HomeMy WebLinkAboutMiscellaneous - 808 GREAT POND ROAD 4/30/2018 (2)r
332
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. / `9--�
Application by the undersigned is hereby made to connect with the town sewer main in �� i�GG1 �r�Street
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. Street
or subdivi lot no. `
Owner
�° ((iA
Contractor
ceqs 211.1
Address
Address,
pplicant's Signature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
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
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,,�rih Andover,Mass
APPROVED
Provided:
Iri4e V
Reg 2.5
Reg 6
Reg 10.2
Reg 10.4
DAIS
SUBSURFACE DISPOSAL DESIGN CHECK LIST
LOT #
DISAPPROVED DATI3
Reas s s
The submitted plan must show as a minimum:
-a) the lot to be served-area,dimerisions lot #,abutters
location and log deep observation hoses -distance to ties
location and results percolation tests -distance to ties
;d design calculations & calculations showing required leaching area
;d) location and dimensions of system -including Eeserve area
;f -Y existing and proposed contours
;g) location any wet areas within 1001 of sewage disposal system or
disclaimer -check wetlands mapping
;h) surface and subsurface drains idthin 1001 of sewage disposal
/ system or disclaimer ,
location any drainage easements within 1001 of sEsage disposal
system or disclaimer -planning Hoard files
knom sources of vater supply within 2001 of sewage disposal
system or disclaimer
;le) location of any proposed well to serve lot -1001 from leaching facility
;I) location of water lines on property -101 from leaching facility
;L location of benchmark
;n) driveways
;o) garbage disposals
p.) no PVC to be used in construction
,q) profile of system -elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
,<-ffter elevations
, + ma m m ground water elevation in area sewage disposal system
;s) plan mast be prepared by a Professional Engineer or other
professional authorized by law to prepare such pians
Septic Tanks
;a) capacities -15076 of flow, vatex table, tees, depth of tees,
access, pumping
;-b) cleanout
;c) 101 from cellar wall or inground swimming pool -
;d) 25f from subsurface drains
Mistribution Boxes
slope greater than 0.08
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