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HomeMy WebLinkAboutMiscellaneous - 315 SOUTH BRADFORD STREET 4/30/2018 (5) 315 SO BRADFORD STREET d Street f / 210/104.C-0016-0000.0 J i r � v i I RECEIVED JAN : 0 2017 ,C-N Commonwealth of Massachusetts Cit �,-©WI�3 ofTOWN OF NUKI H ANDOVER Y HEALTH DEPARTMENT System) Pumping Record NORTH ANDOVER Form 4 D5P has provided this form for use by local Boards of Health. tither forms may be used,but the information must be substantially the same as that provided here. Before using this forth,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 31 D CMR 15.351. A, Facility Information important- when mportantwhen filling out 1. System Location: forrn9 an the computer.use Only the tat}kpy A tlr ss I to move your � cursor-do not . —. . ._ use the retum City[Town State Zip Coa-e. key. 2. System Owner: VQ -Srr�o Name .� —. ._... _...._......,.,,. .. -T-.., _._..—...- - Address(if different from location) City/Town " _...— ..,.. _. _.. .__. State —_ Zip de Teleprtone Nijrnber B. Pumping Record 11 1, Date of Pumping � J2. Quantity Pumped:Date c3110 � 3. Type of system: ❑ Cesspool(s) ❑ Septic Tank ❑ Tight Tank [) Grease Trap 6,Other(descrite); 4, Effluent Tee Filter present? ❑ Yes ❑ No If yes,was it cleaned? Q YQs ❑ No S. Condition of System, 6. Syst�mped By� Name (( r VehIU2 License Number Company 7, Location where contents were disposed: Haverhill WWTP .. ........—_ ._� Via, ti. ,. ..,_. .�._..,�. .1... . . .. rVN -radt[�..M-a 0.1 a.35 Signature of Mauler •"•� '•• 1978) Signature of Receiving Faiclfity nr�� ate 15form4.doe-03108 $ystem Pumping Recoro-Page 1 or 1 . q i Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover,Massachusetts 01845 1199- WILLIAM J. SCOTT 2 Director 1 DATE:: June 21, 1997 ....................................... FROM: Roberta M. Dell'Anno Tel. #: (508) 470-2213 ADDRESS: 18 Foster Pond Road Andover, MA 01810 Complaint Against: PROPERTY OWNER: Smolak Farms. The playground area at Smolak Farms is unsafe for children. The structure above the sandbox has nails sticking out of it. The nails are located approximately three inches in, along the underside of the structure. If a child reaches up to hold onto the structure, or loses his/her balance while standing in the sandbox, the child may puncture himself/herself on the nails. On May 20, 1997, several mothers and I brought this to the attention of a Smolak Farm's employee. She stated that she would inform maintenance immediately. When I returned June 18th, the above hazard was not corrected. Again I brought this to the attention of a Smolak Farm's employee. She ignored me and did not respond to my concern. I informed her that since she obviously did not find my concern for childrens' safety important, I would have to bring it to the attention of the North Andover Building Inspector. I don't want a child to get hurt due to the negligence of Smolak Farms and their unwillingness to correct an obvious hazard. I hope you will be able to make this playground safer for children to play in. Thank you for your assistance and I look forward to your response. Signed: Q,02 OMAILID BOARD OF APPEALS 668-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 SEPTIC SYSTEM INSPECTION FORM ADDRESS ��G% G� .-• I GMK-- DATE INSPECTED � PROPERLY FUNCTIONING? (b N WEATHER CONDITIONS COMMENTS: 0 -�� per- ct, u'� v►� I � � �1 0 IiI t S SY S-elm coxmoc.o tp )ti 01J V F4: L , NEw �E�cr-i Tl��vc�-rte S fi TASK P4tn Ong F'(e WATER QL`ALI T Y TES i Eb `? JZEsULTS? DYE TEST PERFORMED? Y N DATE? SKETCH: Op NFA- �- ( � t �� sral�c) w Tcr{ soP�cy s s stPrl G SYS 1 E 1 ^V, � vEs c. J -a& 1 PMOUw6 AUTI-job)Ty COAJPM NJ5= -D!5 CUSS v� �U -30�i RWJ D i 5A PPt�vEp �/�i E S� ties eA l I�UJ�V R�QSoNS D� SCPT't c SYSTEM i.�s;��L.QT�o�..l CX4V/JTO1J 1NSP�GT�otiJ U/JrG Q 1245 Cl F411- ��NAL I�15pF�jlo� 4PPROOEP ADDiTIOmA - Dt5/�Pf'�ov�i� D,a i C f R£/JSo NS •, FItiQL APPROVAL �- IFS � nv aS .Ljvil 1 ��l WATERSHED RESIDENTS QUESTIONNAIRE 1. Name • M ;chCCe( 5WLa(a� 3r. 2. Street Address _ 3. How many members are in your household? 4 4. What 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 �,1 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 ycur sewage disposal system pumped out? [X annually -� ❑ every 2-4 years ❑ every 5-10 years El over 10 years El 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 -*,I- dishwasher Q_ garbage disposal dehumidifier drain 4 sump pump U toilet roof/pavement drains d shower/bathtub _6L__ 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher aje-a.d e clotheswasher Le h M k- 12. 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 13. How often do you fertilize your lawn? No. of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: Ai.xw ❑ Check here if your lawn is maintained by a professional landscape contractor. WATERSHED RESIDENTS QUESTIONNAIRE 1. Name sSwt&(CL. 3�. 9 ' 2. Street Address 31 _ 56 6LUd-kerst `al 3. How many members are in your household? 4 4. What 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 knwiw "'- 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years' 9 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? ( 1 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 1.2- dishwasher a— garbage disposal i dehumidifier drain O sump pump V toilet roof/pavement drains d shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher aj &d e clotheswasher LA)h m k 12. Does your property have a lawn? Ill yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ % 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 .. 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor. 3110aif-"-,L 1 �� Please forward us as much of the following information that is possible; 1. Type of system 2`. Age 16YA 3. Locat i6n, SLc) 4- Maintenance records and date of last pumping out 5. Documentation of repairs and reconstruction C: 6. Site conditions 7. Builder of system 8. Engineer who approved; — Site — System 9 . Installation Procedure 1.0. Problems �� _ Li C j Z x-7'5 Z-S�5 �`� S` TILL z ' TlLL - n/ _3 � _ 1• � 1J' Lam_). %• �-- �� � �—' �„— ��— ti co z tiIL A . d c P� ' R -=a,�'���- � �� a -�f �r,�� tea -r � ° c�r�" �'� �i..� `• � .#. +� 4zgIlk ,y� g e ° xY(w�a +.r1 �r.,g���-F�v��r*'�" �riH� �C � � - r w • _ c �,•v ,. � as� �^ ��t• r� ' ��'�' s" �� '�� �+' s.,,,; s .. i !CA ! IIT ! IT i 0V5E AAAP 4 s ltiiw M,LIE` 7L 11 11 - i �M3w� Ti-1 F w TQ O-vlilt �ivGr EE2 - I � j � I i � i ! I �•- l I � - il YJy l3EEU `riyti� C��y S ��d l7 I i a i I -ITTI � � I I I i ORDER OF CONDITIONS : LOT 8 TUCKER FARMS 242_-282 2.0. Upon completion of construction and. gr.ading, all areas shall be stabilized permanently against erosion. This shall be done ci_t.her by sodding, mulching according to Soil Conservation Service standards , or by loami_ng and seeding. If the latter course is chosen, stabilization will be considered once the surface shows complete vegetative cover has been achieved. 21 . All erosion prevention and sedimentation protection measures found necessary during construction by the North Andover Conservation Commission will be implemented at the direction of the PIACC or Highway Surveyor. 22. Al-iy changes in the submitted plans, Notice of Intent or resulting from the aforementioned conditions, must be submitted to the NACC for approval prior_ to implementation. If the NACC finds, by majority vote, said changes to be significant and/or deviate from the original plans, Notice of Intent or this Order of Conditions to such an extent that the interests of the Wetlands Protection Act cannot be protected by this Order_ of Conditions and would best be served by the issuance of additional. conditions , then theNACC will call for another public hearing within 21 days, - , -- - at the expense of the applicant, in order to take testimony from all interested parties . Within 21 days of the close of said public hearing, the NACC will issue an amended or new Order of Conditions . 23. Any errors found in the plans or information submitted by the _ applicant shall be considred as changes and procedures outlined for changes shall be followed. - 4 - S ,23 tto�- 3� M� � Iv -r sTC4"C) stow `c9 balk rb l OCO gCll-WA o 4t C T