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HomeMy WebLinkAboutMiscellaneous - 722 GREAT POND ROAD 4/30/2018Town of North Andover, MA Watershed Septic System Servicing Report <-_ Date: 5" �� �— Homeowner : s� I�17 AL Street :4 ay Phone q 7 5 `1 a-7 0 Nature of Service: Observations: Description.of Work: Routine Emergency ,,4 s� Pumper"`° �� Address: Phone ?� Good Condition aU, t \n �k,( Duse Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots Other (Explain) (off e /I SEPTIC SYSTEM INSPECTION FORM ADDRESS 22 (� ,-�. - DATE INSPECTED -7 '� PROPERLY FUNCTIONING? Y� N WEATHER CONDITIONS COMMENTS:- P OH TH 1 OFFICES OF: o Town of °� 120 Main Street • m AI'I'EAI_S NORTH ANDOVER North Andover, BUILDING •�' *::o`er' g, Massachusetts O 184 CONSERVATION 9Ss,C.usE�4 DIVISION OF (617) 685-4775 HEALTH t PI_ANNINC71. PLANNING & COMMUNITY DEVELOPMENT Building Inspector KAREN H.P. NELSON, DIRECTOR August 6 1987 re= 722 Great Pond Road Proposed addition This Lot was inspected on August S 1987. No Septic System problems were noted. The proposed addition of a bedroom and study should not present a problem. Sincerely Sanitarian Boar ',o He -al t RI 0 �66 ZOO5 Lot d / i13,CY, w Fred Elias (PLS &J ik) S MV,F1,E) -7a ,yErreat Fond Road "-APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMM—NORTH ANDOVER, WSS. I hereby make application for a permit for a sewage disposal installation at Lot A Great Pond Road . I will install this system in dance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Tarn of North Andover. Plan attached fir# I will construct the house sewer of bell and spigot pipe, the rJul diameter being 4 inches# and will maintain a minim= grade of 1% until 10 feet preceding the septio tank# vihers the grade shall not exceed 2,%. I will install a concrete septic tank of 7Kn 75o g,aa, in size. A manhole (s) permitting easy cleaning will be provide4 with rumble cover (s) of I= or concrete within 32 inches of the ground surface* I will provide subsurface disposal field with open Jointed bell and spigot Aekron pipe at least 4 inches in diameter and laid -in a series of trenches# the bottom of which will provide a minimum of 210 lineal (� feet of effective absorption area. The pipee will be laiTmon a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 14A inches (dlae) and the pipes will be surrounded by similar material to a height of 2 inohss above the cram of the pips• 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 ooureevel ar stone. The disposal field will be Installed at a grade of 4 to 6 inches/iM feet, No single file line will exceed 100 feet in length and in any ease# two lines of the will be installed. A minimamm of 6 feet will. be maintained between the center litres of the.diepoeal field trenches and the average depth of trench shall not exceed 36 inches. No part of the In* stallation will be less than 100 feet from any private water supplyp 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line• tgEMU qj[jW, as provided beUMS and to incorporate air ada%conal xregtvremem snas my be attached to the permit. Plot Plans most be submitted with application. Grave and fill to be rought in fiollowing the pouriny of footing and foundation .Vz Kgnature Applicant .I hereby issue the above permit for the Board of health of the Tarn of North Andeverp Massachusettse DATE[�,,�� %,,:�'.) c� Si tura of Health Agent I have inspected the uncovered system, indicated above and find ding done as d®aer4be4 DAT$�L, 1 23 —•I "vC-dliO Signature of bwFiting Officer ` , POreolation Test i Lot H '-iAPPLICATION FOR SENAGE DISPOSAL INSTALLATION HEALTH DEPARTWNT -NORTH ANDOVER t MASS. I hereby make application for a permit for a sewage disposal installation at __.._..... ,.tat:._R rTrP t. RaUd AQAd I will install this system in accordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of . Health of the Town of North Andover. Plan attached Fu thee# I will construct the house sewer of bell and spigot pipe, the.minimum diameter being 4 inchesq and will. maintain a minimum grade of 2% until 10 feet preceding the septic tank# where the grade shall not exceed 2%. I will install a concrete septic, tank of , n-5po gg.1 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 open jointed bell, and spigot Aakron pipe at least 4 inches in diameter and laid in a series of trenches# the bottom of which will provide a minimum of 210 11nea1- (sit) 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 14/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inks 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 1/41F (dia.) will be placed over the course gravel or stone. The disposal, field will be installed at a grade of 4 to 6 inchesAO0 feet. No aingle the line will exceed 100 feet in length and in any case= two lines of the 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 In.. stellation wdil be less than 100 feet from any private water supplyp 25 feat from any streams 20 feet from any dwelling or 10 feet from any property line. I gdha if ,j, as provided below, and to incorporate any additional requirements that may be attached, to the permit. Plot Plans must be submitted with application. Gravel and fill to be brought in following the pouring of footing and foundation. DATE Signature of Applicant T hereby issue the above permit for the Board of Health of the Town of North Andovery Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done ~' as described. DATE Signature of Inspecting officer Percolation Test G4rbage Grinder Lot C APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMU--NORTH ANDOVERs, MASS. I hereby make application for a permit for a sewage disposal installation at .....__ Late C Qzimt 2013d bar] . 0 I will install this system in accordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. 'Plan At e ' I will construct the house sewer of bell and spigot pipes the minirmua diameter being 4 inaheag and will maintain a minimum grade of 2% until 10 feet preceding the septic tank# where the grade shall not exceed 2%. I will install a concrete septic tank of ' 0 00-� In size. A manhole (s) permitting easy cleaning win be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with open jousted bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series .of trenches, the bottom of which will provide a minimum of 210 lineal (�) feet of effective absorption area. The pipes will be laid on a inch layer of washed gravel or crushed stone ranging in size from'3A to 144 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 trenchp 2 inches of gravel or stone 1/8" to 1/4" (dia.) will be placed over the coursevel or stone. The disposal field will be Installed at a grade of 4 to 6 inches/�i0 feet. No single tile line will exceed 100 feet In length and in any case, two lines of the will be installed. A minimum of 6 feet wiU. be maintained between the center fines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the In- stallation will be less than 100 feet from any private water-supplys, 25 feet from any streams 20 feet from any dwelling or 10 feet from any property line. 2 AgIft .X, as provided below,# and to incorporate any additional requirements that may be attached to the permits Plot Plans must be submitted with application. Gravel and fill to be brought in following the pouring of footing and foundation* DATE Signature of Applicant I hereby issue the above permit for the Board of Health of the Toren of North Andoverm Massachusetts. DATE Signature of Hesith Agent I have inspected the uncovered system indicated above and find everything done as described, DATE Signature of Inspecting Officer Percolation Test Garbage Grinder )) r K `'-APPLICATION FOR SERAGE DISPOSAL INSTALLATION HEALTH DEPARTWIT—NORTH ANDOVER, LASS. Lot D Great Pond Rd. I hereby make application for a permit for a sewage disposal installation at Lot D Great Pond Road . Iwill .install this system in accordance with all the laws of the Commonwealth of Massachusetts and reguUtions of the Board of Health of the Town of North Andover. PLAN ATTAAC P Fur p I will construct the house sewer of bell andspigot i Pei the minimum diameter being 4 inches: and will maintain a minimum grade of 1% until 10 feet preceding the septic tank where the grade shall not exceed 2%. I will install a concrete septic tank of AO -500 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 open Jointed bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenches, the bottom of which will provide a minimum of 210 lineal ( 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 simiUr 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 1/48 (dia.) will be placed over the coursevel or stone. The disposal field will be Installed at a grade of 4 to 6 inohesAO feet. No single tile line will exceed 100 feet in length and in any cases two lines of the will be installed. A minimum of 6 feet wi3l 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 in• stallati.on will be less than 100 feet from any private water suPPI+Y: 25 feet from any streams 20 feet from any dwelling or 10 feet from any property line. I fort r o f� as provided belowp and,to incorporate any additional requirements tha may be attar to the nermito Plot Plans must be submitted with application. Gravel and Fill to be brought in following the pouring of footing and foundation. DATE Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts, DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE Signature of Inspecting Officer Percolation Test Yom'% Garbage Grinder Yes BOARD OF HEALTH TOWN OF NORTH ANDOVER, hWS. .00 1. NAKIE 1J eQ�. .� � . . . . . . . . . . DATE . . . . . . . . . . . . 2. ADDRESS . . �. "III-e--l'LOT NO—T—. 90—c-1-06TEL g 2.: . 3. NO i OF BEDP�OOTf�S . ';�. DEN YES °. N0.. . 4. GARBAGE GRINDER YES .�' :''` . ' . NO.. . . . . 5. SHOW DI IICNSIONS OF HOUSE S' X 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIPIIE BIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9, MOTE LOCATION AND DISTAI1?CE OF WELL FROI:I SEWERAGE SYSTEM l 10. SHOW LOCATION OF - BROOKS , STRE�`� 0. D ITC HES , LEDGE OUTCROP, ETC. 1� o d A 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROIA HOUSE NOTE* LOCAL REGULATIOM SHOULD EE READ CAREFULLY. 1 . %— BOARD OF HEALTH TOWN OF. NOR.Tii ANDOVER! MASS. � - -----� . _ 7. SHOW DIMENSIONS OF LOT / Z J— X 17-3 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. WE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS STREABS DITCHES LEDGE OUTCROP ETC. .��� �' 11. SHOW DISTANCE OF SEPT IC TANK OR CESSPOOL FRO14 HOUSE / O NOTE: LOCAL REGULATION SHOULD EE READ CAREFULLY. -,tet/+� 1. NMJZ . . . . . . . . . . . . . . DATE . . . . . . 2. ADDRESS . . . . . LOT NO. TEL. . 3. NO. OF BEDROOI S . �`' . DEN YES . ` '�: . 4. GARBAGE GRINDER YES NO.. . . . . 5. SHOW DIT- ENSIOtS OF HOUSE 6 SHOW DISTANCES OF HOUSE TO ALL PROPERTY LI?3ES / . _ 7. SHOW DIMENSIONS OF LOT / Z J— X 17-3 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. WE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS STREABS DITCHES LEDGE OUTCROP ETC. .��� �' 11. SHOW DISTANCE OF SEPT IC TANK OR CESSPOOL FRO14 HOUSE / O NOTE: LOCAL REGULATION SHOULD EE READ CAREFULLY. Y3 0 BOARD OF HEALTH • TOWN OF NORTH Al DOVER, WS. 2. 3. 4. 5. 6. r . . . . . . . . . DATE . . . . . . ADDRESS j` ;J . ;" : "•. _SIM NO. . ? TEL. N0. OF BEDROOPIsS DEIJ YES `: NO.. . . . . GARBAGE GRINDER YES NO.. . SHOW DIM01SIONS OF HOUSE + 7 SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES �- y 7. SHOW DIPIISN3IOM OF LCT I )— , 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROTJ SEVMAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAT.B.. DITCHES, I=E OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROMI HOUSE NOTE: LOCAL REGULATIORTS SHOULD HE READ CAREFULLY. BOARD OF HEALTH • Ta7N OF' NORTH ANDOVER, mos. 1. NAIM '!�:%''.�. . . . . . DATE .. . . . ALO" 2* ADDRESS N0. . . . . .TEL. 3. NO, OF BEDROOMS .`�: DEN YES .Q. NO.. . . . . !t. GARBAGE GRINDER YES NO.. . 5. SHOW DIMPTSION?S OF HOUSE t �' �� C4Ao-q19- 17 x 3 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LIMES >" 9' 7. SHOW D17 EMIOM OF LOT Y,17 � 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL vv 9. NUPE LCCATSON AND DISTANICE OF WELL FROTA SEV7ERAGE SYSTE141 10. SHOI"J LOCATION OF BR40KS, STREAI+6, DTPCHES, LEDGE OUTCROP, ETC, /Goy �P f 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE /o / � NOTE: LOCAL REGULATIOIM SHOULD BE READ CAREFULLY, m WATERS 1. Name D R SIDENrI QUESTIONNAIRE 2. Street Address 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool peptic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for yo sewage disposal system on file with the Board of Health? Elyes Elno a do not know 6. How d is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years over 20 years ❑ do not know 7. Has your sewage di&posal system been rebuilt or repaired? ❑ yes 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 O❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes 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 Z roof/pavement drains showerlbathtub -2 11. Please state the bKand and type (liquid or powder) of detergent you use for: dishwasher11--C-c- - clotheswasher Tj Gj 4P_ 12. Does your property have a lawn?yes ❑ no If yes, approximately what size? ❑ less than '/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 la No. of applications per year 17? Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: /__ta', 0 here if your lawn is maintained by a professional landscape contractor. L01 BOARD OF HEALTH 120 MAIN STREET NORTH ANDOVER, MASS. 01845 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) PURSUANT TO SECTION 310 CMR 15.354 OF THE STATE ENVIRONMENTAL CODE, TITLE V TEL. 682-6483 Ext23 This form must be submitted to the Board of Health no less than five (5) days prior to date of abandonment and be accompanied with a copy of the sewer connection permit. NamePhone Address Contractor hired for work: Name Phone Address Date for scheduled abandonment : ,'�7 S �� Method of septic tank abandonment (check one). ( ) removal Other ( ) sandf ill crush ( ) other (describe below) PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH AGENT'S USE ONLY -7 Ins n4' Agent Date Comments NQ 1077 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 'oce 19 g� Application by the undersigned is hereby made to connect with the town sewer main in �/ d�G l— Street, subject to the rules and regulations of the Division of Public Works. I The premises are known as No. or subdivision lot no. Owne / Cont�tor a Address Ad s plicant's Signature PERMIT TO CONNECT WITH SEWER MAIN The Qivision of Public Works hereby grants permission to to make a connection with.. the?sewer mai:; at:_�_ subject to the rules and regulations of the Division of Public Works.. By Inspected by Date See back for rules and regulations Street Street Division of Public Works ATE ' I E—TIM M L OF PHONE_ AF MESSAGE LC lam, j� It" s1�r�ia SIGNED /Y\/nn�ry ��/1 /y--) �, � TOPS FORM4003 N0- 1006 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 'vf2VJ 3 Q 19 L Application by the undersigned is hereby made to connect with the town sewer main in� < Street, subject to the rules and regulations of the Division of Public Work . po-,�J r The premises are known as No. 1 ,,Street or subdivision lot no. Owner -Ai/ rC r Contractor fiZArL.X�-F Address Address Applicant's Signature PERMIT TO CONNECT WITH SEWER The Division of Public Works hereby grants permission to to make a connection with the sewer main at —22-2-- y ►'n, 4 subject to the rules and regulations of the Division of Public Works.. Inspected by Date By See back for rules and regulations Street Division of Public Works