HomeMy WebLinkAboutMiscellaneous - 57 SOUTH CROSS ROAD 4/30/2018 (2) ad i
V
a
i
�i
.f
t
i
II
r
4
MAP # LOT #
PARCEL # STREET '5 '1_.. .._IOI
CONSTRUCTLON_APPROVAL
HAS PLAN REVIEW FEE BEEN PAID? YES NO
5L%°/`%�/
PLAN APPROVAL: DATE ha _ APP. BYA_ iiL/�,.__.._
DESIGNER: -�F?9/I PLAN DATE:_____;
CONDITIONS /N WOe _. AM619� _•«
--/z'1P/D.C'
-PRIOR 716 CONST. 4-4 /9,-1 /9& ( sFc P iv�
^^
J.
WATER SUPPLY: TOWN WELL
WELL PERMkT• DRILLER._..._.. -.._.............._.._ .................
WELL TESTS: CHEMICAL DA I E APPROVED
BA IA I DAI'E fIPPRUVED
BACTERIA II DATE
COMMENTS:
FORM U APPROVAL: APPROVAL TO ISSUE NO
_ G
DATE ISSUED / X6 - BY _ ..........
CONDITIONS:
FINAL APPROVAL: . -
ALL PERMITS PAID YES'- NO
WELL CONSTRUCTION APPROVAL Y°ES NO
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
OTHER - NO
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: DA 1'E•.. l'.1._ .. DY. _..
'.
r �EC�SYSIL
ZEM-.NS16.41,flTQN
.,
ISTHE INSTALLER LICENSED? �� t �` YES NO
r TYPE OF. CONSTRUCTION: ?. = NEW REPAIR
NEW CONSTRUCTION: CERTIFIED PLOT -PLAN REVIEW YES NO
CONDITIONS OF..APPROVAL YES NO
t 1 (FROM FORM U)
':-ISSUANCE OF DWC PERMIT ` YES NO
DWC PERMIT NO. NSTALLER: N /�:
_ BEGIN INSPECTION YES 0:
— EXCAVATION . INSPECTION: NEEDED:
PASSEDBY
:CONSTRUCTION INSPECTIONS NEEDED:
;-:.AS BUILT PLAN SATISFACTORY: YES_s
APPROVAL TO BACKFILL: DATE: � BY
- .• / � •
" FINAL .GRADING APPROVAL: DATE ( �� BY
: .FINAL CONSTRUCTION APPROVAL: DATE BY
OF F oI rH rAE�LT H
80
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE /.;2 -/- 0
SYSTEM OWNER&ADDRESS SYSTEM LOCATION
GOSS
DATE OF PUMPING /2-/-_6 3-QUANTITY PUMPED XV U
CESSPOOL NO_4Z YES SEPTIC TANK NO YES
NATURE OF SERVICE: RbUTINE L,4MERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO.COVER
HEAVY GREASE BAFFLES IN LACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLID CARRYOVER OTHER EXPLAIN
SYSTEM PUMPED BY 7 L
COMMENTS:
CONTENTS TRANSFERRED TO
r r rpt sYi.! r id Lt`` htrt r I, r
.srr r�r• ( < v ,iSr ±)}, Cr � u } 1 {�� i t,� � t n � t -
rhfhtii}r' rk��",•'`4'7J'9- yrS�F,6sr'� �T,a��{{lrr+ ..
t t Ta td ,zt� ir Std.Ar s ft r r�Y.Y, i.
! Y r9 r
k� assachusetts RECEIVIRD
r �4ranwlf .
City/Town of A DOVER MASSAC USETTS
801,10tn_Pump ng Record. DSC 2010
Y
FOrnt4 . TOWN OF NORTH ANDOVER
EA H D A st
DEP has provided this form for use by local Boards of Health. The WA
be submitted to the local Board of Health or other approving authority.
A: Facility Information
, ro 1, System Location:.
forms onc ��
compuforr ttse Address
only a,e tab key -
to mow your ,
Cursor•do not , City/Town State Zip Code
use the retum
�Y 2, System Own@r.
• Name
•.a
Address(if different from location)
Q;I y own State Zip Code
Telephone Number
B. Pumping Record
• / 2. Quantity Pumped: Gallons
1. Date of Pumping Date
3. Type of System: ❑ Cesspools) Septic Tank ❑ Tight Tank
,` ❑ Other(describe):
4, Effluent Tee Filter present? ❑ Yes ❑ No If yes,was it cleaned? ❑ Yes ❑ No
5. CondMon of System:
e. System Pumped By:
Vehicle Ucense Number
y
:\W.
7. Locationcontents ware disposed: . z
n-im
Date
http://www.mass.gov/dep/water/approvW3ASforrns.htm#inspect
t5fonn4.doa 060 :
system Pumping Record•Page t of t
:
a: t
REC D
Commonwealth of Massachusetts 11'..-32013
I City/Town of North Andover.NC)R
System Pumping Record H= ►DEPATILSW
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, 5
use only the tab G �` ��J
key to move your Address
cursor-do not North Andover Ma 01845
use the return
key. City/Town State Zip Code
2. System Owner:
Ac 1�ue e 0
Name
remm
Address(if different from location)
CityFrown State Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping 11
Date/
b �� 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:
6. System Pumped By:
w
Name Vehicle License Number
Stewart's Septic Service
Company
7. Location where contents were disposed:
Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835
Si a re of aul Date
Signature o Receiving Facility Date
t5form4.doc•03/06 System Pumping Record•Page 1 of 1
1 M0RTjj 1
?�` � �°foBOAS OF HEALTH
D
Is
120 MAIN STREET TEL. 682-6483
'SSAcm„S't NORTH ANDOVER, MASS. 01845 Ext. 32
DATE: September 3, 1993
TO: R.A.M. Engineering Patrick Murphy
160 Main Street 800 Osgood Street
Haverhill, MA 01830 No. Andover, MA 01845
FROM: Sandra Starr, Health Agent
RE: Lot 4 South Cross Road
Dear Mr. Masys:
i
i
This is to inform you that the proposed septic plans for the
site referenced above have been disapproved for the following
reasons:
Incomplete information on TP #102 . Please complete and
locate all perc tests and deep holes and show elevations.
(N.A. 6. 02j )
Please show existing grade on rjrofile.
Please show distances from house and garage to septic tank
and leach area. (N.A. 6. 03b)
1/4. Please show water line. (N.A. 6. 02q)
c--'5,. Minimum distribution line slope is . 005.
6l. Benchmark missing. (N.A. 6. 04a)
Show driveway elevation. (N.A. 6. 02p)
--8. What size is D-box? Please specify.
9. Please check elevation of cellar floor with respect to
existing grade.
If you have any questions, please call the Board of Health
office.
i; ,
r�6
RT}-�
To" 0 ' Andover
y c.
4- o - - C0(111 CAI rth , dower, Mass., 19 put
11L 1,11
BOARD OF HEALTH
Food/Kitchen
. D Septic System �&,L,,. , „ •
PERMIT
4a s w s • �� /BUILDIN INS T �c
THIS CERTIFIES THAT... '.............................. ��--`���-! c�C �(� C/ ,j .
"" F undation
has permission to erect.1000.10.A# buildings on .170.JI..0104..�NW.�00-4I. ....#........ Rough
ot�j
to be occupied ...RAIVA�. 4� ..*$..l..r/.A.CSjA..I#A1r4.04 0, Chimney
provided that the person accepting this permit shall iff 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. PERMIT FOR FOUNDATION ONLY V SPEC R
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 1143& B.G. " a � E
PERMIT EXPIRES IN 6 MONW&�- q PAID w„ Final
ELECTRIC PEC OR
UNLESS CONSTRUCTION STARTS ,(I
Rough V
PERMIT FOR FRAMI /171PI-PING
... ... ............ ....... ..... ............................ ......................
Service
BUILDING INSPECTOR
DATE:/ FEE P Ic� -�6 Final
cc ), is Permit Required to Occupy Building GAS INWE T
Display in a Conspicuous Place on the Premises — Do Not Remove r
Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. BurneFIRE DEPARTMENT
r
PLANNING f 10 JAL CONSERVATION &04 Street No.
Smoke Det.
SEWER 11AIATER`Pikh-42-9FINAL DRIVEWAY ENTRY PERMIT
No....................... FEB............._...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF E ILTI.I.V
gyp
...NJ..... ........OF.... ..... ..... ....
.
.
Appliration for Dhiposal Works Tonotrurtion ramit
Application is hereby made for a Permit to Construct (K) or Repair an Individual Sewage Disposal
System at:
-k 41,- _1111A............................................
L
4.............. ............................. ............
I j�_ location Address or Lot No,
T
OJ4 Owner
A dre
...........6
............................ ..... Yy � .......................SV ....................
Installer Address
Type of Building Size Lot .
U ,V?
Ak ........Sq. feet
Dwelling—No. of Bedrooms............... -------------_-------Expansion Attic Garbage Grinder
�4
Pk Other—Type of Building ............................ No. of persons....._...................... Showers Cafeteria
04 Other fixtures .........................................................................................................
Design Flow.............. ................gallons per person per day. Total dail low............co
W P—D.............gallon&
1:4 Septic Tank—Liquid capacityA.5_6_Pgallons Length/_Q_'.t%".. Width.,!U..... Diamet, 2F�........... Depth_.,'5.r.LV.
Disposal Trench—No. .................... Width.....1.9...... Total Length....S.76...... Total leaching area.10-0.9 j..._0.9...sq. ft.
Seepage Pit No..................... Diameter............___.._.. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (X) Dosing-tank
'_4 Percolation Test Results Performed by.. _-EA4 ... ............ Date...01:n..]...
�-4
Test Pit No. 1..... .....minutes per inch Depth of Test 1?i
epth to ground water .
Test Pit No. 2..........1. ....minutes per inch Depth of Test Pit.................... Depth to ground water...... .............
... . ..................41...................;_....-•....
------- ... ........I.,... ...................
------------W��
................JD-=r?!D......... ...... ...... k..,51:............. .Ak
0 Description 07?0't�-.4
............ ............ .
A.44....(3).... ....on. ...... ........
...................
...US..4.5.? ...Ul-U.
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
........................................................................................................................................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed...................................................................................... ................................
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:...............................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HE LT
......
-�". .(.-64
OF...... .................
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,�) or Repaired
by----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Installer
at.....--•...............•------••-------•---•--.........------....---•--•--------•--••----------------....---------...................-•-•-----•------------....---•----.............-•----...----••••.
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated_......._..............____._____...............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--•..............................••---...----•-........-•---------•-•---•-_..... Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9F ALTH
No......................... ....... .............OF..... ...... FEE........................
DispoodVorh,5 flan #riirti»lnfrrufit
Permissionis hereby granted.............................................................................................................................................
to Construct or Repair an Individual Sewage Disposal System
atNo........ ......................................................................................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated.._....................._.._._............
........................................................................................................
Board of Health
DATE-------------------------
-•-•--•---•-•........................................
FORM 1255' A. M. SULKIN, BOSTON
No......................... FES...........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF E LT
... .. ............OF..... .Q.�:::..... ................... ......�OV
- -�.s:'.'......---
Appliration for Disposal Works Tontrnrtion rami#
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
............ ............................. ...................
Location-Address or Lot No.
.............. — ... .................... ...... ...'' - ..............
Owner Address
W
Installer Address �
Type of Building Size Lot/40,2.1k.......Sq. feet
aDwelling—No. of Bedrooms............... __________________.____Expansion Attic ( ) Garbage Grinder ( )
04 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
04 Other fixtures ...--------•------------------------•-----------•-•--............_._._..----------•-••-•---•--•---------- ------..._._.....---------•---•----__-----
d
W Design Flow............. .. gallons per person per day. Total dailow............._ .............gallo
_ g
W Septic Tank—Liquid capacity,ldallons Length/.(I'.4 Widt 1; Depth__ _
x Disposal Trench—No_ ____________________ Width...... _"`___.___ Total Length.._a....t_(..... Total leaching area_Q.0.0... ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( Dosi tank
'-' Percolation Test Results Performed by... l _..._ .... .�.�C" + ..
t_____ e th to ground water_.___.
,...� Test Pit No. 1_._._. .____minutes per Inch Depth of Test it._.__:�_____..____ p gr ._.__.
(i Test Pit No. 2.._____A...minutes per inch Depth of Test Pit____________________ Depth to ground water.......
............ ....
0 Descri tion of` 't!1 A {? .}t7� .................�f`44c S �i'd_ A �1y a`
15,
= -
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
----------------------------------------------------------------------------------------------•----------------------------------------------...--------------------._..__...._..__.....•--•••---•••__--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed....................•-------------------•-••-•-••--------------...........------_--_.. ..........__..............-•----
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:_.__•_________••_______•____-_-•_______________________________________________________________________________
....................•------•---------.._......_......----------------------------._....----.....------._.._.........--------------------------------------------------•_...._....--------------•-•--••-•-
Date
PermitNo........................................ Issued--•------•--...--------...............................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF
HE LT
......----f �-!V!J.........OF......
fFJ:f. "el6c�4e
4..................
Trr#if iratr of Toutphanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,q) or Repaired ( )
by.............••-••-•---....._---.......-••••••••-•--•----•••---••-••••••••...••••••••--.....------•------------......._.__..._••------....---••--................._....----•••--••••••-•--•-•-••_---
Installer
at__----------•---------------------------------------------------•---•--------------•---------------•---------------------------------------------------------------------------------•-•---•---------
has been installed in accordance with the provisions of TITI3 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No_________________________________________ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR F H�EALTH -
:.......L..�...1� ....................OF..... - .. . ._..::_.... 1 f,
No......................... FEE........................
Disposal Works Ton#rnr#ion rrmit
Permissionis hereby granted------------------------------------------------------•---•-•------------._...._..............-------•--..............__............._••----•
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo..............--•---•-•------------------........-•-----•-----------------•-••---•-••-•••-•--•.-------------------------•-------------------------•---•------.._...---------...--•-'•-••......
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
..._..------•-----------•------------------------------------------------------------------•--••---•--•-
Board of Health
DATE................................................................................
FORM 1255 A. M. SULKIN, BOSTON
DATE o�Z /
Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEEPERMIT # c>9q DATE RECEIVED�i1.3
APPLICANT PX)—PICA- IUP, P/T ASSESSOR'S MAP
ADDRESS 96.0 66,so6p PARCEL #
LOT # -- -4
STREET u %{ 6ROSs R D
ENGINEER 2-fi. M ,,:�-AICI / q/�-
ADDRESS C3,Y� /�,g y5 �,[ Y 114 &R14/6 er /`'In G'1e30
PLAN DATE /� J9s� REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
[,GAs
:5 Ho 1"j9/ejr-//v U-4ReA. (/j1,/9, 6 0
/(/OTE.' 54-7E G�O�/s�,eilAT�dN_ 5�m/55/O/t/ �C3acJT wETcA�I/DS
- NOTA 7-11,-9r /9�� �i/�� r��s� �� c./ 40 , (A//9 l8,
11
- IRS` :7"m fo uN,b/9TiO/J DRAM.
muST ��� �ou�v D/4T�GN b e,,N_
NOTA
/b US /»/�7CiP//�L.s' S�A� EXTEgIQ
�'O/�56/Gi 5UC3SO/G 4Y OT'i�Le /'E/zV
197
V �3� - ��E/�S� GOC�T� TEST ��aGG` �oda . C�/.�- � •OBJ � I
✓q Q)
ra
F
• i
1'
DATE Z•-I7 Sheet ' of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE GS PERMIT # DATE RECEIVED _ ;or
APPLICANT A-11W ASSESSOR'S MAP
ADDRESS F`® Y- 11. PARCEL #
1�V4Z H4 LOT #
STREET
ENGINEER
ADDRESS VAC) MN1%%1 'J'r
PLAN DATE REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED u
*�- 'u�St4t't"'C�C�X11 iJ�►' p � Oro
'11v�s 15&Ks
Wsy
W&A 5 tk S. Lolllio &,r LC,QST' 20 Pr'
tAeLj
'DGUPL ``'moa atzo jo u,
-rwy 'O !! �WE 1p o 46fi. H{w,,40�Lt C
?6CtN - or.
SOIL PROFILE °. PERCOLATION TEST DATA
Town/City Nc7.&St:reet 5� L� G,�j Lot: No.�
Loc. /Subdiv : 4__----- -Play, � Ouner
Investl.gator12#0 - Observer�_ 4 .
f 1 SOIL PRO FILE-S-DATE
1 ' F.].•ev. ?' Elev. ' Elev. ' Elev .
0 10 O _ 0 `o 0� 0
2 _ 2 ell S2 . 2
•3 ' 3 3 3
t 4 T_ 4eA
4 9 t+
5 5 (,�5 5
Ott 4!),,.
6CoAr. 6 G V G
a.
9 / 9 9 9
10. _ 10 10 10
.,
Benchmark Location
Elevation Daturn
P r_ olation Tests-Date
i
Pit Number �0� -1 "'02 10Ti 3 4 _ 5
Start :saturation
Soak-1-1-ins. —
Start '-['est-Time I�3
.Drop o:f 3"-Time d, _
Drop of 6"-Time -
Mi.ns . lst 3"Drop
'Mins . 2nd 3"Dro
Notes & Sketches on Back �
Aisling Construction Co, Inc.
800 Osgood North Andover, Massachusetts 01845
Telephone (508) 689-9446
Fax (508) 687-0515
Sandra Starr 8/25/93
Board of Health
Town of North Andover
120 Main St.
North Andover, Ma. 01845
Re: Lot 4 South Cross Rd.
Dear Ms. Starr.
Attached,please find revised plans for above site incorprating the wetland line and
driveway location approved by the Town (see Order of Conditions issued 8/16/93). Bob
Masys of RAM Engineering is available at 372-0449 to discuss as needed.
Sincerely,
r( --
Patrick K. Murphy
President
PLAN REVIEW CHECKLIST I/6-6-b AI&40
ADDRESS ap , ��' �� ENGINEER� A M ..
GENERAL /
3 COPIESy STAMP LOCUS NORTH ARROW SCALEy"
CONTOURS PROFILE SECTION r/ BENCHMARK SOIL &
PERC INFOELEVATIONS WETS. DISCLAIMER WELLS &
WETLANDS WATERSHED? //0 DRIVEWAY i..- (Eley) WATER LINE
FDN DRAIND� SCH40 �~ TESTS CURRENT?
SEPTIC TANK
MIN 1500G. L�b/ . 17 INVERT DROP GARB. GRINDER(+200% EDF)
25' TO CELLAR MANHOLE TO GRADE ELEV GW
I
D-BOX n
SIZE J J -S^ # LINES FIRST 2' LEVEL STATEMENT
INLET OUTLET jQa.YO (2" OR . 17 FT) TEE REQ'D? 4/6
LEACHING /
RESERVE AREAy 4' FROM PRIMARY? � 100' TO WETLANDS 2% SLOPE—
ox_I-
LOPEoxC
100' TO WELLS ✓ 35' TO FND & INTRCPTR DRAINS 4' TO S.H.GW �l
325' TO SURFACE H2O SUPP�" 4' PERM. SOIL BELOW FACILITY ✓`
MIN 12" COVER L,""' FILL? (25' if above natural elev; 101if below)
BREAKOUT MET?
TRENCHES
MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) >3 ' COVER? - VENT
SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN
TRENCHES? IN FILL? MUST BE 10' MIN. 4" PEA STONE?
BOT X LDNG 2+ SIDE X LDNG = TOT
(L x W x #) (G/ft ) DxLx2x#
�/�a c,v ,t./�QTS D� •�/G�. `i
PITS
MIN 660 LEACHING GW MIN 41 BELOW BOTTOM MANHOLE/PIT
EXCAV 2x EFF W OR D 12"-48" STONE SURROUNDING
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2 x (L+W) x D x #)
CHAMBERS
COVER >3 FT - VENT
I
FIELDS
MIN 900 ft2 LEACHING PERC RATE FASTER THAN 20M/IN v GW MIN
41 BELOW BOTTOM OF F IELD C,-' PIPE ENDS JOINED W/NON-PERF. PIPE? -)�—
4" PEA STONE? DIST LINE SLOPE .005? >3' COVER - VENT
SCH 40�v MIN 12" COVER L x W = T x LDNG > DESIGN FLOW?
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY Spm
L W W Vol.
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
gpm
MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1' below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL
OP. SWITCH
i
Aisling Construction, Inc.
Patrick K. Murphy - Builder
I
800 Osgood street • No. Andover, MA 01845 4
i Tel. (508) 689-9446 Fax (508) 687-0515
R.A.M. ENGINEERING
ROBERT A. MASYS, P.E.
160 MAIN STREET
HAVERHILL, MA 01830 O
PHONE: (508) 372-0449 M!L
G�3
April 15 , 1993
Sandra Starr, Health Agent
North Andover Board of Health
120 Main Street
North Andover, MA 01845
RE: Lot - S uth Cross Road
Dear Ms . S �
Att ched, please find revised plans for the above site
incorporating the changes requested in your letter dated March
29, 1993 . All items that you listed have been added to the plan.
If I can provide any further information, please contact me .
trul yours ,
�c
Robert A. Masys, P.E.
PL/7/I 5 O� 8/oma/Cj�
PLAN REVIEW CHECKLIST
ADDRESS_Z, , 4 Sd. C,eosS ENGINEER
GENERAL /
3 COPIES STAMP_ LOCUS ✓ NORTH ARROW ✓ SCALE L�
CONTOURS PROFILE ✓ SECTION BENCHMARK SOIL &
FERC INFO,,v ELEVATIONS WETS. DISCLAIMER-"' WELLS &
WETLANDS t/ WATERSHED? DRIVEWAY (Elev) WATER LINE �f
FDN DRAIN6�C v SCH40TESTS CURRENT? Ak, /2q/
SEPTIC TANK
MIN 1500G. V . 17 INVERT .DROP '� GARB. GRINDER(+200% EDF)
25' TO CELLAR; MANHOLE TO GRADE ELEV GW
D-BOX
SIZE # LINES �3 FIRST 21 LEVEL STATEMENT
w
I
INLET IgZ. 7S - OUTLET IV.TL,> _ (2" OR . 17 FT) TEE REQ'D? A16
LEACHING /
RESERVE AREA 4' FROM PRIMARY?/ 100' TO WETLANDS ✓ 2% SLOPE
100' TO WELLS ✓ 35' TO FND & INTRCPTR DRAINS 1 4' TO S.H.GW
325' TO SURFACE H2O SUPP -,---/ 4' PERM. SOIL BELOW FACILITY 7
MIN 12" COVER FILL? (25' if above natural elev; 101if below)
BREAKOUT MET?2� 7 P
/43 16
TRENCHES
MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) >3 ' COVER? - VENT
SIDEWALL DIST. 2X EFF. W OR D MIN 61 )_ IS RESERVE BETWEEN
TRENCHES? IN FILL? MUST BE 10' MIN. 4" PEA STONE?
BOT X LDNG + SIDE X LDNG = TOT
(L x W x #) (G/ft2) (DxLx2x#)
.y
PITS
MIN 660 LEACHING GW MIN 4' BELOW BOTTOM MANHOLE/PIT
EXCAV 2x EFF W OR D 12"-48" STONE SURROUNDING
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2 x (L+W) x D x #)
CHAMBERS
COVER >3 FT - VENT
FIELDS
MIN 900 ft2 LEACHING t/ PERC RATE FASTER THAN 20M/IN GW MIN
4' BELOW BOTTOM OF FIELD ✓ PIPE ENDS JOINED W/NON-PERF. PIPE? �--
4" PEA STONE? DIST LINE SLOPE .005?_,4 >3' COVER - VENT Alld
SCH 40 f MIN 12" COVER ✓ L x W = T x LDNG > DESIGN FLOW? e36--�
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY gpm
L W W Vol.
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
gPm
MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1' below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL
OP. SWITCH
DATE_ 9/a /93 Sheet I of —�-
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # DATE RECEIVED 8
APPLICANT ASSESSOR'S MAP
ADDRESS 86D QS6e5,5b ST PARCEL #
LOT # ,¢
STREET 5'h„r�1 .eos5 �f 6A1�
ENGINEER A M.
ADDRESS
PLAN8/
DATE �?6 // 3
l9 REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
a
DN
6 /qG
/d o2, - AGE/ 5 Sod
1NCDMPGGsTE /N60. (DA/ TP �yp� EGEVAr1eA16
(,v•A. �•oa� �.
�-- y" •A�EI� HOGS
�G EF3 5 G" ,fib�J
�'��/�
D/sT/�'/vcGc6
03
7-a l
4. �GE/35 E
�• M!/v- � /5T!?I.BUT/Old �-lN� Oov�.
�o. -B�N�/�/►'IFI�� m/5 61A16 (/4/. /9
/9
5/-loc4-) tJ 2� VG'u��y EG�sv�T'roN• � �I/ /�. � -D�� J
8•
/ze -D 7 sPEc/Fye
cv/�EsPEGj-
76 6,1157//1/6 z ' �.
DATE 9�a 193 Sheet % of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # DATE RECEIVED 8
APPLICANT ASSESSOR'S MAP
ADDRESS 0066 ST �/�. PARCEL #
LOT # -4
STREET Sty,,rti (,eo55 —, 6!q/�
ENGINEER �1 • /a• /y1 .
ADDRESS %l61 /Y/A/iU 6
PLAN DATE s46 h 3 REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
a
DN
/G�. - �GC-C/35�
- /N60 m P�6 Tc /Nlc�. o iv TP 5 Ho�:v zc v,�>icn/s
ssT S d/ ( /V.A � v`�`�
c6-6 6 6
03 �J
7-0s .oTic
J-.
5
7, Cc 6�v 7 /V. ` ;� /�. �/0
s1zc -BoX �PCci �y� s6
TU G�'i5T/NG G.P�DF.
DATE 9�a �93 Sheet I of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # DATE RECEIVED(f
APPLICANT ASSESSOR'S MAP
ADDRESS Sn& ST• �'. PARCEL #
IAT # -¢
STREET
ENGINEER A /V? .
ADDRESS
PLAN DATE REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
a
DN
a_ %/�/GoM�L�=TC //VGc'. O/V TP �/DoZ. - C'�G11'��G
T Gss� 5 dr //o a-) cv1a /v� 5 6 D AJ
//o us E
w 03 �J
To
INS (N
e5-N K l
8
2 sPCc/Fy,
uJ��L-S�Ec7--
7D
Town of North Andover, Massachusetts Form No.2
f �oRTM BOARD OF HEALTH
F
s '��"-'��"��•..++++' ' DESIGN APPROVAL FOR
ss"C14 SOIL ABSORPTION.SEWAGE DISPOSAL SYSTEM
Applicant Test No.
Site Location_ �T y ..�OIJ�- 1 C1�
Reference Plans and
ENGINEER DESIGN DATE
s Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
,y
CHAIRMAN,BOARD OF HEALTH
} Fee ' !V1{/ Site System Permit No. l
i
i
}
r{
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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
� �� 9 4 Ll
APPLICANT: QatR GA< Phone
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street tj{1lf_¢c,s.s St. Number
************************Official Use only************************
REC0MMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
1A 22 A Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
Date Approved116
Septic Inspector-Health Date Rejected
Comments J��/� /,�� �EFo�� �Fi�'Tic I LL7%-'`1 C�n�' T�'yGTicN
Public Works - sewer water connections
driveway permit ' ` "�"%'2
Fire Department
Received by Building Inspector Date
Aisling Construction, Inc.
Patrick K. Murphy - Builder
i
Al
+, 800 Osgood Street No Andover,
Fa o�508M687O10515
845
Tel. (508) 68 l
ti ,
Aisling Construction Co. Inc.
800 Osgood North Andover, Massachusetts 01845
Telephone (508) 689-9446
Fax (508) 687-0515 o'
8 �3
Sandra Starr 9/7/93
Board of Health
Town of North Andover
120 Main St.
North Andover, Ma. 01845
Re: Lot 4 South Cross Rd.
Dear Ms. Starr.
Attached,please find revised plans per your letter RAM Engineering dated 9/3/93 for
above site. The cellar floor grade that is above existing grade will necessitate raised
footings,foundation walls. Bob Masys of RAM Engineering is available at 372-0449 to
discuss as needed.
Sincerely,
Patrick K. Murphy
President
+r••-n
Town of North Andover, Massachusetts Form No.3
BOARD OF HEALTH
,AOR Th
Of t�ao ,a•�qO ���X ir� ►yt�t/�/V/ � �9 \�
F p
�'•�,,.;o.�`� DISPOSAL WORKS CONSTRUCTION PERMIT
• ,SgACHUSEt
Applicant
NAME ADDRESS TELEPHONE
Site Location
: Permission is hereby granted to Construct 1X) or Repair ( ) an Individual Soil Absorption
: Sewage Disposal System as shown on the Design Approval S.S. No.
CHAIRMAN,BOARD OF HEALTH
: � N
Fee D.W.C. No. ��
r
GEOTECHNICAL SERVICES, INC.
Geotechnical Engineering • C:ons[riIction N-10nitoring • Environnzcntal Studics • Matcrials Tcsiing
November 24, 1993
Mr. Pat Murphy
Aisling Construction
800 Osgood St.
North Andover, MA
RE: LOT 4
SOUTH CROSS ROAD
NORTH ANDOVER, MA
PROJECT NO. 93162
Dear Mr. Murphy:
Presented herewith are the results .of the testing performed an a
sample of crushed septic stone delivered to oux laboratory. The
sample was designated as L198-931 and was subjected to grain size
testing in accordance with ASTM D422 to determine the aggregate
size distribution. Based on the results of this test the material
is classified as a 3/4 to 1-1/2 inch crushed stone suitable for use
in septic leachbed construction. The supporting test data is
attached to this report.
It is trusted that the contents of this report meets with your
satisfaction. Should you have any questions or desire additional
information, please do not hesitate to contact us.
Very truly yours
GEOTECHNICAL SERVICES, INC.
Wendell T. Barry
Staff Engineer
Harry K. Wetherbee, P.E.
Principal
attach
12 Rogers ltd. • Haverhill, Ma.01835 • (508)374-7744 • Fax(508)373-6944
10 Governors Row • I3ox 4 • Weare,Nil 03281 • (603)529-7766 • Fax(603) 529-3232
TO'd STSOLL89 Oi '00 NOIi3naiSNOO ii00S W06-� WU6Z:6O 266T-6Z—TT
1 -
f
UNIYUD SOIL CLASSIFICATION
COBBLES GRAVEL S"D SILT OR CLAY
COARSE I FINE MEDIUM HNE
IJ.9. =s IN Bic= U.S. OTAN®ARD MM No. HYDNOl�TER
5 3/4 3/9 4 10 20 40 00 140 200
100 0 I
so 20
so A0
z
ul r~
m w
a a
z 40 60
w
� a
w a
a
20 80
01 100
10 s 10' is 1 10' 1f� 14 9
GRAIN SIZE IN MI1,IMTER
SYMBOL BORING D ft UE3CREPTION
0 L198--93 Coarse GRAVEL.
I
Remark SEPTIC STONE
Project Na. 93182 SOUTH CROSS ROAD (LOT 4) i
GEOTECHNICAL GRAIN SIZE DISTRIBUTION ngure No. 1
—SERVICES, INC
20'd STSOL89 Ol '00 NOI1 nNiSN00 1100S WOdd WU02:60 €66i-67-`
r
TABLE 1
GRAIN SIZE ANALYSIS W MECHANICAL
PROJECT: SOUTH CROSS RD. (LOT 4)
PROJECT NO. : 93152
TESTED BY/DATE: W.S. 11124/93
SAMPLE DESCRIPTION: Coarse GRAVEL
LAB NO. : L198-93
WT. OF TOTAL SAMPLE - WET: 4. 14 LBS
TARE ZEROED
SIEVE NO. CUM. WT. PERCENT PERCENT
RETAINED RETAINED PASSING
3t' o.00 0.00 100.0
2+t 0.00 0.00 100.0
1. 511 0.00 0.00 100.0
1" 3. 30 79. 7 20.3
3/4" 4. 14 100.0 0.00
1/211 NO MATERIAL
ON SIEVE
3/811 NO MATERIAL
ON SIEVE
NO. 4 NO MATERIAL
ON SIEVE
NOTE: NO MATERIAL PASSING THE 3/4" SIEVE
P-URD OF Nit.i ( �r �l s X055
rvol�TH *)POVEI,�, MA.
4�11j5wtj ❑ UJEU 6PFRoUeDZff-
%PP,�p t v
VM
DISAPP�vE� Co�pFr��S : � 7Z SY5
DgiE
cYCAvAT(a,�J ),JS`t�--c►roti) vr�rG Q i,���S �} PAIL-
t tiS�Ecrlo� P(PE F(:Z()Aj F jt) J5 i o TA Or Ll Pry SS `Q F=/0)L-
�PPI�OVED G)/3TC APl'1�OU1^)G �J�r+tDl�iiy
D1Sl�Pt'�ov�D D,arC
FIti,QL APPf;�DvAL ---"
D,oF� ,. APP)�ovV)6 /6v i-Hogi �`/
Town of North Andover, Massachusetts Form No.3
• t NORTH BOARD OF HEALTH
L '-T 1 2-9 I , '
• O tt�eo e'�.�.0 1(�7 O)
3? e!sA.-... •a O
F A
yyss 5 icy DISPOSAL WORKS CONSTRUCTION PERMIT
ACHU
Applicant A 1Icy, 1.oc-x'AJ M 0 < jSok q6 I ��1d,1Yl,t NLf p
NAME p ADDRESS TEL EP ONE
Site Location 41o�4N�t'L-t-h C'k OSA 4L
Permission is hereby granted to Construct ( ) or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
I•
i CHAIRMAN,BOARD OF HEALTH
Fee to D D.W.C. No.
i
'
|
Fmc..............................
THE COMMONWEALTH orMASSACHUSETTS
U���� ��K� ��
���~��" ~�� H
-'��ak)...........�x�F'"������[W.'���^��K���0��K�. ........................ _
�.°�� ���
���� =
����������K ������ K� �4�s
Application is 6«rcbv made for u Permit to Construct (X or Ilcnuir ( \ an Individual 5emuQo Disposal
System at
� � .� _��� '�»�^ ��~ I
����� ���� ��a�mc��� ��m�� ��� ��� ��-- -'�°c�/ Aa - -' --' ----' -'-- ---- ------'------------------- �
- ....... - '-'-' �
u°"� ' Address �
Installer Address
�
Type nfBuilding Size |
Dwelling--Nu ofBedrooms................. ��_-___--Expansion Attic Garbage Grinder ( )
114 Other--Type of Building ............................ No. ofycranuo---_--------- Showers ( ) -- Cafeteria ( )
.� Other '-__ ................................................................................................
-
Des~ Flow - -_ gallons per ^ ^� gallons.
Septic Tank--Liquid
Disposal Treuch-- ............ Width.................... Total Length.................... Total area....................sq. fc U
'--
Seepage Pit No........2-_.. ' ' De^tb below v Total
leaching ' ~w
Z Other Distribution box \a�/ Dosing tank \
~~
Percolation Test Results Performed '�'.-
Test Pit No. 10). perinch Depth of Test Pit Depth to ground water......
1:F-----------
Test Pd No. 101...0..minutes per inch Depth of Test Pit..... .......... Depth to rr0006 wucer--' ..........
O
---------'---------------'-------------'-------'''--'---''-----'--------'-----'-------
'-"'-_'_-'.
The undersigned agrees to install the uforc6c»cribe6 Individual Sewage Disposal System in accordance with
the provisions of TlITIE 5 of the State Sanitary Code—The undersigned 6urthorugreesoot toplace the system in
operation notd u Certificate of Compliance has been issued bvthe board ofhealth.
Signed..................................................................................... ................................
Date
ApplicationApproved _'.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:................................................................................................................
»"te �
Permit �
Date
THE COMMONWEALTH oF M^es*oHussrre
BOARD OF HE LTH �
|
.........OF-A����........--� �����..... ............
Tntufira4r of To4utphauta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
bc--------------_--------------------_---------_-_...---------------------------------------'------ '
Installer �
.
at......................................................................................................................................................................................................
been iostqllfA in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated-_----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Ioupectoc----------------------------------------_
THE ooMmomvvsALr* or mAsSAcxusErrs
BOARD -
���
-4���������-----'��F-'^���A08�����-' ----
I�o------------ Fou.----'--'---- |
DisposalTwOnstrudion
!
Permissionis hereby '-_-''..............................................................................................................................
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo...............................................................................................................................................................................................
Street. �
as shown on the application for Disposal Works Construction Permit No.................... Dated..........................................
----------'----------------._-------------------.-- �
Board of Health
DATE.-----------_-------------------'--'_
ronw 1255 A. m. svLx/w. oosrow
No......................... FEB.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF H ALTH
Ota/y).............of... . ..t`. ....` &A-ve-re-•._.........................
Appliratiun for Disposal Murks Tonstrnr#ion Prrntit
Application is hereby made for a Permit to Construct (,V or Repair ( ) an Individual Sewage Disposal
System at: ('
.. .:: I�1 .x.:: _.CA(is%...-�} -�- -�ll�----.. ... .........................................
/ Location-Add*Yg�- f _ or Lot No.
1/c"IJ-•-f644-t-.c. ...... ......�.1_fl.�!�,�%r 1=bra-... .........;:� .
-O .e1..� ...
Owner Address
W
Installer Address
U Type of Building Size Lot•z:.��.....C_Stf
q,
Dwelling—No. of Bedrooms....................!......................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
04 Other fixtures ......
- ----------------------.---...........-----------------------------------•.--
W Design Flow...................�;,r� ...........gallons per person per � .ay. Total daily flow............ ..... ................gallons.
WSeptic Tank—Liquid capacity-12.14allons Length.{S.)........ Width_ r' .'O.... Diameter_,4.'_`6'`. Depth...zf"
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........Z------- Diameter./7— f 4i... Depth below inlet........ G!:.`.�. Total leaching area,(,..`–�/....sq.f ►�a
Z Other Distribution box (`; ) Dosing tank
Percolation Test Results
a Performed �� �� ---41�'241,�i
�-.X--- Date----- ......
PTest Pit No. 101....4...minutes erinch Depth of Test it....._.lA Deto ground water....... Z ..
f=, Test Pit No. ..minutes per inch Depth of Test Pit.......•-"........... Depth to ground water-------?./..........
a' --•-•-••---•--•�-------•---•-•-•--•..................: .................... ----�..... .....--- ------
Description of Soil./-/,1l.n ........1` ! �'��? �ry .�=.�v r��;. !:. �r'ry
U ,r04.a
w2 �� � < Vit' ' '�+ = `� rt,�. J_ 1. l.�rr�`�... 7 -�' f L srolltjl{!�• t1.ti. !�..fJt'fc�l�? _.�7 ,�G"� �
U Nature of Repairs or Alteratioi —Answer when apolicable.................................................................../ILS..rtf..4�t�._..
------------------------------------------------------------------------------------------------•.••-••---•--•--•--•-----•--••----•-----------•--•----•-•-•--•••---••--•--•--••---•-•-............-•---.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITIS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed................•------•-----......--------------------------------................--• ................................
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------•-
-------------------------------------------------------------------------------------------•------------•--•-•••-•---•......----•--••--•••-•••••-••-•-•-••-----••---•----------------•-•---••-••--••.---
Date
PermitNo....................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
' �..4r�.�,1Z,,. .........OF....
Trrtifiratr of Tompliattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by..................•-•-•••--•----•---...•--...........•--••-...._..........•-•--•--••••••••------•-•......•-•----•--...-•-•--••-•-•-••----•••-••------•-••••.........•••••-......-••-••......•--.....
Installer
at-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No......................................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....................•--...........------.......................•--••----••-----• Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O� ,HEALTH
.................OF... ..d'. i.....,/jllllf ..............
No......................... FEE........................
Disposal Works Tonutrnrjtion Vprrutit
Permissionis hereby granted..............................................................................................................................................
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo...............................................................................................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
...-------••-•-•---------------------------------------------------------------------------------••....•-
DATE.................................................................................
Board of Health
FORM 1255 A. M, SULKIN, BOSTON
2. r
i�
f h2,� yf �'� is �N•� '�yti 7
4
a
F �5
n
�ar.� -�'r�..,.:: ._...,�1.,._.«,�f�n.��.ti 'r��n,�� "�x? �wa.5:c..w„�.:,.3.tc d,.rari:���rL 5,,,�,.a„a.�:s �,.', - �f2,� v - �r't.• aft a,'' - _ i
a
�l
T
_
R.A.M. ENGINEERING
ROBERT A. MASYS, P.E.
ONE MASYS WAY
HAVERHILL, MA 01 830
PHONE: (61 372-0449
08
September 2 , 1991
Mike Rizzotti
North Andover Board of Health
North Andover Town Hall
North Andover , MA 01845
RE: South Cross Road - Lot #4 - Septic Design
Dear Mike ,
Enclosed are three copies of the revised septic design for
Lot #4 on South Cross Road . As you can see the leaching facility
has been changed from seepage pits to leaching trenches . The
trenches accommodate the topography and configuration of this
particular lot .
In response to a recent phone conversation with John Barrows
of my office, we checked the actual topography as compared to the
topography shown On the original definitive subdivision plan . As
you can see we discovered some differences in the topography and
have implimented them into the plan .
If I can be of any assistance on this matter please feel
free to contact me .
Ver ru yours ,
Robert A . Masys . p .E
F
d'
DATE-
Sheet r
of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE_ PERMIT # DATE RECEIVED
APPLICANT (�U sc-1& ASSESSOR'S MAP
ADDRESS PARCEL #
LOT #
ENGINEER STREET < �p
ADDRESS
PLAN DATE REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED 09,
�Ct�c-(�-S `�cz..� t,���.. -tom � C�►�z-�v�S �s '�ca�.j
'nook,
tic-;
/•�•-t- 'i��--�s i t ir-c r� �c►•�c�'+1�W tyT�2�3'�43�� �-s "�+C��
'75) D Ad-7 0 Q —L�Q-4 -liSE
A
t
Commonwealth of Massachus
etts
Cat /Town of NORTH ANDOVER, MASSACHUSETTS
System Pumping Record
. Form 4
C 1 2 2006
DEP has provided this form for use by local Boards of Health. The tem R;umping Record mu:
be submitted to the Local Board of Health or other approvin j authority. \Rt'','ENT
A. Facility Information -
Important:
When filling out 1. System Location:
forms on the —
computer, use
only the tab key Address
to move your --
cursor•do not Clt /Town
use the return y Zip Code
key.
2. System Owner:
m
- /-
Name
Address(i(different from location) .
City/Town State ------ Zip Code -
Telephone Number
B. Pumping Record - --
1. Date of Pumping Da -- 2. Quantity Pumped:
Gallons
3. Type of system: ❑ Cesspool(s) V;4eptic Tank Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes ❑ No
r
5. Condition of System:
�oode0
6. Sy em Pumped By:
Name
Vt Q Vehicle License Number
Company
7. Location where contents were disposed:
Si ature ofHau -
Date -. ._._..
http://www,mas$,gov/dep/water/ provals/t5forms,htm#inspect
t5form4.doc-06/03
System Pumping Record-Page 1 of
rOWN U� pox t� SEP — 7 2005
5Y3'7EN-1 PUMPINU RFC l7
iTOWN OF iVORTH ANDOVER
HEALTH D�-PARTMENT
4DDPS
C/ 'sti sT' M •,c,,
DATE OF pUkMNQ:
tss�pp� ; Np
y4� 00
tiA rUKt Gr spRviCe.
Ue�irR Yh C'IUttJ. �
0000
KIAvY oV.BA38
KQ¢pn eht��� as ;N F�n�
-
� G�98iVE sOl.lp$ AjWLEitiCHpte.Q KVNBAA.4.
SOL rD CA RR yo yey, rLpODED
t
urr ► trtr►•� rx.�M,�tGKr�v
North Andover Board of Health Andover Septic
120 Main St. 47 Railroad St.
North Andover Ma.01845 Bradford Ma. 01835
Haul Lic. #151-OOH December 2000
Install Lic. # 128-0
Date Name &Address Gallons Comments
12/1/2000 Murphy - 16 Crossbow Lane 1500
12/2/2000 Manzi -.72 Foster St 1000
- 12/4/2000 Grifin - 240 Candlestick Rd 1500
12/5/2000 Mcilvien - 57 So .Cross Rd 1 1500 Flooded
12/6/2000 Small - 440 Fosrer St 1000
12/6/2000 Orlando - 274 Foster St 1000
12/7/2000 Weger- 29 Barco lane 1000
12/8/2000 Walton - 161 Bridges Lane 1500
12/11/2000 Coflan - 73 Christian Way 1500
12/12/2000 Orlando - 7 Laconia Cir 1000
12/12/2000 Fitzgerald - Sharpner Pond Rd 1500
12/18/2000 Mangano - 324 Bradford St 1500
12/19/2000 Galea -= 1589 Salem St 1000
12/19/2000 Johnson - 91 Boston St 1000
12/22/2000 Senton - 1620 Turnpike St 1250 Flooded
FOAM
*hr
CERTIFIED FOUNDATION PLAN '
. LOCATED /N No• ANDd�ER,MA• - ;
SCALE: DATE: i� 23 33
Scott L. Gi/es R.L.S.
50 Deer Meadow Rood
North Andover,-Moss. '
ume
NV. ovr uScl-, iu-20
,tem -(AMK 137.17
\ 1.
11 •
'1`0) _
u� c Zt -(w�Z �IA1JE LOT 4-
��lSPt�G�D �w c r-
-n�ts D�sR�sAt-5�{src-trl �scr►t�cr '546 IdD,818 S.F.
c�.►s-tR�� AuD tax._C�Rf►Dit�G�.
Hps Be04 tN Ac-amrvo wrnd lVe 07-11
n�stt�s tht�t�st' A►`tD TtdaT'ME
,Nl1Kfi�At•S tJyEt� Cd��oRNI•�o'1FIE pt,Aat -
S t�tC S At t> 316 AAO 6+01-,
j tdcRQSs �,
/ CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE
THE OFFSETS OF THE BUILDING/NSPEC TOR ONLY
SHOWN COMPLY AND SUCH USE/S FOR THE
WITH THE ZONING DETERMINATION OFZONING
061v LAWS OF CONFORMITY OR NON-CONFORMITY • {' , `T
•A!im e R WHEN CONSTRUCTED. "
,%HEN BU/L T. 53