HomeMy WebLinkAboutMiscellaneous - 743 FOREST STREET 4/30/2018N
~ °
' MAP LOT # -....
`
PARCEL
` - _
QONS-TRUCTJ.ON
HAS PLAN REVIEW FEE BEEN PAID?NO
PLAN APPROVAL: DATE . BY
' -
DESIGNER: PLAN DI -1 [E
WATER SUPPLY:
WELL PERMIT__
WELL- TESTS:
TOWN
�
DR%LLER __-'
L, --CHEMICAL DA|E APPRUVED_�����_
BAC3ERIA I DAlE U|�PRUVED
BACTERIA %I DAlE APPROVED_____.__
FORM U APPROVAL:
APPROVAL TO ISSUE
NO
DATE ISSUED
BY
-.
CONDITIONS:
... .... ���..... �
FINAL APPROVAL:
ALL PERMITS PAID
NO
WELL CONSTRUCTION APPROVAL
NO
SEPTIC SYSTEM CONSTRUCTION
APPROVAL CYES-D
NO
OTHER
YES
NO
ANY VARIANCE NEEDED
YES
FINAL BOARD OF HEALTH APPROVAL:
DAlE: _
BY:
,FINAL CONSTRUCTION APPROVAL: DATE:- -.BY
Any appeal shall be filed REO':iYt�
���"'° DANIEL LO'�G
within (20) days after the ' �: APOULM :fie TO LRK
date of fi ins K'
of tliis afte Vit. iaas ,� NORTH ANO
OVER
in the Office of the T,. ,-n ti .:;;;.'�'* 25 '93
TOWN OF NORTH ANDOVER OCT 2
MASSACHUSETTS
BOARD OF APPEALS
NOTICE OF DECISION
Date . October, 14,,..1993..........
Petition No... 0 4.1.- 9 3 .............
Date of Hearing.. October..12, .1993
Petition of .....John. and .Annet.t.e .Iannarone........................................... .
Premises affected ... 7.4.3.. Forest. .Street ............................................... .
Referring to the above petition for a variation from the requirements ofd ..S e c t i on. .7.......
Paragraph 7.3 and Tab 1e. 2.of. .the.Zoning,Bylaw.....................................
so as to permit relief. of ,three, .(3) feet. f.or.the. side.yard..s.etback...................
After a public hearing given on the above date, the Board of Appeals voted to .. GRANT .... the
variance.... and hereby authorize the Building Inspector to issue a
.
pelt to John and. Annette Iannarone...................................
The Board finds that the petitioner has satisfied the provisions of Section 10,
Paragraph 10.4 of the Zoning Bylaw and that the gratning of this variance will
not adversely affect the neighborhood or derogate from the intent and purpose
of the Zoning Bylaw.
Signed / J�
Frank.Serio,..Jr.,.C.TE rman.
William Sullivan, Vice-chairman
.. ..Walter Soule, -Clerk.
Raymond Vivenzio
..............................
Board of Appeals
Any appeal shall be filed
it,IC1 0 ) illi
win_
('cato of .3 0
id WN
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
***************************
*
John & Annette Iannarone
743 Forest Street
North Andover, MA 01845
*
***************************
GAtii� L o.;O
TOI��' CL��ZK
NORTH AHOVER
an 14 2 25 H '33
Petition: #041-93
DECISION
The Board of Appeals held a public hearing on Tuesday evening,
October 12, 1993 upon the application of John and Annette
Iannarone requesting a variation of section 7, Paragraph 7.3 and
Table 2 of the Zoning Bylaw so as to permit relief of three (3)
feet for the side yard setback on the premises located at 743
Forest Street. The following members were present and voting:
Frank Serio, Jr., Chairman, William Sullivan, Vice-chairman,
Walter Soule, Clerk and Raymond Vivenzio.
The hearing was advertised in the Eagle Tribune on September 13
and October 1, 1993 and all abutters were notified by regular
mail.
Upon a motion by Mr. Vivenzio and seconded by Mr. Soule the Board
voted unanimously to GRANT the variance as requested.
The Board finds that the petitioner has satisfied the provisions
of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the
granting of this variance will not adversely affect the
neighborhood or derogate from the intent and purpose of the
Zoning Bylaw.
Dated this 14th day of October 1993.
BOARD OF APPEALS
Frank Serio, 'Jr./?1=
Chairman
FORM U - LOT RELEASE 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: J o k, �a �- r d ^-� Phone (sem �-) c. � I - G 11 C
LOCATION: Assessor's Map Number ic;S D Parcel ('11j
-
Subdivision Lots) ,f
Street �oresL- Ste_ St. Number ?`f3
************************Official Use only************************
RECOMMENDATIONS OF TOWN AGENTS:
Ln, Date Approved �Al*
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Food Inspect-o--r--Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Date Approved
Date Rejected
Date Approved /
Date Rejected
Received by Building Inspector Date
i
107 Forest St.
?AiddIleto , MA 01949
C
FORM 4 - SYSTEM PUMPING RECORD
Commonwealth of Massachusetts
Massachusetts
System Pumping Record
system u\N System Location
?57
Date of Pumping: �// �� Quantity Pumped: / Soo gallons
Cesspool: No Yes ❑ Septic Tank: No ❑ Yes
SystemPumped by: . ................................................................... License #:......................................... _
Contents transferred to:
Date Inspector
�vbTtt-lG
\t5 o0
CA<JG.
%VT I L
70\1 Y_
1 1
ELEVATIONS TAKEN AT
TOP OF PIPE
DWELLING ELEV.: W/A.
TANK IN: 14%.Is 4
TANK OUT: 142
D -BOX IN: 141.°13
D -BOX OUT: 141.'144
(%crr1 Ltwf b
END OF DISTRIBUTION
LINE -A-
c:
D: Zt w\ - 14a, Oe
1 �
AS—BUILT SEWAGE DISPOSAL
SYSTEM PLAN
IN
AS PREPARED FOR
Lx -B
B4,S
i
\� EXtST %AX- LL
THIS IS TO CONFIRM THAT I HAVE
INSPECTED THE CONSTRUCTION OF THE
SAID DISPOSAL SYSTEM OCATED ON
LOT 5t5 F-.0
cxST SA
THE GRADES ARE AS SPECIFIED IN THE
PFL.QN� AND SPECIFICATIONS DATED e)AZ
�
` y7BY MAR�'C�H10NDA & ASS0C., INC.
,31
ATI DAT
u E1: *'
I
1wy t.
MARCHIONDA & ASSOC., INC.
ENGINEERING AND PLANNING CONSULTANTS
62 MONTVALE AVE., SUITE I
STONEHAM, MA. 02180
(617) 438-6121
SCALE: ��`:2p DATE:
M & A FILE No.:
:I�
f"�Jtr r -y
�� '� I '�'
i
IIe�'-rowsli C
\ Lor 413
mil tST ---�. 'G��STttiIG
Go N C�
SrcC�'1` 1 L
i
4
1 r ':tAG R
a
ELEVATIONS TAKEN AT
TOP OF PIPE
DWELLING ELEV.: N/p.
TANK IN: 14%,SA
TANK OUT: l4'L.'3 as
D—BOX IN: 141. �3
D—BOX OUT: 141 ,-14-
(,bead �It4f b)
END OF DISTRIBUTION
LINE - -
-qB':- .
C: vela - 141,'l Z,
c"4Q - *'so
D: Zc to - 1AtC, 4101
AS -BUILT SEWAGE DISPOSAL
SYSTEM PLAN
IN
AS PREPARED FOR
\ t e-YI.5r w:✓LL
THIS IS TO CONFIRM THAT I HAVE
INSPECTED THE CONSTRUCTION OF THE
SAID DISPOSAL SYSTEM_,j_OCATED ON
LOT '5?-> 50MC-ST SA
THE GRADES ARE AS SPECIFIED IN THE
P,4AWS,, AND SPECIFICATIONS DATED 5/ 2
Y. MARCF,i.IONDA & ASSOC., INC.
RO'S
.,Y j` G CvITZ
°M 1,, C11AEi,:, J iOR0SATI DATE
MARCHIONDA & ASSOC., INC.
ENGINEERING AND PLANNING CONSULTANTS
62 MONTVALE AVE., SUITE I
STONEHAM, MA. 02180
(617) 438-6121
SCALE: ���� DATE: (D'Ipj4-Z„
M & A FILE No.: b5I -r)5
a Department of Environmental ManagemenUDNision of Water Resources
A, WATER WELL COMPLETION -REPORT
WELL LCAT N
GEOGRAPHIC DESCRIPTION
d ess
`
N S E ®Of–
(feet)(crrd I
*
City/Tow ri
4e
Well owne
(road)
Address
3 /
��
N LJ` of
T
,�—
/ml. in tenths! (drde
intersect. w/
(road)
Board of Health permit:
yes (�. no E
WELL USE
WELL DATA
Domestic g Public ❑
Industrial
Total well depth
Monitoring ❑ Other
Depth to bedrock_� e2__ft.
Water -bearing rockiunconsolidat d material:
Method drilled
Date drilled —
Description
Water -bearing nes: _
1) From To
CASING
Type // —
Length It. Dia(.l:'IS:)•___f in.
2) From To
Length i tQ bedrock / ft.
3) From To
, Gravel pack well: dia.
Protective well seal:.,:
f
Screen: I dia.
Grout-[];8ther
Slot 0 le�gth from_ to
STATIC WATER LEVEL LL
Static water level below
land surface ft. Date J
WELL TEST
t
Drawdown —4-00f I.
aftor pumping hr.-010—min. at gpm
How measured
Recovary ft. after--7hr. m
0
LOG of F ATIO61t
ME NTS
0
Materials From
To
S -
Driller
Mass. Reg' r on 7- �
r
Qo
Firm
t
Address
City/T`ow 03 51
Igg A
Signature of vififrvisingregistered wejrlfler
Please pribe firmly
BOARIYOF
HEALTH COP Y
WA
`~ Toy-gin of .North Andover, Mass.
:nLt 17 Date .,: 1.9
1 APPLICATION FOR WILL & PUMP PERMIT'
,iLication is hereby made for permit to drill a well (A . Applicatao'h S
_ to install a pump Sy
Kion:. Address ..Lot!s
: �r Addr.c , -
�5
Contracto Acicics , �j�vjTe6`� BS. 6r
,n Contractor � _ _Address Tel.
CONTRACTOR (To be completed at time of pump Ccst)
- of Wcll Wcll used for
t
"
netcr of Well Size of Cass.n
.h of Bcd Pock Depth ca.sin� in}Co Ded,
�w5
Seal Tes ted? Yes (X) No (_) Da Ce. of Tes'Ca n,g� _ ..__ ���y
'4v4rrs.f , C�,. .t3w'#5 �.PSt
1' �� ( Well .Ended in Wha:C Ma'`Jtf-dry
I h o f We 7.-1— — �-�-� '*
h to Water. j' Delivers Galt Fe-r fin. for 4{�houarse,
------- C� cit
i .:down facet after ter um in hours, a,t GP,M
-- — i.
t. of ComY 7-cLion
,
i T
S1. nat.urc 1,1e ConY.: i
ter a.cltvo r ,
f g h Y
A. r
INSTALLER ("to bc- fil-led i.n before inst.al.J.ation)
& Name Pump ` Pump Type Used
r Pump Delivers GPH �' Sizc of Tank
MaL'erial Used in Well: CnsL Iron ( ) C.-i)v.nni.7cd ( ) --Plastic
i Pit ( ) o;- Pi. L1. est., Aclaptcr (' )
sleeve used Lo protect jai pe? Yes (—) 1NI0(^) 'type or Name Well Seal
,
ti�4)4l'tN4)r)4iri4i4NY Nri( ti4ir*t4)r%r*ir)rti4)4)Y)'r+rNr:rN4tiYNr,rNrirYrSr,:'::.:::,.,rtir�� .:Sr:��::r::7,:P�) 141 t�l9�fS�f;141�+1%t1�f
Water analyJlJ rcporG _;ubmittcd to I?card of ;tfcal'�h
release liven UD owner of record & BIcI;. Insp
f;
Department
of Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT
:Li L9,�.AT N
GEOGRAPHIC DESCRIPTION,",
;
� r
-�
own_
`•!!-feet/
11
l c. vne
3
�r
N D
�.
i I9 / l
47 _6i
I!—n'i-1,-'!ten renihrl- (elre/a
,
:uu of Health permit:
yes a no E]Y
in(ersect. w/
_
Li. USE
WELL DATA
me tic X:Pubtic ❑
Industrial ❑
Total well depth
nit .ring ❑. Other
Depth to licdrock,r�_ ft
Water -bearing rock/tinconsolidat d.mat. r(al:
Ill( I drille
{
e r —
filled
Description
t:
Sif G
Water -bearing nes:
1) From —To
/
It. Dia(.I.D.)�In.
2) From To
I+.
gti
9< VdtQ bedrock 0ft.
3) From To
Gravel pack well: dia.
ter iAl
vewell seal:
Screen: dia.
'M ❑ Other
Slot A length from—.
rl( WATER LEVEL
tic vater level below
land
surface.4ft, Date 13�
I_l_ rEST
t- r
t.
,vd
after pumping hr -216 -min. at gpm
III asured
Recovery-2,6—ft. after_�Trhr. min
r i F ATI
ENTS
o
Mai rials From
To
�-
Driller
r
Mass. Reg 0ion
6d
Firm
,
Address
city/Towr1
�(
i nature o ru rvrsln re isrored rve rl/er
r� Firmly
,I
DRILLER COPY
,?v
•No-uh Anclover,Mass.
Daae:: 1
r
�1PPi.ICA7'ION FOR WE :LL & PUMP P;L .M$zT
1 n i.: hc�: cl�v m tdc for. permit to dril.l_• a wcl.].
lcat�.o p
' to i.n5c t1.1 :t Pump �..Cr'nt ', ria;
r7-
A-t�Xon:Adcli:c Lo
!. C o n t r n
> COn•trnct-o'" t`�� `�ciclress
/Yn.P y R
C0NTRi1CTO R ('1'o lac col"pl-c tccl
:IL: ti.mc of pump
Wc].1 usccl' for
of Wc11:
�, c,t.c r o -f t c 11
Sizc of Caslrn
f3
:h of Bccl iZo(-ltDcp[:}i
(�,� -
c�atst�rn�r Liit� ' Led Ro )'
,.i.� �rig ' 1 'M,n+•�.IM
S•ca1 Tested'? Yc. o (_)
*1 I lel
Da`sC�cxof��!c 1
Wc1l rn`dc;a.n.WTa�
Al": to• lJn to �`_�
Dc1.ivcr. s cvoL- Gln�,.M
'`y;
r
down fcc t ,� :: tc�: pL rnping
hours at �� ri
—
'o.f Comp].ctzon
IN STA III- ('1'o },c f•i.1.]:c_d i.n before i.nstal.].,ction)
& N trnc i uinr Pump Tyneurs`ed
r Pump i)c1..i.v0 t .. ----(.:1'11 Sir.c of Tnnk
�Y.
tiatc. i.. -r1. li..o d i n (:nlvnni zcd ( ) Phast
- -:
Pitt ( ) !'i.t:l.c.
NO(_) Typc or Nam'c Wic:ll SIc
,Y SP tN �4 lH )'r ;'r l4 ,Y �Y ;4 ,4 )'r %'r i'r yr ;'r •,- Jr +'r N'r +'r N't Vr * :'r 1'r +'r 1'r 14
�Iatcr an1.`;Si:; T.C1�6 L ':ul:mi_Ctccl to 1'oarcl of ;i.rcal•oi
r.e.]:easc pj.ven UD o'::ner of t:ccord (!< Bldg. Insp
1•l e al>t h I ri°s4p'etcC°olr
,11ru`riwewev
'-'-^'—�-'--''--' ' '''---------~- 802'839S FAX (&00)*N2'0UO3 \
ae u|uoS1
0N noAu ��F0xD �aVloUn �»«»
pt,-n(:.jr{. Number x
(",lifmot:
HTTN� Tmm Dreen
W1�m�n�ton Pvmp �upp)y
FO
N1%ming�nn, MA 018G7
Rep�rt Dzite: May 15,199,�
�mmpl� Taken wt:
`y
F�1nt1ock ltic:.
N.Andover�Ma
5ample Teken �y: NpG Staff On: May 14,1992
CEHT]H I1-AlF UP ANALYSI8
`.... .... .....
�
�em� �a/ameter:
'
��A M�x
HF2sults
Units
Co1irorm �a�ter`a(�>
0
0
per 100cc
6.n-6.ti
7.3
GU
Cu]ur (G>
1�
1D
C,PU
nm,u/`e�e
No L1m1t
100
mg/L
mg��
n�nganese
L
--'�ira6
mg/L
Ogor(�)
I
0
TON
Nit,'ijce avi
01
mg/L
Tur�td1ty
5.0
NTU
Alkalinity
Nut �pec1fj.ed
91.5
mg�L
xmmp"i
Not �peci/ied
<0.0l
mg/�
1..3
<0.01
mg/L
8ud1um
20^
12,0
mg/.
Dalcium .
No Limit
29.3
mq/L
Magnium
No Limit
6^4
mg/L
Potassr, iufit <B)
4.4)
2.()
mg/L
15.6
mg /L
su]faLes (S,)
250
21.9
mg/L
Ch�orJ.//e
4-.7.7
/n.02
mg/L
Cu^`/uc L. J. vi ty
No L1m�t.
zoV
umhos/cm
�eui mC;f,'t
pos/npg
neg
�P)- �rtmary parameter <B>-�F,5condary EPA Parameter (may &ffect
aeeU��t1c q"u\�tz�� w.g, rnlor,odor und tacste )
N1 = Not-Tes��d #� -EPA Maxi atuin -itandard.
advisory limit pno furma1 1.imit Numerous to Count
TI`e quality o� u.j.s water �mmple i� accepted as Safe To Drink
mccCr* f.:l jg �o EPA etmr��. This water sample , ks t"st(-"d , dues not
*e�t eC)mw? of the s as.-, d b 0) s19n.
M�.A si r-Iusetts *�e �mrt14zed Michael P. �arlsnn ' fmr
[c�s.�tlng #MH04FJ -rhorsten�f4,n Laboratory, Inc,
Town of North Andover, Massachusetts
BOARD OF HEALTH
Form No. 1
�io�
k �� 19
\Aon weP ^� APPLICATION FOR SITE TESTING/INSPECTION
Applicant 4 UA&LOC.k-.-' JP0 60y,
NAME ADDRESS TELEPHONE
Site Location l 1�+ -1k
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
Fee
CHAIRMAN, BOARD OF HEALTH
Test No. 43 (.-
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No. 1
:TH q•
BOARD -OF HEALTH
_`��/]
jq� APPLICATION FOR SITE TESTING/INSPECTION
Applicant �LAAAJ LUCK PQ 60"/— S- COE R
NAME ADDRESS TELEPHONE
Site Location
Engineer�`--
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
pL
Fee l'�b
CHAIRMAN, BOARD OF HEALTH
Test No q -"N
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
T11N- - T�iE
1
THIS FLAN 15 INTENDED FOR ZONING
pUPPOSE.S ONLY, IT WAS COMPILED
Mom EXISTING PLANS AND RECORDS
WITH BUILDING LOCATIONS CONFIRMED
IN TME FIELD. IT SHOULI) NOT BE
USED FOR PROPERTY LINE DETERMIN-
ATION.
ThiE BUILDING 15 NOT LOCATED IN AN
ESTABLISHED FLOOD HAZARD AREA.
ZONING: %A
REQUIRED SETBACKS:
FRONT: �10'
SIDE: 50'
REAR: �.
CERTIFIED PLOT PLAN
IN
%rfh AndoverPQ
AS PREPARED FOR
Fl W440C-�,,10C
V k A FILL- No.: 351.OA5
WE HEREBY CERTIFY THAT WE HAVE EXAMINED
THE PREMISES AND THAT ALL EASEMENTS,
ENCROACHMENTS AND BUILDINGS ARE LOCATED
AS SHOWN. ALL BUII_DIPJGS Sf IOWN CONFORM
TO THE ZONING LAWS OF THE MUNICIPALITY
WHEN CONSTRUCTED.
MARCNIONDA & ASSOC., INC,
ENGINEERING AND PLANNING CONSULTANTS
62 MONTVALC AVE., SUITE I
STONEHAM, MA. 02180
(617) 438--6121
SCALE; I"4/0. _ DATE: -5'V7'R4
Form No. 3
Town of North Andover, Massachusetts
BOARD OF HEALT
MO oTh � 19
O A
H ,-
�:_.�.'' DISPOSAL WORKS CONSTRUCTION PERMIT
,SSAGHUSEt
Applican
Site Loc;
Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
CHAI MAN, BOARD OF HEALTH
D.W.C. No. , s
Fee
FLIMTLUCK, 10
P. oo BOX 53?
Nof,,TH ANDOVER MA 01845
(50SI 688-6558 DAVE UNDRID
0006/95 o0a000010 30SO 4775
500.0 T,
4005
DEPTH OF 6" DRILLED WELL
ywooFT.
4015
LENGTH OF 6- CASING
1.00EA.
4045
6" DR WE SHOE
1.00
4035
WELL PEWT
WELL SYSTEM INFORMATION
DEPYX OF 6" DRILLED WELL - 500 FEET
LEMOTH OF 0" CASING - 40 FEET
DEPTH TO LEDGE - 22 FEET
FLOW RATE - 2 GALLONS PER MINUTE
STATIC WATER LEVEL - 25 FEET
1ISSITE:
LOT 0 05
FOREST ROAD
NSRTH ANDOVER. MA
COMPLETED 05/05/9-,-'
6,00 aQuy. 5%)
7.20 EEO, ac.,
50.00 50. n;
35_D0 5S.§«
TOTA'.- 3165. o«
Ile
DATE_ V`�1,2_1�9_-,7
Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
� n SUBSURFACE DISPOSAL DESIGN REVIEW G
FEE � 6 / PERMIT # DATE RECEIVED
APPLICANT
ADDRESS
ENGINEER Z 1114 /Gc rC // 646
ASSESSOR'S MAP
PARCEL #
LOT #
STREET�cs
ADDRESS
PLAN DATE �/���9v2 REVISION DATE 6-11919
CONDITIONS OF APPROVAL:
DISAPPROVED
I
ADDRESS JZ -5
GENERAL
PLAN REVIEW CHECKLIST
ENGINEER
3 COPIES STAMP L` � LOCUS t// SCALE 1--' CONTOURS cis
PROFILE SECTION BENCHMARK G,� ELEVATIONS ✓ SOIL
& PERC INFO ✓ WETS. DISCLAIMER WELLS & WETLANDS
WATERSHED DISTRICT W6 DRIVEWAY v' IWATER LINE Z- DRAINS
RESERVE AREA ✓ SCH40 c.�' SLOPE /-�
SEPTIC TANK
MIN 1500G. .17 INVERT DROP 2,s GARB. GRINDE]R�(+200 % EDF)
25' TO CELLAR `� MANHOLE TO GRADE L-- ELEV GW
D -BOX
#
OUTLETS',,9- FIRST 2' LEVEL STATEMENT((/ INLET -
OUTLET = (2" OR .17 FT)
LEACHING
ord C)le
100' TO WETLANDS 1001 TO WELLS4-obe�O 325' TO SURFACE H2O SUPP
35' TO FND & INTRCPTR DRAINS 4' TO S.H.GW &✓" 2% SLOPEc/----
4' PERM. SOIL BELOW FACILITY ✓ MIN 12" COVER ✓ FILL?a (25' if
above natural elevation; 101if below)
TRENCHES
MIN 660 f� SLOPE (min .005 or 6"/1001) ✓ 3 COVER? - VENT
SIDEWALL DIST. 2X EFF. W OR D (MIN 61) ✓ IS RESERVE BETWEEN
TRENCHES? ✓ IN FILL? MUST BE 10' MIN.
BOT X LDNG 0612 + SIDE X LDNG J = TOT
(L x W x #) (G/ft2) (DxLx2x#)
i; l •��1,{{� ,,��TT1C1q �r i jail is ,` lr 4f rv}iY}2 ,IiFY f i I , }4 F. Ott , •1
F li 'i��lL'".; �� t,is• t nC t T6 •w , n k ,
�i y5 I+i1f1 OI'•�IVA'P IY'� .i=Sr �\I i 4A}l f �A �. ' �l `t { •
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WELL DATABASE
ADDRESS: 5� .5-8
AGE OF WELL: WELL DRILLER:
WELL PERNfIT m: ? WELL LOCATION: U
--_WELL PER1lIIT DATE: (� DEPTH OF WELL:
TYPE OF WELL:b. DUG C. U
TYPE OF WATER BEARINGR�OCK:
WATER Ai`iALYSIS DATE. �j ' f 5 _ `� -2 HIG M' ANGA
HIGH IRON: YOTHER CON"F ' ANTS:
WELL DATABASE
ADDRESS: 7� 7 � Sj�
AGE OF WELL: WELL DRILLER:
WELL PERMIT f: WELL LOCATION:
WELL PER DATE: DEPTH OF WELL
U titl
WN
;SE: Y
Y N
TYPE OF WELL: a.. DRILLED b. DUG c. UNKNOWN
TYPE OF WATER BEARING ROCK:
WATER ANALYSIS DATE: HIGH tifANGANESE:
HIGH IRON: Y N OTHER CONTAMINANTS: Y
LNJ
Y N
N
PER