HomeMy WebLinkAboutMiscellaneous - 232 RALEIGH TAVERN LANE 4/30/2018 (2) ----------------
232 RALEIGH TAVERN LANE
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North Abdover,Mass
UDSii IFACE DISPOSAL DESIGN CHECK Lr;ST
LOT #
APPROVED DATE DISAPPROVED DATE
Provided: Reasons:
r7rb ,
Title WFA .
Reg 2.5 a submitted plan msast shoe as a minimum:
the lot to be sewed-area,dimensions lot #,abutters
location and log deep obeervation hoes-distance to ties
location and results percolation tests-distance to ties
esign calculations & calculations shoving required leaching area
location and di.zrrnsions of €7stem-including reserve area
f existing and pakosed contolws
g) location any jnt areas jd.t-jjj.n 1.001 of serge disposal system or
sclair r-check watlands rapping
h) surface emd subsurfaco drains iAthin 1001 of serge disposal
syste z or disclaimer
i) ,or. tfon any drainage easements c-t:oln 3.001 of sei nge dicposal
Llystemt or disclaimer-PL%udng Pard files
( ) km .n sourves of rater scaly within 200, of sgjage di,spoml
sy;jtem or disclaimer
of any proposed val.l to serve lot-1001 from leaching facility
oca pion of v ter 11ines on prporty-3.61 from leaching facility
z oeaticn of h.:rah—mark
W driveirAys
(o) garbage diaposal.s
(p) no PVC to be used in construction
(q) profile of systsm°el e ations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
Other elevations
(r) maximm ground water elevation in area serge disposal. syat,=
(s) plan must be prepared. by a Professi.ona]. Engineer or other
professional authorized by la"wa to priLpare MdCh plans
Reg 6 Se.Y„ )tic
(a) capaciltles- 50% of floc, vater tables, tees, depth of tees,
access, purring
(b) cleanout
(c) 101 from cellar tall or inground m4mdng pool
(d) 251 from sub face drains
Reg 10.2 Distribution Foxes
Reg 10.4 (a) s ope greater UM 0.08
(b)
S'u4arface Design Check List ?
_.� J........ .._._..�.....r. ._ .._m.....�.�.�
FAIL OK
Leaching Fits
Leaching pits are preferred Where the installation is possible
Reg 11.2 a) calculations of leaching area-minimum 500 sq ft
11.1 b) spacing
11.10 c surface drainage 2%
11.11 d� cover material
e) 21x2tx14p splash pad
f) tee at elbow
g) no bends in pipe from d-box to pipe
Leaching Fields
Reg 15.1 a) no greater UM 20 mutes/inch
area-minizium 900s4 ft,
15.14 cb) construction of field
15.8 d) Furface dr0mge 2 %
3.7 e) 201 from cellar uLU or inground s-a g p*ol
Leachin enches
Reg 114,1 a) calculations' orTeaching arm-gin 500 cq ft
14.3 b) spacing-4 ft min 6 ft with reserve betwaen
1.14.4le)
c) di mmisions
114.6 d) construction
114.7 stone
14.10 f} surface draimage 2,
Do-tmhiU Slo e
a} -slope 7/x -- (to be shovm)
b) y/x X 150 = (to be shoran)
EMS
Reg 9.1 a) approval
9.6 b} stand-by power
i
SOIL PROFILE & PERCOLATION TEST DATA.
ell
� North Andover,lass. Nc•&Street %�� �i l�-�, Lot No.�
Loc./Subdiv. Plan Owner
Investigator - Observer -
SOIL PROFILES.-DATE
1- Elev. _.. 2. Elev. _. 3- Elev. 4-Eley.
- -
0 0 0 0
Ties to Test Pits
21Aj ,
2 2 2
3 • _ . 3 3 - 3
4 4 4 4
5 5 5 5
6 6 6 6
7 7 7
8 " ' 8* - 8 g "
LO 10 10 10
Benchmark Location -
Elevation Datum
Percolation Tess-Date
Pit Number 1 2 3 . 4 S
Start Saturation
Soak-Mins.
Start Test-Time ----
Dro of 3"-Time -
Dro of 6"-Time — {
Mins . lst• 3"Dro
Mins . 2nd 3"Dro p -
Percolation Rate
TO: 4AjI) NORTH ANDOVER, MASS. AF) I ZC.L 19 'E
BOARD OF HEALTH
FROM: r DESIGN ENGINEER Re: Soil Absorption
Sewage Disposal
System
This � s to certify that I have inspected the construction materials of
s�iid .disposal system at �_ALS.
Site Location
North Andover, Mass .
The grades and construction materials are as specified in my plans and
specifications dated Ij ANS , 19 and As-B ilt 1o'2_
Reg. Prof.Engineer/ eg. Sanitarian -
-
anitarian -
. INS
TO: JQ 4�j NORTH ANDOVER, MASS. A P P.1 L ZC, 19 E Z
BOARD OF HEALTH
��7 /-1Q �� 0 H��LF i i-I
FROM: DESIGN ENGINEER Re: Soil Absorption
r�A tJ v` C ' (--v i_ II1"/1 Sewage Disposal
AA-i C '-m - System
This is to certify that I have inspected the construction materials of
said disposal system at Lc31 (vA �lL�. ► -j �AV�2�U ( _ tip
Site Location
North Andover, Mass .
The grades and construction materials are as specified in my plans and
specifications dated A10 cL , 19 1 and As-B ilt APP-)L- Z,3 , 19 *2_
Reg. Prof.Engineer/ eg. Sanitarian
TO: C 4�j NORTH ANDOVER, MASS. SPP-)L Z4 19 E L
� BOARD OF HEALTH
FROM: r DESIGN ENGINEER Re : Soil Absorption
C' ����-- ���•� '� Sewage Disposal
System
This is to certify that I have inspected the construction materials of
said disposal system at L,3T Cc�- A -TA-V( (1 we
Site Location
North Andover, Mass .
The grades and construction materials are as specified in my plans and
specifications dated Ij Ari �L , 19 S 1 and As-B ilt APS 1c Z_ 10'2_ .
Reg. Prof.Engineer/ eg. Sanitarian
s
SOIL PROFILE & PERCOLATION 'TEST DATA
Town/City No.&St'reet, C c��jG/� ,-� Lot No (_/1
Loc./Subdiv.. Ccp'pG/C�/ Plan _ Owner C 0
\ 9 _ Observer
\ Investi ator
Q-�U
S SOIL pF2FXLES-DATE
.Q
1. E1 v.�- 3' Elev.� 4'E1ev.
0�5 7 2' Elev.
0 0 0 0
1 \
2 �j 2 2 2
3 3 3 3
4 4 4 4
V
5 5 5 5
3
6 6 6 (,
7 7 7 7
8 g 8 8
9 9 9 9
10 10 10 10
Benchmark Location
Elevation Datum
Percolation Tests-Date
Pit Number 1 2 3 4 5
Start Saturation
Soak-Mins.
Start Test-Time
Drop of 3""-Time
_Vrop of 6"-Time
Mins.lst 3""Dro
Mins e 2nd 3"Dro
Notes & Sketches on Back Frank C. Gelinas & Associates, North And.
t
177 . -
.
FORM U — IAT PXJZ sE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
✓'' APPLICANT: �_ � ��<^ � / G'G /� �C) Phone d 3 7 Z
LOCATION: Assessor' s Map Number �C �% � Parcel S
Subdivision Lot(s)
Street ���� � /A ��e�J /'�ti'CJ. St. Number
************************Official Use Only************************
/RECOMMENDATIONS OF TOWN AGENTS:
l 1`
I / Date Approved �
v Conservation Administrator Date Rejected
c
Comments m5eco
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
i
Date Approved /2
Septic Inspector-health Date Rejected
Comments G'
Public Works - server/water connections _
- driveway permit
Fire Department
Received by Building Inspector Date
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I KI V PIPE INTO TANK 15, (07
�l.i PInF_n��TOF r�11L �� .4-Z 5 V� Ul�.Vr�.� LJI�J POLL
INV PIPE INTO D 130XcJY�-t-
INV. PI PE OUT D•C^liOX 114. 84
INV f=t�1D oF" PI P� 1 14, Caa I N
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SITE
WOODCHXK
LANE
CARL TON VA R/ANCE
�P
PLAN OF LAND
/N
�P N0.ANDOVER,MA.
�P LOCUS FOR'
ROBERT M.# KAREN D.
F N/F MEL/L LO
FA RR �� E SCALE.•1 40' DATE.- 319194
Zo- 0 40 80 /20
SCOTT L. GILES, R.P. L.S.
NO. ANDOVER, MA.
I O O
a' THE PROPERTY LINES SHOWN ARE TH
o LINES DIVIDING EXISTING OWNERSHIPS
AND THE LINESOF STREETS AND WA
SHOWN ARE THOSE OF PUBLIC OR PRIL-
VATS STREETS OR WAYS ALREADY EST—
ABLISHED
STABLISHED AND NO NEW LINES FOR DIV—
ISION
/V.—ISION OF EXISTING OWNERSHIP OR NFW
L 0 T 6B WAYS ARE SHOWN.
.� h 52, 163 S.F. l -
N NO. ANDOVER
�-
> BOARD OF APPEALS
o
L
J � �
Z 30' c
TB, W \ 0
� \ �6 � � � Q DATE OF FILING:
DATE OF HEAR11W:
ZO, DA TE OF APPROVAL:
1ro Q;
3 '..6
a'
rti a QST h. �K a
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Ntr�j' 3//0/94
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160. GO
PL
THE ZONING DISTRICT/S R-2
R AREA=43,560 S.F.
30' FRONT SETBACK
30' SIDE SETBACK
30' REAR SETBACK
h
Board`of Health "
North Anp, arZHaas. SEPTIC SIBTE
INSTALLATION CHIC$ LISP LOT
APNUVED DAT$ DI SAPPROM AVATI CSI Ob FAIL
L� �odS clr�
. ea�anst
T
FAIL OK
1. Distance Tos
� a. Wetlands
b. Drains •
C. Well
2. Water Line Location
3• No PVC Pipe
4. Septic Tank -
,� a. -Tess -Length & To Clean Oat Covers.
G , b. Cement Pipe-to Tank On Both Sides of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing F4ual Amounts
c. No Back Flow
6. - Leach -Field or Trench
a. Dimensions
l G r b. Stone Depth ;
. c. Capped Ends
-✓, d. Clean Double-Washed Stone'
-7. Leach Pits
t a. Dimensions -
b. Stone Depth
c. Splash Pads
.� � d. Tees
e- Cement, Pipe to Pit - Both Sides.
f. Clean Double Washed Stone
8. No Garbage Disposal
9. FLnal Grading Inspection
10- Barricading Covered System
ll.. As Built Submitted-
as
ubmitted_a. Lot Location = -
b. Dimensions of System - -
c. Location with Regard-to Perc Test
d. Elevations
e: Water Table
.3
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OVER9415 Pf StTT
@C.QCd -AUG . 2 2007
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prov(ded�hl='form for u:e b local Boards o " ' Lr-I DF tiR n�E
".ba subml ed to �, Y �- fie ys-arn-ftU Ing Record must
th loca�'6oard of Health or other app roy(ng,
authority,
.. iI', :�,>.: •'i<a�.i!;{',.r..vr7I:A••:•N'`/'Yl�iy'L',i.Y"tt•
: •::A ,Facility ,InfQrr>�atlon '
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:�i�.When'tUW`i�p.out;; :1.::,'�3ystem„l.ocation ',;'�':•.;.,;, ,
ony the tab:key Addnss
to move your•:; .. ���/�//1c.,o •�-y��n
htum;yµ':: :'.,.a' rCltyq ►': ;',.,:!,' State
ZAP Code
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4. r,2,; S stere Owner'"'..rt`
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"`” Address(If d�fennt from bcatlen) 2
State' �p
Telephone Number
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u►�. i Record'
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Datof Pumping r'' y4�;' pa / 2, QuantJty Pumped:
. . ;',. :.i• .'•'�''•. c;'; .,}•, Gallons
TY.pa 9f.:yatem ;'+!' [) Cesspools) optic Tank
C3 Tight Tank
.,i'•� '..Gr' '•''EI".r' Y.�,�...It'r: r.�•Ir..,. r r 1
Other(d .
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:;-< '.t. if;�: w,:.• ;ti;, Gp•,... i y as it cleaned? Yes []'No
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