HomeMy WebLinkAboutMiscellaneous - 41 SHERWOOD DRIVE 4/30/2018 (2) =. 41 Sherwood Drive
Lot & Street Z-0Y/$' � ���� Map/Parcel
CONSTRUCTION APPROVAL
Has plan review fee been paid: YES NO Permit# V
Plan Approval: Date:/1S Approved by: J064�
Designer: 46-1VG� Plan Date: F/zZ l�T
Conditions: o Oor, 01 r,4y1�77 � �
6�l4-4 le,b I) k ,5 4-M -1 M C &OAF M
Water Supply: (:_:T:own Well
Well Permit: Driller:
Well Tests: Chemical .ate Approved
Bacteria I DateAppr-Dyed
Bacteria II Date Approve&'---,..
Plumbing Sign-Off: Wiring Sign-Off.
Comments:
Form"U" Approval: Approval to Issue: S NO
Date Issued I vi By:
Conditions:
Final Approval:
All Permits Paid? YES NO '
Well Construction Approval? YES NO
Septic System Construction Approval? YES NO
Certification? YES NO
Other YES NO
Any Variance Needed? YES NO
FINAL BOARD OF HEALTH APPROVAL:
DATE:
APPROVED BY:
SEPTIC SYSTEM INSTALLATION
Is the installer licensed? E NO
Type of Construction: REPAIR
New Construction: Certified Plot Plan Review NO
Floor Plan Review YE � NO_
Conditions of Approval from Form U YES 0
Issuance of DWC permit: � NO
DWC Permit Paid? NO
DWC Permit Installer: �s��C.A r
1
Begin Inspection: YES NO
Excavation Inspection:
Needed:
Passed:
Construction Inspection:
.j Needed:
• As Built Plan Satisfactory:
YES:
(� Approval of Backfill: Date: By:
Final Grading Approval: Date: 22 43 By: f
Final Construction Approval: Date: By:
Certificate of Compliance: Approval: Date:
TOWN O.FNORTH ANDOVER
SYSTEM PUMPING RECORD'
SPR 7 2003
� 1 I'EM OWNER & ADDRESS SYSTEM LOCATION
(example: lefc'fr`on't of ou�r)
Fro
OF PUMPINC: 11—q9& QUANTITY PUMPCD1500 G'A
LLU� �
NO Z:2L _ YES SEPTIC TANK: NO YES 'x
ATURE OF SERVICE: ROUTINE �_ EMERCENCY
t) H1 FRYATIONS:
CUOD CONDITION. NULL TO COVCIZ
HEAVY CREASE BAFFLES IN 1'L,ACL,:
ROOTS LEACHFIELD RUNBACK..
CXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OjHFR (EXPLA.IN)
>V-STLM P U M P C D 0Y:
C U.M 'vl rNTS:
i
s
TIZANSFCIZRED TO:
r ` Comm:onwealfihf Massaehus�tts. .
t'/Town of
•S,ystem Pumpi g Rec�r~d OCT �- 9°2008
a TOWN 'F;'
HFItI, ';OTtIANDGVER
�RTMENT
DEP has provided this form for use by local-Boards of Hoallh. Othar forms`may o-a~us'e0 but the
information must be s0stantlally.the some as that provided here. Before using this form, Check wan your
local Board of Health to detik7iln.6 the form they use.-The-System Pumping Record musroe submineo o
the local Board of Health or other approving authority.
A. Faciiity.lnformation
Y,1W tsntnp out t, Syslem Locatlon.
karm;on tMQQM;QW,U40
p'cny ris.t;b k+Y a� hddna
•` � Wiz,
1 11
17
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,
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i
-,C\- Commonwealth of Massachusetts
City/Town of No Andover IVED
System Pumping Record Zmaye
013
Form 4 NDOVER
TMENT
DEP has provided this form for use by local Boards of Health. Other fo ,
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority within 14 days from the pumping date in
accordance with 310 CMR 15.351.
A. Facility Information
Important:When
filling out forms 1. System Location: ^ i
on the computer,
use only the tab
key to move your Address
cursor-do not No andover Ma
use the return City/Town State Zip Code
key.
2. System Owner:.
Name
Address(if different from location)
City/Town State Zip Code
Telephone�Number
B. Pumping Record
�j-
1. Date of Pumping ate S ` 2• Quantity Pumped: al ons
3. Type of system: ❑ Cesspool(s) [�Septic Tank ❑ Tight Tank ❑ Grease Trap
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes YNo If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of Syste — }
0
6. Pumped By:
Name Vehicle License Number
Stewart's Septic Service
Company
7. Location where contents were disposed:
Ste"rt's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835
Signature of Hauler Date
Signature of Receiving Facility Date
t5form4.doc•03/06 System Pumping Record•Page 1 of 1
'TOWN OF NORTH ANDOVER
UA 11 SYSTEM PUMPINU ReCOKL
SYSTEM OWNQR �./1npRP(2vw
SS ...........................
SYSTEM LOCATION
DATE OF PVMMNQ:-- QUANTITY ? r oE
�'tSSP00L; N0�__ yBS
.. SONC 1'Ank: NU. ES
NA rVRU ON SLRYICE: K TINN _ l:MkRU�NC'1'
RECEIVE®
GOOD CONDITION MAY p 6 2005
F�11YY OREASB uu. ru COVbR
KRAY BA.f nBS IN PLACL•, TOWN OF NORTH ANQOVER
Koon ._. LBACF[R LD RUNBACK " HEALTH DEPARTMENT
OXCU361VE SOLIDS_. FLOODED .
SOLID CARRYOVER—__
OTHER EXPLAIN
)y.�.m Punted by -_ _.? ......
17?Q.
VUMMENTS.
�uN raN'r� rKA?gsFExut) 1,0
FORM U - LOT"REtEASE 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 7 k-A?C L f6 A P k) t-"S PHONE `
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION //�� ltiu-c, LOT (S)
STREET �h��ujcnl ST. NUMBER
******** OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSOR-HEALTH DATE APPROVED
DATE REJECTED
SAZ
T -HEALTH DATE APPROVED
DATE REJECTED �/D
COMMENT a�
L
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
I
OCTOBER 1, 1997
SANDRA STARR, R.S. HEALTH ADMINISTRATOR
TOWN OF NORTH ANDOVER, BOARD OF HEALTH
30 SCHOOL STREET
NORTH ANDOVER, MA. 01845
DEAR SANDY:
I HAVE ENCLOSED A CHECK IN THE AMOUNT OF$60.00 REPRESENTING PAYMENT FOR THE
SECOND SEPTIC DESIGN REVIEW FOR LOTS 17 AND 18.
JOHN MORIN ALSO COMMUNICATED TO ME YOUR REQUEST FOR THE FOOTPRINT AND
HOUSE PLANS FOR THESE SITES. UNFORTUNATELY, THE SCHOLZ DESIGN HOMES WE
ORIGINALLY PLANNED FOR THIS SUBDIVISION HAVE NOT MET WITH THE MARKET
ACCEPTANCE WE HAD HOPED FOR, AND WE HAVE NOT DETERMINED WHAT HOMES WILL
BE BUILT ON THESE SITES -OR IN FACT, WHETHER OR NOT TIMBERLAND WILL BUILD ON
THESE SITES.
AS NOTED IN MY MEMO TO YOU DATED 8/20/97, MY ATTORNEY HAS ADVISED ME THAT
THE EASEMENT LANGUAGE AND TITLE V CONCERNS OF THE BOARD HAVE BEEN
SATISFACTORILY ADDRESSED WITH TOWN COUNCIL. HAS THE BOARD OF HEALTH
RECEIVED THIS INFORMATION, AND DOES THIS MATTER NEED TO GO BEFORE THE BOARD
AGAIN ONCE YOUR TECHNICAL REVIEW IS COMPLETED? PLEASE ADVISE.
SINCERELY,
/w-
ROBERTJANUSZ
15 CLEMENT COURT
HAVERHILL, MA. 01832
508 373-7539
CC: TOM NEVE
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
09/14/99
This is to certify that
the individual subsurface disposal system
constructed (X) or repaired ()
by
Ben Osgood, Jr.
at
Lot 18 Sherwood Drive
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations as described in the Design
Approval Site System Permit# 981 dated 10/06/97.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
i
i
I
i
9-10-1999 2: 19PM FROM P. 1
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL
SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ('constructed;
( ) repaired.
by_ ki�,
located at (.dr t,,T 1't
was installed in conformance with the North Andover Board of Health approved plan,
System Design permit# Y I, dated 7 , with an approved design
flow of b7 gallons per day. The materials used were in conformance with those
specified on the approved plan; the system was installed in accordance with the provisions
of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees
substantially with the approved plan. All work is accurately represented on the As-built
which has been submitted to the Board of Health.
— >Bed inspection date:
Engineer Representative
-� Final inspection date:
Engineer Representative
Installer: Lie_#; Date: 9 fo
Design Engineer: DtJ�.�� Date.
42'-0"
6--10" T-011
tsl SL
fl
mmooM = -
OPEN ro milow
MAI
i � n
4' 91/2" 4'-9112" 4--10"
ao5Ef DN -
N _
CLOSET
N
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6ECOOM O
MAS1E<MROOM _
DEImOoM
U\ 1u v
D N_
ap C,O%T
OMN TO
op TOYER MOW
DT�\;� MA51ER SAtN O =
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6'-0"
12'-0" 12'-5" 91-9" 61-6" 9'-4" T-211 2" y'-51
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5�CONb FLOOk PIAN
i
FORM 11 -SOIL EVALUATOR FORM
Page 1 of 3
No. Date:
Commonwealth of Massachusetts
Nort.1-, Andover, Massachusetts
Soil Suitability Assessmentfor On-site Sewage Disposal
Performed By: T�. Ncvc Date: g/zo/ 5-7
Witnessed By: 5 o.nd�v Star r'
Location Address or Owner's Name T
Lot# 1-7 Address and f3 ;\die rS )
Sherwood.. Telephone.# IS G�er�en� �o�rt
H a.,e.r1-,',11 M A. 01$32
b-)3-
New
-) -New Construction. a Repair F
Office Review
Published.Soil Survey Available: No Yes
Year PublishedPublication Scale ": 32 0' Soil Map Unit C. G D Canto„
198 ( 1
Drainage Class �►j Soil Limitations
Surficial Geologic Report.Available: No F>7< Yes
Year Published Publication Scale
Geologic Material(Map Unit)
Landform
Flood Insurance Rate Map:
Above 500 year-flood boundary No Yes X
Within 500 year flood boundary No ,X Yes
Within 100 year flood boundary No X Yes
Wetland Area:
National Wetland Inventory Map(map unit)
Wetlands Conservancy Program Map(map unit)
Current Water Resource Conditions(USGS): Month
Range: Above Normal Normal Below Normal
Other References Reviewed:
DEP APPROVED FORM-12/07/95 soilevaLs m
FORM 11 -SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No. 1,,,o�-- 1 -7
Oa-Site Review
Deep Hole Number c�1-11 Date 81 ZO) g-7 Time. p M Weather
Location(identify on site plan) se-C. p 1 an
Land Use Rte;den};a 1 Slope(%) -1 °7c Surface Stones
Vegetation t..�oopEt7
Landform.
Position on landscape(sketch on the back) '5 P Q"
Distances from:.
Open Water Body -.)A feet Drainage way N A feet
Possible Wet Area_ t-i p feet Property Line 3 p feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,
Consistency,%
Gravel)
O- 4� A orga,.:a Ntot. N o
4% to`IR 41Co 1.10 Massivc. Fr;ebtc
1CF/0 at-DIZ5
Zoe- '?4" C 1 Gr L.'S. Z.Sy 5/4 00 r
^^Ass..�e,/ Fr gable
la7o Gobb�trc�
*MMMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL-AREA
Parent Material(geologic) Depth to Bedrock:
Depth to Groundwater. Standing Water in the Hole: 00 Weeping from Pit Face: r-J c
Estimated Seasonal High Ground Water. lJo,,e
DFP APPROVED FORM-12'°M wilaval.sem-
Y ;
FORM 11 -SOIL EVALUATOR FORM.
Page 3 of 3
Location.Address orLotNo. Lot 1-7
Determination for Seasonalffigh Water Tab
No C;fo•snd. �.�ate r �.3o RG o
Method Used: MCA.07C T,3o .': .,a s
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. Indexwell level.
Adjustment.factor Adjusted ground water level
penth of Naturally Occurring Pervious Material.
Does at least four feet of.naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption.system? Vey
Ifnot, what.is the depth of naturally occuring pervious material?
Certification
I: certify that on 1 9 S (date) I have passed the. soil evaluator,
examination.approved by the.:Department.of Environmental Protection and that the: above,
analysis was performedby me consistent with the required training;. expertise and
experience described.in 310 C 5.017.
Signa ate
DFP APPROVED FORM-11/07/95 soilevdaam
FORM 11 -SOIL EVALUATOR FORM
Pagel of 3
No.- Date:- c:5/Z5/Z-7
Commonwealth of Massachusetts
Massachusetts
Soil Suitability Assessment for On-site,Sewag ,Disposal
Performed By: Tj-, ,a,S Date:
Witnessed By; Sa�d�y St4c r
Location Address or Owner's Name
Lot# l...ol✓ 16 Address and F3ui t OLC. S t jC-
r,,.lCool C>ri.re-
Telephone# 15 G1 a r-.Cn t Ges a r t
4kvec h:11 mA oI83L
3�3-�53�j
New Construction Repair
Office Review .
Published.Soil Survey Available: No a Yes F
Year Published 1 S S 1 Publication Scale 3 Zo' Soil Map Unit C.c-D
Drainage Class Q Soil Limitations
Surficial Geologic Report Available: No FX7 Yes
Year Published Publication Scale
Geologic Material(Map Unit)
Landform
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes ,X
Within 500 year flood boundary No ,x Yes
Within 100 year flood boundary No X Yes
Wetland Area:
National Wetland Inventory Map(map unit)
Wetlands Conservancy Program Map(map unit)
Current Water Resource Conditions(USGS): Month
Range: Above Normal Normal Below Normal
Other References Reviewed:
DEP APPROVED FORM-17107/95 soilevel."M
FORM 11 -SOIL EVALUATOR FORM
Page Z of 3
Location Address orLotNo. Lot l 8 -
On Site Review
Deep Hole Number 9-1-t$ DateS Z o`� Time p Nt Weather -�0 5.J^r.
Y
Location Iden on site plan)
-T-T
(identify P ) Se.e. P lam
Land Use Q�,S; �;a l Slope(%) -1-7, Surface Stones
Vegetation t.JoodGC�
Landform
Position on landscape(sketch on the back) Se-e-
Distances from:
Open Water Body tJ A, feet. Drainage way QA feet
Possible Wet Area. 2 ,o feet Property Line. 4 p feet
Drinking Water Well rJ q feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture. Soil Color Soil Other
Surface(Inches) (USDA) (Munsell) Mottling. (Structure,Stones,Boulders,
Consistency,%
- - Gravel)
Co- 7-7- 8�.� F.S.t.. IoYR 4A0 ,Jo
ZZ- -14:' C- L-'S' L.5 y 5Aa o 1 coo Go 664s
►o°le Crru./al
\�aC� l3o�GM>
•MINMIUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material(geologic) Depth to Bedrock: 1%J o.,e,
)nth to Groundwater. Standing Water in the Hole: *00 Weeping from Pit Face: &J p
Estimated Seasonal High Ground Water. Mont
DFP APPROVED FORM-1710 M wilwdaam
.j
FORM I I -SOIL EVALUATOR FORM
Page:3 of 3
Location Address or-Lot No_
Determination for Seasonal High, Water Table
a
Method Used: t`1
Depth observed standing in observation hole inches
aDepth weeping from side-ofobservation hole inches
Depth to soil mottles- inches:
Ground water adj feet
Index Well Number Reading Date. Index well level'
Adjustment factor Adjusted ground waterlevel
Dench of Naturally Occurring Pervious Material
Does at least four-feet of naturally occurring pervious material exist in all areas
observed.throughout:the:areaproposed for the soil absorption system?
If not,what is the,depth of naturally occuring pervious-material?
Certification_
I certify that. on (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: Q- 3U- 97.
i
DFP APPROVED FORM-12/07195 sofieveliam
v t
FORM 12-PERCOLATION TEST
Location Address or Lot No. tr - L_of 15 s},«,,,
COMMONWEALTH OF MASSACHUSETTS
Nor+�, An6.0.i6C rMassachusetts
Percolation Test*
Date: 8 j Zo -7 Time:
Observation Hole#:90M -5-7. 18
Depth of.Peres
StartPre-soak Z: 49
PIZ
End Pre-soak `;0S
Time-at 12" I=05
Time at 9"
Time.at 611
Time(9„-6„� 18
Rate Min./Inclr.
*Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed_ Site Failed
Performed By: Ti-,o N,as F Ne je,
Witnessed By: S
Comments:
- Town of North Andover, Massachusetts Form No.2- `
NOR*M- BOARD OF HEALTH
X
19
DESIGN APPROVAL.FOR
Ss�cNustt
SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant'' Test No.
} SIte:Locatcon `
M
:Reference Pfans and Specs
-- ENGINEER
DESIGN.IGN DATE
`Permission Is granted for an Individual soil absorption sewage disposal;system to be Installed-
sin accordance wlth:regulations.of Board of Health.
CHAT _
MANS WARD OF HEALTH
Fee' Site System Permit No.
a
f
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: 0) ^ry CURRENT INSTALLER'S LICENSE#
LOCATION: L-o L r ��rw oov Dr` vc
LICENSED INSTALLER: Se n,r a✓Y%i cn C eD
SIGNATURE: TELEPHONE#
CHECK ONE:
iREPAIR: NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrntive Use Only
575.00 Fee Attached? Yes -� No
Foundation As-Built? Yes No
Floor Plans? Yes No
Approval Date:
4
r }r 7x
z
4 _-_t .....,....... .. ......... .___...... ... _; .: ..,}fi:ri r �?c.»i ..... ........ .r,z.Y„:..i' ...._..,. .. ....r .. - .. ... :.Ls- .....
Town of North Andover, Massachusetts Form No.s
f NORTH BOARD OF HEALTH. - -
f.
F , p 19 ,E
••'`� DISPOSAL WORKS CONSTRUCTION PERMIT
4SS^CHUSEt
Applicant _ .
NAME �/ ADDRESS TELEPHONE
Site Location d �.
Permission is hereby granted to Construct "--or Repair an Individual Soil Absorption
P � ) p n
Sewage Disposal System as shown on the Design Approval S.S. No.
W.
' CHAIRMAN, BOARD OF HEALTH
i
Fee ,� D.W.C. No.
• ,
77
i
--
- _ -
I }
�a2 {1
AS-BUILT CHECKLIST
LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATION & DEMENSIONS OF SYSTEM,
INCLUDING RESERVE
TIES TO LOT LINES & DWELLING, WELLS
S. FROM SEPTIC TANK
b. FROM LEACH AREA
LOCATIONS OF DEEP HOLES & PERC
TESTS
Lf ELEVATIONS OF DISPOSAL SYSTEM
✓� TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
W/IN 1 50' OF SYSTEM
LOCATION OF WATER,-GAS, ELECTRIC LINES, CABLE
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK & D-BOX
✓T STAMP & SIGNATURE
IMPERVIOUS,AREAS - DRIVEWAYS, ETC.
NORTH ARROW
FINAL CONTOURS
LOCATION & ELEVATION OF BENCHMARK USED
LOCUS PLAN
THOMAS E. NEVE ASSOCIATES, INC. dMUT-C2 OF 4 o n MKOUVII
Engineers * Land Surveyors • Land Use Planners
447 Boston Street US #1
TOPSFIELD; MASSACHUSETTS 01983
DATE JOB NO.
(508) 887 309-8586 9 7 t 4. 49
FAX (508) 887-3480 ATTENTION
S A,ya, Py S T AQft2
RE:
TO S P v4 DY S TA R V, L.o [-S —7 f' I p
g- o.�- 51•,ec�ac� pr i ve.
ur1T
WE ARE SENDING YOU Attached ❑ Under separate cover via the following items:
❑ Shop drawings Pr/Is Goj.;ts ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
THESE ARE TRANSMITTED as checked below:
❑• For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
/
Pe-Ir oaf cor-+.icc }io^ ori Fri 9f Z� t��CAse SIV' e.ncloseol
+'k C_ r +1.e la+es f- +es4- p i♦S d-)a
On L-oIs 1-7 c 1 $ • Also o.->r + toe rnti � s'nG /0
A 4..1.e c $ (00 r t ke rey►e --)A 5
5vbrh;+ted .
L.3 L.�ts 1-7 E 1�'- Be 5�-a-1ed
-Fo a.t a\ar,1 ,.J-t L1 �Le C- e c.I'( �Gr C-0 he .,3
A ry% CP yo.J (-GraCD4►^c 1'+OJSt S.cnS A.-,V GJ2Gj DI
�E6iSF G�II .
COPYTO ?b JAr%.)$ S;nf eros
(� RECYCLED PAPER:
Contents:40%Pre-Consumer-10%Post-Consumer SIGNED:
If enclosures are not as noted,kindly notify us at once.
et-A-R- 'JLY—
`f 14).D Gy
NORTH ANDOVER BOARD OF HEALTH
DESIGN REVIEW REPORT
DATE
FEE: PERMIT # DATE RECEIVED-
APPLICANT J4&)o::z MAP PARCEL
ADDRESS ALOT ## 1d STREET #�
ENG. //11 057✓6r STREET S1-16-Rea)OoD
ENGINEER'S ADD: /
PLAN DATE �II� Y 7 REV. DATE
CONDITIONS OF APPROVAL
APPROVED DISAPPROVED
REASONS FOR DISAPPROVAL:
�-0 T
96
M)9r ,-14 c, k)b 7- /',l ®v o 7'is
`.. S /-J
i
i
/ Town of North Andover NORTk
OFFICE OF ��oy'"� °,�°
COMMUNITY DEVELOPMENT AND SERVICES p
30 School Street
North Andover,Massachusetts 01845 �9SSgCNU �
`WILLIAM J. SCOTT
1 Director
i
May 15, 1997
Mr. Thomas Neve
447 Old Boston Road
Topsfield, MA 01983
Re: Lot #18 Sherwood Drive
Dear Tom:
This is to inform you that the proposed plans for the site referenced above have been
disapproved for the following reasons:
- 1 No tests in primary area. (3 10 CMR 15.102(2) & 15.104(4))
2. Deep hole 95-29 shows only 44 inches of parent material, not minimum of 48 inches.
(3 10 CMR 15.102(3))
3. Previous design based on 165 GPD - prefer higher rate.
If you have any questions, please do not hesitate to call the Board of Health Office at the
number below.
Sincerely,
Sandra Starr, R.S.
Health Administrator
SS/cjp
rOMSERV A710N 688-9530 HEALTH 688-9540 PLANNING 688-91M