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Home My WebLink AboutTitle V Inspection Report - 535 SALEM STREET 6/28/2017 Commonwealth of Massachusetts .......... z TRIe 5 Official Inspection Form 6 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 535 Salem Street Property Address Barbara Winning Owner Owner's Name information is required for every North Andover Ma 01845 6-7-17 page, City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms m ed in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms om4 kwolfg on the computer, use only the tab 1 Inspector: key to move your cursor-do not John DiVincenzo use the return key. Name of Inspector ---------- --------- J and S Development Corp Stewarts Septic Service ................. 4:1 Company Name 58 South Kimball St Company Address Bradford MA 01835 City/Town State Zip Code 978-372-7471 s113386 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: F] Passes El Conditionally Passes Fails ❑ Needs/Further Evaluation by the Local Approving Authority Insp s Signature Date Th system inspector shall submit a copy of this inspection report to the Approving Authority(Board of ealth or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DER The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doo-rev.6/16 Title 5 Official Inspection Form;Subsurface Sewage Disposal System-Page 1 of 17 a+� Commonwealth of Massachusetts ��=,�N�� `J��=��N B��~�"�� N�� m� �mm~��N�*wm �-��mmmu Swbsu�aumSevvmgmDisposal SymtmmnFmmu ' NntfqrVu|untaryAooemoments 535Salem Street Property Address Barbara Winning mwner Owner's Name information is North Andover W10 01845 8-7-17 �mui,v*�revery ---��------------'-��------ �� ---------- n«Ao. tay�mwn s�to z|pon�° omom/nupeo/mn B. Certification (cont.) Inspection Summary: Check A.B.C.DorE/always complete all ofSection D A) System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.383orin 310 CMR 15.304exist. Any failure criteria not evaluated are indicated below. Comments: 1131 System Conditionally Passes- El one or more system components amdescribed in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board ofHealth, will pass. | Check the box for^yes'. ''no/'or"not determined" (Y. N. ND)for the following statements. If"not ' determined," please explain. The septic tank inmetal and over 20years old*prthe septic tank(whether metal nrnot) iostructurally unoound, exhibits substantial infiltration or exfiltration ortank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank io less than 20 years old in available. El y [l N Ej ND (Explain be|um): Commonwealth of Massachusetts "�"�N� � ��N 0�� N ��~ �� pN�� Nmm~��N��wm 0-��ummu Subsurface Sewage Disposal System Form ' Not for Voluntary Assessments 535 Salem Stree��-��-��--��-_____��_��_-��__ p�oress Barbara Winning Owner Owner's Name information is NnrhAndover y�m 01845 8-7'17 ,uquinaunxr=ry --��-------- ��-'------'-�� ---�� ---------� � --- Gu�u zipC"v; u�o�map=�/�o age. ounTown � B. Certification (cont.) El Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B> System Conditionally Passes(conL), �l Observation of sewage backup or breakout or high static water level in the distribution box due -- to broken or obstructed p|po(a)ordue to a bnnken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): Fl broken p|po(a) are replaced 0 Y 0 N 0 N[} (Explain below): F-1 obstruction iaremoved El Y F1 N El ND (Explain be|ow): � distribution box is leveled or replaced El Y F-1 NEI ND(Explain below): �l The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): El broken pipe(s)are replaced El Y El N 0 ND (Explain below): F1 obstruction inremoved � Y F] N F1 ND (Explain be|ow): C) Further Evaluation imRequired bythe Board ofHealth: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public hem|th, safety orthe environment, 1' System will pass unless Board of Health determines in accordance with 310 CMR 1S.3Q3(1)(b) that the system is not functioning imamanner which will protect public health, safety and the environment: Cesspool nrprivy iswithin 50feet nfasurface water Fl Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh m.nsuoc'rev.omo Title nOfficial/�pemmForm Subsurface Sewage Disposal System'Page o"/,' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °V 535 Salem Street Property Address Barbara Winning Owner Owner's Name information is North Andover Ma 01845 6-7-17 required far every —....._. _....-- -_... ...__ _.. __.._._ ..._. _.. page. CItyifown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail: unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 9 D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool F1 ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow l5ins.doc-rev.6116 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts u Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w„ °V 535 Salem Street Property Address Barbara Winning Owner Owner's Name information is North Andover Ma 01845 6-7-17 required for every __..... _-_.. .._- _.._ -. page Gity(rawn State Zip Code Date of Inspection B. Certification (cant.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ElThe system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. i E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. j i For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply El Elthe system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone 11 of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title "t@e 5 Official Inspection Fom Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 535Salem Street perty Address Barbara Winning Owner Owner's Name information is North Andover Ma 81845 8'7-17 nqui�umrovn� �_-----_-__��—_--------__��— --�� ---------' page. onyTI-own State Zip Code Date mInspection C. Checklist Check ifthe fd|ovvnghavebeendone. Youmnuatindimaha �ea^ cv^no^ostoeaohofthefol|ovvng: Yeo No El [A Pumping information was provided by the ovvner, ocuupant, or Board of Health F] M Were any ofthe system components pumped out inthe previous two weeks? 0 Fl Has the system received normal flows in the previous two week period? �l �� Have large volumes ofwater been introduced to the system recently or as part of �^ �� this inspection? �� VVoreosbuilt plans ofthe system obtained and examined? (if they w*ananot �� available note auN/4) [A El Was the facility ordwelling inspected for signs ofsewage back up? • E] Was the site inspected for signs ofbreak out? • El Were all system components, excluding the SAS, located on site? • El Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the hmffloo or tees, material of construction, dimensions, depth ufliquid, depth nfsludge and depth ofscum? �� [l ' VVusthe haoi|ityovvner(and occupants ifdifferent�o0ommer) providedvvith � �� ^~ information on the proper maintenance of subsurface sewage disposal systems? The size and location ofthe Soil Absorption System (SAS) onthe site has | been determined based on* / M El Existing information. For example, o plan at the Board of Health. ! �O �l ` Determined inthe�e|d /�any ofthe foUune criteria na|abad to Part C. |oatissue �� approximation ofdistance inunacceptable) [310CMR 15,3O2(S)] D. System Information Ros|6mndm| Flow Conditions: 33 Number ofbedrooms(demgn): Number ofbedrooms (aohum ): ----------- 33O DES|GNflow based on31OCMR 15.2U3(for example: 118gpdx #ofbedrnoma). Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments s 535 Salem Street property Address Barbara Winning Owner Owner's Name information is North Andover Ma 01845 6-7-17 required for every _-.._...._ - -- page. CItylTown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ® Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ® Yes ❑ No Last date of occupancy: Jan 2017 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flaw(based on 310 CMR 15.203 : Gallons per day(gpd) Basis of design flow(sea tslpersonslsq.ft., etc.): - Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: I5ins.doc•rev.6116 Title 5 Officiat Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 i Commonwealth of Massachusetts Title "tNe 5 Official Inspection —orm Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 535Salem Street Property Address Barbara Winning Ownm Owner's Name information is North Andover Ma 01845 8'7-17 mqu/�mmrm�ry ---_-_��—'-----------�� -------- � ---- ----�� page. City/Town State Zip Code Date mInspection ' Last date ofnooupanov/uae� occupancy/use: o 1.eme Other(describe below): General Information Pumping Records: Last pumped Source ofinformation: ------'--�� ------------��------------' Was system pumped aapart ofthe inspection? M Yes El No 600 gallons if yes, volume' � gallons site gua eon honk How was quantity pumped determined? To wherethetank |��kin Re��onfurpump|ng� ��—��--��-------------�—��---------- Type ofSystem: M Septic tank, distribution box, soil absorption system || Single cesspool �] Overflow cesspool El Privy Shared system (yes or no) (if yes, attach previous inspection recordn, if any) [� Innovative/Alternative technology. Attach a copy of the current operation and mnointananceoontraot(tobeobta|nedfnnmsyatemowner)andmonpyof|ahaut inspection of the |/Aoyatom by system operator under contract �l Tight tank, Attach acopy ofthe DEP approval. El Other (describe): Commonwealth of Massachusetts N . Title 5 Official Inspection For ' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 535 Salem Street Property Address Barbara Winning ........ Owner Owner's Name information is NorthAndMa 01845 6-7-17 required for every _....._ over _-......__. page. CItyTTown State Zip Code mate of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1959 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 36" Depth below grade: feet Material of construction: ® cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: - - feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 18" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) The septic tank is leaking below outlet invert. Only pumped once in 1972 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ElYes ❑ No Dimensions: --.-........ _-- Sludge depth: 1' t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 9 of 17 if Commonwealth of Massachusetts Title 5 Official Inspection Form rGl Subsurface Sewage Disposal System Form Not for Voluntary Assessments 535 Salem Street Properity-Address - Barbara Winning Owner Owner's Name information is North AndoverMa 01845 6-7-17 required for every -—--------- — -- page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle No baffle Scum thickness 30" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle No baffle How were dimensions determined? By pumpin the tank Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is leakino. Remaining sludge in the tank is very thick by the inlet. There is dry solids. Grease Trap (locate on site plan): ......----------- Depth below grade: feet Material of construction: polyethylene F-1 other(explain): El concrete 0 metal El fiberglass F Dimensions: Scum thickness ......... Distance from top of scum to top of outlet tee or baffle . Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date...-- - -Page 10 of 17 t5ins.doc-rev.W1 6 Title 5 official inspection Form:Subsurface Sewage Disposal System Commonwealth of Massachusetts L Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 535 Salem Street Property Address Barbara Winning .................. Owner owner's Name information is North Andover Ma 01845 6-7-17 required for every page. CltylTown state Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): ------ Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: EI concrete El metal El fiberglass ❑ polyethylene El other(explain): Dimensions: ---------- Capacity: gallons Design Flow: gallons per day Alarm present: El Yes F1 No Alarm level: Alarm in working order: El Yes El No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): ...................... Attach copy of current pumping contract(required). Is copy attached? El Yes El No 15ins.doc-rev.6116 Title 5 Offidal Inspection Form:Subsurface Sewage Uspcsa!System•Page 11 of 17 Commonwealth of Massachusetts ��Q�� 0� �~��°�~"��N N�%��°��"�� Title �� p�� Q�wN 0ww~��~��U��um Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 535Salem Street Property Address Barbara Winning Owner Owner's Name information is NorthAndovorMa 01845 0-7'17 mquin,u«xevo� ---------------��--'----------- ------' page. ChyfTmwn Gmm Zip Code Date mInspection D. System Information (cont.) Distribution Box(if present must baopened) (locate nnsite p|an): Full to nVwerwithdirt Depth ofliquid level above ou�et |nvo� Comments (note ifbox iplevel and distribution hooutlets equal, any evidence nfsolids carryover, any evidence ofleakage into or out of box. etc.): Lifted cover to the distribution box. It was full tocover with either dirt or dry sludge ||nea' to leach trenches full 9' into leach trench. 2 lines there was a lot ofroots. All lines red clay with open joints. Omnneredlines, sludge stains 3/4 way the pipe. | Pump Chamber(locate nnsite p|on): ! � Pumps |nworking ordec El Yen El No* ' Alarms inworking order: El Yeo El Nm* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): ° |fpumps or alarms are not inworking order` system is conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 535 Salem Street Property Address Barbara Winning Owner Owner's Name information is North Andover Ma 01845 6-7-17 required for every --- page. Gityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: 11 leaching pits number: E] leaching chambers number: E] leaching galleries number: 0 leaching trenches number, length: 3-38' F1 leaching fields number, dimensions: -- M overflow cesspool number: F-1 in novativ e/al tern ative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Design shows 4 38' trenches. Actually could only find 3 lines, 38' red clay pipe 36" sections, root infiltration. Sludge staining 3/4 way up leach lines. ............ ......... ............. ............. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer ............ Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Ons.dDc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form rl Subsurface Sewage Disposal System Form Not for Voluntary Assessments 535 Salem Street ------- Property Address Barbara Winning_____ Owner Owner's Name information is North Andover Ma 01845 6-7-17 required for every ------------- page. uby—/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): ............ Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): .......... —----------- tGMsAoc•rev.6716 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Y 535 Salem Street Property Address Barbara Winning Owner Owner's Name information is required for every North Andover Ma 01845 6-7-17 page. CityfFown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System. Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where ublic water supply enters the building. Check one of the boxes below: hand-sketch in the area below ❑ drawing attached separately ggteX 3 I 0 � w o. mns.doc•rev.6116 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts ~°^~` Form � Title 5 Official Inspection Subsurface Sewage Disposal System For m - Not for Voluntary Assessments 535 Salem Street Property Address Barbara Winning Owner Owner's Name information is North Andover- Ma 01845 8-7-17 mpuinmux��n' -------��---------'--��-'----- ------ page. cnwTmwn otmv Zip Code Date mInspection D. System Information (cont) Site Exam: 0 Check Slope U Surface water Check cellar �] Shallow wells 6011Eudmatnddepthbohighgroundwaher �e* Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on naoond 0-9-1968 If checked, date of plan reviewed: ��—'--------��-------------�� Date Fl Observed site(abutting property/observation hole within 150feet ufSAS) Checked with local Board nfHealth -explain: Pulled file .......______........ ...______....... ��-_'---------_- � �l Checked with local nxcavatnrs, installers-(attach documentation) Fl Accessed U8G8database - explain: You must describe how you established the high ground water elevation: Taken from contents ofinformation from the Board ofHealth._See attached Before filing this Inspection Report, please see Report Completeness Checklist mnnext page. �"".d�^"=wv �oeoomm*m,,om""p°m.a.�"�o°Sewage m�p�w�**�'me"mm,r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 535 Salem Street Property Address Barbara Winning —----- Owner Owner's Name information is North Andover Ma 01845 6-7-17 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist • Inspection Summary: A, B, C, D, or E checked • Inspection Summary D(System Failure Criteria Applicable to All Systems) completed • System Information—Estimated depth to high groundwater • Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc-rev.6116 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 17 of 17 f ! BOARD CF DEALTH TOWN OF NORTH AUDOVERp MASS. ' � f A � , F �._,.• ----- � �• �.�____.ter.—�..---•w ME a.. 1�AI'� �o- � Zi/.'nom ,sr f.;,,,, �. � �•� ,��;•� �sr !` 2, ADDRESSr a�s�• • •- ♦ o �n '�J'� •J.o . ♦ un No. • • •j'a,.o�-O TEL* ►�4�� a • a 3• NO. or $EDRO011s • �'�. • • DEIN *Be—• . r a ■ 14 V a a • 0 GARBAGEG,LL37.VLEi0 • •a r 9 ► 'NO•i a • 5. SHCW DIVEMIONS Or' HOUSE 6, SHOT DISTANUS OIr' HOUSE TO ALL PROPERTY LIDS 7. SHOW DIVENSIOM, OF LOQ 8. SHOW LOCATION AND SIZE OF SEFT LC TANK OR CESSPOOL 9, NOM LOCATION 'AND. D19TAITCE OF WELL FROIi 5ZWF=E SYSTEPrt 10. SNOW LOCATION CF IRAOI{S j, STR US t DITOBES, IEDGE OUTCROPv ETC 7,. SHOW DISTAD OF SEPTIC T.AIdK OR CESSPOOL FROt'A HGU,SE ME: LOCAL FEGULA` IONS SHOUID EE READ CAREFULLY6, 0 3 I R. Winning � Salem St. APPLICATION FOR SWAGE DISPOSAL 10TALLATION HEATH ]3EFARTMEN''--NORTH Ai ]fly, MASS ,st. x' I hereby make application for a permit for a nowage disposal, Installation at 4x .�..._._ Sltd m St. . I wi.l.l ins'Lall, thin system in accordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further,, I win conatruet the house sewer of ball and spigot pi.paq the Minimum diameter being 4 inehesp and will, maintain a minim ai grade of :Wa until 10 fent preoeding -the septic tames where the grade sball, not exceed 2%. 1 �"rill install, a concrete septic tank of 750 gal. .. in size. A manhole (o) permitting, easy cleaning will. be provided with removable cover (s) of iron or cone rete within 12 inches ,of the ground surface, I will provide subsurface disposal field with open jointed bell and spigot Aokxon pipe at least 4 inches in diameter and laid in a series of trencheas, the bottom of which will provide a minimum of 150 - lineal, (64=W feet of effective absorption area. The pipes will be laid on a inch :layer of washed gravel or cruohed stone ranging in size from 3A 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 theme pipes will be protected from clogging and before filling the trenchs, 2 inches of gravel, or atone 1/8" to IA" (dia.) wi.l,l, be placed over tho course gravel or stone, The disposal field will. be Usta.11ed at a grade of 4 to 6 inches/ZOO Feet. No single tile line wi,l.l. exceed 100 feet in lazngth and in any cases tto lines of tike wM be installed. A minim= of 6 -feet will be maintained between the center 34nes of the disposal, field txonehes and the average depth of trench shall not exceed 36 Inches, No p.-d°t of the In— stallation nstal.lati.on will be less than 100 feet from any private water supply., 25 feet from any streams, 20 :deet from any dwelling or 10 feet from any property line. I further agree.not..to waver ar r wrti.on ofthis, jDgjg1ati,,on__untjaunroved the.1p on of, 3.egK j a:e provided below., and toincorporate any additional r quirements that may be attached to the permit. Plot Plans must be submitted with appli.ca,tion. DATE Signature of Appl,i caiTt I hereby issue the above permit for the Board of Health of the Town of North ,Andover# Massachusetts. gnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE Signature o nspecting Officer Pareol tion Toot 3 mine Garbago Grinder ,� T' C f 13' *a 2 i i t' June 7, 195,q Milts Mary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed. Salem Street building site of Richard D. Winning. The subsoil in the area was of a sandy clay content and a u minute percolation gest was conducted. The land in {general is high. It is recommended that a 750 gallon concrete septic tank be installed. together with 1.50 lineal. feet of drain pipe. Very truly yours, William J. r ' scall 0 s I ' E I: f -417 3;48 PM � 1 b 9 9 "P, 1 y, - N o, R. Winning . Salem St. >„s APPLICATION FOR SEWAGE DISPOSAL IMTALLATIObT STEALTH IYBFARTPZ T---NQRTH AMOV R iV1�4;Iw. I hereby mko application for a permit for a aewage djaposal installation at 5 �.eu�._St I will install this system in- , s0aordano9 with all the .a sof the �Co onwealth of Massachuigatts oxo regulationo of tha Board of Health of the Torun of.North Andover. Further, I will 00n0truat the house sewer of bell and opigot pipe p the mInIMM diameter being 4 inches,, and will maintain a mi.111m m grade of 1% until lb feet prooeding the septic� tanks where the Fade shallnot exceed 2%. 1 ri7x Install oanrto sgptio tank of p gal, In e, size. A manhole (s) permittiY)g easy cleaning will be provided with romovable cover (s) of iron or concrete within 12 Inches ,of the ground surtaoO" , I till provide subsurface disposal field with aint aper , i of Ackron i1at eas4noean diameter and laid in a series of trenches,, the bottom of whioh will provj de a minimum of i O ..Uneal (QMMO f'eet'a£ effoctive absorption arest o The p1pes will 1alaid on�a b inch