HomeMy WebLinkAboutMiscellaneous - 1749 SALEM STREET 4/30/2018TOWN OF NORTH ANDOVER
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Building Department
1600 Osgood Street ^o
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North Andover MA 01845
Tel: (978) 688-9545 Fax (978) 688-9542
COMPLAINT FOR INVESTIGATION
DATE: TEL #:
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NAME OF COMPLAINTANT:
ADDRESS.::
COMPLAINT TYPE:
Electrical:
Plumbing:
Gas:
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Address:
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Signed:
Complaint Form - Revised 6.2007
TOWN OF NORTH ANDOVER
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Building Department « s a^
1600 Osgood Street
Building'2- Suite 2-36 Building Dept �'Ss",;CHU t
North Andover MA 01845
Tel: (978) 688-9545 Fax (978) 688-9542
COMPLAINT FOR INVESTIGATION
DATE: 1.7 ,201 1 TEL#: 91 % 8 - 6 �2 —3733
NAME OF COMPLAINTANT: �s4��iP�C,55.-)—A
ADDRESS: I ? 49 J tAr.q4,--
COMPLAINT TYPE:
Electrical:
Plumbing:
Gas:
Building:
Property Owner:
Address:
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Commonwealth of ac
"City/Town of. NORTH AN
System Purriping Record
.` Form 4
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
06 1
FEB 0 8 2006
DEP has provided this form for use by local Hoards of Health. The SAste, T PMrr
be submitted to the local Board of Health or other approving authorit HEALTH
A. Facility Information
1. System Location:
Address
�f
City/Town State
2. System Owner:
(if different from location)
Cityrrown
. Pumping Record
Date of Pumping
Type of system: ❑
— 54f' \O,
Zip Code
State Zip Coe
Telephone Number
Datl �� D 2. Quantity Pumped: f
Gallons
Cesspool(s) Apseptic Tank ❑ Tight Tank
❑ Other (describe):
Effluent Tee Filter present? ❑ Yes ❑ No
Condition of System:
If yes, was it cleaned? ❑ Yes ❑ No
6. A:Syem Pumped By:
Name �� � Vehicle License Number
A aA �f. AMVrd 970 .
Company
7. Location where contents were disposed:
Signature of Hauler
hftp://www.mass.gov/dep/water/approvals/t5forms.htm#inspect
t5form4.doc• 06/03
I
1
Date
System Pumping Record - Page 1 of 1
DR. VINCENT S. TURANO
P.E.#25579 k TEL: 6831514
Environmental Engineer
00 V-P
North Andover, Mass. 01845
November 15, 1976
Board Of Health
Town Hall
North Andover, Mass.
RE: Subsurface Disposal System - Lot # 46, Salem Street
The location and elevations of the above referenced
system was constructed according to the attached plan.
U
S. TURano, P.E.
Water Surveys & Analysis
Land Planning & Site Development
Environmental Impact & Assessment Studies
Percolation Tests & Septic System Design
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F Nr-RTH ANDOVER
OF SYSTEM i I A -t �/6
REPORT OF PERC TEST
NORTH ANDOVER. BOARD OF HEALTH
DATE 3..76
AME OF PROFFESSIONAL ENGINEER OR SANITARIAN CONDUCTING TESTS
406 0' -Z::U
NAME OF LOT OWNER_2ADDRESS p�
SHOW APPROXIMATE LOCATION OF PITS ON SKETCH ON REAR OF THIS SHEET
Soil Lop: Topsoil . Subsoil T)Pnths & QRS
Total
Wni.-- 7 --.-1 _ 1 T1 -1.L
erc Tests Depth
I I — -T--&&:,,
Considerations:
tions:
Saturation Time
Time to
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Signature
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Time to
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