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HomeMy WebLinkAboutMiscellaneous - 96 BRIDLE PATH 4/30/20185 t , fill" SOIL PROFILE & PERCOLATION TEST DATA Town/City P..,.�No.&Street /&r'l z4ga Lot No. % Loc. / Subdiv .�,%Plan Owner LJ Investigator/01,12c-, ze,"l Observer SOIL PROFILES -DATE N 7 lev.� 0 7� o v\ 2 51 1 5 M 7 W. 0 21 31 41 5 M 1 7 EM 7 Elev. 0.- 1 1 ._ 11 21 31 41 5 6 7 9 4'Elev. NJ O U >� _ Q1 4N4j 10� 10 10 10� e U � Benchmark Location Elevation Datum Percol�tign Tests -Date IA 11iTc Pit Number 1 r 2 3 4 5 Start Saturation Soak -Mins. Start Test -Time Dro of 3"-Time2—,'4 7 Drop of 6" -Time Mins.lst 3"Dro Mins.2nd 3"Drop �`-s & Sketches on Back Frank C. Gelinas & Associates, North And. 83 't a .1, N�111�1*ko mo 0 ra r� 0 b m vVvvOoCAO�ot�b Y OD .:d- O 1 7 �r �K -O wa — � < j CD 03 Q CA in U) N�111�1*ko mo 0 ra r� 0 b m vVvvOoCAO�ot�b Y .:d- 1 N�111�1*ko mo 0 ra r� 0 b m vVvvOoCAO�ot�b Y r TO: NORTH ANDOVER, MASS �¢ 19 BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify f that I have inspected the construction of the said disposal system at C—©T J/ i 43a— / 4 -)Le �" ,+T�'7 North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated vC (f. A6V,, Frr.76. 'QGV' '4L/6 - Z -9 19 L4 4 , ig77 /8, /977 W/7744,-4 R6XSo &14,6L c CotiPt%A�vc� /Reg. Sanitarian ANDOVER CONSULTANTS, INC. c5�� 4rrlfCH647:5-6L114,7- ,�,Q,QC� t Illfa , 8 TILTON STREET METHUEN, MA 018" Name_ Address BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE# (978) 688-9540 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEAI) Pursuant to Section 310 CMR 15.354 of the State Environmental Code, Title V '/3'/31-S Contractor hired for work: Name - av Address 13o fe 111 A,9--,-Z-Z e t 10 eu Phone Aj , Phone 6 FC --%5-3 Date fol scheduled abandonnie A F-17-00 The septic system at the above address has been abandoned according to Title V specifications. ignature of Contractor Mqfhod 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 REPRES NTATIVE'S USE ONLY. Inspecting A t Date C 2 I v