HomeMy WebLinkAboutMiscellaneous - 318 SALEM STREET 4/30/2018 (4) 318 SALEM STREET
210/037.B-0045-0000.0
Domenic Giarruso
Salem St.
APPLICATION FOR SERAGE DISPOSAL IRESTALLATION
HEALTH DEPARVEC--NORTH AIMOVER, SASS.
I hereby make application for a permit for a sewage disposal installation at
.Salem. S&. �. I.will install this system in
accordance 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 lig until 10 feet
preceding the septic tanks where the grade shall not exceed 2%. I will install a
concrete septic tank of ,- 150 gale 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 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 200 lineal
( j 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 3A 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 1/111
(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 in-
stallation 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 co er, any portion of this installatiM until agnroved bit the inspection
officer,, as provided below, and to incorporate any additional requirements that
may be attached to the permit. Plot Flans must be submitted with application.
DATE July 163 1958
r �
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts,
DATE July 16, 1958 --
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATEiU
a
Signatul of Inspecting Offz
Percolation Test ,- 3 min.
Garbage Grinder
BOARD OF HEALTH
TORN OF NORTH ANDOVER t MASS.
i
Al4t:/
T ,
cue-,.��� .Z�wu.�.a—
1. NAME . . . . DATE
2, ADDRESS Lf1I N0, o o . TEL. . .
3, N0, OF BEDROOMS DEN YES 140. ✓. .
4. GARBAGE GR IIZER YES N0, .ii. .
5, SHOW DIThElISIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DIlvENSIOES OF LOT
8, SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
q, NOTE LOCATION AND DISTANCE OF WELL FROM1 SEWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STREAIJS, DITCHES, LEDGE OUTCROP, ETC.
11, SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FR0M HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
i
STATEMENT
DANIEL A. GIARD
130A Appleton Street
NORTH ANDOVER, MA 01845 DATE
Phone 686-7653
31 ?
TERMS:
PLEASE DETACH AND RETURN WITH YOUR REMITTANCE $
DATE INVOICE NUMBER/DESCRIPTION >I. CHARGES , ' CREDITS BALANCE '
BALANCE FORWARD
13,
k
Lyy ,
A',tia 4y
i
N.
l7W PAY LAST AMOUNT
DANIEL A. GIARD 09"� N THIS COLUMN
ppooL.CTIM-2 AC-Z�dz-O�'.E'ffi;�7 TD 01MWE TOL FREE 1-80D-225.M
SEPTIC SYSTEM INSPECTION FORM
ADDRESS
DATE INSPECTED
PROPERLY FUNCTIONING? N
WEATHER CONDITIONS
COMMENTS :
WATE:F, OUALi T Y TES t Eb 2 RESULTS'
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
I