HomeMy WebLinkAboutMiscellaneous - 340 FOSTER STREET 4/30/2018DATE:
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
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DATE OF PUMPING: lo—LI —6,)— QUANTITY PUMPEDTL� GALLONS
CESSPOOL: NO ✓ YES _ SEPTIC TANK: NO YES Z
NATURE OF SERVICE: ROUTINE
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
SYSTEM PUMPED BY:
COMMENTS:
EMERGENCY
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
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SUBS'�RFACF, DISPOSAL SYSTEM CHF
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I10RTH ANDOVER BOARD OF HEALTH o
APPROVED DtkPE PROVIDED DISAPPROVED DATE TIME REASON
Title 5
Reg. 2.5 Fail OK The submitted plan must show as a minumum:
Reg. 6
(i)
the lot to be served (area,dimensions,l.ot //,abutters)
(Planning Board files)
location and log of deep observation holes -distance
to ties
location and results of percolation tests -distance
to ties
design calculations & calculations showing required
leaching area
location and dimensions sf system (including reserve
area)
existing and proposed contours
location of any wet areas within 100' of the sewage
disposal system orMdisclaimer (check wetlands mapping)
surface and subsurface drains within 100' of sewage
disposal system or disclaimer
location of any drainage easements within 100' of
sewage disposal system or disclaimer (planning board
files)
known sources of -water supply within 200' of sewage
dispo-sal system or disclaimer
location of any proposed well to serve the lot (100'
from leaching facility)
location of water lines on property (10' from.leaching
facilities)
location of benchmark
driveways
garbage disposers
no PVC is to be used in construction
a profile of the system (elevations of basement, plumbE
pipe septic tank, distribution box inlets and outle'7s,
distribution field piping and any other elevations)
maximum ground water elevation in area of sewage dispo:
system
plan must be prepared by a Professional Engineer or
other professional authorized by law to prepare such
plans
)tic Tanks
Capacities - 1500 of flow, water table, tees, depth
of tees, access, pumping,
Cleanout
c) 10' from cellar wall or inground swimming pool
d) 25' from subsurface drains
• � 1
SOIL PROFILE & PERCOLATION TEST DATA
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Tow
nni��oye`^ No.&Street Lot No.
Loc./ Subdiv. .r- —Plan Ownere.---
V Investigator, Gi Cc i� Observer
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SOIL PROFILES -DATE
1' Elev. ?' Elev. 3' Elev. 4'Elev.
�0 0 0 0
2
3
4
5
14,
,3 7
3
0 8
9
21
31
4 1
5 1
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7
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2
3
4
5
6
7
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9
10 1 10 1 10 I
Benchmark- - Location
Elevation Datum
Percolation Tests -Date
-7-�
Pit Number
1 2 3 4 S
Start Saturation
Soak -Mins.
/5'
Start Test -Time
Drop of 311 -Time
Drop of 6" -Time
Mins. lst 3"Dro
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Mins.2nd 3"Dro
Notes & Sketches on Back Frank C. Gelinas & Associates, North And.
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.�a wa t �w=�+e• INSTALLATION CHECK LIST LOT /d
XTNOM DATE DI SAYFROPID IMAVATIM OK FAI L
�asonst J
Y177
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/ 1. Distance Tot-
a. Wetlands
b. Drains
/ c. Well
2. Water Line Location
3. No PVC Pipe -
Septic Tank
/ a. Tees - Length Ec To Clean out Covers
b. Cement Pipe to Tank On Both Sides of Tank
/ 5• Distribution Box
A. Covers & Box - No Cracks
b. All Lines Flowing Equal Amounts
c. No Back Flow
Leach Field or Trench --
a. Dimensions
b. Stone Depth
c. Capped Ends
d. Clean Double Washed Stone ----
?. Leach Fits-
a.-
its-
a.- Dimensions
b. Stone Depth
c. Splash Pads
/ d. Tees
e. Cement Pipe to Pit - Both Sides
f. Clean Double Washed Stone
/ 8. No Garbage Disposal
9. Final. Grading Inspection
f 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
Commonwealth of Massachusetts
Massachusetts
Al
96
System Pumping Record
System Owner
(00WAQ,,�-
System Location
Date of Pumping: ?$� Quantity Pumped: c �o 6--- gallons
Cesspool: No Yes ❑ Septic Tank: No ❑ Yes
System Pumped by: Vat` &W 4i44m� License #
Contents transferrred to : Greater Lawrence Sanitary District
Date: Inspector: