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APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTP.2ENT••-.NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
119 . Osgood St. . I will install this 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 will construct the house sewer of bell. and spigot pipe, the minimum
diameter being 4 inches# and will maintain a minimum grade of 14 until 10 feet
preceding the septic tanks where the grade shall not exceed 2%. I will install a
concrete septic tank of 2000 eels..— in size. A manhole (s) permitting easy
cleaning will be provided with removable cover (s) of iron or concrete within 32
inches of the ground surface. I will provide subsurface disposal field with open
jointed bell and spigot Aekron pipe at least 4 inches in diameter and laid in a
series of trenches, the bottom of which will provide a minimum of LOO lineal
(MM) 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 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 these pipes will be protected from
clogging and before filling the trench, 2 inches of gravel or stone 1/81, to IA't
(dia.) will be placed over the course gravel or stone. The disposal field w$11 be
installed at a grade of /+ to 6 inches/100 feet. No single the 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 in—
stallation 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 un, til approved by the inspection
officer, as provided below, and to incorporate any additional requirements that
may be attached to the permit. Plot Plans must be submitted with application.
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Signature of Applicant
I hereby issue the above permit for the Board of Health of the Torn of North
Andover, ?&Lssachusetts.
DATE ,, r,,,,o
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as de cribed. ,
DATE 2�
Signature nspecting Officer
Percolation Teat
Garbage Grinder
BOARD OF HEALTH
TOWN OF NORTH AIMO"VERt DWS.
1 NAPE AA . . . . . . DATE ; '', 7 / 87o
2. ADDRESS . ! /, �;; k1.y';�', .v.f LCT. NO. TEL . .-
3. NO. OF BEDROONS . DEN YES .: NO.. .
GARBAGE GRIIvIDER YES NO.. . . . .
5. SHOW DITZINTSIONS OF to �-
6. SHM, DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DI?ZI\ISIOI\TS OF LOT
8. SHOW LOCATION AND SIZE CF SEPTIC TANK OR CESSPOOL
9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEPI
10. SHOW LOCATION CF EROOKS V S LREAP,'Ss DITCHES q LEDGE CUTCROP9 ETC.
11. SHOW DISTANCE OF SEPTIC TALK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD EE READ CAREFULLY.