HomeMy WebLinkAboutMiscellaneous - 174 JOHNSON STREET 4/30/20189
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WATERSHED RESIIP"Q TTS QUESTIONNAIRE
1. Name
2. Street Address 1 7 t \ ,s
3. How many member are in your household?
A
What type of sewage disposal system do you have?
❑ cesspool
❑ septic tank and leaching area
�J connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
❑ yes ❑ no ❑ do not know
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years
❑ over 20 years ❑ do not know
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes ❑ no ❑ do not know
If yes, approximately how long ago?
years. What was done?
8. How frequently is your sewage disposal system pumped out? ❑ annually
❑ every 2-4 years ❑ every 5-10 years, ❑ over 10 years ❑ never
9. Have you had any problems with your sewage disposal system? ❑ yes ❑ no
If yes, what problems?
❑ repeated pump -outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
10. How many of each appliance are connected to your sewage disposal system?
washing machine dishwasher garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher
—
clotheswasher
12. Does your property have a lawn? yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre 1 acre
❑ more than 1 acre (Specify) acres ' v
13. How often do you fertilize your lawn?
No. of applications per year !Q
Season(s) of the year V / !�hwAA ft;
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
X Check here if your lawn is maintained by a professional landscape contractor.
FTONNAIkE
1. Name
2. Stieet Address
3. How many member are in your household?
4.
Kliat type of sewage disposal system do you have?
❑ cesspool
septic tank and leaching area
connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
❑ yes ❑ no ❑ do not know
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years
❑ over 20 years ❑ do not know
7. 1 -=;_as your sewage disposal system been rebuilt or repaired?
C' yes ❑ no ❑ do not know
If yes, approximately how long ago?
years. What was done?
L. How frequently is your sewage -disposal system pumped out? ❑ annually
D every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never
9. �-iave you had any problems with your sewage disposal system? ❑ yes ❑ no
.f yes, what problems?
❑ repeated pump -outs needed
❑ system clogs, backs up, or drains slowly
❑ odors
❑ sewage surfaces through ground
1.0. `iow many of each appliance are connected to your sewage disposal system?
slaashing machine dishwasher garbage disposal
L
ehumidifier drain sump pump toilet
:goo`/pavement drains shower/bathtub
11. please state the brand and type (liquid o`r_powder) of detergent you use for:
dishwasher
clotheswasher
12. Does your property have a lawn? yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ % acre 1 acre
❑ more than 1 acre (Specify) acres
13. Flow often do you fertilize your lawn?
i1
No, of applications per year -moo
Season(s) of the year a=
14. ?'lease state the brand and type (liquid or granular) of lawn fertilizer you use:
X Check here if your lawn is maintained by a professional landscape contractor.
July 220 1955
Ur. Joseph Durso
174 Johnson Street
North Andover, Massachusetts
Dear L;r. Durso:
The Department of Pu'lic Health has recently completed a
sanitary survey of the watershed of Lake Cochichowickp
tho source of crater supply for the toren of Forth Andover*
This report states that on your premises there exists
'An overflowing septic tank, a violation of ,Rule 30 of
the Rules and Regulations adopted by the State Dopt of
Public Hoclth in 19120 for the purpose of preventing the
pollution of the waters of Lake Cochichowick. A copy of
the rules is enclosed.
You aro hereby notified to correct this violation.
Should you care to discuss the matter further or obtcin
any additional information herotoforer please consult the
North Andovor Board of Health.
Yours vary truly,
BOARD OF HEALTH
BY -Mary F. Sheridan, Agont
a'M%( `Lit' re
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