HomeMy WebLinkAboutMiscellaneous - 1881 GREAT POND ROAD 4/30/201800"Polg
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ILADDRESS
SIGNED
PHONED ❑
BACK ❑
CALL RNED ❑
WANT
EE YOU ❑
AGAIN ALL ❑
WAS IN ❑
URGENT ❑
r
Scale: lit -601
i.B..- Do not use offsets
for establishing lot
lines for the erection
of fences, trans, hedges, etc.
SIF s TEFA1Vo v1CZ
0T PLAN
13ul Great Pond Road
No. Andover, &ss.
Buyer: Marcha11d
'11F -A VERA',4
%0 Al E. k D.
r300K_ �� 1fi, f'�GE 5-38 )
I hex'e"V certj:.fY that the building on this
Property is located as shown on plan and complies
with the Sup
=Jo4ding and Zoning Laws of the Toim of
. Andover.
CYR EXITWal1r, SERVICES I C.
300 CMIAL STREET
LAWRE1 CES MASSAC):iUSETTS
Date: June 11 1979,
TIO'PE s Tli c i o not a survey
and is to be u2cci for
mortgage PLU-Poses only.
�L\ Commonwealth of Massachusetts EC
EIVED
City/Town of
F
No andover
System Pumping Record SES' ; 2 2013
,M Form 4
TOW N OF MO H AIWOVER
DEP has provided this form for use by local Boards of Health. Other f6AWF 2NTi *,' cth
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
Important: When
filling out forms 1. System Location:
on the computer,
use only the tab 1881 Great Pond Rd
key to move your Address
cursor - do riot No andover Ma
use the return
key. City/Town State Zip Code
VQ 2. System Owner:
Marchand
Name
rsnan
Address (if different from location)
Cityfrown State Zip Code
Telephone Number
B. Pumping Record �-------�---
1. Date of Pumping pa 2. Quantity Pumped: 0
Gallons
3. Type of system: ❑ Cesspool(s) 21 Septic Tank ❑ Tight Tank ❑ Grease Trap
❑ Other (describe):
4. Effluent Tee Filter present? ❑ Yes ❑ No
5. Condition of System:
6. Sy$#gm�; Pumped By:
11` t l ` \a y)
Name r —
Stewart's Septic Service
Company
7. Location where contents were disposed:
Stewart's Pre-treatment Plant, 20 So. Mill Bradfoi
r acwty
t5form4.doc• 03/06
If yes, was it cleaned? ❑ Yes ❑ No
Vehicle License Number
Ma 01835
Date
System Pumping Record • Page 1 of 1
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TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE: I ® —4— 0- /
SYSTEM OWNER & ADDRESS
motdv,/nd
t ggl an( rd.
��aq)do0-�,
,t.
SYSTEM LOCATION
(example: left front of house)
DATE OF PUMPING: /D-k,
DvT U, QUANTITY PUMPED) 000GALLONS
j
CESSPOOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
SYSTEM PUMPED BY:
COMMENTS:
CONTENTS TRANSFERRED TO:
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
DANIEL A. GIARD
Aleton
NORTHOANDOVER, MAeet 01845
Phone 686.7653
TERMS;
PLEASE DE ^— — 8
—T�— WRIT YOUR REMl1TANCE $ '�—r
r_..,..�.' � M6ER / DESCfiIPTjQN + y t •`%�'�o" 4. *"�
M-7-L,
$ L
Q
DANIEL /Q���
A. GIARD �"w PAS' LAST AMOUNT
IN THIS COLUMN
PROOMCT iw2t�'M. GmW. Mm.OI471 TO Order PHONE TOLL FREE I MM.6W
SEPTIC SYSTEM INSPECTION FORM
ADDRESS / g$ I 6r4,-,+ zw
DATE INSPECTED 1' IM
PROPERLY FUNCTIONING? OY N
WEATHER CONDITIONS
COMMENTS:
WA -i ER at%ALi'Ty TESTI FTi,.? RMSOLTS�
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
9
WATERSHED
1. Name
AIRE
2. Street Address
3. How many members are in your household?
4
What type of sewage disposal system do you have?
❑ cesspool
k?' septic tank and leaching area
❑ connection tomunicipal 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 F;�" do not know
Its 11-20 years
6. How old is your sewage disposal system? ❑- 0=5 years
❑ over 20 years ❑ do not know
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes Z no. ❑ do not know
If yes, approximately how long ago?
❑ 6-10 years
years. What was done?
t 8. How frequently is your sewage disposal system pumped out? ❑ annually
every 2-4 years ❑ every 5-10 years . ❑ over 10 years ❑ never
O9. Have you had any problems with your sewage disposal system? ❑ yes E" 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 _fes garbage disposal
dehumidifier drain sump pump toilet 4Z
roof/pavement drains shower/bathtub
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher C4 LCv V ;7-K V;
clotheswasher Tia �- ;,a �- At=z t-
12. Does your property have a lawn? yes ❑ no
hf/yes, approximately what size?
2Q less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?
No. of applications per year
Season(s) of the year Sly /t
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
V izAp CetivL,-I\-
❑ Check here if your lawn is maintained by a professional landscape contractor.