HomeMy WebLinkAboutApplication - 101 ROCKY BROOK ROAD 4/7/1995 Town of North Andover, Massachusetts Form ®°z
oQ OORT#q BOARD OF HEALTH 0 -
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• `"° ¢ --- ° ' DESIGN APPROVAL FOR
CHUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
Site Location ck, f�' r' -
Reference Plans and Specs.
ENGINEER DESIGN D TE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CH-91 R `N,BOARD OF HEALTH
Fee-6,016
ee 6, 0e Site System Permit No.
Town of North Andover, Massachusetts Form No.s
Of pORTH BOARD OF HEALTH
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` DESIGN APPROVAL FOR
�9SSACHUS
SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant C� JQ-, Test No.
Site Location .L-
Reference Plans and Specs.
ENGINEER 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
Fee ^ Site System Permit No.
: Town of North Andover, Massachusetts Form N®.2
e "ORYN BOARD OF HEALTH
. a
��9b,, -p;,:• DESIGN APPROVAL FOR
3y.AC'HUSE4 SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
: Site Location LJP 57 14 A P
Reference Plans and Specs. _�LkP a._.('
ENGINEER 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
Fee Site System Permit No.
SEPTIC PLAN SUBMITTALS
LOCATION: % /V y� �L �G-li 7 'Jrap
NEW PLANS: YES $60.00/Plan V
REVISED PLANS: YES $25.00/Ptan
DATE: Gr
DESIGN ENGINEER: //I/e— V
When the submission is all in place, route to the Health Secretary
Town of North Andover, Massachusetts Form N°.2
"°RTM q BOARD OF HEALTH
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' � s
° - -• DESIGN APPROVAL FOR
S31CHUSE4 SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant . OL, Test No.
Site Location 461 N6 d C."1 � 1
Reference Plans and Specs. /V zM
ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
C AIRMAN,BOARD OF HEALTH
Fee _ Site System Permit No. ��
DATE ° ,
Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE (/ 0 PERMIT S DATE RECEIVED ZZ/2-1 6",
APPLICANT !gym .,r",y r ,11,1 ASSESSOF.' S MAP
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ADDRESS PARCEL LOT #
STREET
ENGINEERr
ADDRESS
PLAN DATE 'r' %" ,er, REVISION DATE
CONDITIONS OF APPROVAL :
APPROVED
DISAPPROVED
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PLAN REVIEW CHECKLIST
ADDRESS
-oe m v Ap ENGINEER
fiENERAL
3 COPIES STAMP
LOCUS NORTH ARROW 6--"' SCALE
CONTOURS PROFILE SECTION BENCHMARK <—, SOIL &
ARCS ELEVATIONS L-- WETS. DISCLAIMER WELLS & WETS
WATERSHED?- DRIVEWAY ( " WATER LINE FDN DRAIN Z-""' M&P
SCH40 /,,-' TESTS CURRENT?_-- i
SOIL EVAL
SEPTIC TANK
MIN 150OG . 17 INVERT DROP GARB. GRINDER-j (2 comps +200)
10 ' TO FDN MANHOLEble-,- ELEV GW COMPS GB
— #
D-BOX
SIZE # LINES FIRST 2 ' LEVEL STATEMENT
INLET_g-/ �Z- - OUTLET (2" OR . 17 FT) TEE REQ'D? 1111d
LEACHING
MIN 440 GPD?— RESERVE AREA 4 ' FROM PRIMARY? 2% SLOPE
100 ' TO WETLANDS L--" 100 ' TO WELLS 4 ' TO S.H.GW Zl�l (51 >2M/IN)
20 ' TO FND & INTRCPTR DRAINS- "'' 400 ' TO SURFACE H2O Suppz- ,
4 ' PERM. SOIL BELOW FACILITY— MIN 12" COVER FILL?
BREAKOUT MET?
TRENCHES
MIN 440 gpd_ SLOPE (min .005 or V/1001 ) rte" SIDEWALL DIST. 3X EFF.
W OR D (MIN RESERVE BETWEEN TRENCHES? '--'IN FILL? MUST
BE 10 ' MIN. 411 PEA STONE? 6,--""-VENT9.
—A�6— (>31 COVER; LINES >501 )
BOT - + SIDE
X LDNG _ �� — TOT(L x W )c #) (DxLx2x#) (G •/f-t2)
Copyright 0 1996 by S.L. Starr
PLAN REVIEW CHECKLIST
ADDRESS _ r
�a. ENGINEER / G'
GENERAL
3 COPIES '' STAMP .1-"" LOCUS le' NORTH ARROW ' SCALE "
CONTOURS C,,
FILE
SECTION. w° BENCHMARK �. � _ SOIL &
PERCS ELEVATIONS WETS, DISCLAIMER °°° "" WELLS & WETS
A,
WATERSHED? ,L DRIVEWAY .-" (Elev),r WATER LINEe......"
. ' FDN DRAIN
SCH40t,--" TESTS CURRENT? SOIL E:VAL �,:`"iM 71 l(,�, -15c)
SEPTIC TANK
MIN 1500G „ . 17 INVERT DROP GARB. GRINDER -) (2 comps +200)
10 ' TO FDN MANHOLE ELEV GW
COMPS J— GB
D-BOX
SIZE 1` z ## LINES FIRST 2 ' LEVEL STATEMENT,
INLET 1/6, 4 - OUTLET (2" OR . 17 FT) TEE REQ7'D? /
LEACHING
1,0 MIN 440 GPD? 6" RESERVE AREA l 4 ' FROM PRIMARY?4° ',,,
wm.�
"� 2% SLOPE °` "'
�0)� � ` 100 ' TO WETLANDS`- 100 ' TO WELLS 1-- 4 ' TO S .H.GW (5 ' >2M/IN)
20 ' TO FND & INTRCPTR DRAINS " "m 400 ' TO SURFACE H2O SUPP
4 ' PERM. SOIL BELOW FACILITY ° MIN 12" COVER -"--'-'- FILL? ---',( 15 ' )
BREAKOUT MET? (....
TRENCHES
MIN 440 gpd SLOPE (min . 005 or 6"/1001 ) m SIDEWALL DIST. 3X EFF.
W OR D (MIN 61 ) ,. '"„_ RESERVE BETWEEN TRENCHES? IN FILL? C.-.. ...... MUST
BE 10 ' MIN. �°'”- 4" PEA STONE? "' VENT ) ( >3 ' COVER; LINES >50 ' )
BO �
IL x Wx #) + SIDE 0,.2 X LDNG
= TOT o
P
( ##) (G/ft2)
Copyright O 1996 by S.L. Start.
PLAN REVIEW CHECKLIST
ADDRESS ENGINEER
GENERAL
3 COPIES STAMP --"' LOCUS NORTH ARROW /,"" SCALE
w.
CONTOURS PROFILE SECTION BENCHMARKz)/L SOIL &
PERC INFO ELEVATIONS WETS. DISCLAIMER WELLS &
WETLANDS WATERSHED?.ZL" DRIVEWAY /.-,"(Elev) WATER LINE
FDN DRAIN SCH40 U TESTS CURRENT?
SEPTIC TANK
MIN 150OG . 17 INVERT DROP GARB. GRINDER_ZL) (+200% EDF)
251 TO CELLARS---" TO GRADE ELEV GW
D-DOX
SIZE # LINES FIRST 21 LEVEL STATEMENT
INLET IL, /_Z, OUTLET
(211 OR . 17 FT) TEE REQID?
LEACHING
MIN 660 GPD? RESERVE AREA (_,°'" 41 FROM PRIMARY? -�2% SLOPE
1001 TO WETLANDS -1 100 ' TO WELLS 41 TO S . H. GW
351 TO FND & INTRCPTR DRAINSt_,"' 3251 TO SURFACE H2O SUPP
41 PERM. SOIL BELOW FACILITY 41___"` MIN 1211 COVER` FILL?
if above natural elev; 10 ' if below) BREAKOUT MET-p
TRENCHES
MIN 660 gpd SLOPE (min . 005 or 611/1001 ) 731COVER?-VENT
I
SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) e_-"' IS RESERVE BETWEEN
TRENCHES?,'L,_1" IN FILL? MUST BE 101 MIN. " 411 PEA STONE?
BOT X LDNG_L(o2( 1i SIDE X LDNG TOT
(L x W x (G/ft2) (DxLx2x#) (G/ft2)
Copyright ID 1993 by S.L. Starr