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Home My WebLink AboutMiscellaneous - 919 GREAT POND ROAD 4/30/2018 (2)t %0 COP L I f 9 i IN c; voon :.-, --- " so -7 1 Ile ell 410 Perc. rale I in 4 min. Seplic Tank /000 Gal. Absorphon Bed 800sQ Tank 40 QVI ox .—DIS cn ll�I i x P, Q j- I I LA 6)LU LU N 0 co 14 I®I 00 lu 0 4, 6-7 S Sq. FT. Li 104.1 -7o' 0-5 "2(D W + J. SE-GAc:)c—:L-L-( L o -r 11 4 PL&" OF: Lo -r 4a� OwwE-o GA E L L I C /M MA�.r' 46 Pea. IbGa) I APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. J. J• Sagadelli Lot 3$ Great Pond Rd. 2=1 I hereby make application for a permit for a sewage disposal installation at Lot 31 Great Pond Rd. . 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 1000 zalq 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 800 �:K (square) 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 bel that may be attached to the permit. DATE � � �2�2 19 l I hereby issue the above Andover, Massachusetts. DATE /% , and to incorporate any additional requirements Plot Plans must be submitted with application. Signa e of plcant permit for the Board of Health of the Town of North r Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE Signature o Inspecting Offic r Percolation Test 4 min. Garbage Grinder No \J C S QQ BOARD OF HEALTH TOWN OF NORTH, ANDUVERS LASS. --- 3� 41 1. NAYS . . ✓.' ' .j d �� • ' . . . . DATE . . 2. ADDRESS ;�°% , ,rC v .�� c� 1�. LOT N0. . J. . TEL 3. NO. OF BEDROOMS 3 . . . DEN YES NO. 4. GARBAGE GRINDER YES e o . . . N0. . . . . . 5. /Cl 7L SHOW DIPIENSNSIOOF HOUSE :574vel, �,��'�-� sf 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIbENSI0AES OF LOT �/ U 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FRO14 SEWERAGE SYSTEM!e- 10. SHOW LOCATION OF BROOKSS STREAMSS. DITCHES., LEDGE OUTCROPS ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROPR HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. M.�, , 1 tI o ._._ 60 - 5`x'7IA 99 O`4 to Pec. rale / m 4 min. i _, ,,to 5eplic Tank 1000 Gal. B.a � Absorphr n Berl 900 o. 44 / I �o too. to tt c ...... 4..... i l U k�i �6 Drs Ba m "oma LA �o J � N p� 0� CO G �- �0 N 0 0 N J 44, 8-7 9 Sq. FT. 90 157.80 S 70' os' 20' w �rzc 7�Esi- /�AvP Tj,-x 19PPPcVr--D J. J. SEGC" OC— t. -t iNc. LOT 4 LAN OF Lo -r 43 owNEo ay NORTCI-4 AWDu`VE6R= a MASSO SCvLe I` -4o Fc -B. 1963 r L13 ABSORPTION SEo DETAILS ,1-•• W40.__ ouss Xpre�orateA pipe 1Z lines mj0'tftvm q) Sewer ?I pe 4' 4�1�4i p i;pe min. —L[_/ I / /.-/_/ oe -AL_ len6�t�n too may.. AbsorP}ion god TYPICAL P fZemovalole Cover may be below m6 conc. / conc. aloe OIGTOSST ION SOY, n4'"* 4 or BriCiG TYPICAL SES'TION Ouilets keve Min. Mav• M a)c, Min. . Tor raina�e_n Slope 1/4� 40 10 Seed Am Grass - ----- 77 Loam 56,mit NL . • tc. __.1 Pe lot Crushed S}ems or Washed Gravelso Ewect i've Area - Le 6 rou n.4 w a�er 1 14'acdc Apt-. or Qc1cle A9GO2PTioN 9E-0 "TYPICAL GEeTION . J, Segadelli 3, Y yI/ Q' APPLICATION FOR SEWAGE DISPOSAL INSTALLATION iot reat Pond Rd. HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Lot 3, Great Pond. 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 1000 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 200 lineal (X&YjM) feet of effective absorption area, ale 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 //-7 1 hL d Sig a ure f Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE %d / �✓ a C' Signature of Inspecting 0 ficer Percolation Test 7 min, Soil: clay Garbage Grinder No Sc' #-) ` r BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. � 1 fir---- 000, i I -ZO4 op 1. NAME 0-4 a Cie I �~ ` DATE 1 2. ADDRESS H v + �4 N C Ia LOT NO. TEL. 574- 3. NO. OF,BEDROOMS DEN YES 40#� NO 4. GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW.DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL NAME OF APPLICANT_ J. J. Segadelli, Inc. LOCATION__ Lot 0, Great Pond Road Address of lot no.. BUILDING: Dwelling X Other DATE November 14, 1964 SYSTEM: New____Z, Repair GENERAL DESCRIPTION OF LAND High SUBSOIL: Clay X Gravel Sand PERCOLATION TEST 7 minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK 1,000 gallon capacity. LEACH FIELD 200 —lineal feet of drain pipe. William J. iscoll, Engine r Board of Hea th MORT�# D SS^CHUSE BOARD OF HEALTH 120 MAIN STREET NORTH ANDOVER, MASS. 01845 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) PURSUANT.TO SECTION 310 CMR 15.354 OF THE STATE ENVIRONMENTAL CODE, TITLE V TEL. 682-6483 Ext23 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 q Address / / c/�'ea OContractor hired for work: Name Phone Phone Address Cf S`--/ /`3 �"7Ac,- S Date for scheduled abandonment Method of septic tank abandonment ( ) removal Other ( ) sandfill (check one).. VKcrush ( ) other (describe below) PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH AGENT'S USE ONLY Date Inspecting Agent Comments WATERSHED RESIDENTS QUESTIONNAIRE J 1. Name C h Al SITC 2. Street Address 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool 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? El yes El no IX do not know.. 6 How old is your sewage disposal system? 0=5 years ❑ 6-10 years ❑ 11-20 years D� over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ` yes ❑ no ❑ do not know If yes, approximately how long ago? ad years. What was done? 4 �CfdT � f adiS 1 S", -'F- S� �y /k(!w �iY1�11�1LC -Y" a. . 8. How frequently is your sewage disposal system pumped out? X annually ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years — El never 2/ 9. Have you had any problems with your sewage disposal system? L/ yes ❑ 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 tou rsewage disposal system? washing machine �� dishwasher _ garbage disposal dehumidifier drain sump pump toilet �- roof/pavement drains ' showerlbathtub ._W_d) 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher �� / N J", d C clotheswasher &At W A A F W 12. Does your property have a lawn? i9 yes ❑ no If yes, approximately what size? ❑ less than '/4 acre X 'A acre ❑ . '/2 acre ❑ % acre ❑ 1 acre ❑ more than 1 acre (Specify) acres _ 13. How often do you fertilize your lawn? No. of applications per year a– Season(s) of the year S P12t #4 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. SEPTIC SYSTEM INSPECTION FORM ADDRESS 91 9- Co Ue,, DATE INSPECTED -I, PROPERLY FUNCTIONING? (i) N WEATHER CONDITIONS COMMENTS:- Please forward forward us as much of the following; information that is possible, 1. Type of system 2. APe 3. Locat io'n.. ,SACK YAP.D _ f,U,�r��' CORIJu1. 4- Maintenance records and date of last pumping out (� CGrJ 7 a f/lf�- 44,etL 4f � C CT. 1 � 7G Docramentption of repairs and reconstruction See - 6. Site conditions 7. Biailder of system p j �4, S S 8. Engineer who approved" /1 / Site � y built U. Te- t r -44.c Y i r 6 3 c� s s 10114- �' le r -- S -y s t em 9. Installation Procedure 10. Problems Pe -44 A e � Pm W A RAiSt, a,14 I/ P-4 5`c� ''�s� Cic �- o /� 5PIO (fkAkVJSJ4,,m, Pd, w-� Ak� 44ci, \14, -k A40. �Ijcaqfi(q I d tat macj cv-e, /e,&A 41'414e CYR 4 km &k eWe_ jk�jSA)#J- CL /S /it RIA dS e