HomeMy WebLinkAboutMiscellaneous - 70 CANDLESTICK ROAD 4/30/2018 J 70 CANDLESTICK ROAD id
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Commonwealth of Massachus tts RECEIVE
City/Town of `���
System Pumping >�ecorddlyallJ'JL Y 2 20
JUL
Form 4 O6
� THEN OF NO,R,-,
ALTI i DRp.4gAMIOTER
DEP has provided this form for use by local Boards of Health. Other forms btR
may be u$ i_N7-
btR
information must be substantially the same as that provided here_ Before using this form, check with your
local Board of Health to determine the form they use.The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
Important
When rluny aut '1. System Location:
forn p Mee
computer,use
only the tab key Address
to move your / O5 &,V4e,
��eor- ROI
uc flit return SfaYP v/ � ll/—
key.
y. _ 2. System Owner, Zlp cod,;
#w"n -��
Name
'� Address{if different from location
C .fr ��
21p Cade
Pumping Record
1. Date of Pumping
a
Ilo s —
3. Type of system: ❑
ank
❑ Other(describe): —
-4. Effluent Tee Filter present? ❑ YesNo
❑ If,ys,wad it deaned? ❑ Yes ❑ No
5. Condition of System:
6. System Pumped By: r..
/ lti
�l �p,�T l�t�
Vehicle U Number
Com 'y Vi`r
7. Location here contents were disposed:
tgnature of Hauler
Date /
t5f01m4.d0cr 06103
System Pumping Record Payee 1 of 1
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Commonwealth Of Massachus tts
- CitylTown of �ecord
� j4 d a JuL0' , System Pumping Y 2 200
Form 4 rpwN oF- 6
yEAL i NORT7/AN
H QEP-�?rl DENVER
DEP has provided this form for use by local Boards of Health. Other forms may be used;-bci>_
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
Important
k'lhon filing qut 9_ Systam Location;
form;onthe
compute
r,use
Only the lab key Address �
to move your \l R77 V/ I/ ----
cursor-do not
use the'I" City/Town
key 2. System Owner, State Zip —
Cad.;
Vf� r
�l
Name
Address(if different from location)
CitylTown
State Zip Code --
Telephone Number
8. Pumping Record 1
1. Date of Pumping � �'" Q
Date 2. Quantity Pumped: 57 _
110 s
3. Type of system ElCesspool(s) Septic Tank
❑ Tight Tank
❑ Other(describe):
`4. Effluent Tee Filter resent? .�
A ❑ Yes ❑ No if yes,waa it Clear) EJ Yes ❑ No
5. Condition of System:
6. System Pumped B _
�fQ! _ Vehide Ucen Number
'
Cyy -t
Company
7. Location ere contents were di /
spored:
ignaturer D 0
Date
t5forrm.doc-06/03
System Pumping Record•Payee 1 of 1
I,
Commonwealt of Massachusetts
City/Town of od-� AT&ve�( Jvl=!�
System Pumping Record
Form 4 SEP 15 2005
N
M
i yi(IRTH AN V R
DEP has provided this form for use by local Boards of Health. Other formsaxmay be._us'pd-n,�t�ITJe
information must be substantially the same as that provided here. Before using this forrfi,htctc ith your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
Important:
When filling out 1. System Location: LGCC�° i
forms on the 7D �Nb.LL S T1 GK lJ
computer,use
only the tab key Address
to move your ��Q 0 U A AAA
cursor-do not
use the return City/Town State Zip Code
key.
2. System Owner:
Name
ILV Address(if different from location)
City/Town State Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping Dater 2. Quantity Pumped: ��C960
3. Type of system: ❑ Cesspool(s) [•]Septic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes [3'-No If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
cA; 1e A
6. System Pumped By:
&C69_[ 66Ule-4
Name Vehicle License Number
n
ICD6 anG1n b CMG �?
Company
7. Location where contents were disposed:
Signature of H er Date
t5form4.doc•06/03 System Pumping Record•Page 1 of 1
TOWN OF NORTH ANDOVER
�ra 'r;4 C n rF A.
SYSTEM PUMPING RECORD �ec�^ ,
y r
DATE:
JUN 2003
SYSTEM OWNER & ADDRESS SYSTEM LOCATION
(example: left front of house)
DATE OF PUMPING: �_ QUANTITY PUMPED GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YESZ
NATURE OF SERVICE: ROUTINE l,,' EMERGENCY
OBSERVATIONS: /
GOOD CONDITION ✓ FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER (EXPLAIN)
SYSTEM PUMPED BY:
COMMENTS:
CONTENTS TRANSFERRED TO:
Address
.20 MLILI67-L(�-k VA Title of File Page of
Date File Open: Date file closed:
Doc Document/Action Title Date of Refer to other Purpose of®ocume�nt/Action and notes
action Document/ document/
Num• Action Department
Board of Appeals — Board of Health Planning Board'— Conservation Commission — Building Department
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Town of North Andover, Massachusetts Form No.3
• NORTH
BOARD OF HEALTH
19
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DISPOSAL WORKS CONSTRUCTION PERMIT
CHUSEt
Applicant
AME ADDRESS TELEPHONE
Site Location
Permission is hereby granted to Construct ( ) or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
Fee. D.W.C. No.
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ME INEERING SERVICES, INC.
PROFESSIONAL ENGINEERS a LAND SURVEYORS • PLANNERS
66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL.(508)475-3555, 373-5721 • FAX(508)475-1448
May 12 , 1992
Mr. Michael Rosati
Board of Health
Town Hall
North Andover, MA 01845
RE: Septic Repair #70 Candlestick Road - North Andover
Owner : Anthony J . Laccetti
Dear Mr. Rosati :
Please be advised that our firm has investigated the apparent failure
of the leaching facility at the subject location .
Our investigation consisted of reviewing the existing information and
records which are on file with the North Andover Health Department
and also on site field inspection.
Field inspection revealed that effluent was ponding near the ground
surface in the vicinity of the existing distribution box at the
northerly end of the existing leaching field indicating failure of
the leaching facility .
Review of the "Plan showing proposed subsurface sewerage disposal
system" of the subject lot dated 1 /11 /79 by CYR Engineering Services
indicates that an expansion area was proposed where a new leaching
field could be built , in the event of failure . However , due to the
extremely steep slope existing on the site in the vicinity of the
proposed expansion area and the location of a seasonal brook and
wetlands to the rear of the site , we cannot recommend that the
proposed expansion area be used.
Given the above , we suggest that the existing leaching field be
excavated so that a new leaching field with new clean sand or gravel
fill can be constructed in place .
Please review this proposal and contact me with your comments so that
our client Mr. Laccetti may secure a septic installer and proceed
with the project. Thank you for your consideration in this matter.
Very truly yours ,
MERRIMACK NGINEERING SERVICES
Les Godin.
Project Manager
sh
cc : Tony Laccetti
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
Location v
Permit #
Food Service CQ` $
Retail Food�lGv .l $,kQt
Limited Retail Gp%
Seasonal ve $
Disposal Works IH�&llers $
Disposal Works Construction $
Soil Testing $
Design ApprovalPe it $
Dumpster Permit $
Burial Permit $
Swimming Pool Permit $
Animal Permit $
Recreational Camp Permit $
Well Construction Permit $
Funeral Directors Permit $
Massage Establishment License $
Massage Practice License $
Suntanning Establishment $
Offal/Trash Hauler $
Other $
014 .W ti
= . �� l,
Health Agent
White - Applicant Yellow - Dept. Pink - Treasurer
1031
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CHARLESPL
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Board rf Health
North�Andoverj,Nass. SEPTIC SYSTEM J
INSTALLATICN CHECK LISP LOT �� �i
OM DATE PROVED XCAVA OK FAIL
.FAIL OK
1. Distance Tot
a. Wetlands
b. Drains
c. Well
2. Water Line Location
3. No PPC Pipe
�l�. Septic Tank
a. Tees - Length & To Clean Out Covers
b. Cement Pipe to Tank On Both Sides of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amounts
c. No Back Flow
6. Leach Field or Trench
a. Dimensions
b. Stone Depth
Capped Ends
d. Clean Double Washed Stone
7. Leach Pits
a. Dimensions
b. Ston .'-Depth
c. Sp sh Pads
d. ees
Cement Pipe to Pit - Both Sides
/ f. Clean Double Washed Stone
No Garbage Disposal
9. Final (trading Inspection
10. Barricading Covered System
11. As Built Submitted
a. Lot Location
b. Dimensions of System
c. Location with Regard-to Perc Test
d. Elevations
e: Water Table
� '� ',` f3:.�z'f d,1ar,� �-,�.'••', `'- /'� �t ��r r/•r �,t�, �r it�l
+ 103.
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Orr--R OF CO)NE)ITi01S
WETLANDS PROTECTION ACT
i
G.L. C. 1319 s. 40
CI7Y/TO',7N FORTH ANDOVER FILE NUMBER 242_ 50 _
1-0: NA-HE Mrs . Pauline Flynn ADDRESS Willo:a Road
West Boxford , 01885
CERTIFIED HAIL NLNBER 974522
PROJECT LOCATION:
ss Lots 11 , 5 , 6 Candlestick Road
Rp-corded at Registry of Northern Essex Book 1286 , Page 738
Certificate (if registered) . .
REG!_J_?1 NG:
Notice of intent dated November 10 , 1978 . (reed Nov. 15 ,78)
rnd plans titled and dated Plan of land showing Proposed Brook Relocation
October 31 , 1,978 .
THIS ORDER IS ISSUE.D_ON(date)- December 18 , .1978
Pursuant to the authority of G.L. c. 131 , s. 40, the NORTH ANDOVER
CONSERVATION_ Co'.119ISSION has revie;aed your Notice of Intent and plans
identified above , and has determined that the area on which the proposed ;.ork is to be .
cone is signi.ficz;nt to one or more of the interests listed in G.L. c. 131 , s. 40.
The NOR'T'H ANDOV"E,R CONSER. COMM . hereby orders that the following conditions are
necessary to protect said interests and all work shall be performed in strict accordance
with them and eth the Notice of Intent and plans identified above e_ cept where such
pl.ns are mod i. ed by said 'conditions.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- -
CONDITIONS
1 . Failure to comply with all conditions stated herein, and with all related statutes
and other regulatory measures, shall be. deemed cause to revoke or modify this order:
2.- .This order does not grant any property rights or any exclusive privileges; it does
not eutltorize any injury to private property or invasion of -private rights.
3. This order does not relieve the permittee or any other pereon of the necessity of
ca---plying with all other applicable federal, state or local statutes, ordinances,
bs-lLus and/or regulations.
4 . The work authorized hereunder shall be co-mpleted within one (1) year from the date
of this order unless it is for a maintenance dredging project- subject to Section
5(9). "`T?� order may be extended by the issuing authority for one or more additional
cnc-year perloes uper appljcation to* the said issuing authority at lerst thirty (30)
drys prior to the cxpiration date of the order or its extension.
kny fill used in coraIection vith this rrc.Ject shall be clean fill , ccntalnil:g no
trash, reL.fuse, rubbish or debris, _ including, without limiting the generality of the
foregoing, lumber, bricks, plaster, wire, lith, rarer, cardboard , pipe, tires, ashEs,
refrigerators, motor vehicles or parts of any of the foregoing. •1
6. No work nay be cummenced until all appeal periods have elapsed from the order of the
Conservation Commission or from a final order by the Department of EnvirornQntal
Qdality Engineering.
7. No work shall be undertaken until the final order, with respect to the proposed
project, has been recorded in the Registry of Deeds for the district in which the
.land is located within the chain of. title of the affected property. The Document
number indicating such recording shall be submitted on the forma at the end of this
order to the issuer of this order prior to co=encement of work.
8. A sign shall be displayed at- the site not less that t-0 square feet or more than
three square feet bearing the words, 'Massachusetts Department of Envirorsnental
Quality Engineering. Number 242- 50
g. Where the Department of Environmental Quality Engineering is requested to make
deteimination and to issue a superseding order, the Conservation Cor,ission shal-1
be a party to all agency proceedings and hearings. before the Department.'
10. . Upon co-wpletion of the work described herein, the applicant shall forthwith request,
in writing, that a Certificate of Compliance Se issued stating that the work has
been satisfactorily completed .
11. The work shall conform to the following described plans andiadditiooal conditions:
A. Plan _of land located- in North Andover, Mass . showing the Probo-sed
Brook Relocation; dated - October 31 , 19.78 . by Cyr Engineering Services
B. Topographical .Plan-" Spinning Wheel Estate--Nbr°th Andover, T"ass . M
dated October -1977, by Charles 'E. Cyr Civil..- Engineer, . Lata . Ma. _
C. Plans Showing Percolation Tests , Deep Test Pits-Location- & Descrip-
tion , of lot 4 ; lot 5', .and lot 6 dated- 8-14-77 -by .Chas . E. Cyr.
12 . :No alteration- of the .-brook will. be allowed.
13 No al•teratlon -well be permitted
A --beloV� tie 9Or.i oat. ,c-o-nt-ca.ur on_.Tot 6.
B below the 90 foot contour on lbt 5
. *-*s6
C. below e90 foot contour in al'eas greater than 125 feet from .
the road right-of-way on .lot. .4 ._ :-
14 Any- changes in the plans within one* hundred ( 100) feet . of the brook
location must be submitted -to the North .Andover Conservation X ommission
for approval of denial- prior- to implementation ..
15. Upon completion of -the alterations on -each of the lots a written request
for a "Certificate .of..Compliance" 'will ..be- requested .from.'the North
Andover Conservation Commission: An as-built. blan showing final topo-
graphy will also be submitted with this request .
The Lppl,icant, an}' r.erscn L„t,ric.�d by t1-As oIcer , -;)• C•-7,11er of IZ.:ld abutt,,g
the land u�cn Which the prcCc:sed •.•,rk is to be dcne, or any ten res'_cehts of the
city or town in which such ls-ld is located ,• Ere hereby notified of their .right to
r.pp•cal this order to the Dapart gent of Environ_,Ental q,ElityEngineering provided
the request is .rade in i iting and by certified mail to the Depart-_ent Within ten i
0 0) days froom the issuance of this order.
SSUE.D BY NORTH hNDnVER ...�✓.� ^�1 � —
CONSERVATION C0✓P✓ISSION
On this 18th dap of December 19 78, before me personally
appeared Henry A. Fink to me
Vnow-n to be the person described in, and mho executed, the foregoing instru-ment
and acknowledged that he executed the same as his free act and deed.
My Co---nission ex ares O✓ticl 0? f I Q
DETACH N. DOTTED LINE AND aai I T TO T I-rE ISSUER OF TH I S ORDER PR I OR TO Ca1T- 1'Lr-1�IT
X-_ �rK�
'0 FORTH ANDOVER CONSERVATION CO1.1111 .(Issuing -Authority) ,
'LEASE BE ADVISED THAT THE G?'.DER OF CO?,_DITIONS FOR THE PROJECT AT
'ILE 1NTM-TER 2 2_50 , HAS BEEN RECORDED 'AT T-HE REGISTRY OF
)N (DATE)
[f recorded land , the instrument number which identifies this transaction is_
Cf registered land , the document number which identifies this transaction is ----
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Applicant - --
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SOIL PROFILE & PERCOLATION TEST DATA
Town/City No.&Street �„-,��,/'17CZ Lot No.
Loc./Subdiv. LI�v1�-fe/'Plan Owner / h!
Investigator �A ,/; r Observer
�l. SOIL PROFILES-DATE -
�� 1' E ev. _ 2' Elev. 3' Elev. 4.Elev.
0 77 0 0 4/1 0 0
1 1 1
2 2 2 2
3 3 3 3
4 _._ _\4 4 4 �..
5 \5 5 5
6 6 6
� � o
U7 7 . �.. . 7 7 ---
k8 U 8 8 8
9 9 9 9 .
10 10 10 10
Benchmark Location -
Elevation Datum
Percolation Tests-Date
Pit Number 1 2 3 4 S
Start Saturation_
Soak-Mins.
Start Test-Time
Drop of 3"-Time
Drop of 6"-Time
Mins. lst 3"Dro 1
Mins. 2nd 3"Dro
Notes & Sketches on Back Fr)'Kik C. Gelinas & Associates, North And.
/ - 7 7
SU:�:,i!;.-'1 ACE DISPOSAL SYSTEM CHECK LIST
NORTH ANDOVER BOARD OF HEALTH 4-07-6C,41vO�.S'T�C
APr.- OVED DIJE PROVIDED DISAPPROVED DATE TIME REASON
Title 5
Reg. 2. 5 Fail OK The submitted plan must show as a minumum:
�(a) the lot to be served (area,dimensions ,l.ot //,abutters)
(Planning Board files)
(b) location and . log of deep observation holes-distance
to ties
(c) location and results of percolation tests-distance
to ties
(d) design calculations & calculations showing required
leaching area
(e) location and dimensions sf system (including reserve
area)
f) existing and proposed contours
g location of any wet areas within 100' of the sewage
disposal system ot-• disclaimer (check wetlands mapping)
05 h) surface and subsurface drains within 100' of sewage
disposal system or disclaimer( .
(i) location of any drainage easements within 100' of�
sewage disposal system or disclaimer (planning board
files)
(j) known sources of water -supply::within 200' of sewage
disposal system or diselaim6r -,.-
(k) location of any proposed well to serve the lot (100'
from leaching facility)
(1) location of water lines on property (10' from. leaching
facilities)
(-m- location of benchmark
n-� driveways
o) garbage disposers
no PVC is to be used in construction
(q) a profile of the system (elevations of basement , plumbe
pipe septic tank, distribution box inlets and outle:,s,
distribution field piping and any other elevations)
LA (r) maximum ground water elevation in area of sewage dispot
system
(s) plan must be prepared by a Professional Engineer or
other professional authorized by law to prepare such
plans
Septic Tanks
Reg. 6 (a) Capacities - 150% of flow, water table , tees , depth
of tees , access, pumping.,
Cleanout
c) 10' from cellar wall or inground swimming pool
(d) 25' from subsurface drains
North Andover Subsurface disposal system check list rage 2
Tail OK D'-stribution Boxes
Reg.10.2 a) Slope greater than 0.08
Reg.10.4 (b Sump
Leaching Pits_
Leaching pits are p/referred where the installation -is
possible
Reg.11 .2 (a) Calcula Ions of leaching area (minimum 500 S.F.)
Reg.11 .4 (b) Spaci
Reg.11 .1 (c2 Sur ce drainage 2%
Reg.11 .11 d ver material
e) 2 fV,4" pfask P'A ` / / D L 1
1 -fee cY �I 0o <q l n't o I•G.,�q, �,,,� p�y�.e .�-c*�— d- Cr�C 4 f-M
Leaching Fields i1J / !0
Reg.15.1j NiGreater than 20 minutes/inch
Reg.15.1 b) Area (minimum-.900 S.F. )
Reg.15.4 k J-6) Construction of field
Reg.15.8 Surface drainage 2%
Reg. 3.7 (e� 20' from- cellar wall or inground swimming pool
Leaching Trenches
Reg.14.1 (a Calculations o eaching area (min. 500 S.F.)
Reg.14. 3 (b Spacing (4 min. 6 ft. with reserve between)
Reg.14.4 (c Dimension
14.-5
Reg.14.--6-- (dC �truction
Reg.14.7 (e /Stone
Reg.14.1 (f) Surface drainage 2%
Downhill Slope
�a� Slope y/x = (to be shownby/x X 150 = (to be shown
Pumps
Reg. 9.1 (a) Approval
Reg. 9.6 (b Stand-by power
a
H 1 I -
TO" OF NORTH ANDOVER
SYSTEM PUMPING RECORD
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A, ls.form fo;use by local Boards of 0a�t#�AlTfire[ r �
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