HomeMy WebLinkAboutMiscellaneous - Mill Road-wl:
Benchmark
Elevation
21 -- •
7-
i �> 2
7
,:ndover,
Mass. Street NoKILL
-- 9!p ..
_ Lot'.No
�b`''1
8
9
Subdiv.
t- r' y
Placid
--Owner—"w o, VEST
54A." oo ' ' .
~ Observer
,nvestigator
2
'LTi -es [ -
'. 3 0 jVR q i
i
o
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Dropof 6" -Time
n Pi.
SOIL PROFILE DATES
_`�
lAlev
`+ 2 ETev
3.Elev=
F1ev
�J
Mins. 2nd ' Drop
2$
`Q
54
Percolation
T
.
J
0 , _
s A 3r � .•�'' `v...-
z c r .. , < �t�~
: +r `»• F dr..
e
Benchmark
Elevation
21 -- •
7-
i �> 2
7
8
= g
�ti.rj0 �'. t0
�b`''1
8
9
t
Soak -Minutes
�A,Q6
start e
-2
2
'LTi -es [ -
'. 3 0 jVR q i
i
o
,. ,, gest.
Dropof 6" -Time
n Pi.
z
2
M6ms.lst 311 drop
ZO t� �. lA'
'I t�
0
�J
Mins. 2nd ' Drop
2$
`Q
54
Percolation
T
.
J
n!
Benchmark
Elevation
21 -- •
7-
i �> 2
7
8
= g
�ti.rj0 �'. t0
�b`''1
8
9
t
Soak -Minutes
�A,Q6
10 ! 10
DATES
5
6
7
i �> 2
8
Start Saturation
�ti.rj0 �'. t0
�b`''1
- -
9
t
Soak -Minutes
�A,Q6
start e
'g.
'LTi -es [ -
'. 3 0 jVR q i
i
o
,. ,, gest.
Dropof 6" -Time
n Pi.
z
2
M6ms.lst 311 drop
ZO t� �. lA'
'I t�
0
�J
Mins. 2nd ' Drop
2$
`Q
54
Percolation
to
1
5
6
7
Location
Datum
PERCOTATION TESTS
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a#]
jj � b V ,tl� S .v7
Pit Number
i �> 2
8
Start Saturation
�ti.rj0 �'. t0
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- -
9
t
Location
Datum
PERCOTATION TESTS
L1VAtA qk ",-A Iva
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jj � b V ,tl� S .v7
Pit Number
i �> 2
Start Saturation
�ti.rj0 �'. t0
�b`''1
R.
`f
t
Soak -Minutes
�A,Q6
start e
'g.
Drop of 3" -Time
'. 3 0 jVR q i
i
o
Z
Dropof 6" -Time
Vi
M6ms.lst 311 drop
ZO t� �. lA'
'I t�
0
�J
Mins. 2nd ' Drop
2$
`Q
54
Percolation
to
1
v
v
�STI•Ll� j��E�zs 7v � �
41e5 r -
70Pc o� ,�'o�•�(
1
Board of Health -
'North AndoverZN:aaa.
OVED DATE
SEPTIC STSTEH
INSTALLATIOK CHBCK LI Sr LOT'
DI SAPPRUTED EXCAVATION Old FAIL
ea sans t
1. Distance To:
a. Wetlands
b. . `Drains
C.. Well .
2. Water Line Location
3. No PPC Pipe
?1. 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 Flowing Equal Amounts
c. No Back Flow
6. Leach Field or Trench
a. Dimensions
b. Stone Depth
c. Capped Ends
d. Clean Double Washed Stone
7. Leach Pits
a. Dimensions
b. Stone Depth
c. Splash Pads
d. Tees
e. Cement Pipe to. Pit Both Sides
f. Clean Double 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
e. Location with Regard -to Pere Test
d. Elevations
e: Water Table
P.. L 6
R� _ 1-0
P.e.� )C,e
ac -,o s al s
�) a,sf• no PVC ba used in construction
sd tear ele ations of base -."its t,� '}es
___.. d; st, 4_h, ;,.an box ;-n-lets and outlets,
ations
cund meter elevation in arE=
p1<n r �e prep=r-ed by a Professior .
�E,, '1 authorized by lair to prf' .
o:
q%, or flow, vater table, tee`, c, t
i.�,,, f: ail or and s�
--liar �- �-n•g�'o
BoXeB
y 0.08
( .;, -� j P,�, GAt C�A L iwo s 4 e, V� r,? (!-�- i;
E -M
CE DI40SkL DFM
DISAYTR TTED --
V
Reasons:
lei
- --
Tif � �. 4
� �;
-
� a
:,1 an nru:; t show as -=mini'
-
�.o:
ile serge,d.-ar.ea;dimeinsionS !,3t
"_1-
�1t.,
I ✓ t 10. (,=r
< 10
L log deep obserrvatibn-ho!,es
d resin percolation test -dis.
t,s
t:�e•
3.
..
relations & calcv] ations - sh :sring
'
1 c, v o �� t1 o
r ',,d d meneLons of=8ystfe n-imllldimr
arf
' ,t exl st vt,,
ilo 1oC;at C._
proposed contours
t ae-S-4thin -,1Wt of
`y itQ2'
^3 &,10
:u or
-Check �st2_a_nde`:m3apping
Ithin100'
(n a1,,•1'aC:.
fi�1b511r�-?C8 CII'cjn8- FT�- o
r = _ di
.aC'L easP.�.eiits-'v.t�0il IGO ,
S: ge C''
"sal
•Pla_*ining Board fi Tes
.'s of rated supply within 200' O
-
f1
4 pr��o &ed �,�11 to ser: lO tf;ag
.... t•
I
t- _ �r. : ; F
• � meter ) ines on property
1
-
P.. L 6
R� _ 1-0
P.e.� )C,e
ac -,o s al s
�) a,sf• no PVC ba used in construction
sd tear ele ations of base -."its t,� '}es
___.. d; st, 4_h, ;,.an box ;-n-lets and outlets,
ations
cund meter elevation in arE=
p1<n r �e prep=r-ed by a Professior .
�E,, '1 authorized by lair to prf' .
o:
q%, or flow, vater table, tee`, c, t
i.�,,, f: ail or and s�
--liar �- �-n•g�'o
BoXeB
y 0.08
( .;, -� j P,�, GAt C�A L iwo s 4 e, V� r,? (!-�- i;
E -M
/ I of Health -
% t Andover L?c_aa s .
APPROVED DATE
e�enns t
SEPTIC STSTEM
INSTAMATICK CHECK LIST LOT
FAIL
OK
1.
Distance Tos
a. Wetlands 0.' _ 3uT I�- AAY +345-
/
b. Drains / �S1 //��
Co. Well `E iV LJl L)v�a _ Co/JTr—T
2.
Water Line Location���
_ --- --- .
3.
No PVC Pipe
is.
Septic Tank . l� � GI E�j /LcUST
Clean at Covers
aTees -_Length k To
b.. Cement Pipe to Tank - On Both Sidc s of Tank
5.
Distribution Box
a. Covers & Box - No Cracks
b., All Lines Flo Ang Equal Amounts
c. No Back Flox
b.
Leach Field or Trench
a. Dimensions
b. Stone Depth
c. Capped Inds
d. Clean Double Washed Stone
7.
Leach Pits
a. Dimensions
b. Stone Depth
c. Splash Pads
d. Tees
e. Cement Pipe to Pit - Both Sides
f. Clean Doub'le Washed. Stone
8.
No Garbage Disposal
9.
Final Grading Inspection
10.E
Barricading Covered System. -
11.
As Built Snbmitted
a. Lot Location
b. Dimensions of System
c. Location with Regard -to Perc ' est
d. Elevations
`
e.: Water Table. ''
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/'or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fil s out this section*****************
V� APPLI CANT :
LOCATION: Assessor's Map Number
Subdivision
,
Phone 2 i
Parcel J%—
Lot (s)
V Street %,��� L `- "fit. Number , c�
Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
onservation A ministrator
mments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments U�
Public Works - sewer/water connections
- driveway permit
ire Department
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Received by Building Inspector Date