HomeMy WebLinkAboutMiscellaneous - 101 CROSSBOW LANE 6/13/1983 ... fir Pit 1 ' a
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.M "d �, Pits
Leaching pith are prefexTad erg, the installation io poudble 1
Reg 11. calculations of
.�1. spacing .,,
11.10 c mwface
11.31 a gayer moldrial
w r splash pad
bonds f at elbow
a pd from d-box to pipe
shin el
Reg 5 /
"area-minimum 900 aq ft
cony Lion of field
Mace drainage 2 %
.8 Via) 20 �a� d��a� or n&To�'r►d dng l
ac R � C> c g
go 4 ft nin 6 ft with reserve between
1.. je) nds
U.6 } c
ttion
1.
3.4.10 face drainage
w3bill Slo
Ja) S x - be ho
b) ylx X 1 (to be shown
Reg 9.1 a) approvaL
9.6 stand-by power
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SOIL PROFILE & PERCOLATION TEST DATA
North Andover, Mass. Street No p Lot No
Loc/Subdiv. 717a kk P1and Owner" �� a
Investigator j -&o\e%r3 Observer
SOIL PROFILE DATES J/ ,
1.'Elev 2.Elev 3.Elev 4.Elev
O � i 0 ws 0 « 0
l 1
Ties to Test
2 2 2
31 3 3 3'
w
5 5 5
7 ?
8 8 8
9 9 9 9
10 10 . 10 10
Benchmark Location
Elevation Datum
PERCOJATION TESTS
DATES
Pit Number 1 2 3 4
Start Saturation
Soak-Minutes
ar e
Drop of 3"-Time
Drop of 6"-`.Time
M ns.lst 31" drop 1
Mins.2nd " Drop
Percolation �.._._
Board of :health SEPTIC SYSTEM
North s.
� INSTAMATIM CBBCK LIST LCN" �,� �:� "'a (AJ
XPMTOVW SA.PPi 1C"V WIL
FAIL OK
.1. Distance Tot ,
a. Wetlands Rc>
b. Drains _ 4
0. wen
2. Water Line Location
3. No PVC Piper.
�. Septic Tank .
a. Tees a-_Length & To Clean Lint Covers
b. Cement Pipe to T Both Sides of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amunts
,- c. No Baca Flog
6. Leach Field or Trench
,. a. Dimensions
' b. Stone Depth
d. c1 Double Wash .w .
c o Capped -Ends "m
Washed Stone
7. Leach Pits
a. rensi s
b. Stone epth.
C. Spl Pads
d. T s
e. /dement Pipe to Pit Both Sides
£. Clean Double, dashed Stone
3. No Garbage Disposal
d
q. g Inspection ,. � � °
10. Barricading Covered System
71. As Bunt Submitted
a. Lot Location
b. I oesnsions of System
c. Location with Regard-to Pere Test
d. Elevations
,✓ em Water Table
i
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Fold U, llllll;''
TOWN OF NORTH ANDOVER
1 I
LOT RELEASE FORM
t:
SUBDIVISION
ASSESSORS MAP r;
SUBDIVISION LOT(S)
PERMANENT ADDRESS (ASSIGNED BY D.P.W.
STREET lC/ C,PD�SS d301.0 ,C/�}/✓��
APPLICANT /�I w/?�NCB= /� ��t=n► PHONE
DATE OF APPLICATION 169 ,
TOWN USE BELOW THIS LINE i
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COIr1I SION
C` DATE APPROVED to 31/1/
CONSERV ION ADMIN, DATE REJECTED
('BOARD OF HEALTH
DATE APPROVED
HLA TH A ITARIAN �� DATE REJECTED
T`(7
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
.FIRE DEPT.
,I
RECEIVED BY BUILDING INSPECTION
DATE
r
form shall be signed by the agents of the Planning and Health hoards,
:onservation Commission prior to the issua►ice of any building permits
le subject lot. This form shall not releive the applicant from the
ance of any applicable Town requirement . or Bylaw.
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