HomeMy WebLinkAboutMiscellaneous - 67 LOST POND LANE 4/30/2018r 1 1-4 r' fD •y.4 'F s. a. f Y �^ i � w r j,s � ?� + e'±P�� yd.��`��'� � ' •t._ A �3.a �u kh V '�4 i � .�e✓wi+t � � .gam .a 1 w � .i � � � -. A MAP # LOT'S# PARCEL # ,.. STREETS ,Q : �ONSTRU.CTIQN APPROVAL HAS PLAN REVIEW FEE .BEEN PAID? YES NO PLAN APPROVAL: DATE l/ APP. BY- DESIGNER:PLAN DACE. �U CONDITIONS WATER_,8UPPLY: TOWN WELL WELL PERMIT DRILLER WELL TESTS: COMMENTS: CHEMICAL A I BACTERIA II DA I E A�'(�RUVEU DA I E flPPRUVED DATE APPROVED FORM U APPROVAL: APPROVAL 1.0 iSUE � ES NO DATE ISSUED BY CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:40S_/wr...BY:._. _ __ /Commonwe lth of Massachusetts Massachusetts System Pumping Record System Owner ,SOx(-2251 ✓1 Date of Pumping: i �. �.j ._-9 Cesspool: No [�� Yes [I System Pumped by: Va&"W System Location 6 � tis+P" Quantity Pumped: gallons Septic Tank: No [ ] License # Contents transferred to: Greater Lawrence Sanitary District Date: Inspector: Yes H -- FORM U -.LOT RELEASE FORM r:. 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. FILLS OUT THIS APPLICANT 1?'hA d 5lqre- PHONE 0 _)_33 y \ff LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET (0 % Z OS/ PUN rJ &/; X/ e- ST. NUMBER � 7 ***** ****** * *********** O F r IC IAL USE O N LY*****"******" �** RECOMMENDATIONS OF TOWN AGENTS: 1 / �C C NSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED � COMMENTS Ib,�S� �C'� V-,Vo'-ts ch 51)- �Q 0t',e_ TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED n / __. DATE REJECTED SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING ii ISPECTOR Revised 919,' jm DATE ft 09 25.8 Exis ting Concrete � Found. � U) 4i C c aCi q) '13 I f -t� � \ J v rn clv, o,Q `cam o o (b lblb- -Qa���1' a v, � � • n a of � L a) �otj Q_ro ,-1-(3 lb -� � N •^, O -n ��.c ° a .�� °� � �o air` lb �(b 0) Q, o "ti II so�oco E�dtj On � J olb cn b � U rt- Nirl� 2 N Ln(,C) C\4 (o op rt- � o '�' Q �-, Ill •<l C1.J '� (IJ `'C ` rl O I I O CIO 00 O LO tlLo N- (Z Q^ I �m QQl �m Q 2o U v� On co v) cn n , I I O N �Pi�2 U� SERv�GE 1� W C?� �.►1— W — 0 u, 0,vJ HI � I C d>o m �U �l � W L1 -- - - - - - - - - - ---- « N C, Q C > v I v Q O r v 10 C cm d y C) CD n Z y CD O'C CLCD r �. 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Q D a- mLA tO T O m v r 3 � m > ro CD cu h 3 0 0 CD 0 cli I CL ". — 0 :3 Cl) w w M � 1; . .0 CD r+ CD S7 m (D o CD > rm 0 0 h a C) M m o m LA 0 0 z > 0 0 z =r h rr, > > -V C) > C) 0 M < M a > > > CD 0 0 w > rn CD z C) 3 co 2� z -0 0 > a 0 CD 3 X 0 CD rn r+ 0 n z 0 z p rn CD > 3 r- 0 CD :3 V) > rm 3 m yap eA� O j 6 S. N T, i O p3 v' *• nsr L41 _ f9 0 Z CD 3 as � v w r y v+ CD Q p � Q o N D O r O O n p(, p -+� WO Z Ey.CD D o c o V ® D OCD Q > �O m —i rn "1 0CD <Lr �C _ A N Z c z Z a m p 00 o — A � _3 0 CL Z c � Qv N r 0 ® D m `�° � 1m" T O 3 z m w FORM U - LOT PJZL ASE 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***************** ���-rss� APPT.TrAN'P _ FI i N 1 6 C r T/V 0, D}�nno o LOCATION: Assessor's Map Number D7'✓ Parcel 1P1qeF ef'/7�iS� Subdivision L°ST Lot(s) l� Street 46S l ','/a La.N, St. Number use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Fire Department Received by Building Inspector Date October 25, 1995 Sandra Starr, R.S. North Andover Board of Health 146 Main Street North Andover, MA 01845 Re: Lot 12, Lost Pond Lane Dear Sandy: Please find enclosed four (4) prints of the revised sanitary disposal system design for the above referenced lot. As stated in your disapproval letter dated October 10, 1995, your approval of this system is contingent upon the following: 1 - Soil Log OP93-15 to be added. 2 - System designed to reflect groundwater at elevation 129.5'. 3 - Move system from aborted percolation test P94-11. 4 - Add a verifiable benchmark not subject to dislocation during construction. Please note that the soil log information for OP93-15 has been added. You will also note that the system has been revised to reflect a design groundwater at elevation 129.5. To meet your third request, the system has been moved approximately 10' from the aborted percolation test, P94-11. Please understand that this test was aborted because it dropped 3" in 32 minutes and therefore required an overnight soak. An acceptable percolation rate may have been obtained had this overnight soak been performed. Also please note that a percolation rate of 7 minutes per inch was obtained from P94-10 and that this test is located within the system area. However, percolation test, P93-10, approximately 28' from the system, yielded a value of 16 minutes per inch. Thus, you will note that the system has been designed on a rate of 20 minutes per inch. To accommodate your fourth request, a permanent iron rod will be set at the nearest lot corner to the system area. A benchmark will be set on top of this survey marker. • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 We hope that you will be pleased with our efforts in meeting your concerns, and look forward to your approval of this sanitary disposal system. Thank you for your time in reviewing this matter. Please do not hesitate to contact us if we can be of fixrther assistance. Sincerely, THOMAS E. NEVE ASSOCIATES, INC. Steven Saraceno, EIT Engineer In Training Enclosures ss/ec 1276-12 Kindredmps / PLAN REVIEW CHECKLIST ADDRESS /Z �-f� -6T 7�q y ENGINEER GENERAL 3 COPIES STAMP L� LOCUS NORTH ARROWt� SCALE CONTOURS v PROFILE ! SECTION Cf BENCHMARK A SOIL & PERCS LEVATIONS WETS. DISCLAIMER WELLS & WETS WATERSHED?A/O DRIVEWAY (Elev) WATER LINE L/ FDN DRAIN SCH40 4t� TESTS CURRENT? ✓ SOIL EVAL 5. 'b'0RJn /5- 3-rRP-e SEPTIC TANK MIN 1500G -L,,--'.17 INVERT DROP GARB. GRINDER(+200% EDF) 25' TO CELLAR MANHOLE ELEV GW ## COMPS. D -BOX SIZE ## LINES FIRST 2' LEVEL STATEMENT INLET AV 73 - OUTLET /31- _ , AQ ( 2" OR .17 FT) TEE REQ' D?V0 LEACHING , MIN 660 GPD? v RESERVE AREA 4' FROM _P_RIR�)_""�2% SLOPE 100' TO WETLANDS C/100' TO WELLS "'/C141:' TO S.�UPP \1>2M/IN) 35' TO FND & INTRCPTR DRAINSC',---' 325' TO 'RF� �PERM- S_ BELOW FACILITY MIN 12" COVER `-FILL?,-- (25' if above natural elev; 10'if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min .005 or 6"/100') IDEWALL DIST. 3X EFF. W OR D (MIN 6') RESERVE BETWEEN TRENCHES? SIN FILL? MUST BE 10' MIN. '-- �4' PEA STONE? VENT? (>3' COVER; LINES >501) BOT Z 0 + SIDE -7'0 X LDNG ` �3 = TOT 667 (L x W x ##) (DxLx2x##) (G/ft2) 15-4411) 7Z0 441v? s Copyright © 1995 by S.L. Starr Town of North AndoverNORTN OFFICE OF 3?Oy �•�•o ,1�� COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Street ` °9 KENNETH R MAHONY North Andover, Massachusetts 01845 SSACH uSot- Director (508) 688-9533 October 10, 1995 Mr. Thomas Neve Neve Associates 447 Boston Road Topsfield, MA 01983 Re: Lot #12 Lost Pond This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1) Please add soil log for pit 93-15. 2) These are not relic mottles. Groundwater elevation is 129.5. 3) There is a failed perc within border of system excavation. Must be shown to be percable or system to be moved. There is no mention of a restrictive layer, so the "note" is not applicable. 4) Need verifiable benchmark, "not subject to dislocation during construction" on site plan. (310 CMR 15.220(Q)) 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 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell DATE Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER %%� SUBSURFACE DISPOSAL DESIGN REVIEW FEE- LOC./ PERMIT # DATE RECEIVED_L/ APPLICANTDAyig- A,_ lyl/ gam, ASSESSOR'S MAP ADDP- V i/ a �� t �� .ice. /c/ �s PARCEL # LOT # STREET REVISION DATE .jNS OF APPROVAL: APPROVED DISAPPROVED A -1.07C 4C 40 17 .� rcg�- �+--tout . To y y�� 16 ilJditlTrl.v 4 A -)67- A) r Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEE � PERMIT # '766 DATE RECEIVED �/� 'J APPLICANT DAVE /�, /uh eQ ASSESSOR'S MAP ADDRESS ENGINEER fit/ & V!�; PARCEL # LOT # l STREET ADDRESS PLAN DATE 9 10 • Ag I91REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED 1.G�i9 D ,b T>o>L Z-,06 -75 7TZ) rB ^-louaP 7-6 16 AA) lV �tJa r -6 U 63 cmc r 7—e)- V 5 L G e R Tl6,U � 'qr .: .'�.�, N 1 } +„ ' � .. 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System Locatio ft rof nt of house right front of house, left side of house, right side of house, Left rear of house, right rear of house, left side of building, right rear of building, under deck. 61, �-? LOS+ R�'�A 412)4--� Citylrown State Zip Code 2. System Owner: Name Address (if different from location) City/Town B. Pumping Record 1. Date of Pumping 3. Type of system: ❑ ❑ Other (describe): Date Cesspool(s) Stata--,) wk-j _-!, _Zip Code —Telephone Number L� — 2. Quantity Pumped: Septic Tank L51! -;v Gallons ❑ Tight Tank 4. Effluent Tee Filter present? ❑ Yes [-No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: Neil J. Bateson Name Bateson Enterprises Inc. Company 7. Low to ere contents were disposed: .L. Signature F5821 Vehicle License Number Date a-�-k t5form4.doc• 06/03 System Pumping Record • Page 1 of 1