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HomeMy WebLinkAboutMiscellaneous - 33 WOODCREST DRIVE 4/30/2018a BOR_tC ZEK'S SEPTIC & DRAIN SERVICE 10 Belmont Avenue, Haverhill, NNIA 01830 (978)374-3803 & 1-(603)329-6005 COMMON OF MASSACIVUSETTS A -441,poU t -,'L NIASSACIIUSETTS SYSTEM P1;IIPING RECORD SYSTEM OWNER: A�7 C UyYu ?3 W00cl SYSTEM LOCATION: • �Gv DATE OF PUMPING Lr 27 QUANTITY PUMPED: /, (/ GALLONS: Cesspool:No Yes Septic Tank: No Ye SYSTEM PUMPED BY: RDR9C?EE'S SEPTIC& DRff SER [1ICE Contents Transferred To: DATE: C/ 2 7-�9 INSPECTO of 1999 WATERSHED RESIDENTS QUESTIONNAIRE 1. Name vE'.--wAz-��� 2. Street Address 33 � CA-01—'dam Imo' 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool L5- 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 C 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 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes X no ❑ do not know If yes, approximately how long ago? years. What was done? O S. How frequently is your sewage disposal system pumped out? ❑ annually K) every 2-4 years ❑ every 5-10 years-, ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes 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 1 dishwasher 4— garbage disposal dehumidifier drain sump pump toilet 5 roof/pavement drains showeribathtub 11. Please state the brand pnd type (liV o powder) of detergent you use for: dishwasher c1 clotheswasher 12. Does your property have a lawn? Cw yes El no If yes, approximately what size. \ ❑ 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? O No. of applications per year Season(s) of -the year 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. 4. Wb_- c type of sewage disposal system do you have? ❑ cesspool. !®r septil tank and leaching area ❑ coy: recti-orr to municipal sewer ID C, .her (describe) El do no: 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 Has your sewage disposal system been rebuilt or repaired? ❑ yes no ❑ do not know ye_:, zpproximately how long ago? years. What was done? l -oN,, frequently is your sewage disposal system pumped out? ❑ annually every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never ave you had any problems with your sewage disposal system? ❑ yes no what problems? ❑ repeated pump -outs needed ❑ system clogs, 'backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground i nany of each appliance are connected to your sewage disposal .system? a ;__no machine 1 dishwasher � garbage disposal t: iidifier d°ain sump pump toilet a-aement drains showerlbathtub �= state the'brand nd type (liquid O -Powder) of^detergent you use for: your property have a lawn? [ yes ❑ no approxinnately what size? SS th.a.rl 114 a'Cre ❑ 1/4 acre ❑ 1/2 acre 3/4 acre ❑ 1 acre ore than i acre (Specify) acres zften dol. `you fertilize your lawn? applicat-ons per year Fs) c -f the year taf- th.e brand and type (liquid or granular) of lawn fertilizer you use: nec.. ;: BOARD OF HEALTH 120 MAIN STREET TEL. 682-6483 NORTH ANDOVER, MASS. 01845 Ext23 February 10, 1995 vear'Lake Cochichewick Watershed Resident, District #3: As a homeowner in District three (3) of the Watershed of Lake Cochichewick, you have been previously notified of the septic pumping regulations adopted in June of 1993. This required all homeowners in your district to have had your septic tanks pumped by September 3, 1994, and every three (3) years there after. Our records indicate that as of this date, you are in violation of this regulation. If our records are incorrect, please submit proof of pumping to the Board of Health Office. Failure to have your septic tank pumped within thirty (30) days of this notification can result with penalties as stated in Section 8.4 of the North Andover Board of Health Regulations. A copy of the pumping regulation is enclosed. The Town of North Andover relies on a cooperative effort to ensure a safe drinking water supply. As a watershed resident it is vital that you comply with all standards set in regards to this effort. If you have anv auestions, please do not hesitate to. call the Board of Health Office at the nu -tuber above. Sincerely, Susan Ford Environment/Health Agent SF/cjp Enclosure Town of D watershed Septic System . /O servicing Report ws Date C Homeowner:.<<� _ pumper Street 3� 'e"� Address : Phone , , one Nature of Service: Routine v Emeraencv Observations: Good Condition Full to Cover Baffles ill Mace Leachf ield Runback Excessive Solids Heavy Grease Roots other Comments: ,;., Lot 43 Woodcrest Drive Permit #325 Ben Osgood APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Lot 43 Woodcrest Drive . 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 1000 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 .210 lineal (square) 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 willbe 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 11-22.68 Signature of Applicaet I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE 11-22-60 Signature of Health Agent. I have inspected the uncovered system indicated above and find everything done as described. / DATET_ � Signature of Ins cting Officer Percolation Test 8 Min Soil: Clay Garbage Grinder A- I 4j, BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. i s ` � caro 1. NAME ` / f h �S G -C> tZ A DATE % % �1 2. ADD SS ciDcl r ,PSS ! Oe, %F4. LOT NO. TEL .klS 3. N �OF BEDROOMS DEN YES NO 4. GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS 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 BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. i - 6 NAME OF BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL DATE APPLICANT a / -Z LOCATION Address of lot Ke, BUILDING: Dwelling X Other SYSTEM: New _Repair r GENERAL DESCRIPTION OF LAND SUBSOIL: Clay_ Gravel Sand PERCOLATION TEST minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK vel C--' gallon capacity. LEACH FIELD© lineal feet of drain pipe, IrA4'0L.LL\— oj—/ William J.D iscoll, Engi eer Board of HeaJlth i SEPTIC SYSTEM INSPECTION FORM ADDRESS `� '�j W 6 & CA?IcS d— DATE INSPECTED �! PROPERLY FUNCTIONING? e-) IV WEATHER CONDITIONS COMMENTS: WA"i ER QUALITY 'TES EN '� DYE TEST PERFORMED? Y N DATE? SKETCH: