HomeMy WebLinkAboutMiscellaneous - 1336 SALEM STREET 4/30/2018 ' `1336 SALEM STREET
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Board of Health,
North Ano ver-I.M"s. BUTIC SISTEH
INSTALLATICK CHECK LIST LOT
,APP CNED DATE DI SUM M ED
EXCAVATION OK FAIL
I Fin 0K
1. Distance T61''
it. Wetlands
b. Drains
C.. Well
2. Water Line Location
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3. NPV PPC Pipe
11. Septic Tank, ,
a. _ gees,-_Length
& To Clem Ont Covers.
b 'ement Pipe to Tank
•
Qn Both Sides of Tank
5. Die tributdon Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amoimts
c. No Back Flow r `
6. Leach Field or Trench
a. Dimensions
b. Stone Depth
c: Capped Fads
d. Clem Double Washed Stone
7. Leach Pits
a. Dimensions
b. Stone Depth
c. Splash Pads
d.. Tees
e. Cement Pipe to Pit - Both Sides
f. Clean Double Washed Stone
8. . No Garbage Disposal
9. Afial Grading Inspection
10. Barricading Covered System
11. As Built Submitted
a. Lot Location
• b. Dimensions of System
C. Location with Regard-to Pere Te: t
d. Elevations
e. Water Table
r
Board of-sHealth
North ndovervMasB
f,
SUBSURFACE DI5POSAL DESIGN CHECK LIST K Jo 56A,)
L OT #
APPROVED DATE_ DISAPPROVED DATE
Provided: Reasons:
Title V FAIL OK
Reg 2.5 The submitted plan must, show as a minimum:
a) the lot to be served=area,dimen,sions lot #,abutters
-- --- --- Trdi
and log deep observation-hos- stance to ties
c location and results percolAtion tests-distance to ties
d design calculations & calculations showing required leaching area
(e) location and dimensions of system-including reserve area
f) existing and proposed.,,contours-
(g) location
ontours(g) 'location ,any wet areas within 100.' of ''sewage disposal system or
disclaimer check wetlands mapping
(h) surface and subsurface drains within 100of sewage disposal
system or.disclaimer
(i) location any drainage.. easements' within 1.00' of sewage disposal
system or disclaimer Planning Board files
0) know sources of vater' 'supply, within 2001 of sewage disposal a
system or disclairi'er
(k) lbcation, of aap:groposed well to serve lot-100' from leaching facilit;
(1) location 'of,xateir lines on. property-10' from leaching facility
(m) location of benchmark,
(n) driveways
(o) garbage. disposals
(p) no PVC to 'be used in construction
(q) profile of system-elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
Other elevations
(r) maxim= ground ,rater elevation in area sewage disposal system
(s) plan must, be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
Reg 6 S22tic Tanks
(a) capac t es�15U of flow, water table, tees, depth of tees,
access, pumping
(b) cleanout
(c) lot from cellar wall or inground swimming pool
(d) 25' from subsurface drains
Reg 10.2 Distribution Boxes.
(a}--s ope greater than 0.08
Reg 10.4 b) sumo
,Vbaarc Desi Check List Page 2
FAIL OK
Leaching Pits
Leaching pits are preferred Where the installation is possible
teg 11.2 a) calculations of leaching area-minima= 500 sq ft
11.4 b) spacing
11,10c surface drainage 2%
?T.11
Id cover material
e) I'a2'x4" splash pad
f) tee at elbow
g) no bends in pipe from d-box to pipe �
LLeea_chLmg Fields
teg 15.1 a) no greater t� 20 minutes/inch
'b area-minimum 900 s4 ft
15.1 c) contraction of field
15.8 d) surface drainage 2 %
3.7 1 e) 20�, from cellar wall or inground swimming pool
Leshlag Taenches
leg 14.1 a calculations o leaching area-min 500 sq ft
14.3 b� spacing-4 ft min 6 ft with reserve between �
14.4 c) dimensions
1.11.6 d) construction
11.1.7___.. ®) sto118
111.10 - f) surface drainage 2%
Downhill Sl_Mee
a) s Top e�y x�= (to be shown)
b) y/x X. (to be shown)
Reg 9.1.. a) approval
q;6 b) stand-bar power.
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Iff .... ..
,Ian K. Venus & Company, Inc.
r0perty & Casualty Adjusters
E'slabi,";Slied 1'982"
SO2-
.1 VI ll.. (617)426-3036
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Fax(617)426-3039
Massachtisetts
F011M CF NOTICE OF CASUAL.1"Y LOSS TO BUILDING
UNDER TKASS. GEN. LAWS, C111, 139, SEC. 3B
I.Cg BUILDING C011,MISSIONER. or BOARD OF HEALTH or
OR
VNI,'PECT OF BU'.111DINGS BOARD OF SELECTMEN
_gkty_of North-...Andover City of North Andover
No. Andover, MA 01845 No. Andover, MA 01845
1-IN-SURED: Stanley & Joanne Shurskv
0 ,EJRTY.ADDR'2"Scl Street
North Anqqye.1 MA 01845
OL LZY.7 NO HPO 7 4112 0
I
SS OF: Fire, 4L2AL92 .
,D:?4 C LA n NU 92ABI12956
a _ng .'i-t ss., damage or destruction of the above captioned
Y. -ber ex
y e
which ma. it ..ceed $1 ,000.00 or cause MASS. GEN. LAWS, CHAPTER 143,
to be z-p cable. Iz any notice under MASS. GEN. LAWS, CHAPTER 139,
".L C3I' 31133 is appropriate please direct it to the attention of the writer and
includ�'a rzferenca to the captiotied insured, location, policy number, date of
.-ass -umbar,
owner
�..A th-J_s .date, I caused copies of this notice to be sent to the persons named above
a::2,re6sesli,ad-'Lcatzd alcove by first class mwa i I
Signature
Suite 610
31 Milk Street
14-c
Boston, Massachusetts 02109