HomeMy WebLinkAboutApplication - 227 GRANVILLE LANE 7/9/2003 Town of North Andover, Massachusetts Form No.a
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aORTH BOARD OF HEALTH
C L
P
6
s,9b� DESIGN APPROVAL FOR
SsAC"usEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
Site Location
Reference Plans and Specs.
E GINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN, BOARD OF HEALTH
Fees/' Site System Permit No.
/0-
SEPTIC PLAN SUBMITTAL FORM
LOCATION: 2
NEW PLANS: XE $225.00/Plan c/ Check #:-�
(Includes I"Re-Revi nly)
REVISED PLANS: YES $ 60.00/Plan-__ Check #:
SITE EVALUATION FORMS INCLUDED: S NO
LOCAL UPGRADE FORM INCLUDED: YES NO
DATE: 7- �i'_(2Z DATE TO CONSULTANT:
T --
DESIGN ENGINEER: �
iZ f r✓I - 4 elephone#:_ � � 5
X— 2-6)
OFFICE USE ONLY
When the submission is complete (including check):
i. _.—_Date stamp plans
2. Complete the, M DESIGN APPROVAL FOR SOIL ABSORPTION
SEWAGE DISPOSAL SYSTEM form
3. Attach file and route to the Health Director for review
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rLocation: [� 6 ( VA) 0,ner'sN ame: �leCC ,l• Address°
Tel (4 New(Siso) Repair
Date: Wetlands ne II� Soll Symbol—f—LSoil IQhme �T" t it Class
Deep Observation Hole Logs
Ele-i•ation Depth Soil Horizon Soil Tenure Soil Color Soil Mottling % Gravel,Stones,etc:
3t-44". A r,5 L i A
�oY1G�/� ►�,
L51e
Parent Material -'1"1 LLe Depth to Bedrock•�C SI
tadin;Witter in the Hole: Weeping[rote pit ESgG%Y:
�f� U•�4 a �I L l..
Parent Material_ Depth to Bedrocka4!0tandln;NYater in the weepwn,(rota Pit Face
Date -Percolation Tests
Observation Hole# _
Depth of Perc
Start Pre-soak-
Time at 12"
Time at 91,
Time at 6" ,
Time(9"-611)�
Rate Min/Inch°• I
Performed Br. s' ' Witnessed B} ,
t iL�
"TOWN OF �NORIII AM)OVER
HEALTH I)EPARTNUN'T
27 CI I h I..E TI FI?""I"
I"CORTI.:I .'ANDOVER, IASSAl"I 5171"I" 0 845
�a
July 10, 2003
Merrimack Engineering Services
Attn: Mr. Bill Dufresne
66 Park Street
Andover, MA 01810
Dear Mr. Dufresne;
This letter is to notify you that the"Upgrade Subsurface Sewage Disposal System Plans" dated
July 2, 2003 for 227 Granville Lane, Map#106, Lot 65, Subdivision Lot# 18 have been approved
by the North Andover Health Department as of July 9, 2003.
Please call the office at 978-688-9540 if you have any questions.
Sincerely,
Sandra Starr, R.S., C.H.O.
Health Director
/pfd
Xc: Homeowner—Beverly McCarthy
Lillian Montalto Real Estate—Fax: 978475-5066
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