HomeMy WebLinkAboutMiscellaneous - 201 RALEIGH TAVERN LANE 11/7/2016 APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I P6reby make application for a permit for a sewage disposal installation at
I will install this system in ac-
cordance with all the lawsx f 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%. 1 will install 'a con-
crete septic tank of . _Ze < C 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 lineal (square) feet of effective absorption area.
The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging
in size from 3/4 to 1-1/2 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 1/81, 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 tile will be
installed. A minimum of 6 feet will be maintained between the center lines 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 ,anyportion of this installation until Rpp roved hy the
insp ction 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
L4 LIU/ /X/")
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachu etts.
DATE�__
--f'- -h —e
Signature o H ea 1 t Agee
I have inspected the uncovered system indicated above and find everything done
as described.
DATE 11-A
Signature of I pecting Officer
Percolation Test
Garbage Grinder
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
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1. NAME r` _" ..�.. DATE .. '
2. ADDRESSA , `A LOT NO. r TEL.
Jz
3. NO. OF BEDROOMS DEN YES.°"'". NO
4. GARBAGE GRINDER YES NO
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
?. 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 F1.12()/172
NAME OF APPLICANT BQher-L W, Savaga-
LOCATION Jigh �122 T-za*, ej.rq?!h Tay , n.
Address of lot no.
BUILDING: Dwelling X -Other
SYSTEM: New X Repair
GENERAL DESCRIPTION OF LAND IA Lrb.
SUBSOIL: Clay--z— Gravel Sand--
PERCOLATION TEST 5 --minutes per inch.
- - - - - - - - - - - - -
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK, I,OQQ __gallon capacity.
LEACH FIELD 2�_—lineal feet of drain pipe.
Iliam J, Dri c)oll , Engineer
Board of Health"--I
4
Board' of Health SSMC SISTER
North An4qver S-
TNSTALLATTCK CHMK LIST LOT
1 L
CNED DATE DT PFtWF.D AVAT'I OK FAI
t 4/- - -
FAIL OK
1. Distance Tot
a. Wetlands
b. Drains
c.
Well
i
✓' 2. Water Line Location
3• No PVC Pipe
Z�. Septic Tank
a. . _Tess Length do To Clean Out Covers.
b. Cement Pipe to Tank -- On Both Sides of Tank
5. Distribution Box
a. Covers do Box - No Cracks
WM b. All Lines Flowing Equal Amounts
c. No Back Flog
6. Leach Fl.eld or Trench
ias Ditensions
' b. Stone Depth
as Capped Ends
d. Clean Double-Washed Stone'
?. Leach .is
MiDansions
b. ne Depth
c. lash Pads
} d. Tees
e. ement Ripe to Pit - Both Sides.
' f. Clean Double Washed Stone
8. No Garbage Disposal,
9. Final Grading Inspection =
r
10. Barricading Covered System
11. As Built Submitted
a. Lot Location _
b. Di.nensioxns of. System
c. Location with Regard-to Pere Test
d. Elevations
` e. water Table
E
`t
SOIL PROFILE & PEACOLATION TEST DATA.
Ne.&Street �✓ �" il�ic�� Lot No. `I
North Andcveril•,ass. ---
Loc . /Subdiv. Plan Owner
Invest}.gator Observer
J SOIL PROFILES.--DATE
. 9.Elev.
Elev.
E 1 ev. Elev. ---- .
0 0 p p
Ties to Test Pita
2 2 2 2
4 4 4 - 4
5 3-; ti, 5 5 5
G 5 6
7 7 7
8 8 8
9 g - 9 -
10 10 10 10
Benchmark Location
Elevation Datum
1� PPercolation Tess_
-Date
Pit Number-
1 3 4 5
Start Saturation
Soak---Mans_
Start ' Test--Time _-----: -
Drof) of 311-Time -
Dro of 611-Time
Mins . lst . 3"Dro 0
Mans _ 2nd 3"Dro -
Percolaticm Rate
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Log SM.: Tr -,1, c
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ibs face DM,"Gi Chock List Pare 2
FAIL OK
Leachin&Pats
i
yLeaching pits are prefe=ed mhere the installation is possible i
I
)g 11.2 a;)'calculations of leaching area- tmum 500 aq ft
11.4 7 b}.. spacing
11.10 o surface drainage 2%
11.11 E..- cover material
ti e -2'x2 I x4" splash paid
f :-tee at elbow
'g) no bonds in pipe from d-box to pipe i
leaching F,Lelds"
;g 15.1 a no greater 20 minutes/rich
b area-m�a3-mum £t
of
l
jcj construction field
5.4
15.8 d) surface dry rage 2 % I
3.7 e) 20' fro 'cellar uxll or inground swinning pool
Leaching Mvenches
sg 14.1 a -cam c cans o� Teaching area-min 500 sq ft
14.3 b spacing-4' ft min 6 ft-with reserve between
14.1 c daau.ons
14.6 d) constriction
14.7 e) stone ., '
14.10 f) surface drainage 2% I
Domhi.11 Slope
a slope f x - be shown)
b y/x X`150 a (to be shown)
s
�g 9.1 a) apprOval
9.6 b} stand-by power
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