HomeMy WebLinkAboutMiscellaneous - 149 MARIAN DRIVE 4/30/2018 49 Marian Drive
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Town of North Andover
Office of the Health Department
Community Development and. Services Division
27 Charles Street
an°
North Andover,Massachusetts 01845
Sandra Starr Telephone(978)688-9540
Public Health Director Fax(978)6"542
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE
3A2103
This is to certify that
the individual subsurface disposal system
constructed O or repaired (X)
by
Todd Bateson
at
149 Marion Drive
has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the
North Andover Board of Health regulations.
The Issuance of this.certificate shall not be construed as a guarantee that the system will function
satisfactorily.
1
rib'j. Grasse
Board of Health Inspector
BOARD OF APPEALS 688-9541 BLTILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The u dersigned hereby certify that the Sewage Disposal System ( ) constructed;
( repaired:
by---
located
y located at 1 q`���.� y,
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit# dated , with an approved design
flow of allons per day. The materials used were in conformance with those
specified on the approved plan; the system was installed in accordance with the provisions
of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees
substantially with the approved plan. All work is accurately represented on the As-built
which has been submitted to the Board of Health.
Bed inspection date: 7, o�---��
Engineer Representative
Final inspection d
Engineer Representative
Installer: Lic.#: Date: dJ
.r
Design Engineer: Date: . - 2 —O-Z-
j`n �JArj'k-rj VV l v
AS-BUILT CHECKLIST =.p�_
7,�1
TQtik`'- Oh NORTH A��1170v. 9
B4',,RlJ Cly
HEALTH
{
LOTNUMBER, STREET NAME DEC
✓ ' ASSESSORS MAP& PARCEL NUMBER I
_✓ LOT LINES & LOCATION OF DWELLINGS
y` LOCATIONS& DIMENSIONS OF SYSTEM,
�✓ TIES TO LOT LINES & DWELLINGS pA,
d. FROM SEPTIC TANK
b. FROM LEACH AREA
;✓ LOCATIONS OF DEEP HOLES& PERC
TESTS
t
rI
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
LOCATIONS OF WELLS,DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
✓ LOCATION OF WATER,GAS,ELECTRIC LINES, CABLE
✓
DISTANCES CES FROM CORNERS OF HOUSE TO CENTER OF
D
TANK&D-BOX
V ORIGINAL STAMP &SIGNATURE
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
I
NORTH ARROW
I
LOCATION &ELEVATIONS OF BENCHMARK USED
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INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
Yes NO Initials
A. Bottom of Bed
1. Excavation to proper depth
2. With trenches,sides of excavation are beneath B horizon
3. Edge of excavation specified distance from foundation,etc. /
Comments:
B. Retaining Wall
1. Wall height and width as specified
2. Waterproofed
3. Wall minimum 10'to leaching facility _
4. Wall meets specifications of plan
Comments:
C. Building Sewer
1. Pipe diameter minimum 4"
2. Schedule 40 pipe V
3. Watertight joints V,
4. Inlet to tank cemented
5. Slope minimum 0.01 or 1/8"per foot minimum �J
6. Pipe properly set on compact firm base /
7. Pipe laid on continuous grade in straight line
8. Cleanouts precede all change in alignment and grade
9. Manholes at any 90°change
10. 10'minimum offset to water line
Comments:
D. Septic Tank
1. Level
2. 1,500 gal minimum ;>
3. Gas baffle present on outlet
4. Manhole to grade
5. Manholes over center and each tee i
6. 3-20"manholes 1/
7. InIFt tee minimum 12"under invert a�
8. Outlet tee minimum 14"under invert t"', -
9. Outlet line cemented
10. Air space 3"above tees t-
11. 2"-3"drop from inlet to outlet
12. Pipe set
13. Compact base with 6"of V crushed stone under tank
14. Tank is watertight
Comments:
�i
i Yes NO
E. Pump Chamber
1. If separate from tank,compact base with 6"of 3/"stone underneath /j
2. Minimum 2"pipe to d-box if gravity system
3. 20"access manhole l�
4. Tank level l/
5. Watertight
6. Tank size agrees with plan specification -
7. Manhole to grade �
8. Check valve and bleeder hole present - -
9. Alarm in building on separate circuit
10. Alarm functions
11. Manual operating switch
12. Pump delivers liquid to d-box
Comments:
i F. Distribution Box
1. D-box level
2. Minimum 0.1 T'(2")drop from inlet to outlet
3. Minimum 6"sump
4. Outlet pipes show equal distribution
5. Compact base with 6"of stone beneath box
6. Box is watertight
7. All lines cemented with hydraulic cement
8. Schedule 40 pipe
Comments:
G. Soil Absorption system
1. All stone double-washed-3/4"- 1 ''/z"
-pea stone -
Bucket test done? �
2. Minimum 2"of pea stone above distribution lines
3. Minimum 6"stone beneath pipe
4. Distribution lines capped or connected together
5. Grading meets 3:1 slope tr
6. Minimum of 9"of fill graded over system _
7. Toe of slope stops minimum 5'from edge of property; if not,then swale.
Comments:
H. Leach Trenches
1. Minimum 2 trenches
2. Length of trenches agree with plan. (Max. length 100')
3. Width of trenches agree with plan-Minimum 2';maximum-4'.
4. Vent present if<50 feet or specified
5. Distance between trenches minimum 4'and maximum of 6'
6. Minimum distance between trenches 10'
7. Pipe slope minimum 0.005 or 6"per 100'
8. Depth of trenches below outlet invert minimum of 6".
es NO
9. Pipes set on stable base.
Comments:
I. Leach Field /
1. Maximum length of field 100' ✓ r/ .. `�
2. Pipe slope minimum 0.005 or 6"per 100' ✓' �
3. Separation between pipe 6'maximum
4. Pipes connected at end
5. Separation between adjacent fields 10'minimum
6. Pipes set on stable base
7. Maximum 4' separation from edge of field to first line
8. Minimum two distribution lines 1/
9. Maximum perc rate 20 mpi _
Comments:
I Leaching Pits
1. Minimum inlet pipe 4"
2. Pits of concrete
3. Sidewall between 12"and 48"wide
4. Access manholes on each pit
5. Pipes cemented with hydraulic cement
Comments:
K. Final Grade
1. Slope over soil absorption system minimum 0.02 sr'
2. All system components covered by at least 9"soil /
3. Cover soil free of stones larger than 6" ✓�
4. Grading slopes away from dwelling
5. No areas over system that may pond `/
Town of North Andover, Massachusetts Form No.3
e NOR7h 1 BOARD OF HEALTH r
L
O 9
• - X
�•''�•,,.o.�'`� DISPOSAL WORKS CONSTRUCTION PERMIT
,SSACHUSEt
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Applicant_7 o
NAME �/J ADDRESS TELEPHONE
Site Location l � /'��416 R
Permission is hereby granted to Construct ( ) or Repair (Wan Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
-CHAIRMAN, BOARD OF HEALTH
i
FeeZz'� D.W.C. No.
1
C �^
BOARD OF HEALTH
NORTH ANDOVER, MA 01845
978-688-9540
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: �— /— O OL- CURRENT INSTALLER'S LICENSE#
LOCATION:
LICENSED INSTAL
SIGNATURE: / TELEPHONE# I r' RS 0EX 3
CHECK ONE:
REPAIR: NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
160.00 Fee Attached? Yes l/ No
Project Manager Ob. Yes No
Foundation As-Built? Yes No
Floor Plans? Yes No
Approval �✓/��--� Date: G dZ--
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the
'
property at �' ,¢r i dA✓ V)K relative to the application
of /Jdc�TdeSaAv dated for plans by /1't and
dated with revisions dated
I understand the following obligations for management of this project:
1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior
to performing any work on a site. I must have the approved plans and the permit on site
when any work is being done.
2. As the installer I must call for any and all inspections. If homeowner, contractor, project
manger, or any other person not associated with my company schedules an inspection and.the
system is not ready then item three shall be applicable.
3. As the installer I am required to have the necessary work completed prior to the applicable
inspections as indicated below. I understand that requesting an inspection, without
completion of the items in accordance with Tile 5 and the Board of Health Regulations may
result in a $50.00 fine being levied against my company.
a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done
first. Installer must request the inspection but does not have to be present.
b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As-built or
verbal OK from engineer must be submitted to Board of Health, after which installer calls for
inspection time. Installer must be present for this inspection. With pump system all electrical
work must be ready and able to cause pump to work and alarm to function.
c) Final Grade Installer must request inspection when all grading is complete. Does not have to be
on site.
4. As the installer I understand that only I may perform the work(other than simple excavation)
required to complete the installation of the system identified in the attached application for
installation. I further understand that work by others unlicensed to install septic systems in
North Andover can constitute reasons for denial of the system, and/or revocation or
suspension of my license to operate in the Town of North Andover; significant fines to all
persons involved are also possible.
5. As the Installer I understand that I must be on site during the performance of the following
construction steps:
a) Determination that the proper elevation of the excavation has been reached.
b) Inspection of the sand and stone to be used.
c) Final inspection by Board of Health staff or consultant.
d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other
components.
6. As the installer I understand that I am solely responsible for the installation of the system as
per the approved plans. No instructions by the homeowner, general contractor, or any other
Persons shall absolve me of this obligation.
Undersi icensed Septic Installer
Date:
Disposal Works Construction Permit# ��
MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS
66 PARK STREET•ANDOVER,MASSACHUSETTS 01810•TEL(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL:merreng@aol.com
May 8, 2001
Ms. Sandra Starr
Director of Public Health
Town of North Andover
27 Charles Street
North Andover, MA 01845
RE: 149 Marian Drive
David Amundson
Dear Ms. Starr:
Our office has completed a septic system upgrade plan for the above referenced site.
The site is 163,098 S.F. of which only approximately 20,000 S.F. is upland. The existing
disposal system is located in the rear of the property in close proximity to the wetlands.
This design has been submitted to the Conservation Commission and an Order of
Conditions has been issued for the site (copy enclosed).
Given the existing conditions we have completed a design which maximizes the horizontal
offset from the system to the wetlands and conforms with the provisions of Title 5 and the
North Andover Board of health Regulations to the maximum extent feasible with the
following exceptions:
• Local upgrade approval for distance from S.A.S. to front property line 10' to 5'.
• Distance from S.A.S. to wetland N.A. 5.02 100 ft. to 37 ft.
• Distance from septic tank and pump tank to wetland N.A. 5.02 75 ft. to 50 ft. and
55 ft respectively.
• N.A. 7.05 deep test expiration 2 years. Tests were performed on April 16, 1998.
• N.A. 9.01 (1) min leach field 900 sq. ft. where 851 sq. ft. is proposed.
• N.A. 9.02 retaining wall required is poured concrete where interlocking concrete
blocks with geomembrane is proposed.
We respectfully request that the aforementioned variance and local upgrades be granted as
strict enforcement of the North Andover Regulations would be manifestly unjust and an j
equal or greater degree of environmental protection will be achieved by this design given j
the existing conditions and the fact that the current system is in failure.
i yr
I
Ms. Sandra Starr
May 8, 2001
Page 2
We appreciate your consideration of these requests.
Very truly yours,
MERRIMACK ENGINEERING SERVICES
William Dufresne
Project Manager
cd
Enclosure
cc: David Amundsen
MERRIMACK ENGINEERING SERVICES,INC. 66 PARK STREET ANDOVER,MASSACHUSETTS 01810
SEPTIC PLAN SUBMITTAL FORM
LOCATION: _ �✓�„¢ 1�,� 1�1Z I U0�7
NEW PLANS: S 25.00 an
REVISED PLANS: YES $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: C711/1
NO
DATE:—' �- l�✓o l
DESIGN ENGINEER: H i” ox&,-"t r` em wt� aevol6f
DATE TO CONSdJLTANT:
*If you want your plane expedited, please subunit three plans and included a
stamped envelope with the correct amount of postage to snail plans to Port
Engineering.
When the submission is all in place, route to the Health Secretary.
I
MERRIMACK [LIE44En OF V o n H@W044Z%
ENGINEERING SERVICES INC.
Engineers • Surveyors • Planners
66 Park Street
ANDOVER, MASSACHUSETTS 01810 DATE JOB NO.
(508) 475-3555 ATTENTION
Fax (508) 475.1448
TRE:
O
,)
Lj
ew
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE ` NO. DESCRIPTION
i
-01 40v aL, L4mca-
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THESE ARE TRANSMITTED as checked below:
C�For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS 15kb- 1Pq
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—1 Me, a2&rnoro LJ" ?? n1f, L4 OWE Y NeL+Ajo
PSS C, j e, P 0 i2 of ,,)
COPY TO
SIGNED: ui
if enclosures are not as noted,kindly notify us at once.
// Town of North Andover N°it
Office of the Health Department Fr '•''� ,6• °°?
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845 'SS"CHUSe�
% Sandra Starr Telephone(978)688-9540
Health Director Fax(978)688-9542
June 7,2001
Bill Dufresne
Merrimack Engineering
66 Park Street
Andover,MA 01810
Re: 149 Marian Drive
Dear Bill:
This is to inform you that the proposed plans for the site referenced above have been disapproved and have
technical deficiencies as followed:
n-Ali;,6vV. Stamp
levation of perc tests missing.(NA 8.02n)
g,"jy� and signature not original. (310 CMR 15.220(1&2))
G� is,!/Pipe to septic tank not in straight line.(3 10 CMR 15.222(7))
/
�4! Cleanouts preceding all changes in alignment of pipe missing. (3 10 CMR 15.222(8))
Three 20"manholes on septic tank not specified.(3 10 CMR 15.228(2))
rLp
ma- Bottom elevation of retaining wall not specified.(310 CMR 15.255)
KIK W.
P _-, /��� 7 : Local upgrade approval form missing. (`The fact that the S.A.S. is proposed within the 50' setback
C requires DEP approval,as does the depth of naturally occurring soil in OP 41. There it is 3.q".)
1�f3,;-wffL *7,- . The 2"of peastone is not specified to be double-washed. (3 10 CMR 15.247(2))
10
If you have any questions,please do not hesitate to call the Board of Health Office.
Sincerely,
Sandra Starr,R.S.,C.H.O. wlfr� �5 `4p6 QV?:,6, K--, AT r4r
Health Director dlSG&-,rr`c,4 Ol% 1- W 1.CZ77AL. 6,12114' A4100
Ka
cc: Amundsen Q• ay
F -L,'
file W663? -fjf14 %7 (fN&lO665 ALL-0-0 t1l5e of
5qIt
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS
66 PARK STREET•ANDOVER,MASSACHUSETTS 01810•TEL(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL:merreng@aol.com
TO: North Andover Board of Health
FROM: Bill Dufresne/Merrimack Engineering
DATE: L-ZY—o I
RE: 141 LL41d &)
TM: I D-7G
TL: I
OWNER(NAME & ADDRESS) 'Av I(Z �,itl�si
1212-1 Ur
Members of the Board:
An upgrade sewage disposal system plan dated: has been razkl!�r-p (®2�
submitted for the above referenced site. Pursuant to Title 5, and the North Andover
Board of Health Regulations, Local upgrade approval and/or variances are being sought
from the following sections.
1) p7T yn�f *-i�-azv,, rc rx"q ice'
2) 1j A. @ aa4. M i N . Lc( 1=0 c-:1,V 4V X51
3)
Please consider these requests for approval on your earliest available meeting agenda.
We respectfully request your consideration of these matters.
Very truly yours,
MERRIMACK ENGINEERING SERVICES
William Dufresne
cd
SEPTIC PLAN SUBMITTAL FORM
LOCATION:
NEW PLANS: YES $160.00/Plan
REVISED PLANS: � $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES
DATE:
DESIGN ENGINEER: lv'e,2�111"Gall"
DATE TO CONSULTANT:
When the submission is all in place, route to the Health Secretary.
`F
MERRIMACK ILNUUM Off, 4 p n MMOUIVQI
ENGINEERING SERVICES INC.
Engineers • Surveyors • Planners
66 Park Street
ANDOVER, MASSACHUSETTS 01810 DATE 7_�_
(508) 475-3555
ATTENTION
Fax (508) 475-1448
TO 6A ArI/�� 5_r RE: M 0 Y
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
s
COPIES DATE NO. DESCRIPTION
�� we of
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
a or your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS/�
—/�Sl'�S
I Cd
COPY TO n
SIGNED: Vie D D
if enclosures are not as noted,kindly notify us at once.
i .
ITown of North Andover NORril
OE1T'e°
Office of the Health Department °_
Community Development and Services Division
27 Charles Street41
North Andover, Massachusetts 01845
SSgCHUS
Sandra Starr Telephone(978)688-9540
Health Director Fax(978)688-9542
August 13, 2001
Bill Dufresne
Merrimack Engineering
66 Park Street
Andover, MA 01810
Re: 149 Marian Drive
Dear Bill:
This is to notify you that the revised plans dated 7/26/01 for 149 Marian Drive have been
approved.
The following variances have been granted:
1. Distance from leach area from 10 feet to 5 feet.
2. Minimum leach size from 900 square feet to 851 square feet.
3. Distance to wetlands from 100 feet to 37 feet.
If you have any questions, please do not hesitate to call the Board of Health Office at
978-688-9540.
Sincerely,
A=�
Sandra Starr, R.S., C.H.O.
Health Director
S S/smc
cc: Amundsen
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
Town of North Andover, Massachusetts Form No.2
pORTq BOARD OF HEALTH
DESIGN APPROVAL FOR
CH SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
r
• Applicant Test No.
Site Location
Reference Plans and Specs. ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system.to be installed
in accordance with regulations of Board of Health-..`
' CHAIRMAN,BOARD OF HEALTH
: Fee Site System Permit No. X02.
4
CHECKLIST FOR NORTH ANDOVER
SEPTIC SYSTEM PLANS
The following is a checklist that incorporates all Title 5 and local regulations for septic plans.
Name of Applicant: DAV/D �I M L),y-b5C/ll Name of Designer:"-5,
Plan Date: 0 U Revision Date: Date of Review:
Property Address:_ 1'f /"/� / Map: 1,07e, Lot: lir
BOH Reviewer: (5T/gze Type of Plan(new or upgrade): 0"e).
Number of Bedrooms in Assessor' s Records: gpd)Garbage Disposal Allowed:
General Information: N.A.=North Andover Septic Regulations Other numbers refer to Title 5
OK Problem N/A
Street number and map/lot-220(4)(u)
Maximum scale of I "=40'for plot plan-220(4)
Maximum scale of 1 "=20'for profile and component details-220(4)
t/ Legal boundaries of the facility being served-220(4)(a)
Names of abutters from recent tax map- NA 8.02j
Number of bedrooms,design calcs.,-NA 8.02i
Lam— Name&address of record owner&applicant- NA 8.02k
c� Name&address of designer-NA 8.021
Holder and location of all easements-220(4)(b)
17 — Date plan drawn&any revision date- NA 8.02m
1/ All dwellings and buildings,existing and proposed-220(4)(c)
Location of all existing or proposed impervious areas-.220(4)(d)
All distances on site plan–NA 8.03a-c
�^ Elevation of proposed driveway-NA 8.02t
q/ Location and elevation of foundation drain-NA 8.02y
r/ Location and dimensions of the system incl.reserve(new const.)-220(4)(e)
Limits of excavation of leach area on site plan-NA 8.02z
✓ Locus plan-220(4)(t)
North arrow-220(4)(g)
Existing and proposed contours-220(4)(g)
Locations and logs of deep holes-220(4)(h)
✓" Locations and logs of percolation tests-220(4)(i)
�— Date(s)of soil testing-220(4)(h)&(i)
✓ Existing grade elevation of each deep hole-220(4)(h)
Elevation of percolation tests–N.A. 8.02n
Name of approving authority representative-220(4)(h)&(i)
Name of soil evaluator-220(4)0)
Soil logs and perc test logs match BOH records
Locations of waterlines,drains,and subsurface utilities-220(4)(m)
Observed and adjusted g.w. elevation in the vicinity of the system-220(4)(n)
Complete profile of the system to scale-220(4)(o),NA 8.02c
t/ Cross section of leaching facility-NA 8.02w
Location of benchmark(s)within 50-75 feet of facility-220(4)(q)
Note listing all variance requests with proper citations-220(4)(p)
tl Local upgrade approval request form submitted 403(1)
Original R.S./P.E.stamp,signature&date-220(1)&(2)
2
i/ If P.E.,discipline specified within stamp. MGL C. 112 s. 81M
✓' sfc.supplies(w/in 400'),pub.wells(w/in 250'),pvt.wells(w/in 150')-220(4)(
Location of watercourses,wetlands,wells,etc.Win 150'of system—NA 8.02r
Wetland disclaimer—NA 8.02s
✓ Land surveyor plan reference required(property line setbacks)-220(3)
Plan contains designer's certification statement
Use approvals/standards checked for I/A system-DEP docs.,
Pere.rate>30 MPI-not allowed for new,LUA for upgrade-245(1)&('3)
Perc rate> 60 MPI-must use modified tight tank or UA technology-245(4)
t� Proposed system qualifies as"shared"system-002(definitions)
Flow is over 2,000 gpd-No R.S.allowed-220(1)
>� Design flow was set in accordance with code-203
Existing system location and note on proper abandonment-354
Leaching facility at least 1' above Base Flood elevation—NA 9.05
All piping Sch 40 minimum—NA 10.01
" Basement floor minimum 1' above groundwater elevation—NA 5.04
^r Foundation drain present with elevation—NA 8.02y
On-site Soil and Groundwater Review
OK,, Problem N/A
Proper deep observation hole logs on plan-220(4)(h)
All deep holes and peres shown, including aborted tests—NA 8.02n
% Soil evaluation forms submitted within 60 days of field work-018(2)
Proper percolation test log-220(4)(i)
Ample deep observation holes in primary disposal area(minimum 2)- 102(2)
Ample deep observation holes in secondary disposal area(minimum 2)- 102(2)
Ample perc testing(one in each disposal area,3 in prim.>2,000 gpd)- 104(4)
Deep hole testing conducted within two years—NA 7.05
Hole Identification Numbers:
ground elevation el. b,
acceptable soil el. �
Leach facilitv invert el. �qj • 7 , /7
ground water el.
refusal el. �1�. [ 8-
bottom of leach facility el.
thickness of acceptable soil , I ,
before&after soil R&R
separation to groundwater '� I
separation to refusal
soil class �J J
perc rate
2
' � 4
J
3
loading rate
septic tank below g.w.table (yes or no)
pump tank below g.w.table (yes or no)
l.f in fill -255(l)
Setback Distances(Given in feet) 15.21 1
OK Problem N/A
L Is the lot in the Lake Cochiewick Watershed? NA 6.00&5.02
Septic Tank Leach Facility
Property line 10 10
l� Cellar wall 10 20
✓Inground pool 10 20
Slab foundation 10 10
Deck,on footings, etc. 5 10
Waterline 10 10
Private drinking well 75 100
✓� Irrigation well 75 100 t/
Wetlands 75 100 t Ck V)Ce OK d
Public well 400 400
i� Wetlands bordering surface 150 150
water Supply or trib.
(in Watershed)
Trib. To Surface Water supply 325 325
Reservoirs 400 400
`f Tributaries to reservoirs 200 200
V Drains(wat.supply/trib.) 50 100
Drains(intercept g.w.) 25 50
'Foundation drains 10 20
Drains(Other) 5 10
Drywells 20 25
✓ Downhill slope 15'to 3:1 slope }�
w/o barrier
3
This flyer is being given to you because your company is in violation of NATTR,
Section---.
Letters and applications were sent out by the Board of Health to all waste haulers using
North Andover roads to reach the MRI facility. Trucking companies must be permitted
by the Board of Health in order to transport waste over North Andover roads to MRI: All
trucks must carry a copy of the company permit to transport waste through North
4
Building Sewer
OK Problem N/A
Grease trap required for certain uses(check 230 for details)
Pipe diameter listed(4"minimum)-222(1)
Pipe schedule listed-222(3)
Pipe cast iron or Sch 40 PVC—NA 11.02
Watertight joints specified-222(3)&(4)
Pipe laid on compact,fin base-222(5)
Pipe laid on continuous grade in straight line-222(70@-
Cleanouts.precede all changes in alignment and grade- 22(8)
Cleanout provided every 100 feet-222(8)
Manhole at any 90 degree alignment change-222(8)
Invert elevation at building: ' '6
=- Invert elevation at septic tank:G9
Ll Length of run: 416 —,3_0
Slope: -01 (minimum of 0.01 -0.02 desired)-222(6)
10'offset to private well or suction line-222(2)
Septic Tank
OK Problem N/A
Tank is accessible-228(3)
--�^ ✓ Tank can accommodate both primary&reserve—NA 9.04
r✓ 200%of flow(required&provided given. 1500 min.)-220(4)(0&223)(1)(a)
2-3"drop from inlet to outlet-227(5)
Minimum of 4'liquid depth-223(2)
3"air space above tees/baffles(minimum)-227(4)
9"air space above flow line(minimum)-227(4)
Tees are not to be replaced by baffles-227(1)
Tees extend 6"above flow line-227(1)
Inlet tee extends 10"below flow line(minimum)-227(6)
Outlet tee extends 14"below flow line(more for deeper tanks)-227(6)
Gas baffle installed on outlet-227(4)
✓ Access manhole cover above center of tank&each tee(except 2 compart)
228(2)
3-20"manholes-228(2)
1 childpr6of,24"riser/manhole to final grade if<1000gpd-,228(2)
Inlet and outlet tees on center line-227(1)
✓ Soil compaction below tank specified(if soil is non-native)-221(2)
6"of<=3/4"stone beneath tank specified-221(2)&22 8(1)
If> 1,000 gpd AND not a single fam.dwell.must be 2 tks or 2 comp.-223(1)(b)
L� If plan specifies disposal must be 2 tanks in series or 2 compart.tank-223(l)(c)
Buoyancy calcs.required if tank at or below water table-221(8)
Tank is watertight-221 (1)
9"of cover over tank(minimum)-228(1)
1/ H- 1 0 loading(min.)-H-20 if traffic-226(3)
Top of tank<=36"below grade-221(7)
All pumping to tank(if applies)in accordance with-229
Tank is set to keep old system in service during install if possible
4
This flyer is being given to you because your company is in violation of NATTR,
Section---.
Letters and applications were sent out by the Board of Health to all waste haulers using
North Andover roads to reach the MRI facility.. Trucking companies must be permitted
by the Board of Health in order to transport waste over North Andover roads to MRI. All
trucks must carry a copy of the company permit to-transport waste through North
Andover.
Waste haulers using the Ogden-Martin facility must be registered by the BOH in order to
travel over North Andover roads.
' w
1 ` i
5 '
Tight Tank(Check here if not present: )
OK Problem N/A
500%of deisgn flow or 2000 gallons provided—260(2)(a)
3-20"manholes—228(2)
Soil compaction below tank specified(if soil non-native)—221(2)
6"of<=3/4"stone beneath tank specified—221(2)&228(1)
Buoyancy talcs.Required if tank at or below water table—221(8)
Tank is watertight—221(1)
9"of cover over tank specified(minimum)—228(1)
H-10 loading(min.)—H-20 if traffic—226(3)
Top of tank<=36"below grade—221(7)
All pumping to tank(if applies)in accordance with—229
AN alarm set at 3/5 tank capacity—260(2)(c)
Min. 1-24"frame w/cover at finished grade—228(2)(f)
Year round access for pumping—228(2)(g)
Distribution Box(Check here if not present: ,
OK Problem N/A
Inlet elevation:
Outlet elevation: 9`3
0.17'drop from inlet to outlet(minimum)-232(3)(b)
6"sump(minimum)-232(3)(e)
All outlets at same elevation-232(3)(b)
✓ Outlet pipes laid level for first 2 ft.-232(3)(c)
�i Pipe Sch 40-NA 10.0 1,
Number of outlets: Number of laterals:
Size of outlets: y
3� Inlet baffleltee min. 1"over outlet invert for all d-boxes-232(3)(a),
t/ Soil compaction below distribution box specified(if soil is non-native)-221(2)
6"of stone beneath distribution box specified-221(2)
Box is watertight-221 (1)
Top of box<=36"below grade-221(7)
Buoyancy calculations required if box is at or below water table-221(8)
Pump Chamber(Check here if not present: )
OK Problem N/A
Volume specified: /DDU 220(4)(r)
7 Pump on elevation- /, .3 4 220(4)(r)
Pump off elevation: 220(4)(r)
Alarm on elevation: 9Z, 7 220(4)(r)
Number of cycles per day-220(4)(r)(also 254(l)(d)if gravity from d-box)
✓ Minimum 2"delivery line to d-box if gravity-254(1)(c)
Pressure dosed Lf if flow>=2,000 gpd-254(l)(a)&254(2)(a)
.� Cycles per day is consistent with chamber volume-23 1
Volume calculations include flowback volume-2') 1(2)
s� 24 hour storage capacity above pump on elevation-231(2)
Number of pumps:_ 2 if system serves>2 dwelling units-231(6)
5
Town of North Andover {(3Riry
Office of the Zoning Board of Appeals
Community Development and Services Division
William J. Scott, Division Director
27 Charles Street
D. Robert Nicet"La North Andover.,Massachusetts 01845 Telephone(978)688-9541
Baailding Commissioner Fax(978)688-9542
In-House distribution (decisions):
Assessors Office/Town Hall
Building Commissioner/Building Inspector/Mr. Nicetta/Mr. McGuire
Conservation Dept./Charles St.
DPW/Mr. Rand
Fire Dept./Chief Dolan
Health Dept./Ms Starr
Planning Dept./Ms Griffin
Police Dept./Chief Stanley
Town Manager/Town Hall (via E-MAIL)
Town Attorney/Thomas Urbelis (via hard copy)
Surrounding Town distribution (legal notices and/or decisions):
Planning Dept. c/o Ms Griffin
Andover/Planning Dept.
Boxford/Planning Dept.
Haverhill/Planning Dept.
Lawrence/Planning Dept.
Methuen/Planning Dept.
Middleton/Planning Dept.
North Reading/Planning Dept. ,
This distribution is provided by the office of the North Andover, Zoning Board of
Appeals.
mi/distribution
BOARD OF_AP.PEALS 688-9 41 BI?ILDI.NG 688)545 CONSERVAI ION 684-9530 HE LTH 688-9540 .I'LAN\rING 688-9535
6
Capacity of pump(s)- a gpm @ ! 'TDH-220(4)(r)
Pump can pass 1 1/4 "solids(minimum)-231(7)
Pump controls specified-220(4)(r)
Alarm equipment specified-231(2)
Alarm is in building and powered on separate circuit from pump-2') 1(9)
Pump sequence correct(off-lead on-lag on-alan-n on)-231(8)
;./ Pump performance curves included-220(4)(r)
Manual operating switch-NA 12.01
Check valve,bleeder hole-NA 12.01
1 childproof,24"riser/manhole to final grade-2'31(5),
Soil compaction beneath pump chamber specified(if soil is non-native)-221(2)
Z 6"of<=3/4"stone beneath chmbr. specified-221(2)&228(1),
ti Buoyancy calculations if chamber is at or below water table-221(8)@
.� 9"of cover over chamber(minimum)-228(1)
H- 10 loading(min.)-H-20 if traffic-226(')),
Chamber is watertight-221 (1)
✓ Top of chamber<=36"below grade-221(7)
Leaching Facilitv(general-complete for all designs)
OK Problem N/A
✓� 50%larger if garbage disposal-240(4)
Trenches to be used whenever possible-240(6)
r/ No vehicle access or imperv. area above l.f.unless unavoidable-240(7)
Vented if under impervious cover-241 (1)
Vented through same pipes as distribution system-241 (1)(a)
Vent protected from precipitation/animal entry-241 (1)(b)
Vent is placed beyond traffic or impervious area-24 1 (1)(c)
All lines connected to vent if bed or trenches-241(1)(d)
9"cover over peastone-240(9)
_ Reserve area provided(new construction)-248(i)
Reserve 4' from primary leach area—NA 9.04
4'(5',if perc rate<=2 MPI)separation to g.w.-212(a)&(b) r1�c16e 0
- -- _� 4 (down to 2 with variance or UA-upgrades only)of natural soil under 11..
GW separation is adjusted to highest existing grade if facility cuts into a hillside
Pipe slope minimum of 0.005-251(9)
Require 5'removal and replacement if in fill-255(5)
Top of leach facility<=36"below grade-221(7)
Final grade over 1.£minimum 0.02 ft/ft-240(10)
✓ Surface&subsurface drainage away from l.f. -240(1 1)&245(5)
Minimum design flow 440 gpd without deed restriction—NA 13.01
3:1 slope where grading required-255(2) \Jav-tck nc e•- r e+' L"t
Toe of fill slope stops 5'from property line or swale installed-255(2)
Impermeable barrier if<3:1 slope or< 15 feet to—3:1 slope-255(2)
x Impermeable barrier/retaining wall poured concrete—NA 9.02
Retaining wall stamped by P.E. -255(2)(b)
Top of retaining wall>=top of peastone elevation-255(2)(0
til 10'offset from edge of leach facility to edge of ret.wall-255(2)(g)
Perc test(s)done in most restrictive layer- 104(2)
Perc test 4'below leaching elevation—NA 7.06
✓ Design flow listed and required/provided leach area given-220(4)(f)
Leach pipes SCH40 PVC—NA 10.01
Leach pipes minimum 4"diameter except for dosed system—NA 14.04
Leach lines capped,vented,or connected together-251(9)
✓` Pressure dosing guidance followed if pressure distribution-254(2)(c),
• 6
Town of forth Andover t%ORTH q
RECE''`tD ,a Office of the Zonin Board of A Appeals
�`°�eO"6°�
JOYCE BRADSHA,� g lip
TOWN CLERCommunity Development and Services Division
NORTH ANDOVER
William J. Scott,Division Director A_4 °����•��'
700 ��� ! A +, ! 27 Charles Street �ssaC14US1
North Andover,Massachusetts 01845 978 Telephone 688-9541
D. Robert Nicetta P ( )
Building Commissioner
Fax (978) 688-9542
Any appeal shall be filed Notice of Decision
within(20)days after the Year 2001
date of filing of this notice
in the office of the Town CIerk. Property at: 402 Sutton Street
i
NAME: Vincent F unaro DATE: 4/11/2001
ADDRESS: 402 Sutton Street PETITION: 008-2001
North Andover,MA 01845 HEARING: 4/10/2001
r
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,April 10,
2001 at 7:30 PM upon the application of Vincent Amro,402 Sutton Street,North Andover,MA
j requesting a dimensional Variance from Section 7,Paragraph 7.3 of Table 2,for relief of a side(Fast&
West)setbacks and rear setback and for a Special Permit from Section 9,Paragraph 9.2 to allow for the
extension of a pre-existing non-conforming structure on a pre-existing non-conforming lot,to construct an
G addition of a downstairs bath,a proposed attached garage with a family room over the garage within the R-
4 zoning district
The following members were present: Walter F. Soule,Robert Ford, Scott Karpinski,Ellen McIntyre,
George Earley.
Upon a motion made by George Earley and 2"d by Robert Ford the Board voted to GRANT a dimensional
Variance for relief of a side setback of 11',and a rear setback of 10'and to GRANT a Special Permit to
allow for a proposed addition of a downstairs bath,and a proposed attached garage with a family room over
the garage on a pre-existing,non-conforming structure on a non-conforming lot,and that the present
existing garage be demolished In accordance with the Plan of Land by: Scott L. Giles,PLS,#13972,50
Deer Meadow Road,North Andover,MA 01845,dated:2/4/2001. In accordance with the architectural
drawing by,P.R.Boucher Builders,LTD,dated 2/23/01. Voting in favor: WFS/RF/SK/EM/GE.
The Board finds that the petitioner has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning
Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from
the intent and purpose of the zoning Bylaw.
The Board finds that the applicant has satisfied the provisions of Section 9 Paragraph 9.2 of the zoning
bylaw and that such change,extension or alteration shall not be substantially more detrimental than the
existing structure to the neighborhood.
Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the
grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a
Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)
year period from the date on which the Special Permit was granted unless substantial use or construction
has commenced, it shall lapse and may be re-established only after notice,and a new hearing.
Town of North Andover
Board of Appeals,
Walter F. Soule,acting Chairman
Ml/Decisions2001/9
BOARD OF APPEALS 688-9541 BUILDING 688-954.5 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
7
Pressure dosing required over 2,000 gpd or with UA remedial use-231(1)
Leaching Trenches(Check here if not present:
OK Problem N/A
Number of trenches:
Minimum of 2 trenches-NA 9.01(2)
Depth of trenches(max eff.2'): -247(l)
Width of trenches(2'min.,4'max.): -251 (1)(b)
Length of trenches(100'max.): -25 1 (1)(a)
Trenches are vented(when>50')-251 (11)
Trenches follow contour lines-251(2)
Trench spacing 3 times effective width or depth-251 (1)(d)
In fill or reserve between trenches, 10'min.-NA 14.01& 14.03
Available leach area given(Min. 500 s.f.)-NA 9.01(2)
Bottom=L x W x# = s.f.
Sidewall=L x D x# x2= s. f.
Effective leach area given
Loading factor:
Effective area=total area s.f.x LTAR = g/day
Effective area is>=design flow of facility being served
2"of 1/8"- 1/2"2x washed peastone.-247(2)
Trench depth of 3/4"to 1 1/2"double washed stone-247(1)
Leaching Pits(Check here if not present: )
OK Problem N/A
#of pits/pit systems: (dosing chamber if>1,231 (1))
Dimensions of each pit or system:L W D
Depth of pits(max eff.2'): -253(1)(a)
Available leach area given
Bottom=L x W x#of systems= s.f.
Sidewall=L+W x D x 2 x#of systems= s.f.
Total area=bottom +sidewall = s.f.
Effective leach area given
Loading factor:
Effective area=total area s.f.x LTAR = g/day
Effective area is>=design flow of facility being served
Minimum of pits at least 13'X16'—NA 9.01(3)
Distribution for galleries/chmbrs.in trench config.-pipe every 20'-253(6)
Distribution for galleries/chmbrs.in bed config.-ea.pipe serves<=40 s.f-253(6)
Spacing-2 times the effective width or depth(the greater)-253(1)(c)
2"of 1/8"- 1 /2"2x washed peastone.-247(2)
3/4"to 1 1/2"double washed stone-247(1)
Each pit has at least one 20"access cover.24"Cl to grade over 2,000 gpd
-253(3)
Surrounding aggregate thickness between 1'(min.)and 4'(max.)-253(1)(b)
Vents,if necessary,extend under covers of pit(s)-241 (e)
Leach Fields(Check here if not present: )
OK Problem N/A
"I" Number of fields: (need dosing chamber if> 1,231 (1))
Length(100'max.): 3 7 252(2)(b)
Width:
7
+J. t
8
LX Total area:L x W S.f. - O' ,
✓ Minimum 900 square feet-NA 9.01(1) q G,(-16L►)C e
/F Distribution lines connected with solid pipe-NA 15.01
Effective leach area given
_..._.. _ Loading factor: +J
�- Effective area=total area 95Y s.fx LTAR S3 g/dav
Effective area is>=design flow of facility being served
Minimum of two distribution lines-252(2)(a)
6'line separation(max.)-252(2)(d)
✓" 4'maximum separation from edge of field to line-252(2)(e)
i/- 10'minimum separation between adjacent leach fields-252(2)(0
Between 6"and 12"of 3/4- 1 1/2" stone beneath field-252(2)(g)&247(2)
2"of 1/8"-1/2",2x washed peastone.-247(2)
8/28/98
8
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
OF,s�eo 6gH0
0� 19
o
2R °°°�•°-°•�^' APPLICATION FOR SITE TESTING/INSPECTION
"' A�RATEO PQp`�h
9SSACHUS��
Applicant
NAME ADDRESS TELEPHONE
Site Location
i
Engineer NAME ADDRESS TELEPHONE
Test/I nspection Date and Time
i
CHAIRMAN,BOARD OF HEALTH
W
FeeTest No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
A4�33d
M 01 71y
Ot
3? '` BOARD OF HEALTH
°
M 9
i 1
• r0
�► •°•..gyp • l5
30 SCHOOL STREET TEL. 688-9540
NORTH ANDOVER, MASS. 01845
APPLICATION FOR SOIL TESTS
DATE: (o -7-
LOCATION OF SOIL TESTS: w
Assessor's map & parcel number: o"1 I
OWNER: /ku i A LiA 4p TEL. NO.:
ADDRESS:
ENGINEER: 1d�-!, =,y QTc TEL. NO..- 44t; -35 5
CERTIFIED SOIL EVALUATOR:
Intended use of land: residential subdivision, single family home, commercial
11 P"A-t V_ "
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plot plan
3. Fee of 5175.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of $75.00 per lot for
repairs or upgrades.
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic
plans.
3. At least two deep holes and two percolation tests are required for each septic system
disposal area.
4. Repairs require at least two deep holes and at least one percolation test, at the
discretion of the BOH representative.
5. Full payment will be required for all additional tests within two weeks of testing.
6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to
the Board of Health showing the location of all tests (including aborted tests).
7. Within 60 days of testing soil evaluation forms shall be submitted.
Location: - owner's Name:
kLI.30 u n}i7S�Y�
Map/Parcel•_ 101& I&W _ Address:
Installer. Tel New lsisol ai
Date: Wetlands�Zone II Soil Symbol Soil Iqarne6jVKft oil Class
C
Deep Observation Hole Logs
Elevation Depth Soil Horizon Soil Texture Soil Color Soil hiottling % Gravel,Stones,etc
e DIS:(. F6Ni, ik Flu A'A,& _.�
`7 li : L.51E�i�•� '�Gl,c��-[- '1..1 ��u F3
Fwi Ai&t4
Parent Material, -fl u/ Depth to Bedrock ° — Standing Nater in the Hole: lA V4eepin;from Pit Face j,(2D"ESHG%V;_(gj2�L
j0�'�n �7w cji L. 'L,� ,l 0'►�W'� Fltl
f•-t�Y p,�,,,.
Paint blaterW— Vr Depth to Bedroll: �:: Standin:water in the Hole «eepin;from Pit FaceK_ G%v; j_
Date ±A6 le _ Percolation Tests
Observation Hole
Depth of Perc "
Start Pre-soak.---Jo: 7$ I
Time at 12" I
Time at 9" 3
Time at 6'
Time(9"-611
) I I
Rate b1in/Inch I
Performed By: � ,�/� �i Witnessed
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LOCATION: `
ENGINEER:
50.0 � ' 'NESS: i G
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PERC0L^,T10N TEST
BOTT OM DEPT-I OF PERC TEST.
TIME OF SOAK: _ �! �� __ (At legis; mutes icrc)
TIME
TIME
TIME
C E �NIClH, VA.K .
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Hillside Acres
Lot # 8
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot # 8, Hillside Acres . I will install this system in ac-
cordance 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 1/ until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 2%. I will install a con-
crete septic tank of 1000'gal. • in size. A manhole (s) 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 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 200 lineal (fie) 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 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 1/4" (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 installation 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 until 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.
DATE /1 - J-91
o
Si of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
Signature Inspecting Officer
Percolation Test 8 min. Soil: Clay
Garbage Grinder �/j
1 <r
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
40,
a � z4-
�� �oaQ ra C I �1=
r e
®, `_ �o, g
qs
1. NAME-- f• 9 !/ DATE
2. ADDRESS c volt/ _ LOT NO. TEL.
3. NO. OF BEDROOMS 3 DEN YES / NO
4. ' GARBAGE GRINDER YES NO
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DIMENSIONS OF LOT
8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9, NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM'
10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
i
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE Nov. 26, 1966
NAME OF APPLICANT—T. J.Se Ra l l i ,
LOCATION Lot & Uillside Acres
Address of lot no.
BUILDING:
Dwelling_ _X Other
SYSTEM: New ; Repair
GENERAL DESCRIPTION OF LAND High
SUBSOIL: Clay X Gravel Sand
PERCOLATION TEST 8 minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK 1000 gallon capacity.
LEACH FIELD 200 lineal feet of drain pipe.
a
William ,J D coil , Enginee
Board of Health