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HomeMy WebLinkAboutMiscellaneous - 68 GLENNCREST DRIVE 4/30/2018 (2) 68 GLENNCREST DRIVE le 210/104-C-0061-0000-0 ` J a i Address V,Ci29 T fJ 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 Board of Appeals - Board of Health - Planaing Board - Conservation Commission - Building Department BOARD OF HEALTH 146 MAIN STREET TELEPHONE# (508) 688-9540 t -�AL r fl hint/ APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTF-1v1 (SEPTIC SYSTEM) Pursuant to Section 310 CMR 13.354 of the State Environmental Code, Title v Name r_ ���e 'k t �t Phone Address ��� •�,� e—,`v� Contractor hired for work: Name Phone Address Date for scheduled abandonment The septic system at the above address has been abandoned according to Title V specifications. Signature of C tractor Method of septic tank abandonment (check one). ( ) removal ( ) sandfill (10 crush ( ) other Name of Offal Hauler 1. This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. Inspecting Agent Date SEPTIC SYSTEM INSPECTION FORM ADDRESS } DATE INSPECTED PROPERLY FUNCTIONING? N WEATHER CONDITIONS COMMENTS : WA i EGZALITY t EST- DYE t CDYE TEST PERFORMED? Y N j DATE? �l SKETCH: l I 2. strec( 1.6:4 .. . . l 3. Ho;•: rr.-:.;.° r,;c;Ll-�ers are in vour household.? 4. jWl : t✓ r.. o; sci age dispos..l system do you have? VC-Ei.ili-ic tali; and leaching area ❑ r,�,nnection to municipal sewer ❑ r4j.-ei ((Ascribe) not know 5. J-T, 'he plans (drawings) for your sewage disposal system on file with the Board of Health? Ej yes ❑ no ❑ do not know 6. H o`+­nl d is vour sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years u-ver 20 vicars O do not know i. H,;,- your selvage disposal system been rebuilt or repaired? 'es U no ❑ do not know 2ppro,-.iriately how long ago? years. What was done? F. 1--low frequently is your sewage disposal system pumped out? L'f annually ❑ every 24 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. .e you had any problems with your sewage disposal system? El yes El no J l ves, what problems? ieneated pump-outs needed E. system clogs, backs up, or drains slowly ❑ odors ❑ se%vage surfaces through ground 10. Pow 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 c/ 11. PIease state the brand and type (liquid or powder) of detergent you use for: dishwasher v E'er c►otheswasher V P -le 12. Uoes your property have a lawn? Lyes ❑ no If ye5�approximately what size? [less than '/4 acre ❑ '/4 acre ❑ 'h acre ❑ 3/a acre ❑ 1 acre ❑ more than 1 acre (Specify) acres 1?. How often do you fertilize your lawn? ?-To. of zpplications per year Season(s) o: the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ h-.-:< here if your lawn is maintained by a j rofessional landFcar.• contractor. WATERSHED RESIDENTS QUESTIONNAIRE 1. Name ;?.�T i G► �. f� (-''/� �� F% �, �' 2. Street Address Z�, 3. How many members are in your household? `' 4. What type of sewage disposal system do you have? esspool 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? Ar yes ❑ no ❑ do not know 6. H03v-old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years over 20 years ❑ do not know 7. Has your sew^ag� disposal system been rebuilt or repaired? ❑ yes Ir no ❑ do not know If yes, approximately how long ago? years. What was done? S. How frequently is your sewage disposal system pumped out? ©annually ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never i 9. Have you had any problems with your sewage disposal system? ❑ yes ❑ no If yes, what problems? Ell' repeated pump-outs needed El system m clo s 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 L--' 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 ❑ no If y , 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 1 Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here ifY our lawn is maintained by a professional landscape contractor. 1. N;:1- 2. ;:1 3. He,:. F i..:xa l.t.' ..ti*erg are in 1_ our household? � -I �i 4. VVLl' tn,nr Cit.. sewage disposal system da you have? ❑fin r . €a.-Iand leaching, area j c nrlFci o� to municipal sewer ❑ "kms (CiEscribe) i not knew 5. 1._ t.e pla_nis (drawings) for your sewage disposal system on file with the Board of Health? gyres ❑ no ❑ do not know :i 6. Hs)�_­nld is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years _;' over 20 dears ❑ do not know a . 3 7. H,.as your sewage-disposal system been rebuilt or repaired? yes Er no EJdo not know yeQ. approximately how long ago? years. What was done? 8. Ilow frequently is your sewage disposal system pumped out? ❑annually =y' r -e , 2-4 ears ❑ eve 5-10 ears ❑ over 10 ears ❑ never e v every Y Y 9. i- - tie you had any problems with your sewage disposal system? ❑ yes ❑ no l ,yes, w- e problems? Q repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ se`vage surfaces through ground 10. E ow many of each appli ce are connected to your sewage disposal system? gashing machine dishwasher - ✓ garbage disposal _ diehuwidifier 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 c otheswasher i/ a J C-I� r i2. Does your property have a lawn? CQ�yes ❑ no � Y k!a vroximatel what size? ifCess 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? Pio. of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ F e contractor. r0, here if your lawn is maintained by a professional landscar 1 PYA C4NIT 1 �y �b w =1;0 ,� C1 wL c.c_. API " �PPi�caVCl7 ��� APRI DUING AUTfloi�l PLAA VL-51 (?IJ PSN D.4 DI SAPPRUVED 5 1�JST�, (.0 �7i✓ �'JGrj ,� �� RASoNS Q^>� >='ru. wl sq-vp co, ,42ouN�? �sE Dw� ScP1rl� SYSTErvt t�51i0 l.I..QT��/...� C7�Gl�v�Tcc� JtiSs>�G►�D%J M rC 74 IF S Cl F4►t-- tiS��Tlon� PIPE Ffj�OM H006 TO TJ K C-1 PA S5 I--7 F4)1- Q4 T C- 4)1- Q4TC �Pnr�r�v�N� ,��r+tL) 5-m,) �. 4��IT�pN,4L In15�.j fOtis X11=A�Y� DIS/�P�'►�Uv�1� DArC . R�So tis • FkAL APPt;�OVAL �A r i r s v r�ea�c �d II 90 131 1101 OF ZA�---Ocrf 4�4454 Z (ti/�lCl� CN jv � ��/dC-tel Dvf L GUMS ��►5T�(bGV �� /� Gc J:lt4r� � rew�p✓e O��J SI.�ST%4jj /,m 5r4 Tt&,r&. I GGicd 1-61 I VA gefit (��L J� �� MeT G ► 17e- tiGvJ 6clyr Svr✓ov�^c/ �( h� i P.7 s 9. Does the operation of the project result in any increased consumption of water? Approximate consumption gallons per day. Likely water source(s) plant of f 1 u e n t Explanation and Source: The additional water required for operation of the new equipment will be treated plant effluent. Tt is estimated that 570 gallons per dry ton of solids will be necessary for process purposes . E. Solid Waste and Hazardous Materials 1. Estimate types and approximate amounts of waste materials generated, e.g., industrial, domestic, hospital, sewage sludge, construction debris from demolished structures. How/ where will such waste be disposed of? Explanation and Source: The existing plant equipment being removed will be disposed of by the contractor off-site at the proper waste facilities . Ash from the incineration of the sludge is disposed of in a DEQE-approved landfill on site . Approximately 7 , 000 cubic yards 'of ash are disposed of per year. 2. Might the project involve the generation, use, transportation, storage, release, or disposal of potentially hazardous materials? Explanation and Source: No. The sludge and ash from the facility have been previously determined by DEQE tc be non-hazardous . 3. Has the site previously been used for the use, generation, transportation, storage, release, or disposal of potentially hazardous materials? Explanation and Source: No. (GLSD reports) F. Energy Use and Air Quality 1. Will space heating be provided for the project? If so, describe the type, energy source, and approximate energy consumption. Explanation and Source: No. Work is being done in existing, operational areas. Mr. McKay Lotq ids -Bate Street - 24 APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MSS. I hereby make application for a permit for a sewage disposal installation at I will install this system in ac- cordance wi a e 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 2%. I will install a con- crete septic tank of _ road gal. 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 990 lineal (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 1/4" (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_ 8 fb2_ Signature of App icant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DA TE_ 8/6/62 igna ure of Health A ent I have inspected the uncovered system indicated above and find everything done as described. DA TE� _�� Signature of 1,4pecting Officer Percolation Test 3 mina.. - Soil: Gravel Garbage Grinder Ald . a July 28, 1962 Miss 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 Dale Street (Lot #24) building site of MacKay Construction Company, Inc. The land in general is high. The subsoil in the area was of gravel content and a 3-minute percolation test was conducted. It is recommended that a 1,000 gallon concrete septic tank be installed together with 220 lineal feet of drain pipe. Very truly yours, J, `William J.(,, �riscoll WJD:hd 4 a , e BOARD OF HEALTH TOWN OF NORTH ANDOVER,, MASS. i� �L s r' .r r 1 NAME0�' .f ,� /° f,,, A. �-. , DATE � o/ 2. ADDRESS r.�: .car. �` s''c. LCAT N0. Ape; . • TEL✓111> 3. NO. OF BEDROONF DEN YES . C" N0. . . . • . 4. GARBAGE GRINDER YES . Noo . . . 5. SHOW DIIjERTSIONS OF HOUSE 6, SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIPa ENSI0Iu5 OF LOT $. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREANSO DITCHES.. LEDGE OUTCROPS ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. f � -- © .......... JI y Dv- ( �o+ 2-1 Of,p... 1 \ r OFFICES OF: o °D Town of 120 Main Street * . APPEALS * NORTH ANDOVER North Andover, BUILDING ��q'�.i:;p': �* Massachusetts O 1845 CONSERVATION @BgCHU DIVISION OF (617)685-4775 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR �o o N o o %C Q NpQ � N U u) x CL �N LL- I i Town of North Andover, MA Watershed Septic System Servicing Report Date: //-/a �. Homeowner: DANIEL A. GIARD Pumper Sr-PT� SUVICE Street /✓ Address: NO. ANDOVER, MA Phone ZT':::L - az- ,jam- Phone Nature of Service: Ro tine Emergency Observations: Good Condition ✓� Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots Other (Explain) Description of Work: Comments: