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HomeMy WebLinkAboutMiscellaneous - 67 RALEIGH TAVERN LANE 10/4/1969 Pdnyd.t 116 Lots 30 Raleigh Tav m Rd. APPLICATION FOR SEWAGE DISPOSAL INSTALLATION Curtis Dev Co HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereb make application for a permit for a sewage disposal installation at Lo I,al.e gh Tavern Ind.. . I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, ,where the grade ,shall not exceed 2%. I will install a con- crete septic tank of . 000 in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 200 lineal (square) feet of effective absorption area. The pipes will be .aid on-a6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-112 inches (dia. ) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/$" to 1/41' (dia. ) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single the line will exceed 100 feet in length and in any case, two lines of tale will be installed. A minimum of 6 feet will be maintained between the center lanes of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover an ortion of this installation until a roved b the ins action officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE 510169 Signature of Applicant I hereby issue the above permit for the Board of I3eal.th of the Town of North Andover, Massachusetts. DATE 5/8/69 Signature of health Agent I have inspected the uncovered system indicated above and find everything done as describe 4 DATE Signature of nspecting Officer Percolation Test 6 I .tea Soil: Clay Garbage Grinders BOARD OF' HEALTH TOWN OF' NORTH ANDOVER, MASS. t A� 1. NAME �, .x ��. � ��.�r �� , �T. ,r° DATE r 2. ADDRESS LOT NO. �...�d TEL ti 3. NO. OF BEDROOMS"" DEN YES NO 4m GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6„ SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES ?4 SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE. OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. BOARD OF HEALTH OF NORTH ANDOVER2 MASSACHUSETTS SEWAGE DISPOSAL DATE NAME OF APPLICANT .11,, ,,.... e LOCATION . I A Addressf ' lot no BUILDING: Dwelling Other — SYSTEM: New Repair GENERAL DESCRIPTION OF LAND .. SUBSOIL: Clay avel Sand PERCOLATION TEST------ —minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK gallon capacity. LEACH FIELD 2 "° lineal feet of drain pipe illiam Ja r .scoll ' Enginee .., , Board of Heae .h