HomeMy WebLinkAboutMiscellaneous - 300 SUMMER STREET 4/30/2018 (2) 300 SUMMER STREET
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C� NORTI ANDOVFR .BOARD OF HEALTH
SUBSURFACE DISPOSAL SYSTEM CHFEK LIST
DISAPPROVED ' ��7
4PPROVID PROVIDED , .
General Information
leg. 2.5 Fail OB -The submitted plan must show as a minimum:
--(a) the lot to be served (area,dimensions, lot , abutters)
(b) location and dimensions of system (including reserve area)
design calculations
(d) calculations showing recuired leaching area
existing and proposed contours
location and log of deep observation holes-distance to ties
location and results of percolation tests-distance to ties
_Iocation of any wet areas within 100' of the sewage disposal
system or disclaimer
-)—su-rface and subsurface drains within 1001 of sewage disposal
system or disclaimer
(3) location of any drainage easements within 1001 of sewage
disposal system or disclaimer
)-known sources of water supply within 2001 of sewage disposal
system or disclaimer
-1j-1ocation of any proposed well to serve the lot(1001 from leaching, facili
-3:acation of grater lines on property (10 1 from leaching facilities)
J -(n) maximum ground water elevation in .area of sewage disposal system
location of benchmark
an must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
driveways
fir)—garbage disposers
( —a profile of the system (elevations of basement, plumbers pipe
septic tank, ,,distribution box inlets and outlets, distribution
fieldPiP g Y in and an other elevations
(t) no PVC. is to be used in construction
Septic Tanks
Rei;. 6.1 a)""Capacities - 150% of, flow
Reg. 6.7 'Water table
Reg. 6.0 --no Tees
Reg. 6.9 -depth of tees
Reg. 6.1 �__'(e�Access
Reg. 6.1 ``(f Pumping
,g)Cleanout
Seg 3.7 from cellar wall or inground swimming pool
(_i):2_5! from subsurface drains
( Pumps
Seg: 9.1 a Approval
leg. 9.6 (b) Stand-by power
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North Andover Subsurface disposal system check list-Page 2
Fail' stri u ion Boxes
Reg.10.2 Tai S]npe greater than 0.08
Reg.10.4 (b —Sump
Leaching Pits
Leaching pits are preferred where the installation is possible
fteg.31.2 (a) Calculations of leaching area (minimum 500 S.F.)
Reg.ll.4 (b) Spacing
Reg.11.10 (c) Surface drainage 2%
Reg.11.11 (d) Cover material
�eaching Fields
Reg.35.1 ) Greater than 20 minutes/inch
Reg.15.1 (b) Area (minimum 900 S.F.)
Reg.15.4 (c) Construction of field
Reg. 5 8 (_ )- Surface drainage 2%
leg.-3. �ke).. 201 from cellar wall or inground swimming pool
wnhill- Slop e
(-z)Slope y/x = (to be shown)
(b) y/x X 150 = (to be shown)
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SOIL PROFILE & PERCOLATIONIEST DATA
Town/Ci`ty Lot No. /1-
Nj Loc./Subdiv. Plan Owner
Investigator /
Q
�CJ _.00} I Observer
•
SOIL PROFILtS-DATE
1. . .. � 2 3. 4.
— Elev. Elev.y -- Elev. —Eley.
0 0 77 .0 0 i
2 2 2 2
3 3 3 3
a !
4 4 _ 4 4
I
4 5 5 5 5
6 6 6.
7 _ 7 � . I
7
3 �._
_. �9 9 9
i
0 10 1;0 10
Benchmark Location
i
Elevation Datum` I
- . Percolatiaon, Tests-Date !
71 77
Fit Number 1 2 3 4 5
Start:.Saturation QU
,$.oak=Mjns S
Start--Test—Time
I
.Dro of 3"-Time ,3
.Dro of 6"
Ti-me G,•3 - --.,.
i
Mins.lst '31'Dro
Mins. 2nd 3"Dro _
Notes & Sketches ' on Back Frank- C. Gelinas & Associates., North And.
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TOWN OF NORTH ANDOVER rte-_ - -- -
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SYSTEM PUMPING RECORD
MAR 1 4 2003
DATE.
(
SYSTEM OWNER &ADDRESS SYSTEM LOCATION
(example: left front of house)
DATE OF PUMPING:3 QUANTITY PUMPED /' GALLONS
CESSPOOL: NO r— YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER (EXPLAIN)
SYSTEM PUMPED i BY:
COMMENTS:
CONTENTS TRANSFERRED TO: ' _ K „
TOWN OF LL Ljol'kf
SYSTEM PUMPING RECORD
DATE: 02
SYSTEM OWNER& ADDRESS SYSTEM LOCATION
(example:left front of house)
�W l
of 6w.,vor
DATE OF PUMPING: QUANTITY PUMPED : I OC6 GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER(EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
CONTENTS TRANSFERRED TO: L� c
GAB BUSINESS SERVICES,INC.
CATASTROPHE OFFICE
85 Central Street, Ste 201
Waltham, MA 02154
TEL: 617-891-0671
FAX: 617-893-9952
To: Building Commissioner/Inspector of Buildings
Board of Health/Board of Selectmen
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Claim has been made involving loss, damage or destruction
of the property captioned below, which may either exceed
$1, 000. 00 or cause Massachusetts General Laws, Chapter
143 , Section 6 to be applicable. If any notice under
Massachusetts General Laws, Chapter 139, Section #B is
appropriate, please direct it to the attention of the
writer and include a reference to the captioned insured,
location, policy number, date of loss, and the GAB file
number.
Insured: CACI . , BENJAMIN
Property Address_:-3-0-0—S-TJMM—ER-S=T
N ANDOVER, MA 01845
Policy No: HP0511819
Date of Loss: 08-19-91
GAB File No: 10860 - 01796
Frank Edwards
Supervisor
On this date, I caused copies of this notice to be sent to
the persons named above at the addresses indicated above
by first class mail.
Signature an a e
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