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HomeMy WebLinkAboutMiscellaneous - 369 GREAT POND ROAD 4/30/2018 (2)r DANIEL A. GIARD 130A Appleton Street NORTH ANDOVER, MA 01845 Phone 686-7653 STATEMENT DATE 93 .._.... _..... _... _.......... ..... ............' v-+o.�a...:.... _............ .... .-... .............. .... _..... ...... _..... _._......... ............ TERMS: PLEASE DETACH AND RETURN WITH YOUR REMITTANCE $ DATE INVOICE NUMBER / DESCRIPTION 1 CHARGES 4 CREDITS ( BALANCE _ BALANCE FORWARD PAY LAST AMOUNT DANIEL A. GIARD IN THIS COLUMN PRODUCT 100.2 // Inc.. G,*n, Man. 01471, To Oroer PHONE TOLL FREE 1-80225-&W D. Chamdler 31 Y Great Pond Read APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMU--NORTH ANDOVERt MASS. I hereby make application for a permit for a sewage disposal installation at Great 0 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. Furtherp 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 preceding the septic tankp where the grade shall not exceed 2%. I will install a concrete septic tank of 1000 Gal. in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 32 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 300 lineal (iii li) 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 1/811 to 1/4f'_ (dia.) will be placed over the course gravel or stone. The disposal field will be Installed at a grade of 4 to 6 inches%00 feet. No single the line will exceed 100 feet in length and in any case, two lines of tile wia 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 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 Signature of Applitant I hereby issue the above permit for the Board of Health of the Town of North Andovers Massachusetts. DATES Signature of Health ,Agent I have inspected the uncovered system indicated above and find everything done as descbed• DATE e Signature bf nspecting Officdrr, Pereolati.on Test 3 mina Sandy -clay Garbage Grinder D. Chandler ' Great Pond Redd APPLICATION FOR SEWE DISPOSAL INSTALLATION HEALTH DEPART11ENT--NORTH ANDOVER.* MASS. I hereby make application for a permit for a sewage disposal, installation at . I will, install this system in accordance with all t e lairs 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,o until 10 feet preceding the septic tank: where the grade shall not exceed 2%. I will install a concrete septic tank of j nnn r:g7 . in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 32 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 ,,lineal (0=%) 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 IA" (dia.) will be placed over the course -�vel or stone. The disposal field will be installed at a grade of 4 to 6 inches/106 feet. No single tile line will exceed 100 feet in length and in any ease, 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 officer, as provided below, and to incorporate any additional requirements tha may be attached to the permit. Plot Plans must be submitted with application. DATE Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described, DATE Signature of Inspecting Officer Asreolation Test 3 mine San& -clay Garbage Grinder November B. 1958 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 Great Pond Road building site of Douglas A. and Alise N. Chandler. The subsoil in the area was of a sandy clay content and a 3 -minute percolation test was conducted. The land in general is high. It is recommended that a 1,000 gallon concrete septic tank be installed together with 300 lineal feet of drain pipe. Very truly yours, h N zo' M 0 3 0 Com, d BOARD OF HEALTH TOWN OF NOR'T'H ANDOVER,, MASS. 140. 3 �.f.CoNc, S ar,c7A ia' u L,oes 1. NAME .�O�G�RS� .A' .g p 4� ISE- A/'CgT/NL - . DATE NcLt vtfPt-�e0� 2 ADDRESS �REAr ?9 "�'� ... �d 6LOT NO .......TEL...... M �.f.CoNc, S ar,c7A ia' u L,oes 1. NAME .�O�G�RS� .A' .g p 4� ISE- A/'CgT/NL - . DATE NcLt vtfPt-�e0� 2 ADDRESS �REAr ?9 "�'� ... �d 6LOT NO .......TEL...... 3. NO. OF BEDROOMS . .-/ . . . DEN YES . X . N0. 4. GARBAGE GRINDER YES . . . . . N0. !(. . . 5. SHOW DIP,'ENS IONS OF HOUSE b. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7, SHOW Dll,,ENSIOIZ 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 BROOKSl STREAUS9 DITCHES! LEDGE OUTCROP$ ETC. 110 SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. �7\rD9 .�1f D�'.P•'�y BOARD OF HEALTH 120 MAIN STREET NORTH ANDOVER, MASS. 01845 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) PURSUANT TO SECTION 310 CMR 15.354 OF THE STATE ENVIRONMENTAL CODE, TITLE V TEL. 682-6483 Ext23 This form must be _submitted to the Board of Health no less than five (5) days prior to date of abandonment and be accompanied with a copy of the sewer connection permit. Name �� l� CQNST. .lr��. Phone ��5a Address(�1 Contractor hired for work: Name SRMIF Phone Address ����} ��; �N� 1pt) - /U_)baut Date for scheduled abandonmentIc',l Method of septic tank abandonment (check one). ( ) removal ()Q sandfill (X) crush ( ) other (describe below) Other PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH AGENT'S USE ONLY Inspecting Agent Date Comments C N° 993 c APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. J4' Z 19 Application by the undersigned is hereby made to connect with the town sewer main in C 7/�fE P<4 Ate— Street, subject to the rules and regulations of the Division of Public Works. 1 / The premises are known as No. ,3, / �r��r [ ��K/( Street or subdivision lot no. Owner M1 r Contractor �OCc Address _� Jr -Z Address Applicant's Signature /D a/4� PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date By See back for rules and regulations Street Division of Public Works SEPTIC SYSTEM INSPECTION FORM ADDRESS Z) (� 4 G reo� zPan, DATE INSPECTED �1- 0 PROPERLY FUNCTIONING? (�) N WEATHER CONDITIONS COMMENTS: WATER QUALITY TESTED? RESULTS? DYE TEST PERFORMED? Y .N DATE? SKETCH: L c A. WATERSHED RESIDENTS QUESTIONNAIRE 1. Name 4Ile,. S • /�/e ✓S e s a/•t 2. Street Address 369 GP-ew-- - Apn.( Al 1Awi"i°'- 3. How many members are in your household? j 4. What type of sewage disposal system do you have? ❑ cesspool 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 ❑ 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? 8. How frequently is your sewage disposal system pumped out? ❑ annually every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes K 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 I Y" dishwasher -XJ garbage disposal 1 dehumidifier drain sump pump toilet X-1 roof/pavement drains shower/bathtub A(_L 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher clotheswasher 12. Does your property have a lawn? C yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre K, 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? No. of applications per year _ Season(s) of the year SAS 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.