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CO.NSTRiJCTION APPROVAL
HAS PLAN REVIEW FEE BEEN PAID? YES NU _L
PLAN APPROVAL: DATE �//J/�� APP. BY_ A,4hP -
DESIGNER: PLAN DATE:`�v���9�
CONDITIONS
WATER SUPPLY:
TOWN
WELL
WELL PERMIT
WELL TESTS:
CHEMICAL
DATE APPRUVED. 6LL ./v,
BACTERIA
I
DATE (IPPRUVED
.
BACTERIA
II
DATE APPRUVED
COMMENTS:
FORM U APPROVAL: APPROVAL TO ISSUE YES CNDJ
DATE ISSUED BY _AQ AA.)
CONDITIONS:
F.,INAL APPROVAL:.
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES NU
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
OTHER YES NU
ANY VARIANCE NEEDED
FINAL BOARD OF HEALTH APPROVAL:
YES NO
DATE• DY-
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►'`••=''�''IS THE INSTALLER LICENSED?';` ; ": t '` x�+ 't x YES NO
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TYPE. OF CONSTRUCTION: x' ; -� j =T�'' �7 NEW 'REPAIR
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NEW CONSTRUCTION:,4. CERTIFIED PLOT "PLAN ~REVIEW YES NO
_ .
:' 2:•y.� �";'`� -' " CONDITIONS OF. -.APPROVAL -)) YES NO
FROM .FOR_ M U)
'ISSUANCE"•OF DWC PERMIT - r YES NO
f DWC PERMIT N0. INSTALLER: t ,1y%4yAA4P
.: �•; � : BEGIN INSPECTION Y �V�JE-0 : • ' • ;
EXCAVATION INSPECTION: ;NEEDED:
PASSED PY
:CONSTRUCTION INSPECTION: NEEDED: -
' AS BUILT PLAN SATISFACTORY: Y(
APPROVAL TO BACKFILL. DATE.BY
A -AFINAL.GRADING APPROVAL: DATE"n BY
' .,..FINAL CONSTRUCTION APPROVAL: DATE: BY
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,SSACHUSEt
Applicant
�;t .� ._ "' t4. i; $ 9 P�a�. .� ti ,.(�rr`.ii',L?3��:.1'�:1. �' 3c�. F� � ♦♦��.
Town of North Andover, Massachusetts
BOARD OF HEALTH
DISPOSAL WORKS CONSTRUCTION PERMIT
5 19
Form No. 3
IV nIYIC v AUUKt» TELEPHONE
Site Location Ln
Permission is hereby granted to Constructor Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Des'gn Approval S.S. No.
L
Fee
, � , �,,&L)
CHAIRMAN, BOARD OF HEALTH
D.W.C. No. Gk'
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: 04A9 Phone
LOCATION: Assessor's Map Number Parcel f�J�
Subdivision 1),;4
/ Lots)
1�/�(+� Z
Street S� St. Number
************************Official Use Only************************
RECOMMEND�A,T�IONS OF TOWN AGENTS:
Conservation Administrator
Comments t
Town Planner
Comments
Food Inspec-or-��Health
Seot�c Inspector-:iealth
Co=nents
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Re j ec ted
Date Approved
Date Rejected
Public Wcr::s - sewer/water connections _Al '
- drive*aay permit
v
Fire Derartment
Received by Building Inspector Date
JLIN-23-94 THI_! 10:35 All GRANITE . STNTE. ANALYT I C 603 434 4837
P. 0
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100 t,>!ifEt 0UIS
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Main Office/Laboratory
At: Tramway Marketplace At: Danists Artesian WWI&
i
22 Manchester Re) ;Rt. 28
11"'te 16 & 25 [outs 3
PRIHARY E.TANDAPLDS, v'- S TFS'!'
Derry, tvH 03038
Fest ossIpee; 14H 03890 Sanbornton, NH 03269
DENOTES
SUPJtJ_N} t'pPLIHh
iPt,!rtPT:F°T:..,•;
(603) 432-x044A
t 904.69a X320 1.800 689 eJ92t)
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SENT TO:
j oe B r ': qa
1 l c TESI NO.: 1408,8
12 U E, u i'! ca r:
D?: .
NO. AiiC-DiV .r
, 216451
'TEST
L0CAT1 ON: Lot 2' Dale, St, (x$15)
1)ATE:
June 22, 1999
No, A3'Idovtr i; , MA
PARAMETER
E -"0113 'T
RECOMf•1'r'.ilnLn LOWER DETECT IOI[ oZ3
HAX,i..E-l"'L( P'ii') LTIMIT iPP[•[j
NITRATE
ITRITE
NIT
, "115
SOD
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(/^ j[�<
21
?. IRGN"'�
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2 VANGANESE
0.05 %0 0
COLIFORM
ABSENCE
/100 ML ItBSENt''E 0
OTHER BACTERIA
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CC;PPER
HA ON FS I fv'ii
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� 2
Ai -1 01J. -I A
NONE SF'i
CALCIIUiM
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2 COLO
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TURBIDITY
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N T U 5 ^,
SULFATE
26,4
I NF TESTED, TED, PAP,AIM E`1EPS MEET EPP'. STANDARDS POP DRt TYING WATER.
X}:
THE 11, E4Tigl
PAizAMETF R8 I'iEFI' CURRIMI ' EPA PRIMARY STHNDARIDS FOR D:�'TN °'NG
WATER.
iI1} .,,v�.01,DA 2 F PAIRAt,ETERS F;7, -F i? TAND�,ALIS ,
11iE TE ST'FD
I-`ARAMF'TER FA11 CORP F N'I' EP 5TAhDAR.DS P0R DP NXTING
E)112 TO
0'UT if -; O
ALKALINITY
- 61.0 UF,M' i; .i'flitsMENDED..NCr-_--NONTE SElT_-•�_-- -
SPECIPIC, CONDUCTANCE
= 423 _I°IHGS RECOMMENDED MCL = NONE SC
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PRIHARY E.TANDAPLDS, v'- S TFS'!'
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NOTE:
DENOTES
SUPJtJ_N} t'pPLIHh
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FEE
NUMBER THE COMMONWEALTH OF MASSACHUSETTS $25.00
..-_TC)WN..... of ........ N01:a1i ... &=DVER ................................
.
CharlesM. Rollins Company .......................
This is to Certify that _______________ -------------------------------________
------------------- ------- Company
NAME
...........Boxford01921
... !�A ... -----------------------------------------------------------------
129 De -ot Road
ADDRESS
IS HEREBY GRANTED A LICENSE
For ---------- Aell ... Dx.i-Lling. ... Rexmlt --- :n ... IL().t ... 42 ... Dale—S-tr-e-e-t ----------------------------------
....................... ......................................................................................................................................
This license is granted in conformity with the Statutes and ordinances relating, thereto, and
unle" soon or yoked.
1994 jrkvoked.
expires. ..... ......... ............... -----
... ...... . ............
LA ------- ! .............
June 16, --- 94
19.
.................................
FORM 433 HOBBS & WARREN. INC.
Town of North Andover, Massachusetts Form No. 2
°f *O*T#f ti BOARD OF HEALTH
DESIGN APPROVAL FOR
sACNUSEt� .
SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No
Site Location A—
Reference Plans and Specs. 33 `
GINEER V 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 HEAL -11
Fee
Site.System Permit No. 4(0,3
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C��`ul:2 ` a Y�����1.+. ��, �F`L� ... �s - - 'iYcli\�.M;� ���.. \t.a�`J',M....:ik�'•a'� 1'".'i` -1.':c4.: j4��,� ` �at�...h.�.f �•1...� ��� � 1.3'tF d
BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
May 27, 1994
Mr. Joseph Barbagallo
1 Westward Circle
North Reading, MA
Re: Lot #2 Dale Street
Dear Joe:
TEL. 682-6483
Ext. 32
This is to inform you that the proposed plans for the site
referenced above have been disapproved for the following reasons:
1) Soil logs do not agree (see 0P#1 & OP#3 on
attached sheet). Either way groundwater elevation
is higher than 94.15.
2) Reserve area not four feet from primary area.
3) Inlet tee required in D -box when inlet pipe slope
is greater than 0.08.
4) Please address breakout thoroughly on revision.
If you have any questions, please do not hesitate to call
the office.
Sincerely,
Sandra Starr, R.S.
Health Administrator
cc: Karen Nelson, Director, Planning & Comm. Dev.
Joseph Dituccio
File
DATE
Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # W DATE RECEIVEDv
APPLICANT s1p5�/�H �i Tuc.c 16 ASSESSOR'S MAP
ADDRESS /1?0 J)VV6AN �/2 . Al- /-)A b PARCEL # l0�
LOT #
STREET
ENGINEER J AP -A P4/ -)GL 6
ADDRESS
PLAN DATE A9Y9 19gQ-, REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
Z-1 6 , "Z7 O N4 T
1TRC,�-E
(��� O� oP 3 ort
iC�C.� U/�1O
�/ ,Q 61��G7T �� Tit�`� (.cs
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e,5 e 2 VG!� •E'er /g No T �d u2 FEETi�O /�'1
-1) /ABOX
v Z-6�crr 1'5r'.E'/�T-/c'
PLAN REVIEW CHECKLIST
ADDRESS ,4.2 57- ENGINEER J, ��?,p�f��/,-� -6
GENERAL
3 COPIES L,-'� STAMP LOCUS NORTH ARROW f----' SCALE c_1
CONTOURS &,-' PROFILE `-� SECTION BENCHMARK SOIL &
PERC INFO ELEVATIONS WETS. DISCLAIMER �-� WELLS &
WETLANDSL,�--' WATERSHED?,N/6,'5 DRIVEWAY (Eley) WATER LINE
FDN DRAIN L/ SCH40 TESTS CURRENT? iq q
SEPTIC TANK
INDER A) (+200% EDF)
LEV GW
BEVEL STATEMENT
'T) TEE REQ' D?�%95
ARY?Y, 2% SLOPE
.H.GW
�E H2O SUPP
t FILL? (25'
7 MET?
>31COVER?-VENT
TOPS FORM 4003 RESERVE BETWEEN
SIGNED
10' -MIN. '�� 4" PEA STONE?
BOT 36-0 X LDNG + SIDE 400 X LDNG = TOT
(L x W x #) (G/ft2) (DxLx2x#) (G/ft2)
Copyright O 1993 by S.L. Starr
t�. , �,,�-A ••., . �. '��' ice. .�ji ;i �.�
�� �;4, .� �.:•. ,�-� '�,t� ,,,;,�\{tet
T'76A!;�'av rww'i�!!"r,*.Awl!'c!_ has+ `�37r'Y'.P.a�"aC'. "l+^: r,-.,,�.-"a�s�-. i �_,,.. r. ; _... _" _ ., - — ". _
Town of North Andover, Massachusetts
BOARD OF HEALTH
APPLICATION FOR SITE TESTING/INSPECTION
Form No. 1
Applicant
.NAME ADDRESS TELEPHONE
Site Location t ) T— *I -, '\fl �
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
a ru
Fee
CHAIRMAN, BOARD OF HEALTH
Test N o. �' J
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
2-7-94
To Whom it May Concern:
Joseph Barbagallo has full authority to survey and/or perform
testing of all types on the following lot:
Property - land located in North Andover designated as Lot 2,
Dale Street, North Andover, on a Plan of Land entitled "Plan
No. 40905B, Sheet 1, drawn by Charles C. Martin, Associates,
Surveyors, dated November 4, 1983, owned by John J. Doerr"
which plan is recorded in the Northern Registry District of
Essex County, for sellers title see deed recorded book 64,
page 201, Certificate of Title No. 9349.
74
John J. Doerr
290 Rea St.
North Andover, MA 01845