HomeMy WebLinkAboutMiscellaneous - 805 WINTER STREET 4/30/20187
TO: OOIZTH A "CK> &_r_ NORTH ANDOVER, MASS.
VS06 v-® Cv, H&AL-i BOARD OF HEALTH
FROM: � �� �-° C��L_i ►�tA►S DESIGN ENO+INEk� Re: ' Soil Absorption
Sewage Disposal
System
This is to certify that I have inspected the construction materials of
said disposal system at Lo "T No,/i W I
Site Location
North Andover, MA.
The grades and construction materials are as -specified in my plans and
specifications dated 10 19 �C:o and Z4 19E1
Reg. Prof. Engineer/Reg. Sanitarian
Haalth
S1.PC SYSTEM t •
I STAM ATION CHF -OK LIST LOT
n
DATE UI �'l�tr'{�v � I
ei nss
OK
,/ 1. Distance Tot'
''� ,•s a. Wetlands
b. Drains
c. Well
2., Water Line Location
No PPC Pipe -
�,. Septic Tank— =-
a. _Tess --Length & To Clean Oat Covers.-
,. b. Cement Pipe to Tank - On Both Sides of Tank
5. Distribution Box
,. a. Covers & Box - No Cracks
�•,o " b. All Lines Flowing Equal Amunts
c . No Back Flow
6.- Leach Field or Trench
a. Dimensions
•' b. Stone Depth
c. Capped Ends
d. Clean Double Washed Stone.
7. Leach Pits
a. Dinansi "
b. Stone epth 1
c. t1ashPads
d. s
e.ernent Pipe to Pit - Both Sides
f. Clean Double Washed Stone
y�
8. No Garbage Disposal
9• Final Grading Inspection
Y 10. Barricading Covered System
' 11. As Built Submitted
i a. Lot Location
b. Dimensions of System
c. Location with Regard -to Pere Test
d. Elevations
e. Water Table
s 1
Board of Health
North Andover,Mass
APPROVED
Provvideds
Title V
Reg 2.5
DATE
FAIL I OE
E
. SUBSURFACE DISPOSAL DESIGN CHECK LISP
LOT
DISAPPROVED DATE_,,,
Reasons:
: submitted plan must show as a minim=**
Abe lot to be served -area, dimensions lot #,abutters
location, and log deep observation holes -distance to ties
location and results percolation tests -distance to ties
design calculations & calculations showing required leaching area
location and dimensions of system -including reserve area
existing and proposed contours
location any wet areas within 100' of sewage disposal system or
disclaimer -check wetlands mapping
surface and subsurface drains within 100' of sewage disposal
system or disclaimer
location any drainage easements within 1001 of sewage disposal
system or disclaimer -Planning Board files
know sources of seater supply within 2001 of sewage disposal
system or disclaimer
location of axW proposed well to serve lot -1001 from leaching facility
,location of hater lines on property --101 from leaching facility
location of benchmark
driveways
,garbage disposals
no PVC to be used in construction
profile of system -elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
Other elevations
maximum ground water elevation in area sevTage disposal system
plan must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
Reg 6 Sa tic Tanks
(a) capacities -150% of floss, water table, tees, depth of tees,
access, pumping
cleanout
10' from cellar wall or inground swimming pool
(d) 25+ from subsurface drains
Reg 10.2 Distribution Boxes
A.A) slope greater than 0.08
Reg 10.4. b) sump
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
MATE v�- 0);'
SYSTEM OWNER &X55 -RF -SS
gi 5 , %
L
... .......... ......... .... . .......... . . .
SYSTEM LOCATION
DATEOF PUMPING-��j�.QUANTITY PUMPED__)_4
CESSPOOL NO YES- SEPTIC TANK NO YES OF SERVICE: RdUTINE EMERGENCY
OBSERVATIONS.
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN LACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLID CARRYOVEROTHER EXPLAIN
SYSTEM PUMPED BY
COMMENTS:
CONTENTS TRANSFERRED To