HomeMy WebLinkAboutMiscellaneous - 26 STONECLEAVE ROAD 4/30/2018 (2)Commonwealth of Massachusetts
City/Town of
Sys'tem Pumping Record
Form 4
DEP has provided this form for use by local Boards of Health. Other forms may be *used, but the
information must be substantially the same as that provided here. Before using.this form, check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left / Right front of house, Left /4��'tr—�—of
-Z�, Left / 60 �iof house, Left
Right side of building, . Left Right front of building, Left / Right rear of building,,, �nder �dde
Address
Cityrrown
2. System Owner:
Name
Aaaress (it aitrerent trom location)
Cityrrown
State
Zip Code
Sta
Zip Code
Telephone Number
B. Pumping Record
LA -q �\3
1. Date of Pumping Date 2. Quantity Pumped�
3. Type of system- Fj Cesspool(s) R -'Septic Tank
4.
D Other (describe):
Effluent Tee Filter present? Yes 21N--o�'
5. Condition of
6. System Pumped By -
/'s-2n�
Gallons
F1 Tight Tank
If yes, was it cleaned? El Yes F� No
Neil Bateson F5821 RECEIVED
m
Name Vehicle Licefo 7NuT
Bateson Enterprises Inc
Company APR 16 2013
7. Locatim6where content- were disposed: TOWN OF NORTH ANDOVER
,I-'- -'A' - HEALTH DEPARTMENT
Lowell Waste Water
—ct
uleq j Date
t5fonn4.doc- 06/03 System Pumping Record - Page I of 1
40RTH
BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845 TEL. 682-6400
Sep 10, 1985
Mr. Thomas Clougherty
Environmental Engineer, DEQE
5 Commonwealth Ave
Woburn.Mass.
Dear Mr. Clougherty:
This Bo�rd has granted a
variance from Title V, Section 15.03, to Richard
Reming, 31 Stonecleave Rd., No.Andover for the
construction of a swimming pool.
Enclosed herewith are letters
from Mr. Reming with his reasons for the' request and
copies of his sub -surface disposal system.
Very truly yours,
go;mj
Gayton Osgood
Chairman
'WELL IDATA-3ASE
A -D 0 F�7:"7 S:
OF -W=,,'.- �-C'
9-2
L C CA 0 Ni:
E) EP 7c i OF 7, 7 -Lr-:
�=OFWE=-� a-- DFII=l b. 13,ul G UlMfcc)
R ROCE--
Z
Lk=- - - -Y
T N, -
b7 -k w YA Y. L S. y N
LT -
1 7y =-- I L.0 A::A E. A 3 -1-
. it
L
ADDRESS: 3.0
I D R M L-1 E -c
AG OF W,=:
7v= LC.CA7LnN:
7v= PE1=1 ir /40/', Z::-� w
R lot
WE -LL F 7 --
TYPE OF TEELL: a- DRILT=
TY -p E 0 F WA =1 B EAR -II\TG RO C K.
IWIN
-7WATER, A I � -7-1 G H. N L, vN, G, A -N, E S E:
-NL-A-L,,�SIS DATH:
=,.rz- EPION- y N 0 7TIER C 0 TA�,/Cl 4 A -N. T 3: y
y
Z
4V�
S. RUSSELL SYLVA
Commissioner
935-2160 October 4, 1985
Board of Health RE: NORTH ANDOVER- Variance -
120 Main Street 310 GVR 15.03:7 (Distances) -
North Andover, MA 01845 Title 5- State Environmental
Code - Richard Rming-
31 Stoneclea-ve Rld.
Gentlemen:
The Metropolitan Boston/Northeast Regional Office, Division of Water Pollution
Control, of the Department of Environmental Quality Engineering is in receipt of
your letter, dated Septenber 10, 1985, notifying the Department that the North Andover
Board of Health had granted a variance to the provisions of 310 OR 15.03:7 (Title 5)
of the State Environmental Code for the subject site. Specifically, the variance
granted pertained to a lesser horizontal distance (10 feet) separation between leaching
facilities and a proposed in -ground swimning pool instead of the 20 foot requirenent
contained by the provisions of Title 5.
AcconPanying the notification is a copy of an "As Built" subsurface disposal system
and a topographic plan noting the existing active and Reserve Leaching Facilities.
Be advised that a plan, noting the exact location of the proposed swimming pool,
mist be submitted to the Department for review. Until such plan is received, the *
Department cannot respond to the variance granted by the North Andover Board of Health.
If additional information is required, contact Tom F. Clougherty at the above
address or at 935-2160.
Very truly your
lliarn A. Krol, P. E,
Deputy Regional Envirom-ental
Engineer
WAK/TFC/bc
cc: Richard Raning, 31 Stonecleave Road, North Andover, MA 01845
6A19-
L --
AORTH
0
4
P
BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845 TEL. 682-6400
Sep.10,1985
Mr. Richard A.Reming,
31 Stonecleave Rd.
No.Andover,Mass.
Dear Mr. Reming:
This Board voted at its meeting
of Sep. 9, 1985 to grant your request for a variance
from Title V, Section 15.03, Distance of Inground Pool
From Leaching Area of subsurface disp9sal system.
The variance allows construction
of the pool within ten feet of the leaching area instead
of the usually required twenty feet.
As required in Title V, a copy
of this variance is being submitted to the DEQE for
their consideration. They are allowed thirty days to
reply and no construction can be started until this
time has expired or they have replied to the notice.
go;mj
cc: Town Clerk
Bldg.Insp.
Very truly yours,
Gayt6n Osgood
Chairman
t
August 14, 1985
Mr. Gayton Osgood, Chairman
Board of Health
No.Andover, Ma . ss.
Dear Mr. Osgood:
I hereby apply for a variance
from Title V, State Environmental Code, Section 15.03,
Distance of inground swimming pool from leaching area
of my subsurface sewerage disposal system. I want to
place the pool 10 feet instead of the required 20 feet.
My property has a large rise in
the land between my land and that of the lot on the
road in the rear. This compromises the installation
of the pool at 20 feet and would necessitate the removal
of the hill. I feel the reduction to 10 feet would not
have adverse effect on the septic system.
I have notified all abutters by
registered mail as required.
Very truly yours,
R, Pchard A. Reming
31 Stonecleave Rd.
No.Andover,Mass.
to RTH
0� 1,
0
OL
BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
Sep 3, 1985
TEL. 682-6400
Mr. Richard Reming
31 Stonecleave Rd.
No.Andover.Mass.
Dear Mr. Reming:
Your request for a variance
of the required distances of your proposed swimming
pool from your subsurface disposal system has been
received.
This matter will be acted upon
at our next meeting, Monday, September 9, 1985 at
6:30 P.M., All abutters have been notified of this
meeting.
go;mj
Very truly yours,
Gayton Osgood
Chairman
NORTH MMFER. BOARD OF HEALTH
C�MK LIST
A Da Date: EXCAVATION OK
PPROVED DISAPPROVED
4V
Reaso
I "*4o
As BUIt bmitted
Check: Lot location, dimensions of system) location in regard to
percolation tests, depth',of system., water table
2. Distance to Wetland Areas, Drains, Street & H6use3 Drainage Easement and Wells.
3. . Wate/rlin'(e Location
4. No P ipe
5i Septic Tank - si, Cement;,
;e-6 j, Cemen �ee to Tank -Joints on both side of Tank.
Z"
6. Distribution Box - No cracks ox or cover, all lines fl
;y�<ally from box.
7. Leach Fields - Dimen ns., Stone/Kepths., Cappe�d�s., Clean double. Zirashed stone
n�s
8. Leach Pits Dimensions, Depth of Stone, Splash pac� tees) Cement -pipe to tank -
joints on both sides of tank -J, Clean double -washed stone
No
9. arbage Disposals
10. rall Grading "' arricading of sub -surface system
76
A
SOIL PROFILE & PERCOLATION TEST DATA
North Andover NO.&Street
Loc./Subdiv. Plan wn
Investi-gator 3 471*_�Observer
SOIL PROFiLES-DATE
in
7
8
,C-
9
10
Benchmark
Elevation
2. Elev.
0
2
3
4
5
6
7
8
9
Lug
3' Elev.-
0
2
3
4
6
7
8
9
10
---Location
Datum -
Percolation Tests -Date
Lot Nolq�2A�
4. -Elev.
Ties to Test Pits
Pit Number
1 2
3
4
5
Start Saturation
Soak-_
Start Test -Time
-3"-Time
Drop �3f
Drop of 6" -Time
-1-st3
I-lins. "Drop
Mins. nd 31-D op
Percolation Rate
Notes & Sketches on B=k
rsplaso
SUBSURFACE DISPOSAL DESIGN CHECK LIST
LOT
APPRMED DATE �IJYC
DISAPPROVED DATE
Providedt
Reasons:
A., t- 0, Ar
Titie(IV
Fill
09
Reg 2.5
Th bmitted plan must show as a mininumt
th
the lot to be served-areasdimensions lot # abutters
ocation and log deep observation Oes-distance to ties
location and results percolation tests -distance to ties
,A
, Akav—,
sign calculations & calculations showing required leaching area
teation and dimensions of system -including reserve area
f) existing and proposed contours
(g) location any wet areas within 100 1 of s ewage disposal system or
," . disclaimer -check wetlands 'happiAg
(h) surface and subsurface drains within 1001- of sewage disposal
(i) system or disclaimer
location any drainage easements within 100t of sewage disposal
systOn or disclaimer -Planning Board files
(j) knpm sources of water supply within 2001 of sewage disposal
or disclaimer
I.-,
L/i��system
Iocation of arq proposed well to serve lot -1001 from leaching facility
cation of water lines on property -101 from leaching facility
location of benchmark
Z77
driveways
arb age disposals
ng 0 P.
no PVC to be used in construction
profile of system -elevations of basement.. plumbs pipes septic tanks
/distribution box inlets and outlets., distribution field piping and
Other elevations
v,q)
"(s)
mwdmam ground water elevation in area sewage disposal system
plan must be prepared by a Professional Engineer or other
Ll
professional authorized by law to prepare such plans
Reg 6
A�a)
Septic Tanks
capacities -150% of flows water table., tees,, depth of tees,,
access pump ng
(b) cleanou"t
V/,
(,6) 101 from cellar wall or inground swimming pool
(d) 251 from subsurface drains
Reg 10.2
Distribution Boxes
Reg 10.4
V�C'a)
.4
slope greater U—m 0.08
(b) suap
1/
1-11-77
NORTH ANDOVER W—t
SUBSURFACE DISPOSAL SYSTEM CHECK LIST
led
I. General Information 41, 60-7e
Reg. 2.5 The submitted plan must show as a minimum:
a
kl�e lot to be served
(b)/ location and dimensions of the system (including
erve area)
(c),1-0drs'lign calculations
(d)
�cculations showing required leaching area
e) ting and proposed contours
f) � �Ocation and log of deep observation holes -
da'stance to ties
(g/)-, �location and results of percolation tests -
d* tance to ties
(h)ZI-rocation of any wet areas within 1001 of the
s age disposal system or disclaimer
r
M/e�surface and subsurface drains within 1001 of
the sewage disposal system or disclaimer
(j)-7 location of any drainage easements within
,1�11' �Jaol of the sewage disposal system or disclaimer
W---�nown sources of water supply within 2001 of
�>e sewage disposal system or disclaimer
(1),,-,-��ation of any proposed well to serve the lot
(m). -Il, tion of water lines on the property
(n) maximum ground water elevation in the area of
(e sewage disposal system
I '
ko) , �a��rofile of the system
(p) -,n VC is to be used in construction
(q' L ation of benchmark
(r ;--plan must be prepared by a Professional Engineer
or other professional authorized by law to prepare
such plans.
Ii. Gapi5'aqe Disposers
III.
Septic Tanks
Reg.
6.1
(a) apacities - 150% of flow
Reg.
6.7
(b) Water table
Reg.
6.8
(c) es
Reg.
6.9
(d)_��n:epth of tees
Reg.
6.12
(e)IxAccess
(f ) "'�Pumping
Reg.
6.18
(g)./Cleanout
IV.
Pumps
Reg.
9.1
(a) Approval
Reg.
9.6
(b) Stand-by power
4
V. Distribution Boxes
Reg. 10.2 (a)" �Slope greater than 0.08 . j69 -I -I
Reg. 10.4 (b)��U-mp
VI. Leachinq Pits
Leaching pits are preferred where the installation is
possible.
Reg. 11.2 (a). Calculations of leaching area (minimum 500 S.F.)
Reg. 11.4 (b) Spacing
Reg. 11.10 (c) Surface drainage 2%
Reg. 11.11 W Cover material
VII. Leachinq Fields
Reg. 15.1 (a), --<G ffrVer than 20 minutes/inch
Reg. 15.1 (b) ze—:51minimum 900 S.F.
Reg. 15.4 (c),--'�onstruction of field
Reg. 15.8 Surface drainage 2%
Ix. Downhill Slope
Slope y/x = (to be shown)
(b) y/x X 150 = (to be shown)
7' 3
3, S -,.c - eEb
r/ r
SEW -W:9 7-
I
co Rl m
L
S L IV C- R 0 UND tRLA Al 79
SCO- 7-7- _4�?9�A
__sr_
C— 7-,rlAl - Afd <
czk
. ......... I ................................... i
A/ -2-
96,0
Al
4 -
co Al 410/.
f C,
C- 02,
le 11-l;V G- a
Uj
AfALS-5.
Jo
A AZ
v
c
Vl
I& MAt4ii
Lo
7..
2
0
V,
IF. "p.
43�
to
V)
. . . . . . . . . .
certify tha
t this'
lo� is not i'n a
<I
f.00d p I
aill Zone.
b. rz
r a r.
k;cl inas- I
JV
19
So Do'
01
T E� h. v P,
AChl
r
RT G jU:
PLAN
R LG I 5TLFI,
5 1. FLO LAND "5Ugt\/LyD
ANDOViLPL. 0' ANoovsq
STRLLT N `4�-r
MASS.
-rTKEb%jllol.
id, N r4. &�H OWN
ILD a It 0,J
Ci 7Z. I ci -7 0""ls PIAN Is toc,&.'r
F SHOwNANOTHATITCORFlopt"t
TOTH it
?�4 C IL LAwSOFTWX Ciry/'rOwN OF'.
I E- Kj'Gi: L .0 T 0
N A PLA,N 5 Y
14 0 j
WHLN CoNVrRQCTLO-
�,DiAT.'L-c
L -D IN
4 -T -Y
C*o(.JN
0 F ':D'L L 0
I'STRY
AC. IL N C).
K
.,al�N" 'j.
0�:
ire
L k tlLiNr, r.')Tj S 6
44