HomeMy WebLinkAboutMiscellaneous - 691 GREAT POND ROAD 4/30/2018 (2) r 691 GREAT POND RUAU -�d
210/063.0-0018-0000.0
Fl.
SENDER:
I also wish to receive the
y Complete items 1 and/or 2 for additional services.
• Complete items 3,and 4a&b. following services (for an extra d
Print your name and address on the reverse of this form so that we can fee):
N return this card to you.
0 • Attach this form to the front of the mailpiece,or on the back if space 1. El Addressee's Address y
d
does not permit. +.
L • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ElRestricted Delivery n
• The Return Receipt will show to whom the article was delivered and the date d
c delivered. Consult postmaster for fee.
d 3. Article Addressed to: 4a. Article Number
Z 115 794 795
CIL Mr. Gerald I. Brecher 4b. Service Type 0
❑ Re Isteretl El Insured
691 Great Pond Road g , of
No. Andover MA 01845 EX
Certified El COD
W 11 Express Mail ❑ Return Receipt for
Merchandise c
O 7. Date of Deliver w
��,�
W5. Signature (Addressee) 8. Addressee's Address(Only if requested X
and fee is paid)
6. Si g ~
PS Form'W1 1, December 19 *u.s.GPO:1993-352-714 DOMESTIC RETURN RECEIPT
N
UNITED STATES POSTAL SERVIOe=1
-ESS el
-j P MI 'S11111
Official Business 0 D PEN
09 SEP 0o USE TO A�yy XMV NT
c�
�9g6 �PoE,
Print your name, address and ZIP Code here
e e
ANDOVER BOARD OF K!' ;
r-
,20 ti,Aiil SYZ«1
1'.. t1,j0C f ERS 1,1A. U 1 LA I
f 40RTH ,
BOARD OF HEALTH
r' 120 MAIN STREET TEL. 682-6483
CNUSEt`h NORTH ANDOVER, MASS. 01845 Ext. 32 or 52
September 18, 1991
Ms Louise I. Borke
691 Great Pond Road
North Andover, AM 01845
Dear Ms. Borke:
Please be advised that the North Andover Board of Health
meeting for September 26, 1991 has been re-scheduled for Tuesday,
October 8 , 1991. You are scheduled for 9: 00 p.m. . The meeting
will be in the Town Hall, Library Conference Room, 120 Main
Street, North Andover, MA. .
Please contact this office to confirm your attendance.
Ve y truly yours,
1
Allison C. Conboy
Health Administrator
ACC/cj p
w f NORTH -
do BOARD OF HEALTH
OL
120 MAIN STREET TEL. 682-6483
AGHUSES. �h NORTH ANDOVER, MASS. 01845 Ext. 32 or 52
9SS �
i
J
j.
i
M E M O R A N D U M
TO: Building Department
FROM: Michael Rosati, Health Agent
RE: Building Permit Application
691 Great Pond Road
DATE: August 27, 1991
Please be advised that the building application for the
conversion of the garage to living space at 691 Great Pond Road
does not have Board of Health approval. Until it can be
demonstrated that the existing system is adequate to handle the
potential increase in flow or until the dwelling is connected to
a sanitary sewer, this department cannot allow the construction
(310 CMR 15. 02 (7) ) .
MJR/cjp
i
FORki U.
TOWN OF NORTH ANDOVER
LOT. RELEASE FO1U1
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS (ASSIGNED BY D.P.W.
.STREET 14e, 6-1�Fltea/ f v1vv
APPLICANT PHONE
DATE OF APPLICATION
TOWN USE BELOW THIS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION CODDIISSION
DATE APPROVED
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
DATE APPROVED
HEAL'T'H SANITARIAN DATE REJECTED
�c�itllJG2�slfi�•�-1 O� �i����c
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERr1IT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
884 OSGOOD STREET. 01845r�
WILLIAM A. CYR TELEPHO E 687.7964
INTERIM DIRECTOR MORTM FAX: (508)683-9381
G
O - p
• o i •
• a
SACNUSEI
September 25, 1991
Ms. Louise Borke
C56-
�1—'--great—Pond Road
North Andover, MA 01845
Re: Phase II Sewers
Great Pond Road
North Andover, Ma 01845
Dear Ms. Borke:
In response to questions regarding the scheduling of sewer
construction in your area please be advised the Division of Public
Works has completed the design of the Phase II Great Pond Rd
sewerage facilities, and we are currently prepared to advertise for
bids. The sewers, once constructed, will service the property at
691 Great Pond Rd. It is our expectation that the project will be
constructed in entirety in 1992.
The sewerage facilities are funded by a 1.45 million dollar
town appropriation. In addition, we have applied and are pre-
approved for a loan through the Massachusetts Water Pollution
Trust State Revolving Fund Program. We are awaiting the Governors
decision to appropriate funds for the loan program and expect to
advertise for bids to obtain a contractor as soon as the funds are
officially available.
If you require any additional information please contact this
office.
Very truly yours
J. William Hmurciak P.E.
Director of Administration
& Engineering
JWH: jm
i
pORTH
3?O' 61�OOL BOARD OF HEALTH
• X
== 120 MAIN STREET TEL. 682-6483
SS HUSEt`y NORTH ANDOVER, MASS. 01845 Ext. 32 or 52
C�1
LOUISE I. BORKE - 691 GREAT POND ROAD:
Mr. & Mrs. Borke were present and requested to come before the
Board for approval to renovated the existing facility by adding
an additional, one bedroom and one bath. Mrs. Borke stated that
this addition would not be used on a continuous basis only when
in-laws visited. Recently, Mr. & Mrs. Borke received a letter
from Bill Hmurciak stating the Town was waiting for revolving
funds and the sewer-tie at 691 Great Pond Road will not take
place until 1992 . Mrs. Borke stated that Mr. Rosati was not
1 comfortable approving the permit based on the current septic
system. Mr. Rosati stated that he does not know the size of the j
system. Mr. Borke stated that the system was pumped every year
by the former owners and had no problems. Dr. MacMillan stated
that he does not find a problem with this issue.
On a motion by Dr. Rizza, seconded by Mr. Osgood, the Board voted
unanimous to approve the renovation of the existing facility
without upgrading the septic system.
FORM U
TOWN OF NORTHANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS (AS\SIGNED BY D.P.W.
V STREET
PPLICANT PRONE 617- 723"Sg3 .
f5 '
ATL OF APPLICATION r ,r r�-z 17
TOWN USE BELOW THIS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
DATE APPROVED
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
DATE APPROVED
HEALTH SANITARIAN DA'T'E REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
I/FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
Zhis form shall be signed by the agents of the Planninl; and Health ISuai.d 3 ,
the Conservation Couunission prior to the issuance of any building permits
for the subject lot . This form shall not releive the applicant from the
compliance of any applicable '.Gown requirement or Bylaw.
SEPTIC SYSTEM INSPECTION FORM
ADDRESS, c0 9 t CD -eG ✓L�
DATE .INSPECTED
PROPERLY FUNCTIONING? ff) N
WEATHER CONDITIONS
COMMENTS :
WATER QUALITY TESTED? RESULTS?
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name ' JCC`— � i�'l, 1
2. Street Address (,c!I
3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑_ cesspool-
K septic tank and leaching area
❑ connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
❑ yes ❑ no do not know
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years
❑ over 20 years do not know
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes ❑ no do not know
If yes,'approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? annually
❑ every 2-4 years ❑ every 5-10 ,years ❑ over 10 years ❑ never
O9. Have you had any problems with your sewage disposal system? ❑ yes no
If yes, what problems?
❑ repeated pump-outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
` ❑ sewage surfaces through ground
10. How many of each appliance are connected to your sewage disposal system?
washing machine dishwasher garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher C Ami}L)L_
clotheswasher o F ►Pocam`.Z L R_
12. Does your property have a lawn? yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn? --
No. of applications per year
OSeason(s) of the year
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
❑ Check here if your lawn is maintained by a professional landscape contractor.
B 0A I z 1) ()i I I VA 1. 11 1-I
146 ` LA I N S"hREL I
J-E L E 1)f-10 N 1`4 (508) 6S -9,540
(,,S*!'-'P 11C SYS 7E ,f)
"Oul-.111"vil to Secooi? 310 CA,1(" 354
ol'zhe Slate Environlnenlal Co,:-2. Tale F
C I
2
Address vw-
Contractor hired for work:
Name rq "hone
<E!6
2 _W1, IL6
Address r
Date for scheduled abandonment
The septic system at the above address has been abandoned accordi,'ig to
Title V specifications. d/ j
. (I
OSIgrature of Contralt
Method of septic tank- abandonment (check one;. O removal sandfill
crush other
Name of Offal Hauler 5e-VI C-& yt)4(�IWAI � D(-6im 7 74--
This form must be returned to the North Andover Board of Health.
PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH
REPRESENTATIVE'S USE ONLY.
/ 2 z�
/q7
inspec't'ing Agent Dare