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Home My WebLink AboutMiscellaneous - 131 GRANVILLE LANE 4/30/2018 (2) 1 1`7 IL AN Commonwealth of Massachusetts City/Town of . RECEIVED System Pumping-Record JUL 16 7015 Form 4 b" TOWN OF NORTH ANDOVER 4LT DEFAR"i i r�r�. DEP has provided this form for use=by local Boards of Health.6VherHforms may�e used, but the information must be substantially the same as that provided here. Before using.this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left/Right rear of hom42P ig si o hous , Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under dec c Address Cityfrown State Zip Code 2. System Owner. Name Address(if different from location) Citylrown ' g � _ Zip Co Telephone Number t a B. Pumping Record 1. Date of Pumping Date 2. Quanti ,Pumped: Gallons3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 9_1go If yes,was it cleaned? ❑ Yes ❑ No, 5. Condition o Sy tem: cv . 6: System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location Wkere contents-were disposed: aL, Lowell Waste Water Signitufe 9t HaulerU Date t5form4.doe-06103 System Pumping Record•Page 1 of 1 TOWN O�/' SYSTEM PUMPING RECORD DATE: SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example:left front of house) Cef4- fie. Lo'- DATE OF PUMPING: �C QUANTITY PUMPED : �G✓GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste i TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD ^ ?� OCT 2 6 2001 DATE: . .... SYSTEM OWNER&ADDRESS SYSTEM LOCATION (example: left front of house) d� rlo�5 DATE OF PUMPING: d, 'd QUANTITY PUMPED I'000 GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: (57`L IS Address 13QA+14 U tl Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes T action Document/ document/ Num. Action Department Board of Appeals — Board of Health — Planning Board — Conservation Commission — Building Department Town of North Andover „ARTN o�tt��° Office of the Health Department s°.? w".+ Community Development and Services Division William J.Scott,Division Director w 41 NATfO" 27 Charles Street ,SSACNuB�� North Andover,Massachusetts 01845 Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 January 8,2001 Pamela King 131 Granville Lane North Andover,MA 01845 Re: Application for addition Dear Ms.King: Your application for an addition at 131 Granville Lane has been reviewed by the Health Department. The application was been denied on January 8,2001 for the following reasons: 1. WioMissing information 2. G Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: Floor plan of existing and proposed addition Certified plot plan showing house,septic system and proposed project in scale If#2 is checked: Have the septic system inspected by a.certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Reviewer Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used-to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT l71 Kt� PHONE �� 0103 ASSESSORS MAP NUMBER 1 �O LOT NUMBER 5�l SUBDIVISION ! LOT NUMBER STREET )3 1 �� v�l U� L qN STREET NUMBER J 31 OFFICIAL USE ONLY — IVWENDATIONS OF TOWN AGENTS .. .L_........��... .................................... .........among . DATE APPROVED (�CUNSERVATION ADMINISTRATOR DATE REJECTED CONMIEN'TS DATE APPROVED TOWN PLANNER DATE REJECTED CONM ENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED V.SEVITC INSPECTOR-HEALTH DATE REJECTED CONOAENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS } RECEIVED BY BUILDING INSPECTOR;,.,', DATE J --1 - 4 TIJI-- --.. ._ _._...__-.._ . __ --._..IJ8 - --- ---- UU'i-11-y4 lUK 11,55 VIUTUK ANUUVI;K HA?S NO. 5Ud 4/U ZlbZ V. UZ i FROM LILLIAN MONTALTO REMAX.PREFERR OCT.11.1994 10:07AP1 P 2 PHONE NO. 508 686 53n0 110 - NIF I ' r r M I' tI y ' E x/�iav� V/12401" J-11111. Irllli. 6111 � '��uJtd Wru Izc co 1VKY / 60� — �11](00) /opp �— EXiatiNK d,ccL 6 pRoJD 5f dG�c.. 0 U' �-O T W LOQ-*' x. 03 AC,'t I I ( r • 1 1 Isn.00' - /'� MORTGAGE INSPECTION PIAN UY lr O U Q1- UN LOCATED IN {- NoRT�4 TO TME r/yM((_Y MV�U4L �AV. 1�414Y, AND ITS TITLE INSuRER9 MASSACHUSETTS I HEREBY CERTIFY THAT 1 HAV( E%AMINRO THE PREMISES ANO ALL EASEMENTS, ENCROACHMENTS AND BUR.OINOS ARE LOCATED DY THE GgOVNO AS SHOWN. 2 FURTHER CERTIFY THAT THE OVILOIRS 1MDWII Q0( )CONFORM TO THE t 1DNIHG LAWS AND AMINOMINTS, L•.I FRONTI SIOE S AFAR YARD DCT BAC% ONLYI(W WHEN CMITRVCYEO,1 FUATH9p CERTIfY THAT TR17 PAOPERIY IS LOCATED IM THE E1TABL191160 FLOOD HAZARD AAAA . NOTE 1 TRI7 HRTIFICATION 11 BASSO ,ON THE LOCATION OF SURVEY MARKERS OF OTMIAS, AND DEED �• 'OOf6 NOT AEPRESENT A PROPQpTY SURVEY, I3 Jam{•:-. EXAMINATION OP THE RECORDS 19 MADS ONLY SV1910UENT TO THE RECOR010 DATE OF THE DOCK LATEST 0910 AND DOC$ NOT tHCLuO y PAOfl-•- 6 9RIPYINO THE ACCVRACY OF THC' OEED OECEAtPTION PAIdvIOU1 TD tie DATE 0/ RECORD, THIS COLPANT 19 NOT AlSPON81OLE FOR ANY IHDENTUAES MApj SVDSIOUENT T'0 T14E PLAN RECOpDEO DATE OP THE LATEST OEEO OF RECORO, wHEM(VER BVIIDINGI ARE 1HDWN LEB1 THAN ONE POOT PROM THE vROPERTY LINE IT If D00% ADv1910 THAT A MORE PREO101 SUAVEY Be MADE TO VERIFY THIVENE9UREMCNTI. PAGE �� )'HIS CERTIFICATION TO RP USF11 mo u—Y-- Town of North Andover ¢ %AORTM O`tt�eo .y0 Office of the Health Department ? e.to O°W. Community Development and Services Division William J.Scott,Division Director +T.e 27 Charles Street 4& CHus�� North Andover,Massachusetts 01845 Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 January 8,2001 Pamela King 131 Granville Lane North Andover,MA 01845 Re: Application for addition Dear Ms.King: Your application for an addition at 131 Granville Lane has been reviewed by the Health Department. The application was been denied on January 8,2001 for the following reasons: 1. P-ioMissing information 2. R Passing Title 5 inspection of septic system required 3. 0 Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: Floor plan of existing and proposed addition Certified plot plan showing house,septic system and proposed project in scale If 92 is checked: Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Reviewer Cc: Building Department File BOARD OF APPEALS 688-9541 BUII.,DING 688-9545 CONSERVATION 688-9530 'NURSE 698-9543 PLANNING 689-9535