HomeMy WebLinkAboutMiscellaneous - 851 FOREST STREET 4/30/2018f
Massachusetts Department of Environmental Protection
! � Bureau of Resource ,Protection -- Wastewater Management Program
Fora 9AApplication dor Local Upgrade Approvav
--- Required by 310 CPAR 16.403(1)
A. Facility Information (continued)
7. Design Flow per 310 CMR 15.203:
Design flow of existing system:
Design flow of proposed upgraded system
Design flow of facility
E. Proposed Upgrade of System
1. Proposed upgrade is (check one):
330
gpd
330
gpd
330
gpd
® Voluntary D. Required by order, letter, etc. (attach copy)
❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection
2. Describe the proposed upgrade to the system:
Construct new soil absorption field and septic tank
3. Local Upgrade Approval is requested for:
❑ Reduction in setback(s) — describe reductions:
Reduction from SAS to Foundation wall from 20 ft. to 15 ft., Reduction from Septic tanks to Water
Service from 10 ft. to 5ft.
❑ Percolation rate for 30 to 60 min./inch: min./inch
❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. % reduction
® Reduction in separation between the SAS and high groundwater:
Separation reduction 4 ft. to aft.
Percolation rate
Depth to groundwater
❑ Relocation of water supply well (explain):
upgrade forml.doc • rev. 5/02
RECEIVED
Er
C 20 2017
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
ft.
3 min./in.
min./inch
56 inches
ft.
Application for Local Upgrade Approval* Page 2 of 4
North Andover Health Department
Community and Economic Development Division
December 8, 2017
James M. Kavanaugh, P.E.
Environmental Consultant
14 Shady Hill Drive
North Reading, MA 01864
Re: Subsurface Sewage Disposal System Plan for 851 Forest Street (Map 105, Lot 162)
Dear Mr. Kavanaugh,
The proposed wastewater system design plan for the above site dated November 28, 2017 and
received on November 30, 2017 has been reviewed. Unfortunately, the plan cannot be approved
until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or
North Andover regulation that is not met by this design follows each item where applicable.
1. The soil logs for TP -1 and TP -2 do not match the Board of Health representative's field
notes. The field notes have been included for reference.
2. The manufacturer and model number for the septic tank are required (NA 3.2).
3. All system components are required to be marked with magnetic marking tape and should
be noted on the design plan (3 10 CMR 15.221(12)).
4. A Local Upgrade Approval request is required to locate the septic tank less than 10' to
the waterline (3 10 CMR 15.405(1)(g)).
5. Annual maintenance is required for the effluent filter and should be noted on the design
plan (3 10 CMR 15.227(7)).
6. It appears the leach field has been oversized by using the incorrect LTAR of 0.60 gpd/sf
based on the soil texture and percolation rate. The correct LTAR appears to be 0.74
gpd/sf.
7. The distribution box detail dimensions indicate the incorrect lid thickness for H-20
loading.
Page 1 of 2
North Andover Health Department, Town Hall, 120 Main Street,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688. 9542
8. The bottom of the impervious barrier appears to be 1.7' to 2.3' below the seasonal high
ground water table elevation. You may wish to raise the proposed bottom elevation of
the barrier to avoid impounding of the effluent.
Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any
questions you may have. We look forward to working with you to obtain a wastewater treatment
and dispersal system which will be in compliance with all regulations and assure protection of
public health and the environment of North Andover.
Sine ly,
I
7
Brian I LaGrasse, CEHT
Director of Public Health
cc: L. DeOliveira
File
Page 2 of 2
North Andover Health Department, Town Hall, 120 Main Street,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688. 9542
i�.� f.�
� t� }
James M. Kavanaugh, P.E.
Owner
Premier Development, Inc,
Custom Homes -Engineering Consultant -Excavation Services
14 Shady Hill Drive
North Reading, MA 01864 Cell: 978-375-9781
Fax: 978-664-2925
email: kavanaughj@msn.com
. O
Town of Forth Andover
`.. HEALTH DEPARTMENT
�sswcNuscI
CHECK #: Q DATE: LOI
LOCATION:
H/O NAME: .G �p Ql Ylel'a.
CONTRACTOR NAME: /a /L
Type of Permit or License: (Check box)
0 Animal
$
❑ Body Art Establishment
$
❑ Body Art Practitioner
$
❑ Dumpster
$
❑ Food Service - Type:
$
❑ Funeral Directors
$
❑ Massage Establishment
$
❑ Massage Practice
$
❑ Offal (Septic) Hauler
$
❑ Recreational Camp
$
❑ Sun tanning
$
❑ Swimming Pool
$
❑ Tobacco
$
❑ Trash/Solid Waste Hauler
$
❑ Well Construction
$
SEPTIC Systems:
❑ Septic - Soil Testing
$
XSeptic - Design Approval
$�
❑ Septic Disposal Works Construction (DWC)
$
❑ Septic Disposal Works Installers (DWI)
$
❑ Title 5 Inspector
$
' ❑ Title 5 Report
$
❑ Other. (Indicate) $
H'ea-IWAgent Initials
White - Applicant Yellow - Health Pink - Treasurer
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT w
NORTH ANDOVER, MASSACHUSETTS 01.845
E-MAIL: healthdeptntownofnorthandover.com
WEBSITE: http//www.townofnorthandover.com
SEPTIC PLAN SUBMITTAL FORM
Date of Submission: 11/28/17
Site Location:
Engineer:
851 Forest Street
James Kavanaugh
New Plans? Yes—X—$275/Plan Check #_
only)
Revised Plans?Yes $125/Plan Check #
Site Evaluation Forms Included? Yes x
RECEIVED
t� Z 8 2017
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
223_(includes 1 St submission and one review
No
Local Upgrade Form Included? Yes—x— No
Telephone #: 978-375-9781 Fax #: 978-664-2925
E-maii:—kavanaughj@msn.com.
Homeowner
Name: L. DeOliviera
OFFICE USE ONLY
When the sub7i ion is complete (including check):
® Date stamp plans and letter
Complete and attach Receipt
Copy File; Forward to Consultant ➢ Enter on Log Sheet and
Database
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Commonwealth of Massachusetts
City/Town of
Percolation Test
Form 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. 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
the local Board of Health to determine the form they use.
Important: When A. Site Information
filling out forms
on the computer,
iisa nniv the tnh L. DeOliveira
key to move your Owner Name
cursor - do not 851 Forest Street
use the return Street Address or Lot #
key.
N. Andover MA 01845
,Q City/Town State Zip Code
fn Contact Person (if different from Owner) Telephone Number
�l B. Test Results
t5form12.doc• 06/03 Perc Test • Page 1 of 1
Date
Time
Date
Time
Observation Hole #
P-1
P-2
Depth of Perc
48+12
48+12
Start Pre -Soak
10:40 am
11:33 am
End Pre -Soak
10:55 am
11:48 am
Time at 12"
10:55 am
11:49 am
Time at 9"
11:04 am
11:55 am
Time at 6"
11:18 am
12:04 pm
Time (9"-6")
14 min.
9 min.
Rate (Min./Inch)
5 MIN./IN.
3 min/in
Test Passed:
®
Test Passed:
Test Failed:
❑
Test Failed:
❑
James Kavanaugh
Test Performed By:
Mill River Consulting
Witnessed By:
Comments:
t5form12.doc• 06/03 Perc Test • Page 1 of 1
Massachusetts Department of Environmental Protection
i
Bureau of Resource Protection —Wastewater Management Program
Form 9A -Application for Local Upgrade Approval
Required by 310 CMR 15.403(1)
Important: When
filling out forms
on the computer,
use only the tab
key to move your
cursor - do not
use the return
key.
VT 79J
Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming
septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR
5.404(1), is not feasible.
System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full
compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410
through 15.417.
NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of
a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved
capacity of a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000.
A. Facility Information
1. Facility Name and Address
L. DeOliveira
Name
851 Forest Sttreet
N. Andover
City
2. Owner Name and Address:
Same
Name
City
Zip
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Describe Facility:
Single Family Dwelli
5. Type of Existing System:
❑ Privy ❑ Cesspool(s)
MA 01845
State Zip Code
Street Address
State
Telephone Number
® Commercial ❑ School
® Conventional ❑ Other (describe below):
6. Type of soil absorption system (trenches, chambers, leach field, pits, etc):
upgrade form.doc • rev. 5/02 Application for Local Upgrade Approval* Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection — Wastewater Management Program
Form 9A ® Application for Local Upgrade Approval
Required by 310 CMR 15.403(1)
A. Facility Information (continued)
7. Design Flow per 310 CMR 15.203:
Design flow of existing system:
Design flow of proposed upgraded system
Design flow of facility
B. Proposed Upgrade of System
330
gpd
330
gpd
330
gpd
1. Proposed upgrade is (check one):
E Voluntary ❑ Required by order, letter, etc. (attach copy)
❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection
2. Describe the proposed upgrade to the system:
Construct new soil absorption field and septic tank
3. Local Upgrade Approval is requested for:
❑ Reduction in setback(s) — describe reductions:
Reduction from SAS to Foundation wall from 20 ft. to 10 ft.
❑ Percolation rate for 30 to 60 min./inch:
min./inch
❑ Reduction in SAS area of up to 25%: sas size, sq. ft.
® Reduction in separation between the SAS and high groundwater:
Separation reduction 4 ft. to 3ft.
ft.
Percolation rate 3 min./in.
Depth to groundwater
❑ Relocation of wafter supply wel! (explain):
min./inch
58 inches
ft.
% reduction
upgrade form.doc • rev. 5/02
Application for Local Upgrade Approval* Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection — Wastewater Management Program
Form 9A - Application for Local Upgrade Approval
ILI Required by 310 CMR 15.403('1)
❑ Other requirements of 310 CMR 15.000 that cannot be met— describe and specify sections of the
Code:
If the proposed upgrade involves a reduction in the required separation between the bottom of the soil
absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the
high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1). The soil evaluator must be a member
or agent of the local approving authority.
High groundwater evaluation determined by:
Evaluator's Name (type or print) Signature Date of evaluation
C. Explanation
Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be
completed)
1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
cost prohibitive
2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible:
cost prohibitive
3. A shared system is not feasible:
n/a
4. Connection to a public sewer is not feasible:
n/a
upgrade form.doc • rev. 5/02 Application for Local Upgrade Approval, Page 3 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection —Wastewater Management Program
i1 Form 9A - Application for Local Upgrade Approval
Required by 310 CMR 15.403(1)
5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the
appropriate boxes):
® Application for Disposal System Construction Permit
® Complete plans and specifications
® Site evaluation forms
® A list of abutters affected by reduced setbacks to private water supply wells or property lines.
Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2).
[j Other (List):
D. Certification
"I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my
knowledge and belief, are tr , curate, and complete. I am aware that there may be significant
consequ c s for sub g,false information, including, but not limited to, penalties or fine and/or
imprison -fgr de e : to viola s."
Print Name
James Kavanaugh _
Name of Preparer
14 Shady Hill Drive
Preparer's address
MA 01864
State/ZIP
__ Il 7
Date
10/28/17
Date
N. Reading
City/Town
978-664-2925
Telephone
NOTE: 310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade
approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of
Resource Protection, Division of Watershed Management, upon issuance by the local approving
authority and before commencement of construction.
upgrade form.doc • rev. 5/02 Application for Local Upgrade Approval* Page 4 of 4
RECEIVED
NOV 0 p 2017
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
TOWN OF NORTH ANDOVER
Community & Economic Development
HEALTH DEPARTMENT
120 Maine Street
WORT14 ANDOVER— MASSACRTJSETTS 01845
1 C�, -t/e- pe ar m t S 5 i v n
3~� OCL
�4 r05
Rssaeru$��
978.688.9540 — Phone /�j
978. 6889542 —FAX (alf
healthdept�iarthandoverena.,ov
1() -'iv www.nortbandoverma.gov
APPLICATION FOR SOIL TESTS
DATE: November 1, 2017
MAP & PARCEL: 105/162
LOCATION OF SOIL TESTS: east side of property
OWNER: L. De Oliveira
APPLICANT:
ADDRESS: 851 Forest Street
Contact #:
Contact
ENGINEER: James Kavanaugh Contact#: 978-375-9781
CERTIFIED SOIL EVALUATOR: James Kavanaugh No. 13253 KA'yoyallrat 16 A 1; A"
Intended Use of Land: Residential Subdivision Single Family Home Commercial
Is This: Repair Testing: yes Undeveloped Lot Testing: Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No x
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
D Proof of land ownership (Tax bill, or letter from owner permitting test)
> 8.S" x 11" Plot plan & Location of .Testing (please indleate test nit sites on lite plan
r Fee of $585.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area., Fee of $440.00 per lot for repairs or upgrades.
GENERAL INFORMATION
➢ Only Certified Soil Evaluators may perform deep hole inspections.
Y Only Mass. Registered Sanitarians and Professional Engines can design septic plans.
At least two deep holes and two percolation tests are required for each septic system. disposal area.
D Repairs require at least two deep holes and at least one percolation test, at.the discretion of the 'BOH
representative.
➢ Full payment will be required for all additional tests within two weeks of testing.
> Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health
showing the location of all tests (including aborted tests).
Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Cotmtission Approval
Signature of Conservation Agent: "" V
Date back to Health Department: (stamp in):
(W I
010's
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i
91 \ \
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CTS cT
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90
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it
TOWN OF NORTH ANDOVER • �Y�4���
RECEIVED Community & Economic Development
_
NOV 0 8 2011 HEALTH DEPARTMENT
120 Mainn Street
T HWROF NORTH DEPARTMENT MASSACHUSETTS NORTH ANDOVER, MASSACHUSET`S 01845
978;688.9540 -- Phone
978.688.9542 — FAX
healthdep#(,a7✓northandoversna.�ov -
C� t �� pe r rn i 5 5, O n �o f J6n �2x �vww.northandoverma.gov
d' �
APPLICATION FOR SOIL TESTS
DATE: November 1, 2017 MAP & PARCEL: 105/162
LOCATION OF SOIL TESTS: east side of property
OWNER: L. De Oliveira Contact #:
APPLICANT: Contact #:
ADDRESS: 851 Forest Street
ENGINEER: James Kavanaugh _ Contact #: 978-375-9781
CERTIFIED SOIL EVALUATOR: James Kavanaugh No.13253 K4vay!eIF . b'
Intended Use of Land: Residential Subdivision. Single Family Home Commercial
Is This: Repair Testing: yes Undeveloped Lot Testing: Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No x
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership (Tax bill, or leiter from owner permitting test)
➢ 8.5" x 11 "Plot Platt & Location of Testine (please iindicate test nit sites on the Platt
➢ Fee of $585.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each. disposal area., Fee of $440.00 per lot for repairs or upgrades.
GENERAL 'INFORMATION
➢ Only Certified Soil Evaluators may perform deep hole inspections.
➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans.
➢ At least two deep holes and two percolation tests are required. for each septic system disposal area.
➢ Repairs require at least two deep holes and at Ieast one percolation test, at the discretion of the BOH
representative.
➢ Full payment will be required for all additional tests within two weeks of testing.
➢ Within 45 days of testing, a scaled plan (no smaller than I"-100') shall be submitted to the Board of Health
showing the location of all tests (including aborted tests).
➢ Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Coininission Approval Date �--�� : D r ( 0.10 !�,� 1
Signature of Conservation Agent. V � `P `a~
Date back to Health Department: (stamp in):
NpWTN ,1 I
a: - p f North Andover
Town o
LHEA TH DEPARTMFNT
�,SSACNUSEI ATE:
D
-. CHECK �---
LOCATION. �.
H�0NAME.
CONTRACTOR NAS.
i
T
e of Permit or License: (Check box)
❑ Animal $----
❑ Body Art Establishment
❑ Body Art Practitioner
❑ Dumpster
❑ Food Service -Type'
❑ Funeral Directors
❑ Massage Establishment
❑ Massage Practice
- ❑ offal (Septic) Hauler
` ❑ Recreational Camp
❑ Sun tanning
COMMOnwealth ❑ Swimming Pool $� _—
Titie 5 °f�/ag' ❑ Tobacco $_----
Subsurf ag f0- I ❑ TrasWSolid Waste Hauler .�
ace Sewage $� --
M 8e D's a
85 posal ❑ Well Construction
PrOpertY Orest Addre Street �C S stems: $-�
Owner Christo ss SEP
information is Owner her De Re nd Septic -Soil Testing
required for every North An me se a 508 Ess ' p tic - Design Approval $ ---
Citown dover Septic
� coon (DWC>
❑ Septic Disposal Works Construction
$--_
Inspection r ❑ Septic Disposal Works Installers (DWI) $----
esults must be s
Kray. Please see cOmpletene
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ub►nitte ❑ Title 5 Inspector
on the computer Out
ormsGe r ss check ❑ Title 5 Report
key Only the tab ne al in format n
cursore ao n t°ur 1 Inspector._useO other (Indicate)
key, return Ron ❑
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Name of Ins
R. Jenkins
Pector agent Initials
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CO any 1liame Sons
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978-314-0,503
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ber •
state
514268 01989
B. Ce tion License Number 4 Code
information
that I have a Pers
was Performed brted below - t aspected the se
sewage disposal ss t on e, accurate and age disposal
h.
Title 5 (310 )stems 1 tratnin9 and toassystem
CMR 15.000). The system: r)EP eVer ence nl theaProper
the tune at tof address and that
0 Passes Ystem:approved SYstern infunction and InsPection. Thi he
PectorPurs maintenance Inspection
cant to Se of on site
Needs Further Evaivati Conditionally Pass ction 15.340 of
Evaluation by the loc es
al gPPr°vin9 Authori � Fails
inspectors Si r
gnature
Of Health
th m inspector sh 11/1/17
hens a des pr DE
within 30 ati gabmit a copy of Aare
port to the w of 10 00 YS of corn this insPectio
and co appropriate 0 9Pd or gre pletin9 this ins n report to the '
Copies sent to regional ater the ins pection If the
gpprovin
**
This
the buyer, if a °ffce of the DSp Th or and the a system is 9 Author
s report oro PPlicabie, and the The original s system owne a shared s i �BOard
the sanat tht or different S nsP coon°editions at th approving authority. ould be sent to the sys eit the or
e tree of ins m Owner
conditio oes not address how the s
ns of use Pecti°p and
15ins • 3/13
under
Yste►n wi
l
l
----
Pert nhnditi°ns of use
e future under
Idle 5 0fficia1 /nspection Fpnn: SubS fe., S Be 0,.p.,
SYstern . page 1 of 17
4.
AZ
N
Owner
information is
required for every
page.
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner's Name
North Andover
Cityrrown
B. Certification (cont.)
Ma. 01845 11/1117
State Zip Code Date of Inspection
Inspection Summary: Check A,B,C,D or E / always complete all of Section D
A) System Passes:
❑ 1 have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
B) System Conditionally Passes:
❑ One or more system components as described in the "Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for "yes", "no" or "not determined" (Y, N, ND) for the following statements. If "not
determined." please explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank as approved by the Board of
Health.
* A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5ins • 3113 Tide 5 Official Inspection form: Subsurface Sewage Disposal System . Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
rroperiy Auaress
Christopher De Resende (508 Essex St_ Saugus Ma 01906)
Owner Owner's Name
inormation is every North Andover
requiredforeve Ma. 01845 11/1/17
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes (cont.):
❑ Observation of sewage backup or break out or high static water level in the distribution box due
to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will
pass inspection if (with approval of Board of Health):
❑ broken pipe(s) are replaced
❑ obstruction is removed
❑ Y ❑ N ❑ ND (Explain below):
❑ Y ❑ N ❑ ND (Explain below):
❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ The system required pumping more than 4.times a year due to broken or obstructed pipe(s). The
system will pass inspection if (with approval of the Board of Health):
❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below):
❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below):
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b) that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins - 3/13 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�,. 851 Forest Street
Owner
information is
required for every
page.
rroperry fiaaress
Christopher De Resende (508 Essex St. Saugus Ma 01906)
Owner's Name
North Andover
City/Town
B. Certification (cont.)
Ma. 01845
State Zip Code
11/1/17
Date of Inspection
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within
100 feet of a surface water supply or tributary to a surface water supply.
❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water
supply.
❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water
supply well.
❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or
more from a private water supply well"*.
Method used to determine distance:
** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or "No" to each of the following for all inspections:
Yes No
® ❑ Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than Y2 day flow
t5ins - 3/13
Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 4 of 17
Commonwealth of Massachusetts
. Title 5
Official Inspection Form
" Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 851 Forest Street
Property Address
Christopher De
Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover
Ma. 01845 11/1/17
page. City(rown
State Zip Code Date of Inspection
B. Certification (cont.)
Yes
No
❑
® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑
® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑
® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑
® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑
® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑
® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory, for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
® ❑ The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure_
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area — IWPA) or a mapped Zone II of a public water supply well
If you have answered "yes" to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins . 3113 Title 5 Official Inspection Form: Subsurface Sewage Disposal System . Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover Ma. 01845 11/1/17
page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate "yes" or "no" as to each of the following:
Yes No
❑ ®
Pumping information was provided by the owner, occupant, or Board of Health
❑ ®
Were any of the system components pumped out in the previous two weeks?
❑ ®
Has the system received normal flows in the previous two week period?
❑ ®
Have large volumes of water been introduced to the system recently or as part of
this inspection?
❑ ®
Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑
Was the facility or dwelling inspected for signs of sewage back up?
® ❑
Was the site inspected for signs of break out?
® ❑
Were all system components, excluding the SAS, located on site?
® ❑
Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑
Was the facility owner (and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
❑ ®
Existing information. For example, a plan at the Board of Health.
® ❑
Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): N/A Number of bedrooms (actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): N/A
t5ins - 3/13 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover Ma. 01845 11/1/17
page. Citylrown State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 0
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? (Include laundry system inspection ® Yes ❑ No
information in this report.)
Laundry system inspected? ❑ Yes ® No
Seasonal use? ❑ Yes ® No
Water meter readings, if available last 2 ears usage 136,500 total
9 ( Y 9 (gpd)}:
Detail:
136,500 / 730 = 186.9 gallons per day
Sump pump?
Last date of occupancy:
Commercial/industrial Flow Conditions:
Type of Establishment:
Design flow (based on 310 CMR 15.203):
Basis of design flow (seats/persons/sq.ft., etc_):
Grease trap present?
Industrial waste holding tank present?
Non -sanitary waste discharged to the Title 5 system?
Water meter readings, if available:
® Yes ❑
No
vacant 6-12
months ?
Gallons per day (gpd)
❑ Yes ❑
No
❑ Yes ❑
No
❑ Yes ❑
No
t5ins - 3/13 Title 5 Official Inspection Forth: Subsurface Sewage Disposal System - Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Ad&ess
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every _North Andover Ma. 01845 11/1/17
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use:
Other (describe below):
General Information
Pumping Records:
Source of information:
Was system pumped as part of the inspection?
If yes, volume pumped:
How was quantity pumped determined?
Reason for pumping.-
Type
umping:
Type of System:
Date
Last pumped unknown
gallons
®
Septic tank, distribution box, soil absorption system
❑
Single cesspool
❑
Overflow cesspool
❑
Privy
❑ Yes ® No
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract (to be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank. Attach a copy of the DEP approval.
❑ Other (describe):
t5ins - 3/13 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 8 of 17
Commonwealth of Massachusetts
AS Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma 01906)
Owner Owner's Name
information is every
North Andover
required Ma. 01845 11/1/17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
original system installed in 1970, the system I inspected appears to be newer but no info. at health
Were sewage odors detected when arriving at the site?
Building Sewer (locate on site plan):
Depth below grade:
Material of construction:
® cast iron ® 40 PVC ❑ other (explain):
Distance from private water supply well or suction line:
❑ Yes ® No
36"
feet
n/a
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
condition of joints good, proper venting, no evidence of leakage
Septic Tank (locate on site plan):
Depth below grade:
Material of construction:
® concrete ❑ metal
❑ fiberglass
26"
feet
❑ polyethylene ® other (explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 8'x5'x5'dp.
Sludge depth:
21
t5ins - 3/13 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 9 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover Ma_ 01845 11/1/17
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank (cont.)
Distance from top of sludge to bottom of outlet tee or baffle
28"
Scum thickness
0"
Distance from top of scum to top of outlet tee or baffle
6"
Distance from bottom of scum to bottom of outlet tee or baffle
14"
How were dimensions determined? Measuring stick and ruler
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
tank appears to be leaking, 1" below outlet invert. no inlet baffle or tee, outlet tee is good. structural
integrity is fair. tank will be pumped when system is replaced
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
t5ins • 3/13 Title 5 Official Inspection Forth: Subsurface Sewage Disposal System • Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover Ma. 01845 11/1/17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc:):
Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal
Dimensions:
Capacity:
Design Flow:
Alarm present:
Alarm level: —
Date of last pumping:
❑ fiberglass ❑ polyethylene ❑ other (explain):
gallons
gallons per day
❑ Yes ❑ No
Alarm in working order:
Date
Comments (condition of alarm and float switches, etc.):
❑ Yes ❑ No
* Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No
t5ins - 3113 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover Ma. 01845 11/1/17
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
21
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
box was level and distribution was equal, some carryover, no evidence of leakage into or out of box
Box is 36" below grade, size of box 16"x16"x13"dp.
Pump Chamber (locate on site plan):
Pumps in working order. ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins • 3113 Title 5 official Inspection Form: Subsurface Sewage Disposal System • Page 12 of 17
Commonwealth of Massachusetts
Ij Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
rroperty Address
Christopher De Resende (508 Essex St Saugus Ma 01906)
Owner Owner's Name
information is
required for every North Andover Ma. 01845 11/1/17
page. City/Town State Zio code nnfa of Inenarfinn
D. System Information (cont.)
Type:
❑
leaching pits
❑
leaching chambers
❑
leaching galleries
®
leaching trenches
❑
leaching fields
❑
overflow cesspool
❑
innovative/alternative system
number:
number:
number:
number, length:
number, dimensions:
number:
37'
Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
gravely soil, signs of hydraulic failure, no ponding, leach trenchs are located in back of house under
mowed grass. Ran snake with locater on end to determine trench length is 37'_ 1 ran camera down
other trench and found there was 1.5" of solids in pipe, could not go more than 5' into pipe
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth — top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow
❑ Yes ❑ No
t5ins - 3/13 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover Ma. 01845 11/1/17
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins - 3113 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 14 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
rruperty mouress
Christopher De Resende (508 Essex St Saugus Ma 01906)
Owner Owner's Name
information is North Andover
required for every Ma. 01845 11/1/17
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand -sketch in the area below
❑ drawing attached separately
t5ins. 3/13 Title 5 Official inspection Fonn: Subsurface Sewage Disposal System . Page 15 of 17
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
rIUpnrty rAaaress
Christopher De Resende (508 Essex St Saugus Ma 01906)
Owner Owner's Name
information is North Andover
required for every Ma. 01845 11/1/17
page. City/Town State Zip Code Date of Inspection
U. System Information (cont.)
Site Exam:
❑
Check Slope
❑
Surface water
®
Check cellar
❑
Shallow wells
Estimated depth to high ground water.
feet
Please indicate all methods used to determine the high ground water elevation:
El
Obtained from system design plans on record
If checked, date of design plan reviewed:
Date
Observed site (abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health - explain:
Info. from next door (150 Laconia Circle)
Checked with local excavators, installers - (attach documentation)
Accessed USGS database - explain:
You must describe how you established the high ground water elevation:
seasonal high water at 93.80 = 6.7' below grade
test date 4/22/88 test Conducted by Joseph Barbagallo witnessed by M.Graf
Note: within 30' of system basement has 2 sump pumps both approx. 64" below grade
Leach trenchs are 46" below grade.
Also Note: Washing machine was empting into one of the sump pumps
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins - 3/13 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
851 Forest Street
Property Address
Christopher De Resende (508 Essex St. Saugus Ma. 01906)
Owner Owner's Name
information is
required for every North Andover Ma. 01845 11/1/17
page. Cityfrown State Zip Code Date of inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
® System Information — Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t5ins - 3/13 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 17 of 17
Summary Record Gard generated on 118!2017 1:34:21 PM by Karen Hanlon
Town of North Andover
Tax Map # 210-105.01-0162-0000.0
Parcel Id 17123
851 FOREST STREET
LINDENBERG OLIVERA
851 FOREST STREET
NORTH ANDOVER MA 01845
Page 1
Class 101 Single Family Property Type 1 Residential
Zonin92 1 Residential Zoning3 1 Residential
Size Total 1.14 Acres
FY 2018
UB Mailing Index
Name/Address
Type
Loan Number
Activelinact.
From
Until
LINDENBERG OLIVERA
Owner
851 FOREST STREET
NORTH ANDOVER MA 01845
WYSOCKI, LISA
Payor
Inactive
6/21/2017
851 FOREST STREET
NORTH ANDOVER, MA
01845
ALTISOURCE SINGLE FAMILY INC.
Previous
Customer
Inactive
10/18/2017
PO BOX 105265
ATLANTA GA 30348
UB Account Maint.
Account No
Cycle
Occupant Name
Activelinactive
Bldg Id. 17548.0 - 851 FOREST STREET
Last Billing Date 10/10/2017
3170218
03 Cycle 03
Active
UB Services Maint.
Account No. 3170218
Service Code
Rate
Charge
Multiplier/Users
MISCFEE ADMIN FEE
0.63518
7.82
1/
WTR WATER
01 ALL METER SIZE
/1
UB Meter Maintenance
Account No. 3170218
Serial No Status
Location
Brand
Type
Size
YTD Cons
36153063 a Active
ERT HH
b Badger
w Water
0.63 0.63
651
Date
Reading
Code
Consumption
Posted Date
Variance
10/10/2017
635
f Final Bill
0
10/10/2017
-100%
618/2017
635
a Actual
3
7/25/2017
-85%
3/8/2017
632
aActual
19
4/12/2017
-41%
12/9/2016
613
aActual
33
1/23/2017
87%
9/9/2016
580
aActual
18
10/24/2016
-46%
6/8/2016
562
aActual
33
8/2/2016
-28%
3/8/2016
529
a Actual
45
4/22/2016
45%
12/9/2015
484
aActual
31
1/20/2016
14%
9/10/2015
453
a Actual
28
10/16/2015
-23%
6/9/2015
425
a Actual
35
7/24/2015
-9%
3/11/2015
390
aActual
39
4/28/2015
33%
12/10/2014
351
a Actual
29
1/15/2015
2%
9/11/2014
322
aActual
29
10/15/2014
30%
6/11/2014
293
aActual
22
7/16/2014
-18%
3/12/2014
271
aActual
27
4/11/2014
-20%
12/10/2013
244
aActual
33
1/17/2014
15%
9/11/2013
211
aActual
29
10/15/2013
-22%
6/1212013
182
a Actual
37
7/24/2013
50%
3/13/2013
145
a Actual
25
4/22/2013
0%
12/11/2012
120
aActual
24
1/9/2013
62%
9/14/2012
96
a Actual
16
10/15/2012
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6/11/2012
80
aActual
16
7/16/2012
3%
t'
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Town of North Andover
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CHECK #: 32. DATE: //-/5/-a?0/7
LOCATION:
H/ O NAME:
CONTRACTOR NAME: -ems, ."nS
Type
0
of Permit or License: (Check box)
❑
Animal
$
❑
Body Art Establishment
$
❑
Body Art Practitioner
$
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Dumpster
$
❑
Food Service - Type:
$
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Funeral Directors
$
❑
Massage Establishment
$_
❑
Massage Practice
$
❑
Offal (Septic) Hauler
$
❑
Recreational Camp
$
❑
Sun tanning
$
❑
Swimming Pool
$
❑
Tobacco
$
❑
Trash/Solid Waste Hauler
$
❑
Well Construction
$
SEPTIC Systems:
❑
Septic - Soil Testing
$
❑
Septic - Design Approval
$
❑
Septic Disposal Works Construction (DWC)
$
❑
Septic Disposal Works Installers (DWI)
$
❑
Title 5 Inspector
$
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Town of North Andover
Office of the Conservation Department
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845
Julie Parrino
Conservation Administrator
October 23, 2002
Lisa M. Wysocki
851 Forest Street
North Andover, MA 01845
Telephone (978) 688-9530
Fax (978) 688-9542
RE: ENFORCEMENT ORDER: 851 Forest Street
Violation of the Massachusetts Wetland Protection Act (MGL c.131 s.40) and North
Andover Wetland Protection ByLaw (c.178 of the Code of North Andover).
Dear Ms. Wysocki:
This letter is in regard to the Enforcement Order issued to you on October 10, 2002 by
the North Andover Conservation Department for potential clearing, filling and
construction activities within 100 feet of wetland resource areas. Upon review of the
site with you on October 16, 2002, we discussed the recent activities that have occurred
on the site. Activities were limited to removal of some debris and vegetation,
application of rip -rap and construction of a fence along the limits of an existing lawn.
All work appeared to be 25' from the edge of wetland resource areas. An old shed and
a significant amount of debris was identified within 25' of the edge of the identified
wetland resource area. You expressed your intentions to eventually remove the shed
and debris. As discussed, prior to the removal of the shed and debris, please contact
the Conservation Department for guidance during the clean-up and restoration efforts.
I highly recommend a vegetative buffer be planted along the edge of the wetland
resource area which appears to support vernal pool habit
At this time, you are not required to comply with the conditions outlined in the
Enforcement Order. As discussed in the field, the limits of rip -rap should be moved
closer to the road, away from the wetland resource area. Any activities conducted on
your property, within 100 feet of wetland resource areas, may be subject to a filing with
the Conservation Commission. Please feel free to contact me to discuss any future
activities including restoration and landscaping activities.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Your anticipated cooperation is appreciated.
Sincer
J
e arrino �J
Conservation Administrator
Encl.
CC: NACC
Ms. Heidi Griffin, Community Development Director
DEP-Northeast Region
file
Town of North Andover
Office of the Conservation Department
Community Development and Services Division
Julie Parrino
Conservation Administrator
October 10, 2002
Lisa M. Wysocki
851 Forest Street
North Andover, MA 01845
27 Charles Street
North Andover, Massachusetts 01845
Telephone (978) 688-9530
Fax (978) 688-9542
RE- ENFORCEMENT ORDER: 851 Forest Street
Violation of the Massachusetts Wetland Protection Act (MGL c.131 s.40) and North Andover
Wetland Protection ByLaw (c.178 of the Code of North Andover).
Dear Ms. Wysocki:
During routine inspections conducted throughout the Town, the Conservation Department
observed a possible violation of the Wetlands Protection Act and North Andover Wetlands
Protection Bylaw on your property. Activities observed included installation of a fence,
possible clearing and filling activities and placement of rip -rap stone adjacent to a wetland
resource area subject to jurisdiction under the Massachusetts Wetland Protection Act (the
Act') M.G.L. c.130, s.40 and the North Andover Wetland Protection Bylaw (the 'Bylaw")
Section 178.
Specific wetland resource areas affected by the observed activities may include the following:
• Bordering Vegetated Wetland (MWPA Regulations Section 310 CMR 10.55 and the
North Andover Conservation Commission (NACC) Regulations Section I.C.); or
Isolated Vegetated Wetland (NACC Regulations Section III.B);
• 25 -Foot No Disturbance Zone (NACC Bylaw Section III.D.4); and
100 -Foot Buffer Zone (NACC Bylaw Section I.C.)
The potential resource area located to the west of the observed activities may qualify as
ephemeral pool habitat, in which case no activity would be allowed within 50' from the edge of
the resource area.
ORDER:
Acting as an Agent of the Commission under MGL C.40, S.21D and the Act (310 CMR 10.08(3)),
enclosed please find an Enforcement Order mandating the restoration and removal of all
possible unauthorized fill material located within the wetland resource area and the No -
Disturbance Zone (50' No -Disturbance if resource area is determined to be ephemeral pool
habitat). This restoration work shall be conducted in accordance with the conditions described
below.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSER DATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
W
The property owner shall immediately take the following actions:
1. . Wetland Field Delineation
The property owner shall have all wetland resource areas within 100 -feet of the recent
activities delineated by a qualified wetland biologist.
2. Wetland Restoration Report
A report shall be provided to the NACC in narrative form that includes a detailed
description of existing conditions, all unauthorized activities, and the proposed
restoration (wetland resource areas and No -Disturbance Zone) including the sequence
of work, resource area plantings strategy, anticipated future construction and
landscaping activities, current and future sedimentation/erosion control measures and
site stabilization measures. The report shall address all impacts to the wetland resource
areas protected by the Act and Bylaw as well as the proposed mitigation measures in
detail. The report shall be submitted to this Department no later than November 8,
2002.
Upon review and approval of the wetland delineation and Wetland Restoration Report, the
Conservation Administrator will determine a final completion date for restoration activities.
Depending on the extent of alteration, the following additional information may be required by
the applicant to address the violations.
1. Plans
Existing Conditions Plan: The existing conditions plan ' shall include all information
required for a Notice of Intent application filed with the NACC. This plan shall include
the wetland alteration area, structures, facilities, storage area, etc., within 100 -feet of the
delineated wetlands, as well as the location of the 100 -foot buffer zone, 50 -foot No -
Construction Zone and 25 -foot No -Disturbance Zone. This plan will serve as the base
plan for the proposed wetland restoration plan described below.
Restoration Plan: The restoration plan shall include all information required for a Notice
of Intent application filed with the NACC. The restoration plan shall show the
proposed mitigation measures including, at a minimum:
• The proposed planting and grading plan for the Bordering or Isolated Vegetated
Wetland and the No -Disturbance Zone.
• Proposed erosion and sedimentation control measures to be employed on-site.
Any other mitigation measures deemed necessary to restore the wetland resource
areas on the property.
2. Notice of Intent
A Notice of Intent filing application under the Massachusetts Wetland Protection Act
and North Andover Wetland Protection Bylaw.
The violations as documented herein are subject to a $300 per day penalty' until such time as
the impacted resource areas have been mitigated. Each day or portion thereof during which
this violation continues shall constitute a separate offense. At this time this Department has
elected not to levy the above mentioned per day fine. However, we reserve the right to take
such action in the future should this Enforcement Order not be complied with retroactive from
the date we were first made aware of the violations (8-8-02).
Failure to comply with this Order and the deadlines referenced herein will result in the
issuance of additional penalties. MGL C.131 S.40 and the North Andover Wetland Bylaw,
C.178 authorizes the Conservation Commission to seek injunctive relief and civil penalties per
day of violation. In addition, a violation of the Massachusetts Wetland Protection Act and the
North Andover Wetland Bylaw constitutes a criminal act, which is subject to prosecution and
the imposition of criminal fines, also per day. This Enforcement Order shall become effective
upon receipt.
Attached is a listing of local consultants who can assist you with the requirements of the
Enforcement Order.
Your anticipated cooperation is appreciated.
Sinc,
j Parnno
Conservation Administrator
Encl.
CC. NACC
Ms. Heidi Griffin, Community Development Director
DEP-Northeast Region
file
1 In accordance with the provisions of MGL c.40 s.21D and Section 178.10 of the North Andover
Wetland Protection ByLaw (REV May 1993/ REV October 1998)
Important:
When filling out
forms on the
computer, use
only the tab
key to move
your cursor -
do not use the
return key.
IF 7�N
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 9A — Enforcement Order
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Violation Information
This Enforcement Order is issued by:
To:
North Andover
Conservation Commission (Issuing Authority)
Lisa M. Wysocki
Name of Violator
851 Forest Street, North Andover, MA 01845
Address
Location of Violation:
Lisa M. Wysocki
Property Owner (if different)
851 Forest Street
Street Address
10-10-02
Date
North Andover 01845
cityrrown Zip Code
105.D 162
Assessors Map/Plat Number
2. Extent and Type of Activity:
Parcel/Lot Number
DEP File Number.
Provided by DEP
Construction of a fence, possible clearing, filling and placment of rip -rap adjacent to a wetland
resource area without a valid permit from the Conservation Commission.
B. Findings
The Issuing Authority has determined that the activity described above is in violation of the Wetlands
Protection Act (M.G.L. c. 131, § 40) and its Regulations (310 CMR 10.00), because:
® the activity has been/is being conducted without a valid Order of Conditions.
❑ the activity has been/is being conducted in violation of the Order of Conditions issued to:
Name
File Number
wpaform9a.doc - rev. 12/15/00
Dated
Condition number(s)
Page 1 of 3
Massachusetts Department of Environmental Protection
Ll%
Bureau of Resource Protection - Wetlands
WPA Form 9A — Enforcement Order
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings (cont.)
❑ Other (specify):
See attached Enforcement Letter
C. Order
The issuing authority hereby orders the following (check all that apply):
DEP File Number:
Provided by DEP
® The property owner, his agents, permittees, and all others shall immediately cease and desist
from the further activity affecting the Buffer Zone and/or wetland resource areas on this property.
® Wetland alterations resulting from said activity should be corrected and the site returned to its
original condition.
❑ Complete the attached Notice of Intent. The completed application and plans for all proposed
work as required by the Act and Regulations shall be filed with the Issuing Authority on or before
Date
No further work shall be performed until a public hearing has been held and an Order of Conditions
has been issued to regulate said work.
® The property owner shall take the following action to prevent further violations of the Act:
See Attached Cover Letter
Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts
General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a)
shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not
more than two years, or both, such fine and imprisonment; or (b) shall be subject to a civil penalty not
to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing
violation shall constitute a separate offense.
wpaform9a.doc • rev. 12/15/00 Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number.
WPA Form 9A — Enforcement Order
Provided by DEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Appeals/Signatures
An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of
Environmental Protection, but may be filed in Superior Court.
Questions regarding this Enforcement Order should be directed to:
Julie Parrino, Conservation Administrator
Name
978-688-9530
Phone Number
8:30 AM to 4:30 PM, Monday - Friday
Hours/Days Available
Issued by:
North Andover
Conservation Commission
In a situation regarding. immediate action, an Enforcement Order may be signed by a single member or
agent of the Commission and ratified by majority of the members at the next scheduled meeting of the
Signature of delivery person or certified mail number .
wpaform9a.doc - rev. 12/15/00
Page 3 of 3
w.Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Li
WPA Form 9A
Enforcement Order
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
10-10-02
Date
Street Address
North Andover 01845
City/Town Zip Code
105.D 162
Assessors Map/Plat Number Parcel/Lot Number
2. Extent and Type of Activity:
DEP File Number:
Provided by DEP
Construction of a fence, possible clearing, filling and placment of rip -rap adjacent to a wetland
resource area without a valid permit from the Conservation Commission.
B. Findings
The Issuing Authority has determined that the activity described above is in violation of the Wetlands
Protection Act (M.G.L. c. 131, § 40) and its Regulations (310 CMR 10.00), because:
® the activity has been/is being conducted without a valid Order of Conditions.
❑ the activity has been/is being conducted in violation of the Order of Conditions issued to:
Name Dated
File Number Condition number(s)
wpaform9a.doc • rev. 12/15/00 Page 1 of 3
A. Violation Information
Important:
When filling out
This Enforcement Order is issued by:
forms on the
North Andover
computer, use
only the tab
Conservation Commission (Issuing Authority)
key to move
To:
your cursor -
do not use the
Lisa M. Wysocki
return key.
Name of violator
851 Forest Street, North Andover, MA 01845
Address
1. Location of Violation:
Lisa M. Wysocki
Property Owner (if different)
851 Forest Street
10-10-02
Date
Street Address
North Andover 01845
City/Town Zip Code
105.D 162
Assessors Map/Plat Number Parcel/Lot Number
2. Extent and Type of Activity:
DEP File Number:
Provided by DEP
Construction of a fence, possible clearing, filling and placment of rip -rap adjacent to a wetland
resource area without a valid permit from the Conservation Commission.
B. Findings
The Issuing Authority has determined that the activity described above is in violation of the Wetlands
Protection Act (M.G.L. c. 131, § 40) and its Regulations (310 CMR 10.00), because:
® the activity has been/is being conducted without a valid Order of Conditions.
❑ the activity has been/is being conducted in violation of the Order of Conditions issued to:
Name Dated
File Number Condition number(s)
wpaform9a.doc • rev. 12/15/00 Page 1 of 3
Massachusetts Department of Environmental Protection
�� --- Bureau of Resource Protection - Wetlands
WPA Form 9A — Enforcement Order
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings (cont.)
❑ Other (specify):
See attached Enforcement Letter
C. Order
The issuing authority hereby orders the following (check all that apply):
DEP File Number.
Provided by DEP
® The property owner, his agents, permittees, and all others shall immediately cease and desist
from the further activity affecting the Buffer Zone and/or wetland resource areas on this property.
® Wetland alterations resulting from said activity should be corrected and the site returned to its
original condition.
❑ Complete the attached Notice of Intent. The completed application and plans for all proposed
work as required by the Act and Regulations shall be filed with the Issuing Authority on or before
Date
No further work shall be performed until a public hearing has been held and an Order of Conditions
has been issued to regulate said work.
® The property owner shall take the following action to prevent further violations of the Act:
See Attached Cover Letter
Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts
General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a)
shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not
more than two years, or both, such fine and imprisonment; or (b) shall be subject to a civil penalty not
to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing
violation shall constitute a separate offense.
wpaform9a.doc - rev. 12/15/00 Page 2 of 3
Massachusetts Department of Environmental Protection
�DEP File Number:
— Bureau of Resource Protection - Wetlands
WPA Form 9A — Enforcement Order
I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
D. Appeals/Signatures
An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of
Environmental Protection, but may be filed in Superior Court.
Questions regarding this Enforcement Order should be directed to:
Julie Parrino, Conservation Administrator
Name
978-688-9530
Phone Number
8:30 AM to 4:30 PM, Monday - Friday
Hours/Days Available
Issued by:
North Andover
Conservation Commission
In a situation regarding immediate action, an Enforcement Order may be signed by a single member or
agent of the Commission and ratified by majority of the members at the next scheduled meeting of the
Signature of delivery person or certified mail number
wpaform9a.doc - rev. 12/15/00 Page 3 of 3
LISA M. WYSOCKI
851 FOREST STREET
NORTH ANDOVER, MA 01845
......................................................................................I.................I........
January 5, 2002
Town of North Andover
Office of the Building Department
Community Development and Services
27 Charles Street
North Andover, MA 01845
Attention: Michael McGuire
Dear Mr. McGuire:
This letter is in response to your letter dated December 10,2001 and our meeting, in regards to the zoning
violation in the placement of a storage container /shed at 851 Forest Street. This storage container has been
moved off the property. Thank you for your time and explaining the correct procedures.
Sincerely,
Lisa M. Wysocki
m TOWN OF NORTH ANDOVER
MASSACHUSETTS
Paul Hutchins
Local Building Inspector
Town Hall
120 Main Street (978) 688-9545
North Andover, MA 01845 Fax: (978) 688-9542
E-mail: phutchins@northandoverma.gov
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Location_
No. ��i h� Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
rr+�!
Building/Frame Permit Fee $�
Foundation Permit Fee $
Other Permit Fee $
w
TOTAL $
Check #
1686
Building Inspect r
-1
TOWN OF NORTH AIDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER:
DATE ISSUED:
SIGNATURE:
Building Commissioner/I for of Buildings Date
SECTION 1- SITE INFORMATION
N
LI Property Address:
1.2 Assessors Map and Parcel Number:
10.E !)
Map Number Parcel Number
1.3 Zoning
rt
i%
4'
1.4 Property Dimensions:
Lot Areas Fron
ffatie .,
5
Zoninf, District-
-
1.6 BUILDING SETBACKS ft
r
Front Yard
Side Yard
Required Provide
R red Provided
Rqpn'red Provided
1.7 Water Supply M.G.L.C.40. 54)
Public V Private ❑ -Zone
1.5. Flood Zone Information:
Outside Flood Zone
1.8 Sewerage Disposal System:
Municipal ❑ On Site Disposal System
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
1
Name (Print) '
Address for Service
ngnature
Telephone
2.a Owner of Record:
Name Print
Address for Service:
Signature
Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
r
Licensed Construction Supervisor:
N 1�
Address I I I/
Signature
V
Telephone
Not Applicable
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable ❑
Company Name
Registration Number
Address
Expiration Date
Signature
Telephone
2V
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SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes .......❑ No ....... ❑ it
SECTION 5 Description of Proposed Work check auapplicable)�I
New Construction
Existing Building ❑
Repair(s) ❑
Alterations(s) ❑
`
Addition ❑
Accessory Bldg. - ❑
Demolition ❑
Other ❑ Specify
h
Brief Description of Proposed Work:
Cost b°'eL., er Z /
'I
,ll
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
J -
Item
Estimated Cost (Dollar) to be
"Coin p leted by permit applicant
a -
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical.
`—
(b) Estimated Total Cost of
Constriction
3 Plumbing
Building Perinit fee (e) X (b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5
Check Ntunber
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN 11
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, aslOwner/Authorized Agent of subject property
Hereby authorize �I to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
11
I, � ,as Owner/Authorized Agent of subject
property V�II
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief (�/1 1
Pri am J %
S attire of Owner/A en Dafe
w�a
NO. OF STORIES SIZE 2 Z
BASEMENT OR SLAB S A to
SIZE OF FLOOR TINIBERS 1 c�V- 22 7 L 2 IV 3
SPAN X, I ZL
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
IIE[GHT OF FOUNDATION G 5' THICKNESS ( D
SIZE OF FOOTING id lca X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND rj 1 t
IS BUILDING CONNECTED TO NATURAL GAS LINE iii A
FORM U - LOT RELEASE FORM
y
10 -2-c, —v3
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fry
Boards and Departments having jurisdiction have been obtained. This does, not retie
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION*******
APPLICANT�f�i1I1 Si,� �r�r5t'� vWcxI PHON$S444.�
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT (S)
STREET�� 1� ST. NUMBER
`OFFICIAL USE
RECAbMMENDATIO14-S OF TOWN AGENTS:
ATION ADM ISTRATOR DATE APPROVED _
DATE REJECTED
!6
-.-TOWN-PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
TH
w5flECTOR-HEALTH
COMMENTS
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE -REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
14
C
Town of North'Andover
Building Department �• ''`
27 Charles Street 4SSNCHUSEt
North Andover MA 01845
Tel: 978-688-9545
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE 6
JOB LOCATION
r[� Number Street AddressSectionSection of
Town
/
"HOMEOWNER Q . (V�7�.l ��296Ff:Y�4ey
Number Home Phone Work Phone
PRESENT MAILING ADDRESS
City Town
State
Zip Code
The current exemption for "homeowners" was extended to include owner -occupied dwellings
of 1 or 2 units and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Section (108.3.5.1)
DEFINITION OF HOMEWOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which of two
there is, or is intended to be, a one family dwelling, attached or detached structures
accessory to such use and and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official,
a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the
building permit. (Section 108.3.5.1)
The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned "homeowner" certifies that he/she understands the Town of No. Andover
Building Department minimu
comply with said procedures
HOMEOWNER'S SIGNATUI
APPROVAL OF BUILDING
Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0 Construction Control.
Revised 4.30.03
Home owner Exemptions Form
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
The debris will
be disposed of in:
(Location of Faciliti)'J
/
Sig ure of Permit p scant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
Town of North Andover. NORT„
Office of the Zoning Board of Appeals 10
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845 9Ss+CHU
D. Robert Nicetta
Building Commissioner
Telephone (978) 688-9541
Fax (978) 688-9542
C
L.J
Cr. r .I
Any appeal shall be filed Notice of Decision r,� _� "= �
within (20) days after the Year 2003 - C' .
r�
r -I a
date of filing of this notice v, r
in the office of the Town Clerk. Property at: 851 Forest Street < 3 T
NAME: Lisa M. Wysocki and Timothy Sheehy HEARING(S): 7/8 & 8/12/0
ADDRESS: 851 Forest Street PETITION: 2003-025
North Andover, MA 01845 TYPING DATE: August 18, 2003
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, August 12,
2003 at 7:30 PM in the Senior Center, 120R Main Street, North Andover, MA upon the application of Lisa
M. Wysocki and Timothy Sheehy, 851 Forest Street, North Andover requesting a Variance from Section
7, Paragraph 7.3, and Table 2 for relief of front and rear setbacks for a proposed garage; and a Special
Permit from Section 9, Paragraph 9.2 in order to allow the construction of a proposed garage on a pre-
existing, non -conforming lot. The said premise affected is property with frontage on the Southwest side of
Forest Street within the R-1 zoning district.
The following members were present: William J. Sullivan, Walter F. Soule, John M. Pallone, and Ellen P.
McIntyre.
Upon a motion made by Walter F. Soule and 2nd by Joseph D. LaGrasse, the Board voted to GRANT the
dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 23.5' from the East side
setback in order to construct an attached 2 -car garage and GRANT a Special Permit from Section 9,
Paragraph 9.2 in order to construct an attached 2car garage on a pre-existing, non -conforming lot per
Variance Plan, 851 Forest Street, North Andover, MA prepared for Timothy Sheehy, date: June 11, 2003,
rev July 30, 2003, by James E. Franklin, PLS #37045, New England Engineering Services, 60 Beechwood
Drive, North Andover, MA; and Garage Plan, 851 Forest Street, North Andover, Massachusetts, prepared
for Timothy Sheehy, date: June 12, 2003, rev: Aug .11, 2003 by New England Engineering Services Inc.,
60 Beechwood Drive, North Andover, Massachusetts. Voting in favor: William J. Sullivan, Walter F.
Soule, John M. Pallone, and Ellen P. McIntyre.
The Board finds that the revised Variance Plan of July 30, 2003 eliminates the need for a front setback
variance and the applicant 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, and satisfied the provisions of Section 9, Paragraph 9.2 of the Zoning
Bylaw that such change, extension, or alteration shall not be substantially more detrimental than the
existing structure to the neighborhood.
Pagel of 2
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
Town of North Andover
Office of the Zoning Board of Appeals
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845
D. Robert Nicetta
Building Commissioner
Telephone (978) 688-9541
Fax (978) 688-9542
Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the
grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a
Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2)
year period from the date on which the Special Permit was granted unless substantial use or construction
has commenced, it shall lapse and may be re-established only after notice, and a new hearing.
Decision 2003-025.
Page 2 of 2
Town of North Andover
Board of Appeals,
William I Sullivan, Chairman
Board of Appeals 978=688-9541 Building978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
�ssex North C
ounty Registry J1 Deeds
.�51 Cmmoon Str`eet
�awrence, Massachusetts O184O
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APPROVED: NORTH ANDOVER BOARD OF APPEALS
DATE $ - 12-' 03
�Cz �
1
;TING
=NCE i sg
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\ STING
RAY
$57a26'03"E
26.68' STREET
POOL)I EMSTING
HOUSE
EXISTING u'
N
!� POOL T
1'
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LOCUS MAP
FOR REGISTRY USE ONLY
R = 30.00'
L = 49.88'
R = 75.28 `
L = 69.64'
PROPOSED
24'x24' GARAGE
ASN Of
y
5
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I CERTIFY THAT THIS PLAN WAS PREPARED IN
ACCORDANCE WITH THE RULES AND REGULATIONS
OF THE REGISTRY OF DEEDS.
R = 273.56' DATE REG. LAND SURVEYOR
L = 75.50'
l" = 1000' 40' 0 40' 80 1 0'
VARIANCE PLAN
SITE 851 FOREST STREET
NORTH ANDOVER, MA
PREPARED FOR TIMOTHY SHEEHY
SCALE: 1" = 40' DATE: JUNE 11, 2003
FF g REV JULY 30, 2003
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NEW ENGLAND ENGINEERING SERVICES
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60 BEECHWOOD DRIVE
NORTH ANDOVER, MA
(978) 686-1768
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