HomeMy WebLinkAboutCorrespondence - 105 CARLTON LANE 6/17/1983 TO: NORTH ANDOVER, MASS. June 17 19 83
BOARD OF HEALTH
FROM: DESIGN ENGINEER Rea Soil Absorption
Sewage Disposal
System
This is to certify that I have inspected the construction materials of
said disposal system at Lot 31 Carlton Lane
Site Location
North Andover, Mass .
The grades and construction materials �H ''. 9A�Specified in my plans and
May 11 �3 +�� ' ' F A3 Built December 23 1982
specifications dated y � nd,
,Pf
Reg.P6'of'.EnQllheer/Reg.Sanitarian
i o 3 012 ��
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FORM U - LOT RELEASE 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.
****************Applicant fills out this section*****************
APPLICANT: _(Dull C' Q Gk 9- 'p2kc Phone
LOCATION: Assessor's Map Number /OIaG Parcel cgc,
subdivision Q12d C M
MA'?w1S
Lot(s) 3
Street CYq-N St. Number O�
************************Official Use Only************************
COMNENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date A roved Ql/
/Health Agent PP
Date Rejected
Comments
Public Works - sewer/water connections
driveway permit
Fire Department '
Received by Building Inspector Date
Aj,
I UVE,D
DXI'E
klk L
FE
FATL OK
1. Distance Tog
a. Wetlands
b. Drains
0. Well
Water Line Location
3- No PVC Pipe)
4. Septle Tank
a. .-Teas _Length & To Clean Out Covers
b. Cemeat Pipe to Tank — W Both Sides of Tom..-,,II
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Almunt"
e. No Back Flow
6. - Leach Field or Trench
a. Dimensions
b, Stone Depth
e. Capped Fads
d. Clean Double Washed Stone
Leaoh Pits
a. Dinensions
b., Stone Depth
co Splash Pads
d, Teas
e. Cement Pipe to Pit Both Sides
f� Clean Double Washed Stone
8. No Garbage Di9posal
9. Anal Grading Inapeotiou
10. Barricading Covered System
11. As Built Submitted
a. Lot Location
b. Dimensions of System
e. Location with Regar&tie Pere Test
d® Elevations
e Water Table
and of Health
North AndoverpMase,
ffR,$U
. RARII 00-
LOT
DISAPPROM DATE
APPROM ATE
Provided s Reasons$
Title V FAIL CK
Reg 2.5 The subidtted plan must show as a mbAmumt
a) the lot to be served-area.dimensions lot #,,abutters
b locatIon and log deep observation Mes-distance to ties
location and reimIts percolation tests-distance to ties
di design calculations & calculations showing required leaching area
Mlocation and divmsions of oystem-Including reserve area
f existing mid prcposed contours
(g) loca,t&on my wet areas i4tWx IMI of sevage dipposal system or
disclaimer-chock metlands mapping
(h) surface and subsurface drains witMn 100t of sevMge d1sposal
system or cUsclalzor
(1) ly cation arq draluage eavements v4thin IDW of eewge disposal
stem, or disclaimr-Mwning Board files
0) knoun sources of uater sWly witbin 20D I of sevage dispowa
( ) system or disclaimer
k location of any. Proposed well to serve lot-1001 from loacbIng facility
7(1) location of water lines on property-101 from leaching facUity
.="(m) locat:ton of benchmark
"7(n) drivewap
�o� garbage disposals
PVC to be used In cons
profile of system-elemtlons of bas plumbp pipe$ septic t wa*p
distribution box Wets wid outletsj, distribution field piping and
otter elevations
(r) Pays ground vtiter elevation in area sew' age disposal system
WIII(s) plan mist bs prepared by a Professional Faigineer or other
professimml authorized by law to pxvpare =h plans
Reg 6 SWtic Tanks
IvIiAo' (a) Z-iia-Ut=es-. 50% of flow, vater table., teess depth of teesv
access,, pvAping
P, (b) eleanout
B (e) lot from cellar wall o,r inground m4mdng pool
'K (d) 251 from subsurface drains
E
Reg 10.0 DistritAltion Bo"S
cam" (a)
'91[lope gr;it—er t-Waii 0.08
Reg 1,0,4 ...... b) SWP