HomeMy WebLinkAboutMiscellaneous - 60 PATTON LANE 1/21/1985 -19
TO: NORTH, ANDOVER, MASS
BOARD OF HEALTH
Re:,Soil.Absorption Sewage
FROM: DE SIGN .ENGINE'ER , System Inspection
This is to certify, that I have inspected the construction, of the said disposal system at
/) ,. . L, North Andover, Mass.
S OC'ATION
The grades and construction are as specified in y- plans and specifications dated
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TO:
NORTH ANDOVER,.MASS =•, —j 19-----
BOARD OF HEALTH
' Re:,Soil Absorption Sewage
FROM: DESIGN .ENGINEER`, ,Syste'm Inspection.
This is to certify; that I have ispectcd the construction, Of the said disposal system at
North Andover, Mass.
SITE LPC'ATION
The grades and constructioh are as specified iln plans and specifications dated
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Board of HO&IO' sEpTIC SISTIEM
North Andqver Fi" s
INsTAIIATICK CHEICK LIST LOT
P OV" DATE DISUPrtUOM � DIET x AVA1ICN Q� 1" IL
ca sons t
FAIL OK /l/' �� l,� ° 1 Vff .
1. Di •tance Tot
a detlands
b. Drains
c.. Well
2. Wa• er Line Location
3. No PVC Pips
4. Septic Tank
a. Tess _Length & To Clean Out Corers
b. Cement Pipe to Tank - on Both Sides of Tank
5. Distribution. Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amounts
C. No Baca Flow
6. L,-ach Field or Trench
a. Dimensions
b, Stone Depth
cm Ci ped Ends
d. Clean Double Washed Stone
7. Lc-,ch Fits
a. Dimensions
b. Stone Depth
c. Splash Pads
d. Tess
e. Cement Pipe to Pit - Both Sides
f. Clean Double Washed Stone
8. No Carbage 'Disposal
q. Final Grading Inspection
10. Barricading Covered'System
4.1. ` ) 11. As Built Submitted
' a. Lot Location
{ b. Dimensions of System
C Location with, Regard-to Perc Test
d. Elevations
t Water Table
7
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t
SOIL, PROF'ILE & P RCOLWrION' TEST DATA
North Andover, Maas. Street Nca „�.�' �.� s����� _��� �, �„ Lot No
Loc/Subdiv. r' :;77 Pland Owner
Investigator �°" ..� Observer,�
SOIL PROP411,E DATES
1 °El,ev 2.E1ev � .Elev 4.E1ev
0 0 0 0
_ Tina P s eat
2 2 2 2 _
4 4 4 4
5 -- - 5 5
6 F%"C- 6 Floe 6 6
7 7 7 7
8 8 8
9 _ 9 9 - 9
1.0 10 10
Benchmark Location
Elevation Datum __ _..... _
PERCO TION TE TS
BATES
Stmt Saturation
Soak.-Minutes
T7xwop o
f 3".-Time
611- Time
_...-
�.��
C°°e r colatii on
Bo ,,4,of He al t1
MTBSURFACE DISPOSAL MIC d CHWK_T fir
LOT
APPROVED DATE
DISAPPROVED DATE
Reasons I
Title V FAIL OK
Reg 2.5 The submitted playa must show as a mininumt
) the lot to be se ed-ar ,dim lions lot ,abutters
—��4b location and log deep observation Mes ce to ties
c location and results percolation tests-distance to ties
dj design calculations & calculations showing required leaching area
(e)` lcac tiox and dimensions of system-including rese area
f) existing and proposed contours
(g) location any wet areas within 1001 of sewage disposal system or
disclaimer-check tl d mapping
(b) mwface and subsurface drains within 1001 of s e disposal,
,
system or disclaimer
(i) location any drainage easements within 100t of sewage disposal
system or disclaimr-Planning Board tiles
(J) known sources of water supply .t 2000 of sewage disposal a
system or disclaimer
(k) location of anr proposed well to serve lot-1000 from leaching facilit;
(1) location of water lines on p p t -101 from leaching facility
t
(m) location of benchmark
(n) driveways
(o garbage disposals
(p no PVC to be used in construction
(q) profile of stem-elevations of bas t„ pl b$ pipe, septic tank,
distribution box lets and outlets9 distribution field, piping and
Other elevations
( ) maximum ground water elevation in area sewage disposal„ system
(s) playa mast be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
'Reg 6 Septic Tanks
( s-50% of. flow, water table.,—tees$ depth of tees
access.. pumping
( ) cleanout
(c) 10r from cellar wall or inground. nuiming pool
(d) 251 from subsurface dramas
Reg 1Ci 2
Distribution Boxes
(a) s pe greater t -tl
Reg gala - (b)
Check List
Mu
i
it ; h prari rod ^ .meta a . �
. � , ) spacing
0) surface drainago'2%
O l xh" splash pad
too nt olbow
g) no bonds An pipe from -box �o p1po
� � � eac m
� tr, 15.E
/ c
t - t,
x.5.4 �co"O"lotion of flead
Leachin a ehh
k o;: h f -min,',� ) as
114.3 to spacing- min 6 t reserve between
4. ) c
14.6 d) construction
11.7 0 stone
111.10 . r a e
Downhill
, o 1b �� i
lb) y/x x 150 = (to bo shoes
e
tog 9.1 a)
.6 Btand-by power