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INVOICE Bateson Enterprises Inc.
k-** Rey Fatima
111 Argilla Road • Andover, Mass. 01810
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Tel. (617) 475-1474
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,CE Bateson Enterprises Inc.
&me* Rey ForW-
111 Argilla Road • Andover, Mass. 01810
Tel.
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Received by
,CE Bateson Enterprises Inc.
&me* Rey ForW-
111 Argilla Road • Andover, Mass. 01810
Tel.
Received by
11
11
Ir
111
AMOUNT DUE
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Perrnkt_ ##11*,2
Lot 58AWoodcrest Drive
Ben Osgood
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH -DEPARTMENT - NORTH ANDOVER, MASS.
I hereb make application for a permit for a sewage disposal installation at
Lot 5 Woodcrest Drive #/9 V(or� . 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 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 (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 5/8/69
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE 5.8/69
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE *1 %'L.
a
Signature of I s c ing Officer
Percolation Tests Minutes Soil: Clay
Garbage Grinder
2
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
4- Ll
C° e .
1. NAME DATE
2. ADDRESS .. �� LOT NO. 717 TEL.
3. NO. OF BEDROOMS 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.
5`
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE C
NAME OF APPLICANT
LOCATIONWo-e—� /VL"j-t�
s��
�l
Address of lot no.
BUILDING: Dwelling K Other
SYSTEM: New D- Repair
GENERAL DESCRIPTION OF LAND
SUBSOIL: Clay � Avel Sand
PERCOLATION TEST minutes per inch,
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK_ gallon capacity.
LEACH FIELD 2-d-0 lineal feet of drain pipe,
A
William J. D i co , Engineer
Board of Hea
Julius Kay, AD., Chairvnn.ri
R. Geome Canal
Edward J. Scanlon
Y ABOARD OF HEALTH
NORTH ANDOVER
MASSACHUSETTS
01845
COINTLAINT REPORT
02,;�4oK/OR,Ir�o
F• APNILITI i
1855
TEL. 682-6400
Dat,, Mav 11,_ 1973
Benjamin C. Osgood
69 Old ,Village_ Lane,_ wort- dc��r �-
683-9291
Water is flowing from lots 0 58 and 59 _on ,_Woo.,,dc__rgst
Drive onto the roadway. Theresis a st gng odor of_seweracre.__,,_,____
Lot #58 seems to be the worst offender. The system on Lot #58
should be investigated for system design. The installation_ of the
system has obviously been done by a rank amature.The water in this
area should be tested for contamination.
Lots #58 & - 59_Woodcrest.�,Drive
I.ddrcss
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make aplication for a per for a sewage disposal installation at
Ln 'I- �. M'e;U GSE -� „. 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 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 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 a tached to the permit. Plot Plans must be submitted with application.
DATE
f l
ignature 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 describe 'Z_ -
q /7
.Signature of I specting Officer
Percolation Test_
Garbage Grinder
I,—
f"')
4' 8
v
J / 4.
r
jLe o
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
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.
itYA,)
1.
NAME
u
DATE
" 2.
ADDRESS
LOT NO. TEL.
3.
NO. OF BEDROOMS
DEN
YES NO
4..
GARBAGE GRINDER
YES NO
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.
SEPTIC SYSTEM INSPECTION FORM
ADDRESS I'Qp Wc6 a ex--eL -
DATE INSPECTED
PROPERLY FUNCTIONING? OY N
WEATHER CONDITIONS
COMMENTS:
WATT ER QLALITY TES t E'er n hes;,LT,5.?
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED
RESIDENT
UESTIINNAIRE
1. Name g, ea"s_
O2. Street Address
3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ cesspool
septic 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 do not know //` ^ P-)
6. How old is your sewage disposal system? ❑ 0-5 years El 6-10 years X 11-20 years
El over 20 years ❑ do not know 1,2
y%
7. Has your se a e disposal system been rebuilt or repaired? v
❑ yes no ❑ do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? ❑ annually
O ry 2-4 years ❑ every 5-10 years- El over 10 yearsi�V,Qr never f/� .J;
9. Have you had any problems with ��e dis� s em? ye$/ ❑ no // 8 Z
If yes, what problems?
-[1 repeated pump -outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
10.
11.
12.
How many of ea( -h appliance are connected to your sewage disposal system?
washing machine dishwasher garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub_
Please state the brandand pe (liquid or powder) of detergent you use for:
dishwasher aY7_--c-evell v., -
clotheswasher 1 u/Id
Does your property have a lawn?
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre
❑ more than 1 acre (Specify)
Xyes ❑ no
❑ 'h acre X 3/4 acre ❑ 1 acre
_ acres
13. ` How often do you fertilize your lawn?
QNo. of applications per year fr@ /_" a�f/ly FvE2y 1=�7�,/
Season(s) of the year C4LG A/e;raR
��i0 RS
LYJ�DS OAF.
14. Please state the brand and type (liquid or granular) of lawn fertilizer, you use:
�qr/ Gy'4 Ocdr.al
❑ "Check here if your lawn is maintained by a professional landscape contractor.
jype-i,'. :err are in r'our household?
disposal system do you have?
id Leaching area
1
to municipal sewer _
i..r. (de>crihe)
.3 nof know
'he € l .ns (drawings) fory our sewage disposal systerra on file with the Board of Health?
v s ❑ no do not know
�'OXV old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years x 11-20 years
over 20 years EJ do not know /
s your se-r•a a disposal system been rebuilt or repaired? �J
no ❑ do not know
-es, approximately how long ago? years. What was done?
I^- fre€�uently is your sewage disposal system pumped out? ❑ annually
eszry 2-4 years ❑ every 5-10 years ❑ over lfl years/
-77// nevere�y/�
'
:1z- e ��ou had any problems with your sewage dist pos�fl s em? ALJ ye El no
ff yYas, what problems?
❑ repeated pump -outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
10. i _ many of each appliance are connected to your sewage dismal system?
,v,�R ging r. -Lachine , dishwasher _ _� garbage disposal
dE:iturnidifier drain sump pump {`� toilet -
roof /pave. fnent drains shower/bathtub _,=_
11. Ple:,se state the' brand and t pe (liquid or powder) of detergent you use for:
diE` evasher �NN eyCvyn 5 ��
clotheswasher •C �i� his Lr�
12. Does your property have a lawn? x yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ '/4 acre ❑ '/2 acre x 3/4 acre ❑ 1 acre
❑ morc than 1 acre (Specify) acres
13. How oftc : do you fertilize your lawn?
O No. of al iicatians per year
Seasons; of the year /6Hr f=r01� /��Sti /�/�rL- 2 iX.sFCDr DI.F.
14. Please st.: e the brand and type (liquid or granular) of lawn fertilizer you use:
❑ f heck here if your lawn is maintained by a professional landscape contractor.