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• MAP # #
tf:J c
' LOT
PARCEL # STREET_'
QO.NSTRUCTION_APPROV 1,
HAS PLAN REVIEW FEE .DEEN PAID? YES
NO
PLAN APPROVAL: DATE / �P APP. BY
DESIGNER: � PLAN DACE. _
CONDITIONS
• WATER S _
URRLY. . OWN WELL
WELL PERMIT DRILLER
t WELL TESTS: CHEMICAL DAIE APPROVED
RIAI DAIE OPPRUVEU
BACTERIA JA
I DA i'E in—PPR0VE1)
COMMENTS:
FORM U APPROVAL: APPROVAL TO ISSUE YES NU
DATE ISSUED BY
CONDITIONS:
FINAL APPROVAL: .
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES NU
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
OTHER YES NU
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: DATE: BY:
,�EPTz_C�SY�IC��NSSfl4L..gQt4
"i� ry t ,. � r .''I�'tby Y': .I . - ._.• '-••e,.�i T..L t ? I' yi♦_\-1� ♦. J• ' 1. 1. 7• �- -
rtx ;ISTHE' INSTALLER LICENSED? YES NO
„
f t , , - .• ,� ': r 1'".'- :.. . `,;•"• r _• it
` .TYPE. OF CONSTRUCTION: ? NEW REPAIR
NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW \YS NO
.E
1 ; CONDITIONS OF..APPROVAL YES NO
(FROM .FORM U)
E DWC PERMIT t YES' NO
t
DWC PERMIT N0. y _ INSTALLER:
.-:.-BEGININSPECTION YES 0:
EXCAVATION . INSPECTION: ' NEEDED:
a '
• Iff / BY
.-'"' '%
PASSED �.
CONSTRUCTION INSPECTIONS NEEDED:
. .AS BUILT PLAN SATISFACTORY: (_Y:ESs
APPROVAL TO BACKFILL: DATE: �6 A� BY
' ..,FINAL . GRADING APPROVAL: DATE Z BY DATE: BY
.
FINAL CONSTRUCTION APPROVAL:
i
ELEVA TIONS
DESIGN AS—BUILT
TOWN OF N( ---Vi ANDOVER/ INV. OF PIPE OUT OF HOUSE 95.65 95.57
BOARD OF 41ALT14
INV. OF PIPE AT SEPTIC TANK INLET 95. 15 95.09
7 l9 INV. OF PIPE AT SEPTIC TANK OUTLET 94.90 94.82
INV. OF PIPE AT D—BOX INLET 94.44 94.61
INV. OF PIPE AT D—BOX OUTLET 94.28 94.43
INV AT BEG. OF DISTRIBUTION PIPE 1 94.26 94.34
INV. AT BEG. OF DISTRIBUTION PIPE 2 94.26 94.34
INV. AT BEG. OF DISTRIBUTION PIPE 3 94.26 94.33
320.2 1500 GALLON D—BOX 2
SEPTIC TANK INV. AT END OF DISTRIBUTION PIPE 1 94.00 94.05
34' PT-Q2 TP3INV. AT END OF DISTRIBUTION PIPE 2 94.00 93.99
=35 TPI ��9 s� INV. AT END OF DISTRIBUTION PIPE 3 94.00 93.74
�� �y PT-3
25'
PT_1 y0Z�' �. 32' N .
EXISTING FOUNDATION ; Q ai �J ,
TOP OF FND. ELEV. = 97.74 i �\
��/%/ ^• TP2 CJ
Q
VENT ('TYP.)
kn
LOT 20 c�
°'-
LOT AREA =
LOT A S.T. - NOTE: THIS PLAN IS NOT A WARRANTY OF THE SYSTEM. IT IS
cr A RECORD OF THE LOCATIONS OF THE EXISTING STRUCTURES.
56.10' m
INTERIM AS BUILT PLAN
OF
320-00p SUBSURFACE DISPOSAL SYSTEM
AT
LOT 20 SALEM STREET
IN
'= NORTH ANDOVER, MASS.
`^ISTEP +y`�
UNA` PREPARED FOR:
S & S BUILDERS
SCALE: I" = 40' ` DATE: 10/7/96
CHRIS TlA NSEN J ERV l PROFESSIONAL
SURVEYORS
EERS
160 SUMMER ST HAVERHILL, MA 01830 TEL. 508-373-0310
c0 1996 BY CHRISTIANSEN & SERGI INC.
DRAWING NO. 9507400 �~�r
NORTH ANDOVER BOARD OF HEALTH
DESIGN REVIEW REPORT
FEE: PERMIT # DATE RECEIVED q��Ax�
APPLICANT c ' t5 -�5016AMAP PARCEL
ADDRESS LOT # 13Z7>
ENG. Cf�/21 ST!/�iUR� STREETGC�
ADDRESS
PLAN DATE / z ��� REV. DATE
CONDITIONSOFAPPROVAL
APPROVED DISAPPROVED
REASONS FOR DISAPPROVAL:
5�1�>7C Tl9�1/�
Z-,,=66 Tff/�� <S ` 7-0
/U O 2 6-5 6;;e
OR 4/b O R o TN�� ( ,P,4 n>U�.9-e �f,9TE/Pj,7iGJ
o,e j5)4ti
1C
D
Town of North Andover °t NORTH
"
OFFICE OF �? ,�''
COMMUNITY DEVELOPMENT AND SERVICES p
146 Main Street �, 404-;.o
KENNETH R.MAHONY North Andover,Massachusetts 01845 9sSACHUS��
Director (508) 688-9533
October 11, 1995
Mr. Phil Christiansen
Christiansen & Sergi
160 Summer Street
Haverhill, MA 0.1830
Re: Lot #20 Salem Street
Dear Phil:
This is to inform you that the proposed plans for the site
referenced above have been disapproved for the following reasons:
1) Septic tank less than 25 feet to foundation drain.
2) No apparent reserve area.
3) Vent required for trenches.
4) Breakout elevation 94. 66 - please check lower side of
system.
5) Note #2 regarding fill should read: " . . .clean granular
sand or other granular material, free from organic matter
and other deleterious substances. Mixtures. . .used. The
fill material shall have a percolation rate between 2 and
5 minutes per inch, before and after placement. "
If you have any questions, please do not hesitate to call the Board
of Health Office at the number below.
Sincerely,
Sandra Starr, R.S.
Health Administrator
SS/cj p
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Partin D.Robert Nioetta Michael Howard Sandra Starr Kathleen Bradley Colwell
PLAN REVIEW CHECKLIST 63=27J
ADDRESS L�jZD S LG ENGINEER �,�.�'�ST//��'✓�'�%�
GENERAL
3 COPIES STAMP �� LOCUS NORTH ARROW SCALE
CONTOURS PROFILE ----- SECTION c/ BENCHMARK A SOIL &
PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS
WATERSHED? /�/6) DRIVEWAY C--'�'(Elev) WATER LINED FDN DRAIN
SCH40 °1--", TESTS CURRENT? SOIL EVAL A.ST�.P�
SEPTIC TANK / �� //
MIN 1500G .17 INVERT DROP GARB. GRINDER/W (+200% EDF)
zo/
25 ' TO CELLAR/` MANHOLE ELEV GW # COMPS.
D-BOX
SIZE # LINES 3 FIRST 2 ' LEVEL STATEMENT
INLET q � - OUTLET 9-/ -? _ (2" OR . 17 FT) TEE REQ-D?
LEACHING
l
MIN 660 GPD?� RESERVE AREA 4 ' FROM PRIMARY? ' 20 SLOPE
100 ' TO WETLANDSL 100 ' TO WELLS 4 ' TO S.H.GWy (5 ' >2M/IN)
35 ' TO FND & INTRCPTR DRAINS L----325 ' TO SURFACE H2O SUPP `�—
4 ' PERM. SOIL BELOW FACILITY 1--- MIN 12" COVER (FILL? �(25 ' 1�1E056
if above natural elev; 10 ' if below) BREAKOUT MET? AJO #z
Fes-F/CL,
TRENCHES
MIN 660 gpd A SLOPE (min .005 or 6"/100 ' ) ""'�SIDEWALL DIST. 3X EFF.
W OR D (MIN 61 RESERVE BETWEEN TRENCHES? IN FILL? V MUST
BE 10 ' MIN. t- '
4" PEA STONE? VENT?�'� (>3 ' COVER; LINES >501 )
BOT + SIDE X LDNG TOT
(L x W x #) (DxLx2x#) (G/ft2)
Copyright 0 1995 by S.L. Starr
4 tAQRT"
Tovm . �
Of 0
over
o K art dover, Mass.,_ 7 19
COC.ICMEwICK
RATED PP ��
S
BOARD OF HEALTH
RMI Food/Kitchen
PE T T Septic System �O� c� -•,
THIS CERTIFIES THAT................................ BUILDING INSPECTOR
C !V.�............ d.�l;s ...... . ..............................
Foundation
has permission to erect..............�.A�F.
buildingl,on ............1.. ..?...........�A.l r.�../:..4 ........S.'T:....... Rough
to be occupied as................................................................ /../�l.�a.. .......... Chimney
...................................
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit.
REGULATED BY PARA. 114.8 S. 13.G. g 1
PERMIT EXPIRES IN 6 MO W;H,`�V_-�FEE PAID �� (5k"h 9-2�0
UNLESS CONSTRUCTION STAR ELECTRICAL INSPECT
oe
................................. . .... .... ....... ......... ................. i
.. ... ervic
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building
GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Fifi� 1� a"(• p� �,
No Lathing or Dry Wall To Be Done � �-
Until Inspected and Approved by the Building Inspector. FBurner
IRE DEPARTMENT
OV- � Q'�223=5
o.
Smoke Det.
CHRISTIANSEN & SERGI, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508)373-0310 FAX: (508)372-3960
August 20, 1996 TOWN OF OF NORTH
Ms. Sandra Starr
North Andover Board of Health AUG 1 19%
120 Main Street
North Andover, MA 01845
Re: Lot 20 Salem Street (S & S Builders)
Dear Ms. Starr:
At the request of my client, Fred Saracino, I have reviewed the the septic system design for the
above referenced lot to determine what impact the lower as-built foundation elevation may have on the
septic design. My findings are as follows:
1. The top of the existing foundation is at elevation 97.7 ft.
2. The proposed invert elevation of the building sewer at the foundation is at elevation
95.65 ft., therefore the top of the pipe will be at elevation 96.0 ft. +/-.
3. Assuming that the minimum cover amount of 12" will be placed over the top of the pipe,
the finish grade at the foundation will be 97.0 ft.
4. The resulting 0.7 ft. +/- of exposed foundation wall is within Building Code allowances.
5. Although the driveway will be steeper due to the lower foundation elevation, the Title 5
slope requirements can be met at the driveway.
In summation, the lower foundation elevation will not prevent the septic system from being
constructed accord' to the approved plan.
.:VcpiSH OF Rf�
Ve r?�, p
a �
'M 5083723960 P02
CHRIS"TIANSEN & SE'OGI, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYUK5
(508) 373.0310 FAk (508) 372-3960
160 SUMMER STREET HAVFRHILL, MASSACHUSETTS 01$3(7
AN�O�Et�
WN of 14 6f
S� t3o�'R
August 20, 1996 ? l
tJOS
Ms. Sandra Starr
North Andover Board of health
12U Main Street
North Andevcr, MA 01845
Re: l.ot 20 Salem Street (S & Builders)
Dear Ms. Starr:
At the request of 1ny client, Fred Saracino, I have reviewed the the septic system design for the
above referenced lot to determine what injPaet the lower as-built inundation elevation may have on the
septic design. My findings are aS ti)llows:
I, rhe top of the existing foundation is at elevation 97.7 f1•
2. 'T'he proposed invert elevation of the building sewer at the foundation is at elevation
05.65 ft., therefore the top of the pipe will be at elevation 96.0 ft- +/--
3. Assuming that the minimum cover amount of 12" will be placed over the top of the pipe,
the finish grade at the 16undation will be 97.0 ft. +-/-•
4. Z
he resulting0.7 t1. -4./- of exposed foundation wall is within Building Code allowances.
due to the l
5. Although the driveway will be steepercower foundation elevation, thc'Title S
,lope requirements can be met at the driveway.
In summation, the lower toundati�?n elevation will not prevent the septic syst,,-m from 1t
bei9
constructed accord' , tO the approved plan.
, p,LTH Up 4r,�
Ver
� ' a
Phil'
08/20/96 14:22 TX RX NO.1017 P.002
$ 5083723960 Pill
CHRISTIANSEN & SERGI, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS FAX
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508) 313.0310 FAY,: (508) :172.3960
August '20, 1996
Ms. Sandra Starr
North Andover Board of Health
2.0 Mala Street
Nonh Andvvcr, IvL"L 0184.5
Re: Lot 20 Salern Street (S & S Buitders)
Dear Ms. Start':
At the request of my client, Fred Saracino, I have reviewed the the septic system design for she
above referenced lett to determine what impact the lower as-built foundation elevation may have on thr.
septic design. My findings are m follows:
1. The top of the existing foundation is at elevation 97.7 ft.
1. The proposed invert elevation o3 the bUding sewer at the foundation is at elevation
95.65 ft., therefore the top of the pipe will be at elevation 96.0 ft.
3. Assuming that the minimum cover mount of 12" will be placed over the top of the pipe,
the finish grade at the foundation will be 97,0 tt.
_ tion wall is within Btti.lding Code allowances.
4. The resulting 0.7 ft. / of exposed foundation
5. Although the driveway will be steeper due to the lower foundation elevation, the "i itle 5
slope requirements can be riot at the driveway,
In summation,, the lower foundation elevation will not prevent the septic system from ir19
constructed accord' to the approved plan.
Ve
P ,�
310 CMR: DEPARTMEN-1' OF ENti-EtO,',4-i'vENTAL PROTECTION
15.255: continued
(a) The retaining wall shall be constructed of reinforced concrete, shall have no weep holes.
and shall be waterproof.
(b) The retaining wall shall be designed by a Registered Professional Engineer, who shall
certify that the above condition is met by the submitted design.
(c) The upgradient side of the retaining wall shall be waterproofed.
(d) Construction of the retaining wall shall be supervised by the design engineer.
(e) An as-built plan shall be prepared and certified by the design engineer that the wall has
been constructed in accordance with his approved design plan.
(f) The elevation of the top of the retaining wall shall be no lower than the "breakout"
elevation,which is the elevation of the top of the two inch layer of'/s inch to '/z inch washed
stone aggregate cover.
(g) The distance from the wall to the edge of the leaching area should be at least ten feet.
(3) Fi11 material for systems constructed in fill shall consist of select on-site or imported soil
material. The fill shall be comprised of clean granular sand, free from organic matter and
deleterious substances. Mixtures and layers of different classes of soil shall not be used. The
fill shall not contain any material larger than two inches. A sieve analysis,using a 44 sieve, shall
be performed on a representative sample of the fill.Up to 45%by weight of the fill sample may
be retained on the#4 sieve. Sieve analyses also shall be performed on the fraction of the fill
sample passing the 94 sieve, such analyses must demonstrate that the material meets each of the
following specifications:
SIEVE SIZE EFFECTIVE %THAT MUST
PARTICLE SIZE PASS SIEVE
# 4 4.75 mm 100%
450 0.30 mm 10%_ 100%
9100 0.15 mm 0%- 20%
4200 0.075 mm 0%- 5%
A plot of the sieve analyses of the portion of the sample passing the 94 sieve shall fall on or
between the lines on the following graph: 1
PARTICLE SIZE DISTRIBUTION '
tG0 #200 t100 {SC `' AU ;-;�� �� �� f Sieve Sze
90
80
1
! 1
I
70 ,f
03
c i
W 50
! I A
Jj,
z 40
0- 30 !
1
20
t
10
0
Micron 60 200 600 2 6 110 mm
12/1/95 (Effective 11/3/95)-corrected 310 CNiR-531
1
SEP-07-199E 09. 11 FROM MILLER ENGINEE°Ihr,MNCSTF TO 150868732'77. 51 P-33
✓J�
TOWN
BOARDOOF HEALTH
Tue Sep C3 08:38:26 1996
EPagei
C-$OTVCMICAL LASORATORT TEST DATA
Project GALWWAY QC FSlensn,e 7,96743
Project No• 50376.01 Depth : NNA slovation N%A
Soxing No. N\A Test Date : 9.3.96 Tested by DCN Ml
6aarple No. L96743 Test Method ; ASTM Checked by SC
Location : GALL74AX PIT
Sol! Description , SEPTIC SAND
Remarks ; ASAP
COARSE SIEVE SSI
Sieve Sieve Openings Weight .a,xulative Pcroent
Mesh Taches Millimeters Retained Weight Retained Fi.nex
ilbY !lb) (})
1" 1.000 25.40 ti-50 11,50 100
0.75" 0.752 29.10 11.5C 11.50 100
0.5" 0.500 12.7. 12.25 12,25 98
0.375" 0.375 9.52 12.65 13.40 96
44 0.287 4.75 15.10 17.00 s7
'Focal Weight of Sample . $4.6
Tare Weight - 11.5
FINE SIEVE 68T
Sieve Sieve Openings Weight CVMulative Ptrcent
Mesh InChee Millimeters Retained Wcigbt Retained Finer
(gm) (gm) (3)
810 0,0;9 2.00 24.80 24.80 ---77
420 0.033 0.85 26.20 51.00 66
#40 0.017 0.43 76.00 127.00 35
pyo 0.010 0.25 60,50 187.50 9
4100 0.006 0.15 14.50 702.00 3
8200 01003 0.07 4.20 206.20 2
Pan 3.90 210.10 0
Total Weight of sanTle . 213.9
Tare Weight . 0
Moisture Cwtent 0
DAS 3.9356 MM
D60 0.7440 an
D50 0.5973 an
D30 0.3864 nm
DIS 0.281S :req
DSO 0.2533 nen
Soil Classification
A8TM Group 8yrbol SP
ASTM Group Name Poorly graded sand
AASRTO Group 8ymbo2 A•1-b(0)
AASXTO Group Name : Stone Fragments, Gravel and gand
51,�4 014
C4cv--A.,�, > ;lf/05hr TOTAL P.03
5-
O Q�!//►fit/ 9� /�4'I�tSE i��'!� �IQ'l/// �'� v
O 607 32- ;!-7
_GRAIN SIZE DISTRIBUTION - AGGREGATE GRADING
Boring No. : N\A Project : GALLOWAY QC
Somple No_ LR6743 Project No.. 50376.01
MILLER,..ENGINEERING do TESTING, INC- Tested by DC\BM Locotion: GALLOWAY PIT
----- — Filenorne L96743 Date Tue Sop 03 1996
J.S. STANDARD SIEVE SIZE
4" 2" 1' 0.5" 46 f10 ¢20 }4o 06o 4100 J200 4400
N
100 —},T, ( r 1-1Tn k-- , °
I F �--I
00
lis I Itl h ; I ! I ! I I i , III ' i I. i I ILII i {i 3 1:3111 i i
Cr! 90 1°
F-
80 -7
3sI!I�1Ij:-t� � ! i}l-�l�i •r� I' ;
-- 20
70 r I-li-i—'--- 30
i
i
60 i 1 -i---}�-� -y-I- -- i I ri�-+ s -- s. y 1--�- :. . I 1 —� -f-i— -- 40
F—
Cn 4J
i 50 �
4 1!
Q 7 40 -i
W U I 1 1 1 1 { r =fr ..e , i1 i i ° I 1• s I ; Q.
w 30 j _ -a j T= ; -i ---�i j 1-±- ; -i- } f ,-i �i i; i i }- _ �,� �_I-+-i—±- 70
jj �
''hj ss iT''1 1 {
w 20 11 I - -- j N -�—t-- I E I-1 F '-1— , i :[�'a !I j ° 1 80
J
J I I I I i �iiii I g t I Itit i I I i �lii 1 F I i I £ ' I.1 '
�
10 ,€{-!
I . I I I 1; IIs i l i i Ill ! rl l lrt � �� t 1
1100
Lif
LL 1000 500 100 50 10 5 1 0.5 0 1 0.05 0.01 0.005 0.001
GRAIN SIZE IN MILLIMETERS
U' CRAVEL SAND
C013 .s — SILT OR CLAY
CDARSE FINE CtamsF MEDIUM PINE
D�
rJti
r1 Clossi{icotion Remorks
(SP) Poorly groded Bond ASAP
CL Visual Description
>EPTIC SAND
Figure I
�4
V 5083723960 P()1
C RISTIAN EN & SEI: li, INC%,
Professionai Engineers and Land Surveyors
150 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 pR��
TORN pF N pF NE 3-03 0
BppR1�
• SEp _ g �g90
FROM FA 508-372 -' ,
RGI-ASC ULl- j VEP Tlii i 0LL0WING PAGC (S) TCI :
NAME AN 1)
FIRM:
TOTAL NUMBER OF PAGES _ �-
( includinS cover pzac, )
DATE SENT �� , _ TIME SENT.-—— ��
CLIENT- CI�WO I—O r ?u LEO ST-a _
OP S t "vi liomA l."Ims_ 4417
S 10 a ,
�C st LC ME 1 EV 0 L4
OlqA)
IF THLRC IS A14Y PROHl.F1' RECCIVING THIS TRANSMISS1ON CALL
50$mm373-0310 ANU ASK r 0R:_ 00�
V 5083723960 P02
VEMPUM79UPFW 10DOMEFF19LD" M o•P.O.VQX A775 4 MANGHUTER,NEW MAMP$HI%C31G0•TRL MM d08-W10•IAA:(W3)OW-x}41
139 LAT MAIN>fTF1EET•*,O BOX 11 •NORTMSOROLrOM.M+A63ACHU8ff TS 01*R•TES 008)393.2W' FAX(50a)303-0490
=F�-06-2 p9E 16 0� FROM M I L'LEF ENG I NEED'I tZ i MNCSTR TO 1�509-2^23660 F.02
tz� Atp 06 1513)115 lost pace
0120T& IWSC►s• LANMATMY MT UTA
Project iLLdMAB Qt F�xenratw i L1i763
�rey�nt fro, t lbi7d.Ol Depth : N\A Slwatiaa i N\A
got" NO. ; lP1A J%I Daof : L-3-96 Tooted by DC1SH
04th fro. ; Lf04) 'rest joeaod alrt>ti checked Ay 1rt
LoCAtlOn ; dAU*WAY DIT
Iv41 4N4Griptiaf+ , !brie 9AIM
icea+arkr �sa�
Fila sure NET _
Ole" Owe op4YSio4e 'Night cumulative peremnt ��r
Meth ixa03xaa Mi1Xltiwt♦r� PA"L"d weight Retained 71PAr
1 � tptril fwi
N.. ....-- -0.17 _...-4.ys.. _...0.00
M1Q 4,079 1.00 24.so si.ev ee
520 0,033 9.41, 26.20 s:.o4 76
N40 0.017 0.43 74.60 1:7.00 •0 � —�.� � �`LY
Ni0 01010 0.25 40.s0 197.90
10(1 0.044 O.IS 14.30 202.08
K r
0.001 G.07 4.2C 2016:20
3.9C 270.10
Total %toot at tople • 31)'1
Tare weivkt - a
1MCa,.turt QpriE�Yit � o •��.
1756 .,65662 amja►.Aa1B� _—116
. ,,_ �,.�. .--�
pea 0.40.6
bio 0.3256 am .�. ___. ' •- ---,-----_.�_T-�...
Dao G.3sd6 ba,
9.479)
9341 Gxau�.xinasi.oe�
AM GNOW &YwbDl , It
Aft" dr-w Kati 96WIV frail" sma
!
ARNKM QTVW BY093 i A-1-b(0)
AiAV= fano i st-m rropeanLf. Mrs"I And #ulud
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
!1
DATE: CURRENT INSTALLER'S LICENSE#
LOCATION: ' ®
LICENSED INSTALLER:
SIGNATURE: (wjA_)q,,,tTELEPHONE#6Z)9&6 Z�Z�
CHECK ONE:
REPAIR: NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
$75.00 Fee Attached? Yes ✓ No
Foundation As-Built? Yes No
Approval Date:
Town of North Andover, Massachusetts Form r,°' a
BOARD OF HEALTH
.. Of NORTH 14, -
19
O
DISPOSAL WORKS CONSTRUCTION PERMIT
�9SSACHUSEt -
Applicant Ltluf
NAME I AD SS TELEPHONE
Site Location
Permission is hereby granted to Construct-�r Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
s/d 4 1 .:.„ ;
Fee D.W.C. No. r�J
TOWN OARt7 OF HAA HWER/
AUG 1996
LOT 19
320' m
w ` `
J
EXIS77NO FOUNDATION
LOT 20
TOP OF FOUNDATION
ELEV477ON=97.7 46,800 SQ.FT.t
Ct
LOT 21
REFERENCE PLANS: N.E.R.D. PLAN FILE#5702 & 6196
FOUNDATION LOCATION PLAN TMT S ,�OF V
APKXAAE ZONBMG snAWS IN EFFECT WHEN CONS7IPII M
Ma CERRm11oN DOES NOT COMB/ANr onMER
RES7Rk7MM SUCH AS COVE71fMM
CLIENT: SARACINO CONSTRUCTION INC. aom OF OONDf11GMVS.E7C)
THIS OMWM SIMU NOT BE USED Br WE CIW FOR ANr
THIS CERT/fICATION IS MADE AND UNITED PUS PM onfM "M Mr OUn.06o ABO►�E Wr *= INE
W1WT/EN PEMAMSgM OF 06M/AMM & SM IMC
TO THE ABOVE CLIENT. FURnMO M M "0 DRAWM/8 IS THE COIPrR/O M PWPgMY
OF CHR5114MM 4 SM IMC AND ANY UNAUTHOMM UM
IS PMM8IlEALhMl14NSEN & SEAIII MM NO RESPOMS/MUM
FOR 7K UNAUii#MM USE OF THIS DRAWMIO OR ANr IWOR--
MAnom CONrAMIED HOM M
LOCATION: LOT 20 SALEM STREET
NORTH ANDOVER, MA.
�H OF
SCALE: 1" = 60' DATE: MAY 3, 1996 $� E.' yT
U
H
o 191
CHRISTIANSEN &SERGI `k"°
MMIO SUMMER Sr. NAYEFHU." 01Q.'Jo IEC 3Oh373"alo
®1986 Rr CIMWUNSE1V & SERA/ IMC.
DRAWING No. 95074001
Town of North Andover, Massachusetts Form No.2
MORTNBOARD OF HEALTH
19 _
9
DESIGN APPROVAL FOR
'ss4C"°5` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
Site Location �•t�T a-U ��1.�--d_--���,..� A =
Reference Plans and Specs. C-"-.S L-1'n m-- -<Ro A.4 ,( A21,�rl�'
ENGINEER DESIGN 6— DATA
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN,BOARD OF HEALTH
Fee O Site System Permit No. (0('e
FORM U - IAT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
II landowner from compliance with any applicable local' or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Phones
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street �" t-•i�-"' " ' ` � _ St. Number 132:1
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-��He—ealth Date Rejected
Date Approved /� �•7
Septic Inspector-Health Date Rejected
Comments
,-s-- `
Public .Works - sewer/water connections 1 '� W l 27-
- driveway permit 2 7
Fire Department
Received by Building Inspector Date
i
Town of North Andover 01 NORTH 1
OFFICE OF �? ye1eo ,6etiOL
COMMUNITY DEVELOPMENT AND SERVICES ° .
146 Main Street ,
North Andover, Massachusetts 01845
WILLIAM J. SCOTT SAC US
Director
Memorandum
To: Bill Scott, Dir:PCD
From: Sandy Starr, Heak .' tr�ator�
Date: September 23;.1996
Re: 1327 Salem Street
In response to your memo of September 20, 1996 concerning 1327 Salem Street I
have created a chronology of the history of the project::
10/26/95 -.septic plan approved
8/20/96 application for septic construction permit
8/21/96 - approval of application
8/216/96 - bottom of bed inspection done and approved
9/3/96 - sieve analysis of proposed septic sand done and submitted
9/4/96 sieve analysis reviewed and disapproved
9/9/96 revised format of sieve analysis submitted, reviewed and approved
9/11/96 - discussion with septic installer on readying bottom of bed for
inspection since it had rained since the last inspection
9/13/961 - Rain
9/16/96 - Rain
9/17/96 - Rain
9/18/96 Rain
1
BOARD OF APPEALS 688-9541 BUMDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
ti
y
September 23; 1996
9/20/96 - Call received from installer stating that side of excavation had caved in
and asking for a time.when an inspection could be done immediately
after the hole was excavated. Appointment set up for Wednesday,
September 25th, around 11:00 A.M.
9/23/96 --Rain. Spoke to installer in attempt to find a time when inspection could
be done. Inspection date originally set up for late morning on
Wednesday, September 25th. However, rain is forecast for that date.
He is to call back depending on backhoe availability.
l hope this clarifies for you the process which has occurred concerning this site.
Please.let me know if you have any questions.
2
TOWN 0 NQ��
No......................... BOF AtCDNOyR/
THE COMMONWEALTH OF MASSACHUSETTS
j BOARD OF HEALTH SEP 19 1995
1.V. ........OF.......
Q... .... :C.'\(..W.VE. ..... .........
Appliration for lliipo,ial Mirkii Tomitrurti
Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal
System at:
.......:.... U
._.... ••-•-- --------•-----•
•---••--•....o....L..o.t..,.Il.F.o...
...................----------.----_---••-
Location Address
� -- P ���5•--�3 .. - ------ ------------ -- .._ -�.,.
W Owner Address
i
a ..........................................•-•................................................. .....................................................
Installer Size Address
Lot...._.�°��0d......Sq. feet
U Type of Building
�-, Dwelling—No. of Bedrooms.........Y...............................Expansion Attic O Garbage Grinder ( )
`4 Other—Type of Building ............... No. of persons..........._.............__. Showers ( ) — Cafeteria04 ( )
d Other fixtures
Design Flow............................................gallons per person per day. Total daily flow.............66?P....................gallons.
W Septic Tank—Liquid capacity.15. .d..gallons Length..
10��" l��idth._.�'`f`�'.: Diameter---------------- Depth..S .
x Disposal Trench—No....�........... Width....41............. Total Length.645' ..._. Total leaching area.`-1.1/...sq. ft:
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
►-' Percolation Test Results Performed by................................ ----------------- Date........................................ _
,aa
Test Pit No. T___. O minutes per inch Depth of Test Pit-----?!2.......... Depth to ground water....1/9"...C6#6I /
fZ4 Test Pit No. 4.....t.__....nunutes per inch Depth of Test Pit.__/_t'A.._......... Depth to ground water..../.t_...eslva llTf
0 9 -•--•--•-•••---------------------------••--•---------•-••--•----•-•...-•--.......---...................--••-•-•--••--------••---•--••-••-.._......---...-----
Description of Soil.......................................................................................................... ............................................................. j
x
W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
....................--....................... ------------....---------------------••-----......---•----...--------------------------------••-------------------.....-•-------------..........--•------•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed --•-------•-•-------------------------•---•--•-••••......•-
Date
Application Approved B
Date
Application Disapproved for the following reasons-------------------------------------•------------------....-----------------•--•----•••--•----......_........---
.......•-••-•-----•-•-•-•------•------•-•--•••-----...---•-•-----...-•-----•--•-•--•---•--••-•--••-•......----•-----••••--•-••---•-•----•-•-------•---•--•-----•---•••----•----•....••-----••••••...-••--
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........................:.................OF........................................................
(Intifirtt#p of Tomphaurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by----------------------------------------------------------------------------------- --•------------------_-_-____--------__-__-.---•--•---•--•--------•----•--••--------•--••----••--••-•----_••--
Installer
at---••••-••--•••-- ---------•----------------------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No...............................::........ dated................................................
i THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector.....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................................OF.....................................................................................
� No.--•-•.............•----- FEE.........................
i �i,u�o�ul orko �oi�,u�r�r#ion �r.eruti�
Permissionis hereby granted....................................................----------•---••-•----•••----••••-----••••......-•-•-......••--••........•----•..........
to Construct ( ) or Repair (, ) an Individual Sewage Disposal System
at No
'i Street
i as shown on the application for Disposal Works Construction;Permit No----------_.......... Dated..........................................
..--•--•----......--•-----------------------------------------------..................................
Board of Health
DATE............................................._..................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
No. ....... ....................
THE COMMONWEALTH OF MASSACHUSETTS8p FNORrHq
qRp OF DO
WEVER/
BOARD OFF HEALTH gL
.............. IV, ........OF....... o....T. .......... .... ..1 -/.E..T ............ -----• SEP 1 91995
Applirtttiott for Dhipnnttl Works ( omitrurtin er
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sew osal
System at:
... Co ZO
..................................... .......•--............----••-----...-----•••--..... ----••-•.._...........-----......
►7th!/ Location Address o Lot,Ijjo.
W Owner Address
a ....... ......•-............................._..........--•.......•............................._ ...........--•-......................------...••----•-----.........._.......•.....................
�] Installer Address
Type of Building / Size Lot.......�°.>A4.....Sq. feet
U Dwelling— No. of Bedrooms.........`,/...............................Ex Expansion Attic
p ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures .
Design Flow......................... ..................gallons per person per day. Total daily flow..............��..(P. ....................gallons.
Septic Tank—Liquid capacity.15W_gallons Length.__.Iof4." Width.._fc'' Diameter................ Depth..
x Disposal Trench—No. ...-J........... Width.._4............. Total Length.&r;��--...__ Total leaching area-4-IA/ ...sq. ft.
Seepage Pit No..--_-----__----.._ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
a Percolation Test Results Performed by-------------------------•------••-----•----............-----•--------... Date........................................
Test Pit No. I._.- U minutes per inch Depth of Test Pit-----Q�.....__.._ Depth to ground water........................ /
fTq Test Pit No. �.....t-3__.-minutes per inch Depth of Test Pit...HAL.t....... Depth to ground water....lt�r,��'__.�5N6GvT
...
;
-----••-------------------•--•-•--•--------------
•.......
....
Descriptionof Soil........ .........................:........................................................................................................
U •--••----•------•-•-------------•------...-----•------•-----....---...---------------------•-•------..,_t.--•---•-••-------•------••----•-•-------••.......
W
x ----------------------------------------------------------------------------•-------••-----------------------------------------
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
•-------•-•--------------------•---...---------------........------------......---••----....----••••--------•-•-•---------. ------------------------••-•--••---•--------•-••-•-•--••--......._......-•--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed ---•••...............•----••••-----•-----•--•--•-------•-------•-- ................................ I
Date
Application, Approved By---••---•-•------••-----• --••• -------------•------...--•-----------•-•-----•-...-•---------•--
iApplication Disapproved for the following reasons:............................................................................................Date
----...
-----------------•-----•--•-•------------------....-•--••.•-•---..--••--
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........................:.................OF
(9rrtifirttte of fgnotpliattre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by.....................................................................................................................................................................................................
Installer
at..
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Constructit5n Permit No-------_.................................. dated.................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............................•---........----...------••-••-----••......--...... Inspector.-- --------------------------------•----------------....--•-----••--.....-•--------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.......................---.......--------..................-- ......._.....
No......................... FEE..........'..............
Binpn,iul Marko (Inttntrurtion Vantit
Permissionis hereby granted------------------------------------•------•---•--••-•---••--...•------•----••--•.....---•.......--•--•----•----•---•--........--•••---.-----
to Construct ( ) or Repair (, ) an Individual Sewage Disposal System
at No. =
Street
as shown on the application for Disposal Works Construction Permit No-----------------_-- Dated..........................................
••--•----•-•---•----••----....--•---•--••...............•-•---••--•--••-•-------•...----•-...............
DATE................................................................................-•----••-•...........................................• Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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'FORM 11 - SOIL EVALUATOR FORM
Page 1
-
Ir ,;..., No. ..................................... Date.....................................
tom', Commonwealth of Massachusetts
Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
PerformedBy: ................................................................................................................ ........,...................
Witnessed By .
..................................................................../.�..............M............................................._..............................................................................................................................
Lmarion Address or )3a7 �A 'GC S• 1 37- Owner's Name,
Loi p Address,and
Telephone d
New Construction Repair ❑
Office Review
Published Soil Survey Available: No ❑ Yes
Year Published ..19g/� Publication Scale .................. Soil Map Unit , .....
Drainage Class %A),D . Soil Limitations ..... �Cf'��,... Toi✓ ....l r'.................... ...............
Surficial Geologic Report Available: No. ❑ Yes ❑
Year Published .......... .... Publication Scale ................
GeologicMaterial (Map Unit) .... ...... ..............................................................................................................................: . . ..
Landform ..:. ....... ...
...........
......:
Flood Insurance Rate Map:
-Above 500 year flood boundary No ❑ Yes ❑
Within 500 year flood boundary No ❑ Yes ❑
Within 100 year flood boundary No ❑ Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit) .............................................................................................................
Wetlands Conservancy Program Map (map unit).........................................................:......................................
Current Water Resource Conditions (USGS): Month .................
Range : Above Normal ❑ Normal ❑ Below Normal ❑
Other References Reviewed:
i
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
o� oZ,tD 19
o `u..
APPLICATION FOR SITE TESTING/INSPECTION
SaCHus���y
Applicant -'- et
NAME ADDRESS _ l_ TELEPHONE
Site Location �-:�> Qla Q �nnn S�Y 0
Engineer—, NAME I�NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
�i CHAIRMAN,BOARD OF HEALTH
Fee f �� Test No.-b
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No. 1
NORTH q BOARD OF HEALTH
°0 19 Gf
04 APPLICATION FOR SITE TESTING/INSPECTION
SSaC USE��y
Applicant A 1 ��l-, �, l' ;'�tsVl "1[T�' )�. �1..0 ;;�. P�, L�c
NAME ADDRESS TELEPHONE
l
Site Location
Engineer .� •: i\�►.,� I A�t_P 1
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
r.
CHAIRMAN,BOARD OF HEALTH
Fee TestNo
I v
� .
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
. - - -- �-
`�� -
����v
� � �V
w�
_���
I
r
THE COMMONWEALTH OF MASSACHUSETTS FISCAL YEAR 1995 REAL ESTATE TAX HILL
T 4':I ! 4 F d i 11 d V E Based on assessments as of January 1, 1994 your REAL ESTATE TAX for the fiscal year beginning July 1,
1994 and ending June 30, 1995 on the parcel of REAL ESTATE described below is as follows:
OFFICE OF THE COLLECTOR OF TAXES
MAKE PAYMENTS TO TOWN OF
_ -E !JT — DUE EE3 1,2199r, NORTH ANDOVER —
; ,t _• �5=i l" D OVEER — OFFICE
HOURS :
BILL NUMBER
Ury
TAX RATE REiLICE�TIAL Ur--DAA—FR1YAY 8•J0A1,1-4:3
PEA TOTTAX RATE i T 'f =T _L6AY
&` PROPERTY IDENTIFICATION SPECIAL ASSESSMENTS TOT.TAX a SPEC.ASSESS.DUE
..� ' DESC. 1 CLa VAL c
\.- - - -
O Y LAND
AND _94L7. A AND 1 46 1`0 PRELIMINARY TAX
PRELIMINARY CREDITS — —
AREA A P _ 106A
PRELIMINARY OUTSTANDING -
= �`t�,, EXEMPTION
.4 n ` '� 000
``I 3RD CTR.TAX PYMT.DUE FEB 1
�PAGE 01172
y 'b/TD 011011?l
ZAL b
•d l'AFUE
[� U TOT.SP.ASSESSMENTS CURRENT CREDITS
m �YE�S.1P. VALUATIONTICK
_-_ - ¢ '' � �- •�- �- • TOT.REAL ESTATE TAX CURRENT OUTSTANDING
_ Y < LOCATION
_ - PAG!PINE Cj 7 PRELIMINARY TAX BALANCE DUE
^• _ p Il �'j A�T M T T:\p` 3RD QUARTER PAYMENT 3
z THIS FORM APPROVED BY THE COMMISSIONER OF REVENUE 4TH QUARTER PAYMENT 143-813
COLLECTOR OF TAXES INTEREST
P�T-CKARDv KENNETH E KEVIN F - MA.HONEY
RUTH $ P K�1 R Interest at the rate of 14% per annum will accrue on overdue .'
sET TAXPA.Y E R E S J OP payments from the due dace until payment is made
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COPYRIGHT 1994 ARLINGTON DATA CORP- ..
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N
TOWN OFNOJ .TH ANDOVER
SYSTEM PUMPING RECORD
DATE-No vI Q DD 3
) s
SYSTEM OWNER&ADDRESS
SYSTEM LOCATION
l�a JI
�il Y
DATE OF PUMPING _QUANTITY PUMPED
CESSPOOL NO yflS SEPTIC TANK NO YE�
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION,. FULL TO COVER
HEAVY GREASE BAFFLES IN LACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLID CARRYOVER . OTHER EXPLAIN
SYSTEM PUNTED BY` 4 ✓
COMMENTS:
CONTENTS TRANSFERRED TO'
Commonwealth of Massachusetts l
f City/Town of No.Andoverl
m System Pumping Record F7
a
Form 4 MOWN OF NORTH AN�OV�R
h1EA-T DIIPARTMINT
DEP has provided this form for use by local Boards of Health:Other forms may be 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 SysiJrn Pumping Record must be submitted to
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 the �]
computer, use
only the tab key Address
to move your No.Andover Ma 01810
cursor-do not City/Town State Zip Code
use the return
key. 2 System Owner:
Name
Address(if different from location)
City/Town State Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping ate 2. Quantity Pumped: eons
3. Type of system: ❑ s Cess ool F1Ti ht Tank ❑ Grease Trap
Yp Y p ( ) /[/Septic Tank p 9 p
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes ENo If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of. otem:
y 8-
6.
Sys By:
Name . Vehicle License Number
Ste rt'Stic Service
Company
7. Location where contents were disposed:
e art's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835
r _
Signatu of . r Date � � j
Signatu e f Re eiving Facility Date /
t5form4.doc•03/06 System Pumping Record•Page 1 of 1
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EP.,has provided 01 form for use by local Boards of Health, The System Pumping Record
be submitted to the.locai'Soard of Health or other app uthorl P g ° ° m s
roving a authority,
A Facility Infori;� tion
fl;�NCOW
.•J,•VY�aJI fI►!!n9 out• .1;. Systam Location;' ,•
OA y the tab key : Address
to move your:: �• � .
ar:or,�do Pgt
Clty/Town State
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+' State ,7 Code
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D8tQ`of Pumpin9;;`7'. C
)'•: Dale 2. Quantity Pumped:
' ,,3!: ;,Type pfaystem,`• ❑ Cesspool(s) 'S ptic Tank uons
❑ Tight Tank
•, !'� Other(descrltie) �� •' .
Tee Filter prosent?:.0 Ye " o If
,,;;,,;, fr,r;' "'�>, ;•%�:+:t ra' , yes, was it cleaned?
;,;,`.,„ '' ,,.: a'c,r•.1� .,': 5 4l.r CD Yes ❑ No
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