HomeMy WebLinkAboutMiscellaneous - 755 JOHNSON STREET 4/30/2018 (2)I t I
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Sherwood Homes, INc.
Lot # 2, Johnson St.
APPLICATION FOR SEWAGE DISPOSAL IMULLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot #2, Johnson St. . I will install this system in ac-
cordance with all the laws of the Commonwealth of Mhssachusetts 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 30nn pai 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 200 lineal (sem) 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!1 (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
the 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-
U �
i ature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DA TE„_ _ ) 4 �; I
S�gnature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE -7-'7 14 4 tr
�,1 e
Signature Inspecting Officer
Percolation Tes t 5 min. Soil: Gravel -clay
Garbage Grinder No
September 9, 1961
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 Johnson Street building site (Lot #2) of Sherwood Homes, Inc.
The land in general is high.
The subsoil in the area was of gravel and clay content and a
5 -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,
Li'la[, J. i CO
WJD:hd
r
BOARD OF HEALTH
TORN OF NORTH ANDOVERt MASS.
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1. NAME S �a w o o a 0 h/o� . o s o .. .. DATE �g; s 0 /
o .
2. ADDRESS 1 • --� �.�' :' s '' . LUT NO. 2.. • . . . . TEL.
3. NO. OF BEDROOMS . . DEN - YES . N0. ,
4. GARBAGE GRINDER YES . . . . . NO. ; `, . . .
5. SHOW DIMENSIONS OF HOUSE
6, SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES'
7. SHOW DIMENSIOIZ 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, STREAKS, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOM: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.��•r�%h'
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form Approved.
Budget Bureau No. 76-R376.2.
VETERANS ADMINISTRATION
REPORT OF INSPECTION, INDIVIDUAL WATER SUPPLY AND SEWAGE -DISPOSAL SYSTEM
(THIS SECTION FOR VA USE ONLY)
REGIONAL OFFICE
PROPERTY ADDRESS
SUBDIVISION NAME
One Beacon Street
Lot 2 Johnson Street
Boston, Massachusetts
No. Andover, Mass.
BLOCK NO.
LOT NO.
NAME OF BUILDER
NAME OF LENDER
CASE NO.
Sherwood Homes, Inc.
Broadway Savings Bank
31003
132 Waverly Road
454 Essex Street
TYPE OF INSTALLATION
No. Andover, Mass.
Lawrence, Mass.
1 9J` NEW 11 EXISTING
TOTAL NUMBER
BASEMENT
KI YES
❑
CAN ATTIC OR OTHER AREA BE MADE INTO
ADDITIONAL BEDROOMS?
❑ ®
IF YES, HOW
MANY?
None
WATER SUPPLY AND SEWAGE DISPOSAL (Check)
LIVING UNITS
BEDROOMS
BATHS
PUBLIC COMMUNITY INDIVIDUAL
WATER SUPPLY BY X
1
3
1
X
NO
YES NO
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 mcin, 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 ❑ ore ❑ 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. ❑ Dug well. ❑.;bored well. .
Distance of well from:
Building foundation; feet; nearest lot line at ❑ front, ❑ side, ❑ rear,_ feet;
cast iron sewer, feet; file 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 clay., .❑ Ordinary backfill.
Well cover: ❑ Concrete. ❑ Wood. ', ❑ Metal. Openings in well cover watertight: ❑ Yes. ❑ No.
Pump: ❑ Shallow well. ❑ Dee_ p well. Length of drop pipe, feet. Pump capacity, gallons per minute.
Located in: ❑ Basement. ❑ Pump room off basement. ❑ Pump house above ground. ❑ Pump pit.
Pump room properly drained: ❑ Yes. ❑ No. Pump mounting watertight: ❑ Yes. ❑ No.
Type of storage: ❑ Pressure. ❑ Gravity. Capacity, gallons.
Has bacteriological examination of water been made? ❑ Yes.' ❑ No. If answer s: 'yes," give date 19
answer
Quality of water ❑ is ❑ is not satisfactory for human consumption.
c
Installation ❑ does ❑ does not comply with approved exhibits, if any. -
INDIVIDUAL SEWAGE -DISPOSAL SYSTEM
PRIMARY TREATMENT consists of Septic tank. ❑ Cesspool.
Septic tank:
Distance from well, feet. Material, Re -in, Co ner eb Number of compartments 2
Total liquid capacity, 1.000 gallons. Capacity inlet compartment, gallons.
Inside length,e tYi Inside width,8-1-1.1f fM Liquid depth, 11 fOONtX
Cesspool: "
Distance frorm Well, feet; foundation, feet; nearest lot line at ❑ front; ❑ side, ❑ rear, feet.
1
Inside diameter, feet. Depth, feet. Liquid capacity, gallons. Lining material
f+
SECONDARY TREATMENT consists of [j[Distribution box and [(Tile disposal field. ❑ Seepage pits. Other
Tile disposal field:
i
Distance from: Well, lfeet; fo'unddtion,—��feet; nearest lot line at front side, ❑ rear feet.
Total length of the lines, 200; feet. Number of lines,__. Distance between lines, 10 feet.
Total effective absorption area in bottom of trenches, 00 square feet. Trench width, 211 _inches.
Length of each line, 67 feet. Depth, top of tile to finish grade, 15
a _ _
Type of filter Pmaterial: ❑.Gravel. -X Broken stone. ❑ Cinders. Other
Depth of filter material beneath tile, - 1 Q— inches. Depth of filter material over tile, 40 inches.
Seepage pits:
Number of pits, Outside diameter, -feet. - Depth, --feet. Lining material
iJP
Distance from: Well, j feet; foundation, feet; nearest lot line at ❑ front, ❑ side, ❑rear, feet.
If existing installation, give all the following additional information available:
I
Distance to nearest: Public sewer, feet. Community system, feet.
Approximate direction of surface drainage of lot, Approximate slope, feet per 100 feet.
Soil is: ❑ Loam. ❑ Sandy loam. C] -Clay ❑ Son_dy. clay. ❑ Coarse sand or gravel. E]Hardpan. E]Rock. Other
Number of bathrooms, . Is there a basement? ❑ Yes. ❑ No. Basement drains to
Fixtures in basement: ❑ Laundry tray. ❑ 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? ❑ 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 I (Continued ori reverse)
VA FORM 26-6395 SUPERSEDES VA FORMS VB 4-1824, JUNE 1954, AND
MAR. 1960' VB 4-1825, JUNE 1954, WHICH WILL NOT BE USED.
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-_ ��,�✓ Johnson St.
2 nd. PLAN )
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEJUTH DEPARVENT--NORTH AiMOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Flan #2 Johnson St. . 1 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.
Further, I will construct the house sewer of bell and spigot pipe, the minimum
diameter being 4 inches.9 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 tants of 75t 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 190 lineal
(qAX=j 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 1/811 to 1/411
(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 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—
stallation will be less than 100 feet from any private water supply., 25 feet from
any streams 20 feet from any dwelling or 10 feet from any property line. I further
officer, as provided below, and
may be attached to the permit.
DATE
to incorporate any additional
Plot Plans must be submitted
requirements tha
with application.
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts,
DATE C%
Siobtune of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described..
DATE
Plercolation Test 4 min.
Garbage Grinder
June 7, 1958
Miss Mary Sheridan R. N.
Health Agent
Board of Health
North Andover, Mass.
Dear Miss Sheridan:
A re-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 building site of Blanche Walen.
The .subsoil in the area was.of a sandy clay
content and a 4 -minute percolation test was conducted.
The land in general is high.
It is recommended that a 750 gallon concrete
septic tank be installed together with 190 lineal
feet of drain pipe.
Very truly yours,
William J. Dris 11
..� Blanche Walen
.. -y Johnson St.
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTP.9ENT--NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Johnson St. _ I will install this system in
accordance with all the laws of the Cormnonwealth of Massachusetts and regulations
of the Board of Health of the Town of North Andover.
. Fbrther$ I will construct the house sewer of bell end spigot pipe$ 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 I will install a
concrete septic tank of . 750 -ea;,. 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 J nn lineal
( pWa 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 3A 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 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-
stallation 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
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
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE
gnature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described,
DATE
Signature of Inspecting Officer .
Pereolation Test "_+.cr'{"
Garbage Grinder
March 29, 1958
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 sub-
surface disposal of sewage on the proposed Johnson
Street building site of Blanche Walen.
The subsoil in the area was of clay content.
It was not possible to conduct a percolation test
due to the saturated ground conditions in the area whebe
the Architect proposed to locate the leaching field.
The lot is very large and extends approximately
400 feet from the street on the side of a hill.
I investigated the entire lot and found a relatively
flat section which is approximately 75 feet from the house
which could be utilized for the installation of a leaching
field.
The leaching field must be constructed in such a way
that surface water will be diverted around it and a gravel
berm installed on the downhill side to guarantee complete
filtration of all liquids.
I have drawn a cross-section of the leaching field on
the application form which must be complied with.
It is recommended that a'750 gallon concrete septic
tank be installed together with 400 lineal feet of drain
pipe installed as indicated on plan.
Very tru y yo rs
VtJ
William D iscoll
I
BOARD OF HEALTH-
TORN OF NORTH ANDOVER, WS.
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P4
1. NAME 64/.�: ice . a2�. . . . . DATE 74".C4. 02 ;' 0-
2.
-
2. ADDRESS . LOT N0. . s o .. TELS 0.
3�. 10. OF BEAROOIS DEN YES:' . .
4. GARBAGE GRID -iW. . NO.. .
5. SHOW DIbEIZIONS OF HOUSE
6, SHOW DISTANCES OF HOUSE TO ALL PROPERTY LIP'S
7. SHOW DIPENSION OF LOT
S. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9,, NUPE LOCATION AND DISTANCE OF WELL FROI:i SEWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STREAIv3S, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
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