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Home My WebLink AboutMiscellaneous - 743 JOHNSON STREET 4/30/2018�•��.�``Z`: !• ..y�,t�^J '�c rr' ry irk rt "0. ;iSS::-_ '1:':.:` �M•• .r, i• 4'{::lt•F'•j:hi: •1A�I;(i'f�?] y�"ra'�4 j%;.;cr��6w�f+y�y�,�,. � ��,il, _,.1 .___� _ ` rt �.,pr.c �.r[1p� .C!'1,•a ."i";tk`4 t.5�'ti 1'I• � xr ,qYr. aa �A eMIN ''Pura In Rec'o'ird ...qtr rk •�a,t7t,,' � t� ,• 7 COr � Fi ,i t� i,Y �4t'�ys ,wr.f .l SEP 7'2007 t y ,�i alL •T i t l� t y 4 , f t , .. .fir^, ..,�`v', - �jP'.•.ifl.�li'i'i.�7�ti ^, c' t.,}., ' DEP•has prov(ded this form for use by local Boards of Health. T Q-cSvstemnPempangi•Riecord must be submitted to the local Board of Health or other approving gut orI ALTFI DEPARI rvlElvT ,. , A . Faclll Infornittion ty j,:,,yvlien filltn� out 1. System Location 'forms on the'; • t computer; use ! .� eJ`6/? Q d A . only the tab.key Address y� l V to move your ; �!'Go • y�delA • cur:or.� do'not :``use the return t Clty/Town r :. State Zip Code' Y. •.> �l � t„ . 2 System Owner ,••'rr rr. Name Address (If different from location) Clty/Towr1 State Zip ode Telephone Number pumping Record ,r r' - ) p,>)i,`1 ��'�: 'fir (t ,t4 �'V,�')t.r.! I, r� � � I ' • '.( -N :,* �: .. 1 rrt 1) , ` i t • •/�•% ��i��l� r•� F >- Data of Pumping ' pit (/ 2. Quantity Pumped: Gallons f 3,r Typ@ of system, ❑ Cesspool(s) f'Septic Tank / ❑ Tight Tank Other (descrlbej; t 4 EffluentTea Fllter present? ❑ Yes No' If yes, was It cleaned? El Yes ❑ No ,�ti� - � y -;tit tr,�..•r!i y �,� ��'h�.�(i�a,� v F ,. rr r 6 Co►tditlon of Syst �ml , .. _. , rr , 7. --r• �r ¢�t.J� q r :. ter r �••(/��, j^� r r r. ` i'r ` i Vxlr.. fr Ji '�t�,(fi: i r .di r etir�ii .1 , I' V'.�-�4✓y./ w 6 Sy Pumped 1 hC, r, ' tt. 1. f, ' <. • i K I 7�a.11F.\t �: 'Ir 1' �a wad rrt; . VahiGeUcen$eNumber t i ;. yy- - �(�4 th r T'C V Y r`�ydt' jhLi ld..jr\rF•. I r�' , j tk}- 1.. y,;tr _.•t fjr � ,�^"MMIY y1dx�•.! 1'!!1,��.Iy fY�Y�:Ivriyli '!•.,�:,�, 1 .. }'A IA 14 •rt v - �' , 7, t.ocaflon'where contents�yvt3re d(;3posed; it .(;: - r , 1•.l:r 1 •r r /! .: { I S 7 rrJl Erb Vy yA�, t,_... ' , .,.1 "02— system httpJ/www.mass.gov/depJwater/approvals/t5forms,htm#inspect t5forrn4.docr 08103 . Pumping Record - Page 1 of 1 RECEIVE® l'0'W'N (-)� NORI'l, JUL - 6 2005 0A It RPC 40 F't-jMPIN(' ��OWN OF NORTH ANDOVER TOWNORTH DEPARTMENT T RZ Ty r7y3 U,-oAnson lVo rth 41qdD\le-g- n� lj-e UATBOF P�fWj-"�N QUA N"! i TY P, ............. ................. KEAY Y BUN A PLU K0073 __ Ay, - NKC33VVE SOLIDs FLOODED SOL M CA U yo yBp, 0-r'HER EXPLAI-N PWT"0 by TOWN OF NORTH ANDOVER. SYSTEM PUMPING RECORD I).A l l : D�e� �1 STEM OWNER & ADDRESS //a , al-v�)Il 1v /i 1 SYSTEM LOCATION (example: left front of house) J PUMPING: ?!9&`C_f`-� QUANTITY PUMPED C. i�' SEPTIC TANK: NO I UUL: NO YES S _ �.ATURE OF SERVICE: ROUTINE EMERGENCY —CAL LO YES c)li.>FRVATIONS: GOOD CONDITION FULL TO COVER HEAVY CREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER �j�HER (EXPLAIN) sv. " LM PUMPED BY: C'U 11'vI rNTS (.UNTENTS TRANSFERRED To: O GP{ Sherwood Homes ` Lot 3, Johnson St. APPLICATION FOR SEWAGE DISPOSAL I16TALIATION HEALTH DEPA RTM NT - NORTH ANDOVER, ASS. I hereby make application for a permit for a sewage disposal installation at Lot„�3, Johnson St. . I will install this system in ac- cordance with all the 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 _ 10,00 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 �,nQA lineal (MAX&EW 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--- 11/27/61 I hereby issue the above permit for Andover, Massachusetts. DA TE 11/27/61 ture of Applicant th of the Town of North Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DA TE . , 4. �. Signature of I ecting Officer Percolation Test 8 mina Soil: Clay Garbage Grinder No TOM CE? A QIKD9VIgt e I r « pls.r e� _- t�`4-z� I to ..• G ' T3 ')•, :S _G s ao 0 0 7 if'di a o% a �v o '0 0 0 0 0 o e o 0 0/ Do _j;0 0 0 0 . e e 0 no o s.o . o 0 o O Ow D AM TO B� ok Mo 'hi1i1 O M a d0 ltd Mu yCc 0 i November 18, 1961 Miss I42ary Sheridan R..N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: i An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Johnson Street,'Lot #3, building site of Sherwood Homes, Inc. The land in general is high. The subsoil in the area was of clay content and an 8 -minute percolation test was conducted. It is recommended that a 1,000 gallon concrete septic tank be installed together with 200 lineal feet of .drain pipe. Very truly yours, l i1 lam J. D isco WJD:hd J 1 Form Approved. 1 b VETERANS ADMINISTRATION REPORT OF INSPECTION, INDIVIDUAL WATER SUPPLY AND SEWAGE -DISPOSAL SYSTEM (THIS SECTION FOR VA USE ONLY) REGIONAL OFFICE I One Beacon Street PROPERTY ADDRESS 74.3 Johnson Street SUBDIVISION NAME Boston, Massachusetts Nor h Andover, Mass. BLOCK NO. LOT NO. NAME OF BUILDER N` OF LENDER CASE NO. .Sherwood Homes, Inc. Broadway Savings Bank 1288 132 Waverly Road 454 Essex Street TYPE OF INSTALLATION No. Andover, Mass. Lawrence, Massachusetts129NEW ❑EXISTING TOTAL NUMBER BASEMENT YES CAN ATTIC OR OTHER AREA BE MADE INTO ADDITIONAL BEDROOMS? IF YES, HOW MANY? WATER SUPPLY AND SEWAGE DISPOSAL (Check) LIVING UNITS BEDROOMS BATHS PUBLIC COMMUNITY INDIVIDUAL 1 3 1 ❑ NO ❑ YES IN NO WATER SUPPLY BY SEWAGE DISPOSAL BY PART I—FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation, inspect for compliance with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of the information as may be available. As applicable use inspector's sketch on reverse. INDIVIDUAL WATER SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells ❑ are ❑ are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Properties in neighborhood ❑ are F] are not being developed with both individual water -supply and sewage -disposal systems. Lot size: feet wide, feet deep. "Dwelling set back from front property line, feet. Individual water supply from: ❑ Drilled well. ❑ Driven well. El Dug well. El Bored well. Distance of well from: Building foundation, feet; nearest lot line at ❑ front, ❑ side, [] rear, feet; cast iron sewer, feet; the sewer, feet; septic tank, feet; disposal field, feet; seepage pit, feet; cesspool, feet; other sources of possible pollution, feet. Well construction: Diameter, inches. Total depth, feet. Type of casing, Depth of casing, feet. Approximate depth of pumping level of water in well, feet. Approximate yield, gallons per minute. - Sealed watertight to depth of feet. , Exterior space around casing sealed with: ❑ Cement grout. ❑ Puddled cloy. ❑ Ordinary backfill. Well cover: F1 Concrete. ❑ Wood. ❑ Metal. Openings in well cover watertight: [:] Yes. ❑ No. 1 Pump: [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, gallons per minute. Located in: F] Basement. Ej Pump room off basement. E] Pump house above ground. ❑ Pump pit. Pump room properly drained: ❑ Yes. ❑ No. Pump mounting watertight: ❑ Yes. ❑ No. Type of storage: ❑ Pressure. Q Gravity. Capacity, gallons. Has bacteriological examination of wat& been made? E] Yes. ❑ No. If answer, is"yes," give date '19 Quality of water ❑ is F] is not satisfactory for human consumption. Installation E] does ❑ does not comply with approved exhibits, if any. INDIVIDUAL SEWAGE -DISPOSAL SYSTEM PRIMARY TREATMENT consists ofUSeptic tank. E] Cesspool. Septic tank: Distance from well,A1013BIfeet. Material, Pre C&St ConcrPtP Number of compartments 2 Total liquid capacity, 1,_non gallons. Capacity inlet compartment, 600 gallons. Inside length, it Inside width, tt fZ Liquid depth, tt Cesspool: Distance from: Well, feet; foundation, feet; nearest lot line at ❑ front, ❑ side, 0 rear, feet. Inside diameter, feet. Depth, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists ofMistribution box and]Tile disposal field. ❑ Seepage pits. Other Tile disposal fields Distance from: Well, feet; foundation, P_feet; nearest lot line at X front ' side, ❑ rear, feet. Total length of the lines, 200 1 feet. Number of lines,_. Distance between lines,1 Cfeet. Total effective absorption area in bottom of trenches,4()() square feet. Trench width, inches. Length of each line, 67 Depth, top of tile to finish grade, 12 inches. Type of filter material: ❑ Gravel. Z Broken stone. ❑ Cinders. Other Depth of filter material beneath tile, _ LL` inches. Depth of filter material over tile, 11_inches. Seepage pits. Number of pits, Outside diameter, feet. Depth, feet. Lining material Distance from: Well, feet; foundation, feet; nearest lot line at ❑ front, Q side, ❑ rear, feet. If existing installation, give all the following additional information available: Distance to nearest: Public sewer, feet. Community system, feet. Approximate direction of surface drainage of lot, Approximate slope, feet per 100 feet. Soil is: E] Loam. [-I Sandy loam. I] Clay. ❑ Sandy clay. ❑ Coarse sand or gravel. ❑ Hardpan. ❑ Rock. Other Number of bathrooms, - . Is there a basement? ❑ Yes. ❑ No. Basement drains to Fixtures in basement: ❑ Laundry troy. Q Toilet. [] Bathtub. ❑ Shower. ❑ None. ❑ Floor drain. [] Sump pump. Laundry waste disposal: Direct to ❑ Seepage pit. Other Through sump pit to: ❑ Septic tank. ❑ Seepage pits. Is footing drain provided? E] Yes. ❑ No. Drains to: ❑ Surface. ❑ Dry well. ❑ Sump in basement. Other Downspouts or areaway drain to: ❑ Surface discharge. ❑ Dry well. Other Depth of house sewer below finish grade at foundation, feet. PART 1 (Continued on reverse) u• 16-6395 SUPMEDE5 VA FORMS VB 4-1824, JUNE 1954, AND MAR. 1960" VB 4-1825, JUNE 1954, WHICH WILL NOT BE USED. 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I _ ... - ......, E I € 7 TTT- I € 1 I ('ap!s jaglo uo paynsep dllnj lou s6wpuy luauiyad duo molaq qNa is dq MogS) H:)13XS UOMUSNl - - - (panui;uoJ) I lilVd r Commonwealth of Massachusetts Cityrrown of System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, 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 ortult m filing out 1. System Locatio is on the-�' �!J �, use the tab key Address ' ove your - North Andover or - do not City/Town the return 2.' System Owner: Name Address (if different from location) T0WN'OF Nth TM ANI c5v5R A _ . ..._AIT ma 01886 State Zip Code Signature oVReoeiving Facility to , wnCdoc' 03106 System Pumping Record •Page 1 of 1 City/town state Telephone Number Zip Code B. Pumping Record 1. Date of Pumping date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes CNO If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. SPumped KE Name Vehicle License Number Stewart Septic Service . Company 7. Location where contents were disposed: Ste P treatment Plant 20 So. Mill St, Bradford Ma 01835 Signature oVReoeiving Facility to , wnCdoc' 03106 System Pumping Record •Page 1 of 1