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HomeMy WebLinkAboutMiscellaneous - 5 Woodberry 5 WOODBERRY 210/038.0-0142-0000.0 r a I- P Y i Lq�rte " �' ,:•'"�,i c. �,��.k� r �� � i'I Jf i•-1� i a � s 5 ..w...w.....,•.x..Y....w... .—'-.-_•-w..wuc•w:xso.�.w,w.,r.r,,.a*r.e.n�<+••�.'.+.�...�,...:w-....t+-,r.�.-zev»a,.w..ue�wc"attic,.•-w.•ie�.•irhascaaxarw„aw:w.�+-*:�r..a+Frr..v,+«s�a�+..« 1 TO: NORTH ANDOVER, MASS OC-J- 19 7C BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at L 7- /6 C) bu/e y q iVr North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated OF MAS. jr V4 O=� JOSEPH JJ) As G ) g. E 0 0/I� nitarian �174/I A PZA AY Qt O D �- ,2�! P�eoPosE-o SU6SU.e FgGE SEWAy E hJ5Pas9G cSy5TE b -- PRo,00sEo Z077 aR-4d/.v,, GB ©g LOCAT/o,V: GoT- /O, l aavB cz y t ' . - �`:is;• °ice G W / y SES/G�t/�R • �jN OF iygs JOSEPH c•T. B.�RB.4C�AGL , /Ps. �' ti �, N JOSEPH G ` �" N 91 "" / d Ll/E.STGUA,ed �IeQCGE BARBAGALLO � — No. 464 o� •�-. 1 �� l �I' �— 'o�n� V--, �•• y �o. ���1 G�/.vG . /�1A s s. -°�o'�F� ISTV 96. / /� G \j o s_ TEL. G -¢983 Fag/ON' A sP�'��P o a / TYPE OF da� •� r . • ,� �� �q�eq E Bui�oi�vU: 4 8�,�0©� v w�`�L��v� � \� G CELL,4,e PLUMB/Nf� FAG/G/T/ES: /V 0 !� .SEGUrgGE FLOW EST/MATE: ¢00 p SEPT/G 7 4,Vl< [) PERGOGAT/O" TESTS �`/ #Z #3 # 4 A4 7-E- 00 A:77-7OrAf ELEvA74C'il/ 93.0 sA'TURArioA/ .:32 DROP �� p / �� ro 9 ' 1 9"rc �'• DR-0,0 PE.PG64L4 T/oN RATES M• /t✓. iJ A oWE TC.��J�S 0 TEST PITS EX 57- V\//. V\//THl nU /00 C7- T DATE Z, ,V0 / TDP ELE7/AT/ON ��/2��I-•!�E !�/S DOS,¢G. �/�!/T �f/,q �-r //t/ST4GL e. //V HE �'CJ,Op,X73 U 4iYEGL.hVl::� s __ so/c TYPES suBsa/� WA7eR rAacE r ` _ !UU 4OC4 7-/6 A/ Nd W,4 43 iooF �,.//.//S 147TOM 646-VA r/ON TESTS C04 /OL1C ED cTG?SBy rD�Y 4T BA2BA AG�.d , QS TESTS GIJ/TNESSED ,4A, . 9�4 PLAA! -E' -DES/ v .2/ Fit BEET I CSF Z i ' ` � �� � a 4 � ,�.- 1 ,. • i <SE-gcEp C/A./r cSOL/p P. I .(f. /PE oma. o — 0 0 0 U C--) CAPPEp ��(!OS -e Eo P. I/C. PIPE ZO, �o,e Ec.?uivAcE�tlr) PA,2T/A1BED YC/A/D SECT/D AJ h � SPEC/F/CA7-10AIS - S'EE s -CTIOiV A'T 1,0WER ,e/4�y7-) A2E"A ' 9DD .S•F. h � N I,/97,2181J7-/DA/ �50r •-.--. . 0 g — /DOO QLJL. CONC2ET� SEPT/C TgNK too �IBSO.e/PT/D/V ,BEp ,�G A/l/ A/o r- Tv 1fG,46E• CF / . INV, = X5.00 ¢•,� ' _ / v eOT-roM 94 o U a67e-E•G 7- IC,P q Z o ev—gam _ o apo Il„To '3/8" W,45NE� - c Z g - o ebbe a C.E'USNE� STOAAS7 c•�n e�� e e e b = • o e-S�q'9'e � e Se��qed e a ¢„�P�Fo�ArED EQc//�/AL En/T e Q of d 3�¢UTo /�„ WA5,gED C:)n C�FSNEl� STONE O O N MEET A.q Iv CAGE ► , 27- 45 z. N. �ROF/LE ArVt� �IBSp,ePT/rev BEp P4AN AAt/,O �S�ECT/OIVS �f/EE T oP 2 ' ! '? ,� �J l 7 ��_ +/� I / ��" i G� �� � � �� ����l� a `�.._ SOIL PROFILE & PERCOLATION TEST DATA • ti —41-7 0/0 Vel-- ) Town/City No.&Street O �C3eep_ L^ Lot No. /U �J� fc./ II /' � 0 Loc./Subdiv. C�r� Y'�C Plan Owner Investigator/%G �� G- �� Observer ® 7f 7G S® �l/7 �s SOIL _PROFILES-D_ ATE / � !—'Elev. --- Elev. -- Elev.____- E1ev —__ p p p �! 1 v 2 2 2 2 .3 � 3 3 �4 4 4 \ � N t� 5 C� 5 5 3 6 6 6 6 7 7 7 7 d 8 8 8 8 tj 9 9 9 9 -O 10 10 10 10 Benchmark Location Elevation Da.tum Percolation Tests-pate Pit Number 1 2 3 4 5 Start Saturation :VS Soak-Mins. /5r-n,-i J,5 r� Start Test-Time 2 v Drop of 3"-Time 35 Drop of 6"-Time :5 Mins.lst 3"Dro hn i 5 %� Mins.2nd 3"Dro 23m,-; Notes & Sketches on Back Frank C. Gelinas & Associates, North And. ........ 1,r f1P/ 1T Tyr i1 ,7- 7,.1I�1... =1 -be Ij of /o Lt BOARD OF HEALTH '146 MAIN STREET TELEPHONE# (508) 688-9540 f • APPLICA TION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) Pursuant to Section 310 CMR 15.354 of the State Environmental Code, Title V Name Phone Address Contractorhi'r ed for work: Name /S Phone Address zg d Date for scheduled abandonment S –Z C--) The septic system at the above address has been abandoned according to Title V specifications. II Signature of Contractor Method of septic tank abandonment (check one). ( ) removal ( ) sandfill crush O other Name of Offal Hauler This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. Z �—e( // 'a 4L)l Inspecting Agent Date 31 �� � � � � 1 � � J � � -� �� ���� � ,y f 6 i$I 1558 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. �� 9 Application by the undersigned is hereby made to connect with the town sewer main in subject to the rules and regulations of the Division of Public Works. The premises are known as No. C , ���P [. dQ Street or subdivision lot no. I Owner Address 1�epy 4 Contractor Address /f pplicant's ignature PERMIT TO CONNECT WITH SEWER MAIN The Division 9 0 of Public Works hereby grants permission to r'" � �� , G1-50C j to make a connection with the sewer main at �-� 4�''. Street subject to the rules and regulations of the Division of Public Works.. i ivision of Public Works 1 BY Inspected by Date See back for rules and regulations f 6 I i { i NORTH Town Of North Andover Community Development & Services WAIiamJ. Scott FO 9 « _ 27 Charles Street Director (978)688-9531 '� =- •,M` ' North Andover, Massachusetts 01845 ��SSACHUS Fax 978-688-9542 June 30, 2000 Mr. &Mrs. James Daly Board of 5 Woodberry Lane Appeals No. Andover, MA 01845 (978)688-9541 Re: Sewer Tie-in Building Department Dear Mr. &Mrs. Daly: (978)688-9545 The Health Department has been supplied with a list of all residences, currently on Conservation Department septic, which have access to the municipal sewer system. As previously published (978)688-9530 at a Public Hearing on March 17, 1994, the Board of Health has adopted regulations concerning the required sewer tie-in. The following timetable Health concerning your property status was adopted: Department (978)688-9540 4.1 All establishments that currently do not have municipal sewer available to them must connect to the sewer as soon as it becomes available, with a Public Health maximum time limit of six months. Nurse (978)688-9543 The purpose of these regulations is to safeguard North Andover's drinking water, surface waters, groundwater and surrounding environment. Sanitary sewer is Planning believed to be the most effective form of wastewater treatment. A copy of the Department entire regulation can be obtained at our office. (978)688-9535 Any questions concerning this regulation should be directed to the Board of Health at (978) 688-9540. Additional inquiries regarding the physical tie-in and permitting process should be directed to the Department of Public Works at (978) 685-0950. Please be advised this Board intends to persevere in this regulation. Yours truly, Gaytogood, Ch an r! Francis P. MacMillan, M.D., Member Jo a, D.M.D., Member SF/smc wi3 ..rrn*t - ? ^ Nature of Service qeg,Malnt ASP Reg ❑ Etnergency ❑ N/CDay ❑ Night AN® OVER SEPTIC PUM teof Er6ce "` PA- FROM THIS RILLW'- Customer Name: Z„ j/, P.O. Box 4173 B Station cIL ' Andover, MA 01810 Service Location: (508) 475-2593 Phone: Professional IS & Drain Contact: Locally Owned and Operate . Billing Address: City: 24 Hr. Svc. —7 Days Zip: Emergency Special Instructions Completed ❑ Incomplete Reason: Per: AM/PM Services Rendered Observations Drain Cleaning Vacuum Pumping Good Condition ❑ Main Line Septic Tanker echfield Runb# ' ❑ Toilet Bowl ❑ Drywell C1 Kitchen Sink O Riding High ,�0 ❑ Leech Pit/Overflow (liquid level) ❑ Bathtub/Shower ❑ D-Box ❑ Full to Covert�10 ❑ Vanity ❑ Pump Chamber ❑ Excessive Solids ❑ Floor Drain El Grease Trap Top/Bottom [:1Yard Drain ❑ Catch Basin ❑ Use No Powdered Soap ❑ Vent ❑ Portable Toilet ❑ Heavy Grease p Sewer Jet ❑ Other ❑ Roots ❑ Other / Oty: ❑ Suggest Electric Footage: r Size: Rootering ❑ Under 1000 gallons l000 gallons C31500 gallons ❑ Van Called ❑ 2000 gallons ❑ 3000 gallons ❑ 4000 gallons ❑ Other j ❑ 5000 gallons ❑ other Q Misc. ❑ BackhoeInspection • ---hrs. C3 �►7 Z 7� ❑Digging Charge thn ❑ Certification: P/F C3 Location C3Consultation Reason: ❑ Service Call ❑ Estimate ❑ Pump Repair i El Labor ❑ Portable Toilet Rental C1Repair ❑ Waiting Time ❑ Baffle CD Chemical Treatment Digging Charge Is Per.Driver ❑ Other Discretion Description of Work ' { l 1 I i i r : Terms of Payment parts f Recommendations ! ` V um Pumg Drain Cleaning NE ; AL U ly Month I /J ►.� Month -" Yr. — t, Y count ❑ Check redit T / s Conditions ❑ Com ' �j monthrwill be nts pas due 3. 596 per co t. 1 �- �,`1. t responsible for damage beyond curb Ii { The purr�8Sef agrees 2. II complaints shall be reported within 48 h f ¢� �l�Ne....�o.cinned sorsa to all terms and p ridltions. c ry SEPTIC SYSTEM INSPECTION FORM ADDRESS 66 DATE INSPECTED PROPERLY FUNCTIONING? N WEATHER CONDITIONS COMMENTS : Glib EjZ ak ALy T'ES t t—:�- E'-, L—i S� DYE TEST PERFORMED? Y N DATE? SKETCH: WATERSHED RESIDENTS QUESTIONNAIRE _ 1. Name c1 Ames W —DA y 2. Street Address c5 k)®o D C3e2 zU 4iU 2 3. How many members are in your household? 4. What.type of sewage disposal system do you have? ❑ cesspool I� 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 disposals stem been rebuilt or repaired? Elyes Elno 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 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 V' dishwasher ✓ garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher �A j.-!9i e).,j/ T E' _ clotheswasher 12. Does your property have a lawn? yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre 1/2p 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 7 Season(s) of the year J 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: f 1 We w i STA R r Soo N W di C�e m L rwAj S2F,U 1 c e Check here if your lawn is maintained by a professional landscape contractor.