HomeMy WebLinkAboutMiscellaneous - 57 MILL ROAD 10/22/1984 p4ORTH
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A HEALTH
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120 MAIN STREET
SSA cr+usE NORTH ANDOVER, MASS. 01845 TEL. 682-6400
October 22 , 1984
t
Mary VanDevent Lot 2 Mill Road
57 Mill Rd. Septic Approval
NO.Andover,Mass .
Dear Ms VanDevent :
The septic system for your
house located at 57 Mill Rd. was constructed with
the permission of the North Andover Board of Health
and was inspected and approved on August 28 ,1984.
It should be noted that
this approval does not constitute a warranty.
Sincerely yours ,
Michael Graf, S .
Sanitary Inspector
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1Y.>`A 13 e3a1�'11 w odfzh A.I.W J Uj:
_XTPff VED __DATE � lD1 �I'T'atC7° � D � ie OK kX;
FAn OK
"
I. Distance Tot
a. Wet1.ancis
b. Drains
' e. Well
2. Water Line Location
%f 3. No PVC Pipe
4 '/F . Septic Tank
� a. _Tees t--Length & To Clean`out Covers.
b. Cement Pipe to Tank — orl Both Sides of Tank
' .
Distribution Box
a. Covers & Box - No Cracks
o
b. All Lines Flowing Bqual Amounts
c. No Bach Flow
" 6. Leach Field or Trench
a. Dimensions
�� b. Stone Depth
C e Capped En ds '
" d. Clears Double Washed Stone
r ?. Leach. Pit
a. D3�ren Ono b
` . Sion Depth.
.. c. Jpl I Pads
d. T
e. C t Pipe to Pit Both Sides.
f. Clean Double Washed Stone
,
8. No Garbage Disposal.
, q. �Tinal Grading Inspection
10. Barricading Covered Systera
11. As Built Submitted
a. Lot Location'. _
b. Dimensions of System
` c. Location -4th Regard-to, Pere Test
r
d. Elevations
r
e: Water Table
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Board of Health
North Andover,Yiass
SUBSURFACE DISPOSAL DFMGN CHECK LIST
LOT /A l Z � 1�2
?PROVED DAT$ DISAPPROVED DATE_____
rovideds Reasons:
'itle V ` OK
The submitted plan must show as a minimums
eg 2.5 a) the lot to be seared-area,dimensions lot ##abutters
to deep observation Mes-distance to ties
n and P
location g
ties
b t
c location and results percolation tests-distance � leaching area
d design calculations & calculations showing rec�ui
e
f� location and dimensions of system-including reserve area
existing and proposed contours system or
g) location any wet areas .thin 100 of sewage disposal
disclaimer-check wetlands maPPing
(h) surface and subsurface drains within 100' of sewage disposal
system or disclaimer
(i) location any drainage easements vithin 100 of se�sage disposal
system or disclaimer-Planning Board files
(3) knoua sources of water supply within 2001 of sewage disposal
system or disclaimer
(k) location of any proposed well to serve lot-100' from leaching facility
(1) location of water lines on property-101 from leaching facility
(m) location of benchmark
(n) driveways
(o garbage disposals
(p no PVC to be used in construction i e septic tank
(q profile of system-elevations of basement, plumb, p p eP
distribution box inlets and outleta, distribution field piping and
other elevations
(r) mwcimum ground water elevation in area sewage disposal system
(s) plan must be prepared by a Professional Eagineer or
professional authorized by law to prepare such plans
Reg 6 S s tic Tanks
es
(a) cap" ac�."tye --150% of flow, water table, te , depth of tees,
access, pumping
(b) cleanout
(c) lot from cellar wall or inground suimmdng Pool
(d) 2 from subsurface drains
Reg 10.2 Distribution Boxes
(a) s greater 0.08 0.08
Reg 10.4 b) sung
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9 ^5+M
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20\,5
2
1 . 0 4 Acres *
PROPOSED
12 'x23 '
EXISTING
9'x 16 '
w
� o tiJ7 s0��..-�'a_�—
77' #
4%. 91. 58
117.10
MORTGAGE PLOT PLAN
1 L L location . O.RT H.....A.N..DOV.ER
Scale I in. — 4 0 ft. Date June .1.5, 19$6
Plan reference: Being lot .2 . on a plan
by Robert . G,.. Good win.,. R—L.8..
dated April. 2 , ,1.9$.2. . . . . . Recorded
W Essex .NO-Visf Registry of Deeds.
OTE: I HEREBY CERTIFY THAT THE PREMISES os.p I on No.-898,8.
. . . . . . . . . .
-TOWN ON THIS PLAN ARE NOT LOCATED WITH_ ...... ..... ..... ..................... ....................................... .
I THE FLOOD HAZARD AREA AS DEUNEATED
250098 North Ando4sr SELWYN & KlRW1N AMC Land Surveyors
N THE MAP OF COMMUNITY No. .....................a,'....,..,, l4 linden Avenue, helmont
.................
ASS. EFFECTIVE .June_ 1,07 00 ... .6..........
THE DEPARTMENT HOU�NG ANp MAN I beery certify that the building shown on this
:VELOPMEf�1T-FEDERAL INSURANCt A�iMMSTRATION plan is located on the rpund 4s shown thereon
and that it conforms to the toning and building
laws of the .town .of. Worth. Andover. . . . .
Ep
Plot Plan "1 Fof Ws"s from ton Inttrumw w when cons c rrN aw is /room iw #6 w• record
five m • oo, or
�9 4 / *kwt9a4o PurPosst only. .. ... ... .. ........ ........
FORM U
TOWN OF NORM ANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS (ASSIGNED BY D.P.W.
STREET
APPLICANT PHONE
DATE OF APPLICATION
TOWN USE BELOW T11iS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
D OVED
CONSERVATION ADMIN. REJECTED
BOARD OF HEALTH
L)n'rE APPROVED �S
HEALTH A 'i`ALt DATE REJECTED
DEP t1liENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
Doard of Haalth SEpnC SISTEH
North Ancjover ' s. INSTALLATICK CMK LIST LOVJ A IILk- 5
AV.ATI Old FYI L
OVp DATA DI
ea sons t /V()
1. Distance Tot
'TZ
a. Wetlands
b. Drains
�i
C.. Well
2. Water Line Location
3. No PVC Pipe
4. Septic Tank
a. _Tees t--Length & To Clean Out Cowers.
b. Cement Pipe to Tank On Both Sides of Tank.
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amounts
c. No Back Flow
6. - Leach Field or Trench
a. Dimensions
b. Stone Depth
c: Capped Ends
d. Clean Double Washed Stone
7. Leach Pits
' a. Dissensions
b. Stone Depth
c. Splash Pads
d. Teas
e. Cement Pipe to Pit - Both Sides
f. Clean Double Washed Stone
8. No Garbage Disposal
t
9. Final Gradin Inspection
10. Barricading Covered System ~
ll. As Built Submitted
4� a. Lot Location
b. Dimensions of System
c. Location with Regard-to Perc Test
d. Elevations
e: Water Table
4 i
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ESP�°
DATE
Pr o' r r �
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e k vatltincls napping
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ys claims r--ra d
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any PXXqn
orb
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PA�. R, 1.,,ate )I.lMwwS an prc,Paz L.�
�i r �:Idd: �c >r,,°�.
no PVG' ',59 used in constjmmtfon
,w ,
9) 1-11�m t and outlets,,
distrY, box a'
ons
��.d water G eV G i o n III
y
,��. r� „ w a lay" a Profe S1(
P � 4 ,
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_... �a tbo .a.��,d:;. to r ' '�
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Boxes
Reg 10-2 e tWr:, (c
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Peg I D A
XO A-J�D OIL, V,.,ov
jiA Irv^ �e o
NO
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Bubmufface Ent!
�. 'of, where the Instillation
�
11.10
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Log - , ° .a ,
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15 .m
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SOIL PROFILE PERCOLATION T�.�d�ST DATA
North Andover ��� Street No �.�. .�...�.�' �� Lot Nd � � � �
o _
._Pland___________Owner
Investigator Observer ow
SOIL PROFILE DATES
I..'Elev 2.Elev _ _ __ 3.Elev 4.Elev
/ ,.
0 0 0 0
TiL-s Phs Test
2 2 2 2 _
3 3 3 3
4 4 4 4
5 5 _ 5 _ 5 ..
6 6 6 _ 6
7 _ 7 7 7r A
all,
8 8 8 8 ;
9 ._. 9 _ _ 9
J
10 10 10 10
Benchmark L��ation
Elevation Datum __....
PERP2L4TION TESTS
DATES t�!
Pit Number 1 2 3
r, Start Saturation_
Soak-Minutes
Drop of 3"-Time
__Pro of 6"-Time
M.") sa1.st 3" drop '
Mina.2nd 770
e rolation _ _._...._._ .,.
TO: NORTH ANDOVER, MASS A" 6-- -;'S— 19
BOARD OF HEALTH
FROM: DESIGN ENGINEER Re: Soil Absorption Sewage
System Inspection
This is to certify that I have inspected the construction of the,said disposal system at
Z Z- P -I " North Andover, Mass.
SITE LOCATION
The grades and construction are as specified in my plans and specifications dated
19—,924j- a como��
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