HomeMy WebLinkAboutMiscellaneous - 660 GREAT POND ROAD 4/30/2018 660 GREAT POND ROAD
21.0/063.0-0011-0000.0 SAD i
- _ 1
r
e
Did complainant see a doctor?
Name of doctor or hospital :
Date doctor was seen:
FOLLOI
Was food service or retail foo,
Date of inspection:
Findings: ....................
------------------------------
Was follow up call made to comj
File original in complaint filt
establishment file.
r
R
■
• �.
DESCRIPTIONELECTRICAL MLI
. MODEL
.w.�w www���w��wo• www ��www w��w��ww��ww���
_�! iii r�s:a .r► t>rt�s>rz,:.es�s,�•iirsrr..ra�r�.�a..al: -��wis V■=1•ani srri�% >v[�
WO if _!i•
�.�I��il i� wru..s�.••a-�4 .�.���.s�� �����w����www.�w�
I.TJ,',}�YI�D7L�
mataG. .� l�rs•1lnara:.a.-��i■�i■�i��ii i��ii Irl �r`�■�vti i ■�—LTi i■ ■�" _.w
®P�/i7ili..l.•.�J1/.:✓.2ML
����!wrw a.ww.•
�r�:r_�tr_xaa.r..�.:•r��s�[�sm1 s:��y�zisii�iVs,�i���r�>.WPM i�i��■� 'iTi i.�■ice���i�•i iii
�,.ti��� wi i ��ti��i ■•r twi�o ti wi
—� --�'
5 �a�+s��= :...ia�.ar►i,.+: sr�this ri i tttt>•■�� ■�si•I�7s iii�ti��ii�ta�;y:
..z. .3y— ��--
sr,�r. amba r tsar .iJ►•nJr+FAaii�■t its it _L .i�7� mo �i -' r:L
w.
Q/Yw��191a9L r�.r��u ►�a �nwf es�rui■i��snit�i�i��w i�riw ii�i"i i�w i iii i■��is�d %�it �
� � wTi o ttti tiw�ww•tii twi�i tti ttti itwi wi ti_�
►�i�"-r.?r-rr7ra �inl�iLw7l�'�iriir sYJ�/J14'i 01W ��o tii r iii i■�■is S�i>•.Y 1S a tG]y�ls�% 7e:�Yir/1ia.Llf r,�./+'fmsr�Z•r!s
--ias �c ��o s.�N`�r�:a ai�isi ir■ti i is�t+v�NV—AMMOM w�a■�■�w■�'tip is�i�is s K�,r.e���ar���+a��rr�►w .�a�.+:eta
_w iittsi
Lrl �Y
am—
'go,tws 0 ttww silt ti �w
Filum-wis i tsi �w� "r�i Zs�"ist �s ttttti ttai isw i■i�s[�� r:==s•,s ;�:
iwi ttw�toti sttuw r=•cN r�t����titer tis twii i ti sii siitww�><uiu��=->n-���•_�...�r�
illi Ji f5''t L�!!•lIG�7li� �_ ti t3riT�i3 1v1 .a"Ja-� i��:*11 �
%� Ri.ra� sYTl•i����t i�wi� �O��!,till ll3lfiPi't?��.M�G?r!IlJD:.
��11J.�r3. iiV� f'Lf w/i'i• MW r i•a IJlfiNi�l�7►'�f�tG'l.�' /NI.�L�
v�II��%+d zLn�,�+aJ.llr�'a[il_ �/-�>i��i•lFir>i O'i ii�������_
91 ��•ryi��a�:i!�l■r�trc' — o twti,tii ti i�tiw i.t tsts�it>.ttti ii ttti i.
l i wig i i w�i its>i it i•wtiwsw, Q
._.�.�..�. ���i w�ss>t srgnls itti wu%i i t>Gcw Til twi ttiw��ti tis�ss■�iw
i/"q �; J"Ll1� !Y!il•f'ATi)•�i�l;i�i• ������am�[ttll�f�►1�.:li��i��:�5tr��aa� A
�- �aa.sri?r.•�ii■i s i i s �i�iii i■t>it its•i _iti tai ti�i■ !i.
,�g1�.n� � ,.,i,�rmi�l�u:�i so�tier ii i ttti"Ti t E�ii ttti tiw tttti wit lies+
o r"—is�wi tto■
C�.. nu�rr„� �wwwwww�"�Slgl'iiiIi�irL �.�it—���i•S� �_NJl/'!i.Ji1.:�77�1.'r�3ilit/I!/�
Esi ti wi i tti tttti i"'r�i tsi testi tti w■w tsi i twi wsttw• —
� - i tttiti ti
� - til ttii�iii�i■ttti ttttti tis ti,,,tees tsi titre iii _
ti o sn�Z■�i�s �_�a tion it>•i -
� tttit wi i t i�t>.i�i�i i�,tt tis til ssi tis�o t�iitii
� i� tttti res ti r��i`Ti■ �!�_w�ttti�r�ti wi�i -
twii tits,ttti!tttti sti� sit tssi�t>•i testes ii titi_
�tis� iw it � ��s�it lees sti ssi wises
■tw r�i Mill i"tt� ■ti wssf - - -
WE
i
.L
0-
s .
;. r . 4
rl
MCA
? 1 '
21 25 93 IS if t2 11. r• " 9 � ?l0 7
4.
_
ti
SC,
nt�}c s q 13 YY \ , MJ F S EXT®N DR,
/��-`
[FOOD SERVICE SPECIALISTS/CONTRACT FURNISHINGS DA'
%b-\l—S[� AkREN
OJECT:
IyW (6117)
3 Say Mpi,fv s+ Utaao (Y— 3) r6 3
r_
._.._____�._ ._ _ - - w _ .?/.f'.HW tNi;E`1'� *.72"Aff_.YCc•C 70 YER�Y)-..:.+�_":"- _-._.. ' _..
VAP -
__-- _ -- ._ _ _... _. � -•, 2081V,��p�.19,tZ.v tctt!'hr.t F (&.G:�'OVF�iFYj _
2";1VY TO Fw
.--
2?DV,'1Q, -
- _. . ._ :.
ao8 a Jg Sof�v _ �/k 1w-ro KFS
V s/y IP (Co =� _ IrW't4fi?o"AFF.
- _ IIOV Ek,G�,�J3HP _ ..r._ _
aa�v� 3�,Tg,f µP CFrecZtr) +°A'A>=f,G.C.'o,�x _
,JD,V4Nr (:Z—iR)
R-e"I Corn PYV-.VS O r
Foto WAY K-.1 N., Go0_l�
a
_ w
11L"1w,--tvAFf
...__�/414,140;wv�tE1,:+tb•Affis_."" ... ,.._
LT
Z"W,t V AFF
IZ°LYl,fZ7"AFF -
-. . .. "HW/t?.9"AFF
� --- - --r
1W HWI+?,o"4F.F
oih}O� - -2•x'1', 15'AF`
Come-
-� FTFD F
-- - r ,
Ell
.r I
r-.
t� V ALJ (4�1NfG11ON'2 KNOWN AFc£ A� .KWUIR£G 1 _.. i2Gt'l,i.h,JPirclay'F.FF Pt?ftR + A1Utf£DGtRGtJ,�
+'Fa"Aff [ci O VtRl�Y)
9Y UVR IN5TflVVAL ?IEC£ OF Ip:Nc . Aq7 ARE �U { ;i i 1 E";Y�o KF7
VP
,7t{,4,bxw,+E&4.FF
0,3_9W,*%'AFF
v I `
.�1-17
71
F7574
- - -_
-- - ---
76
77 -
78
79 _
80
81
82
83
84
85
86
87 - -
88 -- - - -
89 -
90
91
92 - --
93
94 - -
95 - - --
" NOTES 1 LEGEND
1.UNLESS OTHERWISE SPECIFIED, SERVICES SHOWN ON THIS ABB. DESCRIPTION ABB. DESCRIPTION
PLAN ARE FOR FIXTURES BEING SUPPLIED BY S.E.RYKOFF ONLY. C.W. COLA WATER E.C. ELECTRICAL CONNECTION(CONDUIT)
MECHANICAL&ELECTRICAL CONTRACTOR MUSTCHECK OWNERS
PRESENT EQUIPMENT BEING RE-USED OR THAT EQUIPMENT N.W. HOT WATER D.R. DUPLEX RECEPTACLE
MARKED N.I-C.(NOT IN CONTRACT)WHICM IS BEING SUPPLIED BY W WASTE(SOLID CONNECTION) S.R. SINGLE RECEPTACLE
OTHERS SO THAT THE SERVICE REQUIREMENTS ARE CORRECTLY
TYPED,ADEQUATELY SIZED,&ROUGHED-IN PROPERLY(L(CA. I.W. INDIRECT WASTE HP HORSE POWER
TION&HEIGHT)SO AS TO MINIMIZE THE AMOUNT OF MATERIALS O.W. OPEN WASTE(NUB) K.W. KILO-WATT
&FITTINGS NEEDED FOR FINAL HOOK-UP RESULTING IN A NEAT&
ORDERLY LOOKING JOB. F.D. FLOOR DRAIN P.O.C. POINT OF CONNECTION
2.ALL LABOR,SWITCHES,DISCONNECTS&FITTINGS REQUIRED F.LF.D. FUNNEL TYPE FLOOR DRAIN AMP. AMPERAGE
- FOR FINAL CONNECTION OF EQUIPMENT AS NECESSARY TO
COMPLY WITH ALL CODES,INCLUDING ALL 1NTERWIRING TO BE S.W.S. SAFE WASTE SINK 208/1 VOLTAGE/PHASE
FURNISHED BY ELECTRICAL CONTRACTOR UNLESS STATED G.T. GREASE TRAP' SW. SWITCH
OTHERWISE IN F.S.E.C.GEN.SPECS:
3..ALLLABOR,VALVES,TRAPS,TAILPIECES,STRAINERS,PRESSURE G. GAS J.B. JUNCTION/BOX
REDUCING VALVES,&FITTINGS REQUIRED FOR FINALCONNEC- B.T.0-. BRITISH THERMAL UNIT I R.S. REFRIGERATION SLEEVE
TION OF EQUIPMENT AS NECESSARY TO COMPLY WITH ALL
CODES.INCLUDING ALL INTER-CONNECTIONS TO BE FURNISHED C.F.M. CUBIC FEET PER MIN. B.T.C. BRANCH TO CONN.
-BY MECHANICAL CONTRACTOR UNLESS STATED OTHERWISE IN A.F.F. ABOVE FINISHED FLOOR
F.S.E.C.GEN.SPECS..
4.MECHANICAL CONTRACTORTO PROVIDE REMOVABLE 12"SEC- D.F.A. DROP FROM ABOVE
TION OF PIPE IN MAIN GAS SUPPLY LINE IN AN ACCESSIBLE AREA _
FOR INSTALLATION OF EITHER MECH.OR ELEC.CONTROLLED
# GAS SHUTOFF VALVE,FURNISHED&INSTALLED AS PART OF FIRE
dE PROTECTION SYSTEM. }
. - a
I
U"POLE
EX IS7/N�
BUl�WNG
PbOL
/AREA
VENT
67
\ '
>4 21
\ 65
b-r3ox
`0S
I' �P
f-4
PL/MP
ot-D G.EpCHING I
AccG55 .�-S �I I F/EUJ I
MANHOC.E I
�'\ ❑ I9 Ptitu G
LFACNING\ D-ODx SSE
-
SLO!'" G RL 00leCUE/Y /
(150) X = 150 — _ . .. . . ... ... . . . ... . .. .. . . .. .
DE51611i EL EVWXON Ar.. .. ... . .(FOR OF 57ONE) _ .. . . . ... . .. .. . .. .. .. .... ....
CX15T/N:� ELE&TION ,4T. . . .. . . . . ... . ... ... . .. .. .. . . . . .I .. . .
61- 4T/0111,5
DESIGN ,4s Z3U/LT 45 461//L 7'
/NV P110E- OUT OF!-/OU5E ,g
/NV f'/RE INTO c POMP 140-00 JC�/iV �JU/t.Fi�CC P .5 0 .4_4
/NV P/PE' OUT OF
/38.00 `�c �A�
INV R/PE INTO D. BOX /43,-70 f 43 Z9 J J �/��
/NV P/PE OUT OF 0 ,30X143.53/43.s3 14z,9q�
INV END OF P/PE /43,o0 , l4Z,66 /VbRTN AN0OV€/2.,/!M
014x,56 F02
f42,60
WZTE-2 ELE`V,4T/0/V �OL�/�vG RIDGE CONF���I(CE GENTE�
138 1 o /36,5
.41/E?,46E STONE p, .5"L E .' / "—4ti' D47-E.- 1/7/91
DERTiq ,4T RE 045E
NOTE.- 7-11/S IOZ-.oN 15 NOT Q w,4,e�e.4NTY C141515TIAN5EN 's t,5ERCl , IIVC.
OF T1/LC 5Y57-EM BUT 4 kE,2IFIC,47-10N /&0 SUMMER STREET — HAVERoWILL ,MASS.
Of T11E LOC.4T/ON OF 7-WE E115T/NC
57-IC'UCTU2E5.
t NORTH 9
6
:g °A BOARD OF HEALTH
120 MAIN STREET
: 682-683
�9SSACFHUSNORTH ANDOVER, MASS. 01845 TEL
Ext. 32 or 33
' y I
t , •
May 16 , 1990
Rolling Ridge Conference Center
666 Great Pond Rd.
No. Andover, MA 01845
To Whom it may Concern:
We have been informed that you are providing a camp
to school-aged children, which must be licensed by
the town.
Enclosed is an application to operate a camp. Please
return the completed application, along with the fee
of $25 . 00 . You will be contacted by the Board of Health
to set up an appointment as to when you will be in-
spected.
If you have any questions , please contact us at 682-6483
Ext. 32 .
Thank you.
Sincerely,
t
-:. / :r...:Y
✓'
Stephanie J. L. Foley
No. Andover Health Department
SF/rel
Enclosure
DelleChiaie, Pamela
From: Sawyer, Susan
Sent: Wednesday, December 23, 2009 2:17 PM
To: DelleChiaie, Pamela
Subject: Rolling Ridge-permit renewals
FYI
From: Gary Hall [mailto:GaryH@rollingridge.org]
Sent: Wednesday, December 23, 2009 11:22 AM
To: 'Larry J Peacock'
Cc: Sawyer, Susan
Subject: RE: permit renewals
Good Morning Susan,
Thank you for the reminder.
We have renewed the dumpster in November,#BHP-2010-0129 and are presently working on the food permit.
Thank you and have a Merry Christmas,
Gary A. Hall
From: Larry J Peacock[mailto:RevLPeacock@rollingridge.org]
Sent: Wednesday, December 23, 2009 11:13 AM
To: Gary Hall
Subject: Fwd: permit renewals
Begin forwarded message:
From: "Sawyer, Susan" <ssawyer .townofnorthandover.com>
Date: December 22, 2009 2:53:11 PM EST
To: "'Larry J Peacock"' <RevLPeacock(a)roll ingridge.orq>
Subject: permit renewals
Larry
Please check to see if your permit renewals were sent in. Food and dumpster.
I have not seen it.
They are due by 12/30 or double the price.
Susan Sawyer
Health Director
Larry J Peacock
Executive Director
Rolling Ridge Retreat and Conference Center
660 Great Pond Road
North Andover,MA 01845
RevLPeacock(i lollingridge_org
www.ro l lin gridge.ori
978-682-8815
1
P
ROLLING RIDGE
United Methodist Conference Center
666 GREAT POND ROAD, NORTH ANDOVER, MA 01845
TELEPHONE: (508)682-8815
April 23, 1991
John S Rizza D.M.D. Chairman
North Andover Board of Health
120 Main Street
North Andover, MA 01845
Dear Mr Rizza:
In your letter of March 21, 1991 which I received on or
about the 28th of March you referred to your letter dated
January 22, 1991. I assume you refer to the letter from
Mr Rosati. This is to inform you that all items in the
January 22, 1991 letter have been completed. I would
appreciate final approval from the board of health so we
may release our contractor of all obligations.
Vn behalf of the Site Committee I wish to express our
sincere appreciation for the assistance of the board in
assuring the health standards here at Rolling Ridge.
Sincerely,
Jef f rW C. Thomas,
Executive Director
JCT/cg
Certified Mail
cc:Mr Robert Fisk, Site Chair,
ROLLING RIDGE
United Methodist Conference Center
666 GREAT POND ROAD, NORTH ANDOVER, MA 01845
TELEPHONE: (508)682-8815
March 25, 1991
Michael J. Rosati, Health Agent
No. Andover Board of Health
120 Main St
North Andover, MA 01845
Dear Mr Rosati:
I apologize for not replying sooner, however I had nothing
to report due to the failure to perform on the part of our
contractor. Based on a recent return to the site by Mr
Mathews we can report that the vent and alarm have been
completed. We continue in negotiations with Mr Mathews
on your other concerns and have engaged counsel to secure
same.
It is our full intent and hope that this project will be
completed in due haste.
Since ely,
;Jef rey T mas,
Executive Director
cc to Sandra L. Kelley
Robert Fisk
660 GREAT POND ROAD Rolling Ridge Conference Center
° �"% North Andover
° Food Est. - Function Facility - Routine Inspection
14
�st4cwustt HACCP: ❑
Item Status Violation Critical Urgency
Telephone: PROTECTION FROM CONTAMINATION
(978) 682-8815 09. Food Contact Surfaces Cleaning and Sanitizing FAIL Critical RED
Owner: 4-501.111 Manual Warewashing-Hot Water Sanitization Temperatures*
New England Conference of 4-501.112 MechanicalWarewashing-Hot Water Sanitization Temperatures*
g 4-501.114 Chemical Sanitization-temp.,pH,concentration and hardness. '
PIC: 4-601.11(A) Equipment Food Contact Surfaces and Utensils Clean*
4-602.11 Cleaning Frequency of Equipment Food-Contact Surfaces and Utensils*
Tobias Marx 4-702.11 Frequency of Sanitization of Utensils and Food Contact Surfaces of Equipment*
4-703.11 Methods of Sanitization-Hot Water and Chemical*
Inspector: Comment:The dish washer did not reach the minimum required rinse temperature of 180"F. Service the dish washer to insure
David Greenbaum proper rinse temperatures. Use the three bay sink to wash,rinse and sanitize all dishes and utensils. Foward the service invoice
Date Inspected:jCorrect By: to the Board of Health.
6/5/2009 Violations Related to Good Retail Practices (Blue Items)
Risk Level: 25.Equipment and Utensils FAIL Non-Critical BLUE
Comment:The stove and ovens need a thorough cleaning.
Permit Number: The Continental reach in needs a thorough cleaning.
BHP-2009-0266
Status:
PARTIAL COMPLY
#of Critical Violations:
1
Time IN: 7:Time OUT:
Urgency Description(s):
BLUE: Owner to notify the Board of Health within one week that the above violations have been corrected.
Violations Related to Good
Retail Practices (Critical
violations must be corrected
immediately or within 10
days)(Non-critical violations
must be corrected immediately
or within 90 days)
North Andover Board of Health 1600 OSGOOD STREET BUILDING 20;SUITE 2-36;South NORTH ANDOVER MA 01845(978)688-9540 healthdept@townofnorthandover.com
GeoTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 05,2009 ) Page I oft
' Item Status Violation Critical Urgency
RED:
Violations Related to
Foodborne Illness Interventions
and Risk Factors (Require
immediate corrective action)
North Andover Board of Health 1600 OSGOOD STREET BUILDING 20;SUITE 2-36;South NORTH ANDOVER MA 01845(978)688-9540 healthdept@townofnorthandover.com
GeoTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 05,2009 ) Page 2 of
660 GREAT POND ROAD Rolling Ridge Conference Center
North Andover
Food Est. - Function Facility - Routine Inspection
� cwu' �i HACCP: ❑
Item Status Violation Critical Urgency
Telephone: PROTECTION FROM CONTAMINATION
(978) 682-8815 09. Food Contact Surfaces Cleaning and Sanitizing FAIL Critical 91 RED
Owner: 4-501.111 Manual Warewashing-Hot Water Sanitization Temperatures*
New England Conference of 4-501.112 MechanicalWarewashing-HotWaterSanitizationTemperatures*
g 4-501.114 Chemical Sanitization-temp.,pH,concentration and hardness.
PIC: 4-601.11(A) Equipment Food Contact Surfaces and Utensils Clean*
4-602.11 Cleaning Frequency of Equipment Food-Contact Surfaces and Utensils*
Tobias Marx 4-702.11 Frequency of Sanitization of Utensils and Food Contact Surfaces of Equipment*
4-703.11 Methods of Sanitization-Hot Water and Chemical*
Inspector: Comment:The dish washer did not reach the minimum required rinse temperature of 180°F. Service the dish washer to insure
David Greenbaum proper rinse temperatures. Use the three bay sink to wash,rinse and sanitize all dishes and utensils. Foward the service invoice
Date Inspected: Correct By: to the Board of Health.
6/5/2009 Violations Related to Good Retail Practices (Blue Items)
Risk Level: 25. Equipment and Utensils FAIL Non-Critical BLUE
Comment:The stove and ovens need a thorough cleaning.
Permit Number: The Continental reach in needs a thorough cleaning.
BHP-2009-0266
Status:
PARTIAL COMPLY
#of Critical Violations:
1
Time IN: Time OUT:
Urgency Description(s):
BLUE: Owner to notify the Board of Health within one week that the above violations have been corrected.
Violations Related to Good
Retail Practices (Critical
violations must be corrected
immediately or within 10
days)(Non-critical violations
must be corrected immediately
or within 90 days)
North Andover Board of Health 1600 OSGOOD STREET BUILDING 20;SUITE 2-36;South NORTH ANDOVER MA 01845(978)688-9540 healthdept@townofnorthandover.com
GeoTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 05,2009 ) Page I of
Item Status Violation Critical Urgency
RED:
Violations Related to
Foodborne Illness Interventions
and Risk Factors (Require
immediate corrective action)
North Andover Board of Health 1600 OSGOOD STREET BUILDING 20;SUITE 2-36; South NORTH ANDOVER MA 01845(978)688-9540 healthdepta@townofnorthandover.com
GeoTMS®2009 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Jun 05,2009 ) Page 2 of
lc/U'y/177V 1V.La 71 VUVlll Oi rVLL11Y17 rlLVG I"Hl7G UG.
ROLLING RIDGE
A Co Terence &Retreat Center o f the�Nrew England Conference of the United Methodist Church t
December 4, 1998
David Ferris
Department of Environmental Protection,
Northeast Regional Office
205A Lowell St.
Wilmington,KA 01887
Dear Mr.Ferris:
Rolling Ridge is in the process of converting our septic system to municipal sewer. I
have received permits from the DPW and Conservation Commission,and hope to do the work
this month. Recent conversation with the NA Board of Health has raised the question of use
of our existing lift stations and tanks in the system.
Rolling Ridge currently uses two lift stations to pump liquid waste to our leach field.
Prior to the first lift station is a 1,248 cubic foot reinforced concrete septic tank Our desire is
to use this septic tank as the fust lift station,with;reserve capacity for power or pump failure.
Our second lift station would be refitted with appropriate pumps and continue service.
Could you please clarify if we need to file fox an application for approval,.or permit,
with your office?
I would appreciate hearing tom,you as soon as possible. Please call me if you have
any questions:(978)682-8815 x11.
Sincerely,
Craig W.Garland
Director
cc. North Andover Board of Heafth
660 Great Pond Road,.North Andover,MA 01845 •Tel.978-682-8815 • Fax 978-681-1162•E-mail: rridge@mdc.net
Town of North Andover Qf "ORT"
OFFICE OF 3� 111 t o '6"+
L
COMMUNITY DEVELOPMENT AND SERVICES - p
27 Charles Street
North Andover, Massachusetts 01845 `°A,,,, "`qy
WILLIAM J. SCOTT 97
SAcmuS�t
Director
(978)688-9531 Fax (978)688-9542
Establishment: /1 ,
Address :
Telephone: Date:
Person Spoken With:
Owner• �,a �} yV '" 1 C^,�
t
On this day an inspection was made of your waste receptacle area.
Your waste receptacle area was found /' clean dirty and the
cover of your waste receptacle was found min good repair
in poor repair and kept closed not kept closed.
Other Comments:
410 . 600 Storage of Garbage and Rubbish - Garbage/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 .
410 . 601 Collection of Garbage and Rubbish - The owner of
any dwelling shall be responsible for the final
collection or ultimate disposal or incineration of
garbage and rubbish by means of a regular
collection system approved by the Board of Health.
410 . 602 Maintenance of areas free from Garbage and Rubbish
(A) - 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 and
dwelling or of the general public.
mer son 1:1 C:arse
sr�c mor
17 i < 9 r.):.I/l ❑r iitr '1 V_)` �
DEP;=:V-7'YT OF PUBLIC HEA-'T /DEP;,P"'ErY7 OF LA3D.R d
,� ,
�/� 1t 0TI FICATI ON OF DE--
Z$'
E
�`_ h11 sections of this form must be completed in order to comply ani
the notification requirements of N-X.L. L. 111. 5197
FILE NUMBER
Contractor performing project, o'Tec� InI� Certification k U o002-0'L
Lead Paint inspector fY1P._;S J 1 L_ C'170� SVG Date of Inspection
r
hddress of Proiect
Puilding Name (if a.�y) p1OOr 2nd ��
Street address;` rU -� 'XPt. No.
city zip
Deleadinc Method: DRY SCRk?ING EEhT GUN ENCA?SLLATION DEMOLITION
(circle a-'1 that apply)
POWER SRNDIA':, CAM5,TICS P.E?:.�CENrl�'T G:'EER
selected, please explain
C.�ec? one: da nc is M: _a... _u _ --
Start date =�a` +.> CompIetion 'Date
work be done. ar_ pm- �eekel:ds? ND
?_cjec_ ��pe= iso_ Name &-(zn'lln6 Melino Cert"cat_ r �So0o2 �J
Jr:'pe _:1 Owner
<< Co�DO -)Qed-A- Pond Q-oo-d
Citu no�'� l af)a0 e-I( State
Ir_ case cf eme_gencu contact • I IY1�� TOf� O(Y1e�L-1
da: (��O ) 1"I`1'y`5�`t eve:inc (�o�� �a4 " 3iZ8
(OVER) .
-0634=15 rev 1/6/89
A .
{
.. _ _ F a55a-h L: e 5
`.� c �Cr,=,cn E w ._ �� -^ -OD'
,_. ya�ces b.e re�er;a ' corca� sC.
�." r r ;
or covering of pai;t, p=aszer soil or ocher - .east f"ve
remo�'a' be provided
to the fo 11ow•inc pe:sons
dangerous. levels of lead, is to p '
dans prior t0 the beginning of deleading.
Occupants of the dwelling unit .• ... ti,-.
1• •
2. A_11 other occupants of the residential premises, if any
Childhood Lead Poisoning Prevention Program
3, Director,
impar went of Public Realch, 305 South Street, Jamaica Plain,•-N.A`'•02130.;
f Technical Services
4. Laza eTovaI Program, Bureau o� dUstrla. a S fety
.c- 'eS is �S1C^
ar ent c,' i,abor and =nc of TT:nV
00 Cambr iQoe Street, Roor Boston, Nh 0« 2
,���I Board of F.ealth/Ce-de -r-:forcemert naen�
5. y
6, l;assachusetts Historical Cor.fission
(if pre,4ses is lis-ed on the State Rec;ster of steric Places)
_ r that he/she has read
�, the �ena_ tes c_ perj:.-:,
^.7e ._nCersi=e' herebg states, "Ce_ ... 1.+ ac rip l�or- !a`ions/ 45Z C!P
the CD.n7 , JEc_'_^. Cr NLssa 1 Set- Delea - Cud Z60.00" 27G
l 105
1_ .✓0, -.c ;rat ?, _., is true enc cor-ecr to best
_^'� nG^ C✓ntaznea
c'f-.._s/%'_- y,o�_ec_e Gat �eLef.
Vic.
office ;?sE 0:-.
+
rev'..*16189
JJ343/6
xy�;# ✓ ;"nuF t � 4:^E"sz'-"^."'."."""... 9+ :: s. .+E. ]r r �'r c�jt '�� :`�c.. 4
a -
1
t NL1RT{i � l
BOARD OF HEALTH
I
120 MAIN STREET
TEL: 682-6483
NORTH ANDOVER, MASS. 01845 Ext. 32 or 33
qs
:j SACHUSE
d APPLICATION FOR DUMPSTER PERMIT
PURSUANT TO SECTION 31A AND 31B OF CHAPTER 111
OF THE GENERAL LAWS, AND RULES AND
REGULATIONS OF THE a
NORTH ANDOVER BOARD OF HEALTH
N
{ DATE November 12, 1991
1 t
t r
TO THE BOARD OF HEALTH:
1 Application is hereby made for a permit to maintain a dumpster on I
e
I
property located at 660 Great Pond Road, North Andover
in accordance with the Rules and Regulations of the Board of
Health
F
Check use:
( ) Residential use ( ) Commercial use
( ) 30 day temporary ( x) Annual
Name of applicant: Rolling Ridge Conference Center
Owner of property: Southern New England Conference, United Methodist Church
Telephone number: 508-682-8815
On the bottom half of this form, please sketch an outline of
property, showing the proposed location of the dumpster. Give
distance from dumpster to other buildings and lot lines or
boundaries. Use back side if additional space is needed.
No change from map submitted on August 15, 1991
Please return this application with a fee of $10. 00 ($5 . 00 for
temporary permit) to: Board of Health, 120 Main St. , No. Andover,
MA 01845.
STATE STREET BANK AND TRUST COMPANY 26938
SWTHERN NEW ENGLAND CONFERENCE BOSTON, MA 02206
THE UNITED METHODIST CHURCH 5-2/110 3
566 COMMONWEALTH AVENUE !
BOSTON, MA 02215
PAY X10* Dollars and *0** lents 11/07/91 $10. 00 �
TO THE DATE AMOUNT F
ORDER OF
BOARD OF HEALTH
120 MAIN STREET VOID AFTER 90 DAYS
NORTH ANDOVER MA 01845
1110 269 3811' '11:0 L L0000 281: u'64 2 444011' r.
NUMBER FEE
✓O THE COMMONWEALTH OF MASSACHUSETTS1 0. 00
..........TOWN........... of --------NORTiI-A-NDO-V-E .............•••..
This is to Certify that ................Rolling Ridge___Conference___Center_ _
NAME
.............................................660-- G-r-eat---Fan4d••Road-----------------•-------------------------------•------•---------..----
ADDRESS
IS HEREBY GRANTED A PERMIT
For Maintain One (1) Dumpster
--•-----•-••----•-------••-------------•----........--------•-----------•-- g
r
......•-•••-......-••-•••-•---••••••......••••••••••-•••••••--••-•••-----•........••----•--••---.......--•------•••....--•••-------•------•-----•---•........---•-.......... _
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires.....Dacemhex....31.,....19 9.2.............unless sooner suspende revoked.
�'Sa)p
A .:.:. - .---•----
�.
............De embex---7:3.,..........19.....91 .._. +.z .........i.
-- --------'. h, ----rte, . ..-------•--^-�----•-•--
FORM 451 HOBBS & WARREN, INC.
NORTH
Ottto ,6gti0 -
p BOARD OF HEALTH
120 MAIN STREET TEL: 682-64
7 e°q.f10''P`y y 83
9SSgOH�SE�� NORTH ANDOVER, MASS. 01845 Ext. 32 or 33
APPLICATION FOR DUMPSTER PERMIT
PURSUANT TO SECTION 31A AND 31B OF CHAPTER 111
OF THE GENERAL LAWS, AND RULES AND
REGULATIONS OF THE
NORTH ANDOVER BOARD OF HEALTH
DATE_ August 28, 1991
TO THE BOARD OF HEALTH:
Application is hereby made for a permit to maintain a dumpster on
property located at 660 Great Pond Road, North Andover
in accordance with the Rules and Regulations of the Board of
Health
Check use:
( ) Residential use ( x ) Commercial use
( ) 30 day temporary ( X ) Annual
Name of applicant: Rolling Ridge Conference Center
Owner of property: Southern New England Conference, United Methodist Church
Telephone number• 508-682-8815
On the bottom half of this form, please sketch an outline of
property, showing the proposed location of the dumpster. Give
distance from dumpster to other buildings and lot lines or
boundaries. Usebac,c'
side if additional space is needed.
see attached
•
o
O
Please return this application with a fee* of $10. 00 ($5. 00 for
temporary permit) to: Board of Health; 120 Main St. , No. Andover,
MA 01845. t
NOT DRAWN TO SCALE
MAP
LAKE COCHICHEWICk
Outdoor Chapel "+ road
j1 '�•• path
i
l
Main Building
Del iver ie
Ottice
O �� • • � .� �� O East
Wing
Fountain Court and
GUEST ENTRANCE to Moses
A. Main Building and Hall
East Wing
_� of
B. Moses Hall
G\Yest 1st floor: Bathhouse
2nd floor: Private Res dence
P Volley
Ball r Men jWomen
PICNIC AREA
Swimming ,
1
Basketball0
DistricCt Softball
Sner iUendent'�
esidence
0
Exit Entrance to 11666+(0(hO
GREAT POND ROAD
0000
ROLLING
RIDGE
q- a Y6o v
R - D 3ov
t White Church ,W DIRECTIONS TO
y f Rolling Ridge
- Traffic Light 9S i3 0\0
`Town Boundary Exp 1` \
43 ee e
g -o
L oke
Cochichewlek $ X33 To
\
Rt 95
495 9\E,` 1` r �� •• \ .
1
`� ROLLING RIDGE CONFERENCE CENTER
33 ��� aZ o a 808 Great Pond Roar!
C s No.Andover, Mass.01845
• o (508) 682-8815
S • A F ot>t W stern Mass usetts, RI , Conn
�raveg north on 34
Exit 43 MASS AVE
j from off-ramp right on Mass Ave.
1 . 8 miles on Mass Ave,
turn left by White Church.
You are now on Great Pond Road which
4
bears to the riqht one block after church� 8/10 m to Marbleridge Rd,
�? Stop Sign, turn left
8/10 m to R.R. entrance on left.
From Boston
3 v Travel north on 9.;
L 1� /� Exit 41 - Mile 16 - 1 25
<1a miies north on 125.
A 1st set of lights, left 125-114,
travel 5/10 mile.
i 2n set off 111 hi ri
B ravel 2/lugmils�. ght North 12`'
3rd set of lights, right onto Andover c
travel 7/10 mile, bear right at fork.
Travel 2/10 mile, cross Mass Ave
with White Church on left .
You are now on Great Pond Road which
bears to the right one blo-k, after church.
8/10 m to Marbleridge Rd,
A, B, C, refers to Stop Sign, turn left
3 traffic lights 8/10 m to R.R. entrance on left.
in a row. _. 93 / o, i- �
V Relationship of
To Route 93 ROLLING RIDGE 4 ins 9
(Exit 41)
to Major Routes
� 3 I
133 Qp
�t
I1Y
Mwss I ly
O V E R
� o
496 3
f uZ ak"' 1� �t+ �:� i+ K a ,• c ' Y. _:.-r,+.�,.,�.e�_ .. .-a+x+*q+r••r.aeh
••s,�;e p „r• y+�,y�it y .,v�...9t ?� �"+^•.`";, a�"'` ` '*.:�:w>�+� � a�'i `�'i��'�^,,. x �*���� �+'�'t�S' � -
Y .t; ij� �• '
it i
i'.
j
'f NUMBER
THE COMMONWEALTH OF MASSACHUSETTS FEE
N4DRTH...ANDOVER----•-...---•-...----•-.
This is to Certify that .......Rollin
.............Rg--Ridge._Conferen....
NAME 4`2..�r�'XIP�x.......................
........
Road. Nor-t11 -AndIave-r• ...jvjA
ADDRESS r '
r
i
IS HEREBY GRANTED
A PERMIT
.? For ............. Maintain
O
.......n...e. .
... 1) DUM
..t_er
............... ...........
_- -._-
-
...........................................................
.... ..... -•---••--•-----•••.....__ .............---....................._........_......._..:.. ..••
This permit is granted in conformity
expires _ _ with the Statutes and ordinances relating thereto, and
P Aesr��b� __.3� 9J...._....... n n�
unless soo� .suspefiliq or revoked.
--- Se t .. _---- . .y __ ..
p. e1t?ber 12 --•-......
x..............19. ........
......
FORM 481 - -----
HOBBS @ WARREN, INC. ff�� - -• --••----•"""-'•'-•
— - 25 $79 .
k - ---
s ; CRUST COMPANY
+ TE STREE
STAT BANK AND 02206
BOSTON. MA
yF CONFER CE -21,0 3
" y ENGLA EN
ND
SOUTHERN NEW $10.00
g" THE UNITED METHODIST CHURCH
586 COMMONWEALTH AVENUE
02215 t.). /1!_/r�1 AMOUNT
BOSTON. MA ()## 1=a rt t S DATE
jar
and
PAY
k i s TOTNE
r OMEROF VOID AFTER 90 DAYS
Bopp I CIF HEAL-TH
�; ,-.i� 1"IAI►`� '�,TREET i�iC:4��
NCIRTH ANLiCIVER
ts t4 Lt 0 Ito
� _� F t 2 58 7 911■ ''�0 110000 2
-
k _ _
K -
-
Town of North Andover, MA
Watershed Septic System
Servicing Report
Date: /b -/3 9
Homeowner: DANIEL A. GIARD
Pumper SEPTIC SERVICE
Street 6-o &L,�ZF�� �d tV AL Address: N0. ANDOVER_ MA
Phone Phone (508) 686
Nature of Service: Routine
Emergency
Observations: Good Condition
Full to Cover
Baffles in Place
Leachfield Runback
Excessive Solids
Heavy Grease
Roots
Other (Explain)
Description of Work:
Comments.
COMMONWEALTH OF MASSACHUSETTS
F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
d DEPARTMENT OF ENVIRONMENTAL PROTECTION
Metropolitan Boston - Northeast mal Office
p1M SYsv
NOR�HNEp,��H
ARGEO PAUL CELLUCCI �OWKgOPaD��
Governor TRUDY COXE
2 , Secretary
DAVID B.STRUHS
Commissioner
December 16, 1998
Craig W. Garland, Director
Rolling Ridge Conference Center
660 Great Pond Road
North Andover, MA
RE: REQUEST FOR CLARIFICATION- Sewer Connection and Use of Existing Septic Tank
Rolling Ridge Conference Center,660 Great Pond Road,North Andover(13a-Merrimack)
Dear Mr. Garland:
The Metropolitan Boston-Northeast Regional Office of the Department of Environmental Protection
has received a letter dated December 4, 1998 from you requesting clarification of permitting requirements
related to the connection of your existing septic system to the municipal sewer system. In your letter you
state that you intend to convert the existing septic tank into the first of two pump stations for pumping of the.
sewage to the municipal sewer. The second pump station to be used would be an existing one currently used
as part of the septic system.
A sewer extension is defined as the construction of new sewers the ownership,operation and
maintenance of which will be assumed by the city or town at some point in time. A sewer connection is
defined as construction.of a sewer which will be privately owned,operated and maintained. From the
information presented in your letter,you have proposed a sewer connection which includes two pump
chambers. Any connection which is to be used for anything other than a single family home and requires
pumping must obtain a sewer connection permit from the Department prior to commencing construction.
A Transmittal Form and a copy of a sewer connection permit application form are enclosed. Please read the
forms carefully and submit all the required information along with the appropriate fee to the Department
locations specified.
The Department notes that your project also involves the conversion of an existing septic.tank into a
pump chamber..However, it does not involve the use of a septic tank as a septic tank prior to the sewer .,
system. As such an additional permit for the use of a septic tank prior to a sewer system is not required.
This information is available in alternate format by calling our ADA Coordinator at(617)574-6872.
205a Lowell St. Wilmington,MA 01887•Phone (978)661-7600•Fax (978)661-7615 •TDD#(978)661-7679
��a Printed on Recycled Paper
Craig W. Garland Page 2
December 16, 1998
Should you have any questions regarding the contents of this letter, please contact Ms. Claire A.
Golden of my staff at(978)661-7743.
Sincerely,
Rol
Madel n Morris
Y
Deputy Regional Director
Bureau of Resource Protection
MM/CAG/cg
\1998disk5\nandover\sewers\rollrid l.doc
Enclosures
cc: Sandra Star,R.S.,Agent,Board of Health,27 Charles Street,North Andover,MA 01845
Tim Willette, Department of Public Works,384 Osgood Street,North Andover,MA 01845.