HomeMy WebLinkAboutMiscellaneous - 1510 GREAT POND ROAD 4/30/2018 1510 GREAT POND ROAD )AD
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m SENDER:
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y Complete items 1 and/or 2 for additional services.
d • Complete items 3,and 4a&b. following services (for an extra V
Print your name and address on the reverse of this form so that we can fee):
41 return this card to you.
> • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address rn
does not permit. �.
t • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery a
• The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
3. Article Addressed to: 4a. Article Number
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m Z 115 794 796 0
CL 4b. Service Type
E Mr. Steven Murphy �
c p y ❑ Registered El
N 1510 Great Pond Road [N Certified ❑ COD
W North Andover, MA 01845 ElExpress Mail ❑ Return Receipt for �
p� Merchandise c
G 7. Date of Delivery �-
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> PS Form $1 , December 1991 *U.S.GPO:1883-352-714 DOMESTIC RETURN RECEIPT
2
UNITED STATES POSTAL SERVICE
:-
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE,$300
Print your name, address and ZIP Code here
�f Hr
�_�, IA. 01845
Town of North Andover f NORTH 1
OFFICE OF 3?o° .o ,,do°c
COMMUNITY DEVELOPMENT AND SERVICES ° . p
146 Main Street
f o ^ f
North Andover,Massachusetts 01845
WILLIAM J. SCOTT SSA,.USc
Director
August 26, 1996
Mr. Steven Murphy
1510 Great Pond Road Certified #Z 115 794 796
North Andover, MA 01845
Re: Sewer Tie-In
Dear Mr. Murphy:
This letter is to confirm that at the regularly scheduled meeting of the North Andover
Board of Health held on August 21, 1996, the Board voted unanimously to allow a nine
month extension to April 1997 before you will be required to tie-in to municipal sewer.
The tie-in must be completed before April 24, 1997 and a documented report on the
progress of engineering studies and other pertinent information, such as quotes, should be
submitted to the Board of Health Office before November 18, 1996.
If you have any questions or if we can help in any way, please call the Board of Health
Office at the number below.
Sincerely,
A 11
Sandra Starr, R.S.,
Health Administrator
SS/cjp
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
SEPTIC SYSTEM INSPECTION FORM
ADDRESS
DATE INSPECTED
PROPERLY FliNCTIONING? �Y N
WEATHER CONDITIONS
COMMENTS :
WA1►'ER avALI-Ty `1"ES t F- ? ? SULTS?
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name �,
Mc0�/�7
2. Street Address Z�z CgIE—:�, P61LI-) o<p
3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ cesspool
E91"s'eptic tank and leaching area
❑ connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
❑ yes ❑ no U�-<o not know,,,. _
6. How old is your sewage disposal system? 0-5 years ❑ 6-10 years ❑ 11-20 years'
❑ over 20 years ❑ do not know
7. Has your sewage posal system been rebuilt or repaired?
❑ yes EVno ❑ do not know
If yes, approximately how long ago? years. What was done?
8. Ho sequently is your sewage disposal system pumped out? ❑ annually
every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never
9. Have\•ou had any problems with your sewage disposal system? ❑ yes [9 no
If yes, what problems?
❑ repeated pump-outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
10: How many of each appliance are connected to your sewage disposal system?
washing machine dishwasher garbage disposal
dehumidifier drain sump pump toilet _
roof/pavement drains shower/bathtub _
11. Please state the brand and tyke (liquid or powder) of detergent you use for:
dishwasher I
clotheswasher %SOY) 2[,_�Ec
12. Does your property have a lawn? E yes ❑ no.
If yes, approximately what size?
Elless than 1/4 acre ❑ 1/4 acre 1/2 acre ❑ 3/4 acre ❑ 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?
No. of applications per year
Season(s) of the year ;53VIXIii _V,4!! �'&_X lryq4L
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
i 3 �`r 7
P Check here if your lawn is maintained by a professional landscape contractor.
- - 29626
Lawrence 688 1181 Haverhill 373-7151
Salem,NH 603-898-1554 Plaistow,NH 603-382-3322 DATE OF ORDER
Methuen 686-2214 Andover 475-4711 Newburport 462-4661
CUSTOMER'S _- 1 tECHANICHELPER A IN
LL K y
A
iLY /J DAY WORK
ONTRACT -
�/ f // E] EXTRA
JO N M
LO'-4TIOPX.
JOB PHONE
DfORIFTRSR W!WORK:
C
V
I
�760
AMOUH'f'
0 one home �q��{Total amount due Total billing to
Signalur \for above work:or be mailed after
completion
1 hereby acknowledge the satisfactory completion
TERM N .O. of the above described work of work
Because of the nature of the work herin described and of Its emergency,we prefer
that all payments be made to mechanic on the Job after completion.
A FINANCE CHARGE computed at a periodic rate of 1 1/2% PER MONTH which Is
an ANNUAL PERCENTAGE RATE of 18%will be charged on all accounts remaining
unpaid by the 10th of the month following the purchase.
THANK YOU.
A service charge or$15.00 will apply on all returned checks.
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1. Distance Tot
I a. Wetlands
b. Drains
c. Well
2. Water Line Location
000
3. No PVC Pipe .
} /
V110 4. Septic Tank
a. . -Tess--_Length & To Clean Ont 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
6. ' Leach Field or Trench
./� a. Dimensions
b. Stone Depth
• c: Capped Ends ,
{. d. Clean Double-Washed Stone
i 7. LeaOlean
a. s
b. th
C. , SP1ds
d.
e. pe to Pit - Both Suedes.
f. ble Washed Stone
8. No Garbage Disposal
9. -Final. Grading Inspection
10. Barricading Covered System
u. As Built Submitted-
a. Lot Lo cation - -- --- -
b. Dimensions of System
c. Location -4th Regard-to Pere Test `�s
d. Elevations 00
Water Table
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North Andover,Mass
SUBSURFACE DI,<` OSAL DESIGN C!MK LIST
LOT #
APPROM DATE DISAPPROVED DATE
Provided: ~� Reasons:
Title VY_ FAIL
Reg 2.5 a submitted plan must show as a minimum;
the lot to be served-area,dimensions lot #,abutters
location and log deep observation hoes-distance to ties
location and results percolation tests-distance to ties
design calculations & calculations showing required leaching area
location and dimensions of system-including reserve area
existing and proposed contours
(g) location any wet areas Idthin 1001 of sewage disposal system or
disclaimer-check wetlands mapping
h) surface and subsurface drains within 100+ of sewage disposal
system or disclaimer
(i) location any drainage easements within 1001 of sewage disposal
system or disclaimer-fig Board Piles
(3) kno= sources of =ter supply within 200, of sewage disposal
system or disclaimer
(k) location of any proposed well to serve lot-1001 from leaching facility
1) 10cation of water lines on property-10, from leaching facility
M) location of benchmark
n) driveways
o garbage disposals
p� no POC 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
maximum ground water 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 §,eptic Tanks
(a) capac `t -es-750% of flow, water table, tees, depth of tees
access, pumping
b) cleanout
) 101 from cellar wall or inground swiamdng pool
(d) 25' from subsurface drains
Reg 10.2 Distribution Boxes
Reg 10.4 ✓ (b) s op3 greater than 0.08
NOR 11 l ANDOVER .BOARD OF HEALTH
SUBSURFACE DISPOSAL SYSTEM CHECK LIST
4PPROVED PROVIDED DISAPPROVED
11-7-17 ,' ' co �
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General Information
leg. 2.5 Fail 01 The submitted plan must show as a minimum:
he lot to be served (area,dimensions, lot #, abutters)
(b) location and dimensions of system (including reserve area)
(c) design calculations
(d) calculations showing recuired leaching area
(e) existing and proposed contours
-location and log of deep observation holes-distance to ties
} location and results of percolation tests-distance to ties
location of any wet areas within 100' of the sewage disposal
system or disclaimer
� 5. -(i) surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
( ) location of any drainage easements within 1001 of sewage
disposal system or disclaimer
known sources of water supply within 2001 of sewage disposal
, nsystem or disclaimer
t Il-location of any proposed well to serve the lot(1001 from leaching facill
ocation of water lines on property (101 from leaching facilities)
(n) maximum ground water elevation in area of sewage disposal system
—(o) location of benchmark
p) plan must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
q) driveways
-xj garbage disposers
(s) a profile of the system (elevations of basement, plumbers pipe
5�. septic tank, ,distribution box inlets and outlets, distribution
Z field piping and any other elevations)
--{t) no PVC is to be used in construction
Septic Tanks
Reg. 6.1 a) Capacities - 150% of, flow
Reg. 6.7 (b) Water table
Reg. 6. ) Tees
Reg. 6.9 ) Depth of tees
Reg. 6.1 -410-Access
Reg. 6.1 O-Pbmping
,g)-Cleanout
leg 3.7 --.4h)-101 from cellar scall or inground swimming pool
::--+1"51 from subsurface drains
I Pum s
teg. 9.1a Approval
leg. 9.6 (b) Stand-by power
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