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QQ w t {Sf.YKi Y t h. s - • a Vit' ,. `�� �-,i +u•rt {�•• .,r' •. } } e• - 72F[ VVVV � ,3�t �95+�tif Y,� F� �• +�` Y a.� �`t�.w, vt•, 1 {. .. -� ( - • . Tye•`••+ ',w ! SMr�P ; t_ a I E I ie [ L� iuj t a -TOP FOOTING 16 lie" HOUSE OUTLET 16t.7,; ST'INLET �k FO p� �' 5 39 a ST OUTLF_T ' i6C0' U tEFDOX I NLt T 39! XOUTLETFIELD 159.? � ,f - - ..1. y ` .. S - ` - 1• , } \ - . ! 1 w� 1 tr. .y fel •�- >J9 ""•-�... _.� 1 k E �.V�I.F V RLJ'.tt-T�CaRp �'` i #+ r + ~ • 2 OCA ION',LO 64 B y _ E DATE.2-8-84-- 1 .: .. •y,_ � (]. ('�,(�[�.�('� .`�.+�4/—.--•..:..rw+...•,.ter--.�....?...�..w......,� �1_ ��•� t � .. ••a - • v • i .ri �RE1�'tr-v,ED L-7�' _ - - • � r �• F I 1jyJ/Jjj��pp\\\\�/)'j6fjftA\\\j/I yl�.\/'J� J�'.�+`�•'�')� 3 r ` �c*Y��♦'ry 1 1 j((F.7 _• `'# Y SC: Y V fii A a W ,. PC 00 Box 5b� �` '' " i#�•,: ry a. , L.I AS SHOWN N T}i s TEt'vt4 {} PLAI 4r CSI 5. • - _ - - „ .....-....r..,�<�..,...;....•t+r•.,w - -•._-.-�....-..t.�...���G�T�i.�.w..�/.IM+�1�"y�"rK.'-•t+" M +.• ��- • - , - - .. -_r•�•.�.,+..L�....,rr�...e5,..r+w•i•.+�-aY!'.w.v,IM'yN."'.Se+�a•�� h_ r A ! ` r; . • . .ib r...r.r.a�-�.-..r.. ..-.•�.c+•xrv�:...gvM�w.-r..-...M,,:.......+.........-..N3.._-r_..«..-.w ..-_.-w!.-.mY+�q s_..... � � - _ .. ....+«.-. ti- yr h ♦,� j 1 I i't I 1 1 i i 1 I ' { I l r f { s f f 1 �� � ' i � I 1 1 1 S r ,� � f 1 i � ; ,' l I r Board of Health North Ancjover3Maas. BEMC STSTEM INSTA?.LATICK MM LIST LOT'j OVFD D DISAPPROVED ExcAvAncs OA FAIL eansi � , ��1'v l FML of 1. Distance Tos a. Wetlands b. Drains c.. Well 2. Water Line Location 3. No PPC Pipe 40\4 4. Septic Tank a. -Tess _Length Ec To Clean,Out Covers b. Cement Pipe to Tank On Both Sides of Tank 5. Distribution Box a. Covers & Box - No Cracks b. All Lines Flowing Equal Amounts c. No Back Flow Leach Field or Trench a. Dimensions I-lob.- Shane Depth c. Capped-Eads- d. Clean Double Washed Stone 7. each Pits ' a. sions • b.-- Depth C Splash d. Tees e. Cement Pipe to Pit - Both Sides. f. Clean Double Washed Stone 8. No -Garbage Disposal 9. Final Grading Inspection Ow 10. Barricading Covered System L-07-60 11. As Built Submitted a. ._.Lot Location b. Dimensions of System c. Location .4th Regard-to Perc Test d. Elevations e: Water Table 1 i t z _ Board of Eealth :sndocer,Masa SUBSURFACE DISPOSAL DESIGN* CEMCg LIST M -LOT i APPROISAPPROM DATE I �ID DATE Provided: Reasons: Title V FAIL Reg�2.5 The submitted plan Faust show as a laini muml A) the lot to be served-areasdimensions lot #,abutters b location and log deep observation hoes-distance to ties j location and results percolation tests-distance to ties c � design calcul & calculations showing required leaching area e location and dimensions of system-including reserve area f) xi5ting snd proposed contours location any wet arsas 'Atkin 1001 of sewage disposal system or � disclaimer-check wetlands napping ) surface and subsurface drains within 1001 of sewage disposal system or disci ai mO , 1) location any drainage easements within 1001 of stege disposal. system or disclaimer-Planning Board files sources of -.a.t.er surply within 2001 of serge disposal e _ or disclainer - 41/ten 1 cation-of-anr proposed- -6,e-U to serve lot-1001 from leaching facili i location of mater linea on property-101 from'leaching facili Y� i location of benchmark ; n ways f garb age.disposals no PVC to be used in construction q) profile of system-elevations of basement, plumb., pipe, septic tam:, distribution box inlets and outlets, distribution field .piping and Ober elevations r max3_mam ground -,ater elevation in area sezrage disposal system s) plan must be prepared by a Professional Ragineer or other i professional authorized by law to prepare' such plans Reg 600 LeLt—iC Tanks.00-00 i (a) capacities-150 - of flog, meter table, tees, depth of tees, Ooe access, pining (b, cleanout �jc),loi from cellar �,-a11 or i -rotnd sing pool 251 from subsurface drains Reg 10.2 Distribution Foxes a) slope greater th.Qn 0.08 ) Reg 10.E ( b � SOIL PROFILE & PERCOLATION TEST DATA North Andover, Mass. Street No —�����+1� S �'`� Lot No X04 Loc/Subdiv. Pland Owner Investigator �►�.�op _ Observer 1�l�tL SOIL PROFILE DATES l Aiev 2.El ev 3.Elev 4.Elev o 64-2- o G 4�- o 64- 3 0 1 1 1 1 - Ties Pits est 2 2 2 2 3i 3 3 3 4 4 4 ! Qom, 5 �Gl� 5 4���• 5 5 . 6 6 6 6 '4�Fvsa�. 7 7 7 7 'div Se•l. B 6�� w A'IrolZ. 8 8 8 9 9 9 9 la 10 to to Benchmark Location Elevation Datum PERCOLATION TESTS DATES �= � (* -L1 23 (,[-L-7 53 Pit Number 1 2 q. 3 4 Iq Start Saturation Soak-Minutes ar e t S \b Drop of 3"-Time 'L:OR MI. 15 Drop of 6"-Time 12:Z"1 12: alit) M6ms.lst 3" drop 1"1 Mins.2nd " Drop 1$ 'LIS Percolation !o o � � � z w BOARD OF HEALTH DESIGN APPROVAL Septic Tank Lot # �� STREET 1 ;'a Permit # Proposed Construction ' +�p�dt✓1 Approx Building Size. CAS Garage Under Attached None Min elevation of top of slab /�5 . �/f©• Pw ,l� Min elevation of top of foundation Height of foundation wall q. �,>_ ) Footing in fill ✓ yes no Further Comments 2r C04— OF JA O. l i`�+ 1�t ',kJ/7..5 t w�� t