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HomeMy WebLinkAboutMiscellaneous - 509 FOSTER STREET 10/23/2015 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT 1 DATE: " ~ ����°�-'� � CURRENT INSTALLER'S LICENSE# LOCATION: ` 4S / t` :s ' LICENSED INSTAL R: t . SIGNATURE: ::; Z " TELEPHONE# ��'75 f CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As-Built? Yes No Floor Plans? Yes No Approval A4 Date: I f7 W Z t� Z O w O LL � w uj o `� °m p wft Z e1 Q LA °° vi / a O_ `n U L• _ Ln J w as W O Q Z LL O p� c O U �, .im L O O Z C g ) Q N V, o �� �••,'�a c rd O p a,F U U 0 h a L 3 Memorandum ......................... To: File CC: From: Susan Ford Date: October 22, 1998 Re: proposed addition at 509 Forest Discussion with Neil Bateson, septic inspector, concerning the addition of a sun room and expansion of the kitchen. He indicated that the Title V showed a need for a new D-Box and they plan to move the tank to allow for the addition. It appears that the system was sized for 600 gpd, wluei: hould be sufficient. The applicant was advised to draw up plans for the project,then apply fora--b Wing permit. In this way we could turn this hypothetical question into reality. Rt waved .call from homeowner on 10/22/98. Passed on the above mentioned information. The h©mbo"Wne. is in the process of having plans drawn and will file as recommended. Once approved by the BOH'the work on the system can wait until the time of the addition construction. ..................................................................................................................................... ...................................................................................................................................... ............................................................... .................................... ............ ............................................................................. ................ 1 Gn'lG°_°B. Q.7V99"V"&u�"�i f o C 4J � � �YQroA��Wii 7�i �gB.�P�B���.'7 .� Rl 28 MRNDHANL U.DI,L 03087[ 031 398— 232 o [6031627 X533 mW� Q61710417`• mCf9i d1 al�:°u�Sa�P�� ���tu^P' C C waterlanks /i$ter fG"sfing MJI:L-L°IOWN REALTY TRUST Pump Pws 95 MAIN STREET NO. ANDOVER, MAS° 0184.-,) d u�l'a;���"�u�ulu��s��up SvOlches CUNER'`i NAME OR SAMPLE LOCATION: L..f`l_L.#4 FOSTER R RD. Ivl(:. ANDOVLI'fR r"Lclwu a °:it Rein 6 Wee;uu"ueu' WATER E TEST I R :3l IL °rs 12/9/85 TEL NO 685-7633 Rust a;.;.��,.;.:t/�.k.Y:,'c:h :>0. .:*7'e M,ak>^c ;7k ,le 7!:A ,a+.."c lti 7;.7k. ::>k 7'c.k A.•le 1:Ye k :A�'.y:Ye 7+.71;y,;74:+:. <>l.�4 R 4,v.'tl"VC:D'b e r E I l`CC.�JI JL``3n'7 68.6 (0-50 ESEC STANDARD) ,`J'RON 3 (l"J,,..�.3 I"�'EC,' w��TANl':)ARD) L'crCa,��;u�uuuu��u F"l��u..ucupu:"II��CC7�u��Q��� MANGANESE 0 05 REC STANDARD) Soda Ash I-lYf')RO(4--'1 I 0 (0—.01 PSI'C STANDARD) Ph(ACIDITY) 7.,5f (6.5-7.5 Rk C STANDARD) Un SWAWers TURBIDITY TY C3 (0-20 REI::.0 STANDARD) CI--lL._C)f-','ID S 1 (0-150 RE-:C: :aa1"ANfJA,RD) C`,d:emki d=m<dmu C OL I OLAM BBC;"f I"R.'l.'A NE:.G CO REQUIRED RED STANL rARD) NITRATES J � �k / h: uC (0-10 REC STANDARD) N.G.I`'R:M.l"EC; 0 (0...10 RE'C; STANDARD) SODIUM 11 (0-150 REC STANDARD) d...oNtSe vuue 5;}i�St�'.:�:�[7C 7t>l 7'C Y'.�:1C i?:Sl'ki,+�'5• �A:,"y'�^.3<Yr,>t?'f:rL'?°*.9k aA.'r4:�(:rti�c:h:�t:rk>"c k 7k)�::s4;"r'<:A:YY 7;>V. R'DIX"nbb L'R.9mU1 MO"'., I AV C o,.A m p q'd:'xmo V' p 1 I"�'�.nc(Yer ABOVE LE..STS MEET REQUIRED l.".FAN:aARDS AND BASED ON THESE, Pud;ke Pubs WATER IS SAFE FOR 14OUSL'.1IlX-D USE AND HUMAN CONSUl l"XI'lON„ 11 IL:RI-L'. AEA'µ; OTI-0"C LESS COMMON ON M:I..NERAL S WHICH CAN AFFECT EC T QUALITY OF WATER. . � i Gouudu:h Am a u::p n jacuZA A u.uaCu n lNeH-0W Agau,u'Aiu" i BOARD OF HEALTH Town of ,North Andover,Mass . Date , ....w . Permit # APPLICATION FOR WELL & PUMP PERMIT Application is hereby made for permit to drill. a well (`) . Application is made to install ( ) a pur ,p...._ .ys.tem Location: Address C.. 4 Lot #- ... . Owner, Address 7 �`f',/„`.W. ✓` s" � ,; c 1 ° Te1 .. , -- Well Con ractor,,” > ", �° Address ; _ Tel Pump Contracto .... � ., � ' Tel Address � WELL CONTRACTOR (T be completed at time of pump test ) Type of Well W YP _. T ( 1112, Well used for Diameter of Well Size of Casing Depth of Bed Rock —Depth casing into Bed Rock Was Seal Tested. Yes ` No g „ � ✓�� .. ? � ( ) Date of Testing Depth of Well ' ' Well Ended in What Material Depth to Water % ivers,_�Gals .Per Min. for 4 hours Drawdown feet after pumping -hours at :> pumping, Date 'of Completion ; w � , Signature Well Contractor PUMP INSTALLER (To be'' filled in b ore installation) Size & Name Pump -_ _" _, ;> 4 Pump Type. Used Water Pump Delivers GPM Size of Tank N Ze c ... d Pipe Material Used in Well : Cast Iron (, ) Galvanized (—) PlasticlK Well Pit (—) or Pitless Adapter,,. .. r' Was sleeve used to protect pipe? Yes (—) NOK") Type or Name Well S-e'a r Da t e ,figr� (ate Date Water analysis report submitted to Board of Health Date release given to owner of record & Bldg . Insp Health Inspector %; 1 n 4 i s eal r fACB DISPOSAL, D=QUCMK UMST OCR g V APPROVED Eovidcdeatn # % %M F 1 ; Title FAIL The sub*ittod plan Est shoVy,sae a) the lot to be served-area,#d1montione lot abutters , ; ► location, and log, deep obi 6rvatia�iI * ►eat ties i c location ,and, rc�ts percolation tests-dicta nca° to ties j f d design calculations & calculations showing required leaching area ol location aond dianensions of syst+emiucl?uding aesearve areas It 93d oting and proposed contours 9) locatdon any vat areas within 1.00w of savage disposal ;system or disclr-oheck wetlands mapping ' (h) surface and subsurface drains within " of sewage disposal aysrn or disclaimer ' a/,, O location any drainage eavements vithin, IW I of sovagp disposal, i� system or disclaimer-Planning Board Mes ( ) know sources of water svpply within 2A0I of sewage disposal o system or disclaimer NINE (k) location of �aroposed to s lot-1001 ram, ee�c fabi�li� %% � .ocation of water lines on property-101 .'roan leaching facility if W location o:f' benchmark U, driveways o garbage disposals P Ao,PVC to be used In construction profll a of system-elevations of basement plumbs pipe, aseptic Unko l distribution box inlets 'end outlets, die ribution field, piping sad - y other elevations F (r) mac mum ground water elevation in aro, a,wage disposal system (s) plan mast be prepared by a Professional k k71neear car other professional. authorized by laws,to prepare such plans ��' g 6 tic Tan'ls f f (a) cap TT;;--T or flo% water tables, tees,, depth of tees r sees L as$ Paving (b) cleanout (c) lt?1 trom cellar wall or Ingro nd ,s .mining pool ' (d) c from subsurface drams if` 4 A.2 Distribution Boxes (a) s P►e ,greater 0.08 (b) sum BOARD I-OT � rt l , . r; -W Cu Taw Ah' ;aU (� ► t CO/JPiTiO"5: z 5v6T&M Qj�:�VM4-A-TIOAJ A�P�,cw wt c' rk1 r�yggw", APP)�ov�&)C 16v i din i i\` ._ m .t• ' ° .. I r; i G � i II F dyf 6 X�� A y ; ZAN arvH w � 4 4' 1 , � { r q,� I r 6i¢nM Commonwealth of Massachusetts _ City/Town of System Pumping Record � �Pi c' 4 Form 4 l�,ia i�/�N VER 71JI 56ACwhrIit4'r DEP has provided this form'for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house/Rig re rho 0,, Left/right side of house, Left/ Right side of building, Left/ Right front of bul Ing, Left/Right rear of building, Under deck Address )C , Citylrown State Zip Code 2. System Owner: _� V -- Name Address(if different from location) City/Town State Telephone Number B. Pumping Record c� 1. Date of Pumping Date 2. QuanW Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes o If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: � � � e� vt ` 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location wt� contents were disposed: L S. Lowell Waste Water I Sign toe HaulerU Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Y P 9 i b1 i Commonwealth of Massachusetts a � City/Town of System Pumping Record Form 4 i �,. r�)Wri 0� c arc o /,J,,fDOVEF,� t lff1y1 dli i?l F ����E� �'�I' DEP has provided this form for use by local Boards of Healt C)th'er forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health tQ determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of house, Left front of house, Right front of house, Leff rear of house fight rear of house. Left rear of building. Right rear of building. Address City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town State Zip Code .,1 C: ' ✓ Telephone Number B. Pumping Record < 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ' o If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 7 f� 1 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: Lowell Waste Water _ Signature of Hauler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 c'a (,k b,i K' sP r EE:P 6 TOWN OF NORTH ANDOVER ..... ." SYSTEM PUMPING RECORD v 1 200? DATE: SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: QUANTITY PUMPED h GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: �µ CONTENTS TRANSFERRED TO: 4, 9 ff ('oil rr7111(h of Massachusetts IVlassachusetts ay.stem ptillnipiqU Rt oord System Ucvtaer System Location . %� - ity Pumped: /( gallons Date of Pumping: Cluai�t � � .���- rti Se�..� c Tank: No �...l Yes �.°_)�..�.�...m..�.� Cesspool: No ( Yes t System himped by: La Irejoie gar iOeJ License # Contents transterrred to : district 1 Date: -- __ _ Inspector: "r y y a : """,ail i L,iu�uouu�r*Hillo ur PIA�ritci�u�etl® IVIEigguCllu�tlltl3 ► Dole or "an iuul� two+ ►� � 1'a1 � firo,ll� 'i'a�►t•� ti��► � � 1�ett � . . . i►u��� �r�t �►,'; �a �eS � LICtt►se »l S��teitl 1 S Cunleuls.Iro��sle��rJ Irs Dolt Ilfslr�+rlut '. � r