HomeMy WebLinkAboutMiscellaneous - 111 MEADOWVIEW ROAD 4/30/2018 (2) 0.0000- 00-TCOLIOLZ
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MORTIr /i�
BOARD OF. HEALTH
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' '•' 120 MAIN STREET �J/ L,"Fi82-6483
sSACMUS` NORTH ANDOVER, MASS. 018451, Exc23
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February 10, 1995
Dear Lake Cochichewick Watershed Resident, District #3 :
As a homeowner in District three (3) of the Watershed of _
Lake Cochichewick, you have been previously notified of the
septic pumping regulations adopted in June of 1993 . • This
required all homeowners in your district to have had your septic
tanks pumped by September 3 , 1994, and every three (3) years
there after.
Ou'Y records indicate that as of this • date, you are in
violation of this regulation. If our records are incorrect,
please submit proof of pumping to the Board of Health Office.
Failure to have your septic tank pumped within thirty (30)
days of this notification can result with penalties as stated in
Section 8 . 4 of the North Andover Board of Health Regulations. A
copy of the pumping regulation is enclosed.
The Town of North Andover relies on a cooperative effort to
ensure a safe drinking water supply. As a watershed resident it
is vital that you comply with all standards set in regards to
this effort.
it you have any questions, Nlea6e do not hesitate to call
the Board of Health Office at the number above.
Sincerey. ,
Susan Ford
Environment/Health Agent
SF/cjp .
Enclosure
D
qPNature of Servi
,PrReg.Maint.
NIC
.)� ❑ Emergency
PUMPERS. �� .!� Day ❑ Night
..,-.---ANDOVER SEPTIC
liofMIF )PAY FROWI n-iIS BILL
Customer Name:
7 ' P.O. Box 4173 B Station
Service Location: Andover, MA 01810
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Phone: _ /)� �. (508)-475-2593
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Contact: Professional Septic & Drain
Bilking Address: Locally Owned and Operated
City: zip: Emergency 24 Hr. SVC. — 7 Days
Special Instructions G"� Completed
❑ Incomplete Reason:
Per:
AM/PM -
Services Rendered
Vacuum Pumping VoLeechlield
rvations Drain Cleaning
�/Septic Tank ood Condition ❑ Main Line
❑ Drywall Runback ❑ Toilet Bowl
❑ Leech Pit/Overflow ❑ Riding High D Kitchen Sink
C1 D Box (liquid level) ❑ Bathtub/Shower
Cover
• Pump Chamber tiQ ❑ Vanity
❑ Grease Trap Exces 've Solids r
❑ Catch Basin ( Top/. ottom`"" " ❑ Yarci, r l
❑ Portable Toilet ❑ e 1Jo Powdered Soap [I Vent
❑ Heavy Grease ❑ Sewer f
❑ Other ❑ Roots it
Oty. ow er
Size: ❑ Suggest Electric / 'go-
El Under
e.❑ Under 1000 gallons ❑ 1000 gall g ❑�1?5gallons Roolering
El 2000 gallons ❑ 3000 gallons 4000 ❑ Van Called
El5000 gallons ❑ otter El Other 4, /11
sc.
7 L
Digging Charge ' ❑Backhoe ❑ Ap
Mi /4
El Location ❑ Consultation
❑ 99 g g " �� El Certification: P1F
)101
❑ Service Cell C1 Estimate Reason:
❑ labor ❑ Portable Toilet Rental
❑ Pump Repaif �..
❑ Waiting Time ❑ Baffle
'• ❑ Repair �
'Digging Charge Is Per Driver ❑ Chemical Treatment
Discretion ❑ Other
Description of Work
Recommendations Terms of Payment
Parts
V uut P :ng Drain Cleaning Tax
Month Yr. Month NET 5 D
li Discount
Terms Conditions ❑ Cash ❑ Check Credit I
r I� To 7/
t. Not esponsible for d•�mage beyond curb line. 3. .5y.per mot wll �hnr ed to �t t!pas d�l� V /" I
2. MI complaints shall be reported within 48 houtg. i 4. he purchaser p� Q9 to pa all coil ti
M,f
1
I the undersigned agree to all terms and conditions. • I �j' i
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Customer Signature S. icemar
SEPTIC SYSTEM INSPECTION FORM
ADDRESS
DATE INSPECTED O • j
PROPERLY FUNCTIONING? N
WEATHER CONDITIONS
COMMENTS :
a
WA i ER aVAL i;Y TES i tb n hl=SOL-TS?
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name Zl&,2& '94(clel-e y
2. Street Address 61116") Rd IV, 19
3. How many members are in your household? �-
4. What type of sewage disposal system do you have?
❑ cesspool
2� septic tank and leaching area
❑ connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
eyes ❑ no ❑ do not know
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years EP/11-20 years
❑ over 20 years ❑ do not know
7. Has your sewaagf disposal system been rebuilt or repaired?
❑ yes V no ❑ do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? C"annually
❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never
9. Have you had any problems with your sewage disposal system? ❑ yes [ono
If yes, what problems?
❑ repeated pump-outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
10. How many of each appliance are connected to your sewage disposal system?
washing machine 7 dishwasher garbage disposal
dehumidifier drain sump pump toilet -7
roof/pavement drains shower/bathtub --
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher 4A-f CAo'
clotheswasher regl D edw aR
12. Does your property have a lawn? yes ❑ no
If yes, approximately what size?
❑ less than % acre ❑ % acre 1/2 acre ❑ 3/4 acre ❑ 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?
No. of applications per year -2-
Season(s) of the year r ��
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
❑ Check`here if your Iawn is maintained by a professional landscape contractor.
21694PpJzOVa ? Lot 31 Meadowvi.ew
Ben Osgood
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot 31 Meadowview . I will install this system in ac-
cordance with all the laws of 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/. I will install a con-
crete septic tank of 1250 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 300 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 1/8" 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
tile 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 any portion of this installation until approved by the
inspection officer, as provided below, and to incorporate any additional requirements
that may be attached to the pel m't. Plot P must be submitted with application.
foot gravel bea
DATE 11/6/71
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE 11/6/71
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
Signature of Inspecting Officer
Percolation Test 10 Minutes Soil: Clay
Garbage Grinder
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BOARD OF HEALTH --
TOWN OF NORTH ANDOVER, MASS.
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1. NAME OLD NORTH ANDOVER REALTY TRUST DATE ,JULY 29, 1971
2. ADDRESS MEADOWV I EW ROAD LOT NO. 31 TEL.475-6333
3. NO. OF BEDROOMS 5 DEN YES NO X�
4. GARBAGE GRINDER YES NO X
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. 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.
TWo-family House
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE ll�b�7T1
NAME OF APPLICANT Old North Alldov,032 RPai 4 TrtiG�
LOCATION Lot 131 Meadowy,7iew
Address of lot no.
BUILDING: Dwelling X Other
SYSTEM: New X Repair
A
GENERAL DESCRIPTION OF LAND High
SUBSOIL: Clay Gravel Sand
PERCOLATION TEST 10 minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK 1,280 _gallon capacity.
LEACH FIELD 300 lineal feet of drain pipe.
21 gravel bed
William J. Driscoll, Engineer
Board of Health