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HomeMy WebLinkAboutMiscellaneous - 680 FOREST STREET 4/30/2018 (2) 680 FOREST STREET 210/105.D-01'18-D000.o - J — --- -- — - � r.r t �S•i+'��${t 4+�f I� ' r P , i 7'b Yi'1y OF NO RT;H A�, O�-1 R-1 SYSTEM PUM�p NG` ECO & ADDRESS SYSTEM1. - CC'G►Z)0 (ez4mRN: Ml (FON of nou�r i _f QUANTITY f'UM1'CU" �es©0 :.�.�l'UUL:�NO � YES SE('TICTANK ; N0 � ATURE OF SERYICE ROUTINE. � EM ERCEt�CY r uif>rRy)\TIONS, C,UOD'CV.NU11'ION• FULL TU COYCk. FII'r�YY;.OK�:�ISC '„” l3AFFLLS' IN I'I,ACI' _---- ;,RU.OTS LEACHFICLD IZUN0ACK.. CXCESSIYE':S0 1 D S FLOODED S011u, CARRYOVER` 0 HRR (EXr'LA.Irr� >1 a I CM PUMf'C0 (3Y:. u);Ii y r�iTs: u�' F�CIZI?L"D 'r'U Address . .�go a2 -sC_�Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes: action Document/ document/ Num. Action Department Board of Appeals — Board of Health — Planning Board — Conservation Commission — Building Department STF3MTIS SEPTIC TANK SERVICE Main Sf; 47 RAIIRQAD STREET n/d rlh A nizwer' BRADFORDo Iii 01835 LLwv 1 Lie- 15I-ob t4 978-372-7471 In-c4c,ll Lie- MONM OF ®cin b -- QA MCtV= REPORT MR Ma OF ADS 1�5 700 6n .Fore-s a `16 q3 q Fvil'eSl-601�- fS� 10-0 -46 ere-rdgnd S� j e) Mm 156c 1� .,� ICA , I tee. N 1Z, � W 10T *4 \ i S9SOF� o \$ L3 W S � es=eriPY 7947- 74-A=-,,; S�tic.vr�t , zt�.V 7+rr3; iY.dt 27Y PS Lo 4A-MP ASNo /$ uvr kca4mp !Vl A 4 r ���, x. f��Yy"'t F �k��{°- t+.x'' ! a�4 R�4,i�.5.1 t�r�r���--1'. �t",� Ni � ,. - �,}`, .;'4".`•' � .-`�^" r �y'..• =�,. ;�` tci.i<� r-r�a, ,T+rYn "rT�'`"�r?.�,�1':e".',*,ltd -F�{��' ��,`"�t�vLai'-j.,�,•� � .Y ,t',w.� T...aA�t'�'FSy 65w. �� ,�j .� y �. G� -z ,,w _ ;�y. y' +�,E..:Yi `'.`'�:Y., .� at.'`6 .r.:r" .+ Y:r+r•}•+ % += 'ks. i..s�Aa �. A �'�,N. t�r M1�gL�st"�, t �.x _' �y. $.iT y �p x y � ( !4� 'a ZG97 zZ,,� I } I Oto So8 A .4,I Lis/U.c� 4s x 30, f-S�x 3o' N - o � f lo'+ o► /NVE�7" UES/Un/ 14s-.BCT, ' w Housr /4.0, IS /40,37 'Z 77W4-/IV lqo, z5' /39, a7 D-g0x—/N /37, ?l 133, 6? /3 q,7 3 /39157/ ee \tr S END a F I 99r�S V 136, OiO( z 19� � N M r4+EEZE3Ir G'EZr/J--"r -r44T TWE Ttll- l_p?'�_Q Y 1� Lc�c.4T�D ?3 JU pbl R,44 At Jj;� 1! 4o = � � 74�.T 74E 4a0vi5 GEOTECHNICAL CONSULTANTS S u yr 4,pa4 r,.._P E 0F MASSACHUSETTS, W. , �- 799 Turnpike Street I ier J�, ��, ,,.s. NORTH ANDOVER, MASSACHUSETTS 01845 Pumps 0 p Submersible o jet SELL & PUMP CO. e Centrifugal 9 RT.28 WINDHAM, N.H.03087 g J' ��' e Cellar �O0 S [603]898-4232 [617]887-5888 a Sewage Tanks Filters e Softener e Iron o Charcoal B&R CONST TEL o NO. a Neutralizer 477 ANDOVER ST 686—.365.3 NO ANDOVER MA a Cartridge r_"�. 845 Water Testing Pump Parts LOT NUMBER OR SAMPLE LOCATION: LOT #4 Motor Controls Water Softener Salt NNATERTEST 1RESULTS �_ 1tA� 84Water Cleaner HARDNESS 68.4 (0-50 REL: STANDARD.) Rust & Stain Remover IRON 2 (0—.3 REC STANDARD) Potassium MANGANESE 0 (0—.05 REC STANDARD) Permanganate HYDROGEN SULFIDE 0 (0—�01 REC STANDARD.) Plastic Pipe & Fittings Ph (ACIDITY) 7.5 (60 5—j.5 REC STANDARD) Lawn Watering TURBIDITY is (0-20 REC STANDARD) Systems CHLORIDES j•'0 (0-1519 REC STANDARD) COLIFORM BACTERIA 0 (0 REQUIRED STANDARD? Water Heaters o Solar CHARGE FOR CHEMICAL & BACTERIA TEST ** $25.00 a Heat Pump a Electric ABOVE TESTSMEET REQUIRED STANDARDS AND BASED ON THESE, e Energy Saving Wells WATER IS SAFE FOR HOUSEHOLD USE AND HUMAN CONSUMPTION. a Drilled THERE ARE OTHER LES COMMON MINERALS NHICH CAN AFFECT QUALITY OF NATER. e Driven e Dug e Gravel Chemical Feeders Tank Alarms & Controls /+renes a o3 Hoist Service N /l'ri LCIS . 0l Portable Pump Puller Emergency Service Goulds Aermotor Jacuzzi Red Jacket Fairbanks Morse Wayne Aquatron Well-X-Trot Town of North Andover,flass . , Permit #1Z6o Date 19 APPLICATION FOR WELL & PUMP PERMIT Application is heteby made for permit to drill a well ( ) . Appli.cati.on is made to install (_) a pump system'. - Location: Address - - - ---- -- - - - --- -- - -Lot ## ;_ Owner Address �(I / Tel Well Contractors 1 2 Addressc�k /, ` -'c.-.2...Lc�l�jGf�i T e 1 : p <,po ' �y„2,-) . �� _ -- -- -Pump Contractor qL,` _ 1(fL�'u --Address 1 k '� W,,��� �� Tel : -egJ�2,�,2 WELL CONTRACTOR ATo be completed at time of pump test ) Type of Well_ Well used for Diameter of Well Size of C'asin Depth of Bed Rock ---` ------- - - _Depth casing into Bed Rock a9b P -. - Was Seal Tested? Yes { No ( ) Date of Testing-- Depth estin Depth of Well_- "-� Q- - "- - Viol 1 F1) c_d in Depth to [eater Del ivers 0 Gal. s . Per Min . for 4 1-i urs Drawdown -_Beet after pumping hours at G11M Date of Cornpletion /�1;ZI' Si ,( ;Im -1;re ',eI 1 C on'tractor _ ri i.n n n n,--��ii A•n--n n-n--n_n_n _n-n_L_. -^_n n•ri_n iiL_ _n_ .^._ _I_. .� iL.. n i. ,• n n-t..,. ,, n i.i. ...1..L n n n-n i.-n:.•n 1:i.n i-n ri. ,. n PUNP I STALLER- (To be filled in before installation) Size & Naine- Pump Water Pump Delivers- GPM Size of Tr,nk Pipe Material Used in Well : Cast Trop Well. Pi.t ( _) or Pitless Adapter ( ) Was sleeve used to protect pipe? Yes ( ) NO( ) Type or ):_:rne 'sell Sral Date . ,r r, r,. r •r r i _ ti :i"11 r. ' J'i 1.1.1i-4) I .l rr•r. ., . r. .2'i.. S�it'r.;Y ia'i 'r:S2'rt'/r .i 52 ri Yt it'ft'iS"ii'i2Si'r;i'r;;ii'„'i;`r.�r Y,',�iii�; ,i. .. „ .. .. .. .. .. .. .. .. .. ..... .. .. .. .. .• .. „ rr n Yr ,�i. rr ii � ., , .�i� Date V.7ater anal3Cis report submitted to Board of 1!,-,-0:h Date release given fD owner of record & Bldg Tnsp i Lh Tnspi.,ctor .. . .. -4- T SOIL PROFILE & PERCOLATION TEST DATA North Andover, Mass. Street No -tYZ. FctzEsT eLA C-T Lot No Loc/Subdiv. Pland Owner Investigator (4Eo. 0-0NSUI'TANTS Observer 1h'C'R- SOIL PROFILE DATES l.'Elev .2.El ev 3.El ev 4.Elev DONE AFF F6Y.E4T' 0 0 B p C- p D 1 1 T4S 1 1 - � � c7 TcS � - Ties Pita est 2 T� S 2 2 2 . 34 3 SAND 3 3 • `psoNEY ��EY SANpy �� 5 5 �- 5 5 -n \\ 6 6 6 6 f�G-rry sD No ws.'t'E t%.: o w 8 8 8 8 t '9 9 9 9 10! 10 10 10 Benchmark Location Elevation Datum PERCO CATION TESTS DATES i Wk 10A Pit Number '1 2 3 4 Start Saturation Soak-Minutes-st ��� .,� • �;b ar e Drop of 3"-Time A, �\ Drop of 6"-Time Mmms-Ist 3" drop Mins.2nd " Drop Percolation �,� l NbTE � Neta S10>✓ of p-Z '1-C; ".� A,� `►',,Z � O li sa+wq-yj �u �EFJSd�- N v u.1ATE� Ott J op d J E ' Q Cb wt14 n 1 ,JT✓a : Board or health SEPTIC SISTER fi5r North An Ver 21i.as., INSTALLATIM CHECK LIST LOT''i CNID DATE DISAPPROVED ExCAvATICK OK FAIL • r i A ea mns t WA FAIL OK 1. Distance Tot Ll a. Wetlands } b. Drains wen 2. c.. We 2. Water Line Location V 3. No PPC Pipe Septic Tank a. _Tees --Length & To Clean Out 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 6. - Leach Field or Trench a. Dimensions b. Stone Depth c: Capped Fids d. Clean Double-Washed Stone 7. Leach Pits a. Dimensions b. Stone Depth c. Splash Pads d. Tees e. Cement Pipe to Pit - Both Sides. f. Clean Double Washed Stone 8. No Garbage Disposal 9. Final Grading Inspection 10. Barricading Covered System 11.. As Built Submitted -- a. Lot Location b. Dimensions of System c. Location vith Regard- to Pere Test d. Elevations Is Water Table F ti aid of. Pealt-� Ncrth doter ya8a SUBSURM DISpOSAL DESIGN CHECK LIST ;.. •LOT # ' �e^7 EiPPRaPID " DISAPPROVk� DATE Reasons: Provided• �_V 51 - �J Title V The submitted plan must show as a mSan3m: { ` Reg 2.5 � - •.. `the lot to be served-area dimensions lot f,abutters location and log deep observation hoes-distance to ties ; cation and results percolation tests-distance to ties e red leaching area design calculations calculations shrnring required location and dimensions of system-in.cludiug reserve area . ' .. existing and proposed contours - g) location ani* wet areas Athin 100' of se-?age disposal system orin , disclaimer-check wetlands maPPg e.disposal-=., '.%L-. (h)-.=surface and subsurface dr2inst 100t .of sewage. system.or-di scl-a.indr- (i)-location arq.drainage easeents Kithin 1-00' of sage disposal system or=discla3rtir-Pnml anning Board 7files _- ( kQo= sources-of -ester supply within 2001 of serge disvosal system or diselainer - --- 10�=10_frcII- Ieac ding facil location of kater lines.":on-propErty_-1 -fromleaching faciii m)rlocation-..of-benchmark -- �� garbage_d sposa3 n _ - .. noo-PVC A&`be used-_in construction- `. _--.- . (q};_prof`ile of=sys#. =83evatic�is of-baserr, t, plubi pipe: septic tangy:, - aaa distribution-box inlets-=and- outlets, .distribution :f`ield Piping` -, (r),.na3 �_ mound==meter el-dvation-in-area=-se�,age_diswsal --_ s). plan mast be prepared by $- Professional Bt�gineer or -other. zed :bylaw to -prepare such plans professional authori _ - -- - Reg 6 .�.-_ _ - , Septic Ta*�ks _.-- - (a)_ capacities=Z50�= o 'loz;�__ ter table, -tees% depth of :tees= - access, pumping -- I ) clout ind ��- T(c) 1}t. som cellar -�a]1or:fngzo g P�1 -- (d).:. 251--from-:subsurface_ brains -=_ Reg 10:2 = Distribution:--Foxes— - slop =0 081 Reg 10-0-4.-= I b}_ sures Subsurface Design Check List Pae 2 FAry OK Leaching Pits Leaching pits are preferred where the installation is possible Reg 11.2 a) calculations of leaching ar6a-minimum 500 sq ft 11.4 b) spacing 11.10 c) surface drainage 2./ 11.11 d) cover material e) 2,'x2'x4" sh pad f) tee at w g) no b s in pipe from d-box to pipe ` Leaching Fields Reg 15.1 ano greater than 20 minutes/inch b area-minimum 900 sq ft 15.4 c construction of field 15.8 d) ua rface drainage 2 % 3.7 e) 20' from cellar van or inground swimming pool jd) Leachin Trenchesteg 114.1 ) caalcula ons `"Teaching area-min 500 sq ft 14.3 ) spacing-4 ft min 6 ft with reserve between 14.4 ) dimensions 14.6 = construction14:7 . ) stone 3.h.10 ) surface drainage 2% - — Downbll.Slope - t ) s ope_--yx to_.be shown)--'--- - - b) y/x -X 1' 0 (to=be shown) Purrns - eg.-9.-1 = a) val stand-by power Commonwealth of Massachusetts City/Town of North Andover RECEIVED System Pumping Record 1M SV'`v Form 4 NOV 2 4 2008 DEP has provided this form for use by local Boards of ahused, but the information must be substantially the same as that pro ide�i form,Y p check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use 680 Forest Street only the tab key Address to move your North Andover MA 01845 cursor-do not Cit /Town use the return y State Zip Code key. 2. System Owner: VQ Martha Caso Name OR Address(if different from location) City/Town State Zip Code 978-886-0124 Telephone Number B. Pumping Record 1. Date of Pumping 10/5/08 2. Quantity Pumped: 1,500 Date Gallons 3. Type of system: ❑ Cesspool(s) ® Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ® No If yes, was it cleaned? ❑ Yes ® No 5. Condition of System: Good working condition 6. System Pumped By: Jason Elliott L90-471 Name Vehicle License Number Jason Elliott Septic Pumping Company 7. Location where contents were disposed: G B— 11/10/08 n tur er Date Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1