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HomeMy WebLinkAboutMiscellaneous - 495 JOHNSON STREET 4/30/2018 (2) "fit�vJ�iY!i�J��� �'J�--- H::0NE CALL � M. FOR DATE TIME M. M / ONEO OF RETURNED RHONE 1 YOUR CALL AREA CODE NUMBER EXTENSION E CALL MESSAGE WILL CALL t AGAIN CAMETO SEE YOU WANTS TO SEE YOU SIGNED niversal 48003 Address 4'?S- 3wH,&(56 C ST Title of File Page of�___ Date File Open: Date file closed: Doc Document/Aetion Title Date of Refer to other Purpose of Document/Action and nates action Document/ document/ Num. Action Department Board of Appeals — Board of Health — Planniing Board — Conservation Commission — Building Department DATE: 11 j LOCATION. ENGINE-=: __. - - - - BOH WITNESS. PERCOLATION Tr ST ,. BO i 1 OM DEPTH OF PERC TE-ST'. 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Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH p o� O�jl IED 16T6ti0 OVO *1,0a my 4 'ATED APPLICATION FOR SITE TESTING/INSPECTION SACHUs �y Applicant NAME L ADDRES TELEPHONE Site Location 445 Engineer �� NAME ADDRESS TELEPHONE Test/Inspection Date and Time koy, 141Y SAI AN,BOARD OF HEALTH Fee 5 iv Test No. 0 r1 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH 3�OZ,,,ED '6 6 0 o ,... 19 . m N , a+, °-c APPLICATION FOR SITE TESTING/INSPECTION ��SSaCHus���y Applicant NAME ADDRESS TELEPHONE Site Location I Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time t CHAIRMAN,BOARD OF HEALTH Fee Test No. E S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. a BOARD OF HEALTH TEL. 688-9540 NORTH ANDOVER, MASS. 01845 . 9 APPLICATION FOR SOIL TESTS r DATE: LOCATION OF SOIL TESTS: 4-T-12e0 " Assessor's map & parcel number r d-3 OWNER: PA, La V V g-&Y TEL. NO.: 6 i P7 ADDRESS:_ 419�- J00tJ 2 I �� ENGINEER: FIC42-r--i t--J&cr TEL. NO.: S� CERTIFIED SOIL EVALUATOR: 611—L- PU re E !51ve tAservation e of I n,residential subdivision, single family home, commercial ng �/ Undeveloped lot testing Commission Approval: THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of 1275.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$75.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1'-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. SEE PLAT Rb. 38 %a " � � ♦ro gyp} ab GeL O ♦? as .Zo JOHNSON F °°-' 22 A,."— g I ISO I I 28 bb'�rb .l �,� 70O 'bk r ' bs ssb VON I 29 �s�� bS1"` IG G+a� '1zo aSL �� c ¢e 1 5va. AZ 9Z j' 2 <C 2 bb� AS a• � $A4 25+�' � ym• b 6'y 59 ~'o a'1 PAP G a `b 4$�9S SF bs see b ep lq- d' O 10' e *A Ad •- � F" Q / : co otl ACI sac e `♦0 o y ti ti4 ze Q Cob m o7 �P 4 97 ? d 2 Z S 97G 0 s 42 ,� O�4J a x, z s •se, W sem,�+s as ez., 25.+:o a5°� t�• ag✓ b� G 0 101, 3� 94 t02 � '7t for w K A R A ){tt Q 32 29v 6,� a. R/ r ' 84 Nco ` 92 9 a9 T s . l 72 4 .r3 LLI &I gig ol 87 v 5� I Q 2D rG9 0 `p 25.MA 25,>.•-1 25 24a erg h, ' W -i �� I M a �.t• r I Q o � 2c rea 26.6 ae. Ac azg ��r' "` 27442 98 A _76 SCALE — 100 EET = I INCH ;s4,e 53obx SEE PLAT O. 8 C LPJ)SEY MORDEN CLAIM sEtVICB,INC Form of Notice of Casualty o i y L ss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B T0: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen Town Hall ) or ( Town Hall ( North Andover MA ) ( North Andover MA I RE: Insurad: Paul A. Murray Property address : 495 Johnson Street North Andover MA Policy No. 202096800 Loss of February 10 , 1993 File or Claim No. LW16754 Claim has been made involving or destruction of the above captioned property, which may either exceed $1 ,000 . 00 or cause Mass . Gen. Chapter 143 , Section 153, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139 Sec. 3B. is appropriate please direct it to the attention of the writer and include a reference to. the captioned insured, location, policy number, date of loss and claim or file number . deductible. Insurance Adiuster Title On this date, I caused, copies of this notice to Le sent to the persons named above at the address indicated above first class mail . C( 3/16/93 Signature and date 65 MERRIMACK STREET , LAWRENCE , MASSACHUSETTS 01843 FAX N0 : 508 - 687 - 7246 . (508) 686 - 4163 A Member of the Morden and HeWg Group V Q, Sher�rood Homes, Inc. Johnson St. Lot ## 23 APPLICATION FOR SEWM DISPOSAL INSTALLATION HEALTH DEPARTMENT--NORTH ANDOVER, MASS, I hereby make application for a permit for a sewage disposal installation at Lot # 23 Johnson St. . I will install this system in accordance with all the laves of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of north Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of •1j until 10 feet preceding the septic tanks where the grade shall not exceed 2%. I will install a concrete septic tank of 750 Eal. in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 32 inches of the ground surface. I will provide subsurface disposal field with open jointed bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenches, the bottom of which will provide a minimum of ,-?on lineal $AkAIWA feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/81' to 1/4" (dia.) will be placed over the course g�raavel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the in- stallation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to saver any-portion of thig installation until axinraved t the insoegtion officer, as provided below, and to incorporate any additional requirements that may be attached to the permit, Plot Plans must be submitted with application. W O D J " (o.", P-S-U-1 =4Lig . S gn turel of Applicant /��.`�O_.t.► I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE // Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATEc Signature of ?Inspecting Officer Percolation Test 7 min. sandy- elay J Garbage Grinder No R; BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. 0 M 1� .�` DILTi Olt TJ 1, NAME , j�vwan�� }f�.��sL'Nr. �ZY d/��S% ��P<I yy . DATE 2. ADDRESS �:G�:���'Y.. :Ste. LOT N0. Z3 . . . . . TEL. io . Z 3. N0. OF BEDROOMS .3. . . . DEN YES . . . N0, x . 4. GARBAGE GRINDER YES NO. X . . 5. SHOW DII-ENSIONS OF HOUSE b. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DILENSIOIZ OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL g. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS t STREAMS, DITCHES t LEDGE OUTCROPt ETC. 11, SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULAT IOl\lS SHOULD BE READ CAREFULLY. r September 13, 1958 Miss Mary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear 1.1iss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Johnson Street building site (Lot #23) of Sherwood Homes, Inc. The subsoil in the area was of a sandy clay content and a 7-minute percolation test was conducted. The land in general is high. It is recommended that a 750 gallon concrete septic tank be installed together with 200 lineal feet of drain pipe. Very truly yours, William J. D i co 1 �` ShGruood Holes, Inc. ti Johnson St. Lot k 23 APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTPW--NORTH PIMOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Lnt y 2;. hnnon St. . 1 will install this system in accordance with all the lams of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of ben and spigot pipe, the minimum diameter being 4 inches.. and will maintain a minimum grade of if until 10 feet preceding the septic tanks where the grade shall not exceed 2%. I will install a concrete septic tank of in size. A manhole (s) permitting easy cleaning will be provided w th"rem-ovable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with open jointed bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenches, the bottom of which will provide a minimum of lineal Yyefeet of effective absorption area. The pipes will be laidd9 s 6 inch rof washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/811 to 1/4n (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/lO0 feet. No single tile line will exceed 100 feet in length and in any case, two lanes of tile will be installed. A minimum of 6 feet will be maintained between the center ],fines of the disposal field trenches and the average depth of trench shall, not exceed 36 inches. No part of the in— stallation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not -to cover anvportion of this installation until annloved t� the inspegtion officer, as provided below' and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE Signature of Inspecting Officer Aareolation Test 7 min* sand-vo, clay Garbage Grinder No r •' 1 ► 'o-RD CF N A"')OVER/ 0 OF Lduuu111i11eN1111 UC AI gUt;�lug�ill FALTH ' mu JUL — 9 1996 1 • "`'Sj`ilFiii�L�ic�ll'n � • 011111truttlilt 1 ►Ulili+ltll 1 ��� . uttld t,r�1Ulltl►1tt� •. l% (.• �� , i lTo1/Iltlull t'rtl 1� i, 1r<� ,, . . •• t I', �• • • • {'( •' '• Cultleltllrtl ' ' llls�►erl�t • , '' . Dote ,• • ,. .. 1� 1 1 � •