HomeMy WebLinkAboutMiscellaneous - 270 FARNUM STREET 4/30/2018 (2)I
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SEPTIC SYSTEM INSTALLATION
IS THE INSTALLER LICENSED? NO
TYPE OF CONSTRUCTION: NEW (��iD
NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO
CONDITIONS OF APPROVAL YES NO
(FROM FORM U)
ISSUA . NCE OF DWC PERMIT SYES NO
DWC PERMIT PAID? YES NO
DWC PERMIT NO. INSTALLER: Tim mEz-V10-
BEGIN INSPECTION NO:
EXCAVATION INSPECTION: NEEDED:
PASSED Z- BY
CONSTRUCTION INSPECTION: NEEDED:
AS BUILT PLAN SATISFACTORY: 6,YE
APPROVAL TO BACKFILL: DATE:_ /p? -.11 -BY
FINAL GRADING APPROVAL: DATE BY
FINAL CONSTRUCTION APPROVAL: DATE:
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Form No.4
Town of North Andover, Massachusetts
. I BOARD OF HEALTH
December 2 9 95
CERTIFICATE OF COMPLIANCE
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed or repaired
7-1
U I" INSTALLER
at 270 Farn-hztm St.., North Andover, MA 01845
SITE LOCAT-ION
has been installed in accordance with Board of Health Regulations as described in the Design
Approval Site System Permit No. 80-5 -dated Dec- 4 _19 95
The issuance of this certificate sh all not be construed as a guarantee that the system will
function satisfactorily. ell
BOARD OF HEALTH
Town of North Andover, Massachusetts Form No. 3
'koR'r#j BOARD OF HEALTH
16 +
0
-6 0
19
DISPOSAL WORKS CONSTRUCTION PERMI-T
CHUS
Applicant
WAME AD .1 DRESS TELEPHONE
Site Location
Permission is hereby granted to Construct ( ) or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
oe�
CHAIRMAN, BOARD OF HEALTH
Fee
D.W.C. No.
Town of North Andover, Massachusetts Form No.2
Of BOARD OF HEALTH
DESIGN APPROVAL FOR
4 CHUS i SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant 'n P P .1 'L lyl� est No.
Site Location r
Reference Plans and Specs. o
15�
LNUINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN, BOARD OF HEALTH
M�
F e e Site System Permit No.
PLAN REVIEW CHECKLIST
ADDRESS ,-;Z 70 7---�zv
2g ENGINE
GENERAL
3 COPIES STAMP L--- LOCUS NORTH ARROW SCALE
CONTOURS_L,----- PROFILE L ---SECTION BENCHMARK SOIL &
PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS
WATERSHED?J& DRIVEWAY-----(Elev) WATER LINE L----FDN DRAIN
SCH40 '--' TESTS CURRENT? SOIL EVAL
SEPTIC TANK
MIN 150OG .--<17 INVERT DROP GARB GRINDER/t/49(+200% EDF)
25- TO CELLAR &,--' MANHOLE ELEV GW # COMPS. Z
D -B
SIZE # LINES FIRST 2' LEVEL STATEMENT
INLET OUTLET (2" OR .17 FT) TEE REQ'D?
LEACHING ae)gb,-- 99,,,��
MIN 660 GPD?_L,,--RESERVE AREA -,y 4' FROM PRIMARY? -- 2% SLOPE
100' TO WETLANDS 4---- 100' TO WELLS 6--- 4' TO S.H.GW L-----(5'>2M/IN)
35' TO FND & INTRCPTR DRAINS -- 325' TO SURFACE H20 SUPP L'
4' PERM. SOIL BELOW FACILITY MIN 12" COVER FILL? — (25'
if above natural elev; 10'if below) BREAKOUT MET.
TRENCHES
MIN 660 gpd_ SLOPE (min .005 or 6"/100')_ SIDEWALL DIST. 3X EFF.
W OR D (MIN 6-) RESERVE BETWEEN TRENCHES? IN FILL? MUST
BE 10' MIN.
BOT
(L x W x #)
4" PEA STONE? VENT? (>31 COVER; LINES >50')
+ SIDE X LDNG = TOT
(DxLx2x#) (G/ft2)
Copyright @ 1995 by S.L. Starr
NORTH ANDOVER BOARD OF HEALTH
DESIGN REVIEW REPORT
FEE: PERMIT # DATE RECEIVED
APPLICANf'F, 4 1-2, -JAM,5--S MAP PARCEL
ADDRESS 7
& 7:;�9ZIVVIV AA . q LOT # 76
ENG. �5QAI C0k)50,1-Z-AAAS STREET 7jWe4/VM OT
ADDRESS 146 Zoivezj6Y ZOL)136&) , A) -1-J- 05-96/
PLAN DATE le 1,3,e� /9-57 REV. DATE
CONDITIONS OF APPROVAL
APPROVED DISAPPROVED_
REASONS FOR DISAPPROVAL: you 6r;,9r67:
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INSTRUCTIONS: This form is us4id to verify that all necessary
approvals/permits frox Boards and Departments having jurisdiction
have been obtained. TbLis 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*****************
-ac
APPLICANT: _%39%Ckk M�q� zzrn*_�, Phone
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
To a.�w w,
Street St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Date Rejected
Comments
Date Approved
Town Planner Date ReDected
Comments
Food Inspector-Heal'th
t ---Septic Inspector -Health
Date Approved
Date Rejected
Date Approved L/o/9-5
Date Rejected
Comments -5 6=�7-16 15 y6r,�571tf )5�91Z 6�6 �7-,o --a <!�7_
_7Z 104 7-,0 6,C
Public Works - sewer/water connections
- driveway permit
t,-r'lre Department
Received by Building Inspector Date
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_74
---- ----- -----
t
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot #4 Farnum Sto a 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%. 1 will install a con-
crete septic tank of ___10Oo izal 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 210 feet.lineal (square) 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 1-112 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 1/811 to 1/4" (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 tile 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
i spection 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 2 feet gravel to be installed
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
J1
Signature o Q nspecting OfficeA
Percolation Test 6 Min Soil: Gravel & Clay
Garbage Grinder
j , IV-
V� A
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
4,
1.
NAME DATE
) nSt 0
2.
ADDRESS/;�oePjVon LOT NO.
3.
NO. OF BEDROOMS 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.
NAME OF
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE
APPLICANT
LOCATION
----7 , '�
Address of lot no,
BUILDING: Dwelling X -Other
SYSTEM: New X- -Repair
GENERAL DESCRIPTION OF LAND_ 'J
SUBSOIL: C 1 a G ve 1 Sand
PERCOLATION TEST L
minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK- 1177_� gallon capacity.
LEACH FIELD �2_/ n lineal feet of drain pipe.
William j-. Zr�glnelkrl-
Board of Heal'tA
Farr,p George.
Lot 4, Farnham St.
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot 4,--- Fannham. Sto 0 1 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%. 1 will install a con-
crete septic tank of l000 Gal, in size. A manhole (s) permitting easy cleaning
will be provided with removable er (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 180 - lineal (squave) 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 1/81, to 1/4" (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 tile 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 / ;?_
7
S�Katulre of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE 4/,Z - 2-2 — 4� �3_
7Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as descr
,7e
DATE 74L
S1-- _�f)lnspecting Offiaer
ignature 'VJ
Percolation Test 5 min, Scil,: Sau��- ay
Garbage Grinder no
-4k
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
411,?
-A
000 (ao%--7Tftov—
Is.
1. NAME f'- 5' TE
/� wf/ 1161*5e"�'- V DA /'�'/
2. ADDRESS LOT NO. # TEL. -
3. NO. OF BEDROOMS DEN YES NO
4. GARBAGE GRINDER YES NO
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. NO E rx S T M
10.
SHOW LOCATION OF BROOKS,
STREAMS, DITCHES, LEDGE OUTCROP, ETC.
ly-4
11.
SHOW DISTANCE OF SEPTIC
TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
a Y %
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE Dec. 27, 1965�
NAME OF APPLICANT Georse Farr
LOCATION Lot #4, Farnham St.
Address of—lot no.
BUILDING: Dwelling X Other
SYSTEM: New x ReDair-,--
GENERAL DESCRIPTION OF LAND High
SUBSOIL: Clay Gravel Sand4_ajag X
PERCOLATION TEST ___5_ minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONC=E SEPTIC TANK 1000 gallon capacity.
LEACH FIELD- 180 .—lineal feet of drain pipe.
L r4_//
illiam. J Dti4coll, EngWer
Board of keaAA
PITS
MIN 660 LEACHING MIN 1 (131xl6l) PIT MANHOLE/PIT
GW MIN 41 BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2x(L+W)XD X #) (G/ft2)
CHAMBERS
MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT
MANHOLES 12"-4811 STONE SPLASH PADS SLOPE .005
BED/TRENCH (Bed max. 601 X 601) MIN 131 X 161 PIT
BOT + SIDE X LOAD = TOTAL
(L x W x (2 x.(L+W)xD x fl TG-/ft2)
FIELDS
MIN 660 GPD 900 f t2 BED L`�GW MIN 41 BELOW BOTTOM OF FIELD
PIPE ENDS JOINED? (-- 411 PEA STONE?_L,� DIST LINE SLOPE .005?
>3'COVER-VENT.— SCH 40 MIN 1211 COVER c--
RATE-�,L�—/—//v LDG X 660 1116 X 6()= TOTAL
G / TF2- REQID (ft2) LXW
DOSING TANKS AND PUMPS
DIMENSIONS —f-- X —W X —D Vol.
DISCHARGE SIZE
MANHOLES TO GRADE
inlet) HWL LWL
OP. SWITCH
Copyright 0 1995 by S.L. Staff
DISCHARGE RATE
ALARM SEP. CIRC.
CHECK VALVE
PUMP CAPACITY 9PM
9PM
DISCHARGE TIME
GW (Min. 11 below
BLEEDER HOLE MANUAL
(PHONE CALL)
FOR DATE TIME
L, -PHONED
OF
RETURNED
PHONE. YOURGALL
ARE��.E NUMBER 9XTENSION
MESSA F <LEASE CALL
'WIL L,C ALL
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SIGNED TOPS 12 FORM 4003 j
)JI
FORK U LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits fron 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 ZOrAC�!, Phone
LOCATION: Assessor's Map Number
Parcel
Subdivision Lot (s)
Street 7;0 a.�w Cc" St. Number
************************Official Use Only************************
RECO ATIONS OF TOWN AGENTS:
''7
4,� �ConservlatiojnAdminis-L4-ator
Comments ':" .404 t�h(-JR m
Town Planner
Comments
Food Inspector -Health
"'S:�e-p—tic'jIdnsApe�ctor-Health
Date Approved.
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Comments �7V
2 P -16,e 7-6 C.
Public Works - sewer/water connections
- driveway permit
,&,�ire Department
Received by Building Inspector Date
MARSTON CONSTRUCTION CO.
7 Dugout Road
Hudson, NH 03051-3506
889-7417
October 31, 1995
PROPOSED SEQUENCING OF SEPTIC WORK AT 270 FARNUM STREET
(1) Start ofjob.
Pump existing tank, disconnect existing leachfield (instruct customer to conserve usage).
(2) Construct new leachfield, run temporary waste pipe from existing home to new tank (suspend on
wooden supports). Upon inspection, backfill system and commence using new system.
(3) Pump and dispose of old tank, dig for new foundation, pour foundation and install permanant. w
waste line from new foundation to new tank. Once inspected, backfill septic line and foundation.
Commence framing addition and perform rework of existing in-house waste piping along with rough
plumbing stage ofjob.
We anticipate one week or less of customer being without an active leachfield and will pump existing
tank as needed during that time.
We anticipate less than one week during which time temporary piping to new tank will be in use.
Immediately upon pouring foundation, we intend to install permanant piping. Once inspected, it is to
be backfilled along,�Arith foundation.
MARSTON CONSTRUCTION CO.
7 Dugout Road
Hudson, NH 03051-3506
889-7417
October 31, 1995 ,
PROPOSED SEQUENCING OF SEPTIC WORK AT 270 FARNUM STREET
(1) Start of job.
Pump existing tank, disconnect existing leachfield (instruct customer to conserve usage).
(2) Construct new leachfield, run temporary waste pipe from existing home to new tank (suspend on
wooden supports). Upon inspection, backfill system and commence using new system.
(3) Pump and dispose of old tank, dig for new foundation, pour foundation and install permanant. w
waste line from new foundation to new tank. Once inspected, backfill septic line and foundation.
Commence framing addition and perform rework of existing in-house waste piping along with rough
plumbing stage ofjob.
We anticipate one week or less of customer being without an active leachfield and will pump existing
tank as needed during that time.
We anticipate less than one week during which time temporary piping to new tank will be in use.
Immediately upon pouring foundation, we intend to install permanant piping. Once inspected, it is to
be backfilled along with foundation. -
(pHoNje�pALL)
r
DATE--f/4-?4/v—TIME
M
"00"PHONED
OF
RETURNED
CALL
PHONE.
..,YOUR
AREA COPE
NUMBER
E E S
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MESSAGE
iLL CALL
cAme To
TO
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FORr, A 4003
CALL)
77
FOR. DATE -TIME -P.M.
f/k �/�
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-7
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RETURNED
PHON/7
YOUR. CALL
PLEASE CALL
AREA COOE NUmeER EXTENSION
MESSA F �l
WILL CALL.
AGAIN
CAME TO
SEE YOU
WANTSTO
SEE �YOU
�EIGNED TOPS FORM 4003 00
FORM 4 - SYS
Commonwealth of Massachusetts
, Massachusetts
System Pumping Record
vstem Ovvner
P, C,-� SA<:::� O_AA�
ystem
D -?O
�j \ "
Date of Pumping: C, 0 Quantity Pumped: IC"allons
Cesspool
N o 2�- Yes El Septic Tank: No E Yes E
System Pumped by:
Contents transferred to
Date Inspector
License
.$I I A- � "s A
or msionchusells
massachusetts
1"i gng
&.siein -Record 271995
L[ 2 771995]
SVEMI-MTler
0, MJA
Date of I'Ullll)illg I
Cesspool: N (i Yes KIM yes
S% -stem Pumped by: Licei.ise
culliclits transferred
Date
hispeclor
Town of North Andover I tkORT" A
0
OFFICE OF
0
COMMUNITY DEVELOPMENT AND SERVICES
0
146 Main Street
KENNETH R. MAHONY North Andover, Massachusetts 01845 SAcH
Director (508) 688-9533
Site Assessment on 270 Farnum Street, North Andover, Mass.
October 12, 1995. Sandra Starr, Site Evaluator
This will be a new system for an existing house with a proposed
addition containing an additional bedroom.
Observation hole #1
0 - 1011 - Ap - very friabel fine sandy loam
1011 - 2011 Bw friable fine sandy loam
2011 - 3211 C1 2.5y 5/4 fine sandy loam; massive and friable
with about 7% gravel.
3211 - 8.411 C2 2.5y 5/6 fine sandy loam; massive and firm;
somewhat platy in spots (2fpl). Isolated stratified
band of 2.5y 6/4 loam.
No observed water.
REDOXIMORPHIC features at 4411 - 10yr 5/8 & 5y 6/3
Percolation test #1 at 7611 (58/18)
SOAK - 2:37
1211 - 2:53
9" - 3:04
6" - 3:17 5 M/IN
Excavation of perc hole
0 - 811 - Ap very friable fine sandy loam
811 2011 - Bw friable fine sandy loam
2011 10711 - C 2.5Y 5/4 fine sandy loam; massive & friable
No observed water.
REDOXIMORPHIC features at 44".
Parent material - Glacial till
BOARD OF APPEALS 689-9541 BUILDING 688-9545 CONSERVAT[ON 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Parrino D. Robert Nicetta hfichael Howard Sandra Starr KalWeen Bradley Colwell