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Miscellaneous - 50 JOHNNY CAKE STREET 4/30/2018
50 JOHNNY CAKE STREET eet 210/107A-0200-00W-0 Q North Andover Board of Assessors Public Access Page I of I North Andover Board of Assessors 1SSACHU 21Property Record Card Click Seal To Return Parcel ID:210/107.A-0200-0000.0 FY:2011 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary Residence Detached Structure Condo 50 JOHNNY CAKE STREET Commercial Location: 50 JOHNNY CAKE STREET Owner Name: MCELROY,JOHN&JULIE Owner Address: 50 JOHNNY CAKE STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 8-8 Land Area: 1.00 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3276 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 585,200 609,200 Building Value: 355,100 379,100 Land Value: 230,100 230,100 Market Land Value: 230,100 Chapter Land Value: LATEST SALE Sale Price: 752,000 Sale Date: 08/29/2005 Arms Length Sale Code: Y-YES-VALID Grantor: HICHBORN,PETER Cert Doc: Book: 9734 Page: 191 http://csc-ma.us/PROPAPP/display.do?lirLkId=1708553&town--NandoverPubAcc 9/13/2011 Residential Property Record Card 7!M PARCEL_ID:210/107.A-0200-0000.0 MAP:107.A BLOCK:0200 LOT:0000.0 PARCEL ADDRESS:50 JOHNNY CAKE STREET FY:2011 \ PARCEL INFORMATION Use-Code: 101 Sale Price: 752,000 Book: 9734 Road Type: T Inspect Date: 04/06/2008 Owner: Tax Class: T Sale Date: 08/29/05 Page: 191 Rd Condition: P Meas Date: 04/06/2008 MCELROY,JOHN&JULIE Tot Fin Area: 3276 Sale Type: P Cert/Doc: Traffic: M Entrance: C Address: Tot Land Area: 1.00 Sale Valid: Y Water: Collect Id: RRC 50 JOHNNY CAKE STREET Grantor: HICHBORN, PETER Sewer: Inspect Reas: C NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 7 Main Fn Area: 2002 Attic: NBHD CODE: 8 NBHD CLASS: 8 ZONE: R2 Story Height: 2.00 Bedrooms: 4 Up Fn Area: 1274 Bsmt Area: 1690 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: H Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43587 1.000 230,139 Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: A VALUATION INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 3276 Current Total: 585,200 Bldg: 355,100 Land: 230,100 MktLnd: 230,100 Foundation: CN BafhQual: T RCNLD: 355111 Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: Prior Total: 609,200 Bldg: 379,100 Land: 230,100 MktLnd: 230,100 Heat Type: HW Ext Kitch: Year Built: 1985 Sound Value: Fuel Type: G Grade: GV Cost Bldg: 355,100 Fireplace: 2 Bsmt Gar Cap: 3 Condition: G Aft Str Val 1: Central AC: Y Bsmt Gar SF: 880 Pct Complete: Att Str Va12: Aft Gar SF: %Good P/F/E/R: /100/100/90 Porch Type Porch Area Porch Grade Factor W 380 SKETCH PHOTO 16 yr z FM 16 256 Sq. 40 S .R, w �� 12 240 Sq.R 1214 * r f 419 ifso 2M4 i. 0 FM 4, 416 Sq.R 1746 SgJB ff 26 1274 Sq.R 3228 16 1 �' ■ 2 15 3 . - 50 JOHNNY CAKE STREET Parcel ID:210/107.A-0200-0000.0 as of 9/13/11 Page 1 of 1 Phone. 978-342-2660 Fax: 978-342-2699 EHEALTHDERA'ORIT�MENTR JAMES A. TRUDEAU Adjustment Service Inc.P.O.Box 942 Fitchburg,MA 01420 Hclaimsna trudeauadi.com Notice of Casualty Loss of Building Under Massachusetts General Laws, Chapter 139, Section 3B February 14,2012 uilding Inspector 120 Main Street North Andover,MA 01845 Board of Health 120 Main Street North Andover,MA 01845 Fire Department Dept.of Records 124 Main Street North Andover,MA 01845 Insured: John&Julie McElroy Loss Location: 50 Johnny Cake Street,North Andover,MA 01845 Insurance Company: The Concord Group Insurance Companies Policy No.: 1046249 Date of Loss: February 13,2012 File Number: 12-10858 Claim Number: 0001073841 Type of Loss: smokelsoot Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed 1,000.00 or cause"Mass.Gen.Laws,Chapter 143, Section 6"to be applicable. If any notice under"Mass. Gen. Laws, Chester 139, Section 3B" is appropriate, please direct it to the writer and include a reference to the captioned insured,location,policy number,date of loss,and file or claim number. On this date, I cause copies of this notice to be sent to the person(s)named above at the address indicated by first class mail. Sincerely, Justen Hires Claims Adjuster Phone: 978-342-2660 Fax: 978-342-2699 E ! JAMES A. TRUDEAU [U1Z Adjustment Service Inc. P.O.Bog 942 H ANDp�ERFitchburg,MA 01420 RTMENT claimsAtrudeauad i.com Notice of Casualty Loss of Building Under Massachusetts General Laws, Chapter 139, Section 3B February 14,2012 Building Inspector 120 Main Street N rth Andover,MA 01845 oard of Health 120 Main Street North Andover,MA 01845 Fire Department Dept.of Records 124 Main Street North Andover,MA 01845 Insured: John&Julie McElroy Loss Location: 50 Johnny Cake Street,North Andover,MA 01845 Insurance Company: The Concord Group Insurance Companies Policy No.: 1046249 Date of Loss: February 13,2012 File Number: 12-10858 Claim Number: 0001073841 Type of Loss: smokelsoot Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed$1,000.00 or cause"Mass.Gen.Laws,Chaster 143,Section 6"to be applicable. If any notice under"Mass. Gen. Laws, Chapter 139, Section 3B" is appropriate, please direct it to the writer and include a reference to the captioned insured,location,policy number,date of loss,and file or claim number. On this date, I cause copies of this notice to be sent to the person(s)named above at the address indicated by first class mail. Sincerely, Justen Hires Claims Adjuster Commonwealth of Massachusetts RECEIVED City/Town of t iAR 30 2011 System Pumping Record TOWN OF NORTH ANDOVER Form 4 L HEALTH DEPARTMENT GM SV Oy`W 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 Location: Left front of house, right front of house, left side of house, right side of house(a:> ear Ouse, • ht rear of house, left side of building, right rear of building, under deck. City/Town State Zip Code 2. System Owner: Name j C o Address(if different from loca ion) Cityrrown State Zip Cade '?o S(, a 1 71 Telephone Number B. Pumping Record 1. Date of Pumping DateL( 2• Quantity Pumped: Gallons ��� 3. Type of system: ❑ Cesspool(s) WSeptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: r- 00 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Locati w ere contents were disposed: CL.S.Q,,-)Lowell Waste Water c � Signature of Hauler t���Date -- 1�—� t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts Q D2 City/Town of RECEIVED System Pumping.Record JUN 01 2015 Form 4 • TOWN OF NORTH ANDOVER 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 Location: Left/Right front of Nous Le iAig f hou , Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town State Zip Code 2. System Owner. Name Address(if different from location) CitylTown • .. Stat �Zp Code ; Telephone Number ti -- t B. Pumping Record . 1. Date of Pumping Date ;,2. Qua 'ty Pumped: Gallons t 3. Type-of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? es ❑ No If yes,was it cleaned? es ❑ No, 5. CondibQW Systom: 6.. System Pumped By: Neil.Bateson F5821 Name Vehicle License Number _Bateson Enterprises Ina Company 7. LocaUmwhm contents-were disposed: aL S'. Lowell Waste Water � r Sign Haul Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts - u W City/Town of No.Andover PEXL!VF9 a System Pumping Record [��MAR .,d NQ Form 4 TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health. Other for s e'�L6-0,Lb-ut 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 1. System Location: forms on the (-a S c computer,use v only the tab key Address to move your No.Andover Ma 01886 cursor-do not City/Town State 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 /SOO 1. Date of Pumping Date 2• Quantity Pumped: Gallons 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: od 6. Syste umped By: Cjj / 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 Receiv ng Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 1/3/2013 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site Sewage Disposal System By: James Kellett At: 50 Johnnycake Street Map 107A Lot 200 North Andover, MA 01845 The Issua of this certific shall not be construed as a guarantee that the system will function satisfactorily. ,sus n awy Public HeAfth Agen 71--- 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 fax 918.688.8416 Web www.townofnorthandover.com Commonwealth of Massachusetts w City/Town of I 06k Phobv e y- Certificate of Compliance SAN C 3 2013 Form 3 c. :H,.�k AR 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 the local Board of Health to determine the form they use. This is to Certify that the following work on an On-Site Sewage Disposal System Important: When filling out ❑ Construction of a new system forms on the Repair or replacement of an existing system computer,use Repair or replacement of an existing system component only the tab key to move your cursor-do not Has been done in accordance with Title 5 and the Disposal System Construction Permit(DSCP): use the return key. DSCP Number DSCP Date )Okyl M(,P-) Yoy Facility Owner so Johnny ca Ke s fyeet Street Address or Lot# .; No rf� Rn do vy' (\A A 0 ) City/Town State Zip Code Designer Information:p LuKe igy Nam Name of Company 4# � jZ1Zoli' Z Signature Date Installer Information: -IrS / A�e Ile 7�t Xe/lllJ ( Z i ear .CU 14 f Na Name of Compa y a.)1ture Date Use of this system is conditioned on compliance with the provisions set forth below: The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. Approving Authority Signature Date t5form3.doc•06/03 Certificate of Compliance•Page 1 of 1 r • Stiff°Ids • North Andover Health Department (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 50 Johnny Cake Street MAP: 107A LOT: 200 INSTALLER: James Kellett DESIGNER: LTR Engineering PLAN DATE: 8-26-11 BOH APPROVAL DATE ON PLAN: 12-12-11 INSPECTIONS TANK INSPECTION: 11/20/12 DATE OF BED BOTTOM INSPECTION: 11/26/12 DATE OF FINAL CONSTRUCTION INSPECTION: 12/5/12 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS NA Contractor reports any changes to design plan NA Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK NA Building sewer in continuous grade, on compacted firm base ® Cleanouts per plan ® Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 20 inch cover to within 6" of finish grade installed over one access port outlet ® Hydraulic cement around inlet & outlet Comments: 17' 6" from the foundation, They are replacing the deck and bumping out the kitchen next spring and will have the engineer look at it. Please see pictures. They have chosen to leave this in because the sonotubes are sitting on the corner. Told Jim to fill as well as he can. Spoke to homeowner and explained the dangers of this. DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box NA Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution NA Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan NA 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan NA Retaining wall (boulder/concrete /timber/ block) ❑ Final cover as per plan Comments: Size of bed approximately 30' from house, 16'.2" x 32' plus over dig, 36" deep TP2, 6" into C layer SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 8 ® Number of rows (trenches): 5 Comments: Total Chambers = 40 chambers FINAL GRADE X Loamed X Seeded X Cover per plan BM = 100.00 HR = 1.85 HI = 101.85 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 414 97.36 97.8+/- Septic Tank IN 428 97.22 97.10 Septic Tank OUT 456 96.94 96.85 Distribution Box IN 555 95.95 95.92 Distribution Box OUT 572 95.78 95.75 Lateral 1 TOP 582 Lateral 1 INVERT 95.68 95.67 Lateral 2 TOP 582 Lateral 2 INVERT 95.68 95.67 Lateral 3 TOP 583 Lateral 3 INVERT 95.67 95.67 Later 4 TOP 583 Lateral 4 INVERT 95.67 95.67 Lateral 5 TOP 581 Lateral 5 INVERT 95.69 95.67 Invert 95.69 Top of Chamber 581 96.04 Bottom of Bed/Chamber 687 94.98 95.00 J � 4 M i A {!,s<y� l#. •� ��1 7 A .Y^ a# � "rte f• , F � � a� a Y, w c���. �i",�r•e Lr• , 1� r t ? N.! ,� x�./ ,� lam` � .jik J( .* , e� yL. ✓ i '. �' ,:� , Ar s r E !t y` VIP to It • a 4 r 4 iw +F f`pi r , $ 1 �• h, 8 t, 'i rF, s .'� 1, 5 ,� ne.. r .r- �' T mm � Rr tM• ,�, [ ;". :�r `" ?� ftp ,�. � ��.,•?at .ri§� a s r � I F zt • ii f ■ P p T F �q �/'�y., � •a ..r� e 4 : J ! Ar A � ! } t y .I+t t { 0. a � " l i e s ' 14b t ri ! , � x ON" :R. ^ ,, r� ry �cr I � `�,, !! fit•j � w�t• � � ��� yy { r qw— ,,.- ISOf ; Al A ALa. 4 1 ,.6' ,r�„ •2. 'sites.. . t" 7 �Q* IN n. 1 • y � • 1 m` + r � , `i 1 : a ` ilk • ' p q� JV IN l dc. r t WIL, 4w NZ f ps N , w Commonwealth of Massachusetts Map-Block-Lot • Dl�` • • 107.A0200 BOARD OF HEALTH Permit No------------ . North Andover -BHP-2012-0761---------------- ------ P.1. FEE F.I. $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted James Kellett - - - - - ------------------------------------------------------------------------------------------ to(Construct)an Individual Sewage Disposal System. atNo --5 0-JOHNNY CAK--------------------------------STREET-------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP-2012-076 Dated December 12,2011 j - ---------------------------------------------- ------------------ Issued On:Nov-05-2012 BOARD OF HEALTH ------------------------------------ ----------------------- -- - --- -------- IL Of 000TIV'f,° Application for Septic Disposal System Nd v �:•�{' `' ` °c TODAY'S DAT =Construction Permit — TOWN OF ORTH ANDOVERMA 01845 :'•, , i; $250.00-Full Repair �•b,,n•�+ , ,ss�cs• $125.00-Component Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer,use Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component-What? cursor-do not use the return key. A. Facility Information �-2�:Dd t4ryA/y C A IC 9- S� rd Address or Lot# Cityrrown 2.-*TYPE OF SEPTIC SYSTEM*: ❑ Pump gGravity(choose one) ***If pump system,attach copy of electrical permit to application*** ❑ Conventional System(pipe and stone system) Xinfiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box)(Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information -- Name Address(if different from above) Ifl /4if! "4 -c 4 City/Town State Zip Code Telephone Number 3. Installer Information Name c ` Name of Company Address 41-717404z ��1 CJ/��✓� Cityfr State Zip Code -7-1-7/- 5�53—-- 2iy� Telephone Number(Cell Phone#if possible please) 4. Designer Information�LukP •Qc►y� Z ,Tj� Grit/6-- /Ale 2:72/w G-- Z c�I2 Name S� Name of Company Address //, /f'c w p 1;24 City/Town State // ( Zip Code '77e ' bK' //— Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 Application for Septic Disposal System 3 =C. onstruction Permit - TOWN OF TODAY'S DATE '�' • `' ORTH ANDOVER, MA 01845 $250.00-Full Repair � $125.00-Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: Residential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this Boar f H 1 h. do e t e Date Applicatio pprove y: (Board of Health Representative) �` Name Date Application Disapoved for the following reasons: For Office Use Only: 1. Fee Attached? Yes No 2. Project Manager Obligation Form Attached. Yes No 3. Pump System? If so,Attach copy of Electrical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: 'S—U %ttvt y CAkC S-/ (Address of septic system) For plans by cT� •��6-1-Lr C/Ci (Engineer) Relative to the application of J7,4-'._zr .S R, rt-T- (Installer's name) And dated �,G ZO it riginal ate Dated All v tj 2,6 t?i o ay s ate With revisions dated A/b V 14 V f 1 (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved and the permit on site when any work is being done. 2. As the installer,I must call for any and all inspections. If homeowner,contractor,project manager,or any other person not associated with my company schedules an inspection and the system is not ready,then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a$50.00 fine being levied against me and/or my company. a. Bottom of Bed-Generally,this is the first (V5 inspection unless there is a retaining wall,which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection-Engineer must first do their inspection for elevations,ties, etc. As-built of verbal OK (or e-mail to: healthdel2t&townofnorthandover.com) from the engineer must be submitted to the Board of Health,after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system,all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade-Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D-Box, p pes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer,I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner,general contractor,or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: /p�/ S i �i 7, (Today's Date) 6�A� e-s 9 - cr�, a 4��< (Name- Print F_-Signed) V r� • 5�'[CL13I . 1, _• North Andover Health Department (ommunity Development Division December 12, 2011 John and Julie McElroy 50 Johnnycake Street North Andover, MA 01845 RE: Re: Subsurface Sewage Disposal System Plan for 50 Johnnycake Street(Mau 107A, Lot 200 Dear Homeowners, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by LJR Engineering dated August 26, 2011, last revised November 30, 2011. The design has been approved for use in the construction of a replacement, four bedroom(maximum 9 room home), on-site septic system. Generally,this plan is good for 3-years from the date of approval, however as this is a repair system Title V requires that the system be installed within 2 years. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 50 Johnnycake Street December 12, 2011 and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincere' , U an Y. Sa er, REH RS �blic Health Director cc: Luke Roy, PE file North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 2 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 t w DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, September 19, 2011 11:10 AM To: 'Iroy.oneill@verizon.net' Cc: Sawyer, Susan Subject: Septic Plan Disapproval -50 Johnnycake Street, North Andover-9/13/2011 Attachments: 20110919104133394.pdf To: Luke Roay,P.E. -LJR Engineering 978-664-8141 Dear Mr. Roy, Attached is the Septic Plan Disapproval for 50 Johnnycake Street, North Andover. Please address the items outlined and submit a revised plan review at your earliest convenience. The original letter has been sent via regular mail with a copy to the homeowner. Thank you. Ved Reganda, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Totin of North Andover 16o0 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA 01845 W Office-978-688-9540 ( Fax-978-688-8476 (] Email-pdellechiaiePtownofnorthandover.com Website http://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."—Anonyntous 1 Y ♦ S�STLED • North Andover Health Department (ommunity Development Division September 13,2011 Luke Roy,P.E. LJR Engineering 234 Park Street North Reading,MA 01864 Re: Subsurface Sewage Disposal System Plan for 50 Johnnycake Street,Man 107.A Lot 200 Dear Mr. Roy: The proposed wastewater system design plan for the above site dated August 26,2011 and received on September 1,2011 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000,or North Andover regulation that is not met by this design follows each item. �,4ePlease provide the dimensions of the entire lot(NA 3.2) '2'- Please the model/brands for the septic tank and distribution box(NA 3.2). `3.-Please provide the following statement with your signature: "I certify the locations, elevations and ties shown on this plan result from an actual survey made on the ground." (NA 3.2) . Pl"ase include a note that states the building sewer pipe shall be laid on a compact firm base(CMR 310 15.225(5)). Please depict two access covers above the septic tank to finish grade(310 CMR 15.227(7)). C56. The bottom of the septic tank appears to be below the ESHWT. Please provide buoyancy calculations for the septic tank(3 10 CMR 15.221(8)). 7. Tease provide a note indicating that the distribution box is to be watertight(3 10 CMR 15.221(1)). C.,CC lease depict a riser on the distribution box(3 10 CMR 15.232(3)), 9. It seems that the highest point in the infiltrator field is at elevation 97. This would make the ESHGW level at that point elevation 92 using TP-1. This would mean the bottom of the chambers need to be at 96,not the 95 that you have depicted. Please either raise the elevation of the field or move the field so that the highest point is at elevation 96. Page 1 of 2 North Andover Health Department, 1600 Osgood Sheet,Building 20,Suite 2-36, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, ZSus n Y. Savver,REHS Public Health Director cc: Homeowners-John and Julie McElroy File North Andover Health Department, 1.600 Osgood Street, Building 20, Suite 2-36, Page 2 of 2 North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 r Z SGTTLEDI6a� . North Andover Health Department (ommunity Development Division September 13,2011 Luke Roy,P.E. LJR Engineering 234 Park Street North Reading, MA 01864 Re: Subsurface Sewage Disposal System Plan for 50 Johnnycake Street,Man 107.A Lot 200 Dear Mr. Roy: The proposed wastewater system design plan for the above site dated August 26,2011 and received on September 1, 2011 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. Please provide the dimensions of the entire lot(NA 3.2) 2. Please the model/brands for the septic tank and distribution box(NA 3.2). 3. Please provide the following statement with your signature: "I certify the locations, elevations and ties shown on this plan result from an actual survey made on the ground." (NA 3.2) 4. Please include a note that states the building sewer pipe shall be laid on a compact firm base(CMR 310 15.225(5)). 5. Please depict two access covers above the septic tank to finish grade(3 10 CMR 15.227(7)). 6. The bottom of the septic tank appears to be below the ESHWT. Please provide buoyancy calculations for the septic tank(3 10 CMR 15.221(8)). 7. Please provide a note indicating that the distribution box is to be watertight(3 10 CMR 15.221(1)). 8. Please depict a riser on the distribution box(3 10 CMR 15.232(3)). 9. It seems that the highest point in the infiltrator field is at elevation 97. This would make the ESHGW level at that point elevation 92 using TP-1. This would mean the bottom of the chambers need to be at 96, not the 95 that you have depicted. Please either raise the elevation of the field or move the field so that the highest point is at elevation 96. Page 1 of 2 North Andover Health Department, 1600 Osgood Street,Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 r Pledse feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, /XY. Sav r, REHS/ —ublic Health Director cc: Homeowners - John and Julie McElroy File Page 2 of 2 North Andover Health Department, 1600 Osgood Street,Building 20, Suite 2-36, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 North Andover Health Department (ommunity Development Division September 13, 2011 Luke Roy,P.E. LJR Engineering 234 Park Street North Reading, MA 01864 Re: Subsurface Sewage Disposal System Plan for 50 Johnnycake Street,May 107.A Lot 200 Dear Mr. Roy: The proposed wastewater system design plan for the above site dated August 26,2011 and received on September 1, 2011 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. Please provide the dimensions of the entire lot(NA 3.2) 2. Please the model/brands for the septic tank and distribution box(NA 3.2). 3. Please provide the following statement with your signature: "I certify the locations, elevations and ties shown on this plan result from an actual survey made on the ground." (NA 3.2) 4. Please include a note that states the building sewer pipe shall be laid on a compact firm base(CMR 310 15.225(5)). 5. Please depict two access covers above the septic tank to finish grade (3 10 CMR 15.227(7)). 6. The bottom of the septic tank appears to be below the ESHWT. Please provide buoyancy calculations for the septic tank(3 10 CMR 15.221(8)). 7. Please provide a note indicating that the distribution box is to be watertight(3 10 CMR 15.221(1)). 8. Please depict a riser on the distribution box (31.0 CMR 15.232(3)). 9. It seems that the highest point in the infiltrator field is at elevation 97. This would make the ESHGW level at that point elevation 92 using TP-1. This would mean the bottom of the chambers need to be at 96, not the 95 that you have depicted. Please either raise the elevation of the field or move the field so that the highest point is at elevation 96. Page 1 of 2 North Andover Health Department, 1600 Osgood Street,Building 20, Suite 2-36, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 ` Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Y. Sawr, REHS/ Public Health Director cc: Homeowners -John and Julie McElroy File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 DelleChiaie, Pamela From: Randy Burley[rburley@millriverconsulting.com] Sent: Tuesday, September 13, 20113:57 PM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 50 Jonnycake St Attachments: Luke Roy Disapproval Letter.doc The same goes for all,not just Bill when we are talking about the water table and the bottom of the system. It follows the contour of the grade unless proven otherwise. Other than that and a few notes,the plan is generally good. Randy Burley Project Manager Mill River Consulting 6 Sargent Street Gloucester,MA 01930 Ph 978-282-0014 Fx 978-282-1318 www.millriverconsulting.com rburley@millriverconsulting.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:htt�://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 _ Of NORTM * ` 5601 ••y� o;� 0. s 3? •. • �c � - A w Town of North Andover ' '•o;; o:: ,' HEALTH DEPARTMENT Ss US CHECK#: DATE: O LOCATION: L H/O NAME: CONTRACTOR N E: Type of Permit or License: (Ch ck 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 $ p ep/tic-Design Approval $� ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer ' TOWN OF NORTH ANDOVER £ � �►� a X41$ • 'F Office of COMMUNITY DEVELOPMENT AND SERVICES °R `y°• HEALTH DEPARTMENT 1600 OSGOOD STREET•f BUILDING 20•) SUITE 2-36 * °#t#;• > 5' v tC NORTH ANDOVER MASSACHUSETTS 01 845 Ac 978.688.9540—Phone Susan Y. Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdeptktownofiiorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: ANDOMA Site Location: ,© � r✓► Cd-- ' S` t lf,,L� TOWN 62 ARIMIIN Engineer: Lt)k e � y � Is',7 ✓� n re- New Plans. Yes �225Ian Check#_(includes 1 submission and one review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes J No Local Upgrade Form Included? Yes N/ A- No Telephone#: Fax#: E-mail: I @ I) Ye K I`Yl-Ge r I I YA . 60 0tH o, o Homeowner i Name: )pVth & )yh e McEi1 V-0y OFFICE USE ONLY When the submission is complete (including check): ➢ L,,-'� Date stamp plans and letter ➢ l/ Complete and attach Receipt ➢ CopY File; Forward to Consultant ➢ Enter on Log Sheet and Database I ''. Commonwealth of Massachusetts CitylTown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information )) rry Owner Name D 7�/ 2—L-)0 "b 9oktlh� ct� e S{-rr.L� i Street Address 1 Map/Lot# _ N fq,(0 �^i(�I loll P/1r R/l C C) t'a L4� City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ❑ Upgrade [`�] Repair 2. Published Soil Survey Available? [ Yes ❑ No If yes: Year Published Is ld Public is s ale o sroi� apnfi' unit Q c 1 aJ-'e �i`v�-e Sd-w-ek y t o oL �/� 3 "��j�jo [x)e-t-v� e s S , )nn 0(JC • e/ra Sit a,n F 0-�d.�- Soil Name Soil Limitations zoo i : 2q00y 3. Surficial Geological Report Available? Yes ❑ No If yes: Year Published Publication Scale Map Unit U A, t-1 Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? Yes ❑ No Within the 100-year flood boundary? ❑ Yes No Within the 500-year flood boundary? ❑ Yes E�jf No Within a velocity zone? ❑ Yes dNo 5. Wetland Area: National Wetland Inventory Map Up�T. f E &-I t✓ F-Ve 5 k FO-,e.t/S io, Map Unit Name rt Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions (USGS): -77-01, 11M nth/Year Range: [:] Above Normal Normal ❑ Below Normal 7. Other references reviewed: t5form11.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal • Page 1 of 8 Commonwealth of Massachusetts M City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal . C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: -i*- ' -71 ILP I t I q ` 00 c'�y cL/I&K Date Time Weather 1. Location Ground Elevation at/�Surfaceof Hole: Location (identify on plan): Ke�°5 >CA e w+-1' 1 t 0-v,v► N 1p, z-3% 2. Land Use (e.g.,woodland, agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetation Landform Position on Landscape(attach sheet) 1fi 3. Distances from: Open Water Body / Drainage Way 0/0". Possible Wet Area i a'� feet feet feet � t Property Line &'c Drinking Water Well N� Other feet feet feet C�ra�v l� Sv y 4. Parent Material: LDO. V'A Unsuitable Materials Present: El Yes E(No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes Ey No If yes: Depth Weeping from Pit Depth Standing Water in Hole �0 `� 411 , ID Estimated Depth to High Groundwater: inches elevation t5forml l.doc-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal - Page 2 of 8 Commonwealth of Massachusetts C ity/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) pCobbles Structure Consi st)ce Other Depth Color Percent Gravel6c2,o c.� 2,s Y 6/4 6b" G r•s t-- 20rw� Additional Notes: t5form11.doc- rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal • Page 3 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: z 711+ 1 I l Cl 0 CA S ` y-AV% Date Time Weather 1. Location Ground Elevation at Surface of Hole: `00 Location (identify on plan): e-5s o ��v�"}"t�6� 4Lw h 2. Land Use (e.g.,woodland, agricultural field,vacant lot,etc.) Surface Stones Slope(%) L,O-W K Vegetation Landform Position on Landscape(attach sheet) t 3. Distances from: Open Water Body N bl�_ Drainage Way Possible Wet Area � feet feet feet Property Line 3 e Drinking Water Well T4-IP–r— Other feet 4. Parent Material: 6-) Unsuitable Materials Present: ❑ Yes [ No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: Yes ❑ NO If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: �6 =, of D � inches elevation t5form11.doc•rev. 1/10 Form 11 –Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts r� C ity/Town of ` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) Cobbles 8. Structure Consistence Other Depth Color Percent ravel (Moist) Stones i Z 4k Y K 3/Z Fs L w� �r �i is , IaYR s�6 F5L ,M � Additional Notes: t5form11.doc• rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal • Page 5 of 8 Commonwealth of Massachusetts 4 City/Town of ' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal -1 V-1l D. Determination of High Groundwater Elevation 1. Method Used: [4 Depth observed standing water in observation hole A. B. l 17 ►t inches inches ❑ Depth weeping from side of observation hole A. B. inches inches 0 [� Depth to soil redoximorphic features (mottles) A. 60 B. inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? [ Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: inches Lower boundary: inches t5form11.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 r _ Commonwealth of Massachusetts 4 City/Town of ` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal �4w F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. Cb I Signature Soil Evalua r Date Uvke ) , Dy (Z C_- -7Lt0 C'- 1 (v1 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam RardY Our(ey . M1 ti RiVe.,r Cirsvt+i tv\c„ 'Fw N . #OrrA"-e� 6vzn-� 0f- Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2) this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. t5form11.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal • Page 7 of 8 s Commonwealth of Massachusetts ' • Cityffown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal • Field Diagrams Use this sheet for field diagrams: t5form11.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal • Page 8 of 8 Commonwealth of Massachusetts ' City/Town of Percolation Test .c Form 12 �M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. 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 the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the I, computer,use D `' J tj h ' e Ma, &I y-o y only the tab key Owner Name to move your >Q ' 0 YI (n V1 V C"('�t° 1,4Y cursor-do not Street Address or Lot# use the return d, `�P .— key. M 0 City/Town State Zip Code 0l7$ _ $ 3 `�-- � �3a Contact Person(if different from Owner) Telephone Number B. Test Results -7 0 Date Time Date Time 1 Observation Hole# Depth of Perc G Lf b Start Pre-Soak O . L4 7 End Pre-Soak l + b Ib ADZ Time at 12" ld ' 1°7 Time at 9" io : 3q Time at 6" 2-2— Time 2— Time (9"-6") Rate(Min./Inch) VIA 1 Test Passed: [1� Test Passed: ❑ Test Failed: El Test Failed: El Luke ), Roy } Lf K �weAi V�riV-ei Test Performed By: C\avijV Witnessed By: Comments: i t5form12.doc•06/03 Perc Test•Page 1 of 1 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ? HEALTH DEPARTMENT } ' Y s X 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 ...... NORTH AEE- M SSACHU.SETTS 01845 r�t►1 `r tsSU54� Susan Y.Sawyer,REHS,RS 78.688.9540—Phone Public Health Director AL5 �O" 78.688.8476—FAX �eaIdide t townofnorthandover.coin ww.townofnorthandover.com TOWN OF NORTH ANDOVER HEALTH DEPARTMENT APPLICATION FOR SOIL DATE: 67 Z7 11 MAP&PARCEL: 0 7 A '/zoo LOCATION OF SOIL TESTS: 0 ) Ohn v -16k.e S;frfe t 935—AOWNER: )O Yyl Jy , I Mc G i V_oy Contact#: 975 — 935— APPLICANT: PPLICANT: S 0 me Contact#: ADDRESS: 50 ) D Vt N y C"a �e �'�• od oy e r- WIA ENGINEER: LL/ Ke K o y Contact#: CERTIFIED SOIL EVALUATOR: L—L e Y� Intended Use of Land: Residential Subdivision Si le Famil ome Commercial Is This: Repair Testing: Undeveloped Lot Testing Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan&Location of Testing(please indicate test nit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than l"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: / Signature of Conservation Agent: ��L.1 rn,9,K tC7 Date back to Health Department: (stamp in): 1 [1 S ) W))\)Psc (- t 6 I od 'Po - DEME FiL E/�a L'•�1//5 Lar #53 Z-42 T Sz , l70 Lor#/19.9 i 0 r Q' . o •e= I ,r L v T 9`� ��1� i 1� •\ I Lo T � J 'C 143, S�7 � v ��•.,. . .. tot b/ I w AFC. 3� 1 / l• / 1��� / / Z ry. ly'FD 110-50 zt oo Y, �j179 r_4�4/E/ _ s 1 3TS.0.0 — — too A� r\tiT co 79.2,=F -r � H/ViV YC,4ZE .S'lrPE�"T �JO :-reAvEGEp wAr 0 70 40 6o /DO • FEET NOTES: /. BEI CH "-42K: -J-14 IL /,t/POLE ZI CUP AT 1-•V7- OF S5r J y0�s'ARD C BUTTR/ uc.�rc,�E.e cre RLS. �'GAr¢L TO.CJ L ANE 2 CON T OUQ IN TE,QVAL= 2 Q` 520 FQ�rv.�L/,(/ ST 3 . — . —. _, _ EOG OF f'YETLA.VO FAO/NG, �A.SS. fit, _ P5,PE.e/pf%EQAL. ZONE L IA4I r OF `✓O.¢,e Y l'YALL S BU/L T Dl—,Q/V OF L"D z or 48Q HA �. ;.r•.. RICK j�� �• 3FtICK •'N +} ' ..,GHFNOLiq..' M C �.•:s;.. E�`,e s.:.aun, uc lvole7l-H M�.. ,,•,tis. ' zc = /�[/ o cTl/L I BK 9734 PG 191 QUITCLAIMDEED We,Peter C.Hichborn and Mary A.Hichborn,being Husband and Wife,of North Andover,Essex County,Massachusetts,for consideration Paid of Seven Hundred Fifly Two Thousand and 00/100($752,000.00)Dollars,grants to John E.McElroy and Julie A. McElroy,being Husband and Wife,as Tenants by the Entirety,of 50 Johnnycake Street, Do North Andover,Massachusetts,with 0 w c QUITCLAIM COVENANTS d The land together with the buildings thereon situated in North Andover,Essex County, Z Massachusetts,and being shown as Lot 48Aon a plan of land entitled"Plan of Land in North Andover,MA,showing Lot Line Changes as prepared for Charles A Carroll and Village Realty Trust'Dated:June 10,1985,Scale:I"=40',Thomas E.Neve Associates, Inc.,Engineers,Surveyors,Land Use Planners,447 Old Boston Road,US Route 1, Topsfield,MA",recorded as Plan#10253. Containing 43,587 square feet,more or less,according to said plan. 0 Said premises are conveyed subject to and with the benefit of all rights,reservations, 66 restrictions,easements,covenants and provisions of record,if any,insofar as the sats ares' now in force and applicable. - b `_,jam :s•.. BEING the same premises conveyed by deed of within Grantor recorded at said Dam§, Book 2782,Page 318 :17 > ry'9 iJ WITNESS our hands and seals this o2� day of August, 2045. � 4 Peter C.Hich Mary A chborn ams . �:.�/tr�it,�t�rrtaea/!/i•a�t%dlaf?�ie/utdet'tYr! -'� La ESSEX,ss. ,2005 .` On thisp day of 2005,the undersigned notary public,personally appeared Peter C.Hichborn and Mary i borni ppivcd to me through satisfactory evidence of identification,which were i ,to be the persons whose name is signed on the preceding document,and acknowledged to me that they signed it voluntarily for its stated purpose. Wind-and cancelled oa d,ia�� instnrtnnnr �-/ Notary Public: wi rq�gi My Commission Expires: rya aL7 3-3-C& oaf y p'� 3 ntt°llr;;,,, f � y � I _ {•fir>�;1'�� - t ulq �ylr� t - i �„l��• / 7r��'�TVf,Jv��J./\ d.�'1 ,�T(� f-�; �r-,�� },,�f1� _ �i1 la(�i I HEREBY CERTIFY THAT THE LOCATION, TIES, COVER MATERIAL, EXPOSED COMPONENT COVERS, ETC. SHOWN ON THIS AS—BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED AL THAT THE BREAKOUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET. AL TITLE: SUBSURFACE SEPTIC DISPOSAL SYSTEM REPLACEMENT '�` 50 JOHNNYCAKE STREET NORTH ANDOVER, MASSACHUSETTS / r / I r j PREPARED BY: LJR ENGINEERING t DATE: AUGUST 26, 2011 — REVISED TO NOVEMBER 30, 2011 s � +� I INSPEgfiON ' 7 �9 WETLANDS I ! 5 Rows OFri s 'sem I GUCK1rSTANDNRD �.,. Luke J. Roy, P.E. N� •4+F+ INFlLTRA7 CHAMBERSAL y Lim J.pOr w 4 .4 AL ! _t20 CMLn, //s DI TRIX 3 4'SCH40 \\ 1 NO.4735G Q I r' PVC `TYP.' \ i TEP`` �`` ACCESS � { cbvER � 500 � NOLFlHI� TO FINISH/GRADE AL �CuENT N FILTER ( NA � ALINV.-97.36 \ j 1 220 2 'dL /1 11 DECK AS-BUILT TIES � 9 NOTE TO OWNER: AL ,0" OY TOP FON. POINT NO. A B AN EFFLUENT FILTER HAS BEEN INSTALLED IN OUTLET TEE -102-ft OF SEPTIC TANK AND WILL REQUIRE PERIODIC MAINTENANCE. �� DWEWNG 1 33.8' 21.7' AT A MINIMUM, THE FILTER SHALL BE INSPECTED & CLEANED 54 / / % 2 63.7' 34.2' ON AN ANNUAL BASIS WHEN SEPTIC TANK IS INSPECTED.. 3 58.0' 34.0' 4 72.5' 40.5' _':'i �' 013 sxacwwc 5 87.5' 69.5' iC:" !G:- ��,� t. •.,.:•.JG'1';�R r T / 6 76.4' 65.5' -... IL 7 76.2' 59.0' NOTE: AS—BUILT FIELD MEASUREMENTS TAKEN 11-28-12 FIELD BOOK 123, PAGES 37-38 �` JOHNNYCAKE STREET ENGINEERING, INC. P- Civil Engineers & Land Surveyors NOT TO SCALE SCHEDULE OF INVERTS PROPOSED AS—BUILT 234 Park Street . North Reading, MA 01864 . 978-664-8141 INVERT ® FOUNDATION EL.=97.8±* — SUBSURFACE SEPTIC SYSTEM SEPTIC TANK INVERT (IN) EL.=97.10 EL.=97.22 BENCHMARKS (ASSUMED DATUM) SEPTIC TANK INVERT (OUT) EL.=96.85 EL.=96.97 AS—BUILT NO. DESCRIPTION ELEVATION DISTRIBUTION BOX INVERT (IN) EL.=95.92 EL.=95.94 DISTRIBUTION BOX INVERT (OUT) EL.=95.75 EL.=95.76 50 JOHNNYCAKE STREET BM#1 TOP RT. COR. CONC. PAD 100.00 CHAMBERS INVERT EL.=95.67 EL.=95.68 NORTH ANDOVER, MASSACHUSETTS BOTTOM OF CHAMBERS EL.=95.0 EL.=95.01 ASSESSORS MAP 107A PARCEL 200 11040ASB.DWG NOVEMBER 30, 2012 Itt Ir 6- Cllttrcu MWE 1 BOA f I HEREBY CERTIFY THAT THE LOCATION, TIES, COVER MATERIAL, EXPOSED COMPONENT COVERS, ETC. SHOWN ON THIS AS—BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAKOUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET. na TITLE: SUBSURFACE SEPTIC DISPOSAL SYSTEM REPLACEMENT ''�` � 50 JOHNNYCAKE STREET AL NORTH ANDOVER, MASSACHUSETTS srcwIr , PREPARED BY: LJR ENGINEERING t I I t / DATE: AUGUST 26, 2011 — REVISED TO NOVEMBER 30, 2011 AIL 7 ! MSPE¢OON WETLANDS ! / RT/ s A` I I I 1 =0(4/gAND" . Luke J. Roy, P.E. V%OF INFILTRATOR CRAM AL J.ROY CML g I �fi ff6 DISTRIB X 3 4'SCH40 \\ HO.47356 i PVC(Typ.)ACCESS `\ O Q TO I�SWOGRADDEE "AM rMOKNa TH A �N 1 EFFLUENT FILTER ! AL INV.-97.sa f t2 � o2 DECK AS-BUILT TIES 4 s NOTE TO OWNER: A` TOP FDN. POINT NO. A B AN EFFLUENT FILTER HAS BEEN INSTALLED IN OUTLET TEE A` WT -1025* �� C MAINTENANCE. EXIST. � 1 33.8' 21.7' AT A M MUM, THE FILTER S11C TANK AND WILL EHALL BE INSPECTED QUIRE I &LEANED Dwt=wNc ON AN ANNUAL BASIS WHEN SEPTIC TANK IS INSPECTED. f5O 2 63.7' 34.2' AL / 0 3 58.0' 34.0' 0) 4 72.5' 40.5' AL r / BRICK"""� 5 87.5' 69.5' 2013 A / 6 76.4' 65.5' 00 7 76.2' 59.0' NOTE: AS—BUILT FIELD MEASUREMENTS TAKEN 11-28-12 FIELD BOOK 123, PAGES 37-38 JOHNNYCAKE STREET IWAF ENGINEERING, INC. PLAN LJCivil Engineers & Land Surveyors NOT TO SCALE SCHEDULE OF INVERTS PROPOSED AS—BUILT 234 Park Street . North Reading, MA 01864 . 978-664-8141 INVERT @ FOUNDATION EL.=97.8±* - SUBSURFACE SEPTIC SYSTEM SEPTIC TANK INVERT OU�IN) EL.=97.10 EL.=97.22 —BUILT BENCHMARKS (ASSUMED DATUM) SEPTIC TANK INVERT OUT) EL.=96.85 EL.=96.97 NO. DESCRIPTION ELEVATION DISTRIBUTION BOX INVERT (IN) EL.=95.92 EL.=95.94 DISTRIBUTION BOX INVERT (OUT) EL.=95.75 EL.=95.76 50 JOHNNYCAKE STREET BM#1 TOP RT. COR. CONC. PAD 100.00 CHAMBERS INVERT EL.=95.67 EL.=95.68 NORTH ANDOVER, MASSACHUSETTS BOTTOM OF CHAMBERS EL.=95.0 EL.=95.01 ASSESSORS MAP 107A PARCEL 200 11040ASB.DWG NOVEMBER 30, 2012 Now I HEREBY CERTIFY THAT THE LOCATION, TIES, COVER MATERIAL, EXPOSED COMPONENT COVERS, ETC. SHOWN ON THIS AS—BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED AL THAT THE BREAKOUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET. A J TITLE: SUBSURFACE SEPTIC DISPOSAL SYSTEM REPLACEMENT AL � 50 JOHNNYCAKE STREET NORTH ANDOVER, MASSACHUSETTS I r ' PREPARED BY: LJR ENGINEERING DATE: AUGUST 26, 2011 — REVISED TO NOVEMBER 30, 2011 A j INSPEfiON / �$ WETLANDS AL I � 5 F�- / 6 ' Luke J. Roy, P.E. OF I 1 Ou1CK4/sTANDA�tD N. Z� INFILTRA �EERS AL 1 �CHAM / sa..,, yG I a J.ROY uL CIVIL IrI /!e OMETas,Rle�� 3 4"SCH40 \\ N0.47356Q A ACCESS ObVER 1,500od MONOLITHIC N / r TO F>rNSKIURADE SEPTIC TANK. WITH NA ,IIIA EFFWENT FILTER ( I j '�� �\ AL � INV.-97.W � i2. o � � .L # 2 2 AS-BUILT TIES s NOTE TO OWNER: A'` TOP FTkI. POINT N0. A B AN EFFLUENT FILTER HAS BEEN INSTALLED IN OUTLET TEE d aT. 1025t TE AL EAST. OF SEPTIC TANK AND WILL REQUIRE PERIODIC MAINNANCE. DWELLING 1 33.8' 21.7' AT A MINIMUM, THE FILTER SHALL BE INSPECTED & CLEANED 2 63.7' 34.2' ON AN ANNUAL BASIS WHEN SEPTIC TANK IS INSPECTED. 3 58.0' 34.0' 4 72.5' 40.5' JAN C 3 2013 AL / VOCK 5 87.5' 69.5' / 6 76.4' 65.5' AIL 7 76.2' 59.0' NOTE: AS—BUILT FIELD MEASUREMENTS TAKEN 11-28-12 FIELD BOOK 123, PAGES 37-38 JOHNNYCAKE STREET L ENGINEERING, INC. PLAN LJCivil Engineers & Land Surveyors NOT TO SCALE SCHEDULE OF INVERTS PROPOSED AS—BUILT 234 Park Street . North Reading, MA 01864 . 978-664-8141 INVERT 0 FOUNDATION EL.=97.8±* - SUBSURFACE SEPTIC SYSTEM SEPTIC TANK INVERT IN) EL.=97.10 EL.=97.22 BENCHMARKS (ASSUMED AS—BUILTDATUM) SEPTIC TANK INVERT OUT) EL.=96.85 EL.=96.97 NO. DESCRIPTION ELEVATION DISTRIBUTION BOX INVERT (IN) EL.=95.92 EL.=95.94 DISTRIBUTION BOX INVERT (OUT) EL.=95.75 EL.=95.76 50 JOHNNYCAKE STREET BM#1 TOP RT. COR. CONC. PAD 100.00 CHAMBERS INVERT EL.=95.67 EL.=95.68 NORTH ANDOVER, MASSACHUSETTS BOTTOM OF CHAMBERS EL.=95.0 EL.=95.01 ASSESSORS MAP 107A PARCEL 200 11040ASB.DWG NOVEMBER 30, 2012