HomeMy WebLinkAboutMiscellaneous - 200 HAY MEADOW ROAD 4/30/2018 (2)' | \
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Addre-
Owner's Name:
Owner's Addres
Date of Inspectit
Name of Inspector: (please print) F—Ow/,1R0 S,i3�CEsk�
Company Name:
Mailing Address: PD do,)' /6$ gd
, yC? _j 9'
Telephone Number: go0—S�7—�-og
CERTIFICATION STATEMENT
ID`011 r F,
2001
I
1 certify that 1 have personally inspected the sewage disposal system at this address and that the information reponed
below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant toSection15.340 of Title 5 (310 CMR 15.000). The system:
1/ Passes
Conditionally Passes
Needs Further Evaluation by the Local Appro%ing Authonn
Fails
Inspector's Signature:&LM2.n/ �/�21J — Date: —6
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or
DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving
authority
Notes and Comments
ALTHOUGH THIS REPORT MAY BE DEEMED RELIABLE, NO WARRANTIES
OR GUARANTIES ARE EXPRESSED OR IMPLIED.
-*This report only describes conditions at the time of inspection and under the conditions of use at that
time. This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page I
N
Page 2 of 1 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Propert) Address: 2 G o
41
Owner: v
Date of Inspection: 2)—O' /
Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D
A. System Passes:
have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated belo��.
Comments:
B. System Conditionally Passes:
One or more system components as described in the "Conditional Pass" section need to be replaced or
repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass.
Answer yes, no or not determined (Y,N,ND) in the for the following statements. If "not determined" please
explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
`A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if (with approval of the Board of Health):
ND explain:
broken pipe(s) are replaced
obstruction is removed
Pace 3 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
41
Property Address: 2 a -o --�
�-1 v'
Owner: l�
Date of Inspection:
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing.to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CNIR 15.303(1)(b) that the
system is not functioning in a manner which will protect public health, safety and the environment:
_ Cesspool or privy is within 50 feet of a surface water
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the
system is functioning in a manner that protects the public health, safety and environment:
_ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of a public .vater supply
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply %y ell.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to determine distance
"This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bactu-;a and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
Page 4 of 1 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 2 o a
Owner:
Date of Inspecti n: ^ 27 --fl
D. System Failure Criteria applicable to all systems:
You must indicate "yes" or "no" to each of the following for all inspections:
Yes No
15� Backup of sewage into facility or system component due to overloaded or closed SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
4,' Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
l/ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow
ri Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped
Any portion of the SAS, cesspool or privy is below high ground water elevation.
f/ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
V Any portion of a cesspool or privy is within a Zone 1 of a public well.
i� Any portion of a cesspool or privy is within 50 feet of a private water supply well.
(/ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. This system passes if the well water analvsis,
performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.)
faro (mss -No) The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303. therefore the system fails. The system o\kner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd.
You must indicate either "yes" or "no" to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
_ the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (I_nterim Wellhead Protection Area — IW -PA) or a mapped
Zone If of a public water supply well
If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered
"yes" in Section D above the large system has failed. The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the appropriate regional office of the Department.
Page 5 of I l
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: GO
Owner:
Date of Inspecti n:
Check if the followine have been done. You must indicate 'yes" or "no" as to each of the following:
Yes No
Pumping information was provided by the owner. occupant, or Board of Health
Were any of the system components pumped out in the previous two weeks ?
i/ _ Has the system received normal flows in the previous two week period ?
l/ Have large volumes of water been introduced to the system recently or as pan of this inspection
Were as built plans of the system obtained and examined? (If they were not available note as N/A)
Was the facility or dwelling inspected for signs of sewage back up ?
Was the site inspected for signs of break out ?
Were all system components, excluding the SAS, located on site
Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition
of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum
_ _ Was the facility owner (and occupants if different from owner) provided with information on the proper
maintenance of subsurface sewage disposal systems ?
11 e size and location of the Soil Absorption System (SAS) on the site has been determined based on:
Yess no
/ _ Existing information. For example, a plan at the Board of Health.
Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance
is unacceptable) (3 10 CMR 15.302(3)(b)]
Page 6 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 2 aO
Owner:
Date of Inspect' ,-
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms (design): Number of bedrooms (actual):
DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x # of bedrooms):
Number of current residents: 2
Does residence have a garbage grinderJ-)*� or no): &0
Is laundry on a separate sewage system .(yk-, or no): lvo [if yes separate inspection required]
Laundry system inspected (yes or-R&):�
Seasonal use: 4,4m or no):0
Water meter readings, if available (last 2 years usage (gpd)):
Sump pump (yes -or no): IVO
Last date of occupancy:
COMM ERCIAL/INDUSTRIAL
Type of establishment:
Design flow (based on 310 CMR 15.203): gpd
Basis of design flow (seats/persons/sgft, etc.):
Grease trap present (yes or no): _
Industrial waste holding tank present (yes or no): _
Non -sanitary waste discharged to the Title 5 system (yes or no): _
Water meter readings, if available:
Last date of occupancy/use:
OTHER (describe):
GENERAL INFORMATION
Pumping Records
Source of information:
Was system pumped as part of the inspection (yes or no):
If yes, volume pumped: gallons -- How was quantity pumped determined?
Reason for rumping:
TYPE OF SYSTEM
Septic tank, distribution box, soil absorption system
_ Single cesspool
_ Overflow cesspool
Privy
_ Shared system (yes or no) (if yes, attach previous inspection records, if any)
_ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be
obtained from system owner)
_ Tight tank _ Attach a copy of the DEP approval
_ Other (describe):
Approximate as components, date itall�� .�,known) and source of information
Were sewage odors detected when arriving at the site (�,s or no): IMO
Page 7 of 1 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 2 60 �
Owner:
Date of Inspection: ^2i --a j
BUILDING SEWER (locate on site plan)
Depth below grade:
Materials of construction: _cast iron _40 PVC _other (explain):
Distance from private water supply well or suction line:
Comments (on condition ofjoints, venting, evidence of leakage, etc.):
SEPTIC TANK: !/ (locate on site plan)
Depth below grade: 2 9
Material of construction: ;-concrete _metal _fiberglass _polyethylene
—other(explain)
If tank is metal list age: _ is age confirmed by a Certificate of Compliance (yes or no): _ (attach a copy of
certificate)
Dimensionso
Sludge depth:t1- ( '
Distance from top of sludge to bottom of outlet tee or baffle: i
Scum thickness: 15- "_
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Hoy, ��ere dimensions determined: :4�
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage, etc.):
GREASE TRAP: _(locate on site plan)
Depth below grade
Material of construction: _concrete _metal _fiberglass polyethylene _other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrit), liquid levels
as related to outlet invert, evidence of leakage, etc.):
Page 8 of I 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 200 9 ,
Owner:
Date of lnspectioo: � — 2� •—d
TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass _polyethylene other(explain):
Dimensions:
Capaciry: gallons
Design Flow: gallons/day
Alarm present (yes or no):
Alarm level: Alarm in working order (yes or no):
Date of last pumping:
Comments (condition of alarm and float switches, etc.):
DISTRIBUTION BOX: (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: _�
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover. any evidence of
leakage into or out of box, etc.):
PUMP CHAMBER: (locate on site plan)
Pumps in working order (yes or no):
Alarms in••vorking order (yes or no):
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Page 9 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 200
t, s
Owner:
Date of Inspection:"—,I/
SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required)
If SAS not located explain why:.
Type
leaching pits. number: _
leaching chambers, number:
leaching galleries, number:
leaching trenches, number, Iengtlt,:
� leaching fields, number, dimensions:
overflow cesspool, number:
innovative/alternative system Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil
etc.):
CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan)
condition of vegetation,
Number and configuration:
Depth — top of liquid to inlet invert:
Depth of solids layer:
Depth ofscum la%er _
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow (yes or no):
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
PRIVY: (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
iESEPTiC SYSTEM-wAS.1N.STALLED.AS SHOWN
t.
�TENDEDAS A WARRANTY OF THE SYST.Ed.
DWBING OUTLE . 142A
SEPTIC TANK INLET 141.47
OUTLET 141-22
D'SQMNLET 14104
OUTLET 14090
END FIELD 140070
-LAN S--1_:OWING SUBSURFACE
S.EVf RAGED.! SP05 SYS � Ery
AS -BUILT
Page 10 of 1 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner:��
Date of Inspection. '7(
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate
/7all `w—ells within 100 feet. Locate where public water supply enters the building.
ON
Paee I I of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 2a�
Owner:
Date of Inspect d : 'Q —oma
sj XA M
ur ace water
allow wells
Estimated depth to ground water feet
Please indicate (check) all methods used to determine the high ground water elevation:
6_ Obtained from system design plans on record - If checked, date of design plan reviewed:
:7Z—Observed site (abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health -explain:
Checked with local excavators, installers- (attach documentation)
Accessed USGS database -explain:
a
8.10.2
:g.10.4
;g.11.2
,g. 1 1 • 1 1
:g.15.1
.g.15.1
'g-15.4
ag.15.8
;g. 3.?
;g.14.1
g.14.3
:g.14.4
1.4: 5
g. 14.']
ag.14.1
eg. 9.1
eg. 9.6
JY,Distribution Boxes
1
/(a) Slope greater than Q.08
(b) Sump
Leaching Pits
Leaching pits are preferred where the installation �,s
possible ,�
(a C. culations of leaching area (minimum 500 S.F.)
(b Spacing
(c /Surface drainage 2%
d Cpver! material
d
2 {2•>Lrn P[:i s`1 �r /�\ n1.0
-re c cr C-1 0 rz ` Jl
Leaching Fields_
%Greater than 20 minutes/inch
rb Area' (minimum -,900 S.F.)
d,c Construction of field
`.d Surface drainage 2%
%(e 20' from -cellar wall or inground swimming pool
Leaching Trenchers
(a Calculatio s of leaching area (min. 500 S.F.)
(b Spacing ( ft. min. 6 ft. with reserve between).
(c Dimension,
(d _Construckiori.
(f) Surf ac drainage 2%
Downhill S ope
�a Slope/y/x to be shown
b� y/x X 150 = �to be shown
Pum -Po
(aApproval
(b� Stand-by power
Board of Health • BEPTIC 3ISTEH
North Aa ver Haas. INSTALLATIcK CHECK LISP LOT A9
W
""w4t, ow*
1.
Distance Tot
a. Wetlands
b. Drains
c. Well
2.
Water Line Location
3.
No PVC Pipe
%.
Septic Tank
a. _Tees -_Length do To Clean Out Covers.
b. Cement Pips ' to Tank - On Both Sides of Tank=avTL�T
TO
5.
Distribution Box
TEE
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amounts
c. No Back Flow
6.
Leach Field or Trench
a. sions
Stone Depth
c. Capped Ends
d. Clean Double Washed Stone
77.
LeIch
a.ns
b.pth
c.ads
d.e.ipe
to Pit - Both Sides
f. uble Washed Stone
8.
No Garbage Disposal
9.
Final Grading Inspection
10.
Barricading Covered System
As Built Submitted
a. Lot Location
b. Dimensions of System
c. Location with Regard -to Perc Test
d. Elevations
e; Water Table
,Io► " ; 0 ix' ANDOVER i3oAiiD Or iii AL1H 7 qt_ / 7
L
_ID PR0V ED DtkTE PROVIDED
Title 5
Reg. 2.5 Fai
t 0
Reg. 6
DI APPROVED DATE TITIE REASOIN
e submitted plan must show as a minumum:
(/a) the lot to be served (area, dimensions, iot //,abutters)
,(Planning Board -files)
(b). location and log of deep observation holes -distance
to ties
ec location and results of percolation tests -distance
to ties
s & calculations showing required
(d) design calculation
_leaching area
,(e) location and dimensions sf system (including reserve
area)
(f) existing and proposed contours
( g location of any wet areas within 100' of the sewage
disposal syst-am -ot"disclaimer (check wetlands mapping,
/(h) surface and subsurface drains within 100' of sewage
disposal system or disclaimer
�,-i) location of any drainage easements within 100' of
sewage disposal system or disclsimer (planning board
files)
X(j) : known- sources- ofwater-supply- within- 200' of sewage
- dispbsa _-system:-or_--disclaimer-.- -
)- location- of- any proposed - well- -to serve- the lot (100'
from leaching facility)
/66 location of water lines on property (10' from.leachin
/facilities)
location of benchmark
r01p)
� driveways
garbage disposers
no PVC is to be used in construction
,q) a profile of the system (elevations of basement, pl1141)
pipe septic tank, distribution box inlets and outle:�c
distribution. -field piping and any other elevations)
(r) maximum ground water elevation in area of ser�age disc
system
(s) plan must be prepared by a Professional Engineer or
other professional authorized by law to prepare such
plans
Septic Tanks
.(a) Capacities 150° of flow, water table, tees, depth
of tees, access, pumping,
Cleanout
(c 10' from cellar wall or ir_ground swimming pool
d 25'- from subsurface drains
I-
I�
'D
7 /5�,�2J � of
LOT AREA
54,072 S.F.±
,M
co 289.0'
40
EX. CONC. FOOTINGS
Z TO BE REPLACED
2 o W/ NEW FOOTING (TYP
U
o PROP. DECK
a W 13.33 X 12' 1
Q
EX. 2 STORY 49.3'
WOOD FRAME
STRUCTURE
75.0'
R;1 �
Y MEADOW
46.5'
N38°54'00"E
- 45.91' -.
11
EX. DECK TO
BE DEMOLISHED
I CERTIFY THAT THE STRUCTURES
SHOWN WERE LOCATED BY AN
INSTRUMENT SURVEY AND EXIST ON
REBAR PLOT PLAN OF LAND
FND 200 HAY MEADOW ROAD
NORTH ANDOVER, MA
PREPARED BY.
-
SULLIVAN ENGINEERING GROUP, LLC
22 MOUNT VERNON ROAD
BOXFORD, MA 0.1921
(978) 352- 7871
DA TE: 5/7/11 SCALE: 1 "=40'
N
D 42.5' 5'f
<FXjS 9,1.5' rlrr, rQM .
EX. 2 STORY
WOOD FRAME
STRUCTURE
75.0'
LOT AREA
54,072 S.F.f
289.0'
3
�00
�cV d'
0)
2
EX. CONC. FOOTINGS
TO BE REPLACED
W/ NEW FOOTING (TYP)
/ PROP. DECK
/ 13.33' X 12'
49.3'
46.5'
R� r
N38`54 00"E
45.91'REB—
q Y FNDAR
MEADOW
ROAD
EX. DECK TO
BE DEMOLISHED
I CERTIFY THAT THE STRUCTURES
SHOWN WERE LOCATED BY AN
INSTRUMENT SURVEY AND EXIST ON
PLOT PLAN OF LAND
200 HAY MEADOW ROAD
NORTH ANDOVER, MA
PREPARED BY.•
SULLIVAN ENGINEERING" GROUP, LLC
22 MOUNT VERNON ROAD
BOXFORD, MA 01921
(978) 352- 7871 -
DA TE: 5/7/11 SCALE: 1 "=40'
Q�.
9�e
i� LOT 18
54,0720
I CERTIFY THAT THE SEPTIC SYSTEM WAS INSTAILEDAS SHOWN,
THIS PIAN IS NOT INTENDEDAS AWARRANTY OFTHE SYSTEM
120.00
582 2i -Dow
s
i
J _ PLAN SHOWING SUBSURFACE
SEWERAGE DISPOSAL SYSi Et,l
AS -BUILT
1
LOCATION LOT 18 HAYMEADOW ROAD
OV,,1,JER LYNCO REALTY TRUST
DATE 9-27-83 SCALE I." =
I PREPARED BY - y - - -
FLYNN "'�SSOCoP C.
P. 0. 569 i
P1.AIST0*,,'NH, 0,3865
ELEVATIONS ;
TOP FND
15lo5S �
DWELLING OUT LP T
142.4
SEPTIC TAW INLET
141.47
OUTLET 14122
D-bOX INLET
141o04
OUTLET
140.90
END FIELD
140x70
s
i
J _ PLAN SHOWING SUBSURFACE
SEWERAGE DISPOSAL SYSi Et,l
AS -BUILT
1
LOCATION LOT 18 HAYMEADOW ROAD
OV,,1,JER LYNCO REALTY TRUST
DATE 9-27-83 SCALE I." =
I PREPARED BY - y - - -
FLYNN "'�SSOCoP C.
P. 0. 569 i
P1.AIST0*,,'NH, 0,3865
i
r
M.
N
4
LV 140
54,072 0
I CERTIFY THAT THE SEPTIC SYSTEM WAS I N STALLED AS SHOWN;
Tt,.IS PLAN IS NOT INTENDEDAS AWARRANTY OF THE SYSTEM,
120.00
Sgt- 24, o0w
ELEVATIONS
TOP FND
151.55
DWQLtNG OUTLET
142.4
SEPTIC TANK INLET
141.47
OUTLET
141022
D- BOX INLET
141x04
OUTLET
140°90
END FIELD
14070
PLAN SHOWING SUBSURFACE
SEWERAGE DISPOSAL SYSTEM
AS -BUILT
LOCATION LOT 18 HAYMEADOW ROAD
OW11ER LYNCO REALTY T RUST ,
DATE 9-2783 SCALE 1=40
vRr-PApED BY-
F(_Y'NN' 'AS50C:Pc.
F.'0 BOX 569
PLAISTOW, NH03865
i