HomeMy WebLinkAboutMiscellaneous - 248 SUMMER STREET 4/30/2018 (2)CO ,cn
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CA/,e/ST�4NSEN ENG/NEE,P/Nc, /NC.
//4 KENOZA .4VE., A�4l1E,P11/LL, MA.
To of North Andover, MA
Watc..rshed Septic System
Servicing Report_
Date
Homeowner:
i
��-,I Pum er 400
Street. _ Address : la ,e
Phone Phone
1�
Nature o:ASerye: Routi . e
Emerg =.ncy
Obser�'Tations: Good 2ondition
Full to Cover
Baffles in Place
LeachEield Runback
Excessive Solids
Heavy Grease
Roots
Other. (Explain)
De ri.pt..on of Work ^p
. C.Y
Comments
Board of Health
North An�overa*BB. r SEPTIC SISTM
INSrAMATICK CHECK LIST LOT`j
- ,�P DATE DISAPPrZOL ED ) AVATIM 0K 'FAIL
eaten ss
•
OK
1. Distanee To':
a. Wetlands
b. Drains
C.. Well
�+ 2. Water, Line Location
3• No PVC Pipe
4. Sep F.ic Tank
a.
_`lees -_Length & .To Clean Ont .,ovi -a.
b.
Cement Pipe to Tank - Oa Both Sias-- of Tank
5.
Die tribution Box
a.
Covers & Box - No. Cracks
b.
All Lines Flowing Equal. Amounts
C.
No Back Flow
6.
Leach Field or Trench
a.
Dimensions
b.
Stone Depth
c '
Capped Inds
d.
Clean Double Washed Stone
?•
Leach. Pits
a.
Dimensions
b.
Stone Depth,
c.
Splash Pads
d.
Tees
e.
Cment Pipe to Pit - Both Sides
i.
Clean Doub'lo Washed Stone
8.
No
Garbage Disposal
9.
Yiiial
Grading Inspection
10..
Barricading Covered System
11.
As
Built Submitted
a.
Lot Location
b.
Dimensions of System.
c.
Location with Regard -to Pere Test
d.
Elevations
e.
Water Table
' Health
,....,,dover,Mass
SUBSURFACE DISPOSAL DESIGN CHnCK LIST
r
LOT j
APPROVED DATE 0 ,�
Provided:
DISAPPROVED DATE
Reasons:
Title V
Reg 2.5
FAII.
011
The submitted plan must show as a minimums
a) the lot to be served-area,dimensions lot #,abutters
b location and log deep observation ho ae.. istance to ties
c location and results percolation tests -i .stance to ties
d design calculations & calculations shoid.ig required leaching area
(e) location and dimensions of system-inclue,ng reserve area
f) existing and proposed contours
(g) location any wet areas within 100' c" s�Jage disposal system or
disclaimer -check Wetlands mapping
(h) surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
(i) location any drainage easements within 3.001 of sewage disposal
system or disclaimer -Planning Board files
(j) known sources of water supply within 2001 of sewage disposal e
system or disclaimer
(k) location of any proposed well to serve lot -1001 from leaching facility
(1) location of Water lines on property -101 from leaching facility
(m) location of benchmark
(n) driveways
(o) garbage disposals
(p) no PVC to be used in construction
(q) profile of system -elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, diCtribution field piping and
Omer elevations
(r) maximum ground crater elevation in area €swage disposal system
(s) plan mast be prepared by a Professional `%gineer or other
professional authorized by law to prepar° such plans
Reg 6 Septic Tanks
(a) capacities -15D% of flow, water table, tE.3s, depth of tees,
access, pumping
(b) cleanout
(c) 101 from cellar wall or inground swimming Yaol M
(d) 251 from subsurface drains
Reg 10.2 Distribution Boxes
(a) slope greater than 0.08
Reg 10.11 (b) sump `
Subsurface Design Check
FAIL I OK
� 1
f
Page 2 t .,
Leaching Pits
Leaching pits are preferred where the inn tallation is possible
a) calculations of leaching area-mdnimum 5a^i eq ft w
b) spacing
c surface drainage 2%
d) cover material
e) VIVA" splash pad
f) tee at elbow
g) no bends in pipe from d -box to pipe
Leaching Fields
a) no greater than 20 minutes/inch
b) area -minimum 900 aq ft
c) construction of field
d) surface drainage 2 %
e) 201 from cellar call or inground swimming pool
LeaahinWenches
a) ca c atons�o 'leaching area -min 500 eq ft
b) spacing -4 ft min 6 ft with reserve between
c) dimensions
d) construction
e) stone
f) surface drainage 2%
Downhill Slope
a) slope j;/:i = be shown)
b) y/x x 150 = (to be shown)
s
a) approval
b) stand-by power
U
Boar
s.Noet radover,Xass
SUBSURFACE DISPOSAL DESIGN CHWK LIST
LOT # 5 5 v,v►tit
APPROM DISAPPROVES DATE
Provided:: Reasons:
�V(2A -6 15C /NS
()P eUeR QS S HOD®v 9605
Pj5 (ou vf IS F k fZtA� 1 f r7/AA > 7
Title V
FAIL
QC
--
Reg 2.5
A
t
The submitted plan must show as a minimum:
a) the lot to be served-area,dimensions lot #,abutters
location and log deep observation gies-distance to ties
C location and results percolation tests -distance to ties
design calculations & calculations showing required leaching area
)location and dimensions of system -including reserve area
f) existing and proposed, contours
g) location any wet areas within 100' of sewage disposal. system or
disclaimer -check wetlands mapping
�h) surface and subsurface drains within 1001 of sewage disposal
°.
system or disclaimer
i) location any drainage easements within 1001 of sewage disposal
system or disclaimer -Planning Board files
knom sources of water supply within 2001 of sewage disposal d
system or disclaimer �
location of air proposed Kell to serve lot -1001 from leaching facility
J(k)
(1) location of water lines on property -101 from leaching facility
(m) location of benchmark
(n) driveways
(o) garbage disposals
( -no PVC to be used in construction
(q) profile of system -elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
0 er elevations
.
wa
(r)mum ground water elevation in area.sege disposal system
�s) plan mast be prepared by a Professional Ragineer or other
professional authorized by law to prepare such plans
Reg 6
Septic Tanks
(a) capacities -1507, of flow, water table, tees, depth of tees,
access, pumping
(b) cleanout
(/
(c) 101 from cellar wall or inground swimming pool
(d) 251 from subsurface drains
Reg 10.2
. Reg 10.4
Distribution Boxes
(a) Mope greater than 0.08
b) SUM
Reg 15.1
15.4
15.8
3.7
Reg 14.1
14.3
14.4
14.6
1144.10
Reg 9.1
9.6
4
Leaching Pits
Leaching pits are preferred dere the installation is possible
—==da) calculations of leaching area-minimam 500 eq ft
b) spacing
c surface drainage 2%
�` d� cover material
e) V x2 t x4t' splash pad
...�. f) tee at elbow
g) no bends in pipe from d -box to pipe
Leaching Fields
a no greater than 20 minutes/inch
b area -minimum 900 eq ft
70* c construction of field
t -I d) surface drainage 2 %
e) 201 from cellar mall or inground M odng pool
Leaching Wenches
a) calculations`or leaching area -min 500 sq ft
b) spacing -4 £t min 6 ft with reserve between
c) dimensions
d) construction
_ e) stone
f) surface drainage 2%
Downhill $lo e
s ope y z ffiI be shown)
b) y/x X 150 - (to be shown)
s
a) approval
al
b) stand-by power
Ncyt,h Andoverl Mass. Street No 5ie—
Lot No
T.00/Subdiv. Pland Mer
Investigator Observer
SOIL PROFILE DATES
I -'El ev 2.Elev 3.Elev 4.Elev
0 r0 0 0
Ti -es to Test
Pits
2. 2, 2 2
31--
I -V
4 4 4 4
7-
5 5 5 5
6 6 6 6
7- 7
8 8
t
10!- 10
.10 1.0
'Denclanlark Location
J�
Elevation
P it N -o --,)b e r
S'-,--r'u Sat -o -ration
-iu -es
S -G a r
Drop of 3"-Tiine--
Dr- gp of 6"-Tir.-le
N,lns.lst drop
Mins .2nd Drop
Tercol�- Limon
Datum
P YLE, C 0 T, -AT. -f ON TESTS
1_ 1- 2
v
y�
14
11 v
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1�--I-� A -,-c(24
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P mniRecord
Fa.cifiy nfor .allon:
s '- 6 •
.iyJi``i��. ,. Ten»•
Address
CIT
QIV• kna» �B..rs�ne-.
Loa .e.
r'•` dress n i different trom location or pump)
State
DEC `i b 2010
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Lip Code
State Z jp k- de
170-r62
Telephone Number
Pumping R.ccog
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