- Installer at.......................... ......................... has been installed in accordance with the provisions of TITIF .5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No ......................................... dated........:..................:........:........... . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................................••----•...-•-......--------•....... Inspector ............................................... ...........................I.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... OF. Faa........................ Dhi p ml Norkvii Tons#rurtiun Prrutii Permission is hereby granted ................................................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo ........................_.................--•-•----......._.._..........................._....._.......----......._...._...._.............. Street as shown on the application for Disposal Works Construction Permit No ..................... Dated .......................................... ................•--•----...........................................................------..............DATE _ Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON ill 8 L01 ON d 33S �� a % s I' x ) to t1 ''t ♦ / L i' • i : Y d r c <• N de til:,'' , i � / <% �,I ►�9a� ♦ 2<2 �. ,`.b Q c 1 I��' ar•+v-t r+La—.L rte' � ` ` : f � w - ' 0 •/ p . V / i S • a 11..1 � ' ; / ♦ �? � ` N ♦ P l i,,( !/ - o_ .a 1 U i- I• M ° ICU jjl,, i * 9 1 es .• M N o f' ^ Z i�"' � O c 9 Cd ♦ c° i r� ' � CL ICJL '.'�'::.;c'�' �\, ♦fit •\ � 1 • �. ; J I c L' V) t ,► r r 1 P • r� r Itt f j rj 7 0 a 1. t 1 �'• } �� .S� 01 s` t• I, � tib' �s _, e , �`° �°• � �' r ,, 7 a � � * i � � r nv �' V • ` a ( ` S 40 IN tII ✓T � :1 aT a .. a _ �` r, r• ti .'C' `v� iE, fib` � � - V / V f ' ♦1 i yv 11 cv IT i LL- • r� d ; N ' •� � � i Fif�,�rr� Q' � u•"r�31:' M�y`;'�,.. 8� ON lb'1d 33S ;.ii 1 � a,:1:; t IT EMS:311•: iS,... :j im; fir! 4 February 22, 1995 Ms. Sandy Starr Health Agent 120 Main Street North Andover, MA 01845 Re: 1995 Soil Testing Dear Sandy: Following is a list of properties we would like to schedule this year for soil testing. Deep Location Number of Lots Holes Peres Applicant Jerad Place Phase IV 27 27 27 Bob Janusz Forest Street 2 2 2 Bob Janusz Rocky Brook II 7 7 7 Peter Breen (770 Boxford Street - Rear) . Boxford Street -Front 770 Bo . 1 1 1 Peter Breen Lots 3, 9, 10, 11, 12 & 14 6 6 6 Peter Breen Rocky Brook Road Lost Pond Lane 12 12 2 Dave Kindred (Lots 1-13) Lost Pond Lane - Lot 14 1 1 1 Dave Kindred (Farm lot) Lot 6C Turnpike Street 1 -- 1 Bob Webster Summer Street 3 3 3 Rockwell (Map 107A, Parcel 162, 164 & 167) • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 1\ (508) 887-8586 FAX (508) 887-3480 Ms. Sandy Starr February 22, 1995 Page 2 Please call Kathy at your earliest convenience so that we may schedule these testing dates. It is our understanding that any lots previously tested are not subject to new fees. We have advised our clients where new lots are concerned to pay the fee directly to your office. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. Thomas E. Neve, PE, PLS President, CEO TEN/km SOILTEST.WPS /S`ED /'6 N 0 Town of North Andover, Massachusetts BOARD OF HEALTH Form No. 1 7�ad, cQ % 19�' Vol 4 °°° E ° " APPLICATION FOR SITE TESTING/INSPECTION TE �9SSACHus���y Applicant Site Location 00'4y"yl �57-- Engineer_ '%-jV(:r f � / ,� NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts t BOARD OF HEALTH \Aoo Ew`P, .5 APPLICATION FOR SITE TESTING/INSPECTION Applicant ;t.11t.� Site Location 97 �e.J ST Form No. 1 19/ Engineer''�s" NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH Fee ` Test No. L') 11� S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. RICHARD G. ASOIAN MARK E. TULLY AARON A. GILMAN ROBERT W. LAVOIE NICHOLAS FORGIONE JAMES H. KRUMSIEK MARK J. SAMPSON ROBERT J. AHEARN KATHLEEN M. CONNELLY JOHN R. BLAKE, JR. Town of North Andover Board of Health Town Hall North Andover, MA 01845 ASOIAN, TU LLY & GILMAN P.C. ATTORNEYS AT LAW 12 ESSEX STREET POST OFFICE BOX 39 ANDOVER, MASSACHUSETTS 01810 February 27, 1995 RE: Applicant: Rockwell, Trustee of SFR Realty Trust Map 107A, Parcels 162, 164 and 167 Dear Sir: ANDOVER (508) 475-9100 BOSTON (617) 942-0932 TELEFAX (508) 470-0618 Enclosed herewith please find a check in the amount of $450.00 which represents the fee due for soil testing and a copy of the deed relative to the above. Should you have any questions, please do not hesitate to contact us. Very truly yours, ASOIAN, TULLY & GILMAN P.C. rl�-- Robert W. avoie RWL: jm Encl. rock.ltr I, S. Forbes Massachusetts for ($100.00) Dollars QUITCLAIM DEED Rockwell, Jr. of North Andover, Essex County, consideration paid of less than One Hundred grant to S. Forbes Rockwell, Jr., Trustee of SFR Realty Trust, under Declaration of Trust dated May 7, 1992 and recorded with the Essex North District Registry of Deeds prior hereto with a mailing address of 370 Summer Street, North Andover, MA 01845 The land with the buildings thereon situated on the easterly side of Summer Street shown as Lot 10A on a plan of land entitled "Plan of Land in North Andover, MA for S. Forbes Rockwell, Scale 1"=40' Date: February 13, 1978 Revised 7/19/78 Frank C. Gelinas and Associates" which Plan is recorded in the Essex North District Registry of Deeds as Plan No. 7879 and to which Plan 7879 reference is made for a more particular description of said premises. 231 N C zx o w m C7� m W CL 0 with QUITCLAIM COVENANTS the following parcels four (4) of land with the buildings thereon situated on Summer Street in North Andover, Essex County, Massachusetts: PARCEL ONE: �4 C) The land with the buildings thereon situated on the a easterly side of Summer Street shown as Lot 8AA on a plan of land entitled "Plan of Land in North Andover, MA for S. Forbes Rockwell, Scale 1"=40' Date: February 13, 1978 Revised 7/19/78 Frank C. Gelinas and Associates" which Plan is recorded in the 000M Essex North District Registry of Deeds as Plan No. 7879 and to which Plan 7879 reference is made for a more particular as description of said premises. a� a° +o� Said Lot 8AA contains 80,121 square feet, all according to o - said Plan. v 1. ro Cz PARCEL TWO. Cn a a The land with the buildings thereon situated on the o easterly side of Summer Street shown as Lot 9AA on a plan of H land entitled "Plan of Land in North Andover, MA for S. Forbes Rockwell, Scale 1"=40' Date: February 13, 1978 Revised 7/19/78 a Frank C. Gelinas and Associates" which Plan is recorded in the y, Essex North District Registry of Deeds as Plan No. 7879 and to H x which Plan 7879 reference is made for a more particular adescription of said premises. o P4 ' P. Said Lot 9AA contains 70,777 square feet, all according to said Plan. PARCEL THREE: The land with the buildings thereon situated on the easterly side of Summer Street shown as Lot 10A on a plan of land entitled "Plan of Land in North Andover, MA for S. Forbes Rockwell, Scale 1"=40' Date: February 13, 1978 Revised 7/19/78 Frank C. Gelinas and Associates" which Plan is recorded in the Essex North District Registry of Deeds as Plan No. 7879 and to which Plan 7879 reference is made for a more particular description of said premises. 231 N C zx o w m C7� m W CL 0 232 Said Lot 10A contains 43,593 square feet, all according to said Plan. PARCEL FOUR: The land with the buildings thereon situated on the westerly side of Summer Street shown as Lot 3A on a plan of land entitled "Plan of Land in North Andover, MA for S. Forbes Rockwell, Scale 1"=40' Date: December 15, 1977, Frank C. Gelinas and Associates" which Plan is recorded in the Essex North District Registry of Deeds as Plan No. 7764 and to which Plan 7764 reference is made for a more particular description of said premises. Said Lot 3A contains 43,864 square feet, all according to said Plan. For title reference, see deeds to the Grantor dated November 7, 1950 and recorded with said Deeds at Book 744, Page 481 and deed dated April 26, 1974 recorded with said Deeds at Book 1240, Page 389. "Signed as a sealed instrument this 7th day of May , -1992. y S. Forbes Rockwell, Jr. COMMONWEALTH OF MASSACHUSETTS Essex, ss. May 7 1992 Then personally appeared the above named S. Forbes Rockwell, Jr. and acknowledged the foregoing instrument to be his free act and deed, before me, Noa�y Pu 1' Robert W. Lavoie Commission Expires: 7- 22494 9205R —2— omo sii3snH3VSSVVY'113AO0NV 6C XOS 301:J:10 ISOd 133EUS X3SS3 Zl MVI IV Sk3NUO.L1V 'O*dAiiniR NVIOSV f. fi Ln f. RICHARD G. ASOIAN MARK E. TULLY AARON A. GILMAN ROBERT W. LAVOIE NICHOLAS FORGIONE JAMES H. KRUMSIEK MARK J. SAMPSON ROBERT J. AHEARN KATHLEEN M. CONNELLY JOHN R. BLAKE, JR. Town of North Andover Board of Health Town Hall North Andover, MA 01845 ASOIAN, TU LLY & GILMAN P.C. ATTORNEYS AT LAW 12 ESSEX STREET POST OFFICE BOX 39 ANDOVER, MASSACHUSETTS 01810 February 27, 1995 RE: Applicant: Rockwell, Trustee of SFR Realty Trust Map 107A, Parcels 162, 164 and 167 Dear Sir: ANDOVER (SO8) 47S-9100 BOSTON (617) 942-0932 TELEFAX (SO8) 470-0618 Enclosed herewith please find a check in the amount of $450.00 which represents the fee due for soil testing and a copy of the deed relative to the above. Should you have any questions, please do not hesitate to contact us. Very truly yours, ASOIAN, TULLY & GILMAN P.C. Robert W. Lavoie RWL: jm Encl. rock.ltr ueN hai provldod jhlp (orris ;or : 90 , ;,,; o! 80 b© +'�drr•!llod to tho local BCarc: Ci noulln or Cly A; FacllltyInforr��tlon :.•�+ ��>r num'.>;: C17/Torm , � Sysla m Own an . {I OW!(lnl from iQuUQn) TT S 4/ vf.d 191opnono N;M04t - p,ump n Record 9 - Delo Of PumIff / Pinp Cele 2. ()',;an:'rJ P,-,^,�6r —�- c-, TYPQ Ql eyslom,..' ❑' Ce99p001(9) 9pllC TanK r . T!9N Tan,, Efluon► Tea Fllle(�rYe9 No .. kr Ceanw ? _ y •`,+r1 �;�,. ,Il':COfidl�lori'Q(;9y,;,1 'm,''.i..'. , . 9, Sy Pvmpedt 8y 1rT14,.� �. _,,�'; %'.j��''1 k;. J Y ' 1'1 J ,• r VohlGo Jcanil N',:m�a on.wh8re conlenls'yrare _ :,'''• •, ,,, ,�'; ..1, ail+;,' �. 71 ^�;!n�n:w,mass,9ov/dep!weis�/epprovaJa/!6(orms,h�muin9pecl ;370 OU 10199 . ........