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HomeMy WebLinkAboutMiscellaneous - 947 GREAT POND ROAD 4/30/2018Date: (:� ` e Town of Barth Ahd24irLMA Watershed Septic System Servicing Report Homeowner: street Phone Pumper dress: Phone Description of Wor Comments: 107 Forest St. Middleton, MA 01949 O�01 FORM 4 - SYSTEM PUMPING RECORD .Co onwealth of Massachusetts 'id �, � �Ie: , Massachusetts System Pumping Record vstem N\ner stem ocahon MAY � 0 1996 Date of Pumping: /C IS Quantity Pumpe/Od gallons Cesspool: No 011� Yes ❑ Septic Tank: No ❑ Yes ❑� SystemPumped by: /. �/....... ..............0 .. License #:......................................... Contents transferred to: Date Inspector SEPTIC SYSTEM INSPECTION FORM ADDRESS 94 rl 6 t,� ,,�,A DATE INSPECTED PROPERLY FUNCTIONING? N WEATHER CONDITIONS COMMENTS: - ?Y7 CT D jV Please forward us as much of the following information that is possible; lA Type of system 2, Age 3. L o c at i ota 4w Maintenance records and date of last pumping out cam', pocumentti.on of repairs and reconstruction 6. Site conditions .�-�- 7. Bliilder of system 8, Engineer who approved; — Site -- S -y s t em������, 9. Installation Procedure 10. Problems WATE-R-SHED RESIDENTS QUESTIONNAIRE 1. Name 2. Street Address �r ��P W6 tyi) L p 3. How many members are in your household? 4. What type of sewage disposal system do you have? esspool septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know .5. Are the plans (drawings) for ur sewage disposal system on file with the Board of Health? El yes El no for not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years ®` over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes X?""no ❑ do not know If yes, approximately how long ago? years. What was done? 8. How frequently is your sewage disposal system pumped out? El 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 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 dishwasher garbage disposal 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 clotheswasher 12. Does your property have a lawn? Q-_ yes ❑ no If yes, approximately whatP1;4 ' El less than 1/4 acre acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No: of applications per year OSeason(s) of the year ----- 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: 1 � r ��ar ��{4' ,•���;��n.•'ii �7}diahiF� tSFa����x�etp, �.. ❑Check here if your lawn is maintained by a professional landscape contractor lr ts r`i"ti � � 4M yo-. ytiiE PI�r fd t.�l '""orf �"•�,rbE - �. a,�� r :.'`I t{ s q• „�F } N ����t ��.`r �,y�;�, l J� e i � .�� y� :; � rt. r lk k.. � .� "� ., ` � ... m v... a Robert "ill Great Pond Road • APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTP.WT—NORTH AiMOVERt MASS. I hereby make application for a permit for a sewage disposal installation at Great Pond Road I will install this system in accordance with all t e lays of the Commonwealth of Dkesachusetts and regulations of the Board of Health of the Town of North Andover. Further, ; 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 preceding the septic tank where the grade shall not exceed 221. I will install a concrete septic tank of X50 gal. in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 32 inches of the ground surface. I will provide subsurface disposal field with open jointed bell and spigot Aakron pipe at least 1, inches in diameter and laid in a series of trenches,, the bottom of which will.provide a minimum of 180 lineal (KOUN) 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 l/S" 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/lO0 feet. No single tile line will exceed 100 feet in length and in any case, two lines of the 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 in- stallation will be less than 100 feet from any private water supply,, 25 feet from any streamp 20 feet from any dwelling or 10 feet from any property line. I further 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 Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Masaehusetts. DATE S gnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE �t:.c Ali Signature of nspeating Officer_ Percolation Test _ 5, min. sandy-cla Garbage Grinder � f r May 9, 1959 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 Great Pond Road building site of Robert Dill and Raymond Dill. The subsoil in the area was of a sandy clay con- tent and a 5 -minute percolation test was conducted . The land in general is high. It is recommended that a 750 gallon concrete septic tank be installed together with 180 litaeal feet of drain pipe. Very truly yours, s o _ BOARD OF HEALTH sL TOWN OF NORTH ANDOVER MASS. a re, P ,v D • )? tD - 1 1. NAVE . . . . . . . . . . . . .DATE 2. ADDRESS :4 . . : ": .F . . LOT NO. TEL. . 3. NO. OF BEDROOMS . . . DEN YES.. NO. . 14.. GARBAGE GRINDER YES . . . N0, :• . 5. SHOW DIMENSIONS OF HOUSE 6, SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7, SHOW DIIVENSIOAES 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, STREAWSs, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY, ank ,L _ 4 s4:3� i t-, k ; - �t J MASSACHUSETTS DEPARTMNT OF PUBLIC HEALTH Division of Sanitary Engineering 511A State House, Boston This is to -acknowledge your request dated April q; 19 for the advice of the. D epar-'ment relative to -7- ..�,gpwngF' disposal on btai l ; ag sit -pa 1 anatprj on South Bradford Street_ and. Grp �lRoj3d Rd _ , N _ Andou r; Arrangements have bee-: -,q -Je for an examination by a representative from the Department and when the results of that examination are available the Commissioner of.Public Health will advise you in the matter. Clarence I. Ster6inp, Jr. April 11, 1955 Chief Sanitary Engineer �oN'lq ;SAVEZIA c APP II 0. BUY w THISSIDEPAY N Miss Mary F. Sheridan, Agent Board of Health North Andover, Massachusetts f. jP • April 9, 1955 Hr. Clarence T. Sterlingp Jr., Comriissioner Division of Environmental Sanitation State House B oston 33, Mase. bear fir. Sterlingt. May we have your recarmendations for installing septic tanks and drainage fields for sewage disposals on building sites located as shown on the inclosed m- p. Both sites are for individual homes, one on South Bradford Street and the other on Great Pond R-oad* Your irmediate attention will be appreciated* Yours very truly, BOARD OF FEALTH C- By- Mary F. Sheridan, Agent Afl- vi am,4.4 -2 ICA -7 A,& 4 BOARD OF HEAITH TOWN OF NORTH ANDOVER, MASS. i 1. NAME . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . . . 2; ADDRESS . . LOT N0. . . . • . . . TEL. . . . . . 30 NOi OF BEDROOM . . : : DEN YES . . a e N06 • a . 4+ GARBAGE GRINDER YES . N04, 5. SHOW DIINt'ENSIONS OF HOUSE 6, SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIIVENSIONS OF LOT $. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10, SHOW LOCATION OF BROOKS, STREAKS) DITCHES.. LEDGE OUTCROP! ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULAT I01\LS SHOULD BE READ CAREFULLY.