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HomeMy WebLinkAboutMiscellaneous - 65 BROOKVIEW DRIVE 4/30/2018 1 / 65 BROWIEW DRIVE J e 210/105.A-0029-0000.0 I 1 � s J L - I i i I I I n s MAP # LOT # PARCEL # STREET LU1 W' CONSTRUCTION A7YE HAS PLAN REVIEW FEE BEEN PAID? NOPLAN APPROVAL: DATE 1p / PP. BY DESIGNER: � s � PLAN DATE CONDITIONS •r WP TE t UPPLY: TOWN WELL WELL PE T DRILLER WELL TESTS _''-- CHEMICAL DATE APPROVED BACTERIA I-a�� DATE APPROVED BACTERIA II DA E APPROVED PLUMBING SIGNOFF A WIRING SIGNOFF \, COMMENTS: S FORM U APPROVAL: APPROVAL T ISSUE YES NO DATE ISSUED -7 BY CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: BY: I SEPTIC SYSTEM INSTALLATION IS THE INSTALLER LICENSED? NO TYPE OF CONSTRUCTION: EW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW NO CONDITIONS OF APPROVAL YES NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES NO DWC PERMIT PAID? YES NO DWC PERMIT NO. INSTALLER: &?Z,e, BEGIN INSPECTION Y S NO: EXCAVATION INSPECTION: NEEDED: l PASSED %t��% 7 BY CONSTRUCTION INSPECTION: NEEDED: t AS BUILT PLAN SATISFACTORY: -._YES:, APPROVAL fiO BACKFILL: DATE: �(�/ �la� BY FINAL GRADING APPROVAL: DATE l' BY /�_, FINAL CONSTRUCTION APPROVAL: DATE: BY / 4 Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH . 40RT1{ // •� Of t,Sao + �CJ / 19�.L F .'jimmijift F o•' DISPOSAL WORKS CONSTRUCTION PERMIT - ,SgACHUSEt Applicant NA/ME' —p ADDRESS TELEPHONE Site Location �J'" Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption F•_., Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN, BOARD OF HEALTH Fee 7v`�� D.W.C. No. 9�� i Town of North AndoverNORTH OFFICE OF 3�°"tteo ,e,�0°L COMMUNITY DEVELOPMENT AND SERVICES ° h 9 1t Y 30 School Street North Andover Massachusetts 01845 4°°,• �- 'yt5 WnLLLW J. SCOTT 9SSACNUS�� Director June 18, 1997 Mike Rosati Marchionda & Associates 62 Montvale Ave., Suite 1 Stoneham, MA 02180 RE: Brookview Circle Dear Mike: This letter is to inform you that the proposed septic plans for Lots 2, 4, 5, 6, 7, 8, and 10 Brookview Circle have been approved. If you have any questions, please do not hesitate to call the Board of Health office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator cc: Wm. Scott, Dir. CD&S File Dave Kindred CGNSF^VA710N 688-9530. UALIM 688-9W, P!_AN WG 68R-9535 ... .. Cfamawnwalth of Aimiadpmrm pennit NO. onto.use ItFartmcrn of Public $af l occupancy A Fie _ ; BOARD OF FIRE PREVENTION REGULATIONS 521 C51R 12:00 yso Pam blanik) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date %* or Town of _ NORTH ANDOVER To the Inspector of Wires:* The udersigned applies for a permit to perform the electrical work described below. 1 Location (Street & Number) &Fccit V ctir Owner or Tenant o(S CO".� �e�✓ Owner's Address 13 this permit in conjunction with a building permit: Yesr� No — (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps —J Volts Overhead _ Undgrnd t0 No. of Meters iNew Service _D00 Amps D-o Vous Overhead :_ Unagrno No. of Meters i Number of Feeders ano Ampacity Location and Nature of Proposed Electrical WorK ` No. of Lignting Outlets I No. of Hot '"cs I No. of Transformers Total KVA �'.. t No. of Lighting Fixtures i Swimming P^oi aocve.— in. r- grra. _ grno. '_ I Generators KVA No. of Receotacis Outlets I No. of Oil cNo. of Emergency Lightingorners ( Battery Units , No. of Switch Outlets I No. of Gas =urrers FIRE ALARMS No. of Zones No. of Ranges I No. Cf Air C_r.c. 'otai No. of Detection and :cns Initiating Devices t No. of 0i3oosals No.of Heat :otai ,oiai Pumcs :ons No. of Sounding Devices No. of Sell Contained No. of Dishwashers SoaceiArea Heatirg KWF: Oetection/Sountling Devices No. of Dryers I Heating Cev ces KW Local -' Municipal —Other " - Connection :I No. of -No )t Low Voitage No. of Water Heaters KW I Signs Ba Ias:s wiring 1 No. Hydro Massage Tuos I No. of Motcrs lotai HP OTHER: INSURANCE COVERAGE. Pursuant to the reowremenis at r.Iassac7t sers ;eneral Laws I have a current Llacility Insurance Policy inducingc. iec Ccerations Coverage or its substantial sauivaient. YES NO = I have suomittso valid proof of same to the Office. YE VO = If you nave checxetl YES. pease indicate the type of coverage py checking the appropriate box. INSURANCE = BONO = OTHER = (Please Scec:"�) E3umated Value of !ectncal Work S t�OC� /� (Expiration Oatel � /�EEEE Work to Slan �l!!lZc7 - 11 /a2 Inaoecaon Cate �acces:ec: Rough • Final ; , Signed untler the Penalties of perjury I ' FIRM NAME /Gh�-C 0!v / i-G /��CGT/�i Cc-{ A qX_k ^ UC. NO. f%�r(` 60 2� Licensee ��-�--�� Sig^azure � � 4C. NO. Atltlress �p1 }��� (���� Bus. Tel. No.C�A, y��- �'1't Alt. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the t_:censee toes not nave in* insurance coverage or its suostanual equivelent as re• . guirso by Massacnusetts General Laws, ano that my signawre on :^a aermit aopiication waives this reauirement. owner Agent (Please check oner :eteonone No. PERMIT FEE (Signature at Owner or A9enn Date � ' nor 1�iJ1 t NORTI{ 4, TOWN TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACMUSE� This certifies that .... .... ...............¢......c...............0...r.......... ........... CI has permission to perform: :`�''.'..........-�e.�✓ �%,���~"�„�! � wiring in the building of��-- ....................... ' -� 'b .................... . .......................................... at... .45..�(P�-� `-�. `. .... .. �.. ................. .North Andover,Mass. Feed?j........... Lic.N6�.2 ............................................................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer cin+ r-� SEPTIC PLAN SUBMITTALS LOCATION: `r4 cw NEW PLANS: YES $60.00/Plan REVISED PLANS: YES $25.00/Plan DATE: '!; I5 I q� DESIGN ENGINEER. When the submission is all in place, route to the Health Secretary FORM U — LOT REIMS ? 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. ************** **Appl icant fills out this APPLICANT: LJ 1L ,t Vt� �d�N ) (7 � S Phone � b US T LOCATION: Assessor' s Mac Nu-nber /®A f AParcel 3� Subdivision ��OD�diC `� �S /A S Lot (s) Street St. Nu.:ser Use Onl' *'c�c�c�e�c�F�k�c�c�c*�c�eic**ic�ex�c*icx RECgXY 4NDATIONS OFF TOWN AGENTS: Date Approved - q- Cons�r-ra��on /Ad=-4 nist .. _acr Daze Reject-ed C c e nz s GJ Gtr/.0 S / U� �L 7�`C 01-A- Daze Apprcved Town Planner Daze Rej ec zed Cn:_ Daze_ Abrrcved Fcc _:,= e _-ealt:`1 Daze Rej ecze_ Date Aper=%,ed _ns r e�_ ,�- ea_t Daze_ Rem ec J wcz�:s - se;•ier, azar connections _ - d�r_�vrea/lwav permit611911 Re_aived by Building Insrectcr Daze Br00,fVkw Country domes, Inc. P.O. Box 531 North Andover, MA 01845 (508)688-6558 FAX(508)683-4430 Date: �2 To: From: Re: Ile �e `V m logo m MEN son! 0 NEI NEI= so] NMI ON === 0 soon u gal —l7wlmI IN I L =swim EN-" NOW PEPSI MIN mmilil SIMONS 4 54'-0" 4'-9" 4'-6" 9'-3' 13'-6" 4'-6" 3'-C" 2'-6" 6'-0' I I I I I j / 00 \ i 3'-4"h 3'-5" 6'-G"�LIDING 2'-1C" 3'-5" I 5-91/2 X 5'-5" � 1 I EATING ARE4 i 510'1' pI I j I I I 2'-4" ` KITOH,=N I o N l '/4 = =5-C'== = 4'-4Y 5'-4 " �x , 2'-0" iF- - - - - -- - - - I i I N i I I I MNG- ROOT ! �: I N j DINING ROOM j i SII � CD, i . I i II I j _ i I -�u"X 5-5" 2-17'X5-5 1 2 _ 3. I1 -1D X�5" 76" -6"X 5'-5"2-5' 6-6' 2-5" 'AN � � �/ 4'- 4'-0„ 6'-1G„ 4,_,G„ Z,-6„ �,_�0„ 3'_8^ 2'-01/a° 8'- 1 2'-6"1 - _ _ _ _ _ _ _ _ _ _ _ __ _� a 1 . Ln - - - - - - - - -- - - - - ai (Del4� 2'-6" o�I 5'-0"SLIDING i� 1�46!ER BEDROOI"r 7'_0^ 7'-0^ ff 7G"SLIDING I o JN� 5'-0"SLIDING rn i �+c Lo 5'-0"SLIDING o' I GFr -c-41I i i BELOW I - - - - - - ------' BEDROOM ,=�RODM I i - - �— HANDRAIL 2 2'-',0" 4'-9" 2'-10 4'-9" 2'-10 4 9" 2'-�0 9" I � i i 3'-0"X 4'-9" ' 6'-9" 3'-6" I 3'-9" -9" 3'-6" I 6'_:0^ 6'_0" 14'-C" 14'-0" i 12'-0" i 8'-6" 2'-9" Address ����� �U��� � Title of File Page of Date File Open: Date fie closed: Doc Document/Ad Title Date of Refer to other Purpose of©ocume�nt/Action and notes action Document/ document/ Num. Action De artment Board of Appeals — Board of Health Planning Board — Conservation Commission — Building Departm, erRt 11!29!2000 201 Dale St 1000 11/29/2000 65 Brookview Dr 1500 11/30/2000 886 Salem Rd 1000 SEPTIC PLAN SUBMITTALS LOCATION: < rDO �/�� NEW PLANS: YES $60.00/Plan REVISED PLANS: 6D $25.00/Plan DATE: ///-/7 ' DESIGN ENGINEER: �0519-T- When the submission is all in place, route to the Health Secretary i Town of North Andover NORTN f OFFICE OF 3?O COMMUNITY DEVELOPMENT AND SERVICES 30 School Street North Andover,Massachusetts 01845 WILLIAM J. SCOTT SSACMUSE Director May 30, 1997 Marchionda Associates 62 Montvale Ave. Suite#1 Stoneham, MA 02180 Re: Lot #4 Brookview Circle To Whom it May Concern: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: --- If new plans satisfactorily addressing all the following issues are submitted to the Health Department by June 12, 1997, then approval for the plans should be given by June 19, 1997. 1. Only 2 copies of plans submitted. (N.A. 6.01) 2. Only 1 deep hole in system. (3 10 CMR 15.102(2)) 3. Elevations of peres missing. (N.A. 6.02j) 4. Manhole required within 6 inches of grade. (3 10 CMR 15.228(2)) 5. Reserve not 4 feet from primary. (N.A. 2.23) 6. Vent missing. (310 CMR 15.251) 7. Please show distance from foundation to tank on site plan. (N.A. 6.03) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, ' l1 11Z � Sandra Starr, R.S. Health Administrator S S/cjp cc: David Kindred i CONSERVATION 698.9530 WALTH 0;88-9540 rr_aNI rINC'= 488-9535 May 3 0, 1997 Marchionda Associates 62 Montvale Ave. Suite#1 Stoneham, MA 02180 Re: Lot #4 Brookview Circle To Whom it May Concern: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: If new plans satisfactorily addressing all the following issues are submitted to the Health Department b �p�/ Z , then approval for the plans should be given by ,/, i9 Only 2 copies of plans submitted. (N.A. 6.01) Only 1 deep hole in system. (3 10 CMR 15.102(2)) Elevations of peres missing. (N.A. 6.02j) 0,4;.,--"Manhole required within 6 inches of grade. (3 10 CMR 15.228(2)) Reserve not 4 ii=from primary. (N.A. 2.23) Vent missing. (310 CMR 15.251) 6,_7d-- Please show distance from foundation to tank on site plan. (N.A. 6.03) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp cc: David Kindred NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT DATE i �9 7 FEE : d PERMIT # 9� C� DATE RECEIVED ��J~ APPLICANT / �G� MAP PARCEL ADDRESS LOT ## 4 STREET ## ENG. M 1V6-lV%GA)D A STREET '&00XV/&C2J ENGINEER ' S ADD. PLAN DATE REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: /1'11r r-c b �/l/• • /� r,v 5 A/. �� /d C1�1xf row s -� ';e f5 5 5 ,.v6. (141_ D " Ur9-r D 4 �I N/fid C E ��Q U/��D �@�lJ7�/� � "O/J G'•�°/��G_ \3 l0 G�1� /� /5 •�a$Ca)� j`C/UT 1�/SSr�VG . 616 (-11t C �/�o u� `z�r5�/�yc� s2oMd ti �� 7 �GC�s� �/ /J T /Ufe 6 /j 5 /,7-457 ✓� ' /r . -0,4) PLAN REVIEW CHECKLIST ADDRESS ENGINEER GENERAL 3 COPIES STAMP LOCUS L/ NORTH ARROW SCALE v CONTOURS_ PROFILE ✓(Sc) SECTIONBENCHMARK & SOIL PERCS ELEVATIONS WETS. DISCLAIMER Lf WELLS & WETS WATERSHED? h'6) DRIVEWAY WATER LINE 1--' FDN DRAIN L-1 M&P SCH40 41' TESTS CURRENT? SOIL EVAL SEPTIC TANK MIN 150OGL-� .17 INVERT DROP GARB. GRINDER-AL(2 comps +200) 10 ' TO FDN MANHOLE ELEV GW # COMPS.j GB4-- D-BOX D-BOX SIZE # LINES 3 FIRST 2 ' LEVEL STATEMENT L f INLET 1,;21-3-f - OUTLET laCI•�A = > > (2" OR . 17 FT) TEE REQ'D? SCI LEACHING MIN 440 GPD? RESERVE AREAy 4 ' FROM PRIMARY?� 20 SLOPE /-- � 100 ' TO WETLANDS 100 ' TO WELLS 4 ' TO S.H.GW 4----�-(5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINSL/ 400 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY �� MIN 12" COVERS FILL?4--"' (15 ' ) BREAKOUT MET? TRENCHES MIN 440 gpd SLOPE (min .005 or 6"/1001 ) !/ SIDEWALL DIST. 3X EFF. W OR D (MIN 6 ' ) RESERVE BETWEEN TRENCHES? &-"/ IN FILL? �-*"' MUST BE 10 ' MIN. � 4" PEA STONE? v VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE = /// ---5X LDNG14 = TOT �Jr? T�CJ (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1996 by S.L. Starr I EDGE OF WE TC` _ �S(T w OPEN SPACE 108.30' 140.07' 134.53' TOWN OF NORTO A li it IER/ e 1F'!E OCT 9 17 a I Q 00 �- Ln Ln 4 N N/F r- 43,114 S.F. N/F 0.99 Ac. LOT 5 LOT 3 T.F. ® BACKWALL ELEV.=133.29 6+. owwwa® 46.5' � EXIST. FND. 55.3' ..� OF Mgssq Ncv. 130.18' 33.4 STEPHEN M. �•'``z_ j MELESCIUC ' No. ✓ —� :, L; 5 500 ss��' �!►qN�SUR��y _ wf 2 L=8 92' �0� V`� 125 •p0 _ ,/J�� R--49'-64 WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT ALL APPARENT EASEMENTS AND ENCROACHMENTS ARE LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO. 250098 0009 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/93, THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR. FLOOD HAZARD ZONE. CERTIFIED PLOT PLAN LOT 4 BROOKVIEW DRIVE MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I BROOKVIEW COUNTRY HOMES STONEHAM, MA. 02180 P.O. BOX 531 (617) 438-6121 NORTH ANDOVER, MASS. SCALE: 1"=40' DATE: 10/8/97 I 1 ��� n " � .�� n �1 �' ��' '�J � � n � � c C� � � � f 00 I n LI f / 4 43, 114 S. F. -T 0. 99 Ac T i I I T.F. @ BACKWALL ELEV.= 13 3. 2 9 E I i f EXIST. FN D . I 4 6 . 5 4 — 55. 3' i 'j { I T.FND. 33. 4 ; ELEV. =137.299 . ` . 50 � 75 . 00 O L= 8 . 92 ' o .- 00 ' . 64 o o O .�® AAA� WE HEREBY CERTIFY THAT WE HAVE EXAMINED ® �ZNOFM,I fv THE PREMISES AND THAT ALL APPARENT Sqo EASEMENTS AND ENCROACHMENTS ARE LOCATED THIS PLAN IS INTENDED FOR ZONING � yGJ' o AS SHOWN. THE STRUCTURE SHOWN CONFORMS STEPHEN M. PURPOSES ONLY. IT WAS PREPARED d E ► TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDSN 3 WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED `✓F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN O ,,e COMMUNITY PANNEL NO. 250098 0009 C SHOULD NOT BE USED FOR PROPERTY A qN y�� DATED 6/2/93 THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. b�� U� �® IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. CERTIFIED PLOT PLAN LOT 4 BROOKVIEW DRIVE MARCHIONDA & ASSOC. , L. P . NORTH ANDOVER, MASS. _ ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR BROOKVIEW COUNTRY HOMES 62 MONTVALE AVE. SUITE I P.O. BOX 531 STONEHAM, MA. 02180 NORTH ANDOVER, MASSACHUSETTS (617) 438-6121 SCALE: 1 "=20' DATE: 10/9/9,7 t OCT- 8-97 WED 1 2 : @ 3 P . 02 P EDCE OF wETt o- Trp / I •)�/ OPEN SPACE TORN OF K10111"11 108.30' '1 140.07' r 134,53' �_z } e ►v� � V1997 co ai ul N N/F " 43,114 S.F. N/F 0.99 A`. LOT 5 LOT 3 T.F. •BACKWALL ELEV..133.29 g►•� a a. -- 46.5' EXIST. FND. 55.3' --" 1A OF Mqy I� 130.18' 33.4' MEEMC X69 I ~ y0 0 88� Ra175r0df\�) suf%q Vi 2" La8.9 100 Q0 ONO RSA 5.04, 412 O? _ �kA�L� WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT ALL APPARENT EASEMENTS AND ENCROACHMENTS ARE LOCATED THIS PLAN IS INTENDED FOR ZONING AS MOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPAUTY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO. 250098 0009 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/93, THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR. FLOOD HAZARD ZONE. CERTIFIED PLOT PLAN LOT 4 BROOKVIEW DRIVE MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I BROOKVIEW COUNTRY HOMES STONEHAM, MA. 02180 P.O. BOX 531 (617) 438-6121 NORTH ANDOVER, MASS. SCALE:1"=40' DATE: 10/8/97 Town of North Andover, Massachusetts Form No.2 f 14ONTq BOARD OF HEALTH of '` 1 a 9 F p T DESIGN APPROVAL FOR C"USf`� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant k'VA -•• Test No. : Site Location fi 4 Reference Plans and Specs. • ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHA11MAN,BOARD OF HEALTH Fe — bL Site System Permit No. �'CJ 1 9 - 98 T H U 1 4 1 8 P� I OF�, VE� �ow�! S��rx A+ 0 $.:,WAGS DISPOSAL SYSTEM INSTALLATION CERTIFICATION. Tke utrdexsi 4d hreby certify that tht Sewa.6e Di.posat Systems` } .oustructcd, { )rt,paired; by was installed in cc orrraan�with the North,.Andover Eoard of HoAlth approved plan,System Desip Permit* ���,&ttd �7 ,Adth an approved desiP flew of galls, s errday'- 'ilie rxxatcrials used wera in eonforn3;nCz V th those specified on the approved plaxr;.thc:syste vias i astall�:d in.accord=- ce with the provisio�as of 310 CMR 15,000,"fine S and los 'regrilaiioxxs;and the g' �agec,s substantially Vil die approval plan. k1 work is accurately rgxacnted on tho As !pujt.v hich has been subrrtittPd is the Board of Health. Yrtstallcr• � a tit,A. ' .._ ic.4: ..�.._..� Data I vU Date' "7 ' OCT—2 0—9 7 MON 1 3 Is P . 02 { EX. VENT 1n EX. 3' X 53' TRENCHL--S CSV 23.5' E F — � 4 43,114 S.F. P; 20.3' � 0.99 Ac.c - - � : EX. D-BOx 26.3' i EX. 1500 GAL. B T.F. 0 BACKWALL SEPTIC TANK 5 3 . ELF-V.=133.29 Xe, ft I �-- 46.5' -�—� EXIST, FND. ' 55.3' T T.FND. 33.4' J' LEV.a137.29 .00 L=8.92' 0 00 25 00' 64, ELEVATIONS TAKEN AT TOP OF PIPE O I $YANG TIES {' TOP OF FOUNDATION: 137.28 COMPONENT CORA COR 8SEPTIC TANK 26.0' a (ANTER) { s, PIPE DOWELLING 130.94 0-tiOX 50.6' (CENTER) TANK IN: 130.52 I �• END PIPE:C '5a,4'TAN7 OUT: 130.18 F.NO PIPE: D D-BOX IN: 129.95 .N I : E 7 j D-BOx OUT: 129.78 (ALL) END PIPE - 0 129.32 ;? END PIPE F: 129.34 j END PIPE - 0: 129.33 AS-BUILT SEWAGE DISPOSAL MARCHIONDA & ASSOC., L.P. f SYSTEM PLAN ENGINEERING AND PLANNING CONSULTANTS I LOT 4 BROOKVIEw DRIVE 82 MONTVALE AVE., SUITE I MA. 02180 NORTH ANDOVER, MASS, STD(a 7)3a-5121 3 PREPARED FOR . BROOKVIEW COUNTRY HOMES SCALE: 1.76• DATE. 10/20/97 { P.O. BOX 531 NORTH ANDOVER. MASSACHUSETTS M At A flLF NO.: 351 - 22 A 4W- kmLx-w redl)0 _ APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSE# LOCATION: %� �lDdl/ V/f LICENSED INSTALLER: fc-Te-r SIGNATURE: t �J"`� ' L TELEPHONE# 6�S �I— /? C - CHECK ONE: REPAIR: NEW CONSTRUCTION:4 / IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes _ No Foundation As-built? Yes No Floor plans on file? Yes No Approval �C�LL � Date: Z:�Zjz'7 A 9 1997 # i i W Ln EX. VENT 23 ,�T Ln EX. 3 X 53 TRENCHES N ----------- 23. 5 D — E _ F — 4 -- — 43 , 114 5 . F. 20 . 3 ' 0. 99 Ac . EX. D—BOX 26 . 3' B T. F. C@ BACKWALL � EX. 1500 GAL. � . SEPTIC TANK 15. 3 ELEV. - 133. 29 A -�— 46 . 5) --�- EXIST. F N D . , 55 . 3 NcA_ T.FND. 1' kofMq 33. 4 P s s LEV. = 137.29 . tPIVIL A. BA o , ; 0, .� 1-15 N , o.405_ �— �i V J rJ 0 � i 9� F�ISTEP0�� '-- �✓ SS�ONAL ENS / 1 � e D L- 8. 92 �� 00 �05 , 125 . 9 0\4CNJ 9 6 4 95 ELEVATIONS TAKEN AT TOP OF PIPE SWING TIES COMPONENT COR A COR B TOP OF FOUNDATION: 137.29 SEPTIC TANK 26.0' 40.0' (CENTER) PIPE @ DWELLING: 130.94 D—BOX 50.6' 27.4' (CENTER) TANK IN: 130.52 END PIPE: C 54.4' 80.8' TANK OUT: 130.18 END PIPE: D 79.2' 91.5' D—BOX IN: 129.95 END PIPE: E 75.0' 51.9' D—BOX OUT: 129.78 (ALL) END PIPE — C: 129.32 END PIPE — F: 129.34 END PIPE — D: 129.33 + AS—BUILT SEWAGE DISPOSAL MARCHIONDA & ASSOC., L.P. SYSTEM PLAN ENGINEERING AND PLANNING CONSULTANTS f LOT 4 BROOKVIEW DRIVE 62 MONTVALE AVE., SUITE I STONEHAM, MA. 02180 NORTH ANDOVER, MASS. (617) 438-6121 t PREPARED FOR BROOKVIEW COUNTRY HOMES SCALE: 1=2o' DATE: 10/20/97 P.O. BOX 531 ! NORTH ANDOVER, MASSACHUSETTS M & A FILE No.: 351 — 22 i CO a , EX. VENT 2 3 Ln EX. 3' X 53' TRENCHES 23. 5' E _ F _ 431114 S. F. 20. 3 ' — 0. 99 Ac . _ EX. D-BOX 26 . 3' EX. 1500 GAL. B T. F. @ BACKWALL SEPTIC TANK 15. 3 , L 'IE -133.29 A 46 . 5 --_ EXIST. EN D . 55. 3 A�(a OF Mess T.FN D. 33. 4' LEV.=137.29A ' JO A. BATPU n ' ✓� NI ► ... \ J No.4f�052 i 69 , V \,�FGISTEP� �.i "� -- `� F� . 00 SS�ONAI L- 8. 92 . 00 _ � � 100 , 125 64 909 ' 0 ELEVATIONS TAKEN AT TOP OF PIPE SWING TIES COMPONENT COR A COR B TOP OF FOUNDATION: 137.29 SEPTIC TANK 26.0' 40.0' (CENTER) PIPE ® DWELLING: 130.94 D—BOX 50.6' 27.4' (CENTER) TANK IN: 130.52 END PIPE: C 54.4' 80.8' TANK OUT: 130.18 END PIPE: D 79.2' 91.5' D—BOX IN: 129.95 D—BOX OUT: END PIPE: E 75.0' 51.9' 129.78 (ALL) END PIPE — C: 129.32 END PIPE — F: 129.34 END PIPE — D: 129.33 AS-BUILT SEWAGE DISPOSAL MARCHIONDA & ASSOC., L.P. t SYSTEM PLAN ENGINEERING AND PLANNING CONSULTANTS l 62 MONTVALE AVE., SUITE I LOT 4 BROOKVIEW DRIVE STONEHAM, MA. 02180 NORTH ANDOVER, MASS. (617) 438-6121 PREPARED FOR I ; BROOKVIEW COUNTRY HOMES SCALE: 1=20' DATE: 10/20/97 P.O. BOX 531 NORTH ANDOVER, MASSACHUSETTS M & A FILE No.: 351 22 Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH March 26 19 98 CERTIFICATE OF COMPLIANCE - This is to certify that the Individual Soil Absorption Sewage Disposal System constructed or repaired ( ) by Peter Breen INSTALLER at Lot 4 Brookview North Andover, MA SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design _ Approval Site System Permit No. 920 dated .Tune 17 19 97 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Er = BOARD OF HH--'AL H Commonwealth of Massachusetts RECEIVED City/Town of Na4l 1+d011z4 JUL 23 ZU1Z System P"umping Record TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Ia(Cllity info ation: System Location: .Address / i , dam J l9- - / City/Town State Zip Code System Owner: ?Name: Adress (if different from location of pump) City/Town State Zip Code q-15- &S-7- s-.?-;� Telephone Number Pumping Record Date of Pumping ! d2 (quantity Pumped-.... ..../; ;-Do gallons I me of System-X—Septic Tank Grease T rap Other (what) System Pumped by: (r aria 0'q Company: ROOTER-MAN 46 Portland Street Lawrence, MA 01843 Location where contents were disposed:�1 � Signature of Hauler Date