HomeMy WebLinkAboutMiscellaneous - 280 FARNUM STREET 4/30/2018N)
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////-A A A ��IV A AMICA MUTUAL INSURANCE COMPA
/7X/ V I I BRANCH OFFICE:
N=�w 100 WILLIAM STREET, WELLESLEY, MASSACHUSETTS 02181-3751
Telephone (617) 237-3100
Toll Free 1-800-24-AMICA
December 5, 1991
Town of North Andover
Board of Health
North Andover, Ma. 01845
File Number: FOIX14785D
Date of Loss: September 23, 1991
Owner/insured: George D. Perna '
Street: 280 Farnum Street
Town: North Andover, Ma.
Dear Sirs:
In compliance with Chapter 139 of the General Laws amended
1977, you are hereby notified of a potential claim in excess of
$1,000 for loss, damage or destruction to the dwelling owned by
our insured, above.
If we do not hear from you within ten days, by certified
mail, we will proceed with the adjustment, if in order.
KS
Very truly yours,
0�af(cl
Kerry Hinchett
Wellesley Branch Office
HOME OFFICE: PROVIDENCE, RHODE ISLAND
L2
A/ 'J q,
(), P -, / APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
41 HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I he by make application for a permit for a sewage disposal installation at
Lnf 4�4U_C Fqrnum St., 0 1 will install this system in ac-
cordanc ith 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 Inno �;ni . n size. A manhole (s) permitting easy cleaning
will be provided with" removabli 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 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 1-1/2 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 1/811 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
inspSction officer, as provided below, and to incorporate any additional requirements
!hat may be attached to the permit. Plot Plans must be submitted with application.
2 feet gravel to be installed
DATE 1, 1Z,
S . ignat . ure of 411plicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE
, 44-CY
Si�gnatth�'e of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE (),LOA
14
Signaturefolf Inspecting Officir
U
Percolation Test 6 minutes Soil: San& Clay
Garbage Grinder
BOARD OF HEALTH OF NORTH ANDOVERI MASSACHUSETTS
SEWAGE DISPOSAL
I DATE]W,,,,j 3Z, j '
NAME OF APPLICANT
LOCATION
'Address of lot'no.
BUILDING: Dwelling x -Other
SYSTEM: New X —Repair
GENERAL DESCRIPTION OF LAND_
SUBSOIL: Clay_�&_ Grqvel Sand X
PERCOLATION TEST minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK_� k—p-0 gallon capacity.
LEACH FIELD lineal feet of drain pipe.
William -J-�,-Dr�sVoll, Enqine-e—r7�
Board of Healt'hj
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
4
ic
9LA�%
U
1.
NAME
r DATE
A
2.
ADDRESS LOT NO.
TE
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.