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HomeMy WebLinkAboutMiscellaneous - 6 Woodberry J6 WOODBERRY 210/038.0-0134-0000.0 t �1 .b ` a. 40 TO: NORTH ANDOVER, MASS 19 7 BOARD OF HEALTH l FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection N ("I This is to certify that I have inspected the construction of the said disposal system at � G o 7,' / I've e a �V-P,Y Z014',ff North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans-a°rld-�ifications dated 1bNp1GS3��N {� S 19 aslog r P7 ar eg. P .ngi eer/1�`.."`. anitarian ofi: / 1 . SOIL PROFILE & PERCOLATION TEST DATA Town/City No.&Street �OQ Lot No.�,,_ Loc./Subdiv.(ho- ler�C�Re�5�• Plan Owner �a C�✓�U InvestigatorOC�-►''� G��/U Observer 17G /��' SOIL PROFILES-DATE 4. 1' Elev.�_ -= Elev._ Elev._____— —Elev.� 0 to 0 0 \Q 1 d l 1 1 d 2 2 2 3 3 3 ` 4 S4 4 4 CS � 5 J5 5 6 6 7 � 7 7 7 8 s c 9 9 9 9 � O`V 10 10 10 10 Benchmark Location Elevation Datum Percolation Tests-Date S Pit Number 1 2 3 4 5 Start Saturation 2,2 7 Soak-Mins Start Test-Time 9 412 Drop of 3"-Time Drop of 6"-Time E_n'M ins.lst 3"Dro Mins.2nd 3"Dro ,2 Notes & Sketches on Back Frank C. Gelinas & Associates, North And. e" . . ,-.�`.�1, Vii,«• _. _'. . _ -- -- - r � , t So 1 IUD- t i, _--._. ���,5s7�, ;�a �+z• PLAN! sNON/iNU (p �y �� PPOPOSED SUBS!/2FAGE SEWAGE D/SF��k SYSTEM Q4 OCT e7, ,vo �A2C3AG6 v/5PasAG OkI.VE� tOPc� O SIA% C3E /NS -AL( 5D G/�. �J /��o. •R.tJ��Jvc�, il//A.��. I Sibs �� fwd CPn �Uh 1.5 cTOSEPH cT 6AR,5A6AZe- , RS b�� �� � �No. /QEAA/•vU , Mass. ti DEsIGAJ OFABU/GD/.UCa 4 BE 200M Ju/EL L i; c, i r GARAGE fe'CELLAR PLUMB/NU SEWA6E FLOW ESTIMATE: &00 G' ? • /OOd ,/ _ c'6Z.� �'. ' S✓r� I -� -�'' 'V f (' fIB50RPT/ON AREA: X40 ••,F '�O'-`' �¢ I 1wZ Q5P-rReO6AT/ON TESTSDA rL- . i g 72AP 6-4 47 \,/f1 � pn Fa�TTOft'1 EGE✓AT/dA/ 7f3'.% 6 i s SATU.eA T/ON /5 M/.J. Y 90 g ti� e /Z^ro 9" DROP 5 M/,v M/ti/ /vlin/ M/N i y _- 9•'r 6" DROP /Z PE,PCOGAT/ON RATE Q M,v. M•"`�/. / � i O TEST PITS PQ°PORE N ` 0\ - DA rE G 7 TOP ELEI/AT/ON V 2,7A 1 0 Sot rYPEs 7z^SA��Jy AA.1D ccay WATER TABLE 7-/t3.V wArE�_ '` U3. � , BOTTOM&6VAT/ON \� (/��( �� '/4 -— �� `" 90-- - �`$G TESTS Cq•VOL(GTED BY TOSEPH J.&4,eBAGA000 , R.S. �e g�v� -" _ rEsn W/TNESSED BY ND.AMDOVEE "EALTN DEPT 2. ce y PLAtif � EG, ' � Soup .(�C. /PE COR Ecau/✓A O e �O,B E4 ENTJ P.427-1,4L BED EA-1D 9EC7-/OA-1 h Az EA= S9OD�s �F02 SPEC/F/CAT/ONS — EE SECT/ON AT ZOWEQ 2/G//T� �,,T,2/BUT/ON ' h � 1 t N l ¢"y CAST I FOAV, S OLO —/DDO QAL. CONC.eETE SEOPsr TAVVNK t\ UU I' 4.5 ¢"W eS /D PVC.,SD TO/NTS 4"Pee s=.00s �� ` g�` AS So2PT/DN BES PGAN '30 \�,t} DoT Tp c-'ALE � SCS SEALED cSEL ECT —�4CKF/GL cF=B3•o - P uc. - . N � ` =" B Z -'r— a s e m o q, ,,ro 3/8,"NiASHED � • a e \ '$,, ._...._._..._...................RE%4dlC •,ea \- a2ba•a C.eUS ED STONE e'. • a8 n1 lv B�AQ64. �O•eATEO a • \� W R4RA a. �WIrN a PV.G. �EN� e � p 7p O WASHED Q N r0 MEET A.A.S.N.O. Ni 74 A.BSORP,T/oN BED cS'ECT/plt/ /� Z657- �UDODl3E�2>Py �4/c./� s]GALF iYO.@ //=-rOl t/E,2T �l/=T �iQDF/LE AA/p ABSO.2PT/Ong BEIM / LAN ANL) SECT/ONS �SNEET of �J .� `� ��� � � � � ��. � � �� Z q � �� C� �� .n //ars �� c_...oy —, r- 1. N ��r►Am t e� � � # 2. S`reet Address ou�o L � 3. Fow many members are in your household? i 4. fir.Viz;( type of sewage disposal system do you have? cesspool r septic tank and leaching area connection to municipal sewer [! other (describe) j do not know 5. F..,c the plans (drawings) for your sewage disposal system on file with the Board of Health? 3 ❑ 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. 1-1a.s your sewage disposal system been rebuilt or repaired? J ❑ yes no ❑ do not know If yes, approximately how long ago? years. What was done? 8. Flaw frequently is your sewage disposal system pumped out? ❑ annually every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. '-iave 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 dishwasher garbage disposal c-Ezhunlidifier drain sump pump toilet — ac*fipavement drains shower/bathtub *L _ 11. Please state the brand and type (liquid+or powder) of detergent you use for: C ishwasher flea- ktf Ciw.%kvf clotheswasher FER A 12. Does your property have a lawn? 9 yes ❑ no ` if yes, approximately whatsiz ? 11 U less than 1/4 acre /4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre ❑ more than 1 acre (Specify) acres }I 13. Flow often do you fertilize your lawn? 1-:a. of applications per year 3 r-eason(s) of the year 14. 1 lease state the brand and type (liquid or granular) of lawn fertilizer you use: Cxzeck here if your lawn is maintained by a professional landscape contractor. WATERSHED RESIDENTS QUESTIONNAIRE 1. Name A�Rd, O2. Street Address �, WOOAA `1 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool r ► 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 [k 6-10 years ❑ 11-20 years ❑ over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes 1P no ❑ do not know If yes, approximately how long ago? years. What was done? O 8. How frequently is your sewage disposal system pumped out? ❑ annually % every 2-4 years ❑ every 5-10 year" ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes '11 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 dishwasher I" 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 ('narAd Nlk.f brwld clotheswasher if R A _/ 12. Does your property have a lawn? F yes 0 no If yes, approximately whatssizz 7 El less than 1/4 acre 1/9 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. SEPTIC SYSTEM INSPECTION FORM ADDR G ES S l0 �� S 'Y`'�,, 0 DATE INSPECTED (i� '&(!5, PROPERLY FUNCTIONING? N WEATHER CONDITIONS COMMENTS: DYE TEST PERFORMED? Y N DATE? SKETCH: Please forward us as much of the folio ng information that is possible, 1. Type of system so 2. sae � 3. i:ocs�t i-on S1cx� b 11�D©� (L� 4 . Maintenance records and date of last pumping out Documentation of repairs and reconstruction 6. Site conditions C)OO 7. Builder of system (� �L 3 et,\ 8. Engineer who approved; — Site -- System 9. Installation Procedure 10. Problems Vl,> I i BOARD OF HEALTH Julius Kay,M.D.,Chairman ORTh ". NORTH ANDOVERpf.•'•...•:I R. George Caron ; Edward J.Scanlon MASSACHUSETTS .*�;�GaR 7TCG o�G 01845 a t-• A�10" :W+' • ��9 1855•��gw� +�ssaCH115F 4' COMPLAINT REPORT TEL. 682-6400 Date _ .7$ Made by 1C I Ct Q ea n 1 C � Address (p Ije15044 Tel Nature of complaint V-7- Location ;Location Occupant Owner or Agent Address DO NOT WRITE BELOW THIS LINE : Referred to �,, PPILi4,j Date Investigated J- /7- -7 Result of investigationF- 14 Soy l�G /A, N;LV C�� b:AN K D D EYZ -� l-f fib L Recommendations �.IL�I- �('� n �'>(- 7d f� FE'41 Action taken . I