HomeMy WebLinkAboutSeptic Installation - Application - 345 RALEIGH TAVERN LANE 10/18/1969 APPLIOATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT NORTH AN DOVER, MASS,
I hereby make appZ_'cation for a permit for a sewage disposal installation at
�_. � � - �y_. 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 2'0. 1 will install a con4m
Crete septic tank of an sire. A manhole (s) permitting easy cleaning
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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 lineal (square) feet of effective absorption area.
The pipes will be laid on a 6 i.nch 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 1/811 to 1/4 t, (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 tale 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 a ree not to cover an ortion of this installation until approved b the
inspt.ction 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
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Sig u.re of 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 �� !
Signature o nspectirg Officer
Percolation Test
G,arbage Grinder
BOARD OF HEALTH
TOWN OF NORTH ANDOVER i MASS,
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14, NAME � � �2. � �_w. �' �r c--�._. �� � DATE
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2, ADDRESS { F _. ... r r LOT NO. TEL,
NO. OF BEDROOMS DEN YES NO
+. GARBAGE GRINDER YES NO
SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
'�. SHOW DIMENSIONS OF LOT
$. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
lO. SHOD' 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 7 MAS SACHUSETTS
SEWAGE DISPOSAL
DATE
NAME of APPLICANT
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LOCATION
Addres of lot no,
BUILDING: D e
Dwelling 1 l n g, Other
A�
SYSTEM: New Repair
GENERAL DESCRIPTION of LAND
SUBSOIL: Clay. Gr vel Sand
PERCOLATION TEST minutes per inch .
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MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK gallon capacity,
LEACH FIELD 0-0 lineal feet of drain pipe.
William Jo Dr co l = Enginee
Board of Healt)Y