Loading...
HomeMy WebLinkAboutMiscellaneous - 65 BRIDGES LANE 4/30/2018 65 BRIDGESLANE 210/104.D-0119-0000.0 f w° ',�, Lot & Street V� s k t �AJ flap/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit# Plan Approval: Date: Approved by: i Designer: Plan Date: Conditions: Water Supply: Town Well 4 I Well Permit: Driller: Well Tests: Chemical Date Approved Bacteria I Date Approved Bacteria II Date Approved Plumbing Sign-Off: Wiring Sign-off: Comments: Form °U" Approval: Approval to Issue: YES NO Date Issued By: Conditions: Final Approval: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other? YES NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: SEPTIC SYSTEM INSTALLATION CONDITIONS: Is the installer licensed? VN NO Type of Construction: REPAIR New Construction: Certified Plot Plan Review YES NO Floor Plan Review YES NO Conditions of Approval from Form U YES NO Issuance of DWC permit: YES NO DWC Permit Paid? YES NO DWC Permit# Installer: I Begin Inspection: YES NO Excavation Inspection: Needed: ( Passed: By: Construction Inspection: Needed: As Built Plan Satisfactory: YESek ay, Approval of Backfill: Date: By: Final Grading Approval: Date: 7i iJ'L By: J Final Construction Approval: Date: Z U"� By: \ L. Certificate of Compliance: Approval: 'A l 0U Date: )u I , 1 t • 4 i I + t 1 � I i r 1 a I t f } t O f LDS 70 A, f`- ;Fl NG rND i ' 34 + i Lu J I E L.EVAT IONS I avo f TOP rTI D 147.97 � ! HOL-SE OUTLET 144,47 ST INLET 14237 �•- i ST OUTL F T 142 20 D L30X INLET 141 cis D BOX OUTLET 141,64f PIT 1 13x:;,4-0 i PLT 2 138-49 PPT 3 13ti•7 4 x a , i i i ICERTIFY T 4ATTHE SEPTIC SYSTEM WAS INIAL LE-0 AS SHOWN- PLAN Sl0Vy'Il',,G SLA�SURE�'\CF7SFA rRAGE THIS PLANIS NIOT INTENDED ASA WARRANTY OFTH E SYSTEM, DISPOSAL SYSTErvi AS- BLAL, i I i L OCAS10N LOT 70A [RIDGES LANE I i OW N FR CRESTV,'00D L-)V E LOPN FN T CORS? ; i DATE G-24-87 SCALE I�l40` s PREPARED BY,V 0 B cm !-31 16 Jeslgl Yg r �'��or th Andael, l v�isso0184 _ - YIt.MflY7L/I PZ A AJ c514t0 (W1,AJ4? 7 PROPOSED SU6SU�eFACE SEWAbE blSPaS& 61%TEM b ,° ANo �lr JP,po,oasEo Zor �9&AbIA16 b.4 r& = 'g - 15---e 4- .4c5. N1L AA • Lar 70,9 BR/bafs L�9-Mf / AES/G A/ER J r Ir- ' �r s `,�- � ' ` JosEPH J BA�eB•4�rcc.o ) /1-�. �� T � .^ ',e: WE-SrWARD CIRCLE r� ► ' f , /-..- \ f�6 , /too. A'F-Ab/.t/G , MASS. t3S - TEG Lor 708 r ..---1*0 q 4 AES/G A! DA rA - ,�` Ai \ `' '► _ ��*c TYPE OF eU/z a/A/4r 9 4•R• 2)wr Ai QARAGE ¢ CEU.4R Aa&AISIA/4 AAC/41 ES= SEK/AGE FLOW E5r/MATE• O° Cr•P SEPT/G TANK /s'o o S A i4BSG�PT/ON AREA /0 2 S" S 3 Pi t S l G• d 35Q5P �LA ERr/ON TE � STS / +�Z 3 w�ct [ TI>Q ELEY/AT/aN t4l . S4 ruRA r/o / /v + Ml..l 1 \ \ /I"nv 9- DROP // 4f/A/. [ Mi+tl. Ml,". A01/A.1 "ra 6" DR°P !C , •�"" ` ► `� \ �` 10wReol-A T/oAl RAr* G MMv. /•v \� TEsT Pers � ? a D� /G /V L*g_ . _..._.. _ . \ �� \ -- DA rE 3 --s- 4 -14 -R z 'PIC' t t a bi /3-4 x 3 Z 4 t z X '7/ = 318 0 2 ` '\ \ �► \ �. TOP E46VAT/all/ / +o •o \ SO/L TYPES .1A/D //' Tli- ,L L L ' WArER TABLENo W rElz 9 WA•sER � 440CA77/40A1 } � �, � � BOTTOM EGE(/AT�cN' �Itt• © � _'topo /1i1;'0 Wr7'l,y/rb JV GfL' v.gs eev:p, ES7 Lacy ?-,10 AOS 4y Scio t G/Lts R /,S• . a TESTS GOA14!klCr�� BY : Sfl/+ spa f/�+ /.3rtRb/1�,40/a .� . W4 JA/E-tZ41Vb OR �Rh/n✓.S W/r!//V /a o`d r ,b/SPasNL Sy$rE 7'6-5725w/T�IESSEd sy /Yt• Ra$' A 7' /• B•M• = /39.33 R,Al of C•/3 BF 7-WE,-,V Lo fS /a- 2 EAZAMN1IItMW.T1/'t.JYLLW.1ffNKatY4tAIMMA'fl./.a. ....•..•..r.,,wvn•.rowwsa+ .,un+.ewws...ev.ar.r...w,nm.n.aw•ramsrns •... P.C?ECA5T COn16RETE 5'6EPAGC PIT — �8""/� WASHED C'CU5,gED. ST AA-- �. 1Z- WA5A;,W CRM-%W6C) STD NE —� �LbL/BLE IVASNEl>-AASNO SPK. T-i/��� �z �JAXIINvivl CDI�E� wi rAl rEE) tZ"MAx. O O d O O O O O C) C7 2'X 2'X 3" CONteETE O O O C> v O O O d cSPGAsh' PAD O O O O O O O o /¢' UEEPAGE P1 r Q—A cSEEPAGE P/T- cSEGT/opt! B"B ¢"*�CAST-reakl, S=.oos SEEPAGE AREA PE,e P/T /S 0o 6r4L. COAuGe ETE SEPTIC TA alb I 141 J ¢''�SOL ID RUC•, SEAGE� TO/l1 rs, S=.003 r"� j SHALLOW SEEPA 7E P/7- CAP 14? I LJ its 19 7 I I+i -140 -A _ ' 't� ►3q O o �� i �u' I �� 1 � •i34 •13.7 �*' I (� I � w ' b•34 i3� 04 - 132 LQ - AIN. G - 130 P17- 7 0 R E / AGE HD.2. I��'¢� yE.2T. ���- ¢� /ieOF/LE -- SSEEPAGE P17- PZ.AA! -QNp cSEC7-10".S c�fIEET � �F Z- . • w 1 i i j r i r t 5 1 t f i sT70� r 3 ,Ar EXISTING FND � I w FORM U - LOT RELEASE FORM r 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 PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET ,e/1�CG5 'C•'9 ST. NUMBER ****** * * *************OFFICIAL USE ONLY**********************.************ RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR HEA LTH DATE APPROVED �L DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED G� DATE REJECTED COM MENTS /.v E/T/� .���9 LU �(J 5-S O/C a E� � PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm I I �1 f 70 A. � \ o _ rr 3L � _-__ ----��-- 54'+-fes f.k � 1I 70;Q RDFS a ELF„ATICX6uiI °v° 14797 8 M-ET 144,47 cru 14231 f 142 20 4� IT 141, t35 ” TLET H 1-6-+ 13ri,40 I 1313.49 T,. l 1 ATTHE SEPTIC SY�.,_.M WAS Ii.,;TAllE1. AS SHOWN, ���� SI ����►�- I C�,C� ��_ L,.JL. ( Fi C_IF JFPO, _... AC �. IS NOT INTENDEn AS AWAR NANTY OFTHF SYSTEh!o DISPOSAL S,,YSTFIA /'�`;- hL L. LOC,�T1 Jf LOT 7O A f F-71 f-;C)F S i. A N F OV%,NFR p nL`.Tp { r Town of North Andover Office of the Health Department FO p Community Development and Services Division 27 Charles Street North Andover,Massachusetts 01845 s ase Sandra Starr Telephone(978)688-9540 Public Health Director Fax(978)688-9542 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 04/10/02 This is to certify that the distribution box and connection pipe constructed () or repaired (X) by Thomas Sawyer at 65 Bridges Lane has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. grian J.LaGrasse Board of Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 rtg��.�K'?.��z�1 t!� :��.�'�.�"7'-�)('; ��i�.:i fJ�%YI�'��."�4.) .:4�i.3}-� �ycRs�°>°tf�:�� .� C.Ir:� ' r'•,i , .:/� .`a.`di.?� �i"v',i�!. .lif.:t �?Ii.a'" r J r?rj p� � ,.'�-y',Z2,� ��!x•71 {L f 7 .t a�_S .�:. � i.��5 r�7 y �i s ..� 1 { « , ' il;��i-t` ' ,t .. � i � - , (,. r ire Y� Town of North Andover, Massachusetts Form No.3 Of NORTH BOARD OF HEALTH 011. 3? e�T ... •e OO 41 T _ IL AC.MUS{c' DISPOSAL WORKS CONSTRUCTION PERMIT S^C8 Applicant NAME ADDRESS TELEPHONE Site Location . � r Permission is hereby granted to Construct ( ) or epair (�n Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH Fee D.W.C. No. BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: //-- 2 cT —� // CURRENT INSTALLER'S LICENSE# LOCATION: irlgP� LICENSED INSTALLER: SIGNATURE: TELEPHONE# 9-29 CHECK ONE: REPAIR: (/ NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $4166:-@0 Fee Attached? Yes '-'-� No Foundation As-Built? Yes No Floor Plans? Yes No Approval Date: F-IuiRb of H6%:—J -I L-o-r 70 A 55f � A P?U C4k I rbwnl ❑ WELL- AP oyr"D�JTC 5EP-rl G Sy S 1EM VESlC� 2 �PlviN6 gun 1o�,;-y PCAAJ DES+ 6A �15APPRUV�p CO,�p(t�0�15 R�45oNS = DL,XL 6 �Fz _ 5,Pn c SYSTEM t i STA l.1_,Q`I-IoAJ C'X4V TIOo J ,JS-,°t�-.c i Iotv D/JrE �./�-�� -t;�sS F4iL- FINAL I VSPrlo,v QUC APPt�DUJn)G AUTHo���iy� AVDITIo AL, 1,�15F6�::-j jo j5 DISAPt')�UvED R�/j5o NS FVAL OPNOVAL APp)�ovtA)G 6UiNot; -t \j� �-' Board of,Eealth /Ncrt_h .ndotier,)1as3 i " r a .SOs9RFACE DISPOSAL DESIGN CEECK LIST r LOT J� Q t LjJbf e APPROVED DATE DISAPPRCNID DAA G Provided: ,. -- U Reasons: Title V FAIL :- a submitted plan must show as a Reg 2.5 ' a) the lot to be served-obs'ei-vation holessions -distance to ties - location and log deep _ c location and results percolation tests-distance to ties sign calculations & calcvlati.ons showing required-leaching area location and dimensions of system-including reserve area existing and proposed contours g) location any art areas .$thin 100' of sewage disposal system or disclaimer-check wetlands mapping h) surface and subsurface drains within 1002 of sewage disposal system or disclaims' (i) location any drainage easements vithin 100' of senage disposal System or disclaimer-Planning Board files _Aq<know sources of N*ter supply within 2001 of disposal e _ system or disclainer -- - ( -vacation-of-anp proposed w 1- to serve lot-100 fr�d leaching facil cation of water lines on property-10from leaching facility m) location of benchmarkdriveways ' _- M�Mofile garbagePVC to= e-tised 3n construcbtionprof system-el evations 'of basement, plumb, pipe, septic tank, distribution-box inlets and outlets, distribution field piping and J _ - 0tleir ele -Yates- - --- -- (r) �riau3m-=grogun -meter elevation in area se-z.-age disposal system (''s7 plan rust be prepared by a Professional Engineer or other - professional authorized by law to prepare such plans Reg 6 S�tic Tz*aks (a) capacities-150%' of flog, vater table.$ tees, depth of tees, e` access, pumping (b) cleanout pool - (c.) lot from-ce33ar-wall or Anground sz.3 '; g p cl) 251 from subsurface drains Distribution-Boxes- Reg 10.2 a) slope greater than 0.08 Reg 10.4 ocec r C SOIL PROFILE & PERCOLATION TEST DATA �/� Z North Andover, Mass. StreetNb „�/ .� . Lot No_,? Loc/Subdiv. Pland Owner Investigator - Observer +` �© SOIL PROFILE DATES 1_�'1ev N 2.Elev 3.Elev 4.Elev 1 i 0 �0 0 0 Ties Pits est 2 2 2 2 e� 3 3 3 3 �+ 4 4 4 5 5 5 5 �t 6 6 6 6 7 7 7 7 8 . 8 8 �J 9 `3 9 9 9 10, _10 l0 '' - 10 Benchmark ; Location Elevation Datum PERCOLdION TESTS DATES IV B g Z B3 8 Z 83 Pit Number 70 llffZb 2 Z Start Saturation1 `L; 71'7 Soak-Minutes LIA �t i Z; �2 .Z:4,Z Starz e t x : 53 Z � Drop of 3"-Time -z• 041 V. 6 Drop of 6"-Time �y S Mmms.lst 3" drop JLA !U Mins.2nd " Drop Percolation ,� *4