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MAP #
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CONSTRUCTION APPROVA.L� ,
HAS PLAN REVIEW FEE .BEEN PAID? YES NO
/�
PLAN APPROVAL: )ATE ' � � T. 1Y
DESIGNER: G' 15 //. k25&d PLAN DATE
CONDITIONS
WATEF�SUPPLY: _ _ WELL
WELL PERMIT
WELL TESTS: CHEMICAL DA I E A{�`(�FtUVED._.
BACTER I DA I E FIPPRUVED
BACTERIA II DATE APPROVED _
COMMENTS:
FORM U APPROVAL: / �G APPROVAL TU ISSU= NO
DATE ISSUED � BY
CONDITIONS3
FINAL APPROVAL: .
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES NU
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
OTHER YES NU
ANY VARIANCE NEEDED YES NO
' FINAL BOARD OF HEALTH APPROVAL: DATE:. _..._..___._,.._ ._.DY: ._. .
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Town of t 4Andover
0 11%
No. 53 7
CN
O L A K E o dower, Mass., /z,a6' 19 76
COCMICME
RATED
11 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System�C2GL
d N BUILDING INSPECTOR
THISCERTIFIES THAT............................................... .................. .................................................................................... Foundation
has permission to erect................-----............ buildings on ........?. ?........���'V� .....................................�LRou h
........ g
to be occupied as ...................................ZA)..Q.�ze...... .�.. ... ........ ..... Chimney
provided that the person accepting this permit shall in every respee4conform to the ter sof the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover.
PERMi T FOR FOUNDATION ONLY PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rough
�
PERMIT EXPIRES IN 6 MONTH Jo .31 Final,L-FEE PAID X00.
UNLESS CONSTRUCTION STAftING
Co o . 6-D.Of ELECTRI SPECTOR
.................................. s
INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det.
IOy7LI
: Town of North Andover, Massachusetts Form No.3
„ORTN BOARD OF HEALTH
o� o ,.,4o
0 19
• s • f
' .�..�_. DISPOSAL WORKS CONSTRUCTION PERMIT
SACNUSEt
Applicant
NAME ADDRESS TELEPHONE
Site Location._ WE lL� AJ-4 A on a
Permission is hereby granted to Construct (`'�or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
CHAIRMAN,BOARD OF HEALTH
Fee 5
D.W.C. No.
i
i
FORM U - VERIFICATION 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************/***/**/
APPLICANT: Phone �i bib
LOCATION: Assessor' s Map Number Parcel
Subdivision Lot(s)
Street -01,e/-0A KL,4 QP_ St. Number
Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
Date- Approved
Septic Inspector-Health Date Rejected
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date
FORM U - VERIFICATION 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*****************
1 /� 7- ,
APPLICANT: __t 1C". w/i�,A j jy�- Phone 7 -7-
LOCATION:
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s) fJ�
Street � ,� � j�c Urr � St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Ins tor-Health Date Rejected
Date Approved
t' nspector-Health Date Rejected
Comment er :mss r�n1c %ate
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date
i
FORM C
APPLICATION FOR APPROVAL OF DEFINITIVE PICE P� A0
OWN CLE.R"
NORTH ANDOVER
January, 17 19 95 "
OAN �
To the Planning Board of the Town of North Andover:
The undersigned, being the applicant as defined under Chapter 41, Section
81–L, for approval of a proposed subdivision shown on a plan entitled
Definitive Subdivision Plan "Evergreen Estates" located in North Andover
by Christiansen & Sergi , Inc . dated December 28 . 1994
being land bounded as follows:Northerly bt Com of MA , land of Steer and Fried ;
easterly by land of Fried , Deadde.r , Rough , Green , Galeassi , Yourre , Mateja ,
Ri n s' A_=�LT and Danis 9.319m St . h
—, a0� err ! Mat2therly Farr and
Com of MA ; westerly by Com of MA..
hereby submits said plan as a DEFINITIVE plan in accordance with the Rules and
Regulations of the North Andover Planning Board and makes application to -the
Board for approval of said plan.
1087 314
Title Reference: North Essex Deeds, Book 2901 , Page 13 ; or
Certificate of Title No. , Registration Book , page ; or
Other:
Said plan has( x) has not( ) evolved from a preliminary plan submitted to
the Board of A u 5z 2 4 19 94_ and approved (with modifications) ( )
Ar-
disapproved (X on 0 c t 4 _ _r l9 9.4
The undersigned hereby applies for the approval of said DEFINITIVE plan
by the Board, and in furtherance thereof hereby agrees to abide by the Board's
:Rules and Regulations. The undersigned hereby further covenants and agrees
with the Town of North Andover, upon approval of said DEFINITIVE plan by the
Board:
1. To install utilities in accordance with the rules and regulations of the
Planning Board, the Public Works Department, the Highway Surveyor, the
Board of Health, and all general as well as zoning by–laws of said Town,
as are applicable to the instal ation of utilities within the limits of
ways and streets;
2. To complete and construct the streets or Kays and other improvements shorn
thereon in accordance with Sections Iv and V of the Rules and Regulations
of the Planning Board and the approved DEFINITIVE plan, profiles and cross
sections of the same. Said plan, profiles, cross sections and construction
specifications are specifically, by .reference, incorporated herein and made
a part of this application. This application and the covenants and agree–
ments herein shall,be binding upon all heirs, executors, administrators,
successors, grantees of the whole or part of said land, and assigns of the
undersigned; and
3. To complete the aforesaid installations and construction within two (2)
years from the date hereof. PIN
�ICVYP�Received bT Town Clcrk: \. -
Date• Signature of Applicant
• Messina Development Corp . , 805 Winter St .
Time: North Andover—, MA 01845
Signature: Address
• ✓__, ,/.it //ice:1 .
M
Notice to APYL1UANf/'I I CLERK and Certification of A on or Planning Board
on Definitive Subdiviolon Plan entitled:
Evergreen Estates
By: Christiansen & Sergi dated 19 94
The North Andover Planning Board has voted to APPROVE said plan, subject to the
following conditions:
1. That the record owners of the subject land forthwith execute and record
a "covenant running with the land", or otherwise provide security for the con-
struction of ways and the installation of municipal services within said sub-
division, all as provided by G.L. c. lel, S. 81--U.
2. That all such construction and installations shall in all respects
conform to the governing rules and regulations of this Board.
3. That, as required by the North Andover Board of Health in its report to
this Board, no building or other structure shall be built or placed upon Lots
No. as shown on said Plan without the prior
consent of said Board of Health.
4. 'Other .conditions:
1�
See attached orn�
r =1T.=
M z
Cl'
In the event that no appeal shall have been taken from said approval within
twenty days from this date, the North Andover Planning Board will forthwith
thereafter endorse its formal approval upon said plan.
The North Andover Planning Board has DISAPPROVED said plan, for the following
reasons:
NORTH ANDOVER PLANNIM BOARD Kir
Date: Augusc 15, 1999 By: &40/L"
Josepi, V. Mahoney, Chalrman
a. A complete set of signed plans, 'a copy of the Planning
Board decision, and a copy of the Conservation Commission
Order of Condition must be on file at the Division of
Public Works prior to issuance of permits for connections
to utilities. The subdivision construction and
installation shall in all respects conform to the rules
and regulations and specifications of the Division of
Public Works.
b. All site erosion control measures required to protect off
site properties from the effects of work on the lot
proposed to be released must be in place. The Town
Planning Staff shall determine whether the applicant has
satisfied the requirements of this provision prior to
each lot release and shall report to the Planning Board
prior to a vote to release said lot.
C. The applicant must submit a lot release FORM J to the
Planning Board for signature.
d. A Performance Security (Roadway Bond) in an amount to be
determined by the Planning Board, upon the recommendation
of the Department of Public Works, shall be posted to
ensure completion of the work in accordance with the
Plans approved as part of this conditional approval. The
bond must be in the form of a check made out to the Town
of North Andover. This check will then be placed in an
interest bearing escrow account held by the Town. Items
covered by the Bond may include, but shall not be limited
to:
i. as-built drawings
ii. sewers and utilities
iii. roadway construction and maintenance
iv. lot and site erosion control
V. site screening and street trees
vi. drainage facilities
vii. site restoration
viii. final site cleanup
e. Three (3) complete copies of the endorsed and recorded
plans and two (2) certified copies of the recorded
subdivision approval, Covenant (FORM I) , Right of Way
easements, and FORM M must be submitted to the Town
Planner as proof of filing.
4 . Prior to a FORM U verification for an individual lot, the
following information is required by the Planning Department:
a. All lots must be,�approved by the Board of
Health. The
Board of Health has determined that Lots 6, 9, 12 , 13 ,
and 21 cannot be used for building sites without injury
4
t
to the public health without further testing. No
building or structure shall be placed upon these lots
without consent by the Board of Health.
b. Due to the large amount of rock on the site which may
interfere with the amount of parent material available
for leaching, the Board of Health will require that the
leaching area for each lot be completely excavated to
insure that there is the requisite four feet of parent
material present throughout the entire location proposed
for the leaching area.
C. The applicant must submit to the Town Planner proof that
the FORM J referred to in Condition 3 (c) above, was filed
with the Registry of Deeds office.
d. A plot plan for the lot in question must be submitted,
which includes all of the following:
i. location of the structure,
ii. location of the driveways,
iii. location of the septic systems if applicable,
iv. location of all water and sewer lines,
V. location of wetlands and any site improvements
required under a NACC order of condition,
vi. any grading called for on the lot,
vii. all required zoning setbacks,
viii. location of any drainage, utility and other
easements.
e. All appropriate erosion control measures for the lot
shall be in place. Final determination of appropriate
measures shall be made by the Planning Board or Staff.
f. All catch basins shall be protected and maintained with
hay bales to prevent siltation into the drain lines
during construction.
g. The lot in question shall be staked in the field. The
location of any major departures from the plan must be
shown. The Town Planner shall verify this information.
h. Lot numbers, visible from the roadways must be posted on
all lots.
5 . Prior to a Certificate of Occupancy being requested for an
individual lot, the following shall be required:
a. A stop sign must be placed at end of Pheasant Brook Road
where it intersects with Salem Street.
b. A driveway easement across Lot 22 must be granted to Ian
5
CHRISTIANSEN & SERGI, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508)373-0310 FAX: 372-3960
February 1, 1996
ti
Ms. Sandra Starr
Health Administrator
146 Main Street
No. Andover, MA 01845 �.
RE: Lot 15, Evergreen Estates - Beaver Brook Roa
Dear Sandy:
Attached is a revised plan for Lot 15, Evergreen
Estates. I have provided the changes you requested.
Very truly yours,
;�41 (:��
Philip G. Christiansen
PGC:lc
Town of North Andover NORTH
OFFICE OF 3?oy •° e 1100E
COMMUNITY DEVELOPMENT AND SERVICES p
146 Main Street
North Andover,Massachusetts 01845 9SSACHUS*
(508) 688-9533
January 29, 1996
Christiansen & Sergi
160 Summer Street
Haverhill, MA 01830
Re: Lot #15 Beaver Brook Road
To Whom it May Concern:
This is to inform you that the proposed plans for the site
referenced above have been disapproved for the following reasons:
1) Groundwater not 4 feet below bottom of system.
2) Need elevations of perc test.
3) Please show slope of SAS lines.
Town of North Andover, Massachusetts Form No.2
o'1400T"�ho BOARD OF HEALTH
•, L
P
« s
DESIGN APPROVAL FOR
sACHus t�
SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant bfV1 Test No.
Site Location
Reference Plans and Specs. CXA k.S k /YL V)i 9_ A,e/Z.C,,t.
ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN,BOARD OF HEALTH
Fee 0 Site System Permit No.
BOAS 35
Hell
i
t ,&ORTN I
?0 .0 ,a.etia o
t-
o � BOARD OF HEALTH
� s
• i #
` 9 120 MAIN STREET TEL. 682-6483
"Ss4 MUS E�`y NORTH ANDOVER, MASS. 01845 Ext23
i
November 28, 1995
Christiansen & Sergi
160 summer Street
Haverhill, MA 01830
Re: Lot #15 Beaver Brook Road
Dear Phil:
This is to inform you that the proposed plans for the site
referenced above have been disapproved for the following reasons:
1) Need 25 feet of fill around system under 1978 code, 15
feet under 1995 code.
2) . Please put distances to house and tank and dimensionsof
system on site plan.
3) Loading rate under calculations hsould be . 34 G/SF.
4) Please show 100 feet wetland buffer zone on site plan.
5) Design flow is 660 GPD.
6) SAS must
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/cj p
i
TOWN OF NORTH ANDOVER/
BOARD OF HEALTH
CHRISTIANSEN & SERG1, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS DtC 2 1 1995
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (18)31-4-0;1() CAV- IrnON071) 960
December 18, 1995
Ms. Sandra Starr
North Andover Board of Health
146 Main Street
No. Andover, MA 01845
RE: Lot 15, Evergreen Estates - Beaver Brook Road
Dear Sandy:
Thank you for your letter of November 28, 1995 regarding
the above plan. I have made the following corrections and
offer the following comments:
1. I have redesigned for the new Title 5 and put 5 ' of fill
around the system as required by the 1995 code.
2 . The distance to the house and tank and dimensions of the
system have been added.
3 . The loading rate by new Title 5 is .53 gal s. f. for Class
II soils.
4 . The area shown on site as a wetland is not a wetlands by
state rules and not regulated under Title 5 and a buffer
zone is not appropriate.
5. The design flow has been changed to 660 gpd.
If there additional comments. please let me know.
jVe ,ru
yo s
phristiansen
PGC:lc
DATE �� L Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
�,/j SUBSURFACE DISPOSAL DESIGN REVIEW
FEE_ PERMIT # _ 779 DATE RECEIVED
APPLICANTASSESSOR'S MAP
ADDRESS PARCEL #
LOT # Id-
STREET -Be-ALI -,c z2oo rC
ENGINEER �/�i�/Sj`/--/q/tJ�'
ADDRESS
PLAN DATE �o �.� REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED f� /
gs�
/- tiro
SID.C� �
171146',t> 3 116U6,b
a A-) s rr r-'"-' 14'U
r6 o 6 Pb
c C),-Ole
PLAN REVIEW CHECKLIST
ADDRESS �, ,�'j" EAU�,E' ,� ENGINEER
GENERAL
3 COPIES STAMP LOCUS �� NORTH ARROW L/ SCALE
CONTOURSPROFILE SECTION ��- BENCHMARK L../ SOIL &
PERCS ELEVATIONS WETS . DISCLAIMER C— WELLS & WETS
WATERSHED? /4/0 DRIVEWAY t.,�(Elev) WATER LINEN FDN DRAIN L✓
SCH40 TESTS CURRENT? SOIL EVAL JTi9.Qi�
SEPTIC TANK
MIN 150OG [/ . 17 INVERT DROP V GARB. GRINDER(+200% EDF)
25 ' TO CELLAR/ MANHOLE ELEV GW # COMPS.
D-BOX
SIZE # LINES FIRST 2 ' LEVEL STATEMENT
INLET . - OUTLET el(O (2" OR . 17 FT) TEE REQ' D?
LEACHING
MIN 660 GPD?iz RESERVE AREAL,,-' 4 ' FROM PRIMARY? 2% SLOPEL---
100 ' TO WETLANDSZ/ 100 ' TO WELLS 4 ' TO S . H. GW (5 ' >2M/IN)
35 ' TO FND & INTRCPTR DRAINS L,-' 3325 ' TO SURFACE H2O SUPP
G������ITY `� MIN 12" COVER cl� FILL?A25 '
if above natural elev; 101if below) BREAKOUT MET? PO L/
TRENCHES
MIN 660 gpd SLOPE (min . 005 or 6"/ 1001 ) SIDEWALL DIST. 3X EFF.
W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST
BE 10 ' MIN . 4" PEA STONE? VENT? (>3 ' COVER; LINES >501 )
BOT + SIDE X LDNG = TOT
(L x W x #) (DxLx2x#) (G/ft2 )
Copyright(L) 1995 by S.L. Swrr
PITS
MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT
GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2x(L+W) xD x #) (G/ft2)
CHAMBERS
MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT
MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005
BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT
BOT + SIDE X LOAD = TOTAL
(L x W x #) (2 x (L+W) xD x #) (G/ft2)
FIELDS
MIN 660 GPD 900 ft2 BED L- PERC RATE FASTER THAN 20M/IN -�
GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED?
4" PEA STONE? b� DIST LINE SLOPE . 005? � >31COVER-VENT
SCH 40 MIN 12" COVER ✓"
RATE . 34- LDG X 660 = / 8 = TOTAL
ft2/G REQ'D (ft2) LXW
�ZS4
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY gpm
L W D Vol.
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
gpm
MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1 ' below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL
OP. SWITCH
Copyright O 1993 by S.L.Start
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Town of North Andover, Massachusetts Form No. 1
t1ORTH .1- BOARD OF HEALTH
32Oy,,ED '6 r-
O y.,... A
UUU /�19
..
APPLICATION FOR SITE TESTING/INSPECTION
��SSgcHus���h
i
Applicant
NAME ADDRESS TELEPHONE
Site Location r— t-I /,:� _e__rM
Engineer l�l�l�t�� ^(, I—
NAME ADDRESS 8 TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee Test No. SL
S.S. Permit No. 175 D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
�,? 616 0 19
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APPLICATION FOR SITE TESTING/INSPECTION
SSacHUSE��y
Applicant
NAME ADDRESS TELEPHONE
Site Location
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee Test No.
S.S. Permit No. ' D.W.C. No. C.C. Date Plbg. Permit No.
i
No........................ FEB.
THE COMMONWEALTH OF MASSACHUSETTS {t10FNOR EA� �
BOARD OF HEALTH -cow80ARnoF�
....... ...........10 F..N077.Y....... nl Q Cr . ................. ...... 199
Allp tratiall for Bilillaual Workll To>;»trortioit f
Application is hereby made for a Permit to Construct yj or Repair ( ) an Ind vidu a isposal
System at., /
�Q NP.>f/' 3! vkl ....Co.cutl �'......................................................
ocation-Address or Lot o.
a ................... ......
Owner _... ztc,�< Y ...�?,1
� Address
W _
Installer Address
Type of Building Size Lot------62.2.KK --fee
.Sqt
U Dwelling— No. of Bedrooms.........Y..............................Expansion Attic ( ) Garbage .Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures ............................
Design Flow............................................ . 4
...................................gallons per person per day. Total daily. flow............_... �d....__.___.....ga'llons.
Septic Tank—Iag
u�ic�capaclty/ �..gallons Length.f .�i_�"_. Width..�c- Diameter................ Dept11_5.. �_.. ...
x Disposal Tie XSE. T.................... Width...JZ........ Total Length-----40........ Total leaching area..../ 140...sq. f.t.
Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (,o) Dosing tank
'-' Percolation Test Results Performed b MI-Cl /� .-
• Z14
y...... •� --- .�� Date ` �.. ...Test Pit No. 1....�Q..._.minutes per Inch Depth of fest Pit......7P.��_--- Depth to ground water..... ._.. eI � l,T'�
W Test Pit No. 2....A?------minutesper inch, Depth of 'Fest,Pit......94.-�..... Depth to ground wat�...�f,�^'...�r$'�/(,P�"
•- - ----------------------------------- - . ............................................................................................................
D Description of Soil..... S.�tll9 _......G..QM...................................................................................................
x
V ........................••.......---•----....---•----••----------._........-••----••-•-••................•-•---......--•-••----._.........
x •----•----•------•- --------- ------------------------------ ...... ............................................... ----------•-••-- .............................................................
U Nature of Repairs or Alterations—Answer when applicable....................................._.._....................._......__._..........._..........
----•--•---•----------•---------------------------------------------------------•------•---------------=-••-------•-------------------.......-------•-------------•-----.........---•---••-----•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed....................................................................................... ................................
Date
Application Approved By.................................
Date
Application Disapproved for the following reasons-------------------------------------------------------------------------------•-------...------. ...._..•--_....
.._....---•----------------------•-•-----•------•---------------....._.....----------------------•-------..---------------------•--------------------------------......-•---------.........-•--•••--•••.
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................................I.......OF.....................................................................................
&r ifir Ar of Tompliatire
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
bY................................................ .......•----................••••--••••-•-••.-••--•••.......••.......
Installer
at---------•----- --------•-------------
has been installed in accordance. with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works onstruction Permit No......................................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.......................---....._............••--••---•----- ............. --. Irispector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF
No......................... FEE........................ .
�il��o��tl n�•Ito C�ultotr�trttnit �lrrllttt
Permissionis hereby granted.................... -•-•----•.•-•--..............r.._..__.._...--------------................----.......................................-•-•-
to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
at No..........................................................................................................................................................
.. -
Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
•----•-----------•------•..............................•--....------------------•--•--••••....I.
Beard of Ilcalth
DATE.........................................................
......................
FORM 1259 HOBBS & WARREN. INC.. PUBLISHERS
Ili
Rpril 5, 1996
Ms Sandra Starr
Board of Health
Town Hall
North Rndouer, MR
Dear Ms Starr:
My name is Abbe Ritchie and I am writing to ask
for your help. Three years ago mg husband and I
put money down on a house lot on Candlestick Road.
You were kind enough to perk it before our option ran out.
Unfortunately, it did not perk. Soon after we learned
of a new deuelopment and put money down to reserve
a house lot. Rs luck would have it, when the parcel of land
was carued into lots, ours had no perk test and the lot
adjacent had two.
I realize how busy you are, especially with Title 5
coming under your jurisdiction, but I am asking you
to please help us. If it is possible, could you please
perk our lot sometime this spring? It is lot #15 at
Euergreen Estates located off of Salem Street across
from Ingalls Road.
We would be happy to make the necessary arrangements.
Thanky
ou for our consideration in this matter.
y
Sincerely,
e itchi
57 Boxford Street
North Rndouer, Ma
(588) 683-8856
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