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HomeMy WebLinkAboutMiscellaneous - 1155 SALEM STREET 4/30/2018 (3) 1155 SALEM STREET 210/106.A-0050-0000.0., Commonwealth of Massachusetts City/Town of NORTH ANDOVER, MASSACHUSETTS, System Pumping Record _ Form 4 DEP has provided this form for use by local Boards of Health.—The'-System Pumping Record must be submitted to the local Board of Health or other approving 0711VEO A. Facility Information MAR 10 2008 Important: When filling out 1. System Location: TOWN OF NORTH ANDOVER forms on the HEALTH DEPARTMENT computer, use only the tab key Address toto move your W Aw D _10,A cursor-do not use the return City/Town State Zip Code key. 2. System Owner: o AAA DtAN7vtN10 Name Address(if different from location) City/Town State Zip Code b95 i i a3 Telephone Number B. Pumping Record 1. Date of Pumping DaiD-Imo- 0-7 te 2 Quantity Pumped: 1000 Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: C-�DoD 6. System Pumped By: _-Mktg t — 5�- Name Vehicle License Number Company 7. Location where contents were disposed: Signature of Hauler Date http://www.mass.gov/dep/water/approvals/t5forms.htm#inspect t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of NORTH ANDOVER, MASSACHUSETTS System Pumping Record 'Y Form 4 DEP has provided this form for use by local Boards of Health. The System Pumping Record must be submitted to the local Board of Health or other approving R tCEIVED A. Facility Information Important. NOV 13 2006 When filling out 1. System Location: forms on the TOWN OF NORTH ANDOVER computer,useS HEALTH DEPARTMENT only the tab key Add S//✓ _� �o l to move your 6yo V P 0IS cursor-do not use the return City/Town State Zip Code key. r 2. System Owner: 2.4en ID Calms!k14 I — — Name Address(if different from location City/Town Soto `Zip Code Telephone Number B. Pumping Record 1. Date of Pumping at 96/0 6 2. Quantity Pumped: Date Gallons 3. Type of system: ❑ Cesspool(s) 2 Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ( o If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of yst:�J � 6. System Pumped By: Z_D_q ��P4Sr G /,/30- 7 57 a NamVehicle License Number Company 7. Location where contents were disposed: Signature of Hauler Date http://www.mass.gov/dep/water/approvals/t5forms.htm#inspect t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Form 4 -- System ping Commonwealth of Massachusetss �- n Massachusetts System Pumping Record System Owner System Location R ECEIVE D D'antoriio Sam Primary Home 1.155 Salem St 1:.55 Salem Sr DEC 5 North Andover, MA, 01645 North Andover, MA, 01645 F NORTH AN (978)-685--1123 }r (978)-685-1123 x DEPARTM oTER D'antcrlio Type: Emergency Routine L" Cesspool: NoEc.i Yes Septic tank: No =Yes Date of Pumping: �Q 'ZSR Q Quantity Pumped: CGallons System Pumped By: Wind River Environs wnto% LLC Permit#: Contents transferred to: Contents Disposed at: Date: Pumper Signature: Condition of System/Other Comments Dep Approved Form - 12/07/95 Form 4 -- System Pumping Record Commonwealth of Massaehusetss, fNassnchusetts FIE ;. System Pumping Record OCT 2 5 2001 System Owner System Location CAM ID'AlTr*T10 SAM IM S1AA.EM �3' 1155 SALEM S'fnew NORTH ANI)OM, KA, 01645-4909 K)RTH AVOWER, MA 01845 97':�-60-1.123 978-6V5-1133 r}m Type: Emergency Routine Cesspool: No Yes Septic tank: W =Yes �— Date of Pumping: !/ a Quantify Pumped: QQ Q Gallons System Pumped By: Wind River Environmental, LLC Permit#: Contents transferred to: Contents Disposed at: East Fitch b rr0 Waste Water Plant, MA. Date: Pumper signature: Condition of System/Other Comments Dep Approved from - 12/07/95 FORM 4 - SYSTEM PUMPING RECORD CURRIER SEPTIC & DRAIN SERVICE 107 FOREST STREET; MIDDLETON, MA 01949 (978) 774-2772 COMMONWEALTH OF MASSACHUSETTS N A indoVt:�-e' , MASSACHUSETTS SYSTEM PUMPING RECORD SYSTEM OWNER: SYSTEM LOCATION: dP os< DATE OF PUMPING:_ O A3 08 QUANTITY PUMPED: ���� GALLONS CESSPOOL: NO VYES 0 SEPTIC TANK: NO 0 YES E SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: z, S DATE: lyA-i3 �CJef, INSPECTOR: J,h ✓� FORM 4-SYSTEM PUMPING RECORD JRMER SEPTIC & DRAIN SERVICE �y ' FOREST STREET; MIDDLETON, MA 01949 (978) 774-2772 OEALTH OF MASSACHUSETTS t/I LA-2MASSACHUSETTS SYSTEM PUMPING RECORD SYSTEM OWNER: SYSTEM LOCATION: 1 " ,Av4°k i8 L Si4e-5'5 ',z) 6 hC1vtsP - �- NQS- Jl02 DATE OF PUMPING: �� �/ �� QUANTITY PUMPED: �S�d Q GALLONS .CESSPOOL: NO � YES F SEPTIC TANK: NO � YES SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: DATE: �// INSPECTOR: c C �I6� �/ TCWN OF NOR111 ANDOVER/ SrOARD OF HEALd 0 I i d�•N�-6. .1ti N. (� �?i 1 QAN'1E-I itl a.l Us :o:�`'`p�• G Deal si filed Any aP: �. Arian* .So , ;� � the s•.. 1885 N7:s.- _R :. .z G.: wit�.inCH (, � �is Piotice �►hss'• `` ci ; ," ; Town `: Nov 10 12 i G P1 °93 the Office of the TOWN OF NORTH ANDOVER • MASSACHUSETTS BOARD OF APPEALS ` - 3 FILE NOTICE OF DECISION Date .November. 10,, ,1,993 . . . . . . . . Petition No.. . .043-9.3. . . _ . . . . . . . . Date of Hearing. .November T.9,. .1.9.9.3 Petition of . . . . Sam .and. Susan .D'An.t. . . .onio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected f-1;15 5 Sale_m-S-tree t�� � Referring to the above petition for a variation from the requirements of ffif, S e c t,i on.7,. . . . . .Parag_r4ph. 7.3. and .Table, .Z ,of. the, .Zoning. B.ylaw. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit . re_l.ief, of. .1.2..7 .feet. .for.the. rear,house. .setback.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . .GRANT. . . . . the variance . . . . . . . _ . . . . . and hereby authorize the Building Inspector to issue a permit to . . . . . Sam .and. Susan ,D'.Antonio.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Board finds that the petitioner has satisfied the provisions of Section 10, Pargraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Signed ' Frank Serio, Jr. , Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Walter Soule; Clerk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Raymond Vivenzio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Louis Rissin . . . . . . . . . . . . . . . . . ... I . . . . . . . . . . . . . Board of Appeals Any apeal shl] 'Ce DAR, - f %AORTN Cn C CHUS TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Sam & Susan D'Antonio Petition #043-93 1155 Salem Street North Andover, MA 01845 DECISION The Board of Appeals held a public hearing on Tuesday, November 9, 1993 upon the application of Sam and Susan D'Antonio requesting a variation of Section 7 , Paragraph 7 . 3 and Table 2 of the Zoning Bylaw for relief of 12 . 7 feet for the rear house setback on the premises located at 1155 Salem Street. The hearing was advertised in the North Andover Citizen on October 25 and November 1, 1993 and all abutters were notified by regular mail . Upon a motion by Mr. Rissin and seconded by Mr. Pallone, the Board voted unanimously to GRANT the variance as requested. The Board finds that the petitioner has satisfied the provisions of Section 10, Paragraph 10. 4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Dated this 10th day of November 1993 . BOARD OF APPEALS A Frank Serio, Jr. Chairman FORM - SYSTEM PLNJPL �E NpR�HtiP�H . _ T�gpARO pF a Commonwealth of Massachusetts Massachusetts Svstem Pumping Record •stem Uwner Systern Location 4Date9AA, S4— Date of Pumping: ( �`"� Quantity Pumped: l��gallons P g: . Cesspool: No Yes ❑ Septic Tank: No ❑ Yes Lam' System Pumped by. � License #: Contents transferred to: f �. 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's e;l I— . ./ , *_ �11 . r r Wit, XR Tom r ; .:tie Y.t..^ r. k t � /'�` ,4"zt ,& t -P el Ir +a , --i i, 1' , f '+: _ NhI ' .' „� .". e.+\"1 1 t �.�! , I+fi.. " SA f a '!j '�' r.,r �q F. :T..�. - T ! T \ r,.b g"•�� '' i , {3 7 �y7a \ r rn 2 �j•4 0 r t I A'� i �• :.�` z 1 "yam i x t s„ r art9 _O �. `�y �+ p r <y+l tr `+.r. 4 ,, �F 'r #"". !iS''` •'"' ) F t w 3 �1t " N £CO _a y r .', f 5' _ '1_.j ., i.A,.. ..�T. /Kj�l ) �t .� dt k ?moi, i+:. r. Fes' -' i . r , , '_ S • *o.. '� r 'i. ,s f ,+5 it '. t 1' 1 ✓- �' S ,Sr r). ,r '". ,y 4 I -1 't4• r y 11 'Y' y ' t' 1 1 C "� C ti' r 'x '� I11, 1 i r 1 ' , t k " .jt ti,,, •y. { ,r,�,% i n r t.. , } J+ S , ,r J-tp. 1.I '�� _ , *, , p i PP�rF •1 o. p#"' 1 '„ee. r7.e } figk L .t. xt ; a r " t'� , c� t: ` '� s \ - ) f. �' x r �;' 'Mor. 1. L I •� k`h r ,� !`ate s w. e• �.,_ r iK5-!." r 'S > *`.' . ', t k 13 t?; '' x k. "'. y' x ,r �` .3 -N c • ,. lx 71„+,r rk x r .+ n:r ,t = , 1-1 .k>•y f 44. S `, K -.+J '.7 ,. v � J }4 s• p ka r'4 r 7 ++' b ^ J� "^3' v' ;a ,1 FI I.L hE1 1. d �'ci�"�.r� k^ F��I r.° � ^ 1 ',a._1'4 L.l t:_'� 7 > rk.' ) !r '•w y ss,ti. ) " J. : i,- " �, q- i ) y 4 °. Vii" r �?�n�x`�r�0f %�< v s-:yI,� Y'•i,^ d ��v�+ !�,�y� . T4 4 7. -4 .;o M d?rSisteted zSanlfa-dan 9D. & Box 116 dVO-ttA d?zadiny, Aai4aAu1zffk101864 664-3304 4 N, ti Property of Mr. ' Farrow 1155 Salem Street North Andover, M Existing dwelling*4ith,'a failed,:..sbptic system. Observation 'HoletZor Date September .122;1973 " . -0s, to 101, Loam t''o psoil av Designed leaching areae JO,, to 84" . Sand & gr el No water encountered. r 429 sq. ft. CONSTR UCTION ,NTPES . ...... "the. -leac ing area .in e o 1 Remove existing*.,*:, h they area. proposed new sub-surface-disposal system. -X. Excavate minimum of '3" �-in "the'..'area of, the new system 2. to, 6 mi `3 Place 12" of., sand "this excavation 'and instill 5` 4x8 'S- e, type, flowdiffusors "o ns-tli sand. 4. Use existing, septic: tarWWand connect it to the flowdiffusors 'with 4" solid ..bituminized.,.,,�Uber pipe (or' equal) with tight itch: of.-A/8- ,,per foot. joints having a.,minimum.:p Place aat t he,:-. end_.'..b f the 41- vent flowdiffusors. 6. Pla'ce 18"41 of',washed,`crushed stone all around -the flowdiffusors. 7. Place a minimum.of' 12"; of cover material over the system. 8. Notify approving authority- before you start to work on the system, so .that he might Inform you of what stages of construction he wishes to .linspect. 4�1 .SPEC/F/LAT/ONS 24 " / — CONCRETE 4000 PS/ 28 DA Y5 i RE/NFOR�MEM' PER A:5 TM l A 5-G4-CAPA8LE'OF W/Ti/ST4ND/N4 V2O WHEEL LOADS, I 3 - ALL JOINTS EO VERED W1 7H I -- ASPHALT PAPER. /4 " I � r1 IIVSPECT/ON MANHOLE ;4 ,,74/ PERED HOLES¢ TD Z 8� 4 ® O ® O ® ® ® r /18" 1 0 . 0 6 II 9 92 3 392 a t,1 —9 94 46 10 MAURICE CONCRETE PRODUCTS, INC. Route 110, Amesbury, Massa 01913 ,t 7u PERMALEACH CHAMBERS PAGE 39 t, 107 Forest St. PSN FORN' . -.SYSTEM PT AZPING RECORD. u Middleton,MA 01949 QR (508) 774-2772 �\Gw�GE a t Commonwealth of assachusetts ,rx>r Massachusetts s �vstem Pum, in Doo yr ystem wrier4 system ocatlon . N ��-'1 l-o _ R, S �- asi Ccxl�le ins _ - � }� � _ .. d. Date of Pumping: Quantity Pum --- ped. -- gallons r Cesspool: No ❑ Yes �N ' ❑ Septic Tank: o Yes System Pumped by: t , License # rs , Contents transferred to: S^ s y 77777� - rr Date inspector.. ect or P. S N x T � f A 0 THE PROFESSIONAL EXPERTS 114 THE SEPTIC AND DRAIN INDUSTRY• "� Form 4 -- System Pumping Record Commonwealth of Massachusetss Massachusetts System Pumoina Record System Owner System Location J'7.S£1t�111�5 Ss€n 7 I.,1.n Iry`fic-le - .156 Salam St '1155 alem St north Andover. MA, 01845 forth Andovor. M!A. 01845 978 685-1123 x Type: Emergency Routine Cesspool: No Yes Septic tank: No =Yes Date of Pumping: 6 R— ''T— C Quaff"Pumped: ),56-7D Gallons System Pumped By: Wind Rivar Environwnto% LLC Permit#: Contents transferred to: Contents Disposed at: r� 'Z_( Date: Pumper Signaturc Condition of System/Other Comments Dep Approved Form - 12/07/95 Form 4 -- System Pumping Record Commonwealth of Mossachusetss Massachusetts System Pumping Record , r nY ; v. System owner System Location 03 Li r antonlo Sam Primary None 11'i5 Salem St 1155 Salem St Noxth Andover, -MA, 01845 Nortt Ant,"wer, MA, 01845 ;978) 12:? x (978) (>B5.-11:23 si Type: Emergency Routine Cesspool: No Yes Septic tank: Pio ®Yes Date of Pumping: S Quantity Pumped: 000 Gallons System Pumped By: Wind Riw EnyvvnmanW, LLC Permit#: Contents transferred to: Contents Disposed at: r3 Date: J Pumper Signature: Condition of System other Comments Dep Approved Form - 12/07/95 Commonwealth of Massachusetts City/Town of NORTH ANDOVER, MASSACHUSETTS - System Pumping Record �\ v Form 4 � ti CEIVfED DEP has provided this form for use by local Boards of Health. The S)U&(�& GoRec rd must be submitted to the local Board of Health or other approving au hority. r%(�!N Oi- rvQRTH ANDOVER A. Facility Information '```"' - Important: When filling out 1. System Location: forms on the / f computer,use only the tab key Addrss to move your .6 A I&I t4 cursor•do not )EIL — 61". use the return City/Tow State Zip Code key. 2. System O ner. "A A-�- C) Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date S 2. Quantity Pumped: Gall 0 3. Type of system: ❑ Cesspool(s) [Septic Tank ❑ Tight Tank ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes 0'—No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: Na A, — Vehicle License Number Company. 7. Location-wbt s were disposed: �. ` 1ter . "A A i Signature of Hauler — Date http://www.mass.gov/dep/water/approvals/t5forms.htm#inspect t5form4.doc•06103 System Pumping Record•Page 1 of 1 1 Commonwealth of Massachusetts City/Town of VED System Pumping Record NORTH AND V CEF ti Form 4 I' Dthe DEP has provided this form for use by local Boards of Health. Other fo ms may be used, your information must be substantially the same as that provided here. Bef ® 4 t d to local Board of Health to determine the form they use.The System Pu the local Board of.Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: When filling out 1. System Location: forms on the15 computer.use - --JAS— only the tab key Address `,, to move your ��� 1f 1 i�__n__�_ cursor-do not City/Town State Zip Code use the return key. 2 System Owner: Name , Address(if different from location) — - ---- - —--- — City/Town tate y Zip Code elephone Number B. Pumping Record -�- d 2. QuantityPumped: —--- 1. Date of Pumping pate _/ Gallons 3. Type of system: ❑ Cesspool(s) [/Septic Tank ❑ Tight Tank [I Grease Trap ❑ Other(describe): -- --�, — -- --- ------- ---- --- --- ' 4. Effluent Tee Filter present? E] Yes [i/No If yes, was it cleaned? ❑ Yes /No 5. Condition of System: 6. System Pumped ByM N : �.. Vehicle License Number ever E n'yi�o�menla 1 ' Company 7. Location where contents were disposed: SigDate Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 I �L\ Commonwealth of Massachusetts Cityrrown of System Pumping Record NORTH ANDOVER Form 4 DEP has provided'this form for use by kraal Boards of Health.Other forms may be:usemd.,Check with but the information must be substantially the same,as.that provided here..Belore using M mt�tbQs bmdt d to local-Board of Health to determine the.form.they use.The,System.Pumping R ,_. � � ® the,locat Board of Health,or other approving authority within 14 days from the umpirl _- to accordance with 310 itMR 15.351_ A.Facility Information NOV -7Z011 imponant: 1, System Location: TOWN OF NORTH ANDOVER When fiwng'oW rormsanftS -&- S SGl7 .4n_ u� _. HEALT EPARTMENT . .-._.. -- / C computer.use Artdres9 omy thejob,key m to nroveyovr 1 s �(hG7Q'/~, _ St21C Zip.Code cursor-do n01 -C0.yRcw1+ use the retum key Z.; Sys r to Owner: yaine Address?(df itlererit.tromlocation) we Zip Gbde Gtyrrom Telephone Numeer �..._. B. Pumping Record JSOLJ 1. Date of Pumping pale— — - Quantity Pumped Garcons 3. Type of system: ❑ Cesspool(s) eptie Tank Tight Tank [] Grease Trap [) Other(describe). 4 Effluent Tee Filter,present? ❑ Yet2-_N1. If yes,was iL cleaned? Q Yes 5. Condition of System: 9. '6. Systern Pumped By: ,�� d„ �!- C _ _ Vehicle license Numoer Name com sny GLAD. 1. Location where contents-were disposed: North Andomr.M.A. Signature of.1 deuler Signature o1-Raceiv�ng.Faciiity- system,pump"Recoro-Page i of 1 t5fomrl.do9.--03106