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Board' of. F,ealth BEPTIC 325TIIi
NorthoAnit)� aas.
INSTALLATICK CHHCS LIST LOT
. AVAT ON OK FAIL
o nn -n 'n AT Q nT . PRam
OK
1. Distance To:
a. Wetlands
b. Drains
c. Well
2. Water Line Location
3- No PPC Pipe
2t. Septic Tank
a. _Tess --Length & To Clean flat Covers.
b. Cement Pipe to Tank -- On Both -Sides of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing Espial Amounts
c. No Back Flow
6.- Leach Field or Trench
a. Di%ensions
b. Stone Depth
c. Capped'Ends
d. Clean Double Washed Stone'
7. Leach s
a. sions
b. ne Depth
c. lash Pads
d. Teas
e. Cement Pipe to Pit - Both Sides.
f. Clean Double Washed Stone
8. No Garbage Disposal
9. -Final Grading Inspection
10. Barricading Covered System
11. As Built Submitted.
a. Lot Location.-
b,
ocation b. Dimensions of System
c. Location with Aegard_to Pere Test
d. Elevations
e: Water Table
TO: �14o. AV -A DO "/ r--
0'e>AV-L> C ->v
FROM: rp-Ai-JY-- C— "AS
Assoc— TNc--
NORTH
7�14"DOVER, rtz�SS-
I
BOARD
OF HE.7=1'
DESIGN E14GIIIEER Re: soil Absorption.
Sewage Disposal
System
This is to certify that I have inspected the construction materials of said
dispGsal system at T HAY M LA D(�::)\-/
SITE LOCATION
North Andover, Mass.
are as specified in my plans and
The grades and construction materials
specifications dated
Reg. J Prof. - Enginee'rj-.-.Reg. Sanitarian
SUBSfJRFACE DISPOSAL SYSTEM CHECK` I rST��""'
NORTH ANDOVER BOARD OF HEALTH
17
OVED DATE PROVIDED
7/j6/7g
Title 5
Reg. 2.5
Reg. 6
Fail
DISAPPROVED DATE TIME REASON
. "� K167
The submitted plan must show as a minumum:
(a) the lot to be served (area,dimensions,l.ot ;#,abutters)
(Planning Board files)
(b) location and log of deep observation holes -distance
to ties
`_-(c) location and results of percolation tests -distance
to ties
'-(d).design calculations & calculations showing required
leaching area
' (e) location and dimensions sf system (including reserve
area)
(f) existing and proposed contours
�(g)) location of any wet areas within 100' of the sewage
disposal system or disclaimer (check wetlands mapping)
(h) surface and subsurface drains within 100' of sewage
disposal system or'disclaimer
(i) location of any drainage easements within 100' of
sewage disposal system or disclaimer (planning board
files)
(j) known sources of water supply within 200' of sewage
disposal system or disclaimer
--'(k) location of any proposed well to serve the lot (100'
from leaching facility)
---ri) location of water lines on property (10' from. leaching
facilities)
m) location of benchmark
n) driveways
o) garbage disposers
no PVC is to be used in construction
(q) a profile of the system (elevations of basement, plumbei
pipe septic tank, distribution box inlets and outlets,
distribution field piping and any other elevations)
(r) maximum ground water elevation in area of sewage dispose
.system
(s) plan must be prepared by a Professional Engineer or
other professional authorized by law to prepare such
plans
Sematic Tanks
(a) Capacities - 150% of flow, water table, tees, depth
of tees, access, pumping,
b) Cleanout
c) 10' from cellar wall or inground swimming pool
d) 25' from subsurface drains
SOIL PROFILE &
PERCOLATION
TEST DATA
4
S
North Andover., ss. No.&Street^
T
Lot No. 3�
Loc.
Plan
Owner y,,A�yhS
Investigator , /. / P %�� r ��tri�� L/1 -i
--observer
' n ,4 /�Yi e�
J
Drop of 311 -Time-
SOIL
PROFILES -DATE
1. Elev. 2. Elev.
3.
-Eley.
_ 4'Elev.
0 0 0
Mins.lst- 311D op
0
Mins . 2nd 3"Dro
Percolation Rate
Ties to Test
fits
2
2
2
2
3
3
3
--------
4
=
'6�4�
-- 4
_
4
5
6
7
8
9
1C
Benchmark
Elevation
5
6
7
8
9
10
5
6
7
8
9
10
Location
Datum
Percolation Tests -Date - % 9
Pit Number
1 2
3
4
S
Start Saturation
2.'Z
Soak -Mins.
Start Test -Time
Drop of 311 -Time-
Z. S3
Drop of 6" -Time
3 :10
_
Mins.lst- 311D op
/U V., Y,
Mins . 2nd 3"Dro
Percolation Rate
fi
5
Notes & Sketches on Back 6
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