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HomeMy WebLinkAboutMiscellaneous - 15 WOODCREST DRIVE 4/30/2018 (2)Town of North Andover, MA Watershed Septic System Servicing Report Date: J� I M Homeowner: Street lS Phone Nature of Service: Observations: Routine Emergency Pumper Address• Phone Good Condition- Full to Cover Baffles in Place Leachfield Runback Excessive Solids -Heavy Grease Roots Other (Explain) Lot 42 Woodcrest Drive Perf ;� #32l� Ben Osgood APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Lot 42 Woodcrest Drive . 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 ofl000 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 210 lineal (square) 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 11-22-68 ignature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE 11-2268 Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE 3 6 Signature of I sYe cting Officer Percolation Test 8 Min Soil: Clay Garbage Grinder BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. ab 1. NAMES y DA dO 2. ADDRESS W6 ®p, G p- e S p- t U LOT NO. i_ TEL. � / 3. NO. OF BEDROOMS y 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. 4 BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS NAME OF APPLICANT LOCATION SEWAGE DISPOSAL DATE %Y dress" of lot no, BUILDING: Dwelling _Other SYSTEM: New /1 Repair GENERAL DESCRIPTION OF LAND l� SUBSOIL: Clay__ Gravel Sand PERCOLATION TEST 4 minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK/000 gallon capacity. LEACH FIELD o lineal feet of drain pipe, 1 illiam J, D scoll, Engine Board of Heallh dr v Julius Kay, M.D., Chrurm,m R. George Caron Edward J. Scanlon BOARD OF HEALTH NORTH ANDOVER MASSACHUSETTS 01845 MIT— LAINT REPCET coeur APRIL711 sS C H "I VIF • " It TEL. 682-6400 Da t May 11, 1973 69 Old Village Lane, North Andover 683-9291 Surface water with probable sewerage contamination is leaching through the banking along the side of the roadway After research of permit records I find that the sy.sIjeT_is located 75 feet from area shown on the .�ermit. A water test should be taken -to determine- -if, water- -flow contains sewerage___ 'tot 4A-Meadowview & Woodcrest')ccU*P"�'_r.-" ddre s 7, 6 ' � L,- Y 't,b'7.S_c.i SEPTIC SYSTEM INSPECTION FORM ADDRESS DATE INSPECTED ?" PROPERLY FUNCTIONING? Y --N- `-' WEATHER CONDITIONS COMMENTS: Lo AV I— j 0. (O-vq,-Z) CG�(y C T L wt. --k— Q -r2. G- ootc� oll'�ctk Qom rx3 W'AiER a?,ALi i y T -ES 1 E'er ? Re!&OLTS? tc� Zumcm,;�v— DYE TEST. PERFORMED? Y N DATE? SKETCH: decd �N5c 2 �, • me:rU ers are in your household? :II• ct± sf2v.age disros4'. s_.•stPrn do you have? s= ' ... :. ;:nd leaching, arca to municipal sewer TI 0 NN kT RE (drawings) for your sewage disposal system on file with the Board of Health? no G do not know �l r' i= VOLT r sewage disposal system? ❑ 0-5 years ❑ 6-10 years 11-20 years GD do not know J., disposal system been rebuilt or repaired? no ❑ do not know r.• : c.:;:mately how long ago. L i o i a eq ._ n t f y is your sewage disposal system pumped out? annually c,.r•-= years ❑ every 5-10 years ❑ over 10 years ❑ never y 1. ,r any problems with your sewage disposal system? yes El no ii'-: ier zted pump -outs needed **�� U v sten clogs, backs up, or drains slowly ���Ur 7 _:.. `-� ���•: uge surfaces through ground of c" -ch appli ce are connected to your •age disposal system? S dis S P r!.; ciIine '✓ dishwasher arba a osal i.,.;*6if:cr d1ain sump pump toilet of 3ven-lt'Ili drains shower/bathtub years. What was done? Etre the* brand and type (liquid or powder) of detergent you use for: asl:e- ✓� IJP- "C"Ill property have a lawn? y�e�_ no ❑ ;/9 acre acre aT,;,•-oxir•-;ately what size? ti:..:l V; acre ❑ '/a acre ❑ '/z acre ore iiian 1 acre (:•specify) acres ,C), '71) y(iu fertilize your lawn? �. ;.. of;cans per year :He year brand and type (liquid or granular) of lawn fertilizer you use: Cl- , c:: here if your 1t%,% -n is maintained by a professional landscape contractor. WATERSAIED RESIDENTS QUESTIONNAIRE 1. Name 2. Street Address 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ c>sruol septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are t laps (drawings) for your sewage disposal system on file with the Board of Health? yes ❑ no ❑ do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years, 11-20 years ❑ over 20 El do not know 7. Ha our sewage disposal system been rebuilt or repaired? yes ❑ no ❑ do not know If yes, approximately how long ago? years. What was done? j, " 8. How frequently is your sewage disposal system pumped out? annually ❑ every 2-4 years ❑ every 5-10.yearsA ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system?yes ❑ no If yes, wha oblems? repeated pump -outs needed �j� �❑�se m clogs, backs up, or drains slowly %/�r r sQ/ ' sage surfaces through ground �L`����" 10. How many of each applice are connected to your age disposal system? washing machine dishwasher garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub - 11. Please state the brand and t pv (liquid or powder) of detergent you use for: dishwasher CAS clotheswasher CN l K 12. Does your property have a lawn? yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? O No. of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor. any members hers are in vour household? ty;d of sewage disposal system, do you have? I Cc tank and leaching area nncctiori to municipal sewer Aef Ir (describe) no! KTI0*V l U -C,'STI 0 IN, SAIRE .tans (drawings) for your sewage disposal system on file with the Board of Health? .G ❑ no ❑ do not know 0 d ; s your sewage disposal system? ❑ 0-5 years ❑ 6-10 years e 11-20 years er %yrs ❑ do not know zr sev age disposal system been rebuilt or repaired? ❑ no ❑ do not know -ow xizr�ately how long ago.�u years. What was done? O 01 rrequently is your sewage disposal system pumped out? /annually J f 4-ery 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never . a4C you had any problems with your sewage disposal system? yes ❑ no yes, what.�ffroblems? [LXrepeated pump -outs needed **�� ❑ sN stem clogs, backs up, or drains slowly [ev►-age surfaces through ground wagw ov, of each appli �_ceare connected to yourage,disposal system? a`.sg �-:;.clri �e dishwasher garbage disposal •h� �Fd;E e. drain sump pump toilet of,; ave -sent drains showerlbathtub x st2te the'brand and tyW (liquid or powder) of detergent you use for: ;;�: t;o=.=r property have a lawn? yes ❑ no al i -s oxirnately what size? >s t«: -E -/4 acre ❑ '/4 acre ❑ '/s acre ❑ 3/4 acre acre ore than 1 acre (Specify) acres e, c n x7ou fertilize your laivn?� ,<tiorEs per year tie year brand and type (liquid or granular) of lawn fertilizer you use: Ci = C,: here if your lawn is maintained by a professional landscape contractor. � /I any members hers are in vour household? ty;d of sewage disposal system, do you have? I Cc tank and leaching area nncctiori to municipal sewer Aef Ir (describe) no! KTI0*V l U -C,'STI 0 IN, SAIRE .tans (drawings) for your sewage disposal system on file with the Board of Health? .G ❑ no ❑ do not know 0 d ; s your sewage disposal system? ❑ 0-5 years ❑ 6-10 years e 11-20 years er %yrs ❑ do not know zr sev age disposal system been rebuilt or repaired? ❑ no ❑ do not know -ow xizr�ately how long ago.�u years. What was done? O 01 rrequently is your sewage disposal system pumped out? /annually J f 4-ery 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never . a4C you had any problems with your sewage disposal system? yes ❑ no yes, what.�ffroblems? [LXrepeated pump -outs needed **�� ❑ sN stem clogs, backs up, or drains slowly [ev►-age surfaces through ground wagw ov, of each appli �_ceare connected to yourage,disposal system? a`.sg �-:;.clri �e dishwasher garbage disposal •h� �Fd;E e. drain sump pump toilet of,; ave -sent drains showerlbathtub x st2te the'brand and tyW (liquid or powder) of detergent you use for: ;;�: t;o=.=r property have a lawn? yes ❑ no al i -s oxirnately what size? >s t«: -E -/4 acre ❑ '/4 acre ❑ '/s acre ❑ 3/4 acre acre ore than 1 acre (Specify) acres e, c n x7ou fertilize your laivn?� ,<tiorEs per year tie year brand and type (liquid or granular) of lawn fertilizer you use: Ci = C,: here if your lawn is maintained by a professional landscape contractor. FORM 4 - SYSTEM PL11PL\G RECORD Commonwealth of Massachusetts , Massachusetts ,System Pumping Record N -stem Ovmer SN,stem Location l Date of Pumping: vl -- 3— q5- Quantity Pumped: YC�-'�gallons Cesspool: No Yes ❑ Septic Tank: No ❑ Yes BJca-� System Pumped by: � � P License #: Contents transferred to: G , (—. S . D Date Inspector BOARD OF HEALTH 146 MJ" AIN STREET TELEPHONE# (508) 688-9540 APPLICA TION FOR ABA NDOAVENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) Pursuant to Section 310 CMR 15.354 of the State Environmental Code, Title V Name_ M nrCi S V Address 15 IAI&o Phone rivep Contractor hired forC'XCA work: Name Arc& da �pr'�i Phone Address 22 Date for scheduled abandonment 5 C �— 21 The septic system at the above address has been ab doned according to Title V specifications. Signature of Contractor Method of septic tank abandonment (check one). () removal () sandfill (1k) crush ( ) other Name of Offal Hauler �(i h gat SCI This form must be returned to the North Andover Board of Health PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. \j Inspecting Agent Date