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HomeMy WebLinkAboutMiscellaneous - 295 Reg StreetAPPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereb ak applicat?*.pn for a permit for a sewage disposal installation at & I V" . - 0 1 will install this system in ac - A4 - Z2 W, cordazfcg 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 196 until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. 1 will install a con- crete septic tank of le.—e-­6 in size. A manhole (s) permitting easy cleaning 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 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-112 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 1/81, to 1/41, (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 tile 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 agree not to cover any portion of this installation until approved by the inspection 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 Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Siji� �ure"'of "Realth Agent I have inspected the uncovered system indicated above and find everything done as described. i DATE 7 Signature of In cting Officer Percolation Test Garbage Grinder � � o'b BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. 1. NAME S C 2. )o1elm" T/1 -s pwn DA I ;�- LOT NO. TEL. 3. NO. OF BEDR OOMS -3 DEN YES NO 4. GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW 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. i 1) 4- -- .31 BOARD OF HEALTH OF NORTH ANDOVER) MASSACHUSETTS SEWAGE DISPOSAL DATE 6,/24/172 NAME OF APPLICANT Scott PropertieS. Tnc. LOCATION Up, 412, aglem St. Address of lot no, BUILDING: Dwelling X -Other SYSTEM: New x Repair GENERAL DESCRIPTION OF LAND- Laigh SUBSOIL: Gravel Sand PERCOLATION TEST 6 minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK. 1,000 -gallon capacity. LEACH FIELD— 18Q -lineal feet of drain pipe. William J. Drisp�ll, Engineer Board of Health�j 1. NAME 2. ADD 9 3 BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. CID job DATE !ESS C -1-y �TO- TEL. 3. NO. OF BEDROOMS DEN YES NO 4. GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM -11-� . �v J" 7 L&I- 10. SHOW 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, MASSACHUSETTS SEWAGE DISPOSAL DATE Se"ote-riber 2�, 1966 NAME OF APPLICANT Mr. Roberts LOCATION 393 Salem Street Address of lot no. BUILDING: Dwelling X -Other SYSTEM: New ReDair 'r*New system on side replacing old s—y-77—em, in- rear. GENERAL DESCRIPTION OF LAND HiSh SUBSOIL: Clay X I Gravel Sand PERCOLATION TEST minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK 1,000 allon capacity. LEACH FIELD 150 lineal feet of drain pipe, William J. Dgi)pcoll, Engin r Board of Heal'Uh System Owner Commonwealth of Massachusetts "U-�',Massachusetts System Pulupi"g Record System Location Date of 1,11111ping: �� , (� 42— quahtity Pumped: gallons Cesspool.- No Yes 11 Septic Tank: No 11 Yes System flumped by: Firejoa License Conlentstimisferrredto: GFeater Lawrence Sanitary District Vale: ---- Inspector