HomeMy WebLinkAboutMiscellaneous - 2 BANNAN DRIVE 4/30/2018 (2) Q 7
RECEIVED
FEB 2 B 2013
Commonwealth of Massachusetts TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
City/Town of JV,0" ArdwLa4
System Pumping Record
Facility Information:
System Location:
/✓1�'dl /li'
Address
Ci /Town State Zip Code
System Owner:
Name:
Adress(if different from location of pump)
City/Town State Zip Code
Telephone Number
Pumping Record
Date of Pumping*J/3/ Quantity Pumped f,e!Yb gallons
Type of System—,k- Septic Tank Grease Trap Other (what)
System Pumped by: 0.1hr4
Company: ROOTER-MAN 46 Portland Street Lawrence MA
01843
LocationS.
where contents wer osed: ,�
Si �
gnature of Hauler C"t Date l
HEALTH
CC)lfTlull��'e-al h Q
('µ �ifiy� Town o,f
NO R, u�� �
rd
1�f;P has praviti�:�1 this form
be�u4mirted to the lac ar
a{ F3t]2r of Health or aarcls of)iealth. Thea
ache'aAlaraving iuthQritY' Pumping Re�Qr mµ4e
x CW inn
I out
ra�•_^ ..._____ �! /CSL'l� � •
J1 v-e
n i:liylTutvn „� ��
T1
gad�(if�irr e t Pram j
oaatian)
�{t—YTa-;„r_ _
rip wit
Dais AumFin
ryp,�of syst n�. ase 4. Quantity Purnpj~
El
c�a�sp��l�s) Gall ns �
Other Septic Tank
�� ss:riia�); 0 Tight Tank
i" r
Con
dI Fi1terRresenj?�� YDS ,
rV Y a
� I
. �
m. Q Yes C] No
------------
0. S�stem f'UMPR Q $y;
X117 Ve—
RQQTE(RIIAN
Ca,nPzuty 12 EAST f)RACUT RQAO veliicl�e �
IVIMLJENy (VIA 0184
7• l.uCziitn wh0i•e ----._
Were
-- _
Hautar ��-A5-7
---
Qrn'15 0a
.h# t+r
Ystem tunlpi7 haearq •�;�� ,t ti�i,l
RECEIVED
Commonwealth of Massachusetts NOV 10 2009
City/Town of / TOWN-OF N
HEALTHk ORTH ANDOVER
System Pumping Record
DEPARTMENT
Facili
ty Information:
System Location:
Address
/vo An dwi 0 l 015City/Town
State Zip Code
System Owner- )
Name:
Adress (if different from location of pump)
City/Town State
Zip Code
q�� - � �3 - ��v
Telephone Number
Pumping Record
p g
Date of Pumping 1D ed )S V�-7oqQuantity Pump
gallons
Type of System Septic Tank Grease Trap Other (what)
System Pumped by:
Company: ROOTER-MAN 12 East Dracut Rd., Methuen, MA 01844
Location where contents were disposed:
Signature of Hauler �v
Date
i
TO: NORTH ANDOVER, MASS I 19 7-5,
BOARD OF HEALTH
FROM: DESIGN ENGINEER Re: Soil Absorption Sewage
System Inspection
This is to certify that I have inspected the construction of the said disposal system at
�� 2 ',1N/t..'/I A/ J')R.. North Andover, Mass.
SITE LOCATION
The grades and construction are as specified in my plans and specifications dated
19-
Pi
9 .Pi k. rofV. VigI-n0fr1 Reg. Sanit Ian