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HomeMy WebLinkAboutMiscellaneous - 910 SALEM STREET 4/30/2018 (2)O O � � o Q D o m o � Q cq o oM o M 0 Ll ,%; as -1 of R e! al th North 4nJover Metz. GVED DAA M .,9Y.MC SrSTEM INSTALLATICK CHECK LIST DI SUPROVa eaa.Dn.st LOT"" V �g`�� EX AVATION ON FAIL 1. Distance Tot a. Wetlands b. Drains 0. Well 2. Water Line Location 3. No PVC Pipe Septic Tank a. Tees _Length & To Clean Out Covers. b. Cement Pipe to Tank On Both Sides of Tank 5. Distribution Box a. Covers & Box - No Cracks b. All Lines FI o-Ang Equal- Amounts e. No Back Flow 6.- Leach Field or Trench a. Dimensions b. Stone Depth a Capped -Ends d: Clean DoubleWashedStone 7. Leach Pits a* Dimensio a b /Stone epi c: qPl Spla, Pads d T T e. C t Pipe to Pit Both Sides_ D f. lean Doui5je Washed Stone 8. No Garbage Disposal 9. Final Grading Inspection 10. Barricading Covered System 11. As Built Submitted - a. Lot Location b. Dimensions of System c. Location with Regar4to Pere Test d. Elevations eo' Water Table Copy 'o Public Works � • �"SUBSURFACE DISPOSAL SYST M CHECK LIST NORTH ANDOVER BOARD F HEALTH G+t vzv'-6�411 \1 APPROVED DATE PROVIDED DISAPPROVED DATE TIME REASON. 7/(q/7 Title 5 Reg. 2.5 D Reg. 6 The submitted plan must show as a minumum: a-) -the lot to be served (area,dimensions,l.ot //,abutters) (Planning Board files) b) location and log of deep observation holes -distance` to ties location and results of percolation tests -distance to ties a) design calculations & calculations showing required leaching area e) location and dimensions of system (including reserve .j area) f fisting and proposed contours g�>laocation of any wet areas within 100' of the sewage disposal system or- disclaimer (check wetlands mapping) r h�'—surface and subsurface drains within 100' of sewage disposal system o disclaimer -i! —location of any drainage easements within 100' .of sewage disposal system or disclaimer (planning board files) (' J -)—known sources of water supply within 200' of sewage disposal system or disclaimer ka. location of any proposed well to serve the lot (100' from leaching facility) I,)— location of water lines on property (10' from leaching facilities) m location of benchmark i driveways o garbage disposers no PVC is to be used in construction ,pq-)- , a profile of the system (elevations of basement, plumbers pipe septic tank, distribution box inlets and outlets, distribution field piping and any other elevations) rmaximum ground water elevation in area of sewage disposal A system s`)plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans . Sematic Tanks (a) `Capacities - 150% of flow, water table, tees, depth of tees, access, pumping, (b) Cleanout c 10' from cellar wall or inground swimming pool d 25' from subsurface drains 'NoAh,Aridover Subsurface disposal system check list - Page 2 Reg.10.2 Reg.10.4 Reg.11.2 Reg.11 .4 Reg.11 .1 C Reg.11.11 Reg.15.1 Reg.15.1 Reg. 15.4 Reg.15.8 Reg. 3.7 Reg.14.1 Reg. 14.3 Reg.14.4 14.5 Reg.14.6 Reg.14.7 Reg.1 4.1C 1 1JOKI Distribution Boxes al '_ Slope greater than 0.08 b Sump Leaching Pits Leaching pits are preferred where the installation is possible (aCalculations of leaching area (minimum 500 S.F.) (b Spacing (c Surface drainage 2% d Cgver material / e �'J 2 r e p(asil .%fm�Go. w. (p.V Leaching Fields (a) NoGr`eater than 20 minutes/inch le b ,,, Area (minimum 900 S.F.) C Construction of field d) Surface drainage 2% (e 20' from -cellar wall or inground swimming pool Leaching Trenches (a Calculations of leaching area (min. 500 S.F.) Spacing (4 ft. min. 6 ft. with reserve between) Rb Dimensions (dMConstruction Stone ( f ) Surface drainage 2% 1 Slope a Slope y/x to be shown b y/x X 150 = (to be shown Pump Reg. 9.1 I I I (a) Approval Reg. 9.6 (b Stand-by power r -ACE asp of LOT 8 NoRrH /- m)ovcR MA P R E PAk? E_O F oz S V /�Ea LT Y 7"R u ST !! �' CHIC ke-Al NG- �pq� No" A NDovek, M q O, atS -1y 361 N l:ltA 4W- C. AMC ASas4cl�s.-T�.g. Er-+v►ev�.e..�ts Ar►o 0LCH1TTLc.-cs 14 KEr N d fzTN A�+ra O v e.fs. O A F 1c. s. PAtZ.►c. N©QTN !—�.NOOVEE.FL,MA._�18gS A AT A UGu5 T" 2, 19 78 GttJ M© PERCOLhTtON TEST TrS-T Pt T `N w�Te . 5 eF.v ►C C '51.0116 1N A LL TE5r- rpamr-H i NCIT L t3& I NSrAL.r..E0 i 2 . tJp 5LARr-AC_E WATER, K 5u,�suN�F'aLk aR� t�� . OR f t�RAi+v En��na6M'r� wr7r►iiv 1d0 PT OF `.Sv5TEM 0uR,r5t5�ai.YT"��'+4 13C PCmOvED hT LEt^,c/S F4 AE-^, � , AtJD FcoZ A, of �"'r--J 'T .... Y F7'. !N ALL 7%rI�EGTrOV i'-'� AN -L) R CaL^c.C•:D 1-1- .j G Pawl.f r 3 " t?ATE _ AUGust 2, 1878 ` DESIGN DATA CALCULATIONS SOIL OBSERVATIONS A _ WITNESS L- PNILLIP5 _ PE RCOL AT 10 N -i EsT Ko. 1 2 3 4 DA -T E I�-To t//,3/77 P -ELEVATION f 4 /g� pp I _ B07TOM-ELEVA710N 138.00 SA-TURATIoN-MIRS.. r5 S" DROP-MINS. 9" —► G" DROP-M1Ns. --� PERC- . RA7 E SOIL PFZ01=1LE-DEEP PIT NO. 1 I I — DATE 5113177 SNRT N G f978 -TOP-ELEVATION /�l. bo —SUBSOIL TO TD PARE NT SOIL. rp �QTE.' WATER TABLE �vAT/2 '►A13L� ..y E'YNE EIJ GRA t/CL 6 RAVE (� �', 7 Q wArEk, HW7R r 3 ( (51 eX- PA,�.E WATER 'I•ABLE ELEVATION BOTTOM ELEVATION /33.00I I ' 133,:50 BUILwNo-T,CPE Z)VVELLjAJ& 4—B.R.,OR _ X !_5Q GAL. (UNIT = (c,00 GPD FLOW 1 6o GPD FLOW x ISO = 400 GPD GALS EPT1C TAtAK LE[,CHINC-r AREA . BED %00 GPD FLow x /.3 SP/GAL.= 760 SF OED USE Roc SF _PATS �Zpx4-C?� TYP E aVMv R.. (Ty P. ) SIDEWALL ARE _ - SF X_.. _&A.Ls.� SF = _— GPD BOTTOM AR _.. SF x_ _GALS. SF = GPD TOTAL PI LEAs -H tkcr CAPACITY _ _ _ — _ _— GP D /'PIT _ — D FLp�c =- _ GPD/PIT =_ ---PIIS REQ'D . USE_. -_._ PITS F-NcHES SIDEWALL AREA _C-ALS'SF = _GAL. /LIN.FT. SoTTOM ARE _ _ ___-- —SF/LP X_-- _ GALS/SF = GAL./ LiN.FT. TOTAL -MEN H LEACHING CAPACITY _ GPD FLOW COAL jbvA-PT.= L.F.TRF'NCHES READ. USE. L F NoTFS:� i cat vC.� t ` N tll • II II II zX 11 ## J II ` I� II ll�� II • II 'll II �° II II it 11 � I i do II fl II II,q #I II II ° Ildw.11 II I. Il o° I! !# II �QdJ IIICULW #I #I 11 II II=�,LL II I1 �II II 1! II Ids N f1 cat \ t tll 1 N 14 tl J ` 0 LL u1 L% � d �QdJ LL th I f1 cat \ 1 N 14 � d ii LL 0iM j V�.6,r..s -4 015 00 po t 0 in V�.6,r..s -4 015 ILL SO LL A lu PG. 5 ors :r 1 i ILL SO LL A lu PG. 5 ors i i i ���'�"1►a�li� ,�1a�r `'a ,^ 1 Alii ra I ...r.. fs !� :M M .fh ht.f�ila. ILL SO LL A lu PG. 5 ors i • • ttGG��:�� 0 14 ...r.. fs !� :M M f � � o •. d 00 LLJ 0 i Ll Q O 0 �j ILA w t►a O ILL SO LL A lu PG. 5 ors SOIL PROFILE & PERCOLATION TEST DATA Town/City No. &Stree t „-, Lot No. 8 Loc./Subdiv.�h� -��I� Plan Ownern�O Investigator a 06X/ O Observer o SOIL PROFILES -DATE 'S 1' � E1 v. _ 2' Elev. 3' Elev. 4'Elev. 0 �5 /3 i7 �, p 5-11377? 0 2 2 2, 2 3 5 6 (7 3 4 5 V6 10 .10 Benchmark _ Elevation 3 4 .5 6 7, 8 9 - —� 10 _ --_,I 10 Location Datum Perco\l,,�tion Tests -Date %d Pit Number 1 2 3 4 5 Start Saturation :Soak Mins Start Test -Time Drop of 3" -Time Drop of 6" -Time J Mins.lst 3"Dro r Mins.2nd 3"Dro Notes & Sketches on Back frank C. Gelinas & Associates, North And. V • OoZ ooh E f S�1.-`�t7oSS Q N`c �obb �' .LUSS S. S 3 _L_ 11.0 L.F- VA -r (4o N s. �—� t,,A FIA i KL4>TT=- -rH�. 't-�v�<AP'� Ussb i to Si 6ltq L-CY-t" W # PIG r E. t, �, t�8, ©. J5� c•c� �t-+.-tom A�Sv\ASZ) s 13 47 ,LN` , AS �UILT CPVe-5ulMrcF. D15Po ,I000ygo--r IN Wit? AN F �t2 .... D V t H S4o FGZA�ItC GC�ELAS � A`55o,--rE7,5 -NC�tN�-Et25� .�RL.NIT�GT�i 4 Sl •4N D!..rJ�.i� 5-i' t� d. lS.N �vErQ . .0 f I l HORTN Ot to 3?`BOARD OF HEALTH O p r' 120 MAIN STREET TEL. 682-6483 "SSACHUSNORTH ANDOVER, MASS. 01845 Ext 23 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) PURSUANT TO SECTION 310 CMR 15.354 OF THE STATE ENVIRONMENTAL CODE, TITLE V This form must be submitted to the Board of Health no less than five (5) days'prior to date of abandonment and be accompanied with a copy of the sewer connection permit. Name 4flu4 lr/e1i Phone Address Contractor hired for work: Name Q-JQQ Phone J G� ^ r 6 J153 Address I-� �Cl(� 1�(( �1 C_ /�� • �7�IQ��� y�QSf �ld /� Date for scheduled abandonment /7%C4 GpoJ X,__ Method of septic tank abandonment (c heck one). ( ) removal ( ) sandfill (( ) .other (describe below) Other PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH AGENT'S USE ONLY InspelftiXg A ent Date €¢ Comments / %� 46 N° 1048 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 4�19 Application by the undersigned is hereby made to connect with the town sewer main in .2L ��4— Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. -/ �� JC G Street or subdivision lot no. Owner ZZ7 Contractor Address PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at l l, e4 Street subject to the rules and regulations of the Division of Public Works.. Inspected by Date Division of Public Works By �'. See back for rules and regulations 7e' .0-7- ig Norihpoini — ASurvey Services is �►� suet AaverldU Ard Ofam /9yel)-�i arm Lard? 024 oll') f b�� 0/OLS- � 6w SAS, -A4 tL PLEASE CALL 978-372-0835 PRIOR TO USING THIS PLAN FOR ANY OTHER REASONS THAN MORTGAGE PURPOSES PPREPARED FOR ASCIVE MORTGAGE INSPECTION WAS CLIENT FA--/l6Y BORROWER:-_07K4!WeT E 'e' DATE.- ATE:SCALE- SCALE-i"� 60 ' ADDRESS: 9/O 6ALE/7� Sr�EE'T AND IS NOT INTENDED OR REPRESENTED TO JOB NO.:24�Qn BE A LAND OR PROPERTY LINE SURVEY. s NO CORNERS MERE SET. IT CANNOT BE USED FOR ESTABLISHING FENCE. HEDGE. OR TO THE BEST OF MY PROFESSIONAL RECORDED AT EssCsC REGISTRY OF DEEDS BLMLDMIO LOOM THENA LASHOWN IS BASED KNOKEDGE AND BELIEF THE LOCATION OF THE PRM ARY BOOK: PAGE: L.C. CERT. /293 ON CLIENT FURNISHED INFORMATION AND MAY ' TO FURTHER STRLCTURg WAS OTHER IN PLAN REFERENCE: `3&503 c TTAAMMM EASEMENNTS AND �T OF NAYS. NO RESPONSIBILITY IS EXTENDED TO A NTH LOCAL APPLICABLE ZONING fET-LAWS IN EFFECT WHEN DRAWN PER OF ASSESSORS TNIE LAND OWNERS OR OCCUPANT. IT IS CONSTRUCTED (WITH RESPECT TO HORIZONTAL DIMENSIONAL MAP# BLOCK PARCEL T INTENDED FOR TINS DOCUINENT TO BE REGUREIEINI'S ONLY) OR IS SUBJECT DWELLING LIES IN FLOOD ZONE EXEMPT FROM VCG.L TI ENFORCEMENT ACTION UfDOt I�LC.L TITLE VN. AS SHOWN ON NATIONAL FLOOD INSURANCE CHANTER 40A. SEC' 7. UNLESS OTHERWISE NOTED OR SHOW RATE MAP DATED: COMMUNITY PANEL/ 10 Insurance Adjustment Service Inc. 435 Kjr�S Street - Second Floor Littleton, MA 01460 978-952-6966 - Fax 978-952-2459 EmaU: iasi'itdeton@netlplus.com Date: LZ Fr -r) 2 Board of Health: ,u, Building Inspector: � Fire Department: Re: Insured:_ Location:_ Claim Number: Policy Number: Our File Number: Cause of Loss: Date of Loss: l -o Z 'Dear Sir/Madam: A claim has been made involving loss, damage or destruction of the above captioned property which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applied. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct that information to my attention and include a reference to the captioned insured, location, date of loss and file number. Thank you for your cooperation. Very truly ours, Scott O'Neil Adjuster Ext. 129