HomeMy WebLinkAboutMiscellaneous - 844 SALEM STREET 4/30/2018 (4),r
BOARD OF HEALTH
146 MAISTREET
TELEPHONE# (508) 688-9540
A PPLICA TION FOR ABAA'DOAMENT
OF SUBSURFACE DISPOSAL SYSTEW
(SEPTIC SYSTEM) JUN
Purniant to Section 310 CMR 1.1.354
of the State Environmental Code, Title V
Name ° �� _ CGI �� Phone
Address
Contractor hired for work:
Name 1xU C" Phone
Address R i I ,�w % , V ( G v)
Date for scheduled abandonment
6()-2 - 3y Z- �0(0
The septic system at the above address has been abandoned according to
Title V specifications.
X
% Signature of Contractor
Method of septic tank abandonment (check one). () removal () sandfill
( ) crush ( ) other
Name of Offal Hauler
This form must be returned to the North Andover Board of Health.
PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH
REPRESENTATIVE'S USE ONLY.
Inspecting Agent
Date
4,-
97,Qr/ Jr— ' w)
/ l �
�a /IV S. & H. Const. Co.
Salem St.
APPLICATION FOR WAGE SE Lot A
DISMAL INSTALIATION
HEA LTH DEPARTMENT - NORTH ANDOVER, MSS.
rLI
17
I hereby ke application for a permit for a sewage disposal installation at
Lot A Salem St. . I will install this system in ac-
cordance 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, 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 750 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 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 160 lineal (Vtp&W 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" (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
tile 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 ----April 17, 1962
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE April 17, 1562
I have inspected the uncovered system
as described.
DAZE Ls- i i t z,-
Percolation Test 2 min. Soil Gravel
Garbage Grinder No
gnature of Health Agent
indicated above and find everything done
Signature of pecting Officer
r
J` tom, BOARD OF HEALTH
f i a7N OF NORTH ANDO-VER, WS.
T
, I .
1. NAI:IE . DA1 .
2. ADDRESS . �. `. .l. �. �. .�, . LOT N0. . TEL. . . . . . .
3. N0+ OF BEDROOM . ' DEN YES . J. a NO.. 0 a .
4. GARBAGE GRIIMER YES . . . . NO.. . A .
5. SHOW D11JENSIONS OF HOUSE
6, SH011 DISTANCES OF HOUSL TO ALL PROPERTY LINES
7. SHOD DIPZIBIONS OF LOP
8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
q. NOPE LOCATION AND DISTANCE OF WELL FROM SWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS p STREAK, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FRO14 HOUSE
NOTE: LOCAL REGULATIOAb SHOULD EE READ CAREFULLY.
n
April 14, 1962
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 Salem Street (Lot #A) building site of
S & H Construction Company, Inc.
The land in general is high.
- The subsoil in the area was of gravel content and a
2 -minute percolation test was conducted.
It is recommended that a 750 gallon concrete septic tank
be inst4lled together with 160 lineal feet of drainpipe.
WO 14 f
Very truly yours,
Wilfiam iscoll
Cunutt0tt%irall lt of hlassncbusetts
Massachusetts
sl �ll�V\• 11� - J? -61C111 LVa:a 11 v••
77
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ueittlty 1'utrt pall
Date orrumpin�t Q t �J�
j
Cesspool: !�u , � Yes U Srnlfr ' w,o ?'', a Yes
a-�
Syslent
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Contents transferred tr:
Date
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APR - 1 1996