HomeMy WebLinkAboutMiscellaneous - 110 RUSSETT LANE 4/30/2018 (2) 110 RUSSETT LANE
210/104.A-0046-0000.0
n Seder
FORM II - LOT gEr.FASE FORM
STRUCTIONS:- This form is
pro�als used to verify that all necessary
/permits from Boards and 'Departmentsry
ve- been obtained. This does not relihaving jurisdiction
andor�me - from compliance with any applicable the applicant and/or
regulations or requirements, le local or state law,
****************Applicant
APPLICANT: fills out this
section*****************
~ �U e
• PhoneSFr 0sr
'LOCATION: Assessor's Map Number v
Subdivision Parcel 7
Street / J Lot(s)
C_- St. Number
Official Use Only************************ 4
RECO TIONS OF TOWNf
AGENTS; �
Conserv tion Administrator Date Approved
Date Rejected
Comments
U
Town Planner Date A
. pproved
Date Rejected }
Comments
Food Ins t -Health Date Approved r
/ Date Rejected
e is Inspector-Health Date Approved y /s
Comments Date Refected ,
t
Public Works
sewer/water connections !
- driveway permit i
Fire Department
Received b '
y Building Inspector
Date
CLI-ANING kl'Of-V��.�M,4Y INC.
"JOIRK ORDER
C A I'L
49"4,
UC_1)f 1!'41 I I J-*L. 1.Nf-I IPX! J E W K' >L,3-U 1",y W L'I'l
5 C*.,IJ t. N.Li.
L 81�5 1 2-` 8
CENTRAL DISPATCHER 1-800-698-7668
14. 1 CJ U -4 E I N, 15Ei-WICL
tJOLA) 1'0 ,:filU I
................
1--luric- WORT, -iLL. q
M A N I E N A------NCE
C E P U M I N G
ITRANSPORTATION iz DIDISPOSAL: Z,
05AI : 0581 Site.
1 Authoriz e this Company to act a,- ily Agent T'Qr
the disposal oi the contents of m- Septic -Ystelm,
HYORQUEN IFIERWI-WE fl',EOMENT;
Sul MIL Acio -I'REAUIEM:
---------------------------
------------------------------------------------
LOU TING CHARGE:
DIGGING CHARGE:
----------------------------------------------
L I tj
T*0 1* L
F(:'l-',fJ G 1;" 0 I--1 S V-0
PLEASE CUT A SEP/ IRA T E CHECK FOR DISPOSAL CHARGES
1-40 1 1 N D L L I Ii', L)0 U S P,S f E
U Cl Ef:�0 N'S 1.B L E F 0 f:'-, I-f 5
Di
L
Our -�o be-7,o1'i"J the i;;ur,b line
01- Qurt,,i�fflei and 11
Y 'NCY W-Of,,'K
a Pt I I r e a-,P c,i i-:i b j.i i L ALL E1`1Et::"GL
0 f\j 0 r 1 L E*-I 10-A 1. 0 r d C-r, a 1")d Z�-0 1-e e ti:) P�y orl
0. D.
:1: 41
;IL ;1, I.;I:;I, ;It It;-t;I�:It;It;I�..,1 ;1%;It;It ;I�;% Iz;It .k ;Iz;It A
N L
C u Z3 u Wd r- R P
W u ,atiw> fied with sh e w o r K performed ":
Were u r- s e r v G u m e n c o u r t &- o u 5 a i professional :
What w a s t h e- r fu a - 0 1-1 y o u r.; a 1 1 e d us :
Did you understand everything that waz e x P I a i n e d
t Q y 0 u
D i Q we 1. e a v e an > e q u i P m e n t b e h i n d
If you have a 1-1 Y q U e S. t i 0 1-1 5 or concerns , please -f eel
Tree t 0 call
E50jclb Paper
r
f HORTN 9
• 3��`' '.0 .
0 16 BOARD OF HEALTH
9
t Y
♦ i
• ° 120 MAIN STREET TEL. 682-6483
S;C`HUS�tty NORTH ANDOVER, MASS. 01845 Ext23
February 10, 1995
Dear Lake Ccchic-h.ewc1: :^Iwtershe'? ReSi 'en} �?� t" 1C� $ 1
i
As a homeowner in District three (3) of the Watershed of
Lake Cochichewick, you have been previously notified of the
septic pumping regulations adopted in June of 1993 . This
required all homeowners in your district to have had your septic
tanks pumped by September 3 , 1994 , and every three (3) years
there after.
Our records indicate that as of this date, you are in
violation of this regulation. If our records are incorrect,
please submit proof of pumping to the Board of. Health Office.
Failure to have your septic tank pumped within thirty (30)
days of this notification can result with penalties as stated in
Section 8 . 4 of the North Andover Board of Health Regulations. A
copy of the pumping regulation is enclosed.
The Town of North Andover relies on a cooperative effort to
ensure a safe drinking water supply. As a watershed resident it
is vital that you comply with all standards set in regards to
this effort.
If you have any questions , please cio not hesitate to call
the Board of Health Office at the number above.
Sincerely,
Susan Ford
Environment/Health Agent
SF/cjp
Enclosure