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HomeMy WebLinkAboutMiscellaneous - 50 GRANVILLE LANE 4/30/2018 (2) 50 GRANVILLE LANE I, J 21.0/1.06.C-0068-0000.0 1 Ad IN—, �(t�prf V't• tii� �'t ♦rtl•��,w.}@,dt'Ij, t)��kY p7<f, t. r. •i E�KE CE� i �k ''wars•t TOWN. o 6 200 r. •% n� Ut'� DEC 5`Ya'r�h•1 PUMPING) RpNORTHAND:,(v�P DEPA,R rr, DATI • 1� wne:w. t Vtrl C �+... .. �Mrggqq . 5vpuc Pula h; rvgK ON 3egy cBr KVV'riNc a40X}G�Ut�t?i'1`tUN YVLL ('v co ax KZAYY 0B,o8 � � t85 RG�C?T3., V L��eL o BXC 9We �l,Jp� PLOODec) �OL�C� YS7Y OMER-EXPLAIN r q (�q}I/J ../.<•/.I'.}'/'),;w.1� 1/f.(rpt.'�J� ~ J d VN 1'L'M!'� jX�1 N,7t�KKbU 1•i. , TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DA TE: �-� � SYSTEM OWNER & ADDRESS SYSTEM LOCATION //Q�A (example: left front of house 1�2) , ��D� l'' aa, i DATE OF PUMPING: L QUANTITY PUMPED�_GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES tiATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION HEAVY GREASE FULL TO COVER ROOTS BAFFLES IN PLACE EXCESSIVE SOLIDS LEACHFIELD RUNBACK SOLIDS CARRYOVER-- FLOODED OTHER (EXPLAIN) - ---SYSTEM PUMPED BY: ��f of.% �F -O.NIMENTS: -� 2002 ------------ O.N'TENTS TRANSFERRED TO: 'i Address V,tit-f- J-1 A< Title of Hie Page g of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes action Document/ document/ Num. Action Department Board of Appeals - Board of Health - Planniing Board - Conservation Commission - Building Department � GJ X mmo wealth of Massachusetts 7T;�-'�MassachuseUs System Pumping Record System Owner System Location U0 Date of Pumping: Quantity Pumped: t0z') gallons Cesspool: No Yes Septic Tank: No L:.J Yes System Pumped by: Felre44rt License# Contents transferrred to : Greater Lawrence Sanitary District llate: _ Inspector- r. fC aI", 22 � � .TO: NORTH ANDOVER, MASS 19 77 BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at GL' T 2-Z74 C X IqIV V//1.E I—XIV6 North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated 19 IN / eg. r hy ee R anitarian 0 9n/qN S113S���a�� - /l� 7i --:SOIL PROFILE & PERCOLATION TEST DATA G' 7 ,itY No.&Street ' t.�� C��� �� Lot o. //Sutdiv-7a/e4_)17A:0�ej �` Plan Owner -- ,t,•-` Investigator �� Observer SOIL PROFILES-DATE 1. / 2. 3• Elev. — Elev. — Elev. -- Elev. , 0 0� 0 0 NJ r 2 2 2 2 Nj INS \9 3 3 3 3 � V1 N 4. 4 4 4 5 5 5 5 1 6 6 6 6 ` 8 8 8 8 �► 9 9 9 � 10 10 10 10 Eenchmark -Location Elevation Datum Percolation Tests-Date Pit Number A/J� 7� 1 2 3 4 5 Start saturation Soa%-Mins o Start Test-Time 3 Cl Drop of 3"-Time Drop of 6"-Time 3.11�r Mins.lst 3"Dro OMS'+ Mins o 2nd 310Dro �otes & Sketches on Back Frank C. Gelinas & Associates, North And. 1 ' / �Z . �� �/!/7� -UIQ//•,;��'�''t�s�' d�'- /O�/� �� �/' TNORTH AhTMTM BOM OF H—ALTH f_N5T^iLA7T9N CH:17;K LIST _ APPROVED DI S!tPJnP OV hD 3'-,3 79 i EXCAVATION 01' iDate: Date: fl' ` -� -� 7 F OK ! ` — Reason: /'-Z` Z, 1. As Built Submitted r Check: Lot location, dimensions. of system, location in regard to percolation tests, depth of system, grater table 2. Distanceo Wetlax_d Areas Drains Street & House an Wells. Drainage Easement g d .e s 3. WaterL* e Location 4. No PV Pipe 5. Septic Tank.= T s ,Cement-Pipe to Tank Jo' s on both side of Tank. l 6. Distribution Bo - No cracks in box or cover, 11 lines .floor e(-ually from box. 7. Leach Fields - Dimens-_ons, Ston Depths Capp ends, _ can double- shed stone 8. Leach Pits - Dimensions, Depth of Stone, Splash pad, tees, C,hncrt-pipe to tank- joints on both sides of tank, Clean double-z:*ashed store 9. No Garbage Disals 10. Final Grading ; rricading of sub-surface system C t Oct 20, 1978 James DeCarolis C Lot 2h Granville Lane 141 Kend it Rd. Tebksbury, Bass. Dear S3.r: On the septic system installation on the above mentioned lot, it 7411 be necessary for you to re-open the distribution box and septic tank in ordem for Joseph Baerbsgallo to obtain elevati ms. Please get in touch with Mr. Barbagallo and have this done so that final approvadl and an occupanc3a permit may be granted. Verjt truly yours, Leonard Phillips AmF1L,7),g: c.-4a�Li s 7`- D iJ4 Zo 7a o COM& -:1o. h OLA--t o f Qat V PP�aX 3 r/N yw AdIING _ Ale VEL TOWN OF NORTH ANDOVER NORTH ANDOVER BOARD OF HEALTH `- REPORT OF PERC TEST 4ADDRESS OF SYSTEM161, �`� O� c�n�2 _ DATEy 7 NAME OF PROFESSIONAL ENGINEER OR SANITARIAN CONDUCTING TESTS /x) NAME OF LOT OWNER ADDRESS SHOW APPROM-MATE LOCATION OF PITS ON SKETCH ON REAR OF THIS SHEET Total Soil Log: Kcr2soil ;SubsoilDeF iths & es Water Level Pit D th At 4zp- Time to Time to Perc Tests Depth Saturation Time Drop 12" - 9" Drop 9"__ 6" 6 / sOther Considerations4,1'.1 ` .1#n94 lea / c Av.10i Recommendations: f Signature _� c 80 7417 1,2 7 A7 n Trj0 J � n G � a r T. - PLA�c1 sh�Du/i�/c P•E'OPO.SEG► S[/6SU,eFgGE SEWAGE b15PO5 e- cTYSrEW Awo P�POl�osEh /90-D0ZO r aoC,4,b1A1C7 1 ---_. _ __..- � • c�CALE /'„= 40' KATE = .?C/G y Zi, �9��, LOT Z¢ Obt AISe : TA NL E�,�' •4,f,y t)o VV1,1 /3 AG/tE S 7/9 W0431-1,40-1,1 WIL M/^./C� 7 0AJ IBES/G NER tTOSEAY cT &ARBAGALL. o � /Qs• �N OF `(► SS I WE.57-WARh ClRCLE p=� JOSEPH CyG� BEAD/�t/G AIAs.5. J. , ( I o SAR£AGALLO �' No.. 464 Skl AL �Tp , ti - WDiEs/G AJ DA TA I ' I J TYPE OF BU/GD/it/f7: BEC,s/+.i c� ft/-:�E4 N p GARA�,E 1� CELLAR PLUMB/NCS FAC/G/T/ES- �' S PrrcE rAAIk COTE •���a� v. .4BSe ePT/ON .4REA : 900 5, F. A 43,5 0,12 ADT/0,1 PERCDCAT/oA./ TESTS ` Z5' A n DATE 1000 61AL. (Opp j SEpTtG -fAntiG TDP ELE!/AT/cyN 83,o _A0, / iEZEM4 rrOAI 79•Z 40 ' c5,9TURAT/OA/ / / 4 (2M. , ro 9" ORDP 3 � � 9"ro 6" DRoP � ,��/,✓ I 1 �E.PCOl,,,,q T/Oil/ RATE L TEST P/TS DA rE -4- 7(, m. TOP 6LEI1AT/ON /Z" TOP-SO/L I I t�SU(3Sd✓G.. rn� � � SO/L TYPES CB WArER TABLE yVAr6v-(04,5' GOCA Tj0 Al /tY•57) 9,07 TOM ELH/•4T/oit/ 7 S. / /L,1' �' �Pti/t�, OF° �!Yl�, TEST.s COA/Dac TEI� By V ouE0Ph+ 1. a-1 Aea.4 4 4.�� u s / 1 A EC . 84. 2 7-ES725 W/T-AIES.SED BY : A/o. A-tiO4✓Ek:.. HEAG-H 4,--#0 PZAA/ e (-,e/rE,em oF' 2 U ruCAPPED C�t!!�S 2=�" s /P ' woe EQuivAGENr') . 20' - /D,4R7-14L BED EA.1D ECT/O/V h ti LS ALE ( �,eEa = 900 �S•F.S'EE:�c4EC.T/O A/ ,4T LOLf/E2 ,e/��,/T) •, D.E5T,2IBLlT/ON. ,oX ' /ODD Q.4L. CONC�ET� SEPT/C` TANk vC.,<SEAGE•D X01AI75 -- - —¢"� PERF. P.!/.�. � S-.OG1S •� ' .. .- , . - . Bso.�PT/D,ry �o HQG,q ti/ 90' - 1(44A7. To cSGAGE ALL PROP SEG EG T . o�oT !� GKF/LC. MEI. 02 60 Ole j C _ L - RF-MOvE' ALL LOAM rsT X0.3 5UBSCAL IM r3fs7? Al;ZGA. _ - r26:OLALE WIT14 4hNcG=QUMe e • T p P C?RAv6L. TO r=•t_• 82,50. IV.C. -IRE ENT � ,� 1� �� � 3�•2 SHE ,.S oNE�� Q O �) ro .YrEE r A,4.5-.14.o. �- d X11 � N"1 � -��EG'. T•-i/-�©,) •ap K1 O a � _ O a q4 , ;4A,�4 .�,B50�2PT/Oit,! BE1� cS�ECT/pit./ LU `._ 0,.' vi h sEG T/On/S `' ' ;s �� � �� , �� . � \�, '� \► �_�� �� . �;•_ � t �����5' BAY STATE ADJUSTMENT SERVICE 83 Pine Street,Suite 107,Peabody,Mass. 01960NO �� R c NAr v Telephone Numbers tpV9�(��,Ct�O' (508)535-3334 r` i (800)865-2206 FAX(508)535-7106 Town Fire Department Building Commissioner Board of Selectmen Town of North Andover Town of North Andover Town Hall Town Hall North Andover,MA 01845 North Andover,MA 01845 Re: Insured: Anthony Volpe Company: Fitchburg Mutual Insurance Company Property Address: 50 Granville Lane Date of Loss: 1/11/96 North Andover,MA 01845 Policy No.: 3H2015269 File No.: 6-999-ICE Type of Loss: ICE Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed$1,000.00 or cause Massachusetts General Law, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 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 file number. Paul R.Nestor,Jr. General Adjuster On this date, I caused copies of this notice to be sent to the persons named above, at the addresses indicated by first class mail. dl)P Q� 4114o/Y& Signature Date �dQOCutlinoa 0� fat"'i�ootu,,e/r,`�000Clatiax ritd1uate'ca o�nfaeoaelruaetta �oiau�ccuue rfdpucte�a 'fllear8ez � Wat.: rsfted septic S3,stem servicing Report o 'Y Date: Homeowner:_ V� Pumper ' Street- _ s® LN Address: Cwt IN Phone :_�� 1� Phone Nature of Service: Routine Emercency Observations: Good Condition Full to Cover iVv Baffles in Place (4 L-S Leachfield Runback {W Excessive Solids 1J� Heavy Grease Roots (�(� Other (Explain) Descript_.on of Work Comments: wealth of Massachusetts r 0iVIT.C)wn of NORTH ANDOVER, MASSACHU TTS Syatettm Pumping Record.. Foran 4' DEP has provided this form for use by local Boards of Health. The System Pumppg Record must be submitted to the local Board of Health or other approving authority. X Facility Information Important: lone,"Mfi�out 1. System Location: forms on the computer,use only the tab key Address to move your t l,Jl- wtsor-do not CiState Zip Code use the return key. .' 2. System Owner. , . Name , + Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record ��ll 1. Date of Pumping Date a 2. Quantity Pumped: Gallons 3. Type of system: ❑ cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: e Vehicle License Number mpsny , 7. tiEmo on re contents were dispo`ld: L4csten 1'�n► -�— 1kird rm. signature of Hauler Date http:/twww,mass.gov/deptwater/app rovalslt5forms.htm#(nspect t5forrM.docy 08/03 system Pumping Record Page 1 of 1 y; ` OR'�r� AY jDOVE ` MAS ACNU ' ��::: �� , e �; I '� �•{ �' S SE S f m m o72a 1 ) record i '.i tr, ` �� �0,.•�'{I fet l,ll w, �J���,��rt; WCi'd.iu.!I„� '.r(Y:..r 11�(•?,�y�(jl'., I� �,�i�llr<hll,lli r'�Fy'. r' �•J, 1 I � 1+Gal` ;):AYH ANDOVER I)EPI. provided jhl, form for use by local Board>f I H aff _` 13AR MENT �,m I1� be +ubmltjad to th0 local Board of Hoalth or other a 3 = = a PProving authorlty, A; Facility Inforri a lon .0 T1Yrw Nan .:out ,1, ., ��:: ':' ';•:Yk. :':'',•.�. ��(aNY14,Lr; . N14 System LQuUon, aM'0a ttb 1.4y Address 0 TiOre 701” �lw4 V4rttum y;:'... ,CIt7/>gvm Slab My y�'�l w'���+i ii.Ki ra'. i;,��•..[)lr w�! ,r�,�i ":�'1'. 1 .. ... colo s ;t 2 ;.System Owner 1 ��� ''' ,I:1,�'' '��''.j)f�'' ')`''�'''Nunl '4.�.�' I•.,.rl.,t,.' wl ,, ,.,.t. .ewq[0 4 tit 0043nl IrQM louuon) J/ Tolophone NumOor - �, '. .��.' 1 LYS^ 1 .:. ,. ;'.�.•: r ', :. � r B�.Rump 1 n R@fiIord r -- , { 1, Date of Pumpinq 3-1d 2. Quantity Pumped; -- r 7llons ,� —3 Typa pt ayafem; ❑ Cesspool($) optic Tank: ,.:,: ❑ Tight Tank ❑,Ofher(dascrlbe ,`,� ,I}�, >.e J,.iii.?'r�•1.1�,���T4 '�+,i ri'! � � ., . 4 Effluent Tee FMe sent?.❑ Yes No yes, was Il cleaned? ❑ Yes ❑, - .,,.,..y, -��•'�r��JJl/I;�tr�l�J,) l LI.�,,,.ai.�li) tr", �r' ..._.. { r\I:r.r,t If,rl JJ '', 'J._,).< vy;'•;.,, rti , �.'•..,. .. • .. y1 Pimped a"d, A% y, ' ,•,•;: `r� r `Y'`17; I'�I''f)''JI� :,''. VehIc1e U �e NumDs '"� �' l' can r •,rt �, I:r /I ''y Loci l I !•;.r:C�'::, a, ';;.�,'.,;l:;. ::i.'7, on.whars Co�lents,Wera disposed; , I 1 1,Y `r .I�I.Ir ,I i��• I JYrI.'• � /�/t/ . ' .. ,ir':1'.,�i.,' _.,-1 .,,I�.;J.;�SL.•I..Ir•,'y�.�, :/:,;; ;,_�/�rl i'I'�ll,� '•;I. • •'� ,4;J � JJr yi.` (, I , �4 ^� r (JlV 1'1 'I p,f ., /' �i I .. • -1 .i,•h�'' ';�I �.�rf;`'�' ,Slpnalw� QfN�ula �' htp')AYI,W,mass,8ov/dap!in for/app�ova�s/f6forms,hlm ln9pect ! `SY l wn P wn In . Re � c PUMP Ing r Commonwealth of Massachusetts City/Town of North Andover o System Pumping Record -No> Form 4 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, S c) G ��� h`(� ) e— �(an -e use only the tab � lel ' 1V key to move your , .Address cursor-do not North Andover Ma 01845 use the return key. City/Town State Zip Code 2. System Owner: �I Name li rtnan Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping te Date Gallons 2. Quantity Pumped: 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: QUO- 6. tem Pumped Bv: n1C -Idemqe Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 A A Sign ture of Hauler— J Date /-0&L Si na ure of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 omm nw C o ealth of Massachusetts W City/Town of North Andover System Pumping Record Form 4 ' 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, ��n jVA o kc. use only the tab L,n key to move your Address cursor-do not North Andover use the return key. City/Town State Zip Code 2. System Owner: U 6 Name nnan Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of PumpingD �I 2ate . Quantity Pumped: Galion 3. Component: ❑ Cesspool(s) I91 Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Observed condition of component pumped: 6. System Pumped By: N Vehicle License Number warts Septic 58 So Kimball St Bradford Ma Company 7. Location where contents were disposed: 20 so mill st bradford ma ig ure of Hauler Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc•11/12 System Pumping Record•Page 1 of 1