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HomeMy WebLinkAboutMiscellaneous - 571 SHARPNERS POND ROAD 4/30/2018 (2) 571 SHARPNERS POND ROAD T, Road ` f2101090.6-0068-0000.0 r ` go- 1� r ti • aG' x� T p- VM1 +3t 34... „ '.l .•ic, s''y j—%, i r..+�.,a 01 ♦.. h.'L; $t.«:i Lem. e :i4; ," ?'s.i ,�i y R'g % _•iti. 4 ".`.. ti .w ,� S•fir ,r y J,;�:4' MAP # LOTS 4 3 c ay rItt i. Fz rt a ' nu: \Win/\�1 iL R 1 R �'-• + PARCEL # fi J4.}, ``, x itr�' STREET/ + CONSTRUCTLON APPROVAL, HAS PLAN REVIEW FEE .DEEN PAID? AYES J .. NO PLAN APPROVAL: " DATE �1z1�19'¢" APP BY_ /�C ._._ DESIGNER: �f � 7"r/�ry'S ,(� PLAN DA CE;v�c +3�q _— CONDITIONS WATER SUPPLY: TOWN WELL ti WELL PERM IT DRILLER. � . •.• Uw WELL TESTS: CHEMICAL DAZE APPROVED, 1 _. BACTERIA I UA T E f'1PPTtUVL`Ds.._ �/ - BACTERIA II DA T-E APPROVED,/O � .. COMMENTS: FORM U APPROVAL= APPROVAL I'D ISSUE ES NO DATE ISSUED BY r . . CONDITIONS: FINAL APPROVAL: . -- -- –�� ALL PERMITS PAID S --� NO WELL CONSTRUCTION APPROVAL �~_~ NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YE No OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: .:. `, r THE INSTALLER LICENSED? �+ '�� ` .• YDS NO T• ty I ` i� - • 1 r `STYPE OF- CONSTRUCTION• ? NEW REPAIR NEW CONSTRUCTION CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF_.APPROVAL YES NO tfr • 4 _ (FROM FORM U) -ISSUANCE OF DWC PERMIT . = ` YES NO DWC PERMIT NO. INSTALLER:�',''/�I'9j�'/I//�-'�'� BEG I N I NSPECT I ON -YES�}i( 0 ; NEEDED . . -. EXCAVATION . INSPECTION: : PASSED -;CONSTRUCTION INSPECTION: NEEDED: 1 ti b 1, lx - i � _ • AS BUILT PLAN SATISFACTORY: -- -YES: �APPROVAL TO BACKFILL: DATE: BY C " FINAL . GRADING APPROVAL: DATE g� HY FINAL CONSTRUCTION APPROVAL: DATE: �l4-BY 1. , .. V ' • '\ / • Commonwealth of Massachusetts ' City/Town of System Pumping Record MAY - B VED `[U� Form 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form'for use by local Boards of Health. Othe a 0-076-uflhe 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 house, Left ighe, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address 517G � . City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town State _ <:3 E9101 Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes Leo If yes,was it cleaned? ❑ Yes ❑ No 5. Conditio of System: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Lo contents were disposed: G.L S. Lowell Waste Water Sign t e Haule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 ! J EXISTING DISTRIBUTION BOX T�tic C�� �cti T Cacti y TSF ���cti A�F� �cti cti SWING TIES O 1 TO A 26.0' 2 TO A 15.8' 1 TO B 33.8' 2 TO B 15.5' 1500 GALLON SEPTIC TANK / 500 GALLON PUMP CHAMBER INV IN 92.66, INV OUT 92.49 2 o' O ZN OF EXISTING GLUED JOINT SCH 40 PV DWELLING S = 0.02 �a� BENJAMIN C. G� I FOUNDATION INVERT 93.25 o OSG00®,JR. -6 CIVIL v' ----- — 1� No NEW ADDITION T���tAL lo NOTE: THIS AS BUILT PLAN IS FOR THE RELOCATED SEP I LY. FOR LOCATION INFORMATION REGARDING THE LEACH TRENCHES, SEE PLAN ON FILE WITH NORTH ANDOVER BOARD OF HEALTH PREPARED BY JOSEPH BARBAGALLO DATED 10/7/1994. 20' 0 20' 40' 60' This is to certify that New England Engineering Services Inc. has inspected the septic tank SEPTIC TANK RELOCATION relocation installed at 571 Shorpners Pond Road, AS BUILT PLAN North Andover, MA. The system has been constructed in compliance with 310 CMR 15.00, 571 SHARPNERS POND ROAD the approved design plans dated 9/19/2003, and NORTH ANDOVER, MA local requirements, except as noted herein. SCALE: 1 = 20 --- DATE: SEPTEMBER 27, 2004 NEW ENGLAND ENGINEERING SERVICES 1 2004 60 BEECHWOOD DRIVE NORTH ANDOVER, MA 978 686-1768 TOH KgTM NTER PLAN #: p5 DRAWN CHECKED BY: � BY: a fir._,, - Claim # Advantage Claim Services Adjuster Assigned: Glenn Guarente 2100 Lakeview Ave. Dracut, MA 01826 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen City/Town Hall City/Town Hall N. Andover, MA 01845 N. Andover, MA 01845 Re: Insured: Bernard Martino Property address: 571 Sharpners Pond Rd. N. Andover, MA 01845 Policy #: 2274513 Loss of: 2011/02/07 File or Claim No. AD 9305 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,—Ch.-139—Sec.-3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. G1 2-11-11 Signature and date RE -El IAN -4 mi TOWN OF NORTH ANDOVER HEALTH DEPARTMENT OWIll l�Slll ,- ':;L'r�'ditilY!kill i _ a rr , 2 C•S!OW :5l711 L,1,DROIr ; r y u:�]�'�o�•jl .Til��!�7PkeY:I�'t!7!7`��el'r]���I�.z?�.7�CXo7.�'II�� 'o:il l:-F_"til( rC�k ;: I' �t 0% 1 7 1D. -i ' ���. t,�,�1 m_%� jw i it(pit A�'')�'�'�10'd, l:oX•��l C07�I _t�?l[1�� 111/LAY 0,IICC) ,r-.Ikif 'f.�Y•1S L bmilm � t`Xf.1m--ii IMA .' ) , �•X�d� iil. _k it�u \�. iH I•�rZo• -o i 3 t f1ITU-1; 3 oC.7!I't9&A.I:IL•J��t ut R o3�11 '1 ' o ?7,0i'e e IIJC .SCC{.7ib xS!L !' Utit'- J *. i Town of North Andover Health Department Date: le Location: (Indicate Address,if R/esiiddeen :al,or Name of Business) Check#• ' Type of Permit or License:(Circle) ➢ Animal $ a' ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ 'r ➢ Massage Practice $ s> ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ U- S tic Disposal Works Construction(DWC) ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) �pp Health Agent Initials O White-Applicant Yellow-Health Pink-Treasurer TOWN OF NORTH ANDOVER pOHTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT { 27 CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 01.845 "SssC„u5E` Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX healthdept@townofnorthandover.com www.townofnorthandover.com APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE:L'J u l`1 LOCATION: 5 S ("O` kaKS qlj^j i LICENSED INSTALLER NAME: \ vv.\ PLEASE PRINT SIGNATURE: TELEPH NE# _7 �l - 9 �_ /r� _ I CHECK ONE: FULL SYSTEM REPAIR: V/ COMPONENT REPAIR (indicate what parts): i c _tM0t- * NEW CONSTRUCTION: * If NEW CONSTRUCTION,please attach the Foundation As-Built Plan. $25;0 00 Fee Attached? � Yes No Project Manager Obligation From Attached? Yes No Foundation As-Built? Yes No Floor Plans? Yes No Approval of Health Agent Date: f TOWN OF NORTH ANDOVER ,10RTF, Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 ,Ss^CHUg� 978.688.9540—Phone Susan V.Sawyer,REHS/RS 978.688.9542=FAX Public Health Director E-MAIL:healthdeptgtownofnorthandover.com WEBSITE:http://www.townoflorthandover.com April 11, 2005 To all SligMeners Pond Road Residents: Please note that it has come to the attention of the Health Department that many residents are leaving their trash barrels and trash bags out at the curbside for days, or weeks at a time. Empty trash barrels blowing about in the road are a safety hazard, and trash and debris along the roadway is a health hazard. Please be mindful of this, as the Health Department will conduct periodic inspections of the area to determine who is in violation, and fines will be issued if protocol is not followed. The Board of Health follows the State Sanitary Code regarding Human Habitation, 105.CMR.410, Section 1: 410.600 (A): Garbage or mixed garbage and rubbish shall be stored in watertight receptacles with tight- fitting covers. Said receptacles and covers shall be of metal or other durable, rodent-proof material. Rubbish shall be stored in receptacles of metal or other durable,rodent-proof material. Garbage and rubbish shall be put out for collection no earlier than the day of collection.. (B): Plastic bags shall be used to store garbage or mixed rubbish and garbage only if used as a liner in watertight receptacles with tight-fitting covers as required in 105 CMR 410.600(A), provided that the plastic bags may be put out for collection except in those places where such practice is prohibited by local rule or ordinance or except in those cases where the Department of Public Health determines that such practice constitutes a health problem. For purposes of the preceding sentence in making its determination the Department shall consider, among other things, evidence of strewn garbage, torn garbage bags, or evidence of rodents. 410.602 (A) Land. The owner of any parcel of land,vacant or otherwise, shall be responsible for maintaining such parcel of land in a clean and sanitary condition and free from garbage, rubbish or other refuse. The owner of such parcel of land shall correct any condition caused by or on such parcel or its appurtenance which affects the health or safety, and well-being of the occupants of any dwelling or of the general public. (D) Common Areas. The owner of any dwelling abutting a private passageway or right-of-way owned or used in common with other dwellings or which the owner or occupants under his control have the right to use or are in fact using shall be responsible for maintaining in a clean and sanitary condition free of garbage, rubbish, other filth or causes of sickness that part of the passageway or right-of-way which abuts his property and which he or the occupants under his control have the right to use, or are in fact using, or which he owns. Residents should know the following: • The Town has a mandatory paper and cardboard recycling ordinance that requires residents to separate these items from their household trash. Paper and cardboard are collected every other week on the same day as the household's normal trash. Residents can call the DPW at 978.685.0950 to get their recycling schedule. • Residents are responsible for picking up loose trash left at the curb after collection. Banned Items and Recycling Requirements: Please refer to the DPW website for a complete list of all the recycling requirements: http://www.northandoverrecycles.com. Please contact the Health Department if you have any additional questions. Thank you. Sincere A� ` Y. Sawyer, REHS/RS Public Health Director File LETTER OF TRANSMITTAL North Andover Health Department pORT11 q 400 Osgood Street 3•�'�4`s`e o "b �►oot North Andover, MA 01845 O ' � p 978.688.9540 - Phone 978.688.8476 -Fax �o ►.,�• ""� SpA c«.xc«e.v.c.`1• healthdent(iDtownofnorthandover.com -E-mail �.q �''�*Eo �•`` www.townofnorthandover.com - Website Page of SSACHU TO: DATE: Cly COMPANY: FROM:Pamela DelleChiaie,Health Dept.Assistant 42 Phone: Fax: We are sending you: OCopyofLetter OPlans /7 Other ill in below) These are transmitted as the below: OApproved as Noted .O equested OAs Required OResubmit copies for approval OFor approval OFor Review and comment OFor Your Use OSubmit copies for dist. REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: ACTIVITY REPORT TIME 06/13/2005 08:01 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 NO. DATE TIME FAX N0./NAME DURATION PAGE{S} RESULT COMMENT 06106 13:04 53 02 OK RX #378 06/07 09:02 89786889522 39 01 OK TX #379 06/07 11:13 89786826660 00 00 BUSY TX #380 06/07 11:20 89786826660 00 00 BUSY TX #381 06/07 11:59 815083942895 01:01 03 OK TX ECM 06/08 08:40 978 741 2012 46 02 OK RX ECM 06/08 09:50 19786888058 02:47 05 OK RX ECM 06/08 12:50 01:46 03 OK RX #382 06109 09:38 816172364339 34 02 OK TX ECM #383 06/09 10:56 89783743437 01:46 . 03 OK TX #384 06/09 11:15 89789750456 02:06 03 OK TX ECM 0385 06109 13:03 819785324686 01:06 02 OK TX ECM 06109 13:26 58 02 OK RX ECM #386 06/09 13:36 89784750413 57 04 OK TX ECM #388 06/09 14:38 816172526899 51 04 OK TX ECM #387 06/09 14:41 816172665237 01:14 04 OK TX ECM #389 06/09 15:21 817812709406 25 02 OK TX ECM #390 06/09 15:28 89786836595 47 02 OK TX ECM 06/10 08:55 978 741 2012 01:37 03 OK RX ECM 06110 11:52 9784698748 01:07 02 OK RX #391 06/10 12:16 89786851099 54 03 OK TX ECM #392 06/10 13:20 89786876616 28 02 OK TX ECM #393 06/10 13:30 816172467696 22 02 OK TX ECM #395 06/10 13: 33 816172364339 01:00 05 OK TX ECM #396 0Ba10, 13:51 8161723 00 00 BUSY TX #39 / 06/10 5:09 81 06279 19 02 TX ECM #39 06110 1)5:10 81 06279 19 02 q_; TX ECM #39 5: 12 816172 01:00 05 TX ECM BUSY: BUSY/NO RESPONSE NG POOR LINE CONDITION / OUT OF MEMORY CV COVERPAGE POL POLLING RET RETRIEVAL PC PC-FAX Town of North Andover °'M°aTH Office of the Health Department Community Development and Services Division « 400 OSGOOD STREET North Andover,Massachusetts 01845s E `g 9 SACHUS t Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax fW 9Wq'ICA F OE CO�V1�1'UANCE As of: October 1, 2004 This is to cert that the individual subsurface dzsposa(system Constructed( -� or Repaired— Septic Tank /elocation(X/ by James 'ellett at 571 Sharpners Pond Road NorthAndover, 9143 01845 has been installed in accordance with the provisions of Titfe v of the State Sanitary Code and with the North Andover Board of Wealth regulations. The issuance of this certiftate shall not 6e construed as a guarantee that the system will functio tisfactorily. S an T Sawyer Bu6lic Yfealth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 © . O NEW ENGLAND ENGINEERING SERVICES INC October 1, 2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover,MA 01845 Re: 571 Sharpners Pond Road,North Andover Septic System Relocation As-Built Plan P Y Dear Susan, Enclosed please find three (3) copies of the Septic System Relocation As-Built plan for the aforementioned property. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Steven E. Pouliot Project Manager RECEIVED OCT 0 1 2004 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 i i EXISTING DISTRIBUTION BOX C��y y TSF �F�c FN cy _ SWING TIES O 1 TO A 26.0' 2 TO A 15.8' 1 TO B 33.8' 2 TOB 15.5' ��, 1500 GALLON SEPTIC TANK / 500 GALLON PUMP CHAMBER t Zv INV IN 92.66, INV OUT 92.49 ---- {-- O 2 10' O lo EXISTING OF DWELLING i SLUEDO OJ�INT SCH 40 PV .� BENJAMIN C. I FOUNDATION INVERT 93.25 OSGOOD,JR. j I � MIL ----- _ NEW ADDITION NOTE: ��NAL THIS AS BUILT PLAN IS FOR THE RELOCATED SEP 1 LY. FOR LOCATION INFORMATION REGARDING THE LEACH TRENCHES, SEE PLAN ON _ FILE WITH NORTH ANDOVER BOARD OF HEALTH PREPARED BY JOSEPH BARBAGALLO DATED 10/7/1994. 20' 0 20' 40' 60' This is to certify that New England Engineering Services Inc. has inspected the septic tank SEPTIC TANK RELOCATION relocation installed at 571 Shorpners Pond Road, AS BUILT PLAN North Andover, MA. The system has been constructed in compliance with 310 CMR 15.00, 571 SHARPNERS POND ROAD the approved design plans dated 9/19/2003, and NORTH ANDOVER, MA local requirements, except as noted herein. SCALE: 1" = 20' DATE: SEPTEMBER 27, 2004 RE7NoRTH ED NEW ENGLAND ENGINEERING SERVICES 60 BEECHWOOD DRIVE OCT2004NORTH ANDOVER, MA 978 686-1768 TOWN OFANDOVER P� #: p5 DDRAWN 56PCCHECKED �C'O'Jr1 HEALTTMENT BY: JVI EXISTING DISTRIBUTION BOX icy T y Fti cy 0 0 PROPOSED 1500 GALLON o-- -- ,51 , SEPTIC TANK / 500 GALLON I ,. I �, PUMP CHAMBER INV IN 92.75, INV OUT 92.50 I GLUED JOINT SCH 40 PVC I S = 2% MIN C {0�40bC� EXISTING 1500 GALLON SEPTIC TANK / DDM�/n ELLSHO @� oZb� 500 GALLON PUMP CHAMBER --- FOUNDATION INVERT 93.25 PROPOSED ADDITION 20' 0 20' 40' 60 SEPTIC TANK RELOCATION PLAN 571 SHARPNERS POND ROAD NORTH ANDOVER, MA SCALE: 1" = 20' DATE: SEPTEMBER 19, 2003 NEW ENGLAND ENGINEERING SERVICES 60 BEECHWOOD DRIVE NORTH ANDOVER, MA (978) 686- 1768 PLAN #: n.2BRAWN c JBY:CHECKED P,C.0,fir, EXISTING DISTRIBUTION BOX Fri Ttic c� ti T�F�c cy ti SWING TIES O 1 TO A 26.0' 2 TO A 15.8' 1 TO B 33.8' 2 TO B 15.5' 1500 GALLON SEPTIC TANK / 500 GALLON PUMP CHAMBER INV IN 92.66, INV OUT 92.49 O O IN OF EXISTING GLUED JOINT SCH 40 PV DWELLING I S = 0.02 BEIdJAII{a,C. I FOUNDATION INVERT 93.25 o OSGOOD,JR. -� CIVIL No NEW ADDITION NOTE: �60MA4 THIS AS BUILT PLAN IS FOR THE RELOCATED SEP 1 LY. FOR LOCATION INFORMATION REGARDING THE LEACH TRENCHES, SEE PLAN ON FILE WITH NORTH ANDOVER BOARD OF HEALTH PREPARED BY JOSEPH BARBAGALLO DATED 10/7/1994. 20' 0 20' 40' 60' This is to certify that New England Engineering Services Inc. has inspected the septic tank SEPTIC TANK RELOCATION relocation installed at 571 Sharpners Pond Road, AS BUILT PLAN North Andover, MA. The system has been constructed in compliance with 310 CMR 15.00, 571 SHARPNERS POND ROAD the approved design plans dated 9/19/2003, and NORTH ANDOVER, MA local requirements, except as noted herein. SCALE: 1" = 20' DATE: SEPTEMBER 27, 2004 RECEIVED NEW ENGLAND ENGINEERING SERVICES 60 BEECHWOOD DRIVE OCT 0 1 2004 NORTH ANDOVER, MA 978 686-1768 TOWN OF NORTH ANDOVER PLAN #: p5 BRAWN 563 CHECKED �CIo1)r HEALTH DEPARTMENT JVI t r FORM U - LOT RELEASE FORM o 3 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 APPLICANT 6 ,12,1 a A /-tel i l ev PHONE���'fs��',,.��,� U LOCATION: Assessor's Map Number ` b PARCEL (¢ t� SUBDIVISION 1 LOT(S) STREET ST. NUMBER V� / f' USE ONLY*'' *******►********* ** ,E* RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED S TIC INSPECTOR-HEALTH DATE APPROVED / DATE REJECTED 1-(0 COMMENTS . be-ej 00 N(l 5 PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm EXISTING DISTRIBUTION BOX C�cy y TSF ���Cy T �`C �y 0 0 ---- a 6,t EXISTING 1500 GALLON SEPTIC TANK / 500 GALLON PUMP CHAMBER CmmmQ DWELLOINIQ I PROPOSED ADDITION 20' 0 20' 40' 60 SEPTIC SYSTEM LOCATION PLAN 571 SHARPNERS POND ROAD ` NORTH ANDOVER, MA SCALE: 1" = 20' DATE: JULY 1, 2003 NEW ENGLAND ENGINEERING SERVICES 60 BEECHWOOD DRIVE NORTH ANDOVER, MA (978) 686- 1768 BY: 13 ECKED BY13,C.0,fir, EXISTING DISTRIBUTION BOX F��S ST�tic tic� cy 0 0 0 PROPOSED 1500 GALLON „N . SEPTIC TANK / 500 GALLON PUMP CHAMBER INV IN 92.75, INV OUT 92.50 I GLUED JOINT SCH 40 PVC S = 2% MIN [ {0�40bC� i EXISTING 1500 GALLON SEPTIC TANK / DWEL> LONG 500 GALLON PUMP CHAMBER _____ FOUNDATION INVERT 93.25 PROPOSED ADDITION 20' 0 20' 40' 610 SEPTIC TANK RELOCATION PLAN 571 SHARPNERS POND ROAD NORTH ANDOVER, MA SCALE: 1" = 20' DATE: SEPTEMBER 19, 2003 NEW ENGLAND ENGINEERING SERVICES 60 BEECHWOOD DRIVE NORTH ANDOVER, MA (978) 686- 1768 PLAN #: n2 BRAWN CHECKED BY: PLO.fir, I Page 1 of 1 d` DelleChiaie, Pamela From: Lagrasse, Brian Sent: Friday, September 26, 2003 12:55 PM To: DelleChiaie, Pamela Subject: RE: 571 Sharpners Pond Road-Form U Review signed off on form u. all set -----Original Message----- From: DelleChiaie, Pamela Sent: Friday, September 26, 2003 9:36 AM To: Lagrasse, Brian Cc: Griffin, Heidi; McGuire, Mike Subject: 571 Sharpners Pond Road - Form U Review Please see file on your desk. Report attached. Mike, I am copying you in on this, as you spoke with the homeowner the morning also. Thanks, Pam 9/26/2003 check numbers for windows TW3046 Fire TW3046 CT N30 Place CT N30 TW Upstairs Post TW3046 have them mulled together double hung window TW3046 Construction sliding doors New Addition Family room 69X76 1/2 TW3046 Sink — Bedroom Dishwasher bathroom � Stove Frig Closet Add Cabinet Closet Fi place Bedroom bedroom closet Stairs Closet 'k I ► 4 ' Downstairs post a construction E window salt Oil Tan `�aC �a)ter Tank pure 9 a r Toilet 9 O e d D,en shower Garage 0 0 Sink Boiler r I� s Closet 0 9 a r a Garage 9 e d Fireplace Closet o Stairs r S %AII .A—, each block = 2 feet (IN 50 V.I EW) 26' 16X11 10X 13 23' CLOSET 3X6 12 x 10 14x7 laundry 4 A� IV�(4h ANc6ver 12.6. 4. STFWART IS SEPT IC TANK SERVICE )ZG Main -Cf. 47 RAILROAD STREW Na.,I h A nimw,.o- BRADFORD, MA 01835 14-a#41 Li r I Sl-cap µ 978-372-7471 l MONTH OF O cf<) b e r ��O i .. . Y REPORT' FOR TOWN OF nv � el- ADDRESS cALtoNs commas /a�► //5� ms's �. St l� M06 U-� 411� Off'kes- or I coo® 176 TucA/- 1675 S der 5-y-- Ism f a L166 win /C)n I b— 790 Cc? !e 3f i ber�v a' J �ra ta� q? �t tc�con 15o a Commonwealth of Massachusetts Executive Office of Environmental Affairs De artmenAPR 9 , t of 1 uoq • Environmental Protection — - -- William F.Weld S Governor Trudy Coxe Secretary, EA David B. Struhs Commissioner WIAGE DISPOSAL SYSTEM INSPECTION FORM TA CERTIFI r •�. Q�� � Property Address, s rp s ress of Owner. Date of Inspection: f,/ (If different) Name of Inspector: / �(� �� � Company Name, Address ah Tele hone r�T'umld 0 CERTIFICATION STATEMENT 7 ga/,L 4k I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: -Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's S "ur '. Date: Uu� Cf f The S ste Ins ector shall submit a copy of this inspection rep rt to the Approving Authority within thirty (30) days of completing this, P inspection If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to oir, system o\+,ner and copies sent to the buyer, if applicable and the approving, dulhoiit�. INSPECTION SUMMARY: Check A, B, C, or D A] SYSTEM PASSES: I have not found any information which indicates that the system violates-jry of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/15/95) 1 ' One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 a Telephone(617)292-5500 40 Printed on Recycled Paper r r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) � S/ia r l ON� /IJ O ANGXOl�4�' PropertyAddress: Owner: s e 7 p tie r 1 Date of Inspection: B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup o}breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a roken, settled or uneven distribution box. ,The system will pass inspection if(with approval of the Board of.Health): `- broken pipe(s) are replac obstruction is removed w distribution box is levelled r replaced ,r d The system required pum ing more than four times year due to Broken or obstructedpipe(s). The system will pass inspection if(with approva of the Board of Health) roken pipes),are re aced o structio.n is remov d Cl FURTHER EVALUATION IS REQUIRED BY THE B ARD F HEALTH: . `Conditions exist which require further evaluatio y the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF ALTH ETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBi1C H LTH AN SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 5 feet of a surfac water Cesspool or privy is within 0 feet of a borderi vegetated wetland or a salt marsh. p 2) SYSTEM WILL FAIL UNLESS TH BOARD OF HEALTH (AND PUBLIC'WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONIN IN A MANNER THAT PR ECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: the wstem nas a _epuc tank and soii absorption systen and is walmi 100 feet to d surfdce water supply or tributary to a EY surface water su ply. The sy stem,ha a septic tank and soil absorption system d is within a Zone I of a public water supply well. -. The system h s a septic tank and`soil abe"orption s"ystem'an` is within 50 feet of a private watersupply well: The system a� a septic tank and soil absorption system an is less than 100 feet but 50 feet or more from a private water supply we , unless a well water analysis for coliform bacteri and volatile organic`ieompounds-indicates that the well is- free from ollution from that.facility and the presence of am, nia nitrogen and nitrate nitrogen is equal to or less than 5 p/mined ,r D] SYSTEM FAILS: I have detethat,th�eZ ystem violates one or more of the following failut criteria as defined in 310 CMR 15.303. The basis for this dot ination is identified below. The Board of Health should be cont�c to determine what will be necessary to correct the fai f�e. `� Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or. cesspool. (revised 8/15/95) - - _2 - 1` � �- _ LL.M • � frii^l..^+ViAM:-=, R 'M[.Ytij gF.ti 47 t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A t CERTIFICATION (continued) Property Address: ' iG r /A �" V o I�' i d '19N G '�iuE✓ Owner: 1 tC1v e e Date of Insp�n: � g D] SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. '1 — Liquid depth in cesspool\organic than 6" below invert o'available volume is less than 1/2 day flow. k Required pumping more times in the last year N LT to clogged or obstructed pipe(s). �V'Y - _Nilfnber-of-times-pumpe ^— - -w Any portion of the Soil ion System, cesspool or prAvy is below the high groundwater elevation.Any portion of a cesspoor y is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspooi is within a Zone l of a public well. Any portion of a cesspooivy is within 50 eet of a.private water supply well. Any portion of a cesspoorivy is less tha 100 feet but greater than 50 feet from a private water supply well with no acceptable water qualityis. If t e �l has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatilic com o nds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: ` The following criteria apply to large syste sin addit n to the criteria above: The design flog% of system is 10,000 d or greater (La e System) and the system is a significant threat to public health and safety and the environment because one more of the folio ing conditions exist: the system is within 40 feet of a surface drinki water supply the system is.w•ithi. 200 feet of a tributary to a su ace drinking water supply l _+' '—ihe'system s o aced'in a iiroge`n sensitive area(i`n eri,' eflheaa Prot&dion'Area (IWPA) or a•mapped`Zone If of a public water upply well' s' The owner or operator of a y such system shall bring the system and fac( ty into full compliance with the groundwater treatment program requirements of 314 CMRR7.00 and 6.00. Please consult the local regional office of the Department for further'information. 1 (revised 8/15/95) 3 ON SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM f PART B CHECKLIST ,j' Ju t,f(moo N r� k'C� /U d ,�f Al C�a tr+ r Property Address: . �� /��� D �, Owner: J Date of Inspection: f Check if the foll . ing have been done: Pumping information was regoested•ofthe•owner occupant; end'Board of Health. :None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates duri g that period. Large volumes of water have not been introduced :into the system recently or as part of this inspection. As bui t plans have been obtained and examined. Note if they are not available with N/A. e flacility or dwelling was inspected for signs of sewage.back-up. e system does not receive non-sanitary or industrial waste flow e site was inspected for signs of breakout. Zeeptic stem components, excluding the Soil Absorption System, have been located on the site. tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, maferial of construction, dimensions, depth of liquid, depth of sludge, depth of scum. k"The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. /The facility o,,: er (and occupants., if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. '"; :, .:.�.',�_ +M-:,w w�,-� ur���t. i. :5: tY.a.R���...,�-a- ,r,.^ " �".-+r.�. �•Y:� 4 h;"�'-: ';�, igr - - - :� -- -- - .. - i i (revised 8/15/95) 4 . __— fi a.�. .: .._ .�}• tk. .+ t•.trOMg4'.: .. ,, .. . ..._ .. t �'W r �. . �.._ ++.r,.....e+ rp. .n. '.•6iu SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART-C // SYSTEM.INFORMATION (continued) ` Property Address: , S,/C OL r P r-f-r's fo lv d 2'o( A.;i tr /QA.,P Owner: ' Date of Inspection: SEPTIC TANK:_ (locate on site plan) 'f Depth below grade: Material of construction: ncrete _metal,�FRP _other(explain) Dimensions: Sludge depth: ." Distance.from top of sludge to bottom of outlet tee or baffle: Scum.thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: 16 Comments: (recommendation for pumping, condition.of inlet and outlet tees or baffles, depth of liq id level in relation to outlet invert, structural integrity, evidence leakage, etc:) L ti"` a �' �✓ �i/L tee! 7iE�?- N GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete metal FRP -—other(explain) M Dimensions: Scum thickness. Distance from.top of scum to top of outlet tee or baffle: Distance from hottom nt scum tit hottom,ot putlet tee or,battle Iltr , ?" (recommendation"foi iump�n ',}ondit�on of i ret and outlet te6s erbaffles,1depth'of liquid„level"in relation to outlet inv&tj`siructural ' integrity, evidence .of leakage. etc.l i )4 , k (revised 8%15/95) 6: ( f ! •'SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM x PART C SYSTEM INFORMATION (continued) I f'Q /V//e'rs �oa.o� 124 /Ud /4e�lJ�Or�.,af" Property Address:.� �„ Owner: ,5 e 7r/' Q r j Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent,references.landmarks or benchmarks locate all wells within 100' } /� 3 1 4� ve , 1:0 - DEPTH TO GROUNDWATER — Depth to groundwater:_ feet f method of determination or approximation: alew /'G 7— / L K..►� (revised 8/15/95). 9 h CHRISTIANSEN & SERGI, INC. --rTz PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508) 373-0310 FAX: (508) 372-3960 January 11, 1994 Ms. Sandy Starr Health Agent 120 Main St. North Andover, MA 01845 Dear Ms. Starr: Attached are 4 copies of plans for a septic system design for Lot 4, Sharpner' s Pond Road prepared for Judith Dolan. I reviewed the plan based upon our discussion of Jan 5, 1994 concerning the necessity of an additional test pit near the D-box. I do not see the necessity of that test. As you can see from the cover sheet, both Mike Rossotti and Mike Graff have performed deep tests on the site and found it satisfactory. The original soil tests were performed in 1987 and witnessed by Mike Graff. Testing was done again in 1990 and witnessed by Mike Rossotti. I see no reason to test the site again. I hereby request that the Board of Health review the matter at its next meeting for the purpose of granting a waiver from 4 .05. Very truly yours, Philip G. Christiansen PGC;lc i e4 to 1 = 31 � B to D = ss " �o foX 33= 7'' 6 fax =.0/ ' o C R o u f f-3 T/7 93.0 L4 AZA MBEA /N 2 •S� 3 �o�c�h,:fid's5 48,xf�x z RoX /N /o4, 74 //✓Vt -R EIVC 1, 2 !o • ofd f INV �-��=ni� G, 3 e�,a • aa C3) A _S' //V GR0UALL ;DLi4N /o - 7- 9f- X c Z [ 74A IV Ale 9 • v � ��asE 7�N �3Al2�.L� G �L�Q �'• S' Q f � OF4f IVO A 741- � Esc JOSEPH tiN g J. �a v BA C /� �%T E��Pte\ CiCT-26.-94 WED 02 :02 Pt-1 GRAN ITE. STATE. ANAL'i'TIC 6013 434 4837 P. 01 E I tate �Co i Main Office i Laboratory At: Tramway Marketplace At: baniel8 Artesian Wel1S i 22 Manchester Rd.t Rt, 28 Route 16& 25 Route 3i l' perry, NH 03038 West Ossipee, NH 03890 SaltbOrntOn, NH 03269 (603) 432.3044 1-800.699-9920 1.800-699.9920 1 C11, e g l 4- :. t of .t if ust� f or `91,r n Z�x�r. ��xt�� 'Y ,I. BarbaUal to TEST NO. . 159] 5 a' i� SENT TO: 120 DunC5n Dr . • N0. AI3r10VC, MA Oi845e w T E,J o�M '�9� ; LOCATION: 521 SharPners Pond Rd, DATE: Octobil�r 25, 1994 No. Andover, MA k, aOV EPA , PARAMETER RESULT RECOMMENDED LOWER DETECTION .,� A - - ---- ------ MAX.LEVEL PM) LIMIT (PPr ) PH a; 7. 62 U111 TS 6. 5 - 8.5 HARDNESS 131 150 0.66 CHLORIDE 250 0.1 a �� NITRATE 0. 5 10.0 0.5 '� y i NITRITE 0. 05 1..0 0.05 SODIUM 13 . 5 250 Q.l 2 a-TAWM= ;. . 34 0.3 0.03 E u w 2 ' 0.07 0.05 0.01 E I COLIFORM ABSENCE /100 ML ABSENCE 0 ' OTHER BACTERIA ;`100 ISL 200 Q �. ' 2 COPPER 1 .3 0 .02 k I ARSENIC 0.05 0.001z J LEAD i .015 0. 00 � 1 � c� CHROMI.I.1I4 0. 1 0.05 f� l� CALCI UPI 38.6 N0NE SET 0.1 t o ! R FLUORIDE 2.0 0.5 COLOR CPU 15 1 °" OftOR 'i rjri 3 0 Q. TURBIDITY 4 , 5 NTU 5 0. 5 SULFATE: 17.8 2-50 10 ( ) THE TESTED PARAMETERS MEET CURRENT EPA STANDAREIS FOR DRINKING WATER. j (XXX) THE TESTED PARAMETERS MEET CURRENT EPA PRIMARY STANDARDS FOR DRINKING WATER, BUT SOME SECONDARY PARAMETERS EXCE'E'D STANDARDS. i r' ----------- THE TESTED PARAMETERS FAIL CURRENT EPA STANDARDS FOR DRINKING WATER, I DUE. TO PRIMARY STANDARDS OI TSTDE OF LIMITS. h --------------------------------------------------------- _:,_,._._...------------------------------- I$ COMMENTS: SPECIFIC CONDUCTANCE = 266 tzMHOS i ALKALINITY = 96 . 1 PP?l r t't:GNESIlJN - 8.5 FPM It ►� ---- -----------------tl--------- a---------- _--- :--__-__--------------- --------------------- �I TNTC DENOTES ES TOO NUMEROUS TO COUN`r 1 DENOTES PARAMETERS THAT EXCEED PRIMARY STANDARDS; CAUSES TEST FAILURE. lr 2 DFNOTE5 PARAMETERS THAT EXCEED SECONDARY STANDARDS; DOES NOT FAIL TEST. `E 140TE: SUBSEQUENT SAMPLES FROM THF SAME WATER SOURCE PIAY VAR`!. �I � #`E ih Autho67ed by ---- �'Yi'�'^ ^ �G�G.f,^a!ytR'!X74"�d'Tie.•a.as.:�vs..a¢r•asc -�� � •mvarR!n•�!�li AUG-03-94 LIED 09 :47 Ar•1 GF..AN I TE'. S TATE. F-NAL`r T I C: E-03 434 4137 P. 0 1 (�..;:, .�«F'.w,,.,.,�:�ii�s . -�-, _ .. ..... .,, ,':xi: _t_+s . �--.�:s .,'?,wT'•r„�f'd.v ., 3T;4 �X9:�'.a'• i - . jL i au 44 0041M.+ Iaj Main Office/Laboratory At- Tramway Marketplace Al, Danleis Artesian Wo{!s L 22 Manchester Rd.'Rt, 28 Route 16& 25 Route 3 { Derry, NH 03038. Vilest 09sipee, lqm 03890 Sanbornton, NH 03269 i r, (603) 432.3044 1.800.699.9920 1•�00•fi39-99$3 i I i SENT TO: Joe Barbaga . cr TESD' NO- . 14(I 1.20 Duncan Dr, �i No. A1':do°list', MA 012345 TEST LOCATION: 511 Sharpness Pond Rd. aj DATE: August 1. , 1.994 No. Andover', MA 'l � EPA PARAMETER RESULT RECOMMENDED LOWER, DETECTION { i --------- _ __ P [ y + 4 f �.• "'��,1..-4rr,.�n•�:- . .,•a.z-.:.t•.`�..��.:-:awa:.w.. �* r� ^irsb.� Sv s�aymYgas��-btCtl"'�;.!�r'r�..•.,yam r.:.�'iz.-.«r^c .�.s,:..r.�r,: '?..� .� ;'" �+o'i��'+v�-ir•. d`>'' S,�< tea. akx�r r ��Cr` 44 a' q *a"J�3 +HxiFtiy t / IZ tf} Y F l 5 r�R i ���f ri Rte. a ytiw<s � # � +LTi - . .. • J 44k -AfS'}'I- •�1' fe T�•; q ��� � rP'?�-.�*y �,� kms'�`•,t p:� r •fie.."�'.� t•�' <y'�r> - y} v -IL r ` w a,�r 't s s �.� �, rt'ti 1 a 1 a S 1 � i� t{ =111=� e .• t a _ a x :� }' t rr �3 t 9 L ,4�'L, i a r Yah.f i�"�' .z +•��'-i�n glk'.a Ell 3 Q 9 4 l is f�i3 a r #y y W $ c W. 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BOX 1108 SAUGUS' MA01908 (6V) 2330372 April 28, 1987 Mr. Mike Graf North Andover Board of Health | 120 Main Street / North Andover" MA 01845 � Dear Mike, � Confirming our discussion of this morning, we will be digging observation holes only on Lot #4 on the Dolan property on Sharpeners Pond Road on Monday, May 4. We expect you to be on site at 12 noon to observe the status of the holes. I am enclosing a small sketch to give you an indication of where the holes will be dug. There will also be a gray Volkswagen Rabbit parked on the road where the digging is taking' place. We intend to dg the holes in the morning so that you will only have to check the results. I may not be at the site first thins. Sean Dolan will be directing the process at that point. I have given him instructions that no holes are to be backfilled until you have had an opportunity to make your observations. If you have a problem with that approach, give me � a call . If you have any change in plans, give either myself a call at 233-5372, or Sean a call at 774-7070. Thank you. Very truly yours, ~ ' Malcolm S. Rice . copy to: Sean Dolan � ^ ^ ' ' ^ . . , .; `fi '�`' +� 1.?:.�'LF'i"x' q xi rt?--� „P'"i^ a, -• r' �r.!%': ht°. Yy,Y s: Je" '�.. ? axirt-u rev^ c�,.`k SSS t.'Mi.v a,�4, s:4• yy�:. x+81+3; u.r�`,� , ,�.�..• e .. 0t 4'z��.s a. .h ,tP y I; j `�. �, b �6 +xS aal' e'L•,irk a./� �,c. }t•:t "T. �� ,L•c`a S .L• r err �� _.��y�•'f��i r= ,rii a.;...;t 'RdN�. 'k "Ci # �.✓ j�c t a.-' -; i a +.ts# Y ti°t5 I �+• ! �l;ilr{�F1` ; y [` ZNM �"� hf _ a a 1PV�7� !.:110 :rZ� 3SAl SV-0w j. Sok L.. . -k&Z : EP1uWTJ &-LAGIALTlU- 'TIIzHTLy PQL.k-15.D• � JoRkv Dr- rZoc leS IO4o EZ didm. Werra SOMF Up 7-0 2 �2 cltom.. 0) A, M I X,Tu".— A-NU .ruES, Pecc.. gar ,ice �e bort ��11� 3� Thp SIL _"�_ ✓ R67'TOM � r (,.tet t-tdLE � HOG :,.6:�'t a��P� �Z.�� �40�.W�.. ;; t" OF SWJM91• $d7TOM OPo NOGC Cc &UP OF 7—ST. MOS71 y SAND Q WMA SO M�- F6NIF--S 6" 7DR, Z A)OA k- 2: t9 pA 2:37 17- a�o� 3:0 7 it'll - 752c. op 5` 0 Dr- TF—ST, PAC)LE. ' [4 OLE - l�N 18��at c�AVE.� 1•N � � r� �n� U S OCL. � �1 Cx TEST CJ�U$ R N 1 FORM 3 DEPaS OH 7NE Ro7TOM QF rNE kV-E . Wr TN5 E307-7OH OF INE- NCH Z�'c� "dJ9N PVD etMUeL W IT14 I" Or FINES ON TDP, r-W-'5a 2 RCC-Ic S CC)Tll-I l 13cD /-;0A>'✓ �- 3:Z (7 RATE = 46 3 1co.a 1 IZG T SS" :W 3 Penc-, Qo�.y�; :�o 0• b\\D e lboyv 56 I.L :7 SOTTOM_C5F HOt� DOGE I S".dFEP.� �2 n dlo�rra. A : • Pm 4 M.,. 44 es,..4, er- s t • t A D r a 0 .•kiaxtrid ifi-&ear re-rz_ e•r &ski oese. <7EAN ORE:124MA A. Kizsvvtows txsT) k-kOLE. A4 1. \O No WRT No REPLY-AL- 0-3‘." TOP 5C)IL : Lpi-e&q_ Rexx.S POD It witt-tr TAZOWN 12.0`' 1t(2.5,\/ 13oNY laic..141. nu. 7-Uri-MY Rack. a (2. fr11-130tar7y DP •Pc.ce-s 6,11- eel/am. wall ME. uP-ro cam.. dooTA los R LIIPC7E AMOUATT 6010ID POP 5OPIE FINES, DDS 000 moo= 49. •`: , t F ' �.. 26) 47 N s Vf N ___-gyp : - ------------- _------ ------------- ------- -------------------- ------------------ _ --- ---- --- - --- FORM U - IAT 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***************** Phone APPLICANT: '� / �n.�'�� �' �' - =T- LOCATION: Assessor' s Map Number Parcel Subdivision Lot (s) Street _',tet na r 9Y t St. Number Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: �, 4� 7e;� Date Approved Conservamion Administrazor Dame Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food ;nsr Sec--o-r- ealth Date Re j ecped Date Approved -CL Se=-:Lcy lnspec-=-aealth Dame Re j ecped Co=en..c Public Wcr::s - sewer/warner connections .. / - drivewa_• per:iit F ire Demartme.nt- `� /iG, � � ``1L / ��- 2 6AY '�' Received by Building Inszector Dame ., ; .:: •` ..' t',`'r RIM iMSy41; Y4"f�eY TY er 9v ,Ai3•t,t r T <. Yee v " 1�, _is v y' l -•, 1, i Town of North Andover, Massachusetts Form No.3 pORTH BOARD OF HEALTH 16 OL DISPOSAL WORKS CONSTRUCTION PERMIT �`9SSICHUSEt Applicant NAME U ADDRESS TELEPHONE Site Location Permission is hereby granted to Construct ( or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. NO. CHA AN, BOARD OF HEALTH Fee ki ., D.W.C. No. i � t I TONM of 1 over No. 357 a �w ; "..North Andover, Mass., 19 BOARD OF HEALTH Food/Kitchen Septic Systemi��- BUILDING INSPECTOR PERMIT TO BUILD THIS CERTIFIES THAT........................................................................... ................................................................................. •" Founda�gn � --671...5//��C p���5-p� l -- has permission to erect.......................... buildings on ..... .......... ................. .............. buildin L-C!� � ...... . .�. Rough to f��i�-�4 - • imney to be occupied as....................................................................................................................................................................... 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. PERMIT FOR FOUNDATION ONLY PLUM ING INSPECTOR REGULATED BY PARA 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. �y nL DATE. ' FEE PAID l EL CTRICAL INSI3ECT� Rough Ji✓�`7�t �'L� PERMIT FOR FRAMUBUILDING ................................................................................................................. Service DATE: FEE PAID: BUILDING INSPECTOR final GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE D ARTMEN Until Inspected and Approved by the Building Inspector j . Burner PLANNING Ib qc4 FINAI CON SERVATIO6i' YYFI NAL street N°.` .�; Smoke Det. �LVANAL DRIVEWAY /Q '✓3 SEWER/WATER Da l✓ y 1�� _ t pORTI� , BOARD OF HEALTH '°. � O P 120 MAIN STREET TEL. 682-6483 9SS�CHUSNORTH ANDOVER, MASS. 01845 Ext23 March 18, 1994 Mr. Phil Christiansen 160 Summer Street Haverhill, MA 01830 RE: Lot #4 Sharpner's Pond Road Dear Phil: This is to inform you that the proposed septic plans for site referenced above have been disapproved for the following reasons: 1) No reserve area. 2) Foundation drain not shown. 3) All pipe must be schedule 40. 4) No wetlands disclaimer. 5) No benchmark in work area. 6) Water line not shown. 7) Must be 4" of peastone or 2" peastone and filter fabric. . 8) Please show limits of top and subsoil excavation. 9) Distances of septic tank and leach field to dwelling not shown. 10) Please place north arrow on site plan. 11) Please show length of trench on site plan. 12) Please show stepped trenches in cross section. 13) Insufficient leach area - 657 . 14) No well located. 15) Pump alarm must be on separate circuit. 16) Pump must have bleeder hole and manual op. switch. 17) Trenches must be vented. 18) Please show topo on adjacent lot behind system. 19) Please show distance to wetlands. If you have any questions, please do not hesitate to call the Board of Health Office. Sincerely, Sandra Starr, R.S. Health Agent DATE �3��3 � Sheet Of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEE ��� �� PERMIT # 7 DATE RECEIVED APPLICANT �� i�D�T/1 �CGA�t/ ASSESSOR'S MAP ADDRESS PARCEL # LOT # ENGINEER STREET � ���,/.ST/Ai(1,� G�t1 ADDRESS PLAN DATE �/T% ��; REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED / /l.'o N07- 4 0i<Z ZJ,/197-6.e C . xr%/9 C: 149 T1C>/-./ Opp - oiC. i� • �G���F ��-���� tio�T� ,�,��'c�v a/�,� SiT� ���rr� . �_aa�, L J Nl�)2Pfv&,e s �� REVIEW CONTINUED SHEET OF �f -pZ, 5 SECT/�N Lt, L G Z o G i-2/72Fb. e� ND /lIc�57— i�yvC v�_EEI�� r1G�� - ,�� ✓�f�! op ti NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS of ................ ......................................................... This is to Certify that ...... ------- ......... NAME ................................... .................................;............ DT ADDRESS IS HEREBY GRANTED A LICENSE T7) For .......... � ! ............................................................................................................................ ............................................................................................................................................................................ ................................................................................................................................................................----------- ......................................................................................................................................................................... This license is granted in conformity with the Statutes and ordinances relating thereto, and expires....................................................................unless 800 pe ed or revqW. .................... .... .... ....... --------------- ----- ............................. ..... .. ....................... . ..... ..... ..... ..j�� 9t---------------- ---- ----------------- i........... ..... ...... .. .. ............ ----------- .................... ............ ------- -- FORM 433 HOBBS & WARREN. INC. r q� -A . Town of North Andover, Massachusetts Form No.2 f AORT#f BOARD OF HEALTH 193 o w A DESIGN APPROVAL FOR HUS SOIL SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant nt( Test No. Site Location Reference Plans and Specs. -�'� i n�P/t1l�� �I °E" �.e�,(:.n ��0�6/9� ENGINEER DESIGN I DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. AIRMAN,BOARD OF HEALTH Fee Site System Permit No. I PLAN REVIEW CHECKLIST A ADDRESS ,�; �I /��P�6lZS �� ENGINEER GENERAL 3 COPIES �/� STAMPy" LOCUS L/ NORTH ARROW �/ SCALE CONTOURS PROFILE &--- SECTION BENCHMARK SOIL & PERC INFO ELEVATIONS WETS. DISCLAIMER_ WELLS & WETLANDS V WATERSHED? DRIVEWAY* i,�' (Elev) WATER LINE FDN DRAIN SCH40__\< TESTS CURRENT? �719¢ SEPTIC TANK `/ MIN 1500G (// . 17 INVERT DROP GARB. GRINDERIVO (+200% EDF) 25 ' TO CELLAR MANHOLE TO GRADE ELEV GW D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLETI� - OUTLET Aa (2" OR . 17 FT) TEE REQ'D? LEACHING MIN 660 GPD? RESERVE AREA 4 ' FROM PRIMARY?V2% SLOPEy/ 100 ' TO WETLANDS tx 100 ' TO WELLS 4 ' TO S.H.GW 35 ' TO FND & INTRCPTR DRAINS v 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER i/ FILL?x(25 ' if above natural elev; 101if below) BREAKOUT MET? _ TRENCHES ' Iq rb J'P_ENc)N�s MIN 660 gpdy SLOPE (min . 005 or 6"/1001 ) >31COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN TRENCHES? IN FILL? L-,--- MUST BE 10 ' MIN. 4" PEA STONE? 40 7_' vl674hf4 BOT 79� X LDNG 9 9l + SIDE �9z X LDNG L39A = TOT (L x W x #) (G/ft2) (Dxtx2x#) (G/ft2) Copyright O 1993 by S.L.Starr PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W)xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W)xD x #) (G/ft2) FIELDS MIN 660 GPD 900 ft2 BED PERC RATE FASTER THAN 20M/IN GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? 4" PEA STONE? DIST LINE SLOPE . 005? >31COVER-VENT I SCH 40 MIN 12" COVER I RATE LDG X 660 = = TOTAL ft2/G REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY gpm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP. CIRC. x/ GW (Min. 1 ' below inlet) HWLQ � ,' LWL CHECK VALVEi/ BLEEDER HOLE MANUAL OP. SWITCH Copyright m 1993 by S.L.Stan o CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508) 373-0310 FAX: (508) 372-3960 March 22, 19944 Ms. Sandy Starr Health Agent 120 Main Street North Andover, MA 01845 Dear Sandy: With respect to your letter of 3/18/94, I offer the following: 1 . The reserve area is between the trenches. I have corrected the drawing. 2 . Foundation Drains have been added. 3. A note regarding schedule 40 pipe has been added. 4 . The disclaimer has been 'added. 5. A bench mark is shown on the plan. A note has been added concerning a benchmark in the work area. 6. A well has been added. 7 . 4" pea stone has been changed on cover sheet. 8. Top and sub excavation were shown on profile. I have added it to the plan area. 9. The plan in drawn to scale and as such dimensions are easy to obtain with use of a scale. For your convenience, I have added the dimensions. 10. The north arrow is on the locus on sheet and it is irrelevant in review of a septic system plan. 11. The plan is to scale (see comment Item 9) . I have added the length for your convenience. 12 . I have added cross sections of trenches although I am unaware of such a requirement in the regulations. 13. The leach area provided is 1608 s.f. as shown on the cover sheet, not 657 ft as you suggest. 14 . See comment #6 15. A note has been added regarding the alarm. J 1 or .. 16. A bleeder hole is not necessary when a check valve is used. A note regarding a manual operating switch has been added. 17 . I have added a vent to the D-Lox which is the high point of the system, which is where a vent should be. 18. I don't have permission to go on the adjacent property to perform survey. However, the land is relatively flat for a short distance and then rises. 18. The distance to the wetlands can be scaled from the plan, but I have added it for your convenience. Very u u Ph' Christiansen PGC;lc ��.\'a L �A-,i bindw-6 Z6 w ,► a,�t•�-- � �-- - :4 foci*- -PtEEPT 20 _ _ J � efor t� Fee 4 .�e ball --- ..--pyo _ � T�va- � r Lar ie 47jr4ez bw696 Q,,4AZ A'44 I,,F��0(' - t�vc.u.. �lldean 40 io" ' sa L; C, fes- _ •._;. �,.:.��!___. .. - .. .. _. _ � _ _.._ ...._. ._ _ .. ._.__... ._ _- 1 1z" l • : Z 09 nx, f� 3 - 2.3.7 1z" - Co� 3- 6 77 a7 boa k-. �� _ : +0_ ►-- - - �:28 �s 4s�AtO �4 Sol f- -71 _ lsa (� I2" - - --- - --- � 46% rI�tnw b0yo 504.4 F TO � D;�E � TIM 0FRO ARE CODS ,! NUMBER W OF P + • ���� �` EXTENSIO'N' Lij d wjA(Qv : 6r° (.Q.Q..- Wc SIGNED H"Um CALL IN L CALL Plionel7 troAN75 Tp yItAS .URGE. ❑ CnLI, ❑ BACif ❑ mt�At,x ❑ ❑ SK?10u,❑ �,� ❑ AMPAD NO.23-176-400 SETS NO.23-376-200 SETS ++•� SY N ��D L7 >T 4 i - - a7 GllayDY 50' ENGrWoe�p_ 1.179.PN atom O 7zP- Q. Kc aw�w5 i Des? NoLr-- . 1 lO 4 Nb 1KRrER- No R&PuSAL D- 316" TdP SOIL : 1AQ(zE RaGKS ANP V'NJt; W&� -I eWDu3N 3G'�- IZ0' lz"y i3oNYL�L4etgl. Ttt., n&E 7ZV RA-k . MAJoP-17 / OP CZpG'e-S GIZa��u�►, WITV 60ms U97-0 Z'/i d1 r,,,M- lxiL CwTA f lv S A 44 ee?m AmovNT GF 6IIUc> p-ND 5oM E F m gS. <y< oaN SSS OC Q Z c 2 i L t�R T�t,�'D A 4o 1 7 5o� Mttc.0 z F f NtzIIJ SS12 '554 a "POLAW �'�2.A.ToR 'Papt�C� ►.4 �� -��-. /SIO W1�7'EIz 110 IZEGUSAL 0-34" 7O P Soli.. : L626r5 ROC S-5 AtM F I Cu rr 1.1 rx Wr 137-0w N 30-l32 : Ep-o WN ISOw3Y &LACI A L TI LL -r("TLy ?4c,4SD. rM JOR IV Or r2oGIC.S 40'40 IZ" JIdm. WITH SOME, up TO 21121 �j01L A MI XTURL OF 5►��pS pNU FIlJES, oaN �'F RL. TEST" k � 0� Peck.. Qctr J%c �e� bar - 5Ro7TaM OF �'E57" NoLI= � Ido(.€ : (5'�c��.�, 12'' �iav►�. I" OF SI:DI M EQ 130MM Or' POLC EUD of= 7 SST. MOM\/ SAND ` Z W 171-1 SO M Ft►uES ON TOP, hop� 2: 19 Z � . Z:37 (e12�` 3:63 3.a 7 3: 53 1 60 PF-RG. TMST 20- O&C. 9,0-r �.D t%e% bow -,Lilt) 3, Top SOIL 5' ForroM of TF-S1" 1oLr-- ; yoLE : i�6N dEElp, 4'am%6'DP/ 1 t'8\&vA to=m. CAVE... 1ws pC�UR�D pvQ\r.�Gc TEST GAt�$/�L� RUN 1�ORMI 3" ��R�S ON THE J�o7TOM OF rllE P&E . PT 174+E I07VH OF ME P66E 2"� d PN PVD drMuC-L W M4 I" Or FINES ON 7DR tgl-r a 2 QO'--Ic S COM t F3eO ABY S 1`2E Of= A F15T. /-;OA k- ;2:Z I q P-eC. RATE,. = 46 - 3 = Y0; �;v,, czL srt 3 a FeAc-. Qou. 'AO o, b\�e- \tori% �\II) 3' TdP 501 L 7' 13OT7-OM OF HOLE, I-IoGrE: IS"des? , If diovn. LjOA k � �: la fern 4:29 x:55 A: @ Q" PERL. RATE = ? 3 5:415 �,� i (617)233-5372 ice ���inee2isa Sezvtced Pro CO P.O. - —-- - --- '-- — -- ---- -- Engineer P•O• BOX 1108 '1 196 CENTRAS STREET SAUGUS,MA 01906 —V - -- --6 1- -- - - - — - *P L-- — --- - ----- �- - o - - --- ---- - - - - -T - z t� /T V jr obi I-- o }, 1 i '----- - - --- - - -- --���`=- -- --- -. - ----I-- -�� - -- -- '.`.fit HZ d ar+o-- *2-Z> - I �., .. � •'�� 4asM1 jjlR4ei i , t i 4Y N , Z3�� A'S It 47 �r r �o Lz- . � �L _ 1 -41 i r G RE: Lot 4, Sharpners Pond Road January 28 1994 Ms Sandy Starr \ Health Agent \�6° 120 Main St N Andover, Ma. 01845 ) ` J� Dear Ms. Starr: C2 Please find enclosed a check for $60. as requested at the Board of Health meeting on January 27. Meeting regarding lot 4, Sharpners Pond Rd. Thank you for your help in this matter. Sincerely Judith Dolan 228 Essex St Middleton Ma. 01949 .,; � k�..�,__ �._�._._.. r. A/ DATE V3/,3 A?4 Sheet Of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEE b PERMIT # &--7-t 7 DATE RECEIVED c3 APPLICANT Ap 17-14 -DO/-/)A/ ASSESSOR'S MAP ADDRESS PARCEL # LOT # 4 STREET `-Y tPiVFes L ENGINEER r ADDRESS PLAN DATE Aq/ /m REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED No A)0-7- 15/14044-VO A7 416 7- a " -p6-1967e->1V6- �'iG TE•2 �'/�82/� . 9 /�TANG E5 Q,� 5 �T/G ii9i1/� qt iU07— �5/7�D60N, /� ^�! C E/�S � �/�D ccs G E/l/� T�./ D G T•���1/G.ta c�/� i i --P t> .. REVIEW CONTINUED SHEET OF TL&/g 5S- uk STE/�,.� T,��ivC%'Es IV 14-. IVV /6; F0/"2P AGf-22� l��vs� � OA-) CG�,ecUiT r' GP- 171 7,�'LNGj�'C5 /�U�% �� VCATE, - s ys TES . S, 5/-46 z4J /STi J, < 7-0 GI��TGAiVfj S ,44-1S 300 WELL DATABASE ADDRESS: S71 AGE OF WELL: 3 AA WELL DRILLER: WELL PERMIT.: D WELL LOCATION: +? .--WELL PERMIT DATE:j `Z `f --DEPT*rI OF WELL: -TYPE OF WELL: '"DRII b. DUG c. U1�1KNO WN TYPE OF WATER.BEARING ROCK_ WATER ANALYSIS DATES HIGH MANGANESE:7. N HIGH IRON: N OT=CONTAMINAN'T'S: Y N r