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HomeMy WebLinkAboutMiscellaneous - 526 Boxford Street ' ,. 525 Boxford Street �r 1 J G Y T ' Y �M V V���dr ��� �� : �� r i'/ `. 1 525 Boxford Street f i i I 5��_N =�4��Y �°yi eau i UPC 10330 o- No- 153E k ASTINOS UN w Lot & Street . Map/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit# Plan Approval: Date: j6/11proved by: O Designer: /4— Plan Date: 1617/W Conditions: Water Supply: Town Well Well Permit: Driller: V1 t'a /?r Well Tests: Chemical Date Approved Bacteria I Date Approved��, 9 Bacteria II Date Approved Plumbing Sign-Off: Wiring Sign-off: Comments: Form "U" Approval: Approval to Issue YE O Date Issued f f�3 q A. By Conditions: Final Approval: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other? YES NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: /11.3117? A. SEPTIC SYSTEM INSTALLATION CONDITIONS: Is the installer licensed? �;FE�__ SS�? NO Type of Construction: REPAIR New Construction: Certified Plot Plan Review YES NO RE Floor Plan Review C NO Conditions of Approval from Form U YES NO Issuance of DWC permit: cEI� NO DWC Permit Paid? NO DWC Permit# Installer: '�� J29 6d V 4- Begin Inspection: YES NO Excavation Inspection: 0-5— �j e-e stem e n Frovv� �h qr���� Needed: Passed: By: Construction Inspection: Needed: As Built Plan Satisfactory: �,/L� _ YES: /.S nh tL 4 �' 17c,4 ,5 Approval of Backfill: Date: 0� By: _ Final Grading Approval: Date: /a 0 By: Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: BOXFORD ST eEET 40 EX. WELL I t , 2 73 82 , I Ex. Driveway_ 11('0 1(under construction) � 32 I L — — Ex. Well I*/ ®' 1 31 . 6 t 51 31 . 2 21 . 05 109 31 3 , X09 - Ex. 1500 Ga1:- Septic Tank APPROX. LOCATION OF \ 00 EXISTING SEPTIC SYSTEM N LOT 9A Ex. Conc. Q-Box 217546 S. F. 13' 'rH-1 4. 99 Ac . - �1 C . B . A . 63% ICl) ERC-1 101 I(D — — — PERC-2 Irnl � 11ETLAN � - �o To 100' Well Radius r I i 1 I Ex. 3'(w)x 60'(I)x 12"(d) .� _ ISI `IDI_" �� 1�1 Leaching Trenches I<o I Q vZpA _ `-- 100' BUFFER I i 1 N Q. DTH-31U *C D EX. VENT � 3vA4� - p �A OF Mass 0 ® OHN CyG v � AR Il + � APR 1 � � a N o 101 C�L��C. �s ANN L ENS\ SWING TIES ELEVATIONS TAKEN AT TOP OF PIPE COMPONENT COR A COR B o TOP OF FOUNDATION: SEE PLAN SEPTIC TANK 29.9' 29.0' (CENTER) PIPE © DWELLING: 121.97' D—BOX 65.960.7' (CENTER) "! x TANK IN: 121.64' END PIPE: C 126.7' 109.1 BOXFORD TANK OUT: 121.39' END PIPE: D 125.7' 102.2' STREET D—BOX IN: 120.51' D—BOX OUT: 120.35' (ALL) ASSESSORS MAP 150 C PARCEL 9 LOCUS END PIPE — C: 119.91' N.T.S. S1 TE END PIPE — D: 119.92' AS—BUILT SEWAGE DISPOSAL SYSTEM PLAN 525 BOXFORD STREET M ARCH I ON DA ASSOC . , L_. P . NORTH ANDOVER, MASS. ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR WILLIAM BARRET HOMES 62 MONTVALE AVE. SUITE I 1049 TURNPIKE STREET STONEHAM, MA. 02180 NORTH ANDOVER, MASSACHUSETTS (617) 438-6121 SCALE: 1 "=20' DATE: 4/10/00 FORM 4 SYSTEM PUMPING RECORD m onwealth of Massachusetts f , Massachusetts j otem .T Drlt Regard ystem whet y em ocatIor PCL Its fi a 5�7 � 5, Type: Emergency Q Routine Cesspool: -No Yes C3 Sip6c Tank: No Yes . .. Date of Pumping; Quantity Pumped: IL_ c,� gal;ons System Pumped by (company): ,`�w Permit �: Contents transferred to: Contents disposed at: Date yip Pumper Signature a Condition of sys;em/other.comments: 0 �.,. . OF AYPROYM M&M•13107/13 j TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 4/12/00 This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by Tom Sawyer at Lot 9A(525)Boxford Street has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. d Board of Health Inspector I i y� FX TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersianed hereby certify that the Sevvage•Disposal System,Xconsrructed: ( ) repaired: by CAA&,a 52S-wlocated at -,526-- was as installed in conformance with the North Andover Board of Health approved plan. System Design Pemit:i,i dated with an approved design flow of Gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of=10 C�1R 15.000, Title 5 and local reizulations. and the final eradins agees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of He Bed inspec ion date: v22 ZO0 _ pec Final inspection date: �� speyror Installer: Lic. Date: Design Engineer. '` - - Date: /< G U APR i i I AS-BUILT CHECKLIST LOT NUMBER, STREET NAME y ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS V LOCATIONS &DIMENSIONS OF SYSTEM, INCLUDING RESERVE l/ TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PER C TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM `j 5 LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE V DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK&D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS- DRIVEWAYS, ETC. f. NORTH ARROW L%� LOCATION&ELEVATIONS OF BENCHMARK USED " f FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANTt1� ��GUlgr, Gee PHONE - - 37 LOCATION: Assessor's Map Number.ZO,57, PARCEL_ SUBDIVISION LOT (S) STREET �6 �U" —�� ST: NUMBER�� ** "' ****'***OFFICIAL USE ONLY*************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED l( b DATE-REJECTED COMMENTS S S--G 411 TOWN NER DATE APPROVED o2 c r1� DATE REJgCTED COMMENTS - FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEP C I ECTOR-HEAL DATE APPROVED �' _ DATE REJECTED — COMMENTS - PUBLIC WORKS -SEWERIWATER CONNECTIONS A//. q DRIVEWAY PERMIT //)L FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE xAORTH -Townof Andover No. pw ti _ y X YY over, Mass. T Q L A ' A_ COCMICHFWICK ^ ADRATED P'PV, , Cl S BOARD OF HEALTH PE* RMIT T D Food/Kitchen Septic System,. /0 p BUIL G INSPECTOR THIS CERTIFIES THAT....�� �5..... .. .��ir .��i�...... ................... �' .................................. Foundation J has permission to erect..............�................ ...... buildings on ........... �� Rough � ,..`�z�7/ ° . ... .............. to be occupied as.�.. 00 M!1....1.......��� ... .................. ..b..._�1 vif�.... wr.......ROO.$ �Gl�t'V L1i Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. Z all*k 031,0#1 t PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. SLOG. PERMIT � 1 o?, o„ O�o? --�—o v��c C A �► ' ` 3 �� LESS FDA FE£.� /�O rY1 6' C. PERMIT EXPIRES IN 6 MONTHS)UE FRAME PERMIT$ 8 L/ /<r"f A /3s q� ELECTRICAL INSPECT UNLESS CONSTRUCTIO ST TS Rou � Jo c�r/...w....�..�— BUILDING INSPECTOR 44 Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough i No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner �`- Street No. � SEE REVERSE SIDE smoke Det. Town of North Andover, Massachusetts Form No. 1 I r1ORTH9A BOARD OF HEALTH O X11" 16 4, . [! 32 h� "6 0� 19 , o w,. APPLICATION FOR SITE TESTING/INSPECTION �9SSaCHUE' Applicant NAME ADDRESS TELEPHONE c Site Location Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts // Form No.2 of NOaTM'� BOARD OF HEALTH ��Ava, ._r. oc 9 DESIGN APPROVAL FOR • ,SSACHUSE�� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant Test No. Site Location 14 Reference Plans and Specs. ¢ • ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH s Fee 1� J Site System Permit No. _ APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: M me L i o, CURRENT Iii STALLER'S LICENSER _ LOCATION: ,o i9 A LICENSED PiSTALLER: Ck Vvx IAI Sj 0-( (fes SIGNATURE: TELEPHONE;-, c CUE CK ONE. REPAM: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOLTINDATION AS-BUILT. Administrative Use Only T75.00 Fee Attached? Yes No Foundaticn As-Built? Yes�V No t Fcor Plans? Yes t No Date: �\ G�d Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH 1M //1 Ot MORTM /V t��)e p O 9 DISPOSAL WORKS CONSTRUCTION PERMIT CMUSEt Applicant "U"Alt NAME DD 5 , TELEPHONE Site Location Permission is hereby granted to Construct ( Wor Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH Fee �-� D.W.C. No. i INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at/z- 9-1 -Z�Xyrd relative to the application of dated , /e for plans by gaI140AIola and dated �U„JP jS{ �with revisions dated� /K I understand and agree to the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable . 2. 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 my company. a) Bottom of Bed—generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final Inspection—Engineer must first do their inspection for elevations,ties,etc. As-built or verbal OK from engineer must be submitted to BOH,after which installer calls for inspection time. Installer must be present for this inspection. With 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. Does not have to be on site. I•' 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work 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 in the Town of North Andover plus significant fines to all persons involved. 4. 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. d) Installation of tank,D-box,pipes,stone,vent,pump chamber,retaining wall and other components. 5. 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. Undersigns Licensed S tic Installer Date: lfilu�G� iD. 7ps�p i Q Jul-19-99 08:31A Paul D. Turbide, PE/PLS 508-465-0313 P_05 i July 19, 1999 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Title V review for 501A Boxford Road Dear Sandra, Enclosed find the"Checklist for North Andover Septic System Plans" for the above- mentioned site. The following is a list of all the `Problem' areas and deficiencies Port Engineering has found. ❑ 310 CMR 247(2) states that a minimum of 2" of 1/8 to 1/2 inch stone is to be placed j on the top of the leaching bed. The plan design calls for a layer of filter fabric to be laid on top this stone. There is no regulation that I could find that allows filter fabric to be laid over the peastone, and therefore I would recommend that the filter fabric be removed from the design. ❑ The Plan View of the leaching bed should show the Dbox,the vent placement, and the perforated pipe in the trenches(the test pit symbols may be masking the dbox and vent) I do not need to review the revised plans if these minor changes are addressed. If you have any questions or comments please feel free to contact me. Sincerely Carlton A. Brown, PE/PLS Boxford50l.doc PORT ENGINEERING, Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 41950 (978)463-8594 SEPTIC PLAN SUBMITTAL FORM LOCATION: '0C0kF0f'q ;'-> 5T 4,0 9A NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan TOWN IR NORTH AND SITE EVALUATION FORMS INCLUDED: YES NO BOHEALTH DATE:Y-'/ JDESIGN ENGINEER: fU/ /�('S/`Jt l DATE TO CONSULTANT: *If you want your plans expedited, please submit three plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. FORM 11 - SOIL EVALUATOR FORM Page I No....................................... Date.....7IF?-1.7.1............ Commonwealth of Massachusetts Massachusetts Soil Suitability Assessment for -On-site Sewage DiWosal Performed By: .....704-j eosAT-i ............................ .. .........*........ Witnessed By: ....................... .................................................................................................................................................................................................................................................................. London Address Or SIT 4Aa3ZI -AA S Address,and Telephone# 9 oc:'VEe/ FIA New construction Repair ❑ Office Review Published Soil Survey Available: No ❑ Yes Year Published Publication Scale Soil Map Unit ...F . DrainageClass Soil Limitations ......... .................----................................................................................ Surficial Geologic Report Available: No � Yes El Year Published .................. Publication Scale ................ GeologicMaterial (Map Unit) ........... ......................I..................-............................................................... ...... Landform ..... ... .......... ..................................................................................................................................... ... ..................... Flood Insurance Rate Map: Above 500 year flood boundary No ❑ Yes ❑ Within 500 year flood boundary No Yes ❑ F—TdWiTO—F NOPT- BOW.RD C Within 100 year flood boundary No Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) ........................W/N ................................,.................... Wetlands Conservancy Program Map (map unit) ................................................................................................. Current Water Resource Conditions (USGS): Month ...MgY. 99 .0 Range Above Normal ❑ Normal El Below Normal Other References Reviewed: FORM 11 - SOIL EVALUATOR FORM ' Page 2 On-site Review Deep Hole Number _� Time .. �. Date: ,.9� :...........r...... Weather Location (identify on site plan) ...................................................................................................................................................................................... � _� .. Surface Stones ....... .................................................. Land Use �.�..................... Slope (%) Vegetation ........'T ............ ....................................................................................................................................................... Landform . ......................... Positionon landscape (sketch on the back) ....................................................................................................................................................... Distances from: t Open Water Body >l` feet Drainage way??101'. feet Possible Wet Area feet Property Line ... ... feet Drinking `Nater Well ;;;,1fl�_( feet Other _ .......................... —. DEEP OBSERVXTTON H011E LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munsell) (Structure,Stones, Boulders, Consistency, % Gravel) o— �� L no y�Z 3�� tea✓ V'. Fsz.�� CCt�N 61 �. WLS� �3a31�s I Parent Material (geologic) �-� Depth to Bedrock: .... U.:v Depth to Groundwater: Standing Water in the Hole: ...... Weeping from Pit Face: .. ` l. Estimated Seasonal High Ground Water: _. FORM 11 - SOIL EVALUATOR FORM, Page 2 On-site Review Deep Hole Number z Date: Time-.Time:.w .`x' Weather .....<f-C ..O............ Location (identify on site plan) ...................................................................................................................................................................................... Land Use � �.......... .....- Slope (%) _2 .. Surface Stones ....... v. .E ..................................................... Vegetation ..._... .......... ..... /. .. .. ................................................-........................................................................................... Landform lam... .............l�l. '.� Positionon landscape (sketch on the back) _.........................................................._.................................................................................... Distances from: ) 7)`� 7 )��``' feet Open Water Body , feet Drainage way. .... , i Possible Wet Area feet Property Line q.0r feet Drinking Water Well-;;'! ( feet Other . DEEP OBSERVATION HOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munsell) (Structure, Stones, Boulders, Consistency, % Gravel) o- y'-w'6 j i r Parent ;Material (geologic! ... Depth to Bedrock: ....1�-+v v✓✓ Depth to Groundwater: Standing Waver in the Hole: � .... Weeping from Pit Face: t0�. it Estimated Seasonal High Ground Water: FOR\I II - SOIL EVALUATOR FORM � . Page 2 � ^ � On-site Review Deep Hole Number'�' ' -- Date: Time Weather ....5�.��................. Location (identify onsite plan) ----------' -----_---_-----__ _______ Land Use �� --� �|ope (96) '���` Surface Stones --�� �^�]_/��___________........... Vegetation l ......................................................................................................._.............._ ......... _ Landform ...........-l144, ... ---------------...---........................................................................... Position on landscape (sketch onthe back) -...........' .....................--........— ............................................_ ..... ..... ....................... Distances from: \ ) Open Water Body haet Drainage vvoy�� k���- feot -i �- ---� Possible feet Aa�i�. Property Line ���� ' ^ feet - ' ( Drinking \�oterVVeU°�"/D`} feet Other ' ----------- DEEP OBSERVATION HOLE 110G Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (inches) (USDA) (Munsell) (Structure, Stones, Boulders, Consistency, % Gravel) 31 � � � � � ponenr Morohe| (geologic) ' ---� ----'' -- Depth to Bedrock: —�)r� �JDepth to Groundwater: '- ~ * Standing VVa-zer inthe Hole: E36^- Weeping from Pit Face: eA0 ~~ * Estimated Seasonal HignGround Water: C`L« FORM 12 - PERCOLATION TEST COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test Date: Time: ...../0...co.ca A,c-( Observation Hole # �% 2 Depth of Perc Start Pre-soak ,32- End Pre-soak Time at 12" j0: 44,5- A2. Time at 9" Time at 6" �' Time (9"-6") Rate Min./Inch 114, < ",2 Site Passed Site Failed ❑ ......................................................................................................................... Performed By: Witnessed By: A-) Comments: .............................................................................................................................................................................................. . . ........................ FORM 11 - SOEL EVALUATOR FORM Page 3 Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole................... inches I', ❑ Depth weeping from side of observation hole.................. inches Depth to soil mottles .................. inches ❑ Ground water adjustment feet Index Well Number ................... Reading Date ................... Index well level .................. Adjustment factor .................. Adjusted ground water level ........................................................ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �S If not, what is the depth of naturally occurring pervious material? Certification I certify that on WJE N94 (date) I have passed the examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, exper ' e and experience described in 310 CMR 15.017. Signature / Date 71� �;7 Marchionda LETTER OF TRANSMITTAL & Associates, L.P. M-- Plonning DATE: JOB NO. OF wEngineering and ATTENTION: Consultants TO: Lor 74 $O�t S f WE ARE SENDING YOU ATTACHED ❑ UNDER SEPARATE VIA THE FOLLOWING ITEMS: ❑ SHOP DRAWINGS III❑ PRINTS ❑ PLANS ❑ SAMPLES ❑ SPECIFICATIONS ❑ COPY OF LETTER ❑ CHANGE ORDER ❑ COPIES DATE NO. DESCRIPTION 4 v. S6pt7c 0WAP^/ THESE ARE TRASMITTED AS CHECKED BELOW: ❑ FOR APPROVAL ❑ APPROVED AS SUBMITTED ❑ RESUBMIT COPIES FOR APPROVAL kFOR YOUR USE ❑ APPROVED AS NOTED ❑ SUBMIT COPIES FOR DISTRIBUTION ❑ AS REQUESTED ❑ RETURNED FOR CORRECTIONS ❑ RETURN CORRECTED PRINTS ❑ FOR REVIEW AND COMMENT ❑ ❑ PRINTS RETURNED AFTER LOAN TO US ❑ FORBIDS DUE REMARKS: /'0M j &WAI c�ei�.vr�4rlo�v � T��►k. D7Zsnr.«NT COPY TO: SIGNED: *. M Marchionda and Associates, L.P. Tel:(781)438-6121 6toneha , Massachusetts efts emaFaxil:81)g38-965C�4 www-.mar_c . ionda.com Stoneham, Massachusetts 02180 email: en ineers marchionda.com �•C�,y i,�O f ;� _!, � _��� C��. - 8 11,999 Av AUWN Town of North Andover NORTH OFFICE OF ��oy COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street North Andover,Massachusetts 01845 �9ssACHugE�t� WILLIAM J. SCOTT Director ` (978)688-9531 Fax (978)688-9542 July 29, 1999 Mike Rosati Marchionda&Associates, L.P. 62 Montvale Avenue, Suite 1 Stoneham, MA 02180 Re: Lot 9A Boxford Street Dear Mike: This is to inform you that the proposed septic system plans for the sites referenced above have been approved for a house with a maximum of nine (9) rooms. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr,R.S. Health Administrator SS/smc cc: C. Coulouras File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 I -9 -9 W ED 1 2 : 20 P . 02 Apr-28-99 10:37A North Andover Com. Oev. 508 688 9542 P.Ol TOWN OF NORTH ANDORIER/ BOARD OF HEALTH fY " (999 BOARD OF HEALTH TEL. 688-9640 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: a LOCATIONF S IL TESTS: Aei SOI �fe� g 0-t Assessor's map & parcel number: iC,,} OWNER: TEL. NO.: �, - (`L, — b ADDRESS: !Z ( 1 �''Xf=(<<<��� 231_ d1, rye—714 1- i 7c�` �-�z ENGINEER: MASAA11124 TEL, NO.:(IV!2 436 - 61Zl CERTIFIED SOIL EVALUATOR: M• 3. i Intended use of land: residential subdivision, e fa om commercial Repair testing UndeveTo--p—eff 157 es mg N. A. Conservation Commission Approval: THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of I tests) 2. Plot plan 3. Fee of$2, toles and two pi )r repairs or U't S� /L V GENERAL 1_N I�n S a- 1. Only Certii ✓� n ISS a- cA b 2. Only Mass pians, 3. At least twi /I'/h S em disposal ar 4. Repairs reg discretion ur trre ovn represdniauve. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1'-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. I 04/28/99 WED 12:21 [TX/RX NO 64801 n�nS aC ,bss �X��d A P R`= 2 S - 9 9 W E D 1 2 : 2 0 P - 0 2 Apr-28-99 10:37A North Andover Com. Oev. 508 688 9542 P.01 TOWN OF NORTH AN00 I BOARD OF HEALTH E::--i BOARD OF HEALTH TEL. 688-9540 .r NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: LOCATIONF S IL TESTS: ALT Soy �e0 s _ obrI!► Assessor's map & parcel number: 1(2,!3-C OWNER: TEL. NO.: q'?" ADDRESS: 5() 1C ENGINEER: 1l &%11,a;OQ TEL. NO.:�1Y�� MOG CERTIFIED SOIL EVALUATOR: M• 3. i Intended use of land: residential subdivision, a fami om commercial Repair testing UndeveTo–p—edToT es mg N. A. Conservation Commission Approval: THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of2$ 75.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$75.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and1wo percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing. a scaled Ian (no smaller than 1'-100') shall be submitted to Y 9 p the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. 04/28/99 WED 12:21 [TX/RX NO 6480] ?LA 70 I)p G CID O r, -r to O _ � H - a - N ,•S o►4 N F. Co M r-ILuMAP A �•rrco • JG Ef.t_C- 1•.600 0� co 4 N _ 1,4Y ba•`il•� -q • • �r 6t9�4S'E 2�•oW� . N 79� W QW 5aa;22etSr g'1 'J °0 :-7-Z, ol qL 03 1 ( 7.53.4 4c i' V 4,AAa Ac_-E- / 4p } r 4 41 sr► J 9 A S7g 5? 47 ti' 1, •Z I , i / ` face AA d25 4P. e•od5$t6 . �fo9.bf° Lrd .L.16 N8�•� MAY_— 6 — 9 9 T H U 10 : 41 P . 01 Marchionda &Associates, L.P. CO VEER SHEET Engineering and Planning Consultants Date: S G Time: Number of Page s :InckdZ To: Name: Z mpany,Numbe . Voice Number. From: R, i2o&af Name: Company. Marchionda and Associates, L.P. Pax Number. 781.438.9654 Voice Number. 781.438.6121 Note: 64d IQ�A elpoi WWF' s Aotf 6044&; . 2" ado Alwp Anrf&r0 70 Wry m4. &vocx � tm ft.% /v YX Bmfift a�aME . S &4 MAY — 4ia - 99 THU 1 0 4 1 p _ 0 1 Marchionda &Associat®s, L.P. COVER SHEET � Engineering and Planning Consultants Date: SA Tune: Number of Pages: .� Inducing Cover Pape To: y Name: Company. I-?-} �� Z Fax Numbe . Voice Number: From: �! r Name: Company. Marchionda and Associates, L.P. Fax Number. 781.438.9654 'Voice Number. 781.438.6121 Note: P14d r64 Gam.! AAE Fl e,.ep . 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APPLICATION FOR WELL AND PUMP PERMIT Permit # Date j A permit is requested to: drill a well � ; install a pump v LOCATION: /2'o'A �z -� S Lot # OWner1jl �l,h,,,� �arrc`� �- 17�,,,,la� Address Iota /vvwn,.k 5 � Tel 97G' Well Contrctr jtfuk er�� 0.f-Z( CO Add- ,2s''3 R,, t. s 1 Tel 7F s S'�k S g- Pump Contrctr � � c �� oS a �. Add.Gsy 4->L U Tel `12F ,S"e- gl (( WELLS (To be completed at time of pump test. ) Type of well Use Diameter of well Size of casing Depth of bed rock Depth casing into bedrock Seal been tested? Yes (_) No (_) Date of test Depth of well Water-bearing rock Depth to water Delivers GPM for (how long?) Drawdown feet after pumping hours at GPM Date of completion Signature of well contractor PUMPS (To be filled in before installation. ) Name & size of pump Type Size of tank Pump delivers GPM Pipe used in well: Cast iron (_) Galvanized (_) Plastic (_) Sleeve used to protect pipe? Yes (_) No (_) Type well seal Date Signature of pump installer Date water analysis report submitted to Board of Health Plumbing inspector Wiring inspector Board of Health t 1 ;air b ,p" r 5 ! t •, t , , a i x Y NUMBER FEE THE COMMONWEALTH OF M SSACHUSETTS h`fJ of ' This is to Certify that ,------ �� � at � � NAME ADDRES -2 IS HEREBY GRANTED A LICENSE For This license is ant d in conformity with the Statutes and ordinances relating thereto, and expires........... _._��� _...........................unless sooner suspended or revoked. , ............. ........ .................. ............. ......a� ��-----••----......- 11 �9._�y __. Y FORM 489 HkW HOBBS 8 WARREN TM <<r, t i 11-23-1999 12:57PM FROM P. 1 11/23/1999 11:54 9786920023 THpR5TENSEN LAB PAGE 01 Jl��ae�i Vic. M UITLETON ROAD,WESTRM,WA0H8dFAX t9ii)682.8�3 96 8tT2 0023 1.600`P49•TEST Repvtt Nutn6a: GrwpF43317 Rtpo:t DOW: NwU*w 23.1999 Clkm' talc4a ate -��;,�%;•,Bei% i Wi>m�ton uo*IN. La 4A.SIS Hvxt�ood$hoes" C� ,,� s, W MA 01=7N.A»dow.1►�A -- i Salopic taken by:. Chm TEST PARAMEM EPA MAX RESULTS UNM TOW CvURM(P) 0 0 yor lODtn1 1r0a(S) 0.3 0 0.44 , ($) ROS 0.01 , Sodiutu "1t 26.3 OWL Cldodide(S) ISO 5.4 OWL 1Elacdaeac Ng Liomit 39 Nitrates(as N)(P) 10 <0.01 ogt/L Nuates(as NXP) ! N.01 avgJt, pH(S) 6.5-8.3 &3 Su NT=Nos mod.W-val=Exmd c EPA STD,3MCuToo Numm"To CwN 0-backpWad 13wwft Noted.-•EPA Advincy L adt'-Exwc&Adviwy Limit (p)-hwwy VA kod"(S)•Saooadozy EPA S=W ud(my aEact saRhW a ayDrigkJt�1ili�ber,i.e.walt,00la..tc.) h8,004 ytd,e�t. 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