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HomeMy WebLinkAboutMiscellaneous - 137 HILLSIDE ROAD 4/30/2018 137 HILLSIDE ROAD --) .290/025:40049-0000.0 k i I i kORTk 3? °� N BOARD OF HEALTH p ` 120 MAIN STREET TEL. 682-6483 �9SSACHUSf NORTH ANDOVER, MASS. 01845 Ext23 7OF NORTH ANDOVER/APPLICATION FOR ABANDONMENTRD OF HEALTHOF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) N 1995 PURSUANT TO SECTION 310 CMR 15. 354 OF THE STATE ENVIRONMENTAL CODE, TIT E V This form must be submitted to the Board of Health no less than five (5) days prior to date of abandonment and be accompanied with a copy of the sewer connection permit. Name , v( 4- Phone (/o Address 157 Contractor hided for work: OName �3Phone l� �"�"z Address uA Wes` -\'�, Date for scheduled abandonment I Method of septic tank abandonment (check one) . i ( ) removal ( ) sandfill ( crush ( ) other (describe Other belga) I PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH AGENT'S USE ONLY Inspee£ing Agent Date Comments vim. Kent., Sr. 13� Hillside Rd. APPLICATION FOR SLVAGE DISPOSAL INSTALLATION HEALTH DEPARTkENT-»NORTH AiMOVER, MASS. I hereby make application for a permit fora sewage disposal installation at Hillside Rd. 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. Father., 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 preceding the septic tank., where the grade shall not exceed 2%. I will install a concrete septic tank of 1000 gal. in size. A manhole. (a) 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 open jointed bell, and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenches, the bottom of which will provide a minimum of ?QQ lineal feet of effective absorption area. The pipes will be laid on a 6 inch layer of gashed 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 1A" (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 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 rpe not to coffer any portion of this installation until anoro rid by the_ JoEpection officer, as provided below., and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. ll 61 gravel to e in trenches DZ 4 V Signature of Applic=ant I hereby issue the above permit for the Board of Health of the Town of North Andover,'Massachusetts. DATE gnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. D -,�r �� ATE GL 1-2 Signature of k:I speeting Officer Percolation Test 15 min. Garbage Grinder May 30, 1959 Miss Mary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the p subsurface disposal of sewage on the proposed mens /�si�l \ ' meet building site of William B. Kent Sr. The subsoil in the area was of a clay content and a 15 minute percolation test was conducted. The land in general is low. It is recommended that a 1,000 gallon concrete septic tank be installed together with 200 lineal feet of drain pipe. It is also recommended that 31 -6" of clean gravel be placed below the subsurface leaching trenches. Very truly yours, William J. 4iscoll F 301 lip BOARD OF HEALTH r s TOWN OF NORTH ANDOVER . It�l.SS S + � 7 7 I �Q 1. NA al DATE 2. ADDRESS4 .""� ."`: . . . LOT NO. . . . . . . . TEL..T•A(4 ./ 3. NO. OF BEDROOMS . . . DEN YES r . NO. 4. GARBAGE GRINDER YES . . N0. . . . . 5. SHOW DIiN'ENSIONS OF HOUSE b. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7: SHOW DIivENSIONS OF LOT . 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AIM DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAPM O DITCHES� LEDGE OUTCROP,,ETC. Z1.- SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.