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HomeMy WebLinkAboutMiscellaneous - 1187 SALEM STREET 4/30/2018 (3) _ 1187 SALEM STREET 210/106.A-0043-0000.0 l r. RE7(�, V . : Commonwealth of Massachusetts � City/Town of M, 2017 a S stem Pumping.Record �, r� Y TOW OF NORTH A�:DO � J Fora 4 HEALTH DEPARTMEN �J DEP has provided this form for use-by local Boards of Health. Other forms maybe used,but the information must be substantially the same as that provided here. Before using.this form,check with your local Board of Health to determine the forfn they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information I. System LocationOng. gh ro t of hou , Left/Right rear of house, Left/right side of house, Left/ Right side of builLeft/Ri ht rout of buildiri Left/Ri ht rear of buildm Under 99 g� 9 g, deck Address <--�?. , v � Cityfrown State - Zip Code 2. System Owner. --� [4-u l Name' } Address(d different from location) CityfTown Sta Zip Code r"•, Telephone Number .13. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 'i. 3. Type-of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes ❑ Na 5. Condition of System• 6: System Pumped By: Neil.Batesbn F5821 Name Vehicle License Number Bateson Enterprises Inc- Company 7. LocatiorLwhere contents-were disposed: G L Lowell Waste Water l F Sign a 9t HhuleV Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 SEPTIC SYSTEM REPAIR IN NORTH A NDOVER , MASS. PREPARED FOR DWAYNE HURLBURT ET UX SCALE 40 FEET TO AN INCH-AUG. 20, 1992 ROBERT E. ANDERSON INC. x REG. PROFESSIONAL ENGINEER PROFESSIONAL LAND SURVEYOR 178 PARK STREET a ELEVATION SCHEDULE PO. BOX 26,5 NORTH READING; MASS. f EXISTING DISTRIBUTION s gyp'° SH BOX OUTLET INV. = 94.4 ?11 bsl NEW MANHOLE INV. = 94.25 NEW DIST. BOX INLET = 93.90 -NEW DIST. BOX OUTLET = 93. 73 =" /'W PIT#I INLET INV. = 93.68 PIT#2 INLET INV. = 93.63 BOTTOM OF STONE ELEV. b JL UNDER PITS = 90.5 5 2?•\A r L < \ A iO m r2 �r9�0 a ob \O i cl- � F o v Ci NVENS \ ED \ ' >► of \ ` o �' ` m\vENS 01 % N o \ PROVIDE 2 LEACH PITS2 ENS \ WITI{.3-8`x 5 500 GAL. p\� -SHALLOW PITS WITH 2411, `99 OF 3/4"TO 1 1/2"AROUND \\ A 1 AND 12"OF STONE BENEATH + /. 96 DESIGN CRITERIA— BASED UPON A 10 MIN PERC RAT BOTTOM. AREA= 19'x 12++x 0.55 GAL/SQ.FT. =125 GAL. N SIDEWALL AREA=(38'+24+)x 3.08 (HEIGHT) CA x 1.0 GAL./SQ. FT. = 191 GAL. TOTAL = 3 16 GAL. 316 GAL/DAY x 2 SEPARATE PITS = 632 GAL/DAY SPECIFICATIONS I. ALL CONSTRUCTION TO BE IN ACCORDANCE WITH TITLE 5 OF THE STATE SANITARY CODE A 2•. USE EXISTING DISTRIBUTION BOX AS A MANHOLE. PLUG 2 OUTLET PIPES AND USE ONE OUTLET PIPE TO VENT EXISTING SYSTEM CONSTRUCT MANHOLE TO GRADE. 3. UTILIZE FOURTH OUTLET PIPE TO CONNECT.TO NEW LEACHING PITS. MAINTAIN A GRADE OF 0.006 TO NEW MANHOLE AND NEW DISTRIBUTION 80X. 4. PROVIDE BELL TYPE VENT FOR EACH LEACHING PIT. THIS LOT IS NOT LOCATED IN THE F E.M.A. FLOOD PLAIN. NO WETLAND WITHIN 100 FEET OF PROPOSED SYSTEM 4 Commonwealth of Massachusetts .IFCity/Town of RECEIVED System Pumping-Record ftp 3 p 2014 Form 4 V TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Heafth.MyOgUff dM26KWilded, but the information must be substantially the same as that provided here. Before using.this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Locatio,2�a/Rig , eft/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address l/� � / c' /Town �Y State ZIP Code 2. System Owner Name Address(d different from location) citylrown ' State Zi Code Telephone Number B. Pumping Record 1. Date of Pumping p g Date2. Quantity Pumped: Gallons 3. Type of system. ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No; ' 5. Condition of System: 6. System Pumped By. Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: G.L S. Lowell Waste Water CA 77- Ma Sig Haule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts _ RECEIVED City/Town of OCT Z&1013 System Pumping Record TOWN OF NORTH ANDOVER Form 4 1 HEALTH DEPARTMENT DEP has provided this form for use,by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location/Rig nt of hous Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address 6 Cityrrown State Zip Code 2. System Owner. Name Address(if different from location) citylrown State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: 1 Gallons 3. .Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes E o If yes, was it cleaned? ❑ Yes ❑ No 5. Condition Qf System: 6. System Pumped By.- Nell y:Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: Ca. S. Lowell Waste Water ism Sign Haule Date + t5form4.doc•06/03 System Pumping Record•Page 1 of 1 ��CQ Commonwealth of Massachusetts I/ City/Town of N0V 1 Z a System Pumping Record TOWN OFNORTM&nlagvrsK Form 4 HEALTH 0EPAR i �M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of house, t of hous , Right front of house, Left rear of house, Right rear of house. Left rear of building. fight rear of building. Address Cityrrowh State Zip Code 2. System Owner: Name Address(if different from location) Cityrrown State ip,-.CDde Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: -�- 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Loc i ere c4ontents were disposed: L Lowell Waste Water t_ffg to a of Haul r Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts 4 City/Town of -Vaiv - System Pumping Record ° Y p 9 Form 4 OCT M ? all DEP has provided this form for use by local Boards of Health. Ol)f "mboMeck t the information must be substantially the same as that provided her �` with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location. eft fron f hou ight front of house, left side of house, right side of house, Left rear of house, right rear of house, left side of building, right rear of building, under deck. Cityfrown State Zip Code 2. System Owner: Name Address(if different from location) Cityfrown State Zip Code 2`( IZ Telephone Number B. Pumping Record 1. Date of Pumping 2. Quantity Pumped: S© Date Gallons 3. Type of system: ❑ Cesspool(s) Eq/Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? E] Yes �No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Lo ere contents were disposed: Lowe1_1VVaste Water < I Signature of Hauler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of System Purn.ping Record w„ Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health tQ determine the form they use. The System Pumping Record must be submitted to the local Board of Healthor-other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of hous<Left front of hou ight front of house, Left rear of house, Right rear of house. Left rear of building. Ig rear o building. Address Cityrrown State Zip Code 2. System Owner: Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record _ 1. Date of Pumping Date 2- Quantity Pumped: Canons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5- Con ition of Sys em: 6. System Pumped By: Neil Bateson F5821 . Name Vehicle License Number Bateson Enterprises Inc Company 7- contents were disposed: 7Lowe W "eater Signature H le Date t5form4.doc•06/03 System Pumping Record.Page 1 of 1 'C"\ Commonwealth of Massachusetts RECEIVED City/Town of OCT 2 0 2009 System Pumping Record Form 4 TOWN OF NORTH ANDOVER wv sHEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health tQ determine the form they use. The System Pumping Record must be submitted to the local Board of Health of-other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of hous _Left fm t f hour, fight front of house, Left rear of house, Right rear of house eft rear of building. Right rear of building. Address Cityrrown State Zip Code 2. System Owner: lN� Name Address(if different from location) Cityrrown State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date y — OC( 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) �eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes [U/No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: \'e� [ t6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: G.L.S. Lowell Waste Water !A9 ` 4 -6 � Signature o— ff MaaMer6 � �_3�Date t5form4.doc•06/03 System Pumping Record.Page 1 of 1 Commonwealth of Massachusetts City/Town of RECEIVED � u,p System Pumping Record Form 4 SEP 1 6 2008 DEP has provided this form for use by local Boards of Health.CCitttherkfot ��rnaji bye" A�-;Fb the ° a� H`"` l Iv eck with our information must be substantially the same as that provided her,Le,.Befc�r���g�tts-�o y local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use �J only the tab key Address n to move your cursor-do not Cityfrown State Zip Code use the return key. 2. System Owner: Name I�1 Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2• Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5, Conditio of S e",ac- 1 4z:A-/� 6. System Pu pqg By: t Name Vehicle License Number Company 7. Locatio ere contents disposed: Sioaturr H uler Date t5fomn4.doc-06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts M27 City/Town of System Pumping Record Form 4 VERNTDEP has provided this form for use by local Boards of Health. Ot , ut the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Recons must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. Syst m L on: G% V forms on theP computer,use only the tab key Address _ 101 ^ n / to move your cursor-do not City/Town 3 ate Zip Code use the return key. 2. System Owner: vQ Name Address(if different from location) CitylTown State lz�!lZin Code Telephone Number B. Pumping Record q -t9-OU7 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): � 4. Effluent Tee Filter present? El --, Yes� no If yes,was it cleaned? ❑ Yes ❑ No 5. Conditleq of� System: � O \ V\- 6. Systeln P nVed By: Name Vehicle License Number Company 7. Locati0 n�rol4ere,contents wesposed: ��- -7 Sig r Date 7 t5fomt4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts REC , • City/Town of System Pumping Record OCT 12 2006 Form 4 w TOWN OF NORTH A"' ; E+FALTH DEPART_N DEP has provided this form for use by local Boards--of=Health-The System Pumping Record must be submitted to the local Board of Health or other approving authority. . X Facility Information .Important: When fining out 1. System Location: forms the computer.use only the tab key Address to move your C cursor-do not . Gityrrown State use the:retum Zip Code key. 2. System Owner: Name ill Address(if different from location) City./Town _ , ` ip Code Telephone Number B. Pumping Record / 1: Date of Pu mping Date 2. Quantity dumped: Gallons 3. Type of system: ❑ Cesspool(s) Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes El No 5. Condition of Sys�te�m O 6. Syste P d B Name Vehicle License Number Company -- . 7. Locatio here contents resed: e _ � (0 Signat e a ler Date http://www.mass.g6.v/dep wa r/ pprovals/t5forms htm#inspect t5form4.doc•06/03 SystemPumping Record•Page 1 of 1 Commonwealth of MassachusettsCEIVED City/Town of System Pumping Record APR 2 4 2006 \\j Form 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. TZ SysTem UMP Record must be submitted to the local Board of Health or other approving authority. . A. Facility Information Important: When filling out 1. System Location_ forms the t�,, � <� �V L� computer,use he tab key Address to mo to move your cursor-do not / /Town use the return Cit Y State Zip Code key. 2. System Owner: Name Address(i(different from location) City/Town Sta Zoe? Telephone Nu"b B. Pbmping Record 1. _Date.of Pumping � -�� P g Date 2. Quantity`Pumped: Gallons 3. Type of system: ❑ Cesspool(s) ptic Tank- ❑ Tight_Tank ❑ Other(describe): 4: Effluent Tee Filter present? El Yes o If yes, was it cleaned? ❑ Yes`❑ No 5: Condition of System:. (&X4 6: Systemu n d B Name Vehicle License Number Company .. 7. Locatio erer Conten were I osed: Signal re f H uler Date http://www.mass-gov/dep/`water/approvals/t5forms.htm#inspect t5fomt4.doc•06103 System Bumping Record•Page 1 of 1 TOWN OF NORTH ANDOVE RECEIV SYSTEM PUMPING RECO JAN 13 200 DATE: a TOWN vF NORTH ANDOVER HEALTH DEPARTMENT SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) Se DATE OF PUMPING: `a a g�&ANTITY PUMPED ��`� GALLONS 44-L_- Ar CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE ✓' EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: Commonwealth of Massachusetts RECEIVED assachusetts RE—CEIVF OCT 1 9 2004 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT System POn Ing Record System Owner System Location h( I — (A Date of Pumping: (� (�rp�{ Quantity Pumped: t5©c3 gallons i Cesspool: No Yes [] Septic Tank: No [] Yes [ System Pumped by: gated" 50avMae4 License# Contents transferred to: Greater Lawrence Sanitary District Date: l p_(Q_O Inspector: i TOWN OF - d6 kC SYSTEM PUMPING RECORD--- L: ; g RD Or DATE: 3 2003 SYSTEM OWNER & ADDRESS SYSTEM LOCATION­ (example:left front of house) I OVA DATE OF PUMPING: � QUANTITY PUMPED : liGALLONS CESSPOOL: NO YES S PTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACIFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: 6ry 4 I TOWN OF NORTH ANDOVER �RBOARD OF SYSTEM PUMPING RECORD i 52002 DATE: SYSTEM OWNER &ADDRESS SYSTEM LOCATION b (example: left front of house) S� � DATE OF PUMPING: _ L2-QUANTITY PUMPED_ k GALLONS CESSPOOL: NO z YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: SOUL COMMENTS: CONTENTS TRANSFERRED TO: 1 i Park Street- P.O. Box 265 Land Court Plans Nth Reading, Mass. 01864 Subdivisions Mortgage Plans (508)664-3606 Grades&Elevations Topographic Plans (617) 944-4420 Construction Plans Res. (508)687-4420 Street Designs House Lots R OBERT E. ANDERSON INC. Sew agetion Des gnsts Reg. Professional Engineers and Land Surveyors COMMERCIAL- INDUSTRIAL- RESIDENTIAL ENGINEERING & DEVELOPMENT DONNA HURLBURT JOB #5460-92 1187 SALEM STREET NORTH ANDOVER, .MA. 01845 SEPTEMBER 21, 1992 ENCTNEEP.ING SERVICES REGARDING PREPARATION OF SEPTIC SYSTEM $ 800 . 00 REPAIR DESIGN, INCLUDING PERCOLATION TEST & DEEP OBSERVATION HOLES AND PROPERTY LINE RESEARCH, PRINTS & CONSULTATION 1187 SAELM STREET, NORTH ANDOVER, MA. G JqO �t O v x INTEREST IS V/z%a PER MONTH AFTER 30 DAYS -D w t.=L L- I Ir)e. l�,v t I r { I v 1 9 -7 -7 v —T) t rl c�-r c_ o �.n P L f vi I t" c-, t",`�( �/ -U U C 1-1 4 o R C C S 1V1 Cs L —r% 'T I c; y - R S 15'17 FN T D ---e3 t 1 c��.,, , Ro Dj i To:_A 1�1 A u .1 1 -1 1 hereby certify that the above Mortgage Inspection Plan was prepared for use in connection with a new Mortgage and is not Intended or represented to be a property line or land survey. It cannot be used for establishing fence, hedge I walls or building lines. No responsibility is extended herein to the land owner or occupant. The location of the original buildings) as shown herein was In compliance with thelocal applicable zoning bylaws in effect when constructed, with respect to horizontal dimensional requirements, or is exempt from violation enforcement action under Mas&S.L. Title VII, Chap. 40A, Sec. 7, unless othervise shown herein. SubJ#ct building(s) lies in a flood tone designated Zonei C Community-Panelf__ 0 5 �O y - p ------------------------- and shown on FIRM tap ------------------- --------- / U_ -------------- Dated: z/, Job No. _�__1__f_C_.�._ _ JCD, INCORPORATED, LAND USE tt DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, MA 01044 509-683---9932 . , 8E INSPECTION PLAN --_ ° •_; ���A�,tN of Mgss cy f/ oyn_ f?:gr1Do�(cI_L State ----------- KURT c D. Dates_,l u N i= i 1 9 9 1 5cale� " ' � MEI ER . ' - ------------�----------- ---I-- ;-------------- ASN 5905 Buyer:_ U ff --------- R!B U R T • yoa s Deem Rer._2�,9 0 (_1 O 3 Plan No. _ 5 9_S_ _ _ Dawn per City/Town or__- ��� _--____Tax Assessors Map. I� V JPO \ � o O R�f '— �'• .,, . '� I: S `�'� tifs UK T.11 - .... O T ...-- �'o C' QS 1 —Dwc�� lrlc, ��, �I r I ►�I 1 9 -7 -7 tiE�v V4 '' P-1 0 I � tiu� -rte � ��1 -�� Cp . IN/I C 1-1 4 o R ZS tZ I1 s o a I To: III -----�-�-P\u 1 til _ 1 I !,` ' 1 hereby certify that the above Mortgage Inspection Plan was prepared for use in connection with a new Mortgage and is not. intended or represented to be a property line or land survey. it cannot be used for establishing fence, hedge , walls or building lines. No responsibility is extended herein to the land owner or occupant, The location of the original building(s) as shown herein was In compliance with the. local applicable zoning bylaws in effect when constructed, with respect to horizontal dimensional requirements, or is exempt from violation enforcement action under Mass B.L. Title VII, Chap. 40A, Sec. 7, unless Otherwise shown herein. Subject building(s)(s) lies in a flood zone desi. nated lone: C' J g g _ _ and shown on FIR11 pap Community-Panelit__ 0 5 �©_y �(„� O __ ....... -- -'-- ---------------- --------------- -----=-------- - - ' _ Dated:_ _/ ----I Job No. JCD, INCORPORATED, LAND USE I; DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, NA 01944 508-683-9932 Town of North Andover, Massachusetts Form No.3 f MOR71{, BOARD OF HEALTH August 26 , 19 92 kh f' 9 #' �,"°^•�•o�'"t�' DISPOSAL WORKS CONSTRUCTION PERMIT i SS�CHU58 Applicant Todd Bateson 111 Argilla Rd Andover NAME ADDRESS TELEPHONE Site Location 1187 Salem Street ti Permission is hereby granted to Construct ( ) or Repair (X) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. y CHAIRMAN, BOARD OF HEALTH $60. 00 Fee D.W.C. No. 585 '', } _r ([[ /YVV . ...:; . . C?'. l�'at'7�N''�e��,Qrr�'�� «c.��c1A'+�dG'SS•�i'/�'IIM. .lS� � � ' - ' { . - ���' Q" ' '���'�'`{�- fr'da5a(` • :,1� 1�ip�?j �'�?1 � =r Q CO ` _ d�SGfc/Q�'d 3iL Al W7715/y/ .40 �Vc7/1 VA!r7i;7 pt2L ' i �+ LOkloy L b -H . .oda :�vN �i► �'.ra Z� � I � � Slid .Ls�ly� err/nom . 1 K��✓ _ �r/x�N �./a,�v !� ' 9.tad n�ct�,�r�u�_d IYIH + /w yvria► AIR -} '/ ----- A/H-S1 _W gyl — -/i __ vn11 V 57,2' 39CwH 00` /YnUM*—%'7v7 dp1 1 - - 1�� QG�r . 6!�'29i� /1�LLdd'vS�A ., y•5 bX ��_ -`-i ,, . .. gin.�.ii/'� �©Y �.1+�I'•��/7V Iii✓ ���. r \A "'n ... -. w/ ..i� i .,.`f,I r "��, f X.if#' i ; '9/O '{yf� 9N/C7b'3� X1ON Doo' a �, '-" 'SCJ' O!7// / �j/i'� •�' �/�+7 /� � _ , �� 1•� .... IL -ia—e�a+oa-c-so-boo am= . «: cc.c�+ayss.am�e +r•anese�wo�ct�a>� _...,_ ! Z \=Lll 14- e, r • 3 0 C> ; - �►�,, 4"0 p ATMP Siffi'MPU Old EQUAL d - rAF�T14L 6kJp 6eCTTOW ''/2"=I'-o" _ f 1 F�C•o�IONS S $6CTIGN AT Xl.6HT) AREA _ 100 1 j24 4,5 W 1 oab f�a4-GONCas" Fs SOVIU TANK 41' , 50n P G Is&AL&P 3j5. To se-.pnC-TANKS 1 ` 4A15T 19.4 ! j 4,r7' rim WE r .'a �s?6,!'a�• G�a1�E-- .� �1.1D _ r N 'Z l 4t. To 1WAHMV At e _ " MPMATWO - C", rl M PC EQUA L Z,:: iw= q�4.a cvsvrIo�.+s tt�au+�,�' � IVAQ-tog To Kur A.A. o 9r WK ovrtiC-T = g4.42- 69M. 1%"K cum- 9 ,54 Maw sa du —sT 40r Z f L RoKrZNTAL: Nv mac L* W^AL t4c 11.E D,�i°Tlotil pt J I 1 I t i c ; I M I � s i i i t • li I I i I i I I� V 'Pt� ., SOIL PROFILE & PERCOLA ION MS�_DA2'A' Town Cyd y` « / No.&Street_ /8�s Lot. No., a Loc./Stibdiv owner a.� • o Investigator .. Observer l �OVY-7 SaTL tkOFItES-DATE Elev. 3' Elev. 3' E1ev. lev. 0 0 0 0 2 2 2 2 T/\� `J n�I 3 3 3 3 4 4 4 4 I `5 5 5 5 t� f..-Y d :.:4--• 't\ a.. ..._ .. ..+.ww-.....0 ...n....•w .. ... .. .ate.....,w...uw ...... _. -.. .....N,.n. e+- a... .o-.. Y 4 . .. • ^ - w. .. .. —8- 9 -• _nr.x9 9 9 x 9 '0 10 10 10 genchma ,k" ,Location Elevation; Datum: # „- Percolation��Tes-ts' Date 1,77 ,Pit Number 1` 2 3 4 .., 5 t Start-,.Sa.turationi =,Soak-Mins /�5 r o Staft- `Test-Time Drop of ..3, Ti-me ; ;•�S r .:Drop of 6°'-Time Mins.lt.t---3„Dro. Mins.2nd._.3"Dro 5 �.•. f • Not' sLL& Sketch.es' on"Back." Frank . Gel�nas & Associates,: North And. IT ITA •.*9 tt'!' .3.+�.......as -�d; 'i �':D.`:44 ..«.erwFavN 71.`}^�'yw.aya ni°a".. tr- a N. '. ►L ... .'.};.� ....»: : .6`k>•.. '1} t f."•fit,af" r{ r '4TAG-23111033( JPD2 77 36) 58 cT _.�... _.._...._.JOS•:.•.. ...�..._.._. :�.t:� ��<.,._ _ ... � . 1 xz c^17 17 15 i7i >,r-DGH no TO: NORTH ANDOVER, MASS !Z13 z 19 77 BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at Z O T �/-�LC-4! S7-- North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans a ecifications dated \,�d�er piss 19 1 t9b ' J eg f. i: eer/, �@ S itarian .L c NORTH flNDO'TM BO: RD Or HEPITH INS:`d!Ag1I0iq CHEK ,IST _. APPROVED DISAPPROVED FY.CAVATION OK Date: Datei17--g-77 Reason:- _ = 1. As Built Submitted Check: L location; di o s of i catiiryn-- -n regard to ercolation tem, ; ter tab 2. Distance to Ifretland Area Drains, Street & Hous Drainage Easement and Wells. 3. Watee Vocation No PVC Pipe 5. Septic Tank - Tees, Cement-Pipe to Tank-Joints on both side of Tank. 6. Distribution Box - No cracks in box or cover, all lines flow equally from box. 7. Leach Pields - Dimensions, Stone Depths, Capped ends, Clean double-,lashed stone 8. Leach Pits - Dimensions, Depth of Stone, Splash pacR tees, Cement-pipe to tank- joints on both sides of tank, Clean double-washed stone 9. No Garbage Disposals � G©.V..t,,�.�( cam("�„� • �y �.,�.���,, .,, 10. Final Grading �"barricading of sub-surfaces stem?y V os E _ /3/g R,�.�L�91,�..�_..__ � A/ia/C% Ca NS 7"� G'a • ?/V/Z)o VER . sca.LE A,5 11V CMROUA,�-Z IOZ,'IIV o 1 o T 'z l }.j v 1\�'�`,`�.� ¢a,ewe ts-rr,�. �.� �.• _~f 5A LEM ST, Tom NA /Iv l;e 43 EAf of e/nEE F i( f y 5 f -^,fin " Wwfca-unr+AL� ` +WGn +ryn4�♦ �`wser.nikAn�w'eyn � s d t ..+r.� .m���..4'+w>�,.� �.il3 A..� exx n t�, ,,;✓d q.. �`�,�"'""d{,�„� >/,�€� i1}+..A 1{S` rt xiw 4fT'nt� y r , y ry d i r, 3 4.1 777 :i -' �,l� �� tyrt! ,etiyti 4^ ,yj•. p •a� i'a.r•� +k a 1 1� i 4 1 �t i��h k � /��'/>:lq('(� Y _ /�� •A.P I� 1 t' `trF'`x�6 r ` .� k i 1 i SEPTIC SYSTEM REPAIR IN NORTH ANDOVER , MASS PREPARED .FOR DWAY'NE HURLBURT ET UX SCALE 40 FEET TO AN INCH-AUG. 20, 1992 s_ uizr ROBERT E. ANDERSON INC. REG. PROFESSIONAL ENGINEER PROFESSIONAL . LAND SURVEYOR 178 PARK STREET ELEVATION SCHEDULE PO BOX 265 NORTH READING MASS. EXISTING DISTRIBUTION ' `p %,� EPL I � BOX OUTLET I NV. = 94.4 JW NEW MANHOLE INV. = 94.25 2V 6 NEW DIST. BOX INLET = 93.90 NEW DIST. BOX OUTLET = 98. 73 i PIT#1 INLET INV. = 93.68N. -� PIT#2 INLET INV. =•93.63 BOTTOM OF STONE ELEV. N JL UNDER PITS = 90.5 5 �C \2? \A , a L k a a \OG J A � tr ' A f o e NVE 1 O p yC L \ \ A CIAO ` o o \ RWITHI3E8 x 5'LEACH 500 GAL. `SHALLOW PITS WITH 24" \ NZ 9 OF 3/4"TO 1 1/2"AROUND AND 12"OF STONE BENEATH l , 96 �( I . `• ` VO A 22\.. DESIGN CRITERIA— BASED UPON A 10 MIN PERC RAT .t BOTTOM AREA= 19'x 12',x 0.55 GAL/SQ.FT. 125 GAL. ol SIDEWALL AREA=(38'+241)x 3.08 (HEIGHT) x 1.0 GAL./SQ. FT = 191 GAL. TOTAL= 316 GAL. 316 GAL/DAY x 2 SEPARATE PITS = 632 GAL/DAY SPECIFICATIONS 1. ALL CONSTRUCTION TO BE IN ACCORDANCE WITH TITLE 5 OF THE STATE SANITARY CODE 2•. USE EXISTING DISTRIBUTION BOX AS A.,MANHOLE. PLUG 2 OUTLET PIPES AND USE ONE OUTLET PIPE TO VENT EXISTING SYSTEM CONSTRUCT MANHOLE TO GRADE. 3. UTILIZE FOURTH OUTLET PIPE TO CONNECT.TO NEW LEACHING PITS. MAINTAIN A GRADE OF 0.006 TO NEW MANHOLE AND NEW DISTRIBUTION 80X. 4. PROVIDE BELL TYPE VENT FOR EACH LEACHING PIT. THIS LOT IS NOT LOCATED IN THE F E.M.A. FLOOD PLAIN. NO WETLAND WITHIN 100 FEET OF PROPOSED SYSTEM