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HomeMy WebLinkAboutMiscellaneous - 169 JOHNNY CAKE STREET 4/30/2018 169 JOHNNY CAKE STREET 210/107.A-0180-0000.0 reet _ TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD =t. ;... JAN - 62003 DATE: SYSTEM OWNER& ADDRESS SYSTEM LOCATION �/7,1� �, '� 1 (example: left front of house) �L,�/Z d Ikus DATE OF PUMPING: QUANTITY PUMPED GALLONS CESSPOOL: NO ZYES SEPTIC TANK: NO YES 1/ NATURE OF SERVICE: ROUTINE EMERGENCY .OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE _ ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED _ SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: _ CONTENTS TRANSFERRED TO: Board of Health SEP'T'IC SISTEMI North An(toyerzHaas. ! G �Q INS?AMATICtG CHECK LI Sr LOT `J (�_ 3 fIN-WIIce. _OPffOVED DATE DISAPPRUVa X AVATICN OK iWIL eagonst MU OK wH(CH pL4Avc5 �5 0i3O 1. Distance Tot em -20" �U aWetlands b.. Drains �y c.. well VC-S; JAL 2. Water Line Location 3. No PPC Pipe W _ cJ f 2005 7 -> 4. Septic Tank 5L -TO M i ,Qv� NO T O�y� a. Tees -_Length do To Clean Out Covers V5��—D b: Cement Pipe to Tank Ckn Both Sides of Tank 5. Distribution Box a. Covers k Box - No Cracks b. All Lines Flowing Equal Amounts C. No .Back Flow 6. ' Leach Field or Trench bDimensions : Stone Depth c. Capped Inds d. Clean Double Washed Stone 7. Leach Pits a. Dimensions b. Stone Depth c. Splash Pads d. Teas e. Cement Pipe to Pit - Both Sides f. Clean Double Wash©d Stone 8. No Garbage Disposal M 9. Final Grading Inspection 10. Barricading Covered System 11. As Built Submitted f2—(O a. Lot Location b. Dimensions of System c. Location with Regard-to Pere Test d. 'Elevations e: Water Table d C9 cr Health '�f/I � .°.... .jxdurver,Masa � � t9GN���((ff ��JJ3IIB9FACE lqSpOSAL CHECK LIST LOT APPROVED DATE DISAPPROVED DATE Provideds Reasons: i309d--)RIO 01r. Alm Title V FAIL O!C Reg. 2..5__ The submitted plan must show as a minimums a) the lot to be served-area dimensions lo,, #,abutters b location and log deep observation hoes• distance to ties c location and results percolation tests-rLetance to ties d design calculations do calculations shov. ag required leaching area (e) location and dimensions of system-inclucing reserve area f) existing and proposed contours -- (g) location any wet areas within 1001 of se, age 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 100, of sewage disposal system or disclaimer-Planning Board files (�) known sources of water supply within 2001 of sewage disposal a system or disclaimer (k) location of any proposed well to serve lot-1001 from leaching facility (1) location of water lines on property-10.1 from leaching facility (m) location of benchmark (n) driveways (o garbage disposals (p no PVC 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 Mer elevations (r) maxi=m ground water elevation in area sewage disposal system (s) plan mast be prepared by a Professional *giaeer or other professional authorized by law to prepays such plans Reg 6 Septic Tanks (a) capacities-150% of flow, water table; tcis, depth of tees, access, pumping (b) cleanout (c) 101 Brom cellar wall or inground s-.4=M ng pool (d) 251 from subsurface drains Reg 10.2 Distribution Boxes (a) slope greater ME 0.08 Reg 10.11 b) sump . Cip W 01Y11prwtllwMRlfwte.WKw aMwAllovNMOR1�wYtVY. 7W1ltlaR'vuvUstlatWrnYwy( VWRV It'/i71tiJ,^Y WPI(1W1Mdlllfl•/MlenM11l.Y+RNM+tli01gFs1sNNN'1U • PZAN &SH40WAV4 SEWACv S b3 S PW%4C. SYS TEM /��O.�GtSEO LOT cTR.4d/NG SCALE OWA/Ee= Loc.or�orv: N p F &J,4 , / t;2)3E.oH cr. BA�20A4,,.&f-400 IRS. 1 WE3TWAjea G'IRGGE o L'AGA �o. 46=1 O r 66 \ l Alo. AG✓A/ MASS. \ :27S•77 ! AREA t i QES/G r l LATA T YPE OF 8l//4A/A14v: ¢ Q•R•Ia C, a44.44w-E $ C464"M PLUMB/NG FAC/G/TEES= N•A Sca ,4CS6 FLOW E.'s'T/MATE: G a c G••p SEPT/G rW"Ac "Soo GQ f � � � � �'�n� � , � � i .4QSG1lPT/ONA�EA :/vox/•L = Sta S•f'• � t 4e'x tea ' 4b'paWxxAT/0pt/ 7W5T1 SO/ A"¢ . � MP FZEf/.4T/0N4 /94C.-Ar J S � ! / 1 � � • �xv •� dbTr»rsl+ EltY.f 7�N/ I G.l •� �(ij .SATUKAr/ow /Z�fw 9' DROP /C M/N. M«! MSN. MiAl. G" DRQP 2L4 M/N. Miti/ Mew. .411N. J ,6WRro4A rvoAl RAM .7i v /✓ M ! Miw.IIAv Mi 1- '1,b� / r 0 TEST PITS J*/ �z ' \�y DATE 4- 6 - Bi. s-/o -49 r0f 64EYAT/ ✓ C f • o 147-6 ;4Ito p f- B sLa so * I2 Y j! l J / .SO/L TYPES StALSolL SkdSoiL • \� / / .4w/O vely �/aLE loot 4e.*A" LatS 3f 7 / 1WAre@ TABLE 0-i// LGCAT 40 A/. p// o .S'il 14.t o C e r Ex/sti/v�. g7 73 r �1z•�S �/S91 C/d/.o) BCrTOM t6CE(/,4Ti /SN•o /77.6 PRo POSED TESTS C,aVDaC rem BY NaY•ts ENG • — QardaG-a.//e R, s o�N E �' � - .5'`PCE 747 TESTS N!/rNESSEG BY : C'LoacGH.cRty- RQSAti - G�aF •, JE.4LEo c�DiwT, cSoG/D �'�/C• P/PE q . CAPPED EAlOS 2ill ¢..�PE&oQ%eA rEp P t/.e. PIPE Cow EQalvA4=Al r) i _v PAg rz4L BES EiV D c.S�ECT/O A./ y `� (.co e SPEcIFlCA r'/ONS - SEE .SECT/oAi .4r LOWFe .emm7-) DE misarlw Bay v in - IXOO <94L. CONc eET6 SEPT/C r.4"X ¢'�SG9C/D P.V C.,SEALED TO�.V7`S � Jv • ¢ �eF Pr c. , s-.oras �� BSyR PT/ON OCO QL A/-/ A./or To <YeALE SL o PE /5 �� Aiiz, ED . ' ; •-• c=EGEGT r, CKFlGL _ ale 00/4 AS HED t • � Zllict v � O nBGEBDWAS�O C Z rb MEET .�.A•S.N.O. • IGS sPEc,. r-ii-roJ r _ `S•W W fMl•o 44SORo TION BEO SEC T!D AJ 4• A!/ IL o P ,� ��,�,,�,i_L (N i B A a P�c�s �Si N o iu n/ o Iy BA p( pL RN R�fi/[ Ir/it! Gy aye. L yE•C'T- /'/'¢ _ PiQDFlLE PICAN Awv SK Tho M s SNEE r- -L aow rrw••n1>rmftdw'Jr.Y1iWOK hyk{.'tMrY"OtMpYMtNUt♦1.tNlilr)•1{t6i4FlINUi'Ma1+'C%fA!WbfN.l]gitiWheA'tMfaiNtlRit/11i41twbN6k]OIWn•tMWUMGiretl ii1CM1 L,y�i ey NVe Y -iQ s s :; .c S . -- -- - -- AeOPOSEv SUSSURFAGS SEWAejS blSPOsgc. STEM P,eo Oa EO ZO r aR.4blA16 SCA[.E /��= 4� ` iTE R•v 4'29-bs A, � Locorio�v: Lc t /9 A"�o�-�v_-�',y-Ccs`-�`•�t--��'-' SES/6�t/ER • ' J ' ,Q,(,e/ - TEG. �7 , G'wAV QES/Gal DATA T YPE OF 49a14AOIit/4a= 4 3 v 6, +; a4RA4E o CEGLq� PLCIW S,(I/<, FAC/L/TIES: A•/; . f \ \ t i -SAGW,4tSt FLOW EST/M.4 rF c:a c G--c- Z;l k + 60, f SEPT/C- TAAI�C" : I sa o G a / t 1 + 1 I .4QSG�PT/oN AREA : L a c x l• - y l o a F• J,3 J ¢ 'K <� � 1 7MP ECErAr/O,^/ /L c AOr7oM ELEY.4 T,nv /G 2.•o S"Irl�.eArioA/ /L M/N. Mil. ,-ys ,v. :�r i�✓ Al/N. MSN M/n./� �TL`'��P/TS �/ �►Z X3 4 It � ,� TOP .. / ! r / soa rYPEs AAJO 8 (rra vc l yr BSL Gvwvl� WATER rAStE f�� , fill LOCA Tic A.1 �► , �, , 1 - Vis" ((591 (/s/•O f I (-L QorrOM &EVAriow ` � "` � -�' — Ex1 s't/NG. w° \�,e h•, Is�l ro /s�•o TESTS C.G+•V DaC TED BY ; /fes.Y-0 �1"^ FYOPo�-�►� O NEU,:fA/� � rPZ-A4 N//rx/,eSSEa BYlAI e•" Dss.,eA.1 GelrE,e/A cS'HEE•T / c� 2 SE-.4c,6D cro/NT, cSo[ip P APPED C ftl O S V O . l� ��� S� � o . �! � 2�L� • ¢ ��E�FAQArED P. 1/,C. P/PE COW EQc//vALEN r-) PAR zme- BED EyD SECT/Dv c�CALf AQEA , j (FOR SPEC/F/CA r1OA1S – SEE .SECT/O,t/ AT LOWE.2 z/GAT) --T 9�� �S; �--�—� � Durel8urloN 8ox /•,x"00 a C. SEPT/e- TA"K . T/O,&/ .3E'40 /'DL A A/ /l/oT rO cSC.4LE 4-8 / -� • If SLOPE /S' �f E LEG Jee-6 T , 17o Ole-1 G 8 •t• ` //B" To HED • _ - - ,a ----- 2 � i C Z i P. �/.C. P/PE a� o o • ! 143 d CD G�L/SHED STOn/E A TO MEET A.4-S.4.0- i 1G/ SPEC T-i/-�oJ I - S•N w. •o �,85���2PT�ON �EO SEC r/o Aj -- k— all OP 4 5� GSai1 /M B1 v( AR4-ct P[u.�–��£0, fN t7 s Q w ty a/v 13.Q-d PL,Aiy Q.��//�sC1 _S r a v..L_� i i i P.QOF/L E L P",or1j. 4,VO 4BS,n&Rr1oty ILAN A&1 ) SEG T/o N S ajW2 Commonwealth of Massachusetts A "�Massacllusclls Svstem 1'gWpI"g Record System Umier System Location Date of Pumping: Quantity Pumped: gallons Cesspool: No Yes -) Septic Tank: No U Yes System (lumped by: Stewart goalhgaa License# Contents transferrred to : Greater Lawrence Sanitary District Date: Inspector: c a ..� �"' ., A,,. , .; .._ V d S E/dl�i �A�t� �/p • <c. q JOSMt r 2 FSSr0 A�5F�\ LoL—/I- PIE- � � V Commonwealth..of Massachusetts City/Town of I RECEIVED System Pumping Record JAN 0 2 2006 Form 4 TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of HdAWTi`T1je`3 jtefr>hT ping Record must be submitted to the local Board of Health or other approving authority. . A. Facility Information Important: When filling out 1. System Location: forms the computer,use only the tab key Address `n to move your cursor-do not use theretum Cityrrown State Zip Code key. 2. System Owner: Name "QfA Address(if different froririocation) Cityfrown Stat Zip Code Telephone Number B. Pumping Redord 1. Date.of Pumping Date 2. Quantity Pumped. Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank- ❑ Tight,Tank ❑ Other(describe)-. 4. Effluent Tee Filter present? ❑ Yes U_9�0 If yes, was it cleaned? ElYes`❑ No 5. Condition of System: 6. System Pumped By Name Vehicle(;icense Number Company 7. Location w re content er isposed: Signatur of ul Date http://www.mass.gov/depXwater/ap rovals/t5formshtm#inspect t5form4.doc•06103 System NMIJing Record•Page 1 of 1 rrom:Soucy's Sewer Service Inc. Mont Date Owners Name Gallons um d • H,G,C D,S Contents tra t q � �� ( nfered to Condition of m 2 .3 , 4 5 6 7 8 9 10 11 RE YE® 12 13 JUL TOWN OF ORTH ANDOVER 14 PARTIMENT 15 16 17 18 19 20 rw 'C= Cesspool, D= Drywell, S= Septic, G= Greasetrap, H=Holding Tank