HomeMy WebLinkAboutMiscellaneous - 495 JOHNSON STREET 4/30/2018 (2) "fit�vJ�iY!i�J��� �'J�---
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SIGNED niversal 48003
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Board of Appeals — Board of Health — Planniing Board — Conservation Commission — Building Department
DATE: 11 j
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Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH p
o�
O�jl IED 16T6ti0
OVO
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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
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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
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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
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1996
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