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Miscellaneous - 49 BRUIN HILL ROAD 4/30/2018
49 BRUIN HILL ROAD id }� 2101104.A-0102-0000.0 Applicant: Cormier & Tulley ' L T� 5 � i MAP _N- LOT # ......................... ............................. �4 PARCEL # bZ STREET �9_0.......... ............ ......... CONSTRUCTION APPROVAL .......... HAS PLAN REVIEW FEE BEEN PAID? YES NO PLAN APPROVAL: DATE APP. By..--- DESIGNER: PLAN DATE. 2 CONDITIONS- _ WATER SUPPLY: TOWN WELL WELL PERMIT DRILLER ..................................... WELL TESTS: CHEMICAL DATE APPROVED——-............. BAdTERIA--k , DATE APPROVED.---............................ BACTERIA II DATE APPROVED COMMENTS: FORM U APPROVAL: APPROVAL TO ISSUE YES NO DATE ISSUED CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL (:::Y NO OTHER YES NO ANY VARIANCE NEEDED YES CNO::) FINAL BOARD OF HEALTH APPROVAL: DATE: I/A/K ............. SEPTI_�_._$Y�T�M_.._I N.�TA.LrLAT I.ON. IS THE INSTALLER LICENSED? YES _ NO TYPE OF CONSTRUCTION: NEW , REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF APPROVAL YES NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES NO rm /hflV IA, DWC PERMIT NO. I NSTALLER ,... _ BEGIN INSPECTION �<�NO: EXCAVATION INSPECTION: NEEDED: ._...._..._.__.._.______...__.........................__. PASSED (5 ��__—__� BY__ _ ._._..._._.._._..._._.._..___.....__....._...._......_......-.-.---__....._...--.-.-.--._ CONSTRUCTION I NSPECT I ON s NEEDED:_._....._._._..........._........................................_.................-....................._......._._._._..................._ ......_....................... ......___._.-_.............. __......................_........._-- AS BUILT PLAN SATISFACTORY: A APPROVAL TO BACKFILL: DATE AQ) ._BY_........... _._._.....__.._._......._ .._.....__...._._......- . ..........._._...._._.._.. FINAL GRADING APPROVAL: DATE_ ., hZ_...._._._BY._...._..... _._..............-......--..--.--........._._._.._._._... FINAL CONSTRUCTION APPROVAL: DATE:._,/ / _ cc� BY._ .,.,.._-...._.....-:.........._._.,...._....._.-... .....l._........ V Commonwealth of Massachusetts City/Town of North Andover `� t a System Pumping Record AWWC14't;ANDOVER Form 4 HEAL1 H DEPARTMENT M 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 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: on the computer, q G �r \ i n i^ � 1 ( use only the tab `J I �' ) I t key to move your Address cursor-do not North Andover Ma 01845 use the return key. City/Town State Zip Code 2. System Owner: Hal �I Name mnan Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping lJ/l'51� 2. Quantity Pumped:ed: Date Gallons 3. Type of system: ❑ Cesspool(s) J2-S'eptic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ZNo If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: and 6. ystem Pumped By: Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart' -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 wnw�wi►••nw fl5M,winir% Commonwealth of Massachusetts Form 4--System Pumping Record 1% Massachusetts RECEIVED System Pumping Record AUG o � 2015 TOWN OF NORTH ANDC`.' System Owner System Location HEALTH E)E-nR "'' Azzarello Danny Primary Home 49 Bruin Hill Road 49 Bruin Hill Road North Andover, MA, 01845 North Andover, MA, 01845 (781)-589-5089 x (781)-589-5089 x Azzarello Type: Emergenc Routine Cesspool: No Yes Septic Tank: No = Yes Date of Pumping: -- 3 l S Quantity Pumped:r� Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: Date: Pumper Signature: Condition of System/Other Comments t ® printed on recycled paper Dep Approved Form-12/07/95 62 � $ Town of North Andover HEALTH DEPARTMENT �Ss�cNus�t.r CHECK#: J__' Iq __. DATE: 'V1 Z LOCATION: H/O NAME: CONTRACTOR NAME: Type of Permit or License:(Check box) $� ❑ Animal ❑ Body Art Establishment $-- ❑ Body Art Practitioner $ ❑ Dumpster $— ❑ Food Service-Type: ❑ Funeral Directors $---- ❑ Massage Establishment $-- ❑ Massage Practice $---- ❑ Offal(Septic)Hauler $---- ❑ Recreational Camp $---- ❑ Sun tanning $--- ❑ Swimming Pool $--- ❑ Tobacco $-- ❑ "Trash/Solid Waste Hauler $— ❑ Well Construction $-- SEPTIC SS s� terns: ❑ Septic-Soil Testing $--- ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $_-- ❑ Septic Disposal Works Installers(DWI) $------ ❑ Title 5 Inspector $�— Title 5 Report $ ❑ Other. (Indicate) $---- w r , Health gent Initials White-Applicant Yellow-Health Pink-Treasurer PLOT PLAN OF LOT � IN Scale: I" =, 6v DANA F. PERKINS tn�. CIVI L\ ENGINEERS and SURVEYORS \l READING MASS. V i ner:i6y certify that the building on Lotis located approximately �Y Zoo as shown hereon and that it conforms to tce se;y < requnt ire^a acs of / the QoIL /kL Zoning By-Law of �1 Gb;ton:r Dan r n a c. L By Registered Pro � and Surveyo OF ARTHUR <,r o.9317 --.L �> 7 \ y3 -a r \ 'fuPo� foo�v6'po.1 01 � � s a� �7 NORTH / 6206 Town of North Andover `;'•�,;;o�: HEALTH DEPARTMENT ,S3ACHU`,t4 H CHECK#: /� DATE: LOCATION: H/O NAME: CONTRACT R NAME: 41�Zu�, Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ 0T1 de 5 Inspector $ COY Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer ME# N r) fTME V INS PECTIONS Dean G. Luscomb II&Sons P.O.Box 135 ~ _ Middleton,MA 01949 978-774-4065 ffrr f Licensed Plumber#20285 TO N 0p N����1 N4�1�W �nMNNT N., SUBSURFACE SEWAGE DISPOSAL SYSTEM INPSECTION FORM PROPERTY OWNERS NAW PROPERTY ADDRESS )+9N - AndnvI'�ru i n I-�1 11 Rd -----vim--- - ADDRESS OF OWNER(if different) DATE OF INSPECTION --,,) bt V c�3 a Q l a NAME OF INSPECTOR_pe Q h (>. LJ Cc)bn A�, QUALM IS NUMBER ONE TO US. • Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for Y every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: —R—E MUMU When filling out A. General Information forms on the computer, use 1. Inspector: `�� only the tab key to move your Dean G. Luscomb II V - cursor-do not Name of Inspector H�ALThi DEPARTMENT use the return key. Dean G. Luscomb II &Sons Company Name VfMLA P.O. Box 135 Company Address Middleton MA 01949 City/Town State Zip Code 978-774-4065 S1848 Telephone Number License Number B. Certification 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 maintenance 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 ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority July 23, 2012 Insp ctors Signature Date The system inspector shall submit a copy of this inspection report to the 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 g o 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. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is required for North Andover MA July 23, 2012 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Checo B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described J in 310 CMR 15.303 or in 310 CMR 15.304 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)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. ❑ Y ❑ N ❑ ND (Explain below): t5ins-11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ 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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for _Y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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 fecal coliform bacteria indicates absent 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. 3. Other: 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 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 '/day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page'4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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: To be considered a large system the system must serve a facility with a de . n flow of 10,000 gpd to 15,000 gpd. For large sys s, you must indicate either"yes" or"no"to each of the following, i �dition the questions in Sectio Yes No ❑ ❑ the system is wi 1 400 feet of a ace drinking water supply ❑ ❑ the system is within 200 tributary to a surface drinking water supply the system is to d in a nitrogen se i ive area (Interim Wellhead Protection El ❑ Area—IW P ora mapped Zone II of a pu i water supply well If you have answered" to any question in Section E the system is co 'dered a significant threat, or answered "yes" ' ection D above the large system has failed. The owne operator of any large system cons' ed a significant threat under Section E or failed under Section D II upgrade the system i ccordance with 310 CMR 15.304. The system owner should contact the ap priate regional office of the Department. t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 5 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for Y every page. CityfTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ 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 baffles 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: ® ❑ 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) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design):. 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 gpd t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is y North Andover MA Jul 23 2012 required for , every page. Citylrown State Zip Code Date of Inspection D. System Information Descriptipn: Owner �? Towh Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d town water 9 ( Y 9 (gP ))� Detail: 5 / at Pec, On i�mc Sump pump? ® Yes ❑ No Last date of occupancy: May 2012 Date Commercial/Industrial Flow Conditions: Type of Esta ' ment: Design flow(based on 31 R 15.203): Gallons per day Basis of design flow(seats/persons/sq. tc.): Grease trapresent? P El Yes ❑ No Industrial waste holding tank ent? ❑ Yes ❑ No Non-sanitary w Ischarged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for Y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of oc ncy/use: Date Other(describe n�cy/us Information Pumping Records: Source of information: Last pumped 5 years ago-2007 Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: o gQ'l' gallons How was quantity pumped determined? ' YK44Z `1°h� Reason for pumping: Clean out the solids 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, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owners Name information is required for North Andover MA July 23, 2012 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Approx *W 1992 AA 'tt- d ir-o m N.A.Zi M. 2 w4arY 0 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5 Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Main line is 4" PVC and in very good condition, both the pipe and the joints show no signs of any problems. Septic Tank(locate on site plan): 8" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) Precast rectangular concrete 1500 gallons ears Is a eco Ica a of Compliance? (attach a copy of certificate) ❑ Yes Dimensions: 5' D x 5'W x 10' L /:5Go Sludge depth: 3" t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for _ Y every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) 5 Distance from top of sludge to bottom of outlet tee or baffle 27 11 Scum thickness 5" Distance from top of scum to top of outlet tee or baffle 4 Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? sticks and tape measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition structural integrity, P P 9 � 9 Y, liquid levels as related to outlet invert, evidence of leakage, etc.): The septic tank and baffles are in very good condition. The solids in the tank are heavy and need to be pumped.. The liquid in the tank is running at it's correct working heigth. The tank requires { pumping at this time. ase Trap(locate on site plan): Depth below de: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ pol ene ❑ other(explain): Dimensions: Scum thickness I Distance from top o um to top of outlet tee or baffle Distance frAm bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 1 t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is required for North Andover MA July 23, 2012 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural inte ity, liquid levels-as-.elated to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concret ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons peKday Alarm present: es ❑ No Alarm level: larm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and f at switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts 3 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for — y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Zero 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.): The d-box is 12" below grade. The liquid in the d-box is running at it's correct working heigth. The soil in this area is clean and dry with no signs of any problems. Chamber(locate on site plan): j Pumps in working o ❑ Yes ❑ 1 / Alarms in working order: es ❑ No Comments (note condition of pump chamber, condition o s and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): S. If SAS not located, explain why: / S.A.S. was located by d-box and level area of yard. a,. AsSalA b,-4.c.✓).njs t5ins-11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for Y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 3-40' I� cl�es ❑ 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.): The S.A.S. is in very good condition with no signs of any problems. The soil in this area is clean with no signs of ponding or breakout. This area is covered with well maintained green grass. C sspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and i uration / Depth—top of liquid to inle ' ert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construct' Indication roundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA July 23 2012 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comore s (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): (locate on site plan): Materials of co uction: -� Dimensions Depth of solids Comments (note condition of soil, s' hydraulic fai evel of ponding, condition of vegetation, etc.): i 1 1 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for Y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately �G.c,k -14 �►ll CUtr* P .171-1PYCIT.�,k / = O [.vaCw.s A 6T Q-,.f f6 11!o p LOOT 16 RtoT = � Pix 13 �? S v 3 .ti 3 t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA July 23, 2012 required for j every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ,C2v ei� �q feV-R_P ® Surface water /00A-f— ® Check cellar Dry NO -"4" "p P�'"`�° ® Shallowwells /vohA�- Estimated depth to high ground water: 4' below grade-�- feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 3-28-85 Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Proposed, asbuilt and pumping records on file. ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: Deep hole test done 3-28-85 showed ground water at 4' and 5' below grade. Done by Norse Environmental Services. The basement of the house is 8' below the grade of the yard where the system is located with no water or sump pump. The back yard drops off beyond the grade of the house with no water. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 7 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I M , 49 Bruin Hill Rd. Property Address Jeff Hall Owner Owner's Name information is North Andover MA Jul 23, 2012 required for y every page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 17 of 17 OT 7 met �x r, 2.0 2 A C"S- La 6 - i t \ T-5 ' ,�0. � ,ham . • , t :�° � f,�,l �. ` I#4JI 7 l. l i FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM 1-7 f { + SUBDIVISION (Z ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT ADDRESS (ASSIGNED BY D.P.W. STREET APPLICANT -T ZAI—PHONE _6LZa9 i5-2 0 DATE OF APPLICATION �— g— 7— +t. TOWN USE BELOW THIS LINE. -P NG BOARD TOWN PI.ANNE DATE APPROVED llATE REJECTED CONSERVATION CO&IISSION CONSERVATION ADMIN. DATE APPROVED ' '� DATE REJECTED BOARD OF HEALT HEAL'1 SANITARIAN DATE APPROVED �L DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY. PEFbIIT 9fW3R/WATER CONNECTIONSG�nnCS FIRE DEPT, ec� yc �.(a.TeC�C�3 (LF In (]�C �dnhr.i J �✓ide�►?;nL Q2�e,,(��.� /�� D!/ /��.�► 1-J v, 6r I����Q� ,a-� 7a 1,q✓Z6/1o7%a1 /tg RECEIVED BY BUILDING INSPECTION DATE Tliis form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the co,;ipliance of any applicable Town requirement or Bylaw. i tY, r'4 fY'"' �,:,�,�}�7rk.;y`y;'rt"�" Gr� M1'l'+s .`�'U'�.,. _ -rsi a�'.�� •�`� T�,a�'svt �:r/ .t hi'3`�r��- :•r, a rs'�••,,�.w..,.+�.'a;s;�s�'�'�!'�:fi?7 �:�.1, "r li.: � .. .. .�1.'f,- ,, .. . Al I i v If I+r I�14`'1,11 :�i 1 5r Itf lj J.tlid F5 }. T71l.J f'41t t'� ,•�iIM.G��' ar/�� ' i.'. - �'1 , rl" 1.7 tJ ` "' •.'` 4 1 }air t.a.' -,. I . �._rv'i:.t t1"11.1r��.1. � i 7r�,,%5�1} vti°ka�r .1i •, 1 , .fin r �k'� S'.Prf_ra(1 1 +,•" C i'1 rt 4 � t Y _..1 Y 'f�.. \ 1 t.'. '•I } il9f:.1 itC I^..�]y .i '. Y .{,_• Y? !.. 7 II l 1 tIT. f . AvgN)cr 5 1 I EDW �t V. V 44 1 9'4dV t u u-rn® 16,016 UU Lau kit WW Yy1 4 l�4 lf(/�4 ��/ j,u uu�v r.cm 11 tizatY119Vd41UWIU Nps H� own of � �o n over a 91" - 3 apt■i`1�And6ver, Mass �JCup , \ y S � F 'R M BOARD OF HEALTH PE IT I L r [I.7 1116 9 THIS CERTIFIES THAT..........lia'atft .... ...... ••••••••••RO BUILDING INSPECTOR has permission to ... .... buildings on ..��... ' •• Rough:, -IJ�y-y- p .... .. I.`. ...... ... Chimneyllt l f— tobeoccupied as... �•••••• ••• •• •• y Final w q provided that the person accepting this permit shall in every respect conform to the terms of the application on file in v G I SPECTO this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of &_111U111(�7BI 1( ` Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY Final VIOLATION of the Zoning or Building Regulations Voids t ' �e * L� REGU=FEE PARA: 112.7 S.B.C. PERM I EXPIRES 6 TONT! 1S DATE: PAID:14 ELECTRICAL INSPECTOR Rough � �- nnJJ _ESS CON. RUC S ARTS Servic PERMIT FOR FRAME/BUIL�IN� Final 1 DATE: 44FEE PAID:�2 `�—' BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinim PmaFal 6ts'• " Rough SS FDA FEE 10-0-_.0_..�iaal Display in a Conspicuous Place on the Premfi fj AME PERMIT$ s. Do Not Remove 113urnw��A(WU/e ee, No Lathing to Be Done Until Inspected ?-A Approved bySmoke Det.e� Building Inspector ector '' .: , -7 AS-BUILT CHECK LIST and FINAL INSPECTION Proposed Elevations As-Built Elevation House Tank IN /40.9q ��- Tank OUT 160,7,2 /59. 7q D-box IN D-box OUT Trench Inverts Line 1 Line 2 Line 3 . /�9 Z&e /� • �� Line 4 Bottom of Exc. 1,1-7.6, O� /�y. O 1,5-7, 4wl 0 fs-7, Stone OK? ! D-box checked? `- Pipes cemented? `� w+ TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: 57�l5�Ji SYSTEM OWNER& ADDRESS SYSTEM LOCATION !p` i��,�� (example: left front of hou� Rd 4 _ { DATE OF PUMPING: QUANTITY PUMPED60 GALLONS CESSPOOL: NO _ YES_ SEPTIC TANK: NO YES Al NATURE .• F S ` O SERVICE: ROUTINE_ L/eMERGENCY / QESERVATIONS: GOOD CONDITION. , FULL TO COVER HEAVY GREASE BAFFLES IN PLACE j ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER_ OTHER(EXPLAIN) !tt ' aSYSTEM PUMPED BY: �biJ , , 1 QMMENTS• • ra .i .. K. I y l r '4:4 c ' �, .5f fit',FT„w !• /.:: - - _ - - x;= +,` QNENTS.TRANSFERRED TO: CJ d i ti x r y{ 1 Town of North Andover, Massachusetts Form Np.3 f NORTq BOARD OF HEALTH : �,5+,••o�%'Sc°� DISPOSAL WORKS CONSTRUCTION PERMIT SACHUSE Applicant��`�1L�/.��/1 NAME ADDRESS TELEPHONE Site Location / 7j1 Permission is hereby granted to Construct (1-lo-r- Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. Via/ CHAIRMAN,BOARD OF HEALTH Feed D.W.C. No. -C I . NORSE ENVIRONMENTAL SERVICES, INC. 3 Pondvlew Place � Tyngsboro, Mass. 01879 TEL. 649-9932 a ©. ^ CERTIFICATION OF SUBSURFACE SE�WAGN- DISPOSAL SYSTEM INSTALLATION I , STEVEN ERIKSEN � A Registered Sanitarian �1ii1 licensed by the Commonwealth of Massachusetts , License tlkunbei and working as an employee for Norse Envir.onmc i�ta1 St.rvic..-s , 1i�c: certify that I have visually inspected the construction of Lha- s individual subsurface sewage disposal system at the rcfc:rtnccd location and hereby certify that to the best. of my kn0w1u'l(Jt- belief all work has been performed and coml:lr-tud in lieuer" l compliance with the termer" of the permit and in general with the plans approved by the local Board of Ilealth . l'urtII rnt•-)I all construction. appears to comply with tlje provisions of Title of the Massachusetts Environmental Code (310 CMR 15 . 00) and all I applicable local regulations . LOT NUMBER: 7 STREET ADDRESS: BRUIN HILL ROAD i TOWN: NO. ANDOVER DATE. 11-2-92 • � SEAL: � 9TEVFN SIGNATURE: ERIKSEN Ji ' f3 I .... � •\y`.i S A�FMS i I, i i • I i I AS-BUILT SURVEY Lot 7 BRUIN! HILL ROAD NO. ANDOVER. MASS. III II +LjaylJ! DATE: 11 -2-92 Owner : JIM GRAPHONI Installer : TIM MELVIN Location Elevation Top Foundation . . . . . . 151 . 40 Foundation Outlet . . . 150 . 11 Tank Inlet . . . . . . . . . . 159.94 Tank Outlet . . . . . . . 159 .79 D-Box Inlet . . . . .. . . . 159. 55 D-Box Outlet . . . . . . . . 159.50 Bea. Trench #1 . . . . . . 159. 28 " #2. . . . . . 159. 10 - I, #3. . . . . . 159. 2 .. End Trench #1 . . . . . 158.05 I, #2. . . . . . 159. 04 it #3. . . . . . 158.99 Bat . Trench #1 . . . . . . 157.05 11 #L� . . . . . 158.04 #3. . . . . . 157. 99 C fA A- 60 C_Q 5/ ',•�, s-5 A-65 55, C` A-7Q �. B_q A-83 e- 53 ' A- r 13-7 A- 003 Vt:h pp O r F CONSERVATION DEPARTMENT Community Development Division June 7, 2016 Danny and Emma Azzarello 49 Bruin Hill Road North Andover, MA 01845 RE: Selective removal of 3 trees located within Bordering Vegetated Wetland. This is a follow up letter pertaining to your request to remove three (3) trees which are dying and leaning towards your home at 49 Bruin Hill Road. One of the trees recently broke in half and the top half of the tree landed on the deck and sunporch. The trees were identified in a letter with photos received via e-mail on June 5, 2016 from Mr. Azzarello and reviewed during a site visit by the Conservation Department on June 6, 2016. A wetland delineation was performed by Wetlands Preservation, Inc. on May 25, 2016 and all three trees were determined to be approximately 100' from the delineated wetlands. The trees which are permitted to be removed are identified in the attached photo. 'Determination of property ownership is the responsibility of the homeowner. The trees were observed to be dying, in poor condition and in close proximity and leaning towards the house and posing a hazard. Due to the potential danger imposed by the tree, the Conservation Department will permit the removal to prevent possible injury or property damage. These cutting activities shall be limited to the three trees identified and shown in the attached photograph. The approved cutting will be subject to the following conditions: ❖ Machinery shall be staged in the driveway and no machinery shall enter the 25' No Disturbance Zone. ❖ No work shall occur in resource areas. ❖ All tree limbs, brush, and other debris materials shall be taken off site and disposed of properly. ❖ The stump of the trees shall not be removed and shall be left in place but may be cut flush or ground down. ❖ Care shall be taken to prevent damage to surrounding trees during removal of the approved trees. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9530 Fax 978.688.9542 Web www.townofnorthandover.com o ; ❖ Upon completion of the tree removal, all disturbed areas shall be properly stabilized. ❖ The applicant shall notify this department immediately following completion of work for a final site inspection. ❖ Areas within 100-feet of wetland resource areas shall remain in a natural state and no further vegetation shall be removed without the prior approval of the Conservation Department/Commission. ❖ This permit shall expire six months from the date of issue. Please do not hesitate to contact me should you have any further questions or concerns in this regard. Sincerely, NORTH ANDOVER CONSERVATION COMMISSION cAeticu Heidi Gaffney Conservation Field Inspector Cc: Jennifer Hughes, Conservation Administrator Tree which recently y _ , -- broke and fell on the deck and sunroom II' 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9530 Fax 918.688.9542 Web www.townofnorthandover.com To:Whom it may Concern Re:49 Bruin Hill Road Project Attached is the propose4 area and trees we would like to take down and clean up.The three trees that are shown in the picture are a danger to our family and home. We attained a professional opinion on this and the consensds was that the trees pose a threat; specifically that the two ash trees are showing a heavy load of moss which indicates disease. In addition,the maple tree is becoming hollow and buds \ are no longer forming to the top of the tree which is a sign of old age. We would like to remove the heavy brush and push the mow line back. The brush will be removed by hand due to the amount of underbrush there ;s. If certain brush is stubborn then a chain will be used to remove them.Once removed the areatiwill have fresh loom and hydro seeded.This will hopefully decrease the heavy population of ticks which is a hazard to our child and dogs and push them farther off the property. The trees are exactl j at 100'from a wetland,the delineation is attached. The tree work will be done by a certified tree cdrppany that will be climbing the tree. Due to the decline of the land a crane cannot be used. Please let is know if there are any additional questions. —Danny and Emma Azzarello e , y. T }2 A, 4 Yiw ti Front side of Maple Treer I s 1 1 •; � ���" Imo' �� �� `� ��bra � •�' j « •�' .,�� lis, +� .,;. �, L S � [dY%f.a � �j°) ^* iia ♦ ."..'�i:� `ri E.,� - i« kyr - .. r s � -.y. x �`*1 f;.�•+ #...��_.~ '(�, •,,,) � ..s. A ',y g,+• '+t'r. TIP; � e�glLy" 4 @ i. Paa1r7.}�;t )tJ 'w7"� �5 , .t„`t �'l �TK,,' t� e'"�,.'�i^k �s t' >t Md 1`, a �}��j� ��'F a i.�” � �`1 �{y� ���� �'• �M ell 0+q . �*„.s' t "^ F' '' '' :".,5..• ' � ,' r,�x w+ 1� p�iPV-.y �} �, 1`,.�P"'-� ''�ws'�a"' 4\ �''k '!�'S`�' � f'i' '"v. .f,¢• �,^�'�' 'i��6!' �+aa'.gam./lxs� < ..�: ,,, .�� �'�o. d.a �" 're w.4+g € }{� r" �` �4 a�� .,g,�J'�. 'r��y+Lj[fj���,l++�pj,�•� �!t'� b' t r�'�' 't�iid�' F�y `f�t �gl,� y '4! lr.&: qYt � +s ]`•�?$rjt�y VVt �,"�'�t�S� 1 t';,i� �r �,:+� ..rA.��,L °t't� 1y ;'�'tF►;s��{6' , � C.�`r5�� � � e��9 '!'I mm r d; NAr''�'i •d+' J5 i !�6' hA, f'�1;1'.4+.i4^"b� FSS� FM1"���� � Y �y rl�`� �r ��� 4 +' .t 'tri tu-'�f,�„Y::r"vy�e�' MltVy"Sv 3*J�4'"fv.Yk l/, �?,,y,�'��2�t '.; .�.g��"t t ,,'`�ry • 3 VoP hl ' 1ar.yx'"""'.:, �6'r"ti-� 1 ,aty v€ w�7 �l�a `fir ~ '`� � � �' � �� "� ."-��'�+ n • t ETLANDS Wetland Delineation Report t!RIESERVATION49 Bruin Hill Road . North Andover, Massachusetts 01845 Prepared for: Danny Azzarello 49 Bruin Hill Road North Andover,MA 01845 Prepared By: Wetlands Preservation, Inc. 47 Newton Road Plaistow,NH 03865-2406 WPI Job#3866.0 May 31,2016 Wetland Delineation Report 49 Bruin Hill Road North Andover,MA Introduction The following report describes the site-specific delineation of wetlands located at 49 Bruin Hill Road in North Andover,Massachusetts. Wetlands Preservation,Inc. ("WPI")performed the wetland delineation of the subject property on May 25,2016. Wetland resource areas were delineated according to the regulations of the Massachusetts Wetlands Protection Act("MWPA"),the Massachusetts Wetland Protection Regulations ("MWPR")310 CMR 10.00 and the North Andover Wetland Protection Bylaw("NAWPB") using vegetation and indicators of hydrology,including soils. Site Description This parcel consists of an existing single family house,paved driveway, lawn and forested upland and wetland areas. The parcel is bound by Bruin Hill Road to the north and residential development to the south, east, and west. An electrical utility easement exists along the eastern property boundary. Resource Areas Wetland resource areas were identified as specified in the MWPA and NAWPB using methods described in the manual entitled Delineating Bordering Vegetated Wetlands under the Massachusetts Wetlands Protection Act(1995). The uppermost edges of the resource areas were delineated in the field and include Bordering Vegetated Wetland("BVW'). The BVW resource areas were delineated with alphanumerically coded pink flags labeled A-1 to A-8 and B-1 to B-16,and the location of the flag lines are depicted on the attached sketch. Each resource area is described in further detail below. 1 A-series Wetland The A-series wetland was delineated by flags labeled A-1 to A-8 and consists of a stormwater basin which directly connects to the BVW delineated by the B-series of wetland flags. Vegetation around the perimeter and in the basin includes.red maple(Acer rubrum)in the sapling layer,willow(Salix sp.),multiflora rose(Rosa multiflora),Japanese knotweed(Fallopia Japonica)and glossy buckthorn(Frangula alnus)in the shrub layer,purple loosestrife(Lythrum salicaria), sensitive fern(Onoclea sensibilis),and cattail(Typha latifolia)in the herbaceous layer, and poison ivy(Toxicodendron radicans)in the liana layer B-series Wetland The B-series wetland resource area is delineated by flags labeled B-1 to B-8 and consists of a palustrine BVW. Vegetation in the resource area includes a red maple in the tree layer,willow (Salix spp.),highbush blueberry(Vaccinium corymbosam),and winterberry (Ilex verticilatta)in the shrub layer, Massachusetts fern(Parathelypteris simulata),cinnamon fern(Osmunda cinnamomea),sensitive fern (Onoclea sensibilis), skunk cabbage(Symplocarpus foetidus),and jewelweed (Impateins capensis)in the herbaceous layer,and New England grape (Vitis sp.)in the liana layer. Conclusion Wetland resource areas located on the site include BVW that is jurisdictional under the MWPR and the NAWPB. The boundaries of these resource areas were delineated by pink flags labeled A-i to A-8 and B-1 to B-16. Any future proposed activity within jurisdictional resource areas listed above,or their buffer zones,will require a filing with the Massachusetts Department of Environmental Protection and the North Andover Conservation Commission under the MWPA and NAWPB. 2 a- ' L k1 J: �.J 000 �' J •� � y ,µms � .��a� a����'"`r�' � - .. 6..b �' �,<��` ..ry7y w a , i � :. r-�° ins • jF i s�• i ,t'' " '" _,. ± f-. tom' n t . 9< x i� W f� `1+ ti V• �' 3� � m x p 11 30413b OF HFiOL I�'� LoT 7 lE Z lLL-) �.lL Ncl► -rh '48)pove)�I MA. i y4PP�� CAN �1 �G�iER 7V LC.C`/ - wq�Ef{ Sc�PPL7 — wrJ ❑ UJELL S APPROVED ire S O 5EPTlc 51YsTE," VE516AJ APR oWIJ6 /uuioi�,Ty PLAA) D GiV�I� - ERI t--S E.v t LQ�v Di4 T �15,ACojvlT(o)j5 D/�iE R�45oNS = Dw� StPTt c SYSTEM l�STA 11�T►oill 4-:-x4v4TIoN 1NSPec T io&i D/JFAIL- I tiSPEcTIon� PIPE FtRoxA HOOS ry -W t-)t� Ll PA S5 "0 F/OJL ,6PPI�dVED U/JTC APPidDOuvG AUT+fL-)Rj ry AVDITIOMAL 1A15Fb:z:IoN5 ���A►'Y) D�S�iP�'►zvv�D DwTC RU4L APPI�pvAL D,O�� ,. APpi�ovVt 13u iHoRI t-\/ , FORM U TOWN OF NOR'T'H ANDOVER LOT RELEASE FORM SUBDIVISION ((nt �i A ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT ADDRESS ASSIGNED BY D.P.W. STREET APPLICANT PHONE 7t Z �i L���jy/Z&C ' DATE OF APPLICATION '� TOWN USE BELOW THIS LINE PLANNING BOARD DATE APPROVED TOWN PLANNER DA'I'S REJECTED CONSERVATION COMMISSION DATE APPROVED CONSERVATION ADMIN. DATE REJECTED BOARD HEALTH i / DATE, APPROVI?U 7 fH L1'H IMI { /a/M DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SeWE�WATER CONNECTIONS M.r 3 �� ,((� FIRE DEPT. ;,,' RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building; permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw.