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" Robert Cole
Lot # ,,�, Forest St.
33
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, KSS.
I hereby make application for a permit for a sewage disposal installation at
L6t #, Forest St. . I will install this system in ab-
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 Gal. 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 -An lineal 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 1/41 (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
the 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
S gnature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DA TE WAR
ignature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE o;
• Signature o nspecting Office
Percolation Test 4 min. Soil: Sandy -clay
Garbage Grinder No
March 25, 1961
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 Forest Street building site of Robert Cole.
The land in general is high.
The subsoil in the area was of sandy clay content and a 4 -minute
percolation test was conducted.
It is recommended that a 750 gallon concrete septic tank be
installed together with 180 lineal feet of drain pipe.
Very truly yours,
V13.11iam J. D cull
WJD:hd
BOARD OF HEALTH
TOWN OF NORTH ANDOVER.. MASS.
14
47
� 127
---• D��•r� Tito.
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1. NAIVE . C'C, t3 . G�t� L. � .DATE N�,� � -3 1q61
2. ADDRESS 2 Es-1'.�.' . LOT N0, . 1. . . . . TEL.
3. NO. OF BEDROOPJS DEN YES N0.
4. GARBAGE GRINDER YES . . . . . NO.
5. SHOW DII,'JENSIONS OF HOUSE
b. SHOW DISTALES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DILENSIOIZ 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 BROOKSp STREA15p DITCHES., LEDGE OUTCROPp ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
N, CITE : LOCAL REGULATIONS SHOULD BE READ CAREFULLY.