HomeMy WebLinkAboutMiscellaneous - 934 SALEM STREET 4/30/2018 (2)i
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- L RELEASE FORM r\0
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FORM U OT RE S
INSTRUCTIONS:. This form is used to verify that allnecessary approval / permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT t C ra ` r e C, PHONE
ASSESSORS MAP NUMBER
LOT NUMBER
SUBDIVISION LOT NUMBER u
STREET S Q, e m � '-kr e 2�- STREET NUMBER c 3
I..........E................................................................
OFFICIAL USE ONLY
.......0.-W0a0_■0aaaEaaa..R.0a.a0x0a0a...0Raa0a■0aEaEaa0000r00r0R.a.aaEaaaE■
RECOMMENDATIONS OF TOWN AGENTS
M?we�—�
.......................,..'.............................. ....EWER■R■■
DATE APPROVED
C SERVATION ADMMS TOR
DATE REJECTED
DATE REJECTED
CONRVIENTS
DATE APPROVED
FOOD INSPECTOR - HEALTH DATE REJECTED p
DATE APPROVED 816
C INSPECTOR - HEALTH
DATE REJECTED
COMMENTSi�
PUBLIC WORKS - SEWER / WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR
1697 !� f�
APPLICATION FOR SEWER SERVICE CONNECTION
�1
North Andover, Mass. <�u/lG 19f
Application by the undersigned is hereby made to connect with the town sewer main in (>GL��PIyj Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No
or subdivision lot no
Own'
err / 4i
Contractor
14
Q'7?C8361Ccj
?81 43� ")?Ss
Address
i
A.
WppI'ican�t',
z7 dta /- le -5 °��..
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
See back for rules
By
Street
Street
Division of Public Works
RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES
1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer
or appurtenance thereof without first obtaining a written permit from the Division of Public Works.
2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The
owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation
of the building sewer.
3. A separate and independent building sewer shall be provided for every building; except where one building stands at the
rear of another on an- interior lot and no private sewer is available or can be constructed to the rear building through an
adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building
and the whole considered as one building sewer.
4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by
the (Superintendent), to meet all requirements of this ordinance.
5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating,
placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer
shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four
feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a
minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown
of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of
the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift.
6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all
buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such
building drain shall be lifted by an approved means and discharged to the building sewer.
7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or
ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer.
8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for
inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent)
or his representative.
9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the
public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be
restored in a manner satisfactory to the (town).
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1697
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. 1 'l9a 9-r
Application by the undersigned is hereby made to connect with the town sewer main in Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. J� k f Street
or subdivision lot no.
Day
Vl�4r�1 I�A�� 1 �!� �C/ / S ��_ •..
Owner
�? F
Contractor
L'oNSEP✓rfTivd/
Address
27
ON
PERMIT ' O CO.NNE�,a"T'4 FTH SEWER MAIN)(
The Division of Public Works" hereby grantsNper iftsion to '
k t ` !N
to make a connection with the sewer main at r
subject to the rules and regulations of the Division of Publics'Mrks..
Inspected by
Date
Street
V, Division of Public Works'
By
Fregulations
See back for rules an � � •-`��
k Q /
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. ud'!5e� �� 1��
Application by the undersigned is hereby made to connect with the town sewer main in `>cL1�kgt Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No.
or subdivision lot no.
/ //((-//.,
Owner
l /� d -
Contractor �E l�f2i4
ev'VU 5e) ->V4 -1,9A%
Q'7 VC 9'
?8I 3g V)?5sS
Address
/� ffi
U71 40rW1, V... kl 0
Z 7 CL /- le -5 5 � -,
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
By
See back for rules and regulations
Street
Street
Division of Public Works
William P. Crabtree
` 934 Salem Street
No. Andover, MA 01845
April 5, 2000
Town of North Andover
Community Development & Services
27 Charles Street
North Andover, MA 01845
RE: Sewer Tie-in
934 Salem Street
No. Andover, MA
Dear Sirs:
I have hired Joseph Cristaldi, 14 Union Street, North Andover, MA
to make the sewer tie-in. Mr. Cristaldi will be pulling permits
this month, and plans to have the work completed by June 1, 2000.
Sincerely,
1 �'t'e
William P. Crabtree
cc: Town of North Andover
Health Department
27 Charles Street
North Andover, MA 01845
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
WILLIAM J. SCOTT
Director
(978) 688-9531
March 24, 2000
Mr. & Mrs. William Crabtree
934 Salem Street
No. Andover, MA 01845
Re: Sewer Tie-in
Dear Mr. & Mrs. Crabtree:
27 Charles Street
North Andover, Massachusetts 01845
'to ,
Fax(978)688-9542
The Health Department has been supplied with a list of all residences, currently on septic,
which have access to the municipal sewer system As previously published at a Public
Hearing on March 17, 1994, the Board of Health has adopted regulations concerning the
required sewer tie-in. The following timetable concerning your property status was
adopted:
4.1 All establishments that currently do not have municipal sewer available
to them must connect to the sewer as soon as it becomes available, with a
maximum time limit of six months.
The purpose of these regulations is to safeguard North Andover's drinking water, surface
waters, groundwater and surrounding environment. Sanitary sewer is believed to be the
most effective form of wastewater treatment. A copy of the entire regulation can be
obtained at our office.
Your property is in violation of this Board of Health regulation. Please contact the Health
Department regarding this matter immediately. If we do not hear from you by May 10,
2000 your name will be placed on the regularly scheduled Board of Health meeting agenda
and placed on public notice. The meeting will be held on May 25, 2000 for discussion of
legal action including court hearings.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
•'� Sewer Tie -In 934 Salem Street Page 2
Any questions concerning this regulation should be directed to the Board of Health at
(978) 688-9540. Additional inquiries regarding the physical tie-in and permitting process
should be directed to the Department of Public Works at (978) 685-0950. Please be
advised this Board intends to persevere in this regulation.
Yours truly,
Gayton Osgood, Chairman
�i
Francis P. MacMillan, M.D., Member
IO�Tor, W
SF/smc
�Uij•< tki1, 11.4Jl fr„J V101C,11 UnrK,r� L1•71
NORTH ANDOVER BOARD OF HEALTH400,5 ;5u_0 c f&"
OVED D'O`PE PROVIDED
-RI,17�
Title 5
Reg. 2.5 Fail
Reg. 6
L\
DISAPPROVED DATE TIME REASON
The submitted plan must show as a minumum:
(a the lot to be served (area, dimensions, lot //,abutters)
(Planning Board files)
(b) location and log of deep observation holes -distance
to ties
(c) location and results of percolation tests -distance
/ to ties
(d) design calculations & calculations showing requ'i'red
leaching area
e) location and dimensions sf system (including reserve
area)
. existing and proposed contours
g) location of any wet areas within 100' of the sewage
disposal system o r disclaimer (check wetlands mapping)
(h) surface and subsurface drains within '100' of sewage
disposal system or disclaimer
(i) location of any drainage easements within 100' of
sewage disposal system or disclaimer (planning board
files)
(j) :.known sources of- water supply- within 200' -of- sewage
j' disposal --system or disci-aimer.
(k) location of any proposed well to serve the lot (100'
/from leaching facility)
(1) location of water, lines on property (10' from. leaching
facilities)
4-m) location of benchmark
kn-) driveways
pgarbage disposers
) no PVC is to be used in construction
(q) a profile of the system (elevations of basement, plumb(
pipe septic tank, distribution box inlets and outle•!-s,
distribution field piping and any other elevations)
(r) maximum ground water elevation in area of sewage dispo:
/ system
(s) plan must be prepared by a Professional Engineer or
other professional authorized by law to prepare such
plans -
Septic Tanks
(a) Capacities - 150% of flow, water table, tees, depth
of tees, access, pumping,
(-b) Cleanout
0 10' from cellar wall or inground swimming pool
d) 25' from subsurface drains
I
unoover
fail
Rog.10.2
'Reg.10.4
Reg.11.2
Reg. 11 .4
Reg.11 .1
Reg.11.11
Reg.15.1
Reg. 15.1
Reg. 15.4
Reg. 15.8
Reg. 3.7
Reg.14.1
Reg.14.3
Reg.14.4
14.5
Reg -14.6
Reg.14.7
Reg.14.1
Reg. 9.1
Reg. 9.6
�U�cll Ary'
Distribution Boxes
a Slope greater than 9.08
(b� Sump'
Leaching Pits
tD
Leaching pits are �red where the installations
possible
(a) Calctrrations of leaching area (minimum 500 S.F.)
(b- Acing
( Surface drainage 2%
�d Cover material
Leaching Fields 3
(a)N12Greater than 20 minutes/inch
"b) Area (minimum..900 S.F.)
(�) Construction of field
�d Surface . drainage 2%
(e� 20' from -cellar wall or inground swimming pool
Leaching Trenches
(a) Calculatio�-
(b)
eaching area (min. 500 S.F.)
Spacing ft. min. 6 ft. with reserve between)
(c Dimen.. ons
(d Construction
( eStone
(f) Surface drainage 2%
Downhill Slope
�a) Slope y/x = (to be shown)
b) y/x X 150 = (to be shown)
Pumps
(a Approval
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int t't1uFttililU {AL EXPERTS
IN'THE SEPTIC AND
DRAIN INDUSTRY
}<OMI 4 - SYSTEM PU IPING RECORD
Commbnwealth of Massachusetts
System L
Date of Pumping:•-�,�: Quantity
Pump ed: '. gallons
; Cesspool: 1\o Yes".❑ Septic Tank,:. No ❑ Yes '
SystemPumped by: ...........................................................................
License.9:.....
.................................................. .
Contents transferred to: '
Date -Inspector
CURRIER
SEPTIC & DRAIN SERVICE
107 FOREST STREET; MIDDLETON, MA 01949
(978)774-2772
e
COMMEALTH OF MAS
YlO U C r
SYSTEM OWNER: C 6a L -hl e
93 Y Su/gym s �
e�X3 - �10
4 - SYSTEM PUMPING REQ
SYSTEM/ LOCATION:
R ►,c 4 4-
TU C'o Ung{r G 60�'
DATE OF PUMPING: -GALLONS QUANTITY PUMPED
CESSPOOL: NO 0 YES F7 SEPTIC TANK: NO F7 YES
SYSTEM PUMPED BY:
CONTENTS TRANSFERRED TO:
DATE: c! INSPECT R: liar e
Commonwealth of AAassachusetss
: Massachusetts
System Pumoina Record
System Owner i
,
Type: Emergency Routine
Cesspool: No Yes
Date of Pumping: q I'? D
System Pumped By: Wind River Enviromeentoi, LLC
Contents transferred to:
Contents Disposed at: b C S
Date: `4 13 b Pumper Signature:
Condition of System/Other Comments
Form 4 -- System Pumping Record
Location \f a
Dep Approved from - 12/07/95
Septic tank: No oyes
Quantity Pumped: 1500
500 Gallons
Permit #:
3 0 2001
Y
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