HomeMy WebLinkAboutMiscellaneous - 66 BONNY LANE 4/30/2018 (3) 71 BONNY LANE
210/062.0-0055-0000.0
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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
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BayBank
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1:0LL302357i: LLL 77L ?'oo S3L ? 11'00000 L6SCIDA
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%tAWMUT ARLINGTON TEU3a
BATE SU�SERVICES INC
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Board of Health BEP'i'IC SISTEH
North An4overzMaae.
INSTALLATICN CHECK LIST LOT
OVED DATEDI
AVATI g FAIL
— eaemnst
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' 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
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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
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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
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rh) c2 �p r°Pose 8 op dons sta_cIt &tz tra
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s tt age SPO
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at j dla r of $ axe
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4) Pro prd di'Ve SPO P�Pertp Jot,I �e.djapo 82
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r) 8e buttot � °oas lagleachi�
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a apse t e�'8 Zed � .28T°f Ara,
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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
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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
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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.