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BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
APPLICATION FOR ABANDONMENT
OF SUBSURFACE DISPOSAL SYSTEM
(SEPTIC SYSTEM)
PURSUANT TO SECTION 310 CMR 15.354
OF THE STATE ENVIRONMENTAL CODE, TITLE V
T'EL. 682-6483
Ext23
This form must be submitted to the Board of Health no less than
five (5) days prior to date of abandonment and be accompanied with
a copy of the sewer connection Dermit.
Name Phone
Address
Contractor hired for work:
Name Phone
Address -
Date for schedu led abandonment 2
Method of septic tank abandonment (check one).
removal sandfill crush other (describe
below)
Other
PLEASE DO NOT WRITE IN THE SPACE BELOW
FOR HEALTH AGENT'S USE ONLY
Inspecting Agent Date
Comments 421
1052
APPLICATION FOR SEWER SERVICE CONNECTION
1) C4 C�,?
511 73
North Andover, Mass. gaa 19
Appli cation by the undersigned is hereby made to connect with the town sewer main in Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No.
or subdivision lot no,
4�1"
C"r
Owner Addr 99�;-ao q
5� 7- 0 Lk- 146
Contractor Address
N6, F C-L-"-
7,�
14,-� f 4�
cz,7-r ley- UIq � 11;) �
Xpplicant's Signature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
By
Inspected by
Date
See back for rules and regulation's
N
Street
Street
Division of Public Works
N
Board of Health
146 Main Street
North Andover, MA 01845
May 30, 1996
Mr. and Mrs. Haig Gulezian.
30 Brentwood Circle
North Andover, MA
Dear Mr. and Mrs. Gulezian:
In accordance with the Title Five guidelines, 310 CMR 15.354, 1 must inform you of a
violation concerning you sewer tie-in and septic tank. abandonment. TheDepartmentof
Environmental Protection (DEP) states that a septic tank must be abandoned according to
the above mention regulation. I have included a copy of this regulation with thi§
correspondence.
Any deviation from this procedure must be presented to and approved by the Board of
Health. The location of the tank on this property is a clear health risk and proper
measures must be taken to ensure the protection of your family.
Please contact the Board of Health with your request or any other questions you may
have.
Sincerely,
Susan Ford
Health Inspector
Enclosure: I
— C> 19 -C 0 t& L I- K z", C;_'� _R c., a, i'l, ( 4 /7 4
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46
William F. Weld
Governor
Daniel S. Greenbaum
Commissioner
Aft
Commonwealth of Massachusetts
Executive Office of Environmental Affai
irs
eninritment of
Env'ironmental Protection.
Metro Boston/Northeast Regional Office
August 16, 1993
Mass Electric Company RE: NO. ANDOVER - ERB-N93-0976
9 Lowell Road E-q5b�d- C I f �� 1 7e -7
Salem, NH 03079
NOTICE OF RESPONSIBILITY REQUEST
FOR TECHNICAL INFORMATION PURSUANT
TO M.G.L. CH. 21E & 310 CMR 40.000
Attention I : Ms. Mary Alice Fisher
Dear Madam:
On July 21, 1993, Department personnel investigated reports
concerning the release of approximately 15 gallons of transformer
oil with an unknown PCB concentration. Such release was caused
when construction activities pulled cables from the transformer,
causing a leak which impacted soils around the transformer pad.
Such incident is governed by The Massachusetts Contingency
Plan (MCP), 310 CMR 40.000 and Chapter 21E of the General Laws of
Massachusetts (hereinafter "M.G.L. Chapter 21EII), the
Massachusetts Oil and Hazardous Material Release Prevention and
Response Act, which was enacted on March 24, 1983.
Chapter 21E and the MCP identify as responsible parties the
current owner or operator of a site at which there has been a
release or threat of release of oil or a hazardous material; the
,past owner or operator of a site where a release of hazardous
material has occurred; any person who directly or indirectly
arranged for the transport, disposal, storage or treatment of
hazardous materials to or at such a site; and any person who
caused or is legally responsible for a release or a threat of
release of oil or a hazardous material at such a site. Such
parties are liable without regard to fault; the nature of this
liability is joint and several. (M.G.L. Chapter 21E, Section 5a).
10 Commerce Way 0 . Woburn, Massachusetts 018ol * FAX (617) 935-6393 9 Telephone (617) 935-2160
The Department has determined that a release of
transformer oil has occurred at the subject site.
(2) Information available to the Department indicates that
Mass Electric (hereafter referred to as "You/your")
caused or are legally responsible for the release and
are a liable and "responsible" party pursuant to
Section 5(a) of Chapter 21E.
(3) Additional information is needed to better evaluate
site conditions and the need for further emergency
response action at this site. Please, refer to page 3
for -the required information.
(4) Should you fail to implement those actions deemed
necessary by this Office, the Department may, pursuant
to M.G.L. Chapter 21E, take or arrange for any and all
necessary actions at the site. If public funds are
expended under such conditions, Chapter 21E, Section 11
stipulates that the Attorney General of the
Commonwealth of Massachusetts may initiate legal action
against the responsible party(s) to recover all costs
incurred by the Department in the assessment,
containment, and removal of any release or threat of
release of oil or hazardous materials.
(5) The liability of responsible parties in (4) above
includes:
a. Administrative costs incurred by the Department in
handling this matter;
b. interest charges on the total liability at the
statutory rate of.12'-. compounded annually;
C. Treble costing (i.e., three (3) times the total
amount of response costs the Department incurs); and
d. All damages for the injury, destruction or loss of
natural resources due to the release.
Mass Electric Co.
Page 3
This liability constitutes a debt to the Commonwealth. The
debt, Logether with interest, creates a lien on all your property
in the Commonwealth. Lien placement will increase your
administrative cost liability. This liability will further
increase if the Department is required to go to court to recover
its costs. Administrative and legal costs for simple spill cases
which reach this stage total at least $3,300.00. In addition to
the foreclosure remedy provided by the lien, the Attorney General
of the Commonwealth may recover that debt or any part of it in an
action against you. You may also be �_iable under M.G.L. C.21E
Section 11 for up to $1oo,000 in fine's !,� or penalties for each
violation of C.21E as well as for additional penalties or damages
pursuant to other statutes or common law.
Your acceptance of responsibility for such release means
that: (1) You have entered into a contract with a cleanup
contractor, named, Clean Harbors, Inc. of South Boston,
Massachusetts and an environmental consultant, named Ransom
Environmental of Newburyport, Massachusetts to (a) perform the
spill site assessment and cleanup as deemed necessary by the
Department; (b) perform necessary analyses of the waste material
and make arrangements for its appropriate treatment/disposal; (c)
perform analysis of the soil impacted by the release to determine
contaminant conditions at the site after the initial response to
the incident; and (d) submit a report of their findings and a
proposal for any further response actions for review and approval
by the Department. And (2) you will pay for all response costs
incurred by the Department due to such release.
Pursuant to the Department's authority to perform
information -gathering activities and its authority to
investigate, sample and inspect records, conditions, equipment,
practices or property under M.G.L. C.21E Sections 2, 4 and 8, you
are directed to provide to the Department, within twenty-one (21)
days of the date of this let -ter, an incident report to include
the following information:
(1) a brief account of why, how and where such release
occurred; and
(2) a brief description of all emergency remedial actions
that have been and/or will be taken relative to such
release/threat of release; please include field
screening data and analytical data (soil) describing
contaminant conditions at the site; and
Mass Electric Co.
Page 4
(3) an estimate, to the best of your knowledge, of the
quantity of oil/hazardous material released; and
(4) photocopies of all waste manifests for the
oil/hazardous material released; and
(5) diagrams and tables indicating locations of test pits,
soil sampling points, and laboratory results of soil
samples taken from the "cleaned up" environmental media
impacted by the release; and
You are hereby notified that fai�,�re to respond to this
letter in a timely manner, is a violation of 310 CMR 40-008 and
the submission of false and inaccurate information is a violation
of 310 CMR 40.009 and 40.011.
Any such violations may subject you to legal action
including criminal prosecution, court -imposed civil penalties,
administrative orders and/or civil administrative penalties
assessed by the Department pursuant to M.G.L. Chapter 21A.
It is to your advantage to respond to this request for
information in an adequate and timely manner, demonstrating that
you have acted appropriately in taking necessary response actions
relative to this release of oil and/or hazardous materials.
Depending on the information generated by the above work,
the Department may require additional investigations, studies and
response actions in conformance with 310 CMR 40.000. If you fail
to take these actions or if you fail to perform these tasks in
accordance with the standards of the Department, the Department
may perform response actions in your stead and recover its costs
from you in accordance with the provisions described above.
Your cooperation in this matter in promptly accepting
responsibility and initiating emergency remedial measures
relative to this release is appreciated. Please excuse the
legalistic tone of this letter, we are compelled by regulatory
Policy to outline statutory provisions relative to your potential
liabilities at this site.
Mass Electric Co.
Page 5
Your response to the requested information and any further
questions regarding this matter should be directed to Scott
Sayers at the letterhead address or 935-2160 and refer to case
number ERB-N93-0976.
Very ruly yours,
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Anthony ]Z�'/'Guarciariello
Chief, Emergency Response Branch
ARG/SS/ae
CC: DEP, BWSC, Div.of Response & Remediation, Boston
DEP, BWSC, Div.of Fiscal Mgmt./Cost Recovery, Boston
North Andover BOH
North Andover Fire Dept.