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5 SOIL PROFILE & PERCOLATION TEST DATA
Board of Health-North Andover, Mass.
Street Lot No. ___
Subdivision Ownerq�t,a...
Investigator 3 . � 4CAtLo Observer
SOIL PROFILES
1� Date2. Date
S fi J- _ 3. Date 4. Date
Elev. Elev. Elev. Elev.
Teet Inches
0 Ties to Test Pits
2
2.
24
3_
36
4.
48
5.
60
72
84
96
.3r 39
108
0 120
ote : Top- & subsoil depth; . depths of other -soil- types; depth of water table;
depth of refusal.
PERCOLATION TESTS
Date 07-78 Date Date Date Date
' Pit Number 1 2 3 4 5
Start Saturation
SoakMins.-
tart Test-Time
Drop of 3"-Time
Drop of 6"-TimeIT 11
Mins. 1st 3" Drop- y
Mins. 2nd 3" Drop
Rate Min. In.
�� ���� w� � � • r �S. , -.4_
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*ort1, Andover Subsurface disposal system check list - Page 2
I
Fail OK M stribution Boxes
Reg.10. 2 (a Slope greater than 0.08 .
Reg.1.0.4 (b� Sump
Leaching Pits
Leaching pits are preferred where the installation, is
possible
Reg.11 .2 (a) Calculations of leaching area (minimum 500 S.F. )
Reg.11 .4 (b Spacing
Reg.11 .1 (c Surface drainage 2%
Reg.11 .11 (d) C ver material
Lea in Fields
Reg.15.1 ( ) NoGreater than 20 minutes/inch
Reg.15.1 b) Area (minimum 900 S.F. )
Reg.15.4 (c) Construction of field
Reg.15.8 (d) Surface drainage 296
Reg. 3.7 (e) 20' from- cellar wall or inground swimming pool
Leaching Trenches
Reg.14.1 (a) Calculations of leaching area (min. 500 S.F.)
Reg.14.3 (b) Spacing (4 ft. min. 6 ft. with reserve between)
Reg.14.4 (c) Dimensions
14. 5
Reg.14.6 (d) Construction
Reg.14.7 (e) Stone
Reg.14.1 (f) Surface drainage 2%
4(a)
DoSlope
Slope y/x = (to be shown)
(b) y/x X 150 = (to be shown)
Pum c
Reg. 9.1 (a) Approval
Reg. 9.6 (b) Stand-by power
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SUBSURFACE DISPOSAL SYSTEM CHECK LIST
NORTH ANDOVER BOARD OF HEALTH
APPROVED DATE PROVIDED DISAPPROVED DATE TIME REASON
4�71r
Title 5
Reg. 2. 5 Fail OK The submitted plan must show as a minumum:
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 of system (including reserve
area)
existing and proposed contours
location of any wet areas within 100' of the sewage
disposal system or- disclaimer (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
disposal 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
-p) no PVC is to be used in construction
�- a profile of the system (elevations of basement , plumbers
pipe septic tank, distribution box inlets and
outlets
distribution Held piping and an other
P P g y elevations)
maximum ground water elevation in area of sewage disposal
system
plan must be prepared by a Professional Engineer or
other professional authorized by law to prepare such
plans
s
Septi. Tanks
Reg. 6 ( Capacities .- 150% of flow, water table tees depth
of tees, access, pumping, P h
(b) Cleanout
(c) 10' from cellar wall or inground swimming pool
(d) 25' from subsurface drains
TO: NORTH ANDOVER, MASS (!5�G T /7 19 7$
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
LD T —3 /6,' E S T 2� l North Andover, Mass.
SITE LOCATION
The grades and construction are as specified in my plans and specifications dated
19
Ike P f, rj Sneer/ anitarian
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/add ress�� s� Title of File Page of
Date File Open: Date file closed:
Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes:
action Document/ document/
Num. Action Department
j
Board of Appeals — Board of Health — Planniing Board — Conservation Commission — Building Departrner-t