HomeMy WebLinkAboutMiscellaneous - 1545 Osgood Street 'I . 1545 -Osgood Street
I
Board'
of Health r1ie�4�:��-/
North Anc�oy�Hase. 8SP4ZC SYSTEK
INSTALLATICN CHECK LIST LOT
APNOVE:D DATE DI UPPR UM t3ZAVATICK OK FAI L
sapnst
t- -
1. Distance Tot
A. Wetlands
't b. Drains
c. Well
2. Water,Line Location
3• No PPC Pipe
4. Septic Tank -
�` a. _Tess-_Length & To Clean-Out Covers.
b. Cement Pipe to Tank Ca Both Sides of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing B4ua1 Amounts
c- No Back Flow
6. - Leach Field or Trench
a. Dimensions
b. Stone Depth
c: Capped ids
4 d. Clean Double Washed Stone
r .7. Leach Pits .
n a- Dim3ns7 s
b. Stone-fepth
i c. lash Pads
d. eas
e, Cmaent Pipe to Pit - Both Sides.
`f. Clean Double Washed Stone
8. No Garbage Disposal
x
9. Final Grading Inspection
10. Barricading Covered System
11. As Built Submitted_ _
` a. Lot Location
b. Dimensions of System
c. Location -Ath Regard-to Perc Test
d. Elevations
e: Water Table
i
I ` .
Boats of "fealth
North ^s
Sit'gMRFACE DISPOSAL DMIN CHECK LIST
LOT ` , J
APPROVED DATE DISH rRChV"ED DATE -_
Provided: Reasons:
Title v FAIL 09
Reg 2.5 The submitted plan must show as a minimum:
A) the lot to be served-area,dimensions lot #"abutters
b location and log deep observation hoes-distance to ties
c location and results percolation tests-distance to ties
d design calculations & calculations showing required leaching area
(e location and dimensions of system-including reserve area
f existing and proposed contours
(g) location any vet areas within 100' of sewage disposal system or
disclaimer-check wetlands mapping
(h) surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
(i) location any drainage etrerrants -Athin 1001 of sevzge disposal
system or disclaimer-Planning Beard files
(J) known sources of water supply within 2001 of sewage disposal
system or disclaimer
(k) location of any proposed well to serve lot-1001 from leaching facility
(1) location of water lines on property--101 from leaching facility
(m) location of benchmark
(n) driveways
(o) garbage disposals
(p) no PVC to be used in construction
(q) profile of system-elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
Other elevations
(r) maximum ground water elevation in area sewage disposal system
(s) plan must be prepared by a Professional Fzgineer or other
professional authorized by law to prepare such plans
Reg 6 S!2tic Tanks-
(a)
anks(a) capacities-1507 of flow, water table, tees, depth of tees,
access, pumping
(b) cleanout
(c) 101 from cellar wall or inground s,,4n= ing pool
(d) 251 from subsurface drains
Reg 10.2 Distribution Boxes
Reg 10.4s
(b} ie greater 0.08
NORTH
Ot,t`10
BOARD OF HEALTH
0 aid' A
► ° ,` 120 MAIN STREET TEL: 682-6483
SACNUS AC USt NORTH ANDOVER, MASS. 01845 Ext. 32 or 33
�
APPLICATION FOR DUMPSTER PERMIT
i
PURSUANT TO SECTION 31A AND 31B OF CHAPTER 111
OF THE GENERAL LAWS, AND RULES AND
REGULATIONS OF THE ,
NORTH ANDOVER BOARD OF HEALTH -
DATE ALZZ Z 7/ = -
TO THE BOARD OF HEALTH:
Application is hereby made for a permit to maintain a dumpster on
property located
in accordance with the Rules and Regulations of - the - Board of
Health
Check use:
( ) Residential use ( ) Commercial use
( ) 30 day temporary ( ) Annual
Name of applicant:
Owner of property:/ rPt.� �' erne
Telephone number: (K240?36
On the bottom half of this form, please sketch an outline of
property, showing the proposed location of the dumpster. • Give
distance from dumpster to other buildings and . . lot lines or
boundaries. Use back side if additional space is needed_ {
� f
✓°`�' `,�'� � C��'t , �G¢ a�L'ui�C � �Gt/ZG� CyllfC�G i��
Please return this application with a fee of $10 . 00 ($5 . 00 - for
temporary permit) to: Board of Health, 120 Main St. , No. Andover,
MA 01845.