HomeMy WebLinkAboutMiscellaneous - 169 LACY STREET 4/30/2018 (2) `�
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WELL DATABASE -
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ADDRESS: ka ~
AGE OF WEE ( : 2 SELL DRILLER: �-
WEE-Ir PE_RLYET,T: WELL LOCATION:
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--WELL PERNUT DA,L: Z DATE OF W�Ei L: A
- -TSE OF WELL-- a- DRILLED b. DUG C. L iIMK-V0 •'`�'
TYPE OF WA=BF-kRING ROCK. 2 _
ViA=ANALYSIS DAT- HIG�31
NESE: Y N
=EIRON. Y N 0 CO� Y N
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7-Y DATABASE
ADDRESS: l 0 /"
AGE OF W=- qEIL DR rr r R�R 2
WELL PER2'y lr: YY r^' �. LOCATION: l e o, A a i l
WELL;PEt.�T DAT DEP-1HO f WELL:
TYPE OF WELL: a- DRILLED b. LTG c. LL\KNi OWN
TYPE OF WA r-R BEARLi i G ROCK:
WATER ANALYSIS DATE: Y N
kEGH!RON: Y N OT= CONTA.2\ tl A-NTS: Y N
Commonwealth of 1►iatsachusetts
Nor+h "°10 V�; Massachusetts
�vstem P1'LmDif� ecord
}stem «rer RE ,EIVED .stem Location
JAN 0 5 2008 sreef
TOWN Or•�vvf. Fs ANDOV Z
HEALTH DEPARTMENT
Date of Pumping: _ II l y l Z008 Quantity Pumped: l OCO gallons
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Cesspool: No E3 Yes . F-1SepticTank No ❑ Yes
RAGGS SEPTIC SERVICE, INC.
System Pumped br: a.k.a. E. A. COMEAU SEPTIC License R:
Contents transfected'to: RAYNIM' .
Date n / N /loos Inspector RAGGS SEPTIC SERVICE, IN
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NORTH ANDOVER
SUBSURFACE DISPOSAL SYSTEM CHECK LIST f= 1
I. General Information
Reg. 2. 5 The submitted plan must show as a minimum:
(a)q!the lot to be served
(b) e--,location and dimensions of the system (including
reserve area)
(c)U!-design calculations
(d)br,,calculations showing required leaching area
(e)(, existing and proposed contours
(f) af4locLatioon and log of deep observation holes -
distance to ties
(g)�f�loa exa, and results of percolation tests -
distance to ties
(h),)`-location of any wet areas within 100' of the
sewage disposal system or disclaimer
Md-surface and subsurface drains within 100 ' of
the sewagedisposal system or disclaimer
(jlocation of any drainage easements within.---- - ---
, 100 ' of the sewage disposal system or disclaimer�,
Wo,"-know sources of water supply within 200-' of
the sewage disposal system or disclaimer
(1) location of any proposed well to serve the lot
(m)t'-location of water lines on the property
—4p))(,, maximum ground water elevation in the area of
the sewage disposal system
(o)� a profile of the system
(p)K. no PVC is to be used in construction
(q)cr-location of benchmark
(r)()," plan must be prepared by a Professional Engineer r
or other professional authorized by law to prepare
such plans.
II. Garbage Disposers
III. Septic Tanks
Reg. 61 0O,-- (�'(a) Capacities - 150% of flow
Reg. 6 .. 7 (b) Water table
Re . 6 8
gm(c) Tees
.
Reg. 6 .9 (;!. (d) Depth of tees
Reg. 6 . 12 tt (e) Access
Reg.. 6. 18 r"(f) Pumping
Cleanout
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IV. Pumps
Reg. 9. 1 (a) Approval
Reg. 9.6 (b) Stand-by power
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V. Distribution Boxes
Reg. 10.2 (a)C(- Slope greater than 0.08
Reg. 10.4 (b)oz-Sump
VI. Leaching Pits
Leaching pits are preferred where the installation is
possible.
Reg. 11.2 (a) Calculations of leaching area (minimum 500 S.F. )
Reg. 11.4 (b) Spacing
Reg. 11.10 (c) Surface drainage 2%
Reg. 11. 11 (d) Cover material
VII. Leaching Fields
Reg. 15.1 ( (a) Greater than 20 minutes/inch
Reg. 15.1 6-' (b) Area (minimum 900 S.F. )
Reg. 15.4 01--,-(c) Construction of field.
Reg. 15.8 C,--,(d) Surface drainage 2%
IX. Downhill Slope
(a) Slope y/x = (to be shown)
(b) y/x X 150 = (to be shown)
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SOIL PROFILE & PERCOLATION TEST DATA
Town City No.&Street Lot No. j
\J Loc./Subdiv. Plan Owner 6U., Ci i. : r,�c./'r/}�
\ Investigator ��� ���',�/� Observer
`8► � --SOIL PROFILES-DATE
1' lev. _ 2.
Elev._ 3' Elev. !—'Elev.
$ 0 7 0 7 0 0
2 2 2
3 3 3
V
3 4 \4 4 4
5 5 5 5
6 r
C
6 6 G
7 7 7
8 8 8
9 9 _ 9 9
10 10 10 10
Benchmark Location
Elevation Datum
Percol ti n Tests-Date
Z
01,77
Pit Number 1 2 3 4 5
Start Saturation - ',3
Soak-Mins.
Start Test-Time 12 :44
Drop of 3"-Time Z '58
_Prop of 6"-Time /0
Mins.lst "Drop
Mins.2nd 3"Dro
Notes & Sketches on Back Frank C. Gelinas & Associates, North And.
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TO: NORTH ANDOVER, MASS7 19 77
BOARD OF HEALTH
FROM: DESIGN ENGINEER Re: Soil Absorption Sewage
System Inspection
This is to certify that I have inspected the construction of the said disposal system at
,3 / Zf f C << 5 Z_ North Andover, Mass.
SITE LOCATION
The grades and construction are as specified in my plans and specifications dated
19 coMMoN�
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— --� _ _ I_rJdT:4LLA LOiu CHMK LIST
APPROVF� DISAPPROVED
Date: ' ' '-" _ EXCAVATION OK
Date: 5,-7� _ ��
Reason.-,
1. As Built bmitt
eck: Lot location, dimensions of system, location in regard to
percolation tests, depth of system, water table
2. Distance /tIetland Areas, Drains, Street & House, Drainage Easement and Wells.
3. Water Line ocation
4. No PVC Pipe
5. Septic Tank - Tees C t- ipe to Tank Join on both side of Tank.
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6. Distribution Box - No cra 4'in box or cov all line
�(( ow erual_ly from box.
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?. Leachelds - Dirnensions, Stone Depths, Capped ends, Clean double-.shed stone
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8. Leach Pits - Dimensions, Depth of Stone, Splash pac, tees, Cement-pipe to tank-
joints on both sides of tank, Clean double-washed stone
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9. No Gare Disposals r
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10. Final G ading *,barricading of sub-surface system'•
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