HomeMy WebLinkAboutMiscellaneous - 290 JOHNSON STREET 4/30/2018 (2)�4
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ANDOVER SEPTIC PUMWTP4RS
PAY FROM TH�S BILL
.,�Nature of Service
71keg. Maint.
D Em4r!gy
Night
Customer Name:
P.O. Box 4173 B Station
Andover, MA 01810
(508) 475-2593
Professional Septic & Drain
Service Location:
Phone:
Contact:
Locally Owned and Operated
Emergency 24 Hr. Svc. — 7 Days
Billing Address:
City:
Zip:
Special Instructions
Per:
*-��Xompleted
ln';�* �te Reason:
AWPM
Services Rendered
V uum Pumping
ions
e :
Drain Cleaning
,<va
Septi c Tank
0 ,
Drywell
Condition
FLeecthfield Run
El Main Line
E-] Toilet Bowl
El Leech Pit / Overflow
El D -Box
D Pump Chamber
El Grease Trap
El Catch Basin
El Portable Toilet
0 Other
ry:
Size:
Under 1000 gallons n 1000 gallons El 1500 gallons
0 00 gallons 0 3000 gallons 4000 gallons
0 5000 gallons El other
El Riding H
(liquid leyevi)
11 Full to . v
0 Excess?
Top/ 6o Wom ds
El Use No Powdered Soap
El Heavy Grease
El Roots
0 Suggest Electric
Rootering
D Van Called
Other
Kitchen Sink
El Bathtub / Shower
El Vanity
El Floor Drain
0 Yard Drain
0 Vent
El Sewer Jet
El Other
Footage:
Misc.
0 Digging Charge
El Location
Service Call
Un. Backhoe hrs. Inspection
Consultation El Certification: P/F
Estimate Reason:
Labor
Portable Toilet Rental El Pump Repair
Waiting Time
D Baffle F-1 Repair
Digging Charge Is Per Driver El Chemical Treatment
Discre tion F-1 Other
Description of Work
47—
Recommendations
Terms of Payment
Vacuum Pumping Drain Cleaning
Yr. Month Yr. Month
N E T 5 E)"' AYE'143'
Parts
Tax
Disooun�—
Terms & Conditions El Cash �he k 11 Credit
I—, -`1149t responsible for dar�age beyond curb line. 3. 1.5% per month will be charged to accounts past due
2. 91 complains shall beleported within 48 hours. 1-r� - i
// ( 4.,,Toerpurchaser agrees to pay all cost of. collection.
Too/
fl— "nA A ---h- -11 — --.— - I
V"tv all twill1b d1lu uun��Uon�.
Customer Signature
Serviceman
ZI)
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTP1ENT--N(rRTH ANDOVERt MASS.
I hereby make application for a permtt for a sewage disposal
installation at 2�O Johnson St* I will install this
system in accord7an_cew_1-t_F_a_1r-fHe I-iw-s the Commonwealth of
Massachusetts and regulations of the�Board of Health of the Town
of North Andover.
Further, I will construct the house seaer of bell and spigot
pipe, the minimum diameter being 4 inchesp and will maintain a
minimum grade of 1% until 10 feet p�eceding ti'lle septic tank, where
the grade shall not exceed 2%. 1 will install a concre�e septic
tank of 5002al. in size. A manhole (s) per-mitting easy clean-
ing will-B-7-p-r-oMed with removable cover (s) of iron or concrete
within 12 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 20/30 z0ml
(square) feet of effective absorption area_. ipes 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 1/411 (&.) 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 fee4,-, from any property
line. I further agree not to cover ln
2 par ion of this installation
. _t_
until a- r__t_Fe_i_e_ctiUn --- oTficer, as ]?ro_vid=eeT6_W,-_a_nU
PRrove nsR
t=oncorporat any additional requiremrnis that may be attached to
the permit. Plot Plans must be submitted with application. tit
DATE (Ick.le
ignature of Applicant
I hereby issue the above permit for the Board of Health of the
Town of North Andover, Massachusetts.
Signa-4ure -of H-ealth Agient
4'
1 have inspected the uncovered system indicated above and find
everything done as described.
Date,
Uignature of Inspecting Officer
Percolation Test
Garbage Grinder
<
, it
at�
NAM—
arice 11
Of the BoarCL Of hetilth of the of
G
ar.
Further, I Ivill Construct the house Sel-ver be"'I E�,, -*.�,o- � "', -
Minimum dia-a;ter bekng 41 and vill 'a
10 feet pro-oding the c�.,)szpool Ox- stziptic `,--,ank, 'o'av
S xe o. e d 2 /06 1 -wil'! J nstq',',,I' �s,, c-3 J.
P
D
Littin- Sas-I-IT
Ta"'ahole s perr.
Cover (S) Of iron oil conc�-,��-tfe lvlth.la 12 I'Melies t3nc-
will provido subsurface dlztpoeal 1L.-Lele-i v;J t1b. oz),OZI:.,, 0 ".'e'Ll. an(,A
J,
Pipe or perfor,-:�ted pipe at leist 4 -*Ln'ohe's 111, d "Ime t os r-6', A iv k
of trenchas,� the bottom of which will -oxovift n,
..A
Lineal (squape) feet of effec"Give abso:�'Pt-alo".1
on a 6 inoh laNer of alean Grcv-1 op �,toy
C, ri I *ta
to 11 inches dia. ) and the pipes will. be sur,:-o:and--
�L- - - d, Ii
a height of 2 inches abav:p, the cz-own of the pipcN, Of 1--I.
will be protected frow. ologr
,,ing end. bofors I illl-n;-, 2
gr (dla. ) will be place.'d
avel or Stone 1/8" to 1/4'
stone. The dispose.1 field viill be at t,,
f OOt- EO single tils 1--ino will exeo,�,,d 1,00 f oet in
two lilles of tile will be installed., .4 laiza`i.akum- of C,
-er lines of the :Mold P—nc L -C
between, the con-Iti
dep"th of trench ohRll not exceed 36 inchas. TrA 'GI -le ("aa,:z of
0
f a cesspool into a subsu-I,face diepo3n1 f!
A
inlet Pn-.d outlet connectio"na to the Sn".-I I --,
0 - OC J), () -
sanitary te�,esll. Al). Ifle asurerdents of eess-Poo]. bo at
of the inlet. pipe. No 'pa -it of t*ha v-,111 be
from any pr--^'Vate water sv.-
pply., 02,5 feat from, n-,,
drialling or 10 feet from, a.-trj pVo,;jOX, I,no, I' f �_r
Orl'ilon of this
§74
an.",
Ure a IT"
ma�r be attached to the
DATE
SA
C C,
I hoy?el)y issue the aboire fo.r t�7v,)
North Andover,,
Date
0 C% J"
I have inspoeted the uncovzred '�yste?oi an, --f, I'Ina
done as dencribed.
Date
Percolation Tost
"'
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_44. ."
August 31)1955
Miss Mary Sheridan R.N.
Health Agent
Board of Health
North AndoverjMassachusetts
Dear Miss Sheridan:
An examination has been made relative to the suit-
ability of the soil for the sub -surface disposal of sewage
on the proposed Johnson Street building site of Mr. Charles
Packard.
The soil in tn.e area consisted of clay and ,gravel.
A four minute percolation test was conducted.
It is recommended that the septic tank be located
approximately five feet away from the house and that an area
of 20 by 20 ifeet of drainage area be installed.
Sincerely yours.,
T,� 40".4."..
Ernest F. Romano
C�
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P�4d K A- 0, D
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SEPTIC SYSTEM INSPECTION FORM
ADDRESS '2 -�G �6�ir&by-\
DATE INSPECTED a
PROPERLY FUNCTIONING? f) N
WEATHER CONDITIONS
COMMENTS:
WA'iE:P, aVALI-ry TESTIE'ts'Z jZEsoLTS�
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
I
V
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name
2. StreetAddress
3. How many members are in your household?
4.
What type of sewage disposal system do you have?
El cesspool
9 septic tank and leaching area
El connection to municipal sewer
D other (describe).
El do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
yes El no El do not know,.
6. How old is your sewage disposal system? El 0-5 years El 6-10 years El 11-20years--.
E over 20 years El do not know
7. Has your sewage disposal system been rebuilt or repaired?
D< yes El no 0 do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? annually
1K every 2-4 years El every 5-10 years El over 10 years El never
9. Have you had any problems with your sewage disposal system? El yes no
If yes, what problems?
El repeated pump -outs needed
El system clogs, backs up, or drains slowly
El odors
El sewage surfaces through ground
10. How many of each appliance are connected to your sewage disposal system?
washing machine 'k, dishwasher 1311� garbage disposal
dehumidifier drain — sump pump toilet
roof/pavement drains — showerlbathtub
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher 'El-
clotheswasher ed_1011��
12. Does your property have a lawn? yes no
If yes, approximately what size?
El less than 1/4 acre El 1/4 acre El 1/2acre 3/4acre acre
E:1 more than 1 acre (Specify) — acres
13. How often do you fertilize your lawn?
No. of applications per year
Season(s) of the year
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
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El Check here if your lawn is maintained by a professional landscape contractor