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4 - SYSTEM PUMPING RECORD
SYSTEM OWNER: //vG�s
SYSTEM LOCATION:
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DATE OF PUMPING: 6-;2 S �f °'
QUANTITY PUMP
D: /5 GALLONS,
CESSPOOL: NO 0 YES
SEPTIC TANK:
NO
0, . YES'
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SER
CE
CONTENTS TRANSFERRED TO:
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DATE:S
INSPECT
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` Town of North Andover
Office of the Health Department
Community Development and Services Division
27 Charles Street " D °�=-�• ('
D'T�TiD ♦TP 1'
North Andover, Massachusetts 01845 "SS"C"U
Sandra Starr Telephone (978) 688-9540
Health Director Fax (978) 688-9542
July 19, 2001
Richard Aversa
825 Winter Street
No. Andover, MA 01845
Dear Richard:
This letter is to notify you of your score on the North Andover Disposal Works Installer's
test that you took on July 17, 2001. You achieved a total score of 80%. The minimum
passing score is 75%. If you did not achieve a passing score, the next scheduled test that
you will be eligible to take will be held in January 2002. Please call the Board of Health
office to register for this test.
If you passed this test and wish to apply for a license in North Andover, please fill out the
enclosed application and return it to the Board of Health office with the $65.00 fee and
copies of two valid and current installer's licenses from other towns. If you are not
licensed anywhere else, please provide two references that can attest to your work habits.
Please do not hesitate to call the office at the number below if you have any questions.
Sincerely,
Sandra Starr, R.S., C.H.O.
Health Director
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
A,\
NORTH ANDOVER
BOARD OF HEALTH
DISPOSAL WORKS INSTALLER'S TEST
Name " 11 G C),
Address c.5 \ '4" ► `">'e ^ S
Date '2 l d
Tel. #
I. Define the following words or phrases in as complete a manner as possible. The North
Andover regulation supercedes Title 5, so with any choice in definitions the one found in the
local regulation is the correct one.
1. BEDROCK— 7:5'-/j -T, lc� v I k -k? 4 Ile ^ 1 r
—�� 2. CESSPOOL-
3.
ESSPOOL-
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3. FOUNDATION AS -BUILT — t o
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4. INVERT —
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5. RESERVE AREA —
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6. WEfT/LAND — /`16
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H. Answer the next six questions based on the following scenario. Note that all q
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elevations shall be given in decimal feet to the nearest hundredth of a foot. 7
A septic system being installed has a benchmark of 116.82. The 1500 -gallon septi ank is to be
set with an outlet invert at elevation 105.75. The bottom of the tank is 4 feet, 6 "'inches below
the outlet invert. The level is set so the reading on the benchmark is 1.76 feet. A minimum of 9" -
of cover is to be placed over the tank. The tank height is 6 feet, 3 % inches. 711
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Ve O"eWhat is the rod reading that corresponds to the outlet invert elevation of the tank? /obi d Via, $7
S!'**� What is the elevation of the sight of the level instrument?17 0
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9' What is the elevation of the tank bottom?
41<0'r What is the rod reading that corresponds to/the bottom onf the tank elevation? / * Y3 a'
I,,.l`l . What will be the final grade elevation over the tank? r� .
0 t'12. What will be the minimum elevation of the INLET PIPE invert for the tank?fly o� e
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III. Please answer the following questions. -10609
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/. 0 609
13. According to Title 5, explain what happens if, during a system installation, site conditions
are found to be different from those on the approved plans and/or site evaluation. Also,
please explain what site conditions would be considered important enough to qualify:-
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�2 ,1:� 14a. What is the minimum distance between a waterline and a leaching area? aO ;
b. between a water line and a septic tank? /0
a 15a. In North Andover, what is the minimum distance allowed to wetlands for a septic tank?
a leaching facility?
16. Must all tanks be waterproof?
17. In North Andover, what is the minimum pipe specification? �� r
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Or, -Q, 30"(//
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18. What is the maximum depth below grade at which the top of the septic system may be
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installed?
19. List the requirements relative to pumps for a dosed system. .sr 4-01-C- � 1 �c-AAC
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20. What is the minim in dimF kion of the D -box? `�
21. When is a tee or baffle required in a D -box? q r -eo4— U
22. Backfill soil must be free of stones and boulders greater t an - in: ize.
3 . When must systems be vented?
4
24. When should the perimeter of the leaching area be staked and flagged?,
25. In North Andover, what are the dates between which septic systems can be installed? i
74-
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26. What is the maximum side slope of a system?
RECEIVED
TOWN OF N RTH ANDOVER OCT 0 5 2004
�U
P PINQ RECORI) TOWN OF NORTH ANDOVER
SYSTEM P P TM T
L) A HEALTH DEPARTMENT
LA
SYSTEM OWNERA ADDR
ESS
-Z
DATE OF PUMPING—
(SYSTEM LOCATION
—QUANTITY PUMPED:
16(Sa
CL5SPO()L: NO -1--1 YES'. SOPtic Tank: NO_ YES V/"
NA FL)Rb ()F SERVICE: KOU'171N
EMEROENCY
013SERVA CIONS:
GOOD CONDITION FULL 'M COVER
HEAVY oxn"E BAFFLES IN PLACL
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLID CAKRYOV-ER,-....,-..-- OTHER EXPLAIN
SY*tvm Kunpcd by
COMMENTS
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