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HomeMy WebLinkAboutMiscellaneous - 66 BONNY LANE 4/30/2018 (3) 71 BONNY LANE 210/062.0-0055-0000.0 i J I 1 1 I Address e��y� �� Title of Fiae Page of I Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purposection and notes: action Document/ document/ urpose of Document Num. Action Department Board of Appeals — Board of Health — Planning Board — Conservation COmmissi n — o Boildmg Departrneit-- 5 317 WILLIAM E. NICHOLS GWENDOLYN B: NICHOLS 19 53-235/113 PAY THEAalejon $ ORDERER OF DOLLARS ,€ 0 BayBank MEMO 1 1:0LL302357i: LLL 77L ?'oo S3L ? 11'00000 L6SCIDA FOR r %tAWMUT ARLINGTON TEU3a BATE SU�SERVICES INC 1 Jf.#gZp97pt01 Iy.�i•� �J,"i ��� '� 1 ' - SIF. zoo 000 1104 i" JUN -1 93 i I s i Vn—K o ,l 7au-.,X 9- �< -2)' Al I Board of Health BEP'i'IC SISTEH North An4overzMaae. INSTALLATICN CHECK LIST LOT OVED DATEDI AVATI g FAIL — eaemnst j ' OK 1. Distance Tot a. Wetlands b. Drains Well - C. # / 2. stater Line Location 3- No PVC Pipe 4. Septic Tank a. . -Tees --Length & To Clean Oat Covers. b. Cement Pipe to Tank On Both Sides of Tank f 5. Distribution Box a. Covers & Box - No Cracks b. All Lines Flowing Equal Amounts c. No Back Flow 69 . Leach Field or Trench a. Dimensions j b. Stone Depth i c. Capped Inds Clean. Double-Washed Stone' i 7. Leach Pits 1' a. Dimensions b. Stone Depth V c. Splash Pads d. Tees ement Pipe to Pit - Both Sides. i 4 f. Clean Double Washed Stone 8. No Garbage Disposal L 9. -Final Grading Inspection 10. Barricading Covered System 11. As Built Submitted. _ a. Lot Location - - _ ----- - - b. Dimensions of System c. Location with Aegard_to Perc Test d. Elevations e; Water Table # j L i 3 t S Board of Ikef.lth North AndoversMass SUBSURFACE DISPOSAL DESIGN CHECK LIST LOT # APPROVED DATEDISAPPROVED DATE_ Provided: Reasons: itl FAIL Reg 2.5 The submitted plan must show as a minimums �✓ ) the lot to be served-areasdimensions lot #,abutters location and log deep observation hoes-distance to ties Z location and results percolation testa-distance to ties design calculations & calculations showing required leaching area location and dimensions of system-including reserve area 77 f existing and proposed contours (g) location any wet areas within 1001 of sewage disposal system or disclaimer-check wetlands mapping V'/.(h) surface and subsurface drains within 100, of sewage disposal system or disclaimer (i) location any drainage easements within 100, of sewage disposal system or disclaimer-Planning Board files W known sources of nater supply within 200, of sewage disposal system or disclaimer location of any proposed well to serve lot-1001 from leaching facility 17[a) location of water lines on property-101 from leaching facility location of benchmark driveways garbage disposals i/ no PVC to be used in construction ✓(q) profile of system-elevations of basements plumbs pipes septic tanks distribution box inlets and outlets, distribution field piping and they elevations VZ maximum ground water elevation in area sewage disposal system (s) plan mast be prepared by a Professional Engineer or other professional authorized by law to prepare such plans i Reg 6 Septic Tanks (a capacities-T50% of flows meter table, tees, depth of tees, cess. pumping cleanout 3A+ from cellar wall or inground swimming pool (d) 25+ from subsurface drains Reg 10.2 Distribution Boxes slope gr-e-&-t-e-r-TRE 0.08 Reg 10.4 b) sump h _r �deds tZo Or a ebtsz 4e .7Io 0 20 be ari 'atCa t_f Se °4 44d log�sd'ar p Oba a8 8 loc deQtj e 022 anct 8tg Pe a��mo s gam) cet��g and p����o�c�jO�04o°�e8 t b�t rh) c2 �p r°Pose 8 op dons sta_cIt &tz tra �e �t d e � a s ce ,Qco d&c�' Vee az j to ,�1 g df� re4� tot tiee8 a3'$t tj r �ac1 fac� loo o f g r®aet� Zea .�) Or dP dt.� ftr 8 g ae area s area s tt age SPO app o� ce e8a� s� at j dla r of $ axe oc °� c tet• ® ein °Z' $ o or di oCa t�a °f �al p�DAo Alm 'd -100 r °�, apoa�2 �R* °t. hitch-Ztnes o�u 2Lb $off, $ 8e ge � s 4) Pro prd di'Ve SPO P�Pertp Jot,I �e.djapo 82 df aZ e o p used $,om�' t}i, r) 8e buttot � °oas lagleachi� 3g 6 a planelev. tfO'n et,, Oaa o °� f$c g tipfac�ljt3' Pro-re est b8 d natez.. d Outlets baa �a S tj s o utbo Pre el d b� tlOa , cit Pi a apse t e�'8 Zed � .28T°f Ara, � sed jos field p pttc cl ce8$, e p, top 11Q �,_� e dts Vic) outp �g °1' tZO�'', spare Der 04 o �s d 2sr hb� vat Such Pl thes. r •� Paf �� �ba� �2 02. ��� � table t@ea �s af`r'l fie ' b) s °Pe gbr�tjoa fox � e rO44d �P th Of tee8 eater. es - , 0.08 9,P.0. 0.z t Board of Health North Andover,Mass • SUBSURFACE DISPOSAL DESIGN CHECK LIST ;01C • APPROVED DATE DISAPPROVED DATE Provided: Reasons: Title FAIL 09 Reg 2.5 The submitted plan must show as a minimum: a) the lot to be served-area,dimensions lot #,abutters b location and log deep observation hoes-distance to ties c location and results percolation tests-distance to ties d design calculations & calculations showing required leaching area (e) location and dimensions of system-including reserve area f) existing and proposed contours (g) location any wet areas within 1001 of sewage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 1001 of sewage disposal system or disclaimer (i) location any drainage easements within 1001 of sesage disposal system or disclaimer-Planning Board files (3) known sources of water supply within 2001 of sewage disposal system or disclaimer (k) location of any proposed well to serve lot-1001 from leaching facility (1) location of water lines on property-101 from leaching facility (m) location of benchmark (n) driveways (o) garbage disposals (p no PVC to be used in construction (q) profile of system-elevations of basement, plumb, pipe, septic tank, distribution box inlets and outlets, distribution field piping and other elevations (r) maximum ground water elevation in area sewage disposal system (s) plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Reg 6 Septic Tanks (a) capacities-150% of flow, water table, tees, depth of tees, access, pining (b) cleanout (c) 101 from cellar wall or inground swimming pool (d) 251 from subsurface drains Reg 10.2 Distribution Boxes (a) slope greater than 0.08 Reg 10.4 b) sump / f y l � 19 0-,/, FORTH ANDOVER, MASS . BOARD OF HEALTH FROM- !/c�`!� /„G DESIGN ENGINEER Re: Soil Absorption 0 Sewage Disposal iUo✓�Li ,hr.7�ov�✓ sC� avC System 410 ale 0-C This is to certify that I have inspected the construction materials of said disposal system at �0 7 �Sohh61 d,k7 e— W `'fl'� TE LOCATION North Andover, Mass. The grades and construction materials are as specified in my plans and ` -;-eifications dated 19 - Reg. Prof. Engineer/ eg. Sanitarian a fi i E' 1C E \OCNICNvJ C LA -_. 1 f ; 1 I f 1 5 LoT 1 _ _ 1 j 5 r5' 1\ }1 � IN 13 EL.E\/AT l ®N�. �► 5 ,_may PIPE OUT OF H5_ _ _ -V I L-T" +NIV- P1Pa ,NTO 7;N--� - I D_ 15 PO�A1�- ti �1�PLP� �r�r0 D ao_X /39. 63 - 5Y5T ELM f � 15,0 � GM �[- _1p of �� v _ F'i-T A•, G 7 i rel p 'I E_ C71 d L�111 + it LA GOGH ICN 1 LOT • X1:9 i+l b736� SF ,i �y � � w ,! / ,• -A 15oo C2,S B o ELEvAT l Oty5. ' k T LNY 212—E-OUT OF H&� E _ _ 5 U I-L 1 _ t�V PIPE INITO-rAs .- ti�v P►P€�T�F_ -14 01 F -T am }' I NV. END o ma' P'P E P IT "n /3 q.O S � `` L� •-- �3' I I Z$/� E- t`!C-,l N F ��:�� �'� • �;�1�`!� .=� `�•�� I`1� nom, V� '` k i' Ei C N i C LA 1 L C-)T IS �67 F \ o �-. Pf � 1 13 N5. E A► S E5UI -T _L try P1PaQU_T OF N.5 - ►�1�L1�1e>= !NTQ tQV P1PEQ1OF.T�ll� 14Q.1 -Sl��� � — V PIPE IyTO D.psox INV. DI PE QllZ Q L'�f1X. _f��'•�b _ --- y _-_---- -- - -- _ - ,�1 �1I� of Pkv PIT A' a (0 -7 1 N V. E-N D o F P,P L PIT "� ` /�g,O 5 �/ C� l-�-r �l /- �1 1�V Ll/ Dt ' R Cr, ,% -,, \ L) - 1 _3Go,t_� � " = 4 0 F QAtaS- C-C--:) L-ItitAS A-'-,SSCX 1AT E. S f SEPTIC SYSTEM INSPECTION FORM ADDRESS a yL�yl DATE INSPECTED '-71 ! PROPERLY FUNCTIONING? Y N WEATHER CONDITIONS COMMENTS: DYE TEST PERFORMED? Y N DATE? SKETCH: WATERSHED RESIDENTS QUESTIONNAIRE A 1. Name L. am!c V' 2. Street Address ; 3. How many members are in your household? - 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? 10/ 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 Cl 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 � f every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes ET 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 dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub p 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher clotheswasher 12. Does your property have a lawn? ❑ yes 2' no If yes, approximately what size? ❑ less than 1/4 acre ❑ 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 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. / ' � _ ❑ t QUESTIONNAIRE 1. Nar,t'` '4 ZA' v 1 h 2. Street Address � � � ���•� � t�=j��.� i 3. How many members are in your household? - i 4. What type of sewage disposal system do you have? _cesspool septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ri 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. <-Icwa old is your sewage disposal system? 0-5 years ❑ 6-10 years ❑ 11-20 years ❑ over 20 years ❑ do not know 7. Has your sews.e disposal system been rebuilt or repaired? EIves no ❑ do not know - f 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. IfPve you had any problems with your sewage disposal system? ❑ yes 0 no if yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. ;-low many of each appliance are connected to your sewage disposal system? -�.�-ashing machine '� dishwasher garbage_disposal dehumidifier drain sump pump toilet 4-± roof/pavement drains shower/bathtub 11. 'lease state the brand and type (liquid or powder) of detergent you usejor: Dishwasher :lw-beswasher 12. Does your property have a lawn? ❑ yes EEJ` no f yes, approximately what size? less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre El more than 1 acre (Specify) acres 13. lrw often do you fertilize your lawn? Nr_ of applications per year reasan(s) of the year /1. 14. Jra,,e state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ C i•3.c'- ere if your lawn is maintained by a professional landscape contractor.