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44 Rea St. SHEET N0. ` OF �hu
NO. ANDOVER, MA 01845 ��
Phone 682-9864 CALCULATED BY t�� dL ( RCA DATE 0
CHECKED BY DATE__
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PROW 2041 Inc.,Groton.Mas O1471.
Lot 3l Rawleigh Tavern t-,d.
J 1-t 3 Off Farnum St.
� Osgood Const Co
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot >1 Rawleigh Tavern Rd. I will install this system in ac-
cordance 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 1% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 29o. I will install a con-
crete septic tank of 1000 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 200 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 1-1/2 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 1/8" to 1/4" (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 .// -2
�0
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE A/
A
Signatur of linspecting Off cer
Percolation Test 5 min soil; Clay
Garbage Grinder
BOARD OF HEALTH OF NORTH ANDOVER , MASSACHUSETTS
SEWAGE DISPOSAL
if
DATE
NAME OF APPLICANT &4,0-0j 06,-J" ca
LOCATIONh'L c I z
Address U lot no.
BUILDING: Dwelling k Other
SYSTEM: New Repair
GENERAL DESCRIPTION OF LAND
SUBSOIL: Clay Gr vel Sand
PERCOLATION TEST minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK 16-&-p gallon capacity.
LEACH FIELD2.=g::Q lineal feet of drain pipe.
it lam J. D i o 1, Engineer
Board of Heal