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HomeMy WebLinkAboutMiscellaneous - 83 WILLOW RIDGE ROAD 4/30/2018 (3)19Y TF�a 711 1 —nf -* '. —. : :0 :t�,% ................ a44 4n 0uV0A) ,C17/T, Salam -* '. —. : :0 :t�,% ................ a44 4n 0uV0A) umping, r d (off oco of PV,M14.:, Uc T -* '. —. : :0 :t�,% Commonwealth of Massachusetts RECEIVED W City/Town of No Andover System Pumping Record OCT 18 2012 TOWN OF NORTH ANDOVER rG^M Form 4 HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms may be used, but the 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: G- oo 0 6. System Pumped y: � IV Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Sradfoi At e of Hauler natur of Receiving Facility Ma 01835 Date Date t5form4.doc• 03/06 System Pumping Record • Page 1 of 1 A. Facility Information Important: When filling out forms 1. System Location: on the computer, use only the tab , � ,5 CA/ t I �OA) H R -3 - key to move your Address cursor - do not No andover Ma use the return key. City/Town State Zip Code 2. System Owner: r� LeCc, e-S(Z remm Name Address (if different from location) City/Town State Zip Code Telephone Number B. Pumping Record ✓Z / 1. Date of Pumping Date 2. Quantity Pumped: DaII/ns 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: G- oo 0 6. System Pumped y: � IV Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Sradfoi At e of Hauler natur of Receiving Facility Ma 01835 Date Date t5form4.doc• 03/06 System Pumping Record • Page 1 of 1 _ a EIVED Commonwealth of Massachusetts rr City/Town of North Andover U 9 2014 System Pumping Record TOWNuf r4vKi K ANUOVER For HEALTH DEPARIVENT wy DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Beforen slReco d ng this must be check ubmitted o local Board of Health to determine the form they use. The System Pumping date in the-Iocal Board of Health or other approving authority within 14 days from the pumping, accordance with 310 CMR 15.351. A. Facility Information Important when filling out forms 1 on the computer, use only the tab key to move your cursor - do not use the return key. t�Q 2 Al reran System ill Q Address J 01886 North Andover Ma State Zip Code City/Town System Owner Name Address (if different from location) StateG Zip Code City/Town -2 D /,_9 Telephone Number B. Pumping Record %tea a % 1. Date of Pumping 2. Quantity Pumped: Gallons Date 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ YeAFIFN 5. Condition of System, if.yes, was it clearied? ❑ Yes ❑ No 6. System Pumped By: zT- 11��A caw /I Vehicle License Number Name Stewart's Septic Service Company 7. Location where contents were disposed: Ste 's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Z �; , ,� �v? 7, Date Date System Pumping Record • Page 1 c t5form4.doc• 03106 IC -N Commonwealth of Massachusetts W City/Town of North Andover W° System Pumping Record Form 4 �M DEP has provided this form for use by local Boards of Health. Other forms ma information must be substantially the same as that provided here. Before usin local Board of Health to determine the form they use. The System Pumping R the local Board of Health or other approving authority within 14 days from the accordance with 310 CMR 15.351. A. Facility Information f Important: When filling out 1. forms on the computer, use only the tab key to move your cursor - do not use the return City/Town key. tab 2. System Own r: Name Address (if different from location) used. but the mping date in CGT 18 2011 HEALTH DEPARTMENT No.Andover Ma 01845 City/Town State State Telephone Number Zip Code Zip Code B. Pumping Record 1. Date of Pumping QWJ/ 2. Quantity Pump ed: p g Date Gallons 3. Type of system: ❑ Cesspool(s) �eptic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No 5. Condition of System; 6. 5ystem Pumped By: chndmnn'la,y) i Name Stewart's Septic Service Company If yes, was it cleaned? ❑ Yes ❑ No Vehicle License Number 7. Location where contents were disposed: ,S,tewart's Prq-treatment Plant, 20 So. Mill Bradford, Ma 01835 / — -SiigAature of Hauler" 1S 77 Signaturerof Receiving Facility Date "2C1'�l Date t5form4.doc• 03/06 System Pumping Record • Page 1 of 1 { GTommonwealth of Massachusetts �`''CifylTown ',of NORTH ANDOVER, MASSA UHC SETTS System Pumping Record Form 4 OCT 12 2006 DEP has provided this form for use by local Boards of Health. ITte System Pum_ ping'Record mull be submitted to the local Board of Health or other approving authority; -- A. Facility Information - Important: When filling out forms on the computer, use 1. System Location: only the tab key move your cursor • do Addressto �Jv not use the return tylTown Cl ., ' --"' State ---------- ...... Zip Code key. 2. System Owner: Ic Name— -----_----_.._.._--._.._—..---------__—..-----._.-.._. Address (if different from location) —'"' —"" - — ---- — - -- -- --- - - City/Town ------..---------- State ------Q----- --- - Zip Code Telephone Number '---"--- - �- - B. Pumping Record -. 1. Date of Pumping J) Type of system: ❑ Date 2• Quantity Pumped: _. _.. _. �� Gallon Cesspool(s) 11 Septic Tank ❑ Tight Tank ❑ other (describe): - ____._.__ __._____._..______........... ... _.... 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No r 5. Condition of System: 6. Sy em Pumped By: Name Vehicle License Number cStfQ/%�7i%. Company / 7. Location where contents were disposed: AW Si ature of Hsu -------- — ----- ---- _.. Date http://www.mas§,govi/dep/water/ provals/t5forms.htm#inspect t5formCdoc- 06/03 System Pumping Record • Page t of J _L Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS I ------ (llliciall:;e(hll� Permit No. Occupancy and Fee Checked //O i [Rev. 9 051 I lease blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK SII -wrk to he herfornled in,ICCORIMICe with the \LSSUI)uSeRS I':ICCuiCJl lode (\Ila'). i2_ (AIR 12.00 (l'Lh_'.LS'E PRAT l•N INK OR TYTE.ILL L.NF0R.11.lT1oN) Date: � as 06 City or Town of: �(/ �„/p,�,. l tt44 To the h7Sj?(!L'101' 011171 S. By this application the undersigned gibes notice lit his of her InlCllholl t0 pet-forlll the electrical work described below. Location (Street & Number) S3 taillat✓ 9ldcte tD Owner or Tenant 01 &)qe I Lewet'r- Telephone No.677?715- Owner's Address 43 W, (1" 12; Is this permit in conjunction with a building permit? Yes 19 No ❑ (Check Appropriate Box) Purpose of Building 6Braid5,0 aUtility Authorization No. Existing Service New Service Amps / Volts Amps / Volts Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity 19pD I4 ale Syg ft9p Location and Nature of Proposed Electrical Work: Uop T9 if No. of 'deters No. of Meters ('urn >lc'liun a/ rhi Jrl/rni i,r; /Uh/C ll,[!V he "It aia J by dIC his n rlyd' ,,J iVir, No. of Recessed Luminaires Al No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool 'kbove ❑ In- ❑ end. o ad. • o. o Emergency Lighting Battery Units No. of Receptacle Outlets 3 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. To No. of Alerting Devices / _2 � .'�1Municipal Date.................................. KW No. of Self -Contained Detection/Alerting Devices Local ❑ El Other Connection Security Sy stems' No. of Devices or Equivalent ;• :'_:ry�� TOWN OF NORTH ANDOVER low PERMIT FOR WIRING ♦ s Thiscertifies that......................................................:...... ............................... has permission to perform �L.�. - ... ...� '` wiring in the building of °+� at ........... ,North Andover, Mass. Fee.:p............. Lie. No. ...... .. ....'.......................... ............. ELECTRICALS INSPECTOR"' Check # 015,1 8 signature � ��" T•::i)holtc �i 3. Data Wiring: No. of Devices or Equivalent Telecommunications Wiring: -- No. of Devices or Equivalent Irr�ui it rlrsrrrcl, r;r,,.� rr/uu•r�ihl ,hr l,�a/,ccr�,r �., li',�� y municipal policy.) with 11EC Rule 10, and upon cunlplCtion. u pertinrniance of electrical work may issue 1_11110L tion" CoveKI.LC or its Substantial CCluibalet7t. HIC 7fsanle to the permit i:,uin^ office. 'hiv •rpplieuliun is true unrl co"111 /ete. _ LIC. I`10.: $019e,6� V C% LIC. 'J O.: — Hus. Tel. No.: _. Aft. Tel. No.: 7tcr the IICCI75e Illllllber l7Cre: _ ul have the liability insurance CoNrraL e nCrnl,tlly ;un the (check onc) ❑ owner ❑ owner •(gent. )?0,;? -.3Y17 ! PF'iRUIT FF,F - X1161 6 Town of North Andover Community Development and Services Division Office of the Health Department 400 OSGOOD STREET North Andover, Massachusetts 01845 Michele E. Grant Public Health Inspector (978) 688-9540 -Phone (978) 688-8476 - Fax Date: July 15, 2005 Address: 83 Willow Ridge Road Re: Application for: Garage and Mudroom Dear: Mr. Leccese, Your application for a deck at has been reviewed by the Health Department. The application was denied on, July 15,2005 for the following reasons: 2. ❑ inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the_problem(s): If #1 is checke a. b. If #2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If #3 is checked: a. Relocate the project If #4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. Please feel free to call the Health Office at Sincerely, Michele E. Grant Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 J x S�Vol-o FORM U - LOT RELEASE FORM rw otr` A ate. f-7 - to 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 or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT /n/cycrr:% LecceSL PHONE 97b' %L>`/9!5'/ LOCATION: Assessor's Map Number /G '7 n PARCEL F? SUBDIVISION LOT (S) STREET ' ' �/� Uok) d5 e P—d ST. NUMBER 73> OFFICIAL USE ONLY TION ADMINISTRATOR DATE APPROVED DATE REJECTEDr,- TOWN PLANNER COMMENTS c -e DRIVEWAY PERMIT FIRE DEPARTMENT DUMPSTER PERMIT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED RECEIVED BY BUILDING INSPECTOR DATE FORM U - Revised 6.05 JMC Z-ep Date .... i. ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........................................................... ............................... -I' has permission to perform,-' ...,.,.: ... r.:............f;i . �I . . ............... wiring in the building of...... at ... X? ....... ........... ,North Andover, Mass. ..................................... Fee .,P ............. Lic. No. 4 .. .................................................. ELECTRICAVINSPEc-rok* Check # U A Commonwealth of Massachusetts ! �tfiici;ii i tml, i I Permit No. Department of Fire Services X, Occupancy and Fee Checked //Q i BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 051 Il�uve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .\II ,.,ork to hr 11erfnrmed in accordance %,ilh the \Lissachusetts FiccuicA t_'ode (\1FC). >_:' C\1R 12.00 t1'Lh_',1SE PRIATININK ORT)TE.ILLLN:FORHITIO,V) Date: _� as 06 Cih' or Town of: & ja'vj>,,r, cr t Tri Ilse h7S1 rClnr o ff' 1TY. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 93 wjilat;/ 91d,te RD Owner or Tenant M; Cjjge I LeaesC Telephone N0.617L 715- IS Owner's Address Is this permit in conjunction with a building permit? Yes 9 No ❑ (Check Appropriate Box) Purpose of Buildings d.5,&, geu., Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of 'Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity pp 14 .4�rta Sc,,8 / A, -to Location and Nature of Proposed Electrical Work: & r -i342, o ('om lelkm a/ the /rr/lrni int' luhle niav he'll lilt <<I by /ht' Iris h"'Nr a/ IPir, No. of Recessed Luminaires 41 No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets 44 No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool ,%bove ❑ In- rnd. 'rnd. ❑ , o. o mergency Lighting Battery Units_ FIRE ALARMS No. of Zones No. of Receptacle Outlets 13 No. of Oil Burners �� No. of Switches -7 No. of Gas Burners No. of Detection and InitiatingDevices No. of Ranges No. of Air Cond. Tons) No. of Alerting Devices No. of Waste Disposers HeatPump Totals: Number _ __ Tons KW No. of Self -Contained ' Detection/A lerting Devices No. of Dishwashers Space/.Area Heating KW Local ❑ Municipal ElOther Connection No. of Dryers Heating Appliances KW Security Systems:* s No. of Devices or Equivalent No. of Water Heaters KW _ No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: `!.Iliuch,i,hllwaa!;Aet,rililrlr.Nirz'rl,�:r isrr,lurrL h� lilt' h..sl,c(lid, If',r, F,timated 'Value of Electrical Work: pZG (\k hen required by municipal policy \bork to Start: Inspections tube requested in accordance with \IEC Rule 10, and upon completion. INSURANCE COVERAGE: L.nlcss waived by the owner. no permit for the perlormance of electrical work may issue unleS: the IiCUISCc provides proof of liability insurance includin""complctcd operation-' coveraL'c or its substantial equivalent. 1 he tnulers,i :nuc.1 certifies that such co%cra!;e i:. in 101 -Ce, ;md has c'.hibitecl 111-0017 oF:;amc to the permit i::,uin^ office. l Ill:cK0NE: INSI R.\\('L [t/j' 13t?` I) ❑ ;)Lf{I:R ❑ (spccily:) 1 eerfift, under the wins and petwlties al'perjurr, .Yial They in�urnw �n ;1n rltiv•,pp!icaIiun i. true and c u;aq>�elr. FIRM N,1ME: Wq QGer LIC. 1-{O.: $0/mc Licensee: �allaS i� d,eY4 ate �� :ii„ n:,ture _ (`/_', LIC.No.: — (l,%:;;u;li .,rnlc, r,irr c. rr,rl.r :1-r N;1- L , n1-, r:rrrih. r,inc., Bus. Tel.. A �o.: _ Address:._q[d,yb Kra Ae it A6.koa •y P 03o&4- Alt. Tel. No. ''Security S)StefAContractor LICCnSe required for this work; if applicable, enter the license number herr: — -- OkVNER'S IN 'RANCE ��AI 'ER: I am aw;u•c that the Licensee dopa, not have the liability insurance coveraL.c n�:rmally required by la, . y my signator below, I hcruhy waive this requirement. I am the (check one) ❑ owner ❑owner : ,Irent. Owner/Agenret :iigllature3117 PF ,�.1►IT F'FF • %/�1� TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: 101,51 SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) 96 /7 A/I DATE OF PUMPING: QUANTITY PUMPEDaj 0o GALLONS CESSPOOL: NO AYES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION HEAVY GREASE ROOTS EXCESSIVE SOLIDS SOLIDS CARRYOVER SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: y FULL TO COVER BAFFLES IN PLACE LEACHFIELD RUNBACK FLOODED OTHER (EXPLAIN) TO: NORTH ANDOVER, MASS BOARD OF HEALTH FROM: DESIGN ENGINEER S (? a -7 19 7C Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of /the said disposal system at Z O t /(F b6 -'1-11d � /?/Gt' / C,5— North Andover, Mass. The grades and construction are as specified in my plans and specifications dated s t P T- 3 a 19-2 : nr _,, of P.1n_ gq „', i.ne.er/Regi Sanitarian _� o E p CSR R 6 �.EA//o }�/�o �'o AJ 2- /:) 7 /7 /•lam _NC-------- U 6 33 6 , G '614 O c�, oJ �I! �\y��-" ,, c, .. � Jam•;: i'jf n - SOIL PROFILE & PERCOLATION TEST DATA Town/City No.&Street Lot No./'C:) Loc./Subdiv. ,'/k g Plan Owner�L" Investigator - a �} Observer 1' Elev. 1 2 3 4 5 6 7 8 9 10 SOIL PROFILES -DATE ?' Elev. Elev. _1-T 0 0.- 1 . 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 a 9 10 4'Elee\ �\4� c� Be. nc_hmark Location Elevation Datum Percolation Tests -Date Pit Number 1 2 3 4 5 Start Saturation 4,33 Soa%-Mins. Start Test -Time Dro of 3" -Time p D -rop of 611 -Time .¢ Mins.lst "Drop Mins.2nd 3"Dro, --- - -i = %.1105 vu MaCK rranK C. Gelinas & Associates, North And. v v ■ , N W � c- � �'�► "' v� J � L y 'i �a p b y Oobma m �0 a S ° y�a��� �a m e y �nI'h b m m u `\ty�ol�° ntb c 2b 24 Eq K ,c� Nj©aC Uta a �po� m NJLAr Co am Z m z Uj � y Is 8 t ID X34, co /�✓�. � r X33.90 �1 / /J vEElT piv 8dC '%73,saat=/333 ► A ° . , 14 m o K4y cl m m rn 0 D IN O � � cli O 6 ti n` n ° ZZ y m o , m FF 6i6� � °p p 0 a °u b b u Of ° a Mo— m o X00 �� �C•� 1np\ mn�y. enm �o o 41 �A b a�IA - 0 y A m co m O Q • o�° Zo' fit o ° ��ti '; v 1. j{�i � j ; �.i,.rr,,�'t tiJ'a''�; r t ,, � � r �. ,��� � . 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Fusco Dat> - of ! :.p5-.:t,*an August 30, 1996 •'. .,• RI 9iF' SI:eV713G"�.".i T9•!iiPC: riAt:, SWIM Mi: hkcltn'- tL-3 to at Iv:�:i t-0 pc--.):nLs hent Imo'{erey2Gd3 kind rwaris or ben.ch-ma 1.;.5 'Piz iv/VL C LU C—Cj— I Excsl�a, I 2E's�DcNG� � I oov Get✓ sE�I1C i � moi. f� t � � W I LLOW iz.tDG,C- R0A'D 4!!5 GoxL�U' LsAc-�-i ISED S ICC -7 -C -H N C ► i`U S Ch C. N c)'T- A UA I L A� LE Depth to groundwater: : 1 1 feet --,.W- of&^,e �ationorapp-, si=,tlon: Measured _depth from existing private well. (revised 11/03195) o I -JACC v L III- I Q 0 �1 '4�ri:'.!�j''r;•..�j�Vixr.��"�'�FY�y.�)rl;:�yl� •'1. '..!!iil�'� �.�� �!'����:�t�,;•�;�'..".. v:�. � •:)+ i �1�•/�(�� "'1�� .VAX' .�1 '��� •<: i. • � "r'Y `Yr d' 10• Ati ' • � 1 4 I':• 1 ! I' 1! 1' ' <•. b•y:.c •r.' t., r• �aa.•N•.,,1y, 1< %�'ffrryr�y.��' �a� h� i'.)r.J}:.: ... ;)'i � .f, �, �; y,•1 [f.�.. t v75j N'4�A)! F d�N•.•� '�i.���{/,f�.:,��C/�•5 fry lt. � ,. �- �. �i: 7;�..�a.ocaflon. w conteri 1•,:•, :� :. ,.. ; , tiara. dl;posed: . M{i +a�H:,;,:. '.f._ �. ;i,.�,i,: ��li:i.'. �'"•�' .j i.i i 1';T;11•.�:i �,; ,: ,I, •�•_ �'•�:,'+:�:.Sbna ....o htf� //www,masg:... �. Y gov/deplwater approvijS1t5forms•htm#Inspect . t5torrM.doa�041Q3 ' .�. � . � do � W IcJe Ucenife Number Date System PumDInp Record ! Pape ii I Fiml aNOZ IMI JI lg Cf W--llHAA ,00I 9ml9NOZ Fng-ON 05 ti I EV IAW ki P1A« 4'9 G a� I I EV IAW ki P1A« 4'9 G a� t I E a G/oS 'er rF w 0 3 �I N � c �V -I,&C3 S ilb5 DATE: AUGUST 14, 2003 FRANK S. GELE'S < REVISIONS: SfpRES INEACH BALE NOVEMBER 10, 2003 SURVEYING AUGUST 5, 2005 50 DEERMEADOW ROAD NORTH ANDOVER, MA 01845 F t FrankGilesSurvey@comcast.net SCALE: 1 INCH = 40 FEET LEGAL REFERENCES a 49 as 978-683-2645 +LARK" PLAN OF LAND LOCATION 83 WILLOW RIDGE ROAD NORTH ANDOVER, MA PREPARED FOR MICHAEL C. & DEBRA JEAN LECCESE g0� S,O`N vp MAP 109, PARCEL 89 NORTH ANDOVER BOARD OF APPEALS DATE OF FILING: DATE OF HEARING: DATE OF APPROVAL: r C:\CLIENTS\LECCESE MIKE\VARIANCE.DRG FRANK S. GILES II H OF 1`ts SfpRES INEACH BALE q SUBJECT PROPERTY F t 0 LEGAL REFERENCES +LARK" ' II F CW7 MAP 107D, PARCEL 88 No. 93 MICHAEL C. & DEBRA JEAN LECCESE 9 SS\O�PR, 1MVBVle�xt 83 WILLOW RIDGE ROADSIT" 0 V' NORTH ANDOVER, MA �! mos �° 0 PLAN Q.p yg�y AREA= 1.16 II RICT Rl MTAnON CONTROL FENCE BK. 4600, PG_ 113 OACR®BYSCARED AAY HATES 1%�ARES ClS'P.7 SEE PLAN #7430 @ N.E.R.D. VIptE1iG (rrnJ D.O.S. 1976 p o �E11GS11NG tin zz r C N flag #al oa�o PROFILE NOT TO SCALE r m � 7 flag #a2 WETLAND flag #a3 flag #a4 flag #a5 N_ g flag #a6 39' WETLAND 35' PROPOSED ADDITIO!V MAP 107D, PARCEL 88 LOT 18 1.16 AC. v9 1 �5boQ, E MAP 109, PARCEL 35 flag #a7 flag #a8 L '� 251 NO-C(JT z 7pNELi E 50 No_hUfl n 9 ZONE LINE r THIS IS TO CERTIFY THAT I HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN FRANK S. GILES, P.L.S. 100'?'L B 01v rn THE PROPERTY LINES SHOWN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. LOCUS NTS MAP 109, PARCEL 33 REGISTRY OF DEEDS USE ONLY COTNIROL SfpRES INEACH BALE q 0 +LARK" ON F CW7 RONOFF U Fco E[ CE OL 1MVBVle�xt Toce�r¢R � mos �° 0 PLAN Q.p yg�y NOS IO SCALE NOTSO SCALE MTAnON CONTROL FENCE OACR®BYSCARED AAY HATES 1%�ARES ClS'P.7 VIptE1iG (rrnJ �E11GS11NG GRODND I EROSION CONTROL DETAIL PROFILE NOT TO SCALE REGISTRY OF DEEDS USE ONLY :.. §PchusettsV. yJ� 1 ORT SSACHUSE -- H ANDOVER MA1T 'S 'R ;umplt.g"`record •/ 'J�t?J'.' •n. �.IZ•QrM •�j' .r >4ra Y.i �`7�j�rG.1y'' :(,,y .u;•r.'':;r• ''.0 t: }, �. :�J !!.+ t•, :f ��i., Jy�i��r'JI,^h'•'i.1;�,:,'v.CJA�.�'�'.4��1'1�•i:7.'i,!�:: •' , . ,:1�. .;1!{t:: rw •{:... kv�p ty1'x!'''ir:$.;n:;t;....! .`,�,1,�J'':Y'.:�f: t: NOV5 r7 ....,,`.(?+'y,c�'Y'�sl,Kli�j"it:fd•,,:.1r;�,,.:'.1: N� 20C Y, ,, �, .,• . ,. -..DEP.has provided this form for use by local Boards of Health. The System_Pumping Record m s: be submltted to the local'Board of `, Health or other approyln9 authority, .:.A Fpcllity InfQrM:4tion :f,TY n f flour' 1; System l.o Uon'1,' the tab key Address _ . to move your:; wrtor • do not 'usi the•retum ;;�' CIt 79wn State ,::.,;,>! ;.,.,a•,i,.,,..;,'. Yp Code - - '�r•'.::".:.'2" .System Owner,', ,.ri ..t,•, 'A'yji L'/'��,'i rfis ;.,•7�•'�fr4. it. I:l� ,,., .•n;'r�y !�� �•• • /:. ..�."Name' `•i l;�,:-' JJYI:J:�,'•, ,, ;�'. "rte: Address (If different from location) .: ,i Clbr/7owrti State' Code — �• ,�. 7elephone�ber�� •��� '1,r.• ;"'4":tial,�i.;icL"i:i:!�•fjs'l�i,•i:J�i4! I'14t•,(.'�`•� +' t Dat>� of Pumping . all 2, Quantity Pumped: ' 1' ' •• ` � Gallons Type pt.system; , ❑ CessPool(s) (r -L—eptic Tank ❑ Tight Tank (�.JOthfer (describe); 1 4 Y EfflueritTee� Filtei•prosent? ..❑ Yes - lo\ If yes, was It cleaned? ❑-No .•i , i.�t '` fit', a4(d,it.�'•�, �ii !'�•';: '.�t��1�;{;�r�.,� •��' • '�•I:.�y.l?i.; ,a.d, ati Coditlon`of:S ''''•'.' '' i.•;;, ,,. y,$t. ami.,;:. Pumped By;-' ;'�:. ':>�';�.w �; :fir;'';'' ama,;•�':ir�,. •.. ;li ,�, ,. �,' .',1�:;�;,;` .::.;'';> '•:;Yaz =:!^<Y,r:�r;:l '11' !�, yF,_ . , .,.• .. ,.:•. .•.7:.u1•i'ii::;. " .1J�'�,wJi'1,',,1, :�`7J�i�',��y�.�'{ I �lE�l`h if•,y.v�',,.•,!`.::: , i•Y Y/ L'�ti,•l:.••r'A t',4.lyj'fp'1,�f � t � ~�` al,i�4(%/,i .l� 'v �• 1.:Ir II 1, {� F,, a: 7,, t.ocaflon.where contents Were d(;3posed; !'v( 1;.'.�:'.iJ�.,r, t:',i•:,n�fJ yy„ii '•-.,',. Y. ! }:t':' v1:,a �'''r;.•'f : pnature of Hauler ; htfpJA wrv.mass.gov/dep water/apprpvajslt5fcrms,htm#Ins ect • t5torrM.doap8/QJ ,, (Vehicle Ucen#e Number Date System Pumping Record ' Page I of I