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HomeMy WebLinkAboutMiscellaneous - 67 ROCKY BROOK ROAD 4/30/2018 60 ROCKY BROOK ROAD load + 2101090.A-0001-0000.0 N Ew ENGLAND ENGINE ENG SERVICES, ING 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 ,--- . "lel: (978) 686-1768 • Fax: (978) 327-6138 : g� 7 Benjamin C. Osgood, Jr., P.E. President APR 1 2006 LHS l�NDOVERApril 1.2, 2006 ALir?t;?: 'zRTMENT Ms. Susan Sawyer North Andover Board of Health 400 Osgood Street North Andover, MA 01845 RE: TITLE V REPORT: 60 Rocky Brook Road,No. Andover,MA Dear Ms. Sawyer: Enclosed is the Title 5 Report for the above referenced property. The system PASSES the inspection. If there are any questions please call me at my office, 686-1768. Sincerely, EF&njamint. Osgood, Certified Title 5 Inspector I of 11 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 60 Rocky Brook Road No. Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Owner's Address: 60 Rocky Brook Road No.Andover,MA 01845 Date of Inspection: April 7,2006 Name of Inspector: (please print) Benjamin C.Osgood,Jr.Certified Title 5 Inspector Company Name: New England Engineering Services Inc. Mailing Address: 60 Beechwood Drive North Andover,MA 01845 Telephone Number: 978-686-1768 CERTIFICATION STATEMENT 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of the on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15340 of Title 5(3 10 CMR 15.000).The system: ,Z-Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: LO C— The system inspection shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this 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 DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 2 of 11, OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: `T5 I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: A/One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. i The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): Broken pipe(s)are replaced Obstruction is removed Distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): i Broken pipe(s)are replaced Obstruction is removed ND explain: r 3 of 11, OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 60 Rocky Brook Road No. Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 C. Further Evaluation is Required by the Board of Health: NO Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and (SAS)Soil Absorption System and the(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and the SAS is within 50 fat of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organize compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 4of1I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margam Marcheausseu Date of Inspection: April 7,2006 D. System Criteria applicable to all systems: You must indicate"yes or No"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overload or clogged SAS or cesspool. ✓' Static liquid level in the distribution box above outlet invert due to an overload or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than%2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped ✓ Any Portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 fat of a surface water supply or tributary to a surface water supply JG Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 fat but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (this system passes if the well water analysis,performed at a DEP certified laboratory for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrogen is equal to or less than 5ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) 0 (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be c (idered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must in ' to either`yes"or"no"to each of the following: (The following apply to large systems in addition to the criteria above) Yes No The system is within 400 f a surface drinking water supply The system is within 200 fat of a tribu to a surface g water supply The system is located in a nitrogen lens' ' area in Wellhead Protection Area—IWPA)or a mapped Zone R of a public water supply well If you answered"yes"to any qu . in Section E the system is considered a signifi t,or answered"yes"in Section D above the large system has fail a owner or operator of any large system considered a signifi threat under Section E or failed under Section shall 1 the system in accordance with 310 CMR 15.304. The system owner sho ntact the appropriate regional offi e�epartment. 5ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 Check if the following have been done. You must indicate"Yes"or"no"as to each of the following: Yes No / Pumping information was provided by the owner,occupant,or Board of Health d Were any of the system components pumped out in the previous two weeks_? ✓ Has the system received normal flows in the previous two week period? y Have large volumes of water been introduced to the system recently or as part of an inspection? Were as built plans of the system obtained and examined? (If they were not available note as N/A) V Was the facility or dwelling inspected for signs of sewage back up? y Was the site inspected for sign of break out? ✓ Were all system components,excluding the SAS,located on site? Were all the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the / baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if difference from owner)provided with information on the proper mamtenance of the subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [3 10 CMR 15.302(3)(b)] 3 6 of 11• OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): _Number of bedrooms(actual): 14, DESIGN flow based in 310 CMR 15.203 (for example: 110 gpd x #of be&ooms): o Number of current residents: 3 Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no):p/� [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use:(yes or no): . Water meter readings,if available(last 2 years usage(gpd): Sump Pump (yes or no): nl d . Last date of occupancy C,,j �� COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgfl,etc Grease trap present(yes or not: Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no) Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: -F-t vn es (,7 c C-- Was Was system pumped as part of the inspection(yes or no): If yes,volume pumped: gallons-How was quantity pumped determined? Reason for pumping: TYPE OF SYSTI9M _X Septic tank, distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) Irmovative/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attached a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Were sewage odors detected wen arriving at the site(yes or no): /V 7of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron40 PVC other(explain) Distance from private water supply well or suction line: /VJ A- Comments(on condition of joints,venting,evidence of leakage,etc.): V I P(:i 1. O 1 S N a v✓ SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction:_ c concrete metal fiberglass polyethylene Other(explain) If tank is metal list age: Is age conf rmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: /.5-C) O &lq-LL,0 N S Sludge depth: L 1 Distance from top of sludge to bottom of outlet tee or baffle: 3(- Scum hScum thickness: /­1 , Distance from top of scum to top of outlet tee or baffle: S Distance from bottom of scum to bottom of outlet tee or baffle y " How were dimensions determined: ✓v1;-fl-So fie: -7-7c(c. Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 14 N ►` l,� Csc ca n �/�D iT)v!�. �U L i f= S t'� G- c�0 C o M o /7)0 AA GREASE TRAP:_.LVh4 (locate on site plan) Depth below grade: Materials of construction: concrete metal fiberglass polyethylene other (explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of sludge to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc. 8of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 TIGHT OR HOLDING TANK: N (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Materials of construction: concrete metal fiberglass other (explain) Dimensions: Capacity: gallons Design Flow-' gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping. Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(]ocate on site plan) Depth of liquid level above outlet invert: Q Comments(note if box is level and distribution to outlets equal,any evidnence of solids carryover,any evidence of leakage into or out of box,etc.): f/�tc �n� CsDOD C�tJDc�aNe A)� Sa✓ii�S cAi2(�i0✓PSL., rU0 GcJ � pL,Nc� PUMP CHAMBER: (locate on sire plan) Pumps in working order(yes or no) Alarms in working order(yes or no) . Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): � I I I 9oflt OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required If SAS not located explain why TYPE leaching pits number leaching chambers, number leaching galleries number leaching trenches,number in length j&n c K S leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure.Level of ponding,damp soil,condition of vegetation,etc) f71- i 7� Eki c_tT�s k)O 21vt 'J'su/f-k_ CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of Construction Indication of groundwater inflow(yes or no) Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:-4L-0ocate on site plan) Material of construction: Dimensions: Depth of solids Comments(note condition of soil signs of hydraulic failure,level of ponding,condition of vegetation,etc. f 110 of l•1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 60 Rocky Brook Road No. Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. PB c -T qCl"s C- r �- 1 N-oj SC �Czz>i-> ,4, � 11 of 4-1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 60 Rocky Brook Road No.Andover,MA 01845 Owner's Name: Andy&Margaret Marcheausseu Date of Inspection: April 7,2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water__6,_feet Please indicate(check)all methods used to determine the high ground water elevation: — -- Obtained from system design plans on record—1f checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health—explain: Checked with local excavator,installers—(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: "izx)e- I i TOWN OF NORTH ANDOVER ]BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 07/16/99 This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by Peter Breen at 1B Rocky Brook 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 as described in the Design g Approval Site System Permit# 879 dated 02/28/97. The Issuance of this certificate shall not be construed as a guarantee that the system,will function satisfactorily. Board of Health Inspector i TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed, ( ) repaired; located at / 8 was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # 2 7q dated ,:�– ;;�9 g rJ with an approved design flow of 0 gallons per day. The materials used were in conformance with those ' specified on the approved plan; the system was installed in accordance with the provisions of 310 CNIR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has.been submitted to the Board of Health. *, Bed inspection date: 51�e 9q Qk, P,,, Y-�� Engin(qr Representative Final inspection date: SjtFr�99 £ 613 f 91 4�` ,y� M .;., Engineer Representative Installer: -��� ��� Lic.#: Date: Design Engineer: q,�„ti, , TYt — Date: (ozl s2c)>9 r J AS-BUILT CHECKLIST (� LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUtiIBER LOT LINES & LOCATION OF DWELLINGS t/ LOCATION & DEMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, �^ a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES / W/IN 150' OF SYSTEM y LOCATION OF WATER,"GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF l TANK & D-BOX V STAMP & SIGNATURE RvIPERVIOUS AREAS - DRIVEWAYS, ETC. l/ NORTH ARROW FINAL CONTOURS LOCATION & ELEVATION OF BENCHMARK USED nh LOCUS PLAN Town of North Andover, MassachusettsForm No.3 „ORTe��o BOARD OF HEALTH oft pL A �'9s'•'�^''��' DISPOSAL WORKS CONSTRUCTION PERMIT SAGMUSE Applicant ��� /.,v'-�00��11 NAME ADDRESS TELEPHONE Site Location U Permission is hereby granted to Construct ( ) or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. sfa,; CHAIRMAN, BOARD OF HEALTH Fee 5 11 D.W.C. No. /O `zD APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSE# LOCATION: Lo-1— 4)G lc -7 LICENSED INSTALLER: SIGNATURE: 612Z TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes `" No Foundation As-Built? Yes No Floor Plans? Yeses No Approval PP Date: r Form No.2 • Town of North Andover, Massachusetts Of AORTh 1 BOARD OF HEALTH ? mac `3 19 • qL • Cp .,. DESIGN APPROVAL FOR • ,SSACNUSE� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant ® Test No. Site Location Reference Plans and Specs. ENGINEER DESIGN DATE Permission isg ranted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. EALTH N BOARD OF H. CHAIRMAN , • t Fee Site System Permit No. i ' NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE: PERMIT # 7 DATE RECEIVED APPLICANT (7l_)fj j!�(1/J /4,,glae-U MAP PARCEL ADDRESS LOT # /f ENG. / /V6,,e 1 std ST. e__;�7064 y ADD. PLAN DATE 1611 ? REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED / REASONS FOR DISAPPROVAL: UA�el�tiGcs `��oc�� �c 2 7 V clv , i PLAN REVIEW CHECKLIST ADDRESS-,/- J'/,Q ley />iP ENGINEER GENERAL 3 COPIES STAMP LOCUS NORTH ARROW SCALE CONTOURS 1,� PROFILE L� SECTION L--' BENCHMARK v� SOIL & PERCS �, ELEVATIONS WETS. DISCLAIMER, WELLS & WETS WATERSHED? DRIVEWAY ✓(Elev) WATER LINE `/ FDN DRAIN!/ SCH40 l/ TESTS CURRENT?N°7;n� WGr/-y SOIL EVAL S J611e.Sd SEPTIC TANK MIN 1500G (// . 17 INVERT DROP GARB. GRINDER (2 comps +200) 10 ' TO FDN -�MANHOLE/ ELEV GW ✓ # COMPS. p GB L� D-BOX SIZE ## LINES FIRST 2 ' LEVEL STATEMENT INLET OUTLET /� _ -ab (2" OR . 17 FT) TEE REQ'D?_zv_0' LEACHING / MIN 440 GPD? RESERVE AREA ✓t 4 ' FROM PRIMARY? 20 SLOPE j),57TC,U T/!,U 1901,)z - ��`/ 100 ' TO WETLANDS 100 ' TO WELLS 4 ' TO S.H.GW —' (5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINS &---' 400 ' TO SURFACE H2O SUPP Lf 4 ' PERM. SOIL BELOW FACILITY_( MIN 12" COVER C/FILL? �(15 ' ) BREAKOUT MET? _ 6c45ee M U/J7- TRENCHES ^/ ^ / MIN 440 gpd " SLOPE (min .005 or 6"/1001 ) v SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) ✓ RESERVE BETWEEN TRENCHES? L-"' IN FILL?y MUST BE 10 ' MIN.y 4" PEA STONE? l/ VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE -76 © X LDNG t = TOT_ (L x W x #) (DxLx2x#) (G/f t2) Copyright 0 1995 by S.L. Starr OGUNQUIT HOMES PAYINC. EXPLANATION 345 STEVENS ST. AMOUNT NORTH ANDOVER,MA 01845 AMOUNT451 � OF T EN7 y ~r t E DATE 53-307-113 q p TO THE ORDER OF 70 w n 1 DOLLARS � 1. 'V O f P i o /�- /� DESCRIPTION CHECK I�loll �v l� '` l-� I�I�C) v� CHECK AMOUNT i LO T NUMBER i i I f �0 s, 1 $ 2 5 .00 WOBURN NATIONAL BANK WOBURN,MA 01801 j lie-2000 4 5 ills 11;0 1 1 3 03 0 7 1 0e --- -------- ' ti S 0 S 2 9 Olin — --------------I"-' 1 G?� �llt�G 961 ` i 1A) e Ti E VE ASSOCIATES INC. November 22, 1995 30�N OR Sandra Starr, R. S. go North Andover Board of Health 2 A 1995 146 Main Street North Andover, MA 01845 Re: Soil Data-Rocky Brook Road : Dear Sand i Y We have reviewed our files on the lots remaining to be built on Rocky Brook Road. The lots remaining to be permitted are IA, 2A, 3A, 9, 14A and 19. These lots have all been previously tested, both deep holes and perc tests, however most were performed in 1993 which have expired according to your local regulations. Furthermore new soil evaluation criteria is now being used and all systems must be designed according to 1995 criteria. I would like to perform deep hole tests in the locations where we expect the systems to be located, so that final designs can be done. Please review the plans and schedule an appropriate time to witness these tests. I thank you in advance for your continued cooperation. Sincerely, rp THOMA NEV SSOCIATES, INC. I Thomas E. Neve PE PLS President, CEO TEN/ebc cc: Peter Breen msworks/client/550.doc • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 _._ B REE�I - �oG�'�•7 3 rooK C ,_SSO)___ L. o -i- Deep No1e.� CD at.e. Pecs Date ,S � a- t;TENLH� Aby R /._ - 2A--- -.__ ZA-i ZA"Z - - . ._5/Zo(�3_.. --49 -zA---- r ----- (8Eo7 iii 3A 41 48 9 9 S� �, (TR�►JGH� s 1 14- 1 E 1 .4-Z S Z 1 4-1 8�- ------ - CTRF—r-4 s i r -- 19 ; ' l - I I - Z S zi�3 Ig-i i9-Z i io i3 93 _ (TrZEN�H� i i THOS ` INEVE ASSOCIATE INC. TOWtj()F NORTH ANDOVER/ October 23, 1996 iabMD O H�NLTF, OCT Ms. Sandy Starr Board of Health 146 MainStreet North Andover, MA 01845 Re: Lot I Rocky Brook Road Dear Sandy: Please find attached three (3) prints of the sanitary disposal system for the above- referenced lot for your review. The system is designed for 110 gallons/bedroom/day, 3' separation between reserve trench and primary and 90' from the edge of wetlands. It is our understanding that the Board of Health has approved the use of a design flow of 110 gallons/bedroom/day, therefore, we will not be requesting a waiver for the design flow. However, we are requesting a waiver for the distance between reserve area and primary as well as distance from septic system to wetlands. Section 2.23 of the North Andover Board of Health regulations requires a minimum separation of 4' between reserve area and primary area. This system is designed according to Title V, maintaining a separation distance between primary leach trenches of three times the effective width or 9', therefore, resulting in a separation distance between reserve and primary area of 3'. The length of the leach trenches were designed as short as possible in order to maintain the largest separation distance between the leach trenches and the wetlands, therefore resulting in the use of 4 trenches. Maintaining the 4' separation between reserve area and primary area would increase the system width from 45' to 52', this in turn would require the use of a concrete breakout wall to be used in order to meet the breakout requirement. We feel that since the system is designed according to the State Code, "Title V", that the additional 1' of separation be waived in i p order to avoid the use of a breakout wall, which is allowed by'code, however, grading is preferred wherever possible. • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 (508) 887-8586 Topsfield, MA 01983 FAX (508) 887-3480 Ms. Sandy Starr,NAB page 2 October 23, 1996 Section 4.18 of the North Andover Board of Health requirements require a 100' separation distance between leaching facility and wetlands. Title V allows a distance of 50' from wetlands to leaching facility, this system is designed 90' from.the edge of wetlands. As stated above, the trenches were designed as short as possible and as deep as possible in order to provide the maximum spacing between leaching facility to wetlands. Since we far exceed the state requirement, we feel that the same amount of environmental protection is achieved that the Town is seeking. Please schedule us for your next available Board of Health meeting so that we can discuss these issues. If you should have any questions or concerns please do not hesitate to call. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. John Morin, E.I.T. Civil Engineering Consultant I JM/km Enclosures I #550 BREEN.WPS a THo . ��►S ,..NEVE ASS( IATE , INC. �rOu� NORTH DOVER/ 80AP0 OF gEA,2 Tjj January 29, 1997 FEB 4 1997 Ms. Sandy Starr Board of Health 146 Main Street North Andover, MA 01845 Re: Lot 1B Rocky Brook Road (formerly Lot 1A) Dear Sandy: Please find attached three (3) prints of the revised sanitary disposal system for the above- referenced lot for your review. The system is designed for 110 gallons/bedroom/day, 2' separation between reserve trench and primary and 51' from the edge of wetlands. It is our understanding that the Board of Health has approved the use of a design flow of 110 gallons/bedroom/day, therefore, we will not be requesting a waiver for the design flow. However, we are requesting a waiver for the distance between reserve area and primary as well as distance from septic system to wetlands. Section 2.23 of the North Andover Board of Health regulations requires a minimum separation of 4' between reserve area and primary area. This system is designed according to Title V, maintaining a separation distance between primary leach trenches of three times the effective width or 6', therefore, resulting in a separation distance between reserve and primary area of 2'. We feel that since the system is designed according to the State Code, "Title V, that the additional 2' of separation be waived. Section 4.18 of the North Andover Board of Health requirements require a 100' separation distance between leaching facility and wetlands. Title V allows a distance of 50' from wetlands to leaching facility, this system is designed 51' from the edge of wetlands. The trenches were designed as short as possible and as deep as possible in order to provide the maximum spacing between leaching facility to wetlands. • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 Ms. Sandy Starr, NABH Page 2 January 29, 1997 This system is designed 5' above maximum seasonal high groundwater in soils with a slow percolation rate. By evaluating these design parameters, this system design will provide further environmental protection than is required under the state regulations. Please schedule us for your next February 27, 1997 Board of Health meeting so that we can discuss these issues. Ifou should have an questions or concern y y q s please do not hesitate to call. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. John Morin, E.I.T. Civil Engineering Consultant JM/km Enclosures I i I i #550 BREEN.WPS v Town of North Andover NORTH OFFICE OF 3�Ob to ,�OOL COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street WILLIAM J.SCOTT North Andover,Massachusetts 01845 "SSgcHUS�ty Director March 4, 1997 Stephen Breen 345 Stevens Street North Andover, MA 01845 RE: Lot 1 B Rocky Brook Dear Mr. .Breen: This letter is to confirm that at their regularly scheduled meeting on February 27, 1997 the North Andover Board of Health ranted a variance to Section 9 S tion 4.18 of the North Andover Minimum Requirements for the Subsurface Disposal of Sanitary Sewage to allow the leach area to be installed 51 feet from wetlands. This variance was allowed due to the long history of this lot with previous approvals and the fact that additional distance to groundwater has been afforded with a five foot to groundwater design in soils with a slow percolation rate. A variance to Section 2.23 of the local regulations was also granted to allow 2 feet between the primary and reserve areas. If you have any questions, please call the office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator Cc: Peter Breen Neve Assoc., Inc. File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH �ryy7f� J _ OF�i ED bgti0 ®V l� 19 o =. �+ A * 1 my � R 0— �ew°• " " APPLICATION FOR SITE TESTING/I.NSPECTION A EDW �9SSACHUSE��y Applicant NAME ADDRESS TELEPHONE Site Location_ CLT A Q� n Engineer � NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee l Test No. -(-,J S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. FORM 11 - SOIL EVALli aTOR FOR11 i Page 1 of 3 T{3ttVN C NORTHDOVER/ Bi?ARq �;o. I Date:1d Ji81' OCT 3 1 1996 Commonwealth of Massachusett Massachusetts t Soil Suitability Assessment for On-site Sewage Disposal • 5�zo 1�� Performed By: ��`-�... ......r- .�.......... 0 Date: Witnessed. By: � .. . ..... .... ............. . .. .. .......... ............................ . 4. Owner's Name. = Location AdtlreSs a Aodcus.3m Gl a —e— Telephone Tcicrhone v>� s 34.5 —V"RRepair EewConsrrucricn Office Review / Published Soil Survev Available: No ❑ Yes L. Year Published.. � �. .. Publication Scale ' .,3 Soil Map Unit �b MA,OO U Drainage Class ;tAjfLLV04�!^ .... Soil Limitations ........ ........i r..... Surficial Geologic Report Available: No & Yes ❑ Year Published ..........::::.:...:. Publication Scale Geologic.Material (Map Unit) ......................................................................................._. ............._..._ Landform ........................................................................................................................... .......................................... Flood Insurance Rate Map:, Above 500 year flood boundary No ❑Yes ❑� Within 500 year flood boundary No E es ❑ Within 100 year flood boundary No Ly'Yes . ❑ Wetland Area: National Wetland Inventory Map (map unit) ................................................................................................... Wetlands Conservancy Program Map (map unit) .................. Current Water Resource Conditions (USGS): Month Range :Above Normal ! ❑Normal �elcw Normal ❑ Other References Reviewed: DEP APPROVED FORM• 12107195 r FORNI 11 SOIL EVALUAT0R FORM Page 2of3 Location ,-address or Lot ,vo. S On-site Review Deep Hole Number Date:. �1 (9� Time: P�� Weather F-44a . Location (identify on site plan) Land Use Slope (%) 8—ls Surface Stones Vecetation ` Wt5mveo Landform .. Position on landscape (sketch on the back) '�Pn—� yL Distances from: Open,Water Body feet Drainage way A7 feet Possible Wet Area l ' feet Property Line '0 J7 -feet - Drinking,Water Well - feet Other y , DEEP OBSERVATION HOLE LOG* Death from '' Soil Horizon Soil Texture Soil Color Soil Other Surtace (inches) I , (USDA) (Munsell► I Mottling (Structure,Stones, Boulders, Consistency, % Gravel) i i —QA i k. N u &Ljfb • U2A�. MINIMUM OF 2 ( I HOLtS REQUIRED AT 77EA77TUPMED DISPOSAL AREA Parent Material (geologic) ���J q� Oepthtol3edrock: Death to Groundwater: Standing Water in the Hole: 50 Weeping from Pit Face: bf Estimated Seasonal High Ground Water: I DEP APPROVED FOR,1t-12107/95 i fr FORM 11 - SOIL LVALUATOR FORM Page 3 of 3 . r f Location ,address or Lot No. Determination for Seasonal High Water Table . Method Used: epth observed standing in observation hole .._:��. inches Depth weeping from side'of observation hole ....... . inches ❑ Depth to soil mottles .. inches ❑ Ground water adjustment.................. feet Index Well Number .... .. ........ Reading Date ` .Index well level Adjustment factor .................. Adjusted ground water level ..... .. ...... Deoth of Naturally Occurrina Pervious Material s. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring-pervious material? Certification l , I certify that on (date) I haveassed p the soil evaluator examination � approved by the Department of Environmental Protection-and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature 2��_ Date /D 2 q� , DEP APPROVED FOP-%I- 12/07/95 03-21-1996 is:36 617 932 7615 OE? NORTHEAST REGICN:L P.02 FORM 12 - PERCOLATION TEST Location Address or Lot No. cowONWEALTH OF MASSACHUSETTS \ �O�l , Massachusetts Percolation Fest' Date: , ��� Time: m , Observation Hole K 1P}� Depth of Perc Start Pre-soak End Pre-soak 1� Time at 12 Time at, 9 Time at 6" G, Time (9"-6") Fiats Min.linch 2� • Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed Performed By: Witnessed By Comments: : . ..... . .... -x _.. pQ Aymorm roRM-u/97199 .r 1 FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 X , Date: 1b t Commonwealth of vfassachusetts 1 Massachusetts ` Soil Suitability Assessment dor On-site Sewage Disposal � . J . ... Date: Performed.By: _ .......... Witnessed By: � b2 ' .......... ............. i I L=Uan Address or W Address.sad 2� 7 Teirhonc! carr • tea �� rl9, Re air ( �1 (Q 5-c,,v ew Construcacn � Office Review, _ Published Soil Survey Available: No ❑ Yes � 1tL ` Soil Ma Unircb Year.Published.. 1v.�.... Publication Scale ...-. P Y' ' ° �r �-j' Soil Limitations Drainage Class Surficial Geologic Report Available: No L� Yes ❑ A Year Published Publication Scale Geologic Material (Map Unit), m .._......._....._ Landfor �. Flood.Insurance Rate Map: , Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No Yes ❑ f Within 100 year flood boundary No UYes ❑ Weiland Area: National Wetland Inventory Map (map unit) .••... Wetlands Conservancy Program Map (map unit) .................................................................._.............................. Current Water Resource Conditions (USGS): Month Range :Above Normal. []Normal a5eicw Normal ❑ . Other References ,Reviewed: DEP APPROVED FOR.tit-12107195 i FORM 11 - SOIL EVALUATOR FORM Parc ? of 3 Location .-address or Lot iJo. Y_oCAL� t,'3ame oo ° On-site Review ' Deep Hole Number 1 — Date:. %., 1 Time. l Weather Location (identify on site plan) Land UseSlope (%) 13-15- Surface Stones Vegetation Wwry_50 Landform ' Position on landscape (sketch on the back) Distances from- Open Open Water Body 1O'� —feet Drainage way feet Possible.Wet Area 10551--feet Property Line 5-1/-feet Drinking Water Well A feet Other DEEP OBSERVATION HOLELOG' Deoth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) , (USOA) (Munsell), Mottling (Structure, Stones, Boulders, Consistency, % Gravel) Al kA MINIMUM OF 2 HULtS n AT-EVERY PROPOSEDAL AREA 'IJIN( Parent Material (geologic) Cvot"`N'"fA�� Depthtol3edrock: �.f�U Death to Groundwater: Standing Water in the Hole: EKY Weeping from Pit Face: Estimated Seasonal High Ground Water. '1011 1t911 i I I DEP APPROVED FORM-1107/95 i FORM i I - SOIL LVALUATOR FORA (; Page 3 of 3 Location Address or Lot No. Determination •r Seasonal Haag h Water Table Method Used: 1" De th observed (O p e ed standing in observation hole ..��. . .. inches ❑ Depth weeping from side,of observation hole : :;.: inches ❑ Depth to soil mottles inches f ❑ Ground water adjustment.................. feet Index Well Number ....... ........ Reading Date ........... .Index well level _.._ . Adjustment factor ................. Adjusted ground water .level ....... ... ...................... ......... Deoth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? _ If not, what is the depth of naturally occurring:pervious material? Certification I certify that on (date) I have passed the soil evaluator examination approved by the Depa mint of Environmental Protection and that the above analysis ; was performed by me consistent with the required training, expertise and experience described in. 310 CMR 15.017. Signature /i/' Date A/0 A/6 DEP APPROVED FOR.11-12/07/95 03-21-1996 14:36 6i7 932 7615 QEP NORTHEAST REGICNZL P.02 FORM 12 - PERCOLATION TEST Location Address or Lot No.. COMMONWEALTH OF MASSACHUSETTS pal i , Massachusetts Percolation Test' Date: GJ� Time: Observation Hole i Depth of Perch Start Pre-soak End Pre-soak Time at 12„ Time at.9" Time at 6" Time (9"-6") �( Rate Min./inch • Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ ...... Performed By- Witnessed BY: Comments: oQ"rjovm rows-w97nI FORM 11 - SOIL EVALUATOR FOR:tiI Page 1 of 3 No. A Date: 1(D l°a Commonwealth of Massachusetts _ Massachusetts '''� sposal Soil Suitability Assessment ,dor On4&e Sewag-e Dir t 1 Performed By: . �.J�.��1 _�.-'......'Q�l��� ... . ... ..... Date:A, � Witnessed By: .. ...... . f. Owner's Name. ��Ql L=tlon Address Or E \Address..rm_ F Lewonstructicn 144eQair Office-Review, _ Published Soil Survey Available:.No ❑ Yes �q �......J......... Soil Ma Unit _... Year Published1..... Publication Scale P i Class .. .��. Soil Limitations .... ....C. . )....L................._ Drainage w - � �--, / Surficial Geologic Report Availabie: No Ell Yes ❑ Year Published Publication Scale Geologic Material (Map Unit). .............................................................................................................................. -. ........ ....._. .._ Landform ............................................................... L Flood Insurance Rate Map: flood bound No ❑Yes v 500 any' Above year fl flood bound No C9Yes ❑ Within 500 year flboundary Within 1 y TY 00 year flood boundary No Les ❑ Wetland Area: National Wetland Inventory Map (map unit) .•......................................... ........................... Wetlands Conservancy Program Map (map unit) ........................................................... _.. Current Water Resource-Conditions (USGS): Month Range :Above Normal ❑Normal Belcw Normal ❑ i Other References Reviewed: DEP APPROVED FOPUM- 12107195 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Locc:ion ,address or Lot iJo. On-site Review Deep Hole Number �� Date:. Time: p� WeatherIA'l Location (identify on site plan) ... Land Use 'per-Stv6M-CLA-C— Slope (°'o) S—I,- Surface Stones .. .... Vecelation Landform .. , Position on landscape (sketch on the back) Distances from: Open Water Body 1 I15rV—feet - Drainage way 6.i A, feet Possible Wet Area 1 I5*-feet Property Line 55-4(—feet ! Drinking Water Well W feet ' Other DEEP OBSERVATION HOLE =OG* Deoth from Sail Horizon Soil Texture Soil Color Soil Other Surface(Inches) ( (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel) '�IC1L— r l l I n LtS n btf, A ic WTI �v ALA Parent Material (geologic) �U�w t�2t"rTT►`'� DepthtoSedrock: Death ro Groundwater: Standing Water in the Hole: 5; /i'1 Weeping from Pit Face: ►JUt.� Estimated Seasonal High Ground Water: yl DEP APPROVED FO101- 12107195 i v ^. FORM 11 - SOIL LVALUATOR FORM Page 3 of 3 Location Address or Lot No. Determination for Seasonal' High Water Table Method Used: lam" Depth observed standing in observation hole........ inches ❑ Depth weeping from side of observation hole ........ . inches ❑ Depth to soil mottles inches ❑ 'Ground water adjustment .................. feet Index Well Number ........ ........ Reading Date ....... Index well level .. Adjustment factor .................. Adjusted ground water level ..... Depth of Naturallv Occurrind Pervious Material Does at least four feet of naturally occurring pervious material exist in al areas observed throughout the area proposed for the soil absorption system? \, If not, what is the depth of naturally occurring pervious material? Certification I certify that on i� / (date) l have passed the soil evaluator examination approved by the l5eparf ment of Environmental Protection and that the above analysis ; was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Dad-& Signature Date V 27 DEP APPROVED FOR-%I- 12/07/95 03-21-1996 14:36 6i7 932 7615 CEP NCRTHEAST REGIC=L P.02 r � FORM 12 - PERCOLATION TEST Location Address or Lot No. f _ - C-0 MONWEALTH OF MASSACHUSETT Massachusetts P coi Stion Test ' e Date: Time: Observation Hole » _ Depth of Perc Start Pre-soak End Pre-soak Time at 12:'' Time at, 9" Time at 6" y Time (9"-6") Rats Min./Inch i • Minimum of percolation test must be performed in both the primary area AND reserve are . Site Passed ❑ Site Failed ❑ , _..................................................... Performed By: � J Witnessed By:\ Comments: �- DLT ArMovm rORM-UJ97191 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessarya Pp rov alslPerrtuts from Boards and^-partments having jurisdiction have been obtained. This does not relieve 1 ` the applicant andlor landowner from compliance with any applicable or requirements, APPLICANT FILLS OUT THIS SECTION }APPLICANT Ute/ UJ - /C PHONE i ,LOCAT0 N: Assessor s map:. i F Num r 0 PARCEL i ,� -, SU801VISlON O �j e-5' LOT(5) STREET O .x'00 ST. NUMBER�� """"'"'OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS i i TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPHEALTH DATE APPROVED DATE REJECTED �% TIC I PECTOR-HEALTH DATE APPROVED i DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE � I � RTVI 0VM Of dover 0 leo. jYqF OcHI E t lover, Mass., -✓,��°RATED PJ�,=�� i BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT... .I�,fV `. 4 B LDING INSPECT Foundation has permission to erect................. uildings on ... ...... f. �� eke&4, BPMKF*PA.... Rough g� -. to be occupied as..... `. . .. .`�.. ��.�° r �� � �4�P'� Chimney/VA _ . .. . . . . . . . . . . .. . . . .. . . . ....................................... ...... ................ provided that the person acc pting this permit shat in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPEOR VIOLATIONof the Zoning or Building Regulations Voids this Permit. ug ��s ?o� v PERMT EXPIRES IN 6 MONTHS Final UNLESS CO . . ... -ELECTRICI e ....... .............. .. , .. °'`d �Se BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR -Display in a Conspicuous Place on the Premises Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det.