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Home My WebLink AboutMiscellaneous - 252 Winter Street (2)`" N (J1 N N• f'r (D ti Ci' Fi (D (D f'f SEPTIC SYSTEM INSPECTION FORM ADDRESS 'Z 52, �,✓ DATE INSPECTED PROPERLY FUNCTIONING? (i� N WEATHER CONDITIONS COMMENTS:- WA`j'ER QUALITY TES T Eb? ReSULTS' DYE TEST PERFORMED? Y N DATE? SKETCH: air Please forward us as much of the following information that is possible; 1Type of system .7-w v s7 r�T7c - AAS�dtiC- 04615 009-77�g4e-'Y 64'T# � T�{ f�l�%f�/ U ?T 61,? A�cK -LU wCH /= �Pr-/'S b V T /IQM 4. / c)D fT,a 7- 2. Age 3. Locat i on, ,rte t lJ -rH" 40 O tF 4- Maintenance records and date of last pumping out to t+4 U �'. 4A -1) /0 D /FIZ! 00(-77 'Z t- 171-/ CO Cc 5 �A, M5I- P 0 M A /4a c is 0 C r --o t3 Cow,' l 79R , ocumentsti.on of repairs and reconstruction 6. Site conditions 7. Builder of system 8. Engineer who approved; 'rV W 0 y.4) f4-,�9C-rok. 4:- A-) ®(3 2-0 ykS — Site Is Act< YAdO — System S41 - 9 Install.ation Procedure Op L-?� 14,3 he— A2 C, 0 rV 10. Problems DA -M I -- 7D CmU r -4441104V -% /-79,6 H rbW /L;,* S '7 e -15 /E 771? 4 7 C, 4 4 4,� cei) rZ 4,g 13 44 7- - I C C— C XS4. A4 k 7711 4(954-11CU 7— 77A9ZG Y 'Yr4A;,S ol- 10 to WATERSHED RESIDENTS QUESTIONNAIRE 1. Name 648 1 Y95 VI r 7 p— 2. Street Address Z .5777 3. How many members are in your household? ;r'EE{� 4. What type of sewage disposal system do you have? ❑ cesspool cri (Z� septic tank and leaching area Z s r v-7 C -774,014 S CSS ❑ 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 J$I do not know' 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years' __ K over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes 9 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 every 2-4 years ❑ every 5-10. years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes ,1 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? j washing machine dishwasher _V1, garbage disposal F/ dehumidifier drain sump pump toilets CW roof/pavement drains showerlbathtub //'_ J.5n6Peoe-Y / 5ffc?_ C-R 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher 0.4sL" 4—PC clotheswasher -7 C tilt' UZ-45 x7-44 a(FA ✓v' 12. Does your property have a lawn? ® yes ❑ no If yes, approximately what size? less than '/4 acre ❑ 1/4 acre ❑ % 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 ` OSeason(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: / "Ozu E6 R— 774—= PR_,GJC�l ❑ Check here if your lawn is maintained by a,professional landscape contractor. pS�e � "`�'�' '�-�~-- Victor Nleile 'Inter St. 7//1) APPLICATION FOR SEWAGE DISPOSAL INSTALLATION.. HEALTH DEPARTI?+IENT--NORTH AIZOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Wi n:tpr St., _ I will install this system in accordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Towyn of worth Andover., Further# I will construct the house sewer of bell and spigot pipes the minimum diameter being 4 inches, and will maintain a minimum grade of Va until 10 feet preceding the septic tankp where the grade shall not exceed 2%. I will install a concrete septic tank of 75o gai_ in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 3.2 inches of the ground surface. I will provide subsurface disposal field with open jointed bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenches,, the bottom of which will provide a minimum of 192 lineal *Lvm) 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 IA" (dia.) will be placed over the courseravel or stone. The disposal field will be installed at a grade of /+ to 6 inches/100 feet. No single the line will exceed 100 feet in length and in any ease, two lines of tile wi32 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 in— stallation 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 officer, as provided belows and to incorporate any additional requirements that may be attached /+to the permit. Plot Plans must be submitted with application. DATE SignatU,19, f pl: ant _. I hereby issue the above permit for the lard of ealth of the Town of North Andover, Massachusetts. DATE S:[gnature of Health Agent T have inspected the uncovered system indicated above and find everything done as described. DATE _ c� _ S7 , r , f Signature ofd specting Officer Percolation Test .„ 7 min. $oil - Claw,-,„ Garbage Grinder no V November 16, 1957 Miss Mary Sheridan R. N. •Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed 11inter Street building site of Victor Miele. The subsoil in the area. was of a clay content and a 7 -minute percolation test was conducted. The land in general is high. It is recommended that a 750 gallon concrete septic tank be installed together with 192 lineal feet of drain pipe. WJD1hd Very truly yours, William J. Dr oll 30 7 BOARD OF HEALTH TOWN OF' NORTH ANDOVER, lus. (4 / 7-3 Ira GA I. Cp 14c. F-r1r,c�rAN v- 2_— �� 1. NAME .�.L�.00�. ! ;',1 q:'1�' . . . . . . . DATE .�,%��/J�7. 2. ADDRESS l'". � �; r;�, % f� i i�!1 � LOT NO. .4 TELe kt'volf0 a 0 � . N0. OF BEDROOVS bEN YES �.� NO.. . , S �. GARBAGE GRIIMER YES NO,1�., . . 5 . SHQl DIIMIS IONS OF HOUSE (K !� ® f 6. SHOTII DISTANCES OF HOUSE TO ALL PROPERTY LIPTES 7, SHOW MEN[SIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 7 `� q. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM f 10. SHOW LOCATION OF BROOKS, STREAM, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROIA HOUSE NOTE: LOCA, REGULATIONS SHOULD EE READ CAREFULLY., 14