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Home My WebLink AboutMiscellaneous - 82 PADDOCK LANE 10/13/2015 Town of North Andover NORTH 4, Office of the Health Department Community Development and Services Division y^ 27 Charles Street °4 0=-.eta <• North Andover,Massachusetts 01845 �SSpc►+usE�� Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542-Fax TOWN OF.NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE April 16, 2004 This is to certify that ' The Distribution Box repaired (X) by John DiVincenzo at 81 Paddock Lane North Andover, MA 01845 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorilyi fV yy Susan Y.Sawyer,RE S/RS Public Health Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ............. Commonwealth of Massachusetts Map-Block-Lot o 107. -00 12- Bard Of Hea lth 13 Permit No North Andover BHP-2004-0345 P.I. F.I. IFFE $250.00 Disposal Works Construction Permit Permission is hereby granted John DiVincenzo to(Repair)an Individual Sewage Disposal System. at No 81PADDOCKLANE as shown on the application for Disposal Works Construction Permit No. BHP-2004-�93� April 06, 004..__..__ Issued On:Apr-06-2004 ......... --- ---a ----------- B ,d Of alth h of Massachusetts Map-Block- 107, ,0f&- Board Of Health D- North Andover Certificate of CoTpjance THIUS TO CERTIFUhat the Indi��4twse-e"w--a-g,e--DisposaI System (Repair) by ....John DiVincenzo p Installer at No -.8.1-P.A.DDOCK LANt hasbeen ...... --------------- ............ accordance with the provisions of TITLE 5 of the State Environmental Code as described in the appli 11 c a,ywf6bispOsal Works Construction Permit No. _,13.14P-2004-034 Dated April _Qo, QQ4 -111r,inie,d On:Apr-06-2004 ...... Board Of Health ............................................................YNYpW A44agM4MNYNAN4.................. APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: �� CURRENT INSTALLER'S LICENSE# LOCATION: � �ti � C l f► �' LICENSED INSTAL E c� �� C e rl SIGNATURE: LI-61" � ( �� TELEPHONE46) ) - � t CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. !`l j° J CQ Administrative Use Only $ .00 Fee Attached? Yes No Foundation As-built? Yes No Floor plans on file? Yes No Approval If Date: 1' � o N O d' bA � 0 0 8 Z �l y z w C) U UO O v� Q x Q •° � y 3 v 0o Z o0 3 oa o o°o o Z a � � roN o V O o N 3 o v, ° > 5 a v o 0, oNQ U b �Y � � a U �rCa o <tw i •� � � A L N 3 al Q �, � rte• o PLO A � 3 W W w" w Cl) V) Q C-1 o ' 0 p w � o rA O N z z A o.c a ec o � o M � O O 7 q z g .° �' N ❑ ^1 R1 U w c� w b Y o CL 13o of H®alth � SI C SYSTEM Norte Ht -=- INSTALLATICK CHECK MST L m DPRQPED AVATI Og FAIL I I'�C4TID DATA `, Reasvnst FAIL OK 1. Distance Tot a. Wetlands b. Drains c.. Well 2. Water Line Location 3- No PVC Pipe 4. 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 Inds d. Clean Double-Washed Stone' 7. Leach Pits as Dimensions b. Stone Depth c. Splash Pads d. Tees e. Cement Pipe to Pit - Both Sides f. Clean Double Washed Stone 8. No Garbage Ili.spo sal. ( 9. Final Grading Inspection 10. Barricading Covered System _ 11. As Built Submitted i a. Lot Location b. Dimensions of System c. Location with Regard-to Perc Test d. Elevations Water Table F i ,ard of Health 14 rth, "` 11dC7 fir, 1 SUBSURFACE DISPC?CAT. I CON Cog LIST 1 �y LCT ' DI SAPPROM DATE 21 Q�� DAB " ' provided" Reasoner Title v An CK :, l .„ Reg Ab e submitted plan must show s.8 a m nim=l g 5 the lot to be served-area,dimensions lot ',abutters location and lag deep a},servation Mee-distance to ties location and results percolation. tests-dstance to ties design calculations & calculations a� ag recruited leaching area location and dimensions of sy-st+em-�nclucling nsaerv� area existing and proposed contours ( ) lacaticn any +t areas 1thin loos of sewage disposal system or disclaimer-check wetlands napping (h)",surface wind subsurface drains witbin 100' of sewage disposal "" tem or disclaimer' s al i) location any drainage easements within 1DOI of serge di system or di sclaimer-Planning Beard files } knot= sources of meter supply witbin 200 of sewage disposal b system or disclaimer )-I-ocstian-of -wW, proposed well -to serve lot-lGfl!from leaching face, . c (1V`locatian of mater lines on property-l0+ from leaching tacitI y ,�,ption of benchmark r � no PVC .to be. used garbage disposal in construction s profile of s'str -elevations of basement, plumb, pipe, septic tan; ( ) p ,. .: •.. p eld pipes an . , , distribution box�inlets and'outlets distribution �. . ,Dtter elevations .0 na-vali= ground uster elevation in area se;,age disposal system s) plan mast be prepared by a Professional Raginesr or other professional autborized by ldtr to propane such plans Reg �" Se tic Tanks (a) cap- es-1 7 of flaw, meter. table, tees, depth of tees, ` access, ping b) cl gout pool from cellar w-a�1�- or :ix�'r.-ound s'�.-�-�►g p , (d) 251 from subsurface drains 1 e .g Distribution Boxes ` Reg ld.R" _ " ( ) serape greater than 0.00 Reg 10.4 I b) j ,.w , r . ✓ , dim " ." "20 " Subsurfeme Design Check List Page 2 i FAIL, OK r � Leaching Fits Leaching pits are preferred where the installation is possible Reg 11.2 a) calculations of lea frig c area-mini=m ', '► eq ft n.4 b) spacinc ! 11.10 c surface` a 2% 11.11 d� cover, ma al 8 Vz2 a splash pad f to ,4t elbow g bends in pipe from d-box to pipe G Leaching_ Fields Reg 15.1 a no greater thin 20 tes/incch b area-,r d niYmm f t 15.4 c construct ,. i"of field 15.8 d) surftoee'drainage 2 3.7 e) 2Q*"Itom cellar wall or inground miming pool Leaching Trenches Reg 124.1 a C tIons of reaching area-min 500 sq ft 114.3 spacing-4 ft min 6 ft with reserve between 124.24 din>sions :L4.6 construction 14.7 �' � stone 2h.10 f surface drainage 2% Dombill Slone b)° s o—Pe _� to be shown) y1x x 150 (to be shown) pm s ,Reeg 9.1 a) appi6val 9.6 b).-'stand-bar power ,� w '� I' MM , evl Zv w t j l i . i SOIL PROFILE & PERCOLATION TEST DATA North Andover, Mass* Street Na " Lot Na Pland Omer Loc/Subdiv. Observer investigato L, SOIL PROFILE DATES I 2Elev 2.Elev 3.El ev 4.Elev 0 0 0 5 0 Ties to Test Pits 2 2 2 2 3 4 I T( , , T 5 5 2- 7 8 8 9 9 9 9 Oi10 10 10 Benchmark Location-- Elevation Datum PERCO TION TESTS DATES Pit-Number 2 3 4 Start Saturation Soak-Minutes ---ST-a-Y;t-1le Drop of 3"-Time Drop of 611-Time M6ns.Tst 3" drop Mins.2nd Dr op Percolation 'WELL DATABASE ADDRESS: AGE OF1;�7?r : �L DR LT 1L .-R �N rLL?E ti1IT,T: 7-,JLL LOCATION: ' t� — VIF=PF.:& i'DAB':- DEET'-OF WELL: �-7�EOFWF`LL. DRILLLED b. DUG WA.=AYA.L.Y'SISrDATE_.-- =GHtitAl�l' SE:. ELG�IRON: Y N OTEI .t C JN /4NANT5: Y ADDRESS: AGE OF WELL: WE=DRILLaq.. WELL PE m: ELL LOCATION: �� W WELL PE VET T D- DE?Tzl OF WELL: f TYPE OF ! DRILLED b. DTJG c. LlFK,,fcWN TYPE OF WATERBEAFLNG ROCK: WATER ANALYSIS DATE: Y �+ HIGH TON: Y N OTHER. C ONTAI/IDEA NTS: YC N TO: September 12 19 84 FROM: DEEIGN ENGINEER Re : Soil Absorption Sewage Disposal System This is to certify that I have reviewed the construction materials of said disposal system at - Lot 7tjaddock Lane Site Location North Andover, Mass . The grades and construction materialU ed WC1 1 a in my pfans and May 29 4 September 11 1984 specifications dated Built Reg. Prof I n San?WM' tarian pi, looks NSmt " "Oh, A, oard of 11c'a l-th, North ,Yiear von Mass r � ,AYB .1RF`ACR DI: OSAL DFMGN C w "K LIST LOTv APPROVED DATE DISA'PPROM DATE P"rovideds Reasons at'le F`AlL �.,)g .�' a submitted plan must show as a minimumt r the lot to be served®ar ensions lot `,abutters b location and log deep observation holes-distance to ties location and results percolation re tests-dice to ties ; sign calculations & calculations tions sh g requireA leaching area <y " location and dimensions of system-including resew area f existing and proposed contours (g) location any vat areas Athin 1001 of sewage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 1W1 of sevage disposal � syst n or disclaimer � (i) _location any drainage easements vithin 100, of sewage disposal system or disclaimer -Planning ward files r knom sores of inter supply within 200, of serge disposal system or disclaimer k);,location of W proposed well to sew lot-1601 from leaching facility (1) location of water lines on property-101 from leaching facility (A) location of benchmark cites garbage disposals p' no PVC to be used in construction F, (q) profile of system-elevations of basement,, plumb, pipe, soptic tank., distribution box inlets and outlets,, distribution field piping and Other elevations r ABA water ter elevation in °e sew- al age disposal system plan must be prepared by a Professional Engineer or other professional ,authorized by law to pro-pare such plans Reg 6 Se tic Tanks r � (a) capac tfes- X756 of flow., water table, teas, depth of tees, 1 access, puVing °� r) cleanout } ' 101 from cellar wail. or inground sulmming pool 25, from subsurface drams Ceg 10.2, V Distribution.Boxes " mope great 0.08 l teg 10.4 (b) sunp i a` bmi-°face esign Clba ck' List FAIL OK LeachLn Fits Leaching pits gre preferred the installation possible Reg 1-1.2 a cam. ations .c.f' 1 ea® ft 1..4 b spacing 1,-..10 c .dace drainage 2% 11..1.10 d cover .t'r°i al. e 21x2 IAA, lash pad f teas at elbow g no bends pipe cry d-box to pipe LeaclAn Fields Reg 1 .10 °e t t a. 20 sites/ � area-rdnimm 900 sq ft 1�«4 e ,fi'`cons true tion of field 15.8 surface drain-age t % 3.7 e) 201 from collar van or igr ,d sxg pool Leachin enchas Reg 14«1 a c c a carts c eaching area-'rAn 500 sq .ft 14.3 b spacirt 4 .ft min 6 ft with reser .betueen 1464 c dim cns 3-4.6 d co ction 1.4.7 e s �► 114«10 f r°face drainage 2% S e Y%c X 150 (to be shown t Reg 9.1 a) app Val 9.6 b) st P. power w i r..