HomeMy WebLinkAboutApplication - 125 SAW MILL ROAD 4/2/1996 Town of North Andover, Massachusetts Form N®.a
wORrq BOARD OF HEALTH
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DESIGN APPROVAL FOR
�SSACHU5B4•� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant ���i"�y� �i.��_�t"`;�?- Test No.
Site Location I , 5 'L-(J),nL_AA—_,k 12 jL
Reference Plans and Specs.". Y -)\ J
ENGINEER DESIGN U I 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. v�J
,DATE Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
PERMIT # DATE RECEIVED E D
APPLICANT ASSESSOR' S MAP
ADDRESS PARCEL
LOT #
STREET
ENGINEER
ADDRESS
PLAN DATE REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
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PLAN REVIEW CHECKLIST
ADDRESS / '.. ... ENGINEER p._ I
GENERAI,
3 COPIES (W STAMP LOCUS NORTH ARROW `" SCALE
CONTOURSA.----"................ . , _..._. .m..
PROFILE %�� f SECTION ��°�"" BENCHMARK SOIL &
PERCS °� ELEVATIONS WETS. DISCLAIMER WELLS & WETS ..._
WATERSHED? L) DRIVEWAY ° ° (Elev) WATER LINE --• FDN DRAIN --.
SCH40 TESTS CURRENT? SOIL EVAL
SEP'T'IC TANK
MIN 1500G . 17 INVERT DROP GARB. GRINDER )C''.,, (+200% EDF)
25 ' TO CELLAR MANHOLE ELEV GW # COMPS.
D®BOAC
SIZE # LINES c, >
s FIRST 21 LEVEL STATEMENT
INLET ����;:�, `�f� OUTLET ���,�f;,
✓� = (2" OR . 17 FT) TEE REQ'D? 2ID
LEACHING
MIN 660 GPD? >,;' RESERVE AREAS 4 ' FROM PRIMARY? 20 SLOPE
100 ' TO WETLANDS M 100 ' TO WELLS `--- 4 ' TO S.H.GW ` (5 ' >2M/IN)
35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP __..""'""
4 ' PERM. SOIL BELOW FACILITY � , MIN 12" COVER "° � ? ���� ' ����
c'� ��-�. FILL. m (25 '
if above natural elev; 101if below) BREAKOUT MET?
TRENCHES 1)K
MIN 660 gpd , ', SLOPE (min 005 or 6 11/1001 ) SIDEWALL DIST. 3X EFF.
W OR D (MIN 60 ) i._ -.-. ~ RESERVE BETWEEN TRENCHES? c--,---IN FILL? MUST
BE 10 ' MIN. ZI, 4" PEA STONE? � VENT? (>3 ' COVER; LINES >501 )
BOT 49.6, + SIDE �:5( ,�R X LDNG TOT .'
(L x W x #) (DxLx2x#) (G/ft2)
Copyright 0 1995 by S.L.Starr