HomeMy WebLinkAboutMiscellaneous - 229 BRENTWOOD CIRCLE 4/30/2018 229 BRENTWOOD CIRCLE y1e
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Board of Appeals — Board of Health —'Plan ning Board — Conservation Commission — Buibding Departrment
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Wil-Mac Realty
Lot #2ZBrentwood Circle
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APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot # 22- Brentwood Circle 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 iOOO gal. 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 (a*=M) 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 1/41' (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 the 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--_` l ,
it L /
Signa 'ure of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE October 191 1967
Si attire of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE 3
Signature of Ins` c ing Officer
Percolation Test 6 Minutes » Soil: Clay
Garbage Grinder Yes
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Y
BOARD OF HEALTH ,�,�•
TOWN OF NORTH ANDOVER, MASS.
At vj 00 1- c
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1. NAME i 1 0, cy t. DATE_
2. ADDRESS I&,a, � t "t LOT NO. A TEL.��
3. NO. OF BEDROOMS 4j� 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.
*�+ BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
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1. NAME Vv i " M Q C- lig DATE 10 -
2. ADDRESS �� h I Qu �j�'� _ LOT NO. A TEL.
3. NO. OF BEDROOMS '� DEN YES ✓ NO
4. GARBAGE GRINDER YES ✓ NO
5. SHOW DIMENSIONS OF HOUSE y ->j �--
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.
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE October 21, 1957
NAME OF APPLICANT Wil-Mac Realty Co. _
LOCATION___ Lot #22, Brentwood Circle
Address of lot no.
BUILDING: Dwelling y, Other
SYSTEM: New X Repair
GENERAL DESCRIPTION OF LAND High
SUBSOIL: Clay X GravelSand
PERCOLATION TEST 5 minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK 1,000 gallon capacity.
LEACH FIELD 200 lineal feet of drain pipe,
William J. D iscoll, En er
Board of He th
N° 1004
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. Alau
/ 19 y S
Application by the undersigned is hereby made to connect with the town sewer main in / 'f
subject to the rules and regulations of the Division of Public Works. Street,
The premises are known as No.
Street
or subdivision lot no.
Owner
r r Address
Contractor 1� Address
Vpa Signatur
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works.. Street
Division of Public Works
By
Inspected by
Date
See back for rules and regulations #j
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to BOARD OF HEALTH
120 MAIN STREET TEL. 682-6483
SAcHUSNORTH ANDOVER, MASS. 01845 Ext23
APPLICATION FOR ABANDONMENT
OF SUBSURFACE DISPOSAL SYSTEM
(SEPTIC SYSTEM)
PURSUANT TO SECTION 310 CMR 15.354
OF THE STATE ENVIRONMENTAL CODE, TITLE V
This form must be submitted to the Board of Health no less than
five (5) days prior to date of abandonment and be accompanied with
a copy of the sewer connection permit.
Name TSO Phone
Address 1Z CG2,
Contractor hired for work:
• Name -70 4, Q6 CAto Phone (o 3'�:-5--�(-q
Address C( 4-• V
Date for scheduled abandonment 16( I? CeAe G4 ! �`
Method of septic tank abandonment (check one) .
( ) removal ( ) sandfillcrush ( ) other (describe
belga)
Other
PLEASE DO NOT WRITE IN THE SPACE BELOW
FOR HEALTH AGENT'S USE ONLY
Insp4—cti g Agent Date
Comments /�U.s'4.z _. /✓��� �C �-°..��.
•
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STATEMENT
DANIEL`A. GIARD
130A Appleton Street q
NORTH ANDOVER, MA 01845 DATE
Phone 686-7653
TERMS:
G�
- - PLEASE DETACH AND RETURN WITH YOUR REMITTANCE 136 ,
__ -.7-'
- -,.,- _ .M -_
DATE - INVOICE NUMBER/DESCRIPTION - r
aC�.�RG EDI`Tg IBALANCE
BALANCE FORWARD
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1T
water &Sewer
Septic Service Installations
Sewer Rodding
(508) 666-7653
Daniel A.Giard
General
Contracting
No. Andover Mass.
DANIEL A. GIARD
Commercial Lawn Mowing
Snow Plowing
i
SEPTIC SYSTEM INSPECTION FORM
ADDRESS 2 Z JD � l.vdd� L r
DATE INSPECTED
PROPERLY FUNCTIONING? N
WEATHER CONDITIONS
COMMENTS:
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name JAMES C. ROOp JE,
2. Street Address '229 BSE-KTWOOD C1(2ZLF_
3. How many members are in your household? Twe
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
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years X 11-20 years
❑ over 20 years ❑ do not know
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes no ❑ do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your se age disposal system pumped out? ❑ annually
❑ every 2-4 years ( every 5-10 years ❑ over 10 years ❑ never
9. Have you had any problems with your sewage disposal system? ❑ yes 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 2-
roof/pavement drains shower/bathtub 2.
11. Please state the brand and type (liquid o powder) of detergent you use for:
dishwasher �- CasCaGE^-
clotheswasher /--,L-
12. Does your property have a lawn? yes ❑ no
k
es, approximately what size?
less 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 ►V at4s
Season(s) of the year
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
❑ Check here if your lawn is maintained by a professional landscape contractor.