HomeMy WebLinkAboutMiscellaneous - 136 ROCKY BROOK ROAD 8/31/1994 NEW aE
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August 31 , 1994
North A n cl ca v e r Board c a f Health
120 Main Street
North Andover , MA 0184 5
Attention: Sandra Starr
Dear Sandra:
Yesterday, two septic plans wry";?re submitted by 'this office.
e
The f.i r s.t plan i s for Lot 5 Rocky Brook Road , w h.r i c:h is a
first-time, submittal f c a r- that lot .
The second fa l a n is for Lot 16 Rocky Brook Roach , and i s a re--
design. All of the items you pointed out in the .f-irst, letter
were is a k e n care of . T h e deep w a t.;e r , as you may recall , w a i
not located properly on the first plan , but it is located
correctly can this plan under the system location. This,
should satisfy all o°f your concerns .
If you have any questions, please call .
Yours truly ,
I
4111 f
Benjamin C. C 'm ����,�a°;f
��1 9 cr car c:1 , Jr .
3 WALKER Fit). _.. l.,.IITEE 22 w... NORTH ANDOVER NAA 01845 -- (50 ) 686-1768
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Town of North Andover, Massachusetts Form No.3
t AORTH BOARD OF HEALTH
?ot .o atio _19 9 L i
�'"°��•o�%'"�* DISPOSAL WORKS CONSTRUCTION PERMIT
CHUS
7
Applicant
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NAME ADDRESS TELEPHONE
Site Location cr-,-F
Permission is hereby granted to Construct (-)/Or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
CHAIRMAN, BOARD OF HEALTH
Fee D.W.C. No, Q
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APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: l _- CURRENT INSTALLER'S LICENSE#
LOCATION:
LICENSED INSTALLER:
SIGNATURE• % �� ., TELEPHONE# k` . 22
CHECK ONE:
REPAIR: NEW CONSTRUCTION: �
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
$75.00 Fee Attached? Yes r-1� No
Foundation_ As-Built? Yes No
Approval '` ., Date: °E°' , >
i
�. Form No.2
Town of North Andover, Massachusetts
' pOeTM, BOARD OF HEALTH
01
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DESIGN APPROVAL FOR
,SSACNUSEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant �E/�' �SGoDA, Test No.
Site Location
r'.• Reference Plans and Specs. iIENG67 E 6 1NEE�S DESIGN DATE
G
r: Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
T CHAIRMAN,BOARD OF HEALTH
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Site System Per No.
Fee
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DATE_ Sheet Of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT
DATE RECEIVED t� �'
APPLICANT ... ASSESSOR'S MAP_ ,,,f
�/�
ADDRESS PARCEL
LOT # ..
ENGINEER
STREET
�'� ,�"����
ADDRESS ;' ' ,;f' r � ,� LL 2
PLAN DATE '/ REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
PLAN REVIEW CHECKLIST
ADDRESS fir r "' ENGINEER
GENERAL,
3 COPIES STAMP '' LOCUST NORTH ARROW SCALE
CONTOURS .. "., PROFILE G °'" SECTION �. „ "" BENCHMARK °".,- . SOIL &
PERC INFO ELEVATIONS - WETS. DISCLAIMER ,,,"„"' WELLS &
WETLANDS w:. WATERSHED? DRIVEWAY "(Elev) WATER LINE
FDN DRAIN °"" SCH40 .. TESTS CURRENT?
SEPTIC TANK
MIN 1500G c.."-''" . 17 INVERT DROP (. GARB. GRINDER (+200 o EDF)
25 ' TO CELLAR_LZ MANHOLE TO GRADE ELEV W fv,J.. GW
D®BOX
SIZE # LINES > FIRST 2 ' LEVEL STATEMENT
INLET OUTLET Z (2" OR . 17 FT) TEE REQ 'D? L
LEACHING
MIN 660 GPD? RESERVE AREA '" 'f 4 ' FROM PRIMARY? " 2% SLOPE
100 ' TO WETLANDS "
10 0 ' TO WELLS 41 4 ' TO S.H.GW
35 ' TO FND & INTRCPTR DRAINS r.µ.""" 325 ' TO SURFACE H2O SUPP
4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER L FILL? "" (25 '
if above natural elev; 101if ,.below) BREAKOUT MET? '~
TRENCHES
MIN 660 gpd SLOPE (min . 005 or 6111100 ' ) >31COVER?-gVENTL-
SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) e-°" IS RESERVE BETWEEN
TRENCHES? IN FILL? •. MUST BE 10 ' MIN. ...._ 411 PEA STONE?
BOT X LDNG r + SIDE �'. "X LDNG _ ..k .":�
;'w:., - TOT
(L x W x #) (G/ft2) (DxLx2x#) (G/ft2)
Copyright Q 1993 by S.L.Starr
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FORM U - LOT RRLASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Z' J �NG Phone_<O� 'S%�C�c2�
IJ LOCATION: Assessor' s Map Number 1� Parcel s >
Subdivision o(' n Lot(s)
� ) e
Street o ob St. Number
*** **************** ***Official Use Only************************
RECON3�Effi NS OF TOWN AGENTS: i
_ Date Approved ��/�
l �_ �
C=76rVation Administrator Date Rejected
Comments
LSD i Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food I�nsnpector-Health Date Rejected
-) Date Approved
Septic Inspector-Health Date Rejected
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date