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HomeMy WebLinkAboutMiscellaneous - 14 CRICKET LANE 4/30/2018 (2) 14 CRICKET LANE 2101107-A-016-7 -0000.0 � l� 1 �i� . .a •, w5-. u' .¢�x ,� �>, +rte �;1�F>c}f�b2° 1,.'r�.d�• i ��y'� ^f,•�a 'h A,.'. MAP # PARCEL # r STREET — ONSTRUCTIQN_APPROVAL HAS PLAN REVIEW FEE .BEEN PAID? YES NO PLAN APPROVAL: DATE w APP. BY- DESIGNER: PLAN Dn-rE: CONDITIONS • WATER SUPPLY: TOWN WELL WELL PERMIT � DRILLER WELL TESTS: CHEMICAL VA1E AF'F�RUVEU BAC_r A I Ufa t(= EtF`hRUVLU BACTERIA DAZE APPROVED COMMENTS: FORM U APPROVAL: APPROVAL 1'0 ISSUE ES NO DATE ISSUED BY CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL NO SEPTIC SYSTEM CONSTRUCTION APPROVALS NO ii OTHER YES NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DA rE: A BY: r , ,•., 51 PTI 11MaTNt L•NSS84ati QN tx IS,THE INSTALLER LICENSED? Eg NO _ ` TYPE. OF- CONSTRUCTION: ; NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN ,REVIEW_ rYES NO z; CONDITIONS OF:.APPROVAL � �1 NO T (FROM FORM U) l .• ISSUANCE~OF DWC PERMIT � � NO DWC 'PERMITNO. INSTAL LER: .LZ' BEGIN INSPECTION «EXCAVATION• •INSPECTION: NEEDED: 1 PASSED BY CONSTRUCTION INSPECTIONS NEEDED: AS BUILT PLAN SATISFACTORY: YESs — (fid X /UIO ' '' • - ��'' •/U 'F �-�.��,``��',:�i iel.8 ��%OXO �--= p�f�i��9� / • APPROVAL TO BACKFILL: DATE: ..FINAL . GRADING APPROVAL: DATE BY FINAL CONSTRUCTION APPROVAL: DATE: Z , 4 B Commonwealth of Massachusetts . ---- City/Town of North Andover .System Pumping Record Form 4 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 System 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 RECEIVED Important:When filling out forms 1. System Location: JUL 1 ��1 on the computer, `� 1 use only the tab _ _ ` Q{•� key to move your Address , -- — - --- 1-R-e--,,0.NN OF-NDRTFfANpOVER cursor-do not North Andover HEALTH DEPARTMENT use the return -- key. City/Town State Zip Code 2. System Owner: $ Name recon Address(if different from location) — City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping - ---- Pumped.- p g Date 2. Quantity Gallons - 3. Type of system: ❑ Cesspool(s) [Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): --- -- ---....- -..._ ----- -- - — 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: X 6. System Pumped By: c�Name Vehicle License Number Stewart's Septic Service Company —._._._.... - 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So_Mill Bradford, Ma 01835 Signature of Hauler - --- _• -----._._......... . ....__..______ Date - --- Signature of Receiving Facility -_..-__- - ---_-_-.. Date ----- t5form4.doc•03/06 System Pumping Record•Page 1 of 1 TOWN OF NORTH ANDOVER/ BOARD OF HEALTH 8 AS-BUILT SEPTIC SYSTEM LOCATED IN NORTH ANDOVER , MA. SCALE: 1"= 40' DATE:4/13/96 Scott L. Giles R.P.L.S. 50 Deer Meadow Road CRICKET LANE North Andover, Mass. 295.19' C - I 44' 46, LOT 3A D=88 58' 0 5 N i X1.5 43,846 S.F. R= 25.00' I— T.O.W.=110.35 .iia j W 28 L=38.82 �i W EXIST. FOUND. I! I li TABLE OF ELEVATIONS �--- i' INV. OUT HSE. =107.54 W IN TANK =107.06 ti 4�. I I OUT TANK=106.6943' oNo 1 2 3 as IND. BOX =106.48 W OUT D. BOX=106.32 (5 PIPES) " END PIPE 1=106.04 " 2=106.03 3=106.03 3 � 4=106.02 48. 29 5=106.01 I CERTIFY THAT THE OFFSETS OFFSETS SHOWN ARE FOR THE USE s SHOWN COMPLY OF THE BUILDING INSPECTOR ONLY .13872 ,moo WITH THE ZONING AND SUCH USE IS FOR THE '�FClSTER��J BY LAWS OF DETERMINATION OF ZONINGL NORTH ANDOVER ,MA. CONFORMITY OR NON-CONFORMITY WHEN BUILT WHEN CONSTRUCTED. 4/13/96 Commonwealth of Massachusetts W City/Town of No.Andover System Pumping Record Form 4 GSM svey`' 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 System 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 :1EDImportant:When filling out 1. System Location: ( j:� .iforms on the4q computer, use42± 2 iNh nc ,r only the tab key Addressych..'`F.> Iw to move your No.Andover Ma cursor-do not use the return City/Town State Zip Code key. 2. System Owner: tab C-nneo Name Ij Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record A9 1. Date of Pumping Date 2• Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Aeptic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: Wd 6. System Pumped By: ame Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signature of Hauler p�^`� Signature of Receiving Facility Date ` t5form4.doc•03/06 System Pumping Record•Page 1 of 1 NORT#q own of ell 6Andover O f•: No. 45T E y C% r= ` o �` dover, Mass. !@Wr 18 19�' T O +l LA �. 1 1 COCHICHEMCK �t AORATED PPS\ "`CJ BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �L /v" Z BUILDING INSP OR THIS CERTIFIES THAT.`('�R.%L14A... �lES.�:I %ezr.......Vae........................................................................ ` oun ation I Zlot 1 has permission to erect.. :...;iu.� C. buildings on ..14:.....�4.rET.......1 AXF.......--...................... '% pCA 2� to be occupied as�L*m...�=AQ111. l.at,� � ......Z...COe....r6.Q.�Qra.fes............................. �mny l l provided that the person accepting this erNit shall in ever res edt conform to the terms of the application on file in P P P 9 P � P Final this office, and to the provisions of the Codes and By-Laws relating to the InspectiokA fflAjrg14i0NPt Buildings in the Town of North Andover. REGULATED BY-PARA. 114.8-5. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. u PERMIT EXPIRES IN 6 MONS 9 �' FEE PAID Ina /� ELE9tWCAL I SPE T UNLESS CONS O TAR ou `l PERMIT FOR FRAMUBUILDING ..... NG SPEService '. . ....... .... .. MB LDICTOR DATE:, Z � FE��ppAID_•___������ Fi T Uccupa�rmit Required to Occupy Building GAS INSPECTOR Display in Conspicuous Place on the Premises — Do Not Remove Rou h Y a PP n No Lathing or Dry Wall To Be Done ' Until Inspected and Approved -by the Building Inspector F EDPRTMENT ' 1 I� r, � Burner Street No. _ �4. /- Ll I to _I 1`�piv/ PLANNING FINAL CONSERVATION FINAL SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Smoke Det. ter.-/Q .-91; 310 CMR: DEPARTMENT OF ENVIRONMENTAL 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'A inch to 1/2 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) 'Fill 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#4 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#4 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% #50 0.30 mm 10%_ 100% zo #100 0.15 mm 0%- 20% p 6 v 1 ) #200 0.075 mm 0%_ 5% rA plot of the sieve analyses of the portion of the sample passing the #4 sieve shall fall on or between the lines on the following graph: PARTICLE_SIZE_DISTRIBUTION 100 #200 i100 MAO 4 Sieve Size 90 80 / I 70 j z j / 0- W $Q I ti W 40 U � � M L 30 ` 1 20 n I 10 L Of C) 5 ' I � I ' ; III � Macron. 60 200 600 2 6 10 mm 12/1/95 (Effective 11/3/95)-corrected 310 Clea-531 04/01/96 KINGSTON READY-MIX CONCRETEU'��`R/ from'concrete sand bin. KINGSTON MATERIALS rN°'"' r= A Division of Torromeo Industries, Inc. P.O. Box 508, 18 Dorre Road, Kingston, NH 03848 1-800-235-8649 - Samples Supplied by Kingston Materials, 18 Dorre Road, Kingston, NH 03848 - tNDMDUAL CUMULATIVE SIEVE PERCENT PERCENT TOTAL /o ° PROJECT SIDE WEIGHT RETAINED ' RETAINED PASSING ASTM C33_ SPEC 3/8" 0.00 0 0 100 100 to 100 #4 12.50 2 2 98 95 to 100 #8 155.30 21 22 78 80 to 100 #16 145.80 19 41 59 50 to 85 #30 132.20 17 59 41 25 to 60 #50 164.20 22 81 19 10 to 30 #100 110.50 15 95 5 2 to 10 #200 29.40 4 99 1 0 to 5 PAN 6.50 1 TOTALS: 756.40 100 F M.; . 1.00 2.1 to 3.1 SIEVE ANALYSIS OF SAND 120 -w Total % Passing 100 a Min. Deviation \ -w Max. Deviation 80 U cu d 60 0 40 H 20 �\ 0 l 3/8" #4 #8 #16 #30 #50 #100 PAN SIEVE SIZES TO DATE TIME km PI /V= PM H FROM AREA OD/E'`� O O u "� EXT E2ti s , E s - s SIGNED PHONED BACK CALL RNED SEE YOUOE]I WILL AGAIN ALL WAS IN GENT Town of North Andover, Massachusetts Form No.3 • e NORTH BOARD OF HEALTH p tt� o;eti0 4. G�n 19 _ �''�•,r;o.�'`� DISPOSAL WORKS CONSTRUCTION PERMIT ,SSACMUSE< Applicant �Q C NAME 0 ADDRESS TELEPHONE Site Location 3 r` Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. �- CHAIRMAN,BOARD OF HEALTH Fee v� D.W.C. No. FORM U - LOT 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 landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: f V ' rJJVr Phone -42-0 -9; �f-2_ LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street C apP 4141JE St. Number 14 ************************Official Use Only************************ RECOMMENDA IONS OF WN AGENTS: ,e&- Date Approved 00� Conservation Administrator I Date Rejected i Comments 6P) Date Approved Q �— Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved eptic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit 8-8 S5' Fire DepartmentQ i?, ' �'.,��1 i✓° � G ,��-� '%ii<<. :� Received by Building Inspector Date Town of North Andover, Massachusetts Form No.2 MORTh BOARD OF HEALTH o � , w p DESIGN APPROVAL FOR CHUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant I Test No. Site Location �T I,r�-t �� 6 ,C' p - l�A A — Reference Plans and Specs. ENGINEER DESIGN DATE 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 Site System Permit No. PLAN REVIEW CHECKLIST ADDRESSC-PilYi T G�i(/E ENGINEER CS GENERAL 3 COPIES STAMP tO LOCUS �� NORTH ARROW SCALE �---� CONTOURS ✓ PROFILE ✓ SECTION it BENCHMARK L/ SOIL & PERCS ELEVATIONS WETS. DISCLAIMERC----' WELLS & WETS WATERSHED? A DRIVEWAY J,�(Elev) WATER LINE `-fir FDN DRAIN ✓"� SCH40y TESTS CURRENT? L� SOIL EVAL SEPTIC TANK // MIN 1500G -l"." . 17 INVERT DROP c/ GARB. GRINDER 46 (+200% EDF) 25 ' TO CELLAR L-�� MANHOLE �� ELEV GW # COMPS. D-BOX SIZE # LINES FIRST 21 LEVEL STATEMENT INLET fb(.a7 - OUTLET Idwl-/e _ , /7 (2" OR . 17 FT) TEE REQ' D? LEACHING / MIN 660 GPD? L/ RESERVE AREA &- 4 ' FROM PRIMARY? ✓ 2% SLOPE 100 ' TO WETLANDS E/ 100 ' TO WELLS ✓ 4 ' TO S. H. GW (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS � 325 ' TO SURFACE H2O SUPP t-� 4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER --"" FILL? ,-' (15 ' if above natural elev; 101if below) BREAKOUT MET? i TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 411 PEA STONE? VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright© 1995 by S.L.Starr PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W) xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W)xD x #) (G/ft2) FIELDS MIN 660 GPD I'll/ 900 ft2 BED v/ GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? i/ 4" PEA STONE? -� DIST LINE SLOPE . 005? >31COVER-VENT SCH 40MIN 12" COVER 4' RATE /bmly LDG X 660 = 97k /DD X = TOTAL G/ft2 REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY Spm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1 ' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright 0 1995 by S.L.Starr No................_....... Fzcs........ .... ...... .. ....... THE COMMONWEALTH OF MASSAC'14USE _ AUG . �b [�) BOARD OF HEALTH V1177 h+`^' 'D..W. ✓.............0A....... IY�JNI�Q.UGC.. ....................... �,.V .�Wirtttion for Uiopoottf Works Toatotr ton rrntit Application is hereby made for a Permit to Construct (v'f or Repair ( ) an Individual Sewage Disposal System at: CKIc WT 3 ................_.............^K� -----........................--• _.................. .Location•Address ..............•-•............................ or Lot No. ......./!1s�LtYff.. v�coPn�En co2Pt........................ ..J.B...IYRN t !! .�..RN1t1. ! ,.. ?cg .................... W Owner Address . ................................................................................................... ..........-•---..................-••-••••--•-....................................................... p� Installer Address d Type of Building Size.Lot.... .....Sq. feet U Dwelling—No. of Bedrooms....:........... .Expansion Attic ( ) Garbage Grinder ( ) C14 Other—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) a Other fixtures W Design Flow.............$z!S ...............gallons per person per day. Total daily flow.__......._..........-. ..........._....gallons.r n n: Septic Tank—Liquid*caacit L 00 J 6 ' W p y .......gallons Length..�U_'_...._. Width.�.-..4.... Diameter................ Depth...,5........... x GA 'Disposal �..,F/,�...--..--.• Widtih....�...S..'.._. Total Length.....�¢--....:. Total leaching area.....AUO.....sq. ft. 3 Seepage Pit No..................... Diameter............... . Depth below inlet.................:. Total leaching area.... Z Other Distribution box ( v) Dosis tank Percolation Test Results Performed b g ( I AGI /N a y...CN121 Sr/RNS I�..?�...,��........<..•--�='.............: Date..4�1 L�� a. /j7 !1�� ��. Test Pit No. I.......:�-.....minutes per inch DeptlAof Test Pit.....fLn...�r.... Depth to ground water.................. L�. Test Pit No. 2......1.0....minutes per inch Depth of Test Pit....I..Q.''1•.I...... Depth to ground water...Z4................ Chi :....._...... -•-•............................................... x Description of Soil.....Z.ts..Y..��IG....s NdY.. 19M..t. 1J 1V r._ ( ! L .�...f lol...lldol'S............................... U ......................................................................••--._.._......---...---------••--••---.....-----•• . ....................--•--•--••----...-----.........................------ x ----------------------------••-•---:•--....-----••----•---•...----•-•---.....---•-•--........---•-•--...---•••--••---•--•----.................----•-.....----•------................................ V 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 ill operation until a Certificate of Compliance has been issued by the board of Health. Signed..................................................................•......_........... Application Approved By.........................•...................................-..................:.................. Date ........................................ ' Application Disapproved for the following reasons:.................o................................... Date .......................................... ...............................•-•----•--•••--.............---•--............................................................................................................... Date Permit No..................................... ................ Issued_.............. l Date k THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH j OF..................................................................................... Tlertifirtttr of C9ontpfittttrr 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 tlae application for Disposal Works Construction 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 No......................... ...........................................OF...................................................................................... FEE........................ Dispitottf Vorko Tonotnution rrrntit Permission is 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. hoard of Ifealth FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS _ � Address_ Tule of File Page of Date t=ile Open: --- ante die closed: Doc Document/`Action Title Date of action Refer to other Purpose of DocuMent/Action and nates Num. Document/ doeurnentj ---- Action me artn,ent 1 Board of Appeads — Board of Heal h Planniing Board _ Conseruatiion Commission — Building p epartr,en,t ---�_ i CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER , MA. SCALE:1"= 40' DATE:11/29/95 W OX � Scott L. Giles R.P.L.S. o� 50 Deer Meadow Road ,?_ North Andover, Mass. CRICKET LANE 44' 4 , D=88 58' 05" R= 25.00' L=38.82' E-- T.O.W,=110.35 ui EXIST. FOUND, !U LOT 3A - r 431 43,846 S.F. W I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE or THE OFFSETS OF THE BUILDING INSPECTOR.ONLY !C, SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING FC�STE o4 BY LAWS OF CONFORMITY OR NON-CONFORMITY LAMAS NORTH ANDOVER ,MA. WHEN CONSTRUCTED. WHEN BUILT 11 /29195 r " no't'j+J�r/F" 1t ^s c t `� elf C-2,�y n 41 w ' j ] I xr �:•f`l �f i w f , ,� TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: I I SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: ,< < QUANTITY PUMPED " 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: CC. �-, Y 14 20 CONTENTS TRANSFERRED TO: z • 1)1 d,y i e IIS A. S.A C T7 :1�,• �j1 ,�;, m • ;Record C ' U v . 6'E JAN 0 Phai p!ovldvd IN; loan for Sao ,;• ;ocaI (3oarcP or AN , 2009 ov + .�rnIIIQ0 to the local f3CB,C: �v Sy);d.„ F Oa,ln Cr Clnar Ino,fry A. F a c l l l ty I n f o r�1�c l o n � ---•--____ DOVER a lM n m'a,': Cq/TM wn or. ..o ', l•ddr�+� (1�4WPr'Pnit'r,orn1buUcn) v���____ C0 n.m0, Pumping Record 0810 0!'PumpIn 50 3.• .Typo 4! ey;lam ..' 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