HomeMy WebLinkAboutCertificate of Compliance - 863 WINTER STREET 5/29/1998 t
Form No. 4
Town of North Andover, Massachusetts
BOARD OF HEALTH
May 29 98
CERTIFICATE OF COMPLIANCE 19
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed (X) or repaired ( )
by
INSTALLER
at -.
has been installed in accordance with Board of Health Regulations as described in the Design -
Approval Site System Permit No. 689 dated Nov. 27
19 94_.
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
BOARD OF HEALTH
Winter St. Realty Trust
Board of Health
North Andover 5/28/98
To Whom it May Concern,
It has been a long standing practice for this Company to advise and give a copy of any
testing results for wells. This practice will continue on lot 4a(863) Winter St.
they will be given the results of the testing requested by your Board of Health.
,'>1 (iF3.1-
Per your request we will get a-sulfur test with in a reasonable period of time.
S ely,
Winter St. Realty Trust
Steven Blum Trustee
FORM U ° VERIFICATION 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.
************t***Applicant fills._ "t-this section** ,**************
APPLICANT: Z�7(-_ (_O,-� Phone 32
—76'4e/
LOCATION: Assessor' s Map Number Parcel
Subdivision/.�/_ '>' C,l �5 �) Lot (s)
Street �/✓.i��,� J� St. Number
************************Official Use Only************************
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RECOMM •'ATIONS/ , ' TOWN AGENTS:
C-� ! %% �
Fate Approved _
Conservation Administrator Date Rejected
I
Comments
�. J'-
( � Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
✓' ` , Date Approved
Sep is Inspector--Health Date Rejected
Comments
Public Works - sewer/water connections
-- driveway permit 1 _
Fire Department
Received by Building Inspector Date
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PLAN REVIEW CHECKLIST
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ADDRESS ..,C L/ ;x ." ENGINEER
GENERAL
3 COPIES STAMP ":'" LOCUS - NORTH ARROW ,:.. ..... SCALE
CONTOURS < PROFILE uw-~',,... SECTION t "" BENCHMARK SOIL &
PERC INFO `"` ELEVATIONS i, - WETS. DISCLAIMER r-"" WELLS &
WETLANDS , " WATERSHED. DRIVEWAY c.. - (Elev) WATER LINE
i`..
FDN DRAIN SCH40 ,.""°"" TESTS CURRENT?
SEPTIC TANK
MIN 150OG . 17 INVERT DROP GARB. GRINDER (+200% EDF)
25 ' TO CELLAR " MANHOLE TO GRADE ELEV GW
D-BOX
SIZE # LINES ,... � FIRST 2 ' LEVEL STATEMENT - �
INLET " ,x � OUTLET/( w�., (211 OR . 17 FT) TEE REQ I D?
LEACHING
MIN 660 GPD? �,/ RESERVE AREA ' " 4 ' FROM PRIMARY? 4..... 20 SLOPE
100 ' TO WETLANDS (,-"' 1001 TO WELLS t--, - 4 ' TO S.H.GW
35 ' TO FND & INTRCPTR DRAINS �,, "'" 325 ' TO SURFACE H2O SUPP {
4 ' PERM. SOIL BELOW FACILITY L-" MIN 1211 COVER FILL? (25 '
if above natural elev; 101if below) BREAKOUT MET?
TRENCHES
MIN 660 gpd/-°°"', SLOPE (min . 005 or 611/100 ' ) LL' >3 'COVER?-VENT
SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) (---, IS RESERVE BETWEEN
TRENCHES?_LZ IN FILL? MUST BE 10 ' MIN. L 411 PEA STONE?
9t,
� / + SIDE` ` „��u. s "
X LDNG �, '�...= TOT
BOT °=�c,�C> X LDNG a�.� c"'.,�.
(L x W x #) (G/ft2) (DxLx2x#) (G/ft2)
Copyright 0 1993 by S.L.Starr