HomeMy WebLinkAboutMiscellaneous - 826 OSGOOD STREET 4/30/2018 (2)John E. Puopolo
Osgood Ste
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1 hereby make application for a perm*4 t for a s trage spo al
installation at t3sgood St. 1 will w_�:sta3 this
system in accordance Fjith al's. the ztakls o the Commonwealth of
Massachusetts and regulations of the Board of Health of the To --v
of North Andover.
Further: Y ?'?il construct the house sender of eland sp= vo
pipe, the miniinxmi diamet:or being l,� inches, and •psi: 1 maintain a
riUnimum grade of 1% untril. 10 feet preceding the septic Gank, where
the grade shall not exceed gip. 1 wili". install. a concre s septic
tank o3" O a_l. ire si 4r A �nanhc3�e �s; permitting ease clean -
of
ing will be pro%_ded with removable cover �s; iron or ':on�S'V't,4
within -12 inches of the around surface,. 1 will provide subsurface
disposal. field with open jointed bell and spigot Ackron pipe a-:,
least 4 inches in diameter and laid in a series of -trenches, tae
bottom of which will. provide a minimum of _,.�... � �,..�. Lineal.
# ' feet of effective absorption area. 1'he. pipes wi." be 'aid
0 ch layer of washed gravel or crushed stone ranging in
size from 314. to 1 1/2 inches (dia. ) and the pipes -uli l be
surrounded by similar material :,o a height of 2 inchcs above
cro-vm of the pipe. The joints of these pipes will be protected
A'rom c.Loggl.ng and before falling the trench, 2 :inches of gravel
or stone 1 /8 to 1/1�" (.) dill be placed oder the course gravel
,rst,one • Tre dt.spoaal is weld tell' be i nsrtal leui at a grade of
.o 6 inchk 8/1.00 f`ee't < <No single ti lay line =<1.l exceed 1.00 foes
in length and. in any cases two lines of wile dill! be installed,
A minimim of feet ire`ill be maintained bet been the canter 1.ine-3 c.'
the disposal field trenches and ,the average. dept') -'.'-Tench shall
not exceed 36 'nches. No part )f the i.nst al al. ion w)' ll be le* 3
that, 1.00 faett- from any private =::at,e:, supply, 2; Feet from any
stream, 20 feet from any dv!el1, ing or 10 feet f row, ai-ry jaz"opert ,
line, T further Mra* not to cover any portion c;f th4.s :inst;a.il,&i.-ion
�rrtil ��p.,,�__z c�vet�Mb�r t e fns _ ecti.on ofa,cer • ati P� o�icl�t� oc� t�;F;�c1�2Ct _.
;;oa -corpora a.ny'additIona! requir"ments that Inay be of taC:h�d' o
the oel- it, Plot Plans must be.. submitted, -ith
`tii gnat. rG� cif' rip J.I-an
1 hereby 3.swue the above permit. for she Board OLE Heal3i1:` o_. ;Ihe
`io:Pn of Plot li Anda—Per, MassaohusP_%-1t,,'-
Ba�:�
I have inepeeten {-hs unco—i zred r r e a
w J �:��`j�'az ,.3�t:3.C�'u�Ci ��Jt31; �; T'.d is :i iltl
ever t�htng. dune as described.
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1. NAME
DATE T
dW-
2.ADDRESS /
5,AJ L LOT NO.
3. NO. OF BEDROWS z3 DEN YES NO
4. GARBAGE GRINDER YES 4NO
5.SHOW DIMENSIONS IF HOUSE
6.SHOW DISTANCE OF HOUSE TO ALL PROPvRTY LINES
?. SHW DIMENSIONS OF LOT
8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9• SHOW LOCATION AND DISTANCE OF W 111, FRW SEWERAGE SYSTEK
10."SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE, OUTCROP ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE LOCAL REGULATIONS SHUUM BE L, AD CAW -4 LILLY
o-9 / I -Z - r -o,, U - ) � (1, �K .)
t�
Miss Mary Sheridan R.N.
Health Agent
Board of Health
North Andover, Massachusetts
Dear. Miss Sheridan;
An examination was made relative to the
suitability of the soil for the sub -surface dis-
posal of sewage on the proposeO Osgood Street
building s1te of Mr. John Puopolo.
A five minute percolation test was con-
ducted in sandy soil.
It is recommended that a 750 gallon tank
be installed together with 160 lineal feet of drain
pine.
Very truly yours,
. � .. 4, e,,,.,-0,,,,,,
Ernest F. Romano
Lawrence 688 1181 Haverhill 373-7151 27380
Methuen1em, NH 686-221403-89Ando Andover 475-4711 554 w NH 603-382-3322,
Newburport 462-4661
C'o [) Ap
p DAY WORK
❑ CONTRACT
❑ EXTRA
t
TOTAL AMOUNT
'
Signet
one home ❑ Total amount due ❑ Total billing to
`f
for above work: or be mailed after
1
ereby acknowled°e the satisfactory completion completion
of the above described work "
TERMS; C.O.D.
Because of the nature of the
that all payments be made t
A FINANCE CHARGE comp®���j'i�tr�
an ANNUAL PERCENTAGE
J -=
unpald by the 10th of the mo
fj
Septic Tank Pumping •Drain Cleaning aired 1
& Rep
A service charge of. $15.00 wll
Leachtields • Sewers installed
Haverhill
r,88-118i382-3322
rt Salem 898.1554
Newburyp 462 4661v
SERVICE RVICE
FAST 24 HOUR EMERGENCY
Glenn Daigle
SEPTIC SYSTEM INSPECTION FORM
ADDRESS '� Z& D(3o
DATE INSPECTED -� ' I � O
PROPERLY FUNCTIONING? (D N
WEATHER CONDITIONS
COMMENTS:
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name ¢414 Vu f 1.j a
2. Street Address 9,6 e1�cod o ST
r-\17 3
111_� 3. How many members are in your household.
4.
What type of sewage disposal system do you have?
El cesspool
E septic tank and leaching area
❑ connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
❑ yes ❑ no LTJ' do not know
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years
P- over 20 years ❑ do not know
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes Z?"no , ❑ do not know
If yes, approximately haw long ago? years. What was done?
" 8. How frequently is your sewage disposal system pumped out? 5� annually
❑ every 2-4 years _ ❑ every 5-10 years ❑ over 10 years ❑ never,
�? 9. Have you had any problems with your sewage disposal system? ❑ yes LAY no
If yes, what problems?
❑ repeated pump -outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
10. How many of each appliance are connected to your sewage disposal system?
washing machine dishwashery garbage disposal
2
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher o H
clotheswasher 4111--
12. Does your property have a lawn?
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre
❑ more than 1 acre (Specify)
9--l'Y'es ❑ no
Ei % acre ❑ 3/4 acre ❑ 1 acre
acres
13. How often do you fertilize your lawn?
No. of applications per year
Season(s) of the year
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
❑ Check here if your lawn is maintained by a professional landscape contractor.
N -L, (5,ao-�
Please forward us as much of the following information that is possible;
1. Type of system `
2. Age Z. I- 1"
3. Location $'Z (,, �SG,`o-D p 4MI20 J 6n-
4. Maintenance records and date of last pumping out
5. Documentation of repairs and reconstruction
K6u� �cL
6. Site conditions
7. Biillder of system
8. Engineer who approved=
— Site
I
-- System
2
4„ Installation Procedure I
10. Problems
NEW ENGLAND CLAIMS SERVICE, INC.
ReplyTo U Reply To U Reply To U
P.O. BOX 345 100 CONIFER HILL DRIVE, SUITE 308 P.O. BOX 578
MANSFIELD, MA 02048 DANVERS, MA 01923 SHREWSBURY, MA 01545
TEL. (508) 337-8058 TEL. (978) 777-9900 TEL. (508) 842-3995
FAX (508) 339-5835 FAX (970) 774-9296 FAX (508) 842-7510
TOWN OF NORiH AND SFR
Form of Notice of Casualty Loss to Building so,aRn of HEALTH
Under Mass. Gen. Laws, Ch. 139, Sec. 3D
0 2001
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
5A M F --
addresses addresses
RE: INSURED
PROPERTY ADDRESS U
POLICY NO.:
LOSS OF: 0) 49
FILE OR CLAIM NO.:
Claim has been made involving loss, damage or destruction of the above -captioned
property which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143,
Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 31)
is appropriate, please direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or file number.
TITLE
On this date, I caused copies of this notice to be sent to the persons named above
at the addresses indicated above by first class mail.
7 2.7
iS4NA E AND DATE
cc: Fire, Dept.
Commonwealth of Massachusetts
City/Town of
a System Pumping Record
Form 4
AUG 15 Hil
TOWN OF NORTH ANDOVER
DEP has provided this form for use by local Boards of Health. Otho 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.
A. Facility Information
1. System Location: eft front of house right front of house, left side of house, right side of house, Left
rear of house, right rear o ouse, eft side of building, right rear of building, under deck.
2
Citylrown Ij State
System Owner:
Name
Address (if different from location)
City/Town
B. Pumping Record 11
1. Date of Pumping
3. Type of system: ❑
❑ Other (describe):
Date
Cesspool(s)
Zip Code
State!c),3 Zip Code
Telephone Number
= 2. Quantity Pumped:
i6ptic Tank
Gallons
❑ Tight Tank
4. Effluent Tee Filter present? ❑ Yes ® o If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
6. System Pumped By:
Neil J. Bateson
Name
Bateson Enterprises Inc.
Company
7. Loc 'o ere contents were disposed:
G. L. S. D.
Signature
F5821
Vehicle License Number
Date
e -( -q
t5form4.doc• 06/03 System Pumping Record • Page 1 of 1
�LN Commonwealth of Massachusetts
City/Town of NEVE
W° System Pumping Record
Form 4 AUG 'i 5 2011
TOWN OF NORTH ANDOVER
DEP has provided this form for use by local Boards of Health. Other fors OwIDN 068ARIziulE
information must be substantially the same as that provided here. Before 1AS
using Is orm, 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.
A. Facility Information
1. System Location: Left front of house, I ront of hous left side of house, right side of house, Left
rear of house, right rear of house, left side of building, right rear of building, under deck.
'S:�G' QSQncJ do
Citylrown State
2. System Owner:
Name
Address (if different from location)
City/Town
Zip Code
State Zip Code
G7<02 37 S
Telephone Number
B. Pumping Record
1. Date of Pumping -I �2.uantity Pumped:
Date
3. Type of system: ElCesspool(s) Septic Tank
❑ Other (describe):
Gallons
❑ Tight Tank
4. Effluent Tee Filter present? ❑ Yes [9 No If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
6. System Pumped By:
Neil J. Bateson
Name
Bateson Enterprises Inc.
Company
7. Location where contents were disposed:
(G. S. Lowell Waste Water
Signature of Hauler'
F5821
Vehicle License Number
—I—
gj' it
Date
t5form4.doc• 06/03 System Pumping Record • Page 1 of 1