Loading...
HomeMy WebLinkAboutMiscellaneous - 111 MEADOWVIEW ROAD 4/30/2018 (2) 0.0000- 00-TCOLIOLZ avc(1vMN9iAn gw-m - - - MORTIr /i� BOARD OF. HEALTH ..',?,-,� ' '•' 120 MAIN STREET �J/ L,"Fi82-6483 sSACMUS` NORTH ANDOVER, MASS. 018451, Exc23 �J 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 J . � r Phone: _ /)� �. (508)-475-2593 f'. t' V 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 � --r 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 _ r w BOARD OF HEALTH -- TOWN OF NORTH ANDOVER, MASS. g" P�QTod •.:ab: 3 �Q lZi 2- + v SS, 0V.'"''� � Z 4 ®� /AJ, 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