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HomeMy WebLinkAboutMiscellaneous - 306 MARBLERIDGE ROAD 4/30/2018 (2) 306 MARBLERIDGE ROAD oad 210/037.D-0010-0000.0 J . H" BOARD OF HEALTH 146 MAIN STREET -: TELEPHONE# (508) 688-9540 t N APPLICATION FOR ABANDONMENT t 5 f:-37 OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) Pursuant to Section. 310 CMR 15.354 of the State Environmental Code, Title V Name "f Phone Address Contractor hired for work: Name ('a Phone Address z, Date for scheduled abandonment o lff197 The septic system at the above address has been abandoned according to Title V specifications. 4I' G Sign ire o ontractor Method of septic tank abandonment (check one). O removal O landfill V) crush ( ) other Name of Offal Hauler This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. 19 7 Inspecting Agent Date �a C �� �' - �� � � _ __ Town of North Andover, MA Watershed Septic Systeag Servicing Leport Date:— Homeowner: ate:Homeowner:_ 2?/ �--�Pumper Street :_ Cp / �2f,� Address: Phone ��� ;��J/ Phone Nature of Service: Routine Emergency Observations: Good Condition Full to Cover Baffles in Place Leachf field Runback Excessive Solids Heavy Grease Roots Other (Explain) Description of Wor . Comments: 0& Anthony Olenio Lot 5, Narbleridge Rd. APPLICATION FOR SEWAGE DISPOSAL INSTALIATION HEALTH DEPARTMNT - NORTH ANDOVER, MASS. I hereb make a li ati for a permit for a sewage disposal installation at Lot �, T,iarb��ricdge 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%. I will install a con- crete septic tank of _750 Gals 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 180 lineal Wim) 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 1/8" 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 Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DA TE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE Signature of Inspecting Officer Percolation Test5 min. ravel Sand y-€ Garbage Grinder no r � May 16, 1959 Miss Mary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Marble- ridge Road building site of Anthony Olineo (Lot #5) . The subsoil in the area was of a sandy gravel con- tent and a 5-minute percolation test was conducted. The land in general is high. There is a brook running through this lot that is to be relocated, as shown on the enclosed plan. The final results of the relocation of this brook are that the subsurface disposal field must be at least seventy-five feet from said brook. It is recommended that a 750 gallon concrete septic tank be installed together with 180 lineal feet of drain pipe. Very truly yours, c, W�am� © i v BOARD OF PlEAIIX TOWN OF NORTH ANDOVER, MASS. AV �a. N 7t'aGpdC ucS��nc'�"A 1. NAME . ..1. . DATE 2. ADDRESS :�:� . LOr N0. . TEL. Z7.a? 3. NO. OF BEDROONS . . `� . DEN YES NO. ; I�. GARBAGE GRINDER YES . N0. a: . 5. SHOW DINIENS IONS OF HOUSE b. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMNSIOM 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 BROOKSl STREANS9 DITCHES., LEDGE OUTCROPO ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. � f t '-- Mr.. u,arl Warwick APPLICATION FOR SEWAGE DIS}'uSAL INSTALLATION HEALTH DEPA1r3,q_ENT,., Wr?,TH ANIDOVER., MASS I hereby make application for a per-mit for a sewage disposal installation at1�tar I will install this system in accordance ai t �aw:�of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house setier of "Dell. and spigot pipe, the minimum diameter being 4 i.nebes, and will maintain a minimum grade of 1% until 10 feet. preceding the septic tank, where the grade shall not exceed 2%. 1 'will install a concrete septic tank of in size. A, manhole: (s) permitting easy clean- ing will_ _Re&Med 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 mininiuxin of �� Lineal (square) feet of effective absorption area. The pp 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 (dc. ) 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 130 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 ►0 feet from :any property line. I further agree not to cover any ortion of this installation until at��rove�_�r t�e 'ins e—cti,o�"ni' er, as �srov` �ieeoi�, a` to corporate any dit; na�requa.rexxzen s that may be attached to the permit. Plot Plans must be submitted with application. DATE _ 7�y 40, 03,J_ -_ - - Signature of App .cant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. Dated �gnatur . o . ea�t�"i Agc:nt I have inspected the uncovered system indicated above and find everything done as described. Date 4—/ "- S/! Slg—nature of nspectlng Officer Percolation Test 5 mine clay Garbage Grinder no w � ` �t �. d� --�—.-1 S. _ .. 3 �� v�`��a�� 3U � �n ~ , r ]� . � I. ` - � { i •. :i ,.. a' . Olz.,L _ _ ...�......,�,...�,�...�.,...,�..� ..yam AZ ......LOT NO--TE: L-27-ILl- . � 'wT'1V^4H.-0�"�'�'�_."�___^.�—_.�.'��.'���Y.f:'.'tM•.Cvi�PRT.TMY.4V'!°NmM�rFfsa='. �x/ _._._._ W -••••••.aaxn:�re.:nrc^ersct'a=_.�".r=ser,�.e.:-�.�'.�.-^ana^*auea'u^sa+ti�v�raa:w• ,pt •Gto+xi-.�:sr.�xsrws«ewunvewrwnse.�� -r0v-,K `a � !f',a "AC? t io`1t h'd ," a4 €mow; , 3eWC-aH6E 54,'�Ic "1 G? r'F oa CC ',g-r,. , Cf+t:ia , ,o � May 4,1956 Miss Mary Sheridan R.N* Health Agent Board of Health North Andoner,Massachusetts Dear Miss Sheridan: An examination has been made relative to the suitability of the soil for the sub-surface disposal of sewage on the proposed Marbleridge Road building site 6f Mr„ Earl Warwick. The result of the examination is as follows: Soil. . . . . . . . . . . . . . . . . . . . . . . . . cla.y Percolation. . . . . . . . . . . . . . . . .5 minutes It is therefore recommended. that a five hundred gallon tank be installed. with one hundred and twenty . feet of drain pipe. Very truly yours, Ernest F, Romano SEPTIC SYSTEM INSPECTION FORM ADDRESS sa, DATE INSPECTEDJv ' 4: 'PROPERLY FUNCTIONING? YY N � WEATHER CONDITIONS ' COMMENTS : �x } r i1 DYE TEST PERFORMED? Y N ,° DATE? tf SKETCH': L �r 7 V an.SxF '3 • o- WATERSHED RESIDENTS QUESTIONNAIRE 1. Name ����?v" + 2. Street Address ' p ` '9 3. How many members are in your household? r% 4. What type of sewage disposal system do you have? . ❑ cesspool Q septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no &I do not know - 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years Q over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes ❑ no do not know If yes, approximately how long ago? years. What was,done? 8. How frequently is your sewage disposal system pumped out? `FgJ annually O ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes `C] no If yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? washing machine dishwasher garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or`powder) of detergent you use for: dishwasher clotheswasher N 12. Does your property have a lawn? Q yes ❑ no If yes, approximately what size? JD,. less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No. of applications per year —17Z/i. Season(s) of theO ear ? ��y .�',i1 �,✓� �.r. 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor. �It TATERSHED RESIDENTS QUESTIONNAIRE 1. Name V V/1R Vl i G� 2. Street Address 3o(, C 3. How many members are in your household? U A16 5 4. VVhat type of sewage disposal system do you have? ❑ cesspool septic tank and leaching area ❑ connection to municipal sewer r? other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no ® do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years over 20 years ❑ do not know i. HaasY Y our sewage P a dis osal system been rebuilt or repaired? ❑ yes ❑ no do not know If yes, approximately how long ago? years. What was done? 8. blow frequently is your sewage disposal system pumped out? '® annually every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes 'oC no If yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. Haw many of each appliatr;ce are connected to your sewage disposal system? washing machine dishwasher ✓� garbage disposal dehumidifier drain sump pump toilet = --� roof/pavement drains shower/bathtub 1� 11. Please state the brand and type (liquid or'powder) of detergent you use for: dishwasher A L L. clotheswasher ^11,1A 12. Does your property have a lawn? P�L_ yes ❑ no If yes, approximately what size? less than 1/4 acre ❑ % acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre ❑ more than 1 acre (Specify) acres O13. How often do you fertilize your lawn? No. of applications per year Season(s) of the year t 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: