HomeMy WebLinkAboutMiscellaneous - 657 Bradford Street j 657 BRADFORD STREET
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Board of Appeals - Board of Health - Planning Board _ Conservation Commission - Boiiding Department
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Wm. & Nellie Mazurenko
Bradford St.
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION F
HEALTH DEPARTMENT - NORTHANDOVER, MASS
I hereby make application for a permit for a ewage disposal installation at
Bradford St. . I will install this system in ac-
cordance with all the laws 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% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 290. I will install a con-
crete septic tank of 100() oal_ in size. A manhole (s) permitting easy cleaning
will be provided with removable cover (s) of iron or concrete within 12 inches of
the ground surface. I will provide subsurface disposal field with 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 160 (20,Z1y9) _, n (square) 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 1/8" to 1/41' (dia.) will be placed over the course gravel or stone.
The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single
tile line will exceed 100 feet in length and in any case, 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 installation 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 agree not to cover any portion of this installation until approved by the
inspection 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 to be lace on/12 ft. gravel �J "
�4.
Signature opplicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE
74
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S' nature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
Signature of Inspecting Officer
Percolation Test 10 min
Soil: Clay
Garbage Grinder No
' 1
May 11, 1963
Nliss 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 Bradford Street building site of Nellie . Mazurenko.
The land in general is high.
The subsoil in the area is of clay content and a 10-minute
Percolation 'lest was conducted.
It is recommended that �i gravel bed 116" be placed in the
area of the leachinlu field. It is also recommended that a 1,000
gallon concrete septic tank be installed together with 160 lineal
feet of drain pipe.
Very truly yours,
William Jijrisco,,
4y JD:hd
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• ti BOARD OF HEALTH
`TOWN OF NORTH ANDOVER, MASS.
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1. NAME, fI DATE 93i
2. ADDRESS ST LOT NO. TEL.,
3. NO. OF BEDROOMS bEN YES NO
4, GARBAGE GRINDER YES NO ✓
5. SHOW DIMENSIONS OF HOUSE ,� S
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DIMENSIONS OF LOTS acl(°
SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9. NOTE LOCATION AND DISrCE OF WELL (RO�EWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STRI`AMS, DTCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC 'TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
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OFI^ICES OF: Town Of 120 Main Street
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North Andover,
'A► ► EALS ,+off,=-:; NORTH ANDOVER Massachusetts 01845
BUILDING
CONSERVATION SsACMUBEt DIVISION OF (617)685.4775
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN [1.11. NELSON, DIRECTOR
DATE QG� � �q LL
MADE BY: 'TL2 ��► 13C=���
- 5&vDya 7 ,Q ✓ 9
"77S�S) 9SADDRESS: TEL�S �y
NATURE OF COMPLAINT 8,eAb FriQ> A) Z-f 6M)nci rK
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LOCATION: (0.5� G�iyf-�'!� �7 /l,C '• _OCCUPANT �9�42
DWNER ADDRESS aw IZ.,VP A/ A
DO NOT WRITE BELOW THIS LINE
REFERRED TO DATE OF INVESTIGATION
RESULT OF INVESTIGATION
RECOMMENDATIONS :
ACTION TAKEN:
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Date j 0 Time . 5 P.M.
9ep y® [reprep ®gag
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Phone No.
AREA CODE NUMBER EXTENSION
Telephoned ❑ Please call
❑ Came to see you ❑ Will call again
❑ Wants to see you ❑ Returned your call
MESSAGE:
NP FORM 101
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° BOARD OF HEALTH y
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+ C0q[ :yq°* 120 MAIN STREET
4 •[h[wt[w`
"SSAcm s���y NORTH ANDOVER, MASS. 01845 TEL. 682-6400
COMPLAINT FORM
DATE //l i9P�
MADE BY:
ADDRESS97 62l--
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NATURE OF OF COMPLAINT lk(iSE- /-{iii 3(/RN1,57_)( ()06VAJ Fu?_,'UN(JY-P- Avy�
LOCATION: LO-rs Bz'llmwl� 57- OCCUPANT
IIWNER LL1�j4A 1;1,q -al R �vKG ADDRESS UNNOG�!/1/
DO NOT WRITE BELOW THIS LINE
REFERRED TO DATE OF INVESTIGATION
RESULT OF INVESTIGATION
RECOMMENDATIONS:
ACTION TAKEN:
WATERSHED RESIDENTS QUESTIONNAIRE
A
1. Name IV � - i>i 0
4 W"'A
717
2. Street Address
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3. How many members are in your household?
4. What type of sewage disposal system do you have?
El cesspool
El 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?
El yes El no Nf do not know
6. How old is your sewage disposal system? EJ 0-5 years El 6-10 years El 11-20 years
El over 20 years do not know
7. Has your sewage disposal system been rebuilt or repaired?
El yes E no do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? El annually
F-1 every 2-4 years ❑ every 5-10 years El over 10 years C never
9. Have you had any problems with your sewage disposal system? ❑ yes no
If yes, what problems?
0 repeated pump-outs needed
D 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
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
clotheswasher
12. Does your property have a lawn? El yes no
If yes, approximately what size?
0 less than 1/4 acre El 1/4 acre El 1/2 acre El 3/4 acre F1 1 acre
0 more than 1 acre (Specify) - acres
13. How often do you fertilize your lawn?
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:
El Check here if your lawn is maintained by a professional landscape contractor.