HomeMy WebLinkAboutMiscellaneous - 327 HILLSIDE ROAD 4/30/2018,T
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SOIL PROFILE & PERCOLATION TEST DATA
Nor",AndDver M. -S. No.&Street of No.
Loc./Subdiv. Plan Owner'
Investigator Observer
SOIL PROFILES -DATE
?' Elev. 2. 3. 3' Elev.
0 0 0
1 1 1
Benchmark
Elevation
2 2 2
4
5
6
7
8'
9
10
41
5
6
7
8
9
10
Location
Datum
Percolation Tests -Date
4�
5
6
7
8
9
10
4'Elev.
Ties to Test Pits
Pit Number
1
2
3
4 S
Start Saturation
Soak -Mins.
Start Test -Time
Drop of 3" -Time
Dro of 6" -Time
Mins.lst.3"Dro
_
Mins.2nd 3"Dro
-
Percolation Rate
Notes & Sketches on Back
Board of Health
North An ver tea•
M
BF.PTIC SISTEM
INSTALLATIM CHECK LIST
LOT.74
r) AVATICB� OK FAIL
i
Ba 1.1 ms i
OK so
rz�
a. Wetlands
b. Drains D
0. Well
2. Water Line Location r
36 No PVC Pipe �r
%. Septic Tank
a. _Tees Length & To Clean -Oat Covers.
Cement Pipe to Tank On Both Sides of Tank
A
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amounts
c. No Back Flow
6. Leach Field or Trench
a.
Dimensions
b.
Stone Depth
c:
Capped -tads
d.
Clean Double Washed Stone
7. Leach Pits
a.
Dimensions/
b.
Stone De it
c.
Spla Pads
d.
T
e.
t Pipe to Pit - Both Sides
f.
Clean Double Washed Stone
8. No Garbage Disposal.
9. .Fina Gradin; Inspection
10. Barricading Covered System
11. As Built Submitted. --
a. Lot Location
b. Dimensions of System
c. Location with Regard -to Pere Test
d. Elevations
e: Water Table
Board dY Health
North Andover,Mass
SUBSURFACE DISPOSAL DESIGN CHECK LISP
LOT` �J
APPROVED DATE DISAPPROVED DATE
Providedt Reasons:
Title V
FAIL
Reg 2.5
The submitted plan must show as a minimum:
a) the lot to be served-area,dimensions lot #,abutters
location and log deep observation hoes-distance to ties
location and results percolation tests-distance to ties
I Ll design calculations & calculations showing required leaching area
e) location and dimensions of system -including reserve area
f existing and proposed contours
location any wet areas within 100' of sewage disposal system or
disclaimer-check wetlands mapping
kli(h),surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
(i) location any drainage easements within 1001 of sewage disposal
system or disclaimer-Planning Board files
4( ) known sources of water supply within 2001 of sewage disposal
system or disclaimer
k) location of arq proposed well to serve lot-1001 from leaching facility
(1) location of water lines on property-101 from leaching facility
) location of benchmark
(a) driveways
o) garbage disposals
no PVC to be used in construction
(q) profile of system-elevations of basement, plumbs pipe, septic tank,
distribution box inlets and outletss distribution field piping and
Other elevations
r) maximum ground water elevation in area sewage disposal system
(s) plan must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
Reg 6
S tic Tanks
(a) capacities-150% of flow, water tables tees, depth of tees,
access, pumping
b) cleanout
c) 101 from cellar wall or inground swimming pool
(d) 251 from subsurface drains
Reg 10.2Distribution
Boxes
Reg 10.41
a) slope greater—ME 0.08 -
b) sump
SOTI, r RO_'IL Pti P TP1 OLATIMN 'TEST PA':'A
Rcrrd of iiealt?i--'Torth Andover, Mac;q.
Street Lot No.
Subdivision'- Owner
Investigator QmillA Observer
SOIL PROFILES
1. Date 7 2. Dat ey-z- 3. Date_
Elev. Elev. El. ev.
Feet Inches
0 0
2
m
4
60
U
`72
84
36
108
sib _
`d
q n SC"
.s
NP
0
V
Tote: Top & subsoil depth; depths of other soil types; depth of water table;
depth of refusal.
PERCOLAT101\T. BESTS
Date 7-1k-lk Ijete l)afiP
4. Date
Elev.
Ties to Test Pits
1.
2.
Pit
Number
1 2
3
4
5
.rt Saturation
23 io"Ib
-- _
---
!K -Mins.
— --
rt Test -Time
-p of 3 ".-T-i-rye
—
- - - --
- - -
--
1 St 3 Drop--
�6
-
.'9. -- -
-- . - - - -
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IV
INVOICE Bateson Enterprises Inc. Tel. (617) 47S-1474
formerly Ray Fortuna
Argilla Road •
Andover, Mass. 01810
Sold to 19
® 27 -
DESCRIPTION ®
. .
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■
oil
`� I • •
t i,
BOARD OF HEALTH
146 MAIN STREE'C
TELEPHONE# (508) 688-95l0ti
W. r r'�
nn� 1 31991
.1PPLI(--:4110;V FO'? :-18.-1N1)0,,V1,fLV7'
OF SUBSSiRFACE DISPOSAL S QST M ,
(:SL-PTIC SYSTEM)
Pursuant to Section, 310 CMR 13.3j4
of the State EnvirOt7mental Code, Title V
21
Name
Address
Contractor hired for work:
Name'
(�
Address 33
Phone
i
r�
Phone (n Q,�7,6 7 q
d
Date for scheduled abandonment 1 Aq 'T7
The septic system at the above addr s has4bebandoned accordin1 to
Title V specifications.
r ontractor
Method of septic tank abandonment (check one). O removal (} sandfill
(X,) crush ( ) other
Name of Offal Hauler &) eli570-),
This form must he returned to the North Andover Board of Health
PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH
REPRESENTATIVE'S USE ONLY.
I---
77 1 X �;
9
Inspecting Agent Date
ve, bO
11 t
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