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HomeMy WebLinkAboutMiscellaneous - 487 WINTER STREET 4/30/2018 (2)i O m V ;u 6 O -I O m o m o m o -' : Commonwealth of Massachusetts RECEIVED Cityffown of System Pumping. Record MAY 1 1 2015 Form 4 TOWN OF NORTH ANDOVER s•• HEALTH DEPARTMENT DEP has provided this form for usezby local Boards of Health. Other forms may be'used, but the information must be substantially the same as that provided here. Before using -this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Locatio . Fag, igh nt�houseft /Right rear of house, Left /right side of house, Left / Right side of buieft / Right front of building, Left / Right rear of building, Under deck Address9 � - - W� &6�44A_ City/Town State� 2. System Owner. Name Address (d different from location) Zip Code Cityfrown State Zip Code r7i0"7 Telephone Number 'r B. Pumping Record � 1. Date of Pumping Date V 2. Quantity Pumped: Gallons 3. Type -of system"* y _ ❑ Cesspool(s) eptic Tank❑Tight Tank ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes a _o " 5. Condition o System: 6: System Pumped By: Neil. Bateson Name Bateson Enterprises Inc Company 7. Location where contents -were disposed: Waste Water If yes, was it cleaned? ❑ Yes ❑ Na F5821 Vehicle License Number Date t5formCdoc- 06/03 System Pumping Record • Page 1 of 1 f CA,--',�, ommon ealth of Massachusetts 6 Massachusetts System Pumping Record System Owner Date of Pumping: Cesspool: No [�J Yes [I System Pumped by: 64&4" System Location ci -7 Quantity Pumped gallons Septic Tank: No [ ] License # Contents transferred to: Greater Lawrence Sanitary District Date: Inspector: Yes H ---- FOR 14 - SYSTEM PU\iPL\G RECORD Commonwealth of Massachusetts Massachusetts System Pumping Record ystem Tyner Date of Pumping: `( —�� �� Quandt} Pumped: gallons Cesspool: No ;S:-- Yes ❑ Septic Tank: No ❑ Yes U' System Pumped by -License #: Contents transferred to:�— ° - - Date Inspector FORM U - LOT RELEASE FORM INSTRUCTIO"I*S: 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 .613 6 32, U 9 U 2 LOCATION: Assessor's Map Number Parcel ') --z Subdivisions Lot(s) � Street s 7 (N y e, - St. Number q? 7 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Date Approved Date Rejected Date Approved Date Rejected Date Approved Food Inspector -Health Date Rejected a_(�'�✓ Date Approved " Septic Inspector -Health Date Rejected Comments "����Dr� �� �� /% /l�� -Veil- !?00 11i?00 /72._5' Public Works - sewer/water connections - driveway permit V -Fire Department Received by Building Inspector Date Town of North Andover, Massachusetts Form No. 3 NORTH BOARD OF HEALTH Ot<•�" re��p 1 �\ �j i pt v'V 19 F A DISPOSAL WORKS CONSTRUCTION PERMIT ,SS^CMUSES Applicant NAME Site Location 4 R-7 W„i,/htt - itL Permission is hereby granted to Construct ( ) or Repair Xan Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. Fee CHAIRMAN, BOARD OF HEALTH D.W.C. No. `�-- A 7o 0 — 3-) 3 To - 14c-, A To E - 30 Q �-oo U c--rrcvt or- t'UsP 1v,� PLAPJ Sfvw-�. rv� ►vE w a ox 4 owtik P,mR, wzLcs-Av,-\ HADDAD LO ►Trow : 487 wStiJTCR,' ST XiG. ArUCOU£ (� Sc>�v F�7 RP2zs�S TAX, THOMAS E. NEVE ASSOCIATES, INC. ENGINEERS • LAND SURVEYORS • LAND USE PLANNERS 447 BOSTON ST. - ROUTE 1 TOPSFIELD, MA 01983 (Sm 887-898 TO P"" p0- 6760 W HERB Oil 'i �e7c DATE SUBJECT Z S 3 ITEM # ML72L The Drawing Board, Dallas, Texas 75266-0429 Fold At (—) To Fit Drawing Board Envelope #EW9DW 0 Wheeler Group, Inc., 1982 1 4 \\ It � =`-3 �.: J �.%v��1 Y � �%'.�1 \?-'.. 1 �� !•...1 � ,..1�\= ,`\ `- i.,, a.. • �.� `}� �t ro ���?i♦�'�, � 1�.� 11� ��.4\�...��- ,� '•`.i \�J�v `� �: _� �;�•.s ;+:.. .'.y:\tea �h' �y;�:,j,3•, ,.�'-. Z y 'J.J .� `� ``\ �`.y .. t '.,>S. 1 ` •'�':^- `� `,�. r. �% ..„�, \\ \ ` }�.�.;- v� t' `\ ' � - � �, 'F - • _-� `� a� ��':, _ �ti. !� `.�. It �T.``.. �l �`�J '�r`4� .�.� -5 �4�.; `, �:V 1 ..l �� .i � IJ po MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS A LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL. (508) 475-3555, 373-5721 • FAX (508) 475-1448 April 16, 1992 Mr. Mike Ri zatti Board of Health Town Hall North Andover, MA 01845 RE: #487 Winter Street Dear Mr. Rizatti: We have witnessed a deep observation hole which was performed on the above referenced property. The test was performed as a result of a failure to the existing subsurface disposal system which is approximately 25 years old. A deep hole was excavated to a depth of nine feet. Groundwater was encountered at a depth of eight feet. Soil conditions r consisted of fine to meduim loamy sandy till with a layer of fine clayey sandy till ranging from 4-5 feet. We reccomend that a replacement system (conventional leach field) be constructed in the approximate location as the existing system at a depth just beneath the fine clayey soil layer. We have attached a sketch showing the approximately location of the existing and proposed leach fields. If we can be of further assistance, feel free to contact our office. Very truly yours, MERRIMACK ENGINEERING SERVICES William Dufresne Project Manager sh enc cc: William Haddad Todd Bateson JOB MER RIMACK ENGINEERING SERVICES SHEET NO. OF Professional Engineers* Land Surveyors* Planners 66 Park Street CALCULATED BY DATE ANDOVER, MASSACHUSETTS 01810 CHECKED BY DATE (508) 475-3555 PRODUCT 2*14�1nc. Gmton, Mm 01471. 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PRODUCT 2*14�1nc. Gmton, Mm 01471. To Order PHONE TOLL FREE I -MMM MERRIMACK ENGINEERING SER I INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL. (508) 475-3555, 373-5721 • FAX (508) 475-1448 June 1, 1992 Ms. Sandy Star Board of Health Town Hall North Andover, MA 01845 RE: 487 Winter Street Dear Ms. Star: We have inspected the construction of a repaired septic system at the above referenced property. A visual inspection was made to the distribution box, distribution lines, fill and stone. A water test was performed on the distribu- tion box. We hereby certify that the system repair was constructed in accordance with the recommendations and the "Sketch of Proposed Replacement Leach Field" previously submitted by this office. If we can be of further assistance, feel free to contact our office. Very truly yours, MERR�1IMp,ACK. ENGINEERING SERVICES William Dufresne Project Manager s cc: William Haddad Todd Bateson f D Commonwealth of Massachusetts Massachusetlg system PU . pInRecord System Owner Date of Pumping: Cesspool: No System Location WN OF NORTH ANDOVEI BOARID OF HEALTH OCT L 5 1990 Quantity Pumped: PDO gallons Septic Tank: No d Yes P -- System Pumped by: Veladeff 450,6* Licenso # Contents transrerrred to : Greater Ltiwrence Senitary District Date: Inspector:; Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Commonwealth of Massachusetts RECEIVED City/Town of DEC 0 4 2008 System Pumping Record Form 4 TOWN OF NORTH AND HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Locatio- eft front, eft rear, left sid of house. ight front, right rear, right side of house. Address Lfs—r7 f ' ) 0. Citylrown State Zip Code 2. System Owner: Name Address (if different from location) City/Town Stated �., � � C-Z-ZiD C d� Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: © Cesspool(s) = eptic Tank El Tight Tank Other (describe): 4. Effluent Tee Filter present? 0 Yes O-lq-o-- If yes, was it cleaned? 0 Yes [] No 5. Condition of `(/m: 6. System Pumped By: Neil Bateson Name Bateson Enterprises Inc Company 7. Location where contents were disposed: L.S:D -) Lowell Waste Water of F 5821 Vehicle License Number Date t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 FU AREA �QUE NUPBE7 _ OF lui ,i wl YI h A A ._1—_ L� - ^� _ �7 P Q C F i AGAIN "..� �.� $ �ryYS�io ❑ � WAST,.. AMPAD NO. 23-176-400 SETS NO. 23-376-200 SETS