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HomeMy WebLinkAboutMiscellaneous - 370 GREAT POND ROAD 4/30/2018M, I TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD [).ATF: Q >l D'I'EM OWNER & ADDRESS 71 62--�� SYSTEM LOCATION (example: left front of house) &c -L S) de DATE OF PUMPING, a /S U QUANTITY 1 UMP[Dt300 G'ALLONi C.I:�.SI'OOL: NO (/ YES SEPTIC TANK: NO YES _ ".ATURE OF SERVICE: ROUTINE ^ EMERGENCY GOOD CONDITION FULL TO COVER HEAVY CREASE BAFFLES IN PLACE ROOTS LEACHFICLD RUNBACK CXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER �j�HER (EXPLAIN) .. i S1') LM PUMPCD BY. � U.M N1 I=NTS: �.(iN"I'ENTS T)tANSFEIZIZED TO: TOWN OF NORTHANDOVER SYSTEM PUMPING RECORD APR — 7 20M >> > i tm UWNI!;K & ADDRESS SYSTEM LOCATION (example: left front of house) �3 7? �G /� - ���0?c� rte• ; U:\'I'C OF PUMPINC: 03 QUANTITY PUMPCD/z�00 0,, LLc») ;. l.'SS PO0L: NO v YES SEPTIC TANK: NO YES a ATURE OF SERVICE: ROUTINEy EMERGENCY 1113.>FRY.:\TIONS. GOOD CONDITION, FULL TO COYER HPAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNOACK.. CXCESSIYE SOLIDS FLOODED SOLIDS CARRYOVER H F R (EXPLA.IN) >1 LM PUMPCL) RY: CU ),I'YI ENTS: 0�' ►'I:.N rs I'lzANSFCIZIZED TO: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Aress of property No �� Owner's name (r r.: Date of Inspection f_ PART A CHECKLIST Check if the following have been done: I Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. ,--,"The site was inspected for signs of breakout. All system components, excluding the SAS, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non -intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: :;;.include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' p C3 Cb t �.M DEPTH TO GROUNDWATER \ .v ;1 iNi tdepth to groun water metho of determination or approximation: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK:NIC", (locate on site plan) depth below grader r material of construction: // concrete metal FRP other(explain) dimensions: JC 11 sludge depth I""' distance from top of sludge to bottom of outlet tee or baffle -LIr scum thickness ;Vf distance from top of scum to top of outlet tee or baffle Lirldistance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations, for repairs, etc.) Z C11 DISTRIBUTION BOX: ' i (locate 11on site plan) 1711f?, j depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidencq of leakage into or out of box, recommendation for repairs, etc.) PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc.) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential number of bedrooms number of current residents garbage grinder, yes or �'• laundry connected to system, [yii `or no seasonal use, yes or ( -no If nonresidential, calculated flow: Water meter readings, if available: 13 o S 61 pP-' Jo�) Last date of occupancy GENERAL INFORMATION Pumping records and source of information: 418r-�vc System pumped as part of inspection, yes orpno if yes, volume pumped Reason for pumping: Type ,of system Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) Approximate age of all components. Date installed, if known. Source of Sewage odors detected when arriving at the site, yes or no SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not) V Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or t surface waters? + Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? r� 1 '• Required pumping 4 times or more in the last year? number of times pumped 1 Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? 1V within 50 feet of a surface water? It within 100 feet of a surface water supply or tributary to a surface water supply? �'V within a Zone I of a public well? Vwithin 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS)? I-V— within 50 feet of a private water supply well? 'V less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analys for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector Company Name Company Address Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. Check one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303. Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. have determined that the system fails to protect public health and the environment as defined in 310 CMR 15.303. The basis for this determination is provided in the FAILURE CRITERIA section of this form. , Inspector's Signature -� Date Original to system owner Copies to: Buyer (if applicable) Approving authority u 1 BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. T ' y 1. NAME L / --Y1 /!/- DATE 4�1 2. ADDRESS LOT NO. TEL. 3. NO. OF BEDROOMS DEN YES C/� NO 4. GARBAGE GRINDER YES '� NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. SEPTIC SYSTEM INSPECTION FORM ADDRESS J,-] U G po/-\/x DATE INSPECTED 7 � PROPERLY FUNCTIONING? 6) N WEATHER CONDITIONS COMMENTS: - WATER QUALITY TESTED? RESULTS? DYE TEST PERFORMED? Y .N DATE? SKETCH: I- 7011 O,m0r: I'Ir. & t-ra. Josoph rollorTitlo Looation s groat Pond Rond, North Lidovor, [!"v s. PorcoIntion Dtc t 4 t ia/Inth Doop foot rit # 7 ft;. ,'Jator Th"blo s Bot mcountorod Soil: Conrac Snnd Uo. of Bodroo"no: # ado. of roonlos 8 r+st. "'c -;.^-o Plov: 400gal/day i3o 1s c{1 Lomchln z Aroas 1,,250 cq. ft. ka rt C3 lL : 10000 g.l . L tCi n Bob! Lcn 3th i 50 ft. kith: 25 M Total Arm: 10250 coq. f t. ripons 4 Lmjj th of Dlotrl- L-.xt1on x`1po. 40 ft11no) 160 ft. (tr,4A^2) r1peo 5 ft* Xotc-,I Not doalrnod for garbage (;rind(Nr. Robort 3. - 40Q ando 4' ' .. f � �� �� fid �� ✓"'- '�f� ��`'�, y � _ � t { -t-i. .. J,f •.i� j P i I , a s .:a��+ res � �•�fe V /�B4Oo � _�. ` (�. � `� �� ; " _� : 1AN '^ N a4l 0/115 ri 06 Ircoo ft. ow QA 41k 4" .Tip✓�I►s`.E'/��./aS..�' ., x.. w,�.:�� s��-r ' ` r Mny 7, 1968 Mr. Thomas McLoughlin, Sanitary Engineer Northeastern District Tewksbury State Hospital Tewksbury, Mass. Dear Sirs I am enclosing herewith plans and drawings of the underground disposal system for the property of Joseph Pelle grin, Great Pond Rd., No.Andover• In view of its proximity to the town's water supply and its locftion next, to the pumping station,, we would like your advice and recommendations on this matter. 'Very truly yours, j k;mj Julius Kay, M.D. Chairman q �, -7 � b .� O '7..�;�.i r'� Y. .{.Ci _'�. �fi.� �. ice' .. 1�. ..�i: �!a' •�s- r W OL la t, ss CIA �tTLC"► f i I _? L ,.I.F : t . il:_, . :.sr, .,j a, uv 3. 7Lo ra 7L !A r , 4tv "ra_ _..l 0: '{,J .114371 i..4 _7 , ., Q s 7. � J• �a _ v:)x• _ .;cam E A h Vol a. =r WAS %12,. :. u . o. j.,: • � . a l .v. 1. 'S 1.. zo'Vol. An. nua. . Z "r. AW h1 N m 0 a _ s e DIVISION OF SANITARY ENGINEERING Board of Health North Andover Massachusetts Attn: Julius Kay, M.D., Chairman Gentlemen: December 16, 1968 RE: North Andover - General Environmental Control - Subsurface Sewage Disposal at Pellegrino Residence - Great Pond Road The Department of Public Health is in receipt of your letter dated November 5, 1968, relative to the terms of provision No. 3 contained in the Department's letter of approval of the subject sewage disposal facilities dated October 23, 1968. Please be advised that the Department under date of May 8, 1963, advised you relative to sewage disposal systems on the watershed of Lake Cochichewick. In this communication, a copy of which is enclosed, it was pointed out that Article X1 of the State Sanitary Code requires that all sewage disposal systems within the Town of North Andover be approved by your Board. This requirement refers to the issuance of a Disposal Works Construction Permit prior to the start of construction and a certifi- cate of compliance upon final completion of the proposed sewage'idisposal system. The certificate of compliance is issued after the final construction has been inspected by a representative of your Board. The Division of Sanitary Engineering continues to be of the opinion that arrange- ments should be made for a final inspection by your agent prior to the backfilling of the subject sewage disposal facilities. T/Emw I trust that the foregoing information will be helpful to you. Very truly yours, For the Director, Kenneth A. Tarbell District Sanitary Engineer Northeastern Health Office Tewksbury Hospital, Bldg. #4 Tewksbury, Mass. 01876 1. Name WATERSHED RESIDENTS QUESTIONNAIRE ,Iseeh P Mlle am'n o 2. Street Address 3. How many members are in your household? 4. S What type of sewage disposal system do you have? ❑ cesspool 54 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 1K do not know - 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years I 11-20 years ❑ over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes X 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? ❑ 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 dishwasher ! garbage disposal I dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub _r 11. Please state thef % d and type (liquid or powder) of detergent you use for: dishwasher clotheswasher 12. Does your property have a lawn? If yes, approximately what size? K less than 1/4 acre ❑ 1/4 acre ❑ more than 1 acre (Specify) No. of applications per year Season(s) of the year X yes ❑ no ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre acres 13. How often do you fertilize your lawn?don V- knoui 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ak f Check here if your lawn is maintained by a professional landscape contractor. Joseph Pellegrino APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at 10 Great Pond Rd. . I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. I will install a con- crete septic tank of 1000 gal in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 1250 lineal (square) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans roust be submitted with application. Limited to daily sewage flow of 100 gallons. DATE 1028/68 pplicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE 10/2868 4 Signatu-r(e of $eal'tW9 gent I have inspected the uncovered system indicated above and find everything done as described. DATE F { n Signature of ns cting Officer Percolation Test Garbage Grinder DESIGN CRITERIA FOR PROPOSED SUBSURFACE SEWERAGE SYSTEM Uwner: Location: Percolation Data: Deep Test Pit: Water Table: Soil• No. of bedrooms: No. of e eop i e: Est. sewage Flow: Required Leaching Area: jeptic Tank: Leaching Bed: Length: -- • s: Width*'°' Total Area: No. Distribution Pipes: Length of Distribu- tion Pipe: Spacing Between Pipes: ;votes: Mr. & Mrs. Joseph Pellegrino Great Pond Rd., North Andover, Mass. 5 mins/inch after 60 min. soak 7 ft. Not encountered Fine Sand & Silt 4 8 400 gal/day 1 25 sq. ft. 1,000 gal. � RJOV. . , Mass. De0rV-mt of Public Health 50 f t . Division of San iary Engineering 1,250 sq. ft. Da OCT 2'3 196$ 0 40 ft. (each line) 165 ft. (total) 5 ft. iNot designed for garbage grinder. Obert t. McQVe y i R w DESIGN CRITERIA FOR PROPOSED SUBSURFACE SEWERAGE SYSTEM Uwner: Location: Percolation Data: Deep Test Pit: Water Table: Soil• No. of bedrooms: No. of e eop i e: Est. sewage Flow: Required Leaching Area: jeptic Tank: Leaching Bed: Length: -- • s: Width*'°' Total Area: No. Distribution Pipes: Length of Distribu- tion Pipe: Spacing Between Pipes: ;votes: Mr. & Mrs. Joseph Pellegrino Great Pond Rd., North Andover, Mass. 5 mins/inch after 60 min. soak 7 ft. Not encountered Fine Sand & Silt 4 8 400 gal/day 1 25 sq. ft. 1,000 gal. � RJOV. . , Mass. De0rV-mt of Public Health 50 f t . Division of San iary Engineering 1,250 sq. ft. Da OCT 2'3 196$ 0 40 ft. (each line) 165 ft. (total) 5 ft. iNot designed for garbage grinder. Obert t. McQVe irl r M + BY -- ------- DATE C.HKD. 13Y,--...... DATE SUBJEcr O ;Ci! {16 'o ---- SHEET NO_. OF JOB NO.- - ----- --. .. ----------------- i � d I l i .. 1 �t A��yA? •�p N f r., • roi Ni _ a s CA �— rn 00 D NN M „i m m= mm r= _ zm m x gx m0 S; J 0 O i r el)H� o og C) x 0 N� n D n D =D n nz < mN C C) r T ' A• Z �n v M D A�MMK I w N _ m c r) A T x Z i > Z vm� .,T vii o map mD 0 T Z v' _ O SA -42 joZ Z z m a r = m v 2 T TZc.� O xm OJ. r ,_-4 -4 _ 0 ell _ -1 4 x ' Ni Z :(I r D v T = D �I I I I I I I ti' I om I <2 I so I I co G N cn CJ7 6r�o =3 CD C) cn � v CD r+- O C7CD I I _ I D I I I I I I I I t I i To r_ o N o N 4 o o 0 o m m m m 2 D P A A A = Iom ss J J V 4 J ca U� U1 fTl m ' I I x A s ►- a l l C/ CJ CD —4, m CLca. L --r —4 CD Im C -D OQ co August 16, 1y68 Mr. George DeVris 25 `Y+aterfield I,d. .jinchester, Mass. Re: J.Pellegrino Great Pond Rd., No.Andover Dear Mr. DeVris: We are enclosing herewith copy of letter and plans from the District Sanitary Engineer, Northeastern Regional District which are self-explanatory. lair. Connelly of the same office authorized the issuance of a septic tank permit early in July over the phone. evidently, they have changed their minds. jk;mj Very truly yours$ Julius Kay, H.D. Cha irma n i' ' . ¢ -.f 3LA , - :x i Js T Board of Health No. Andover Massachusetts NORTHEASTERN REGIONAL OFFICE TEWKSBURY HOSPITAL TEWKSBURY O1B76 Attention: Julius Kay, M.D. Gentlemen: August 7, 1968 RE: No.Andover-WPC-Mr. Joseph Pelligrino Great Pond Road This office is in the process of reviewing a plan for sewage disposal for the subject site. Before a final report can be written, it will be necessary for you to submit at least four copies of revised plans incorpor- ating the changes as marked in pencil on the enclosed plans. When four copies of the revised plans have been received, this office will be pleased to process this application further. If you have any questions or desire additional information, please contact me at the above address. Very truly yours, Thomas F. McLoughli District Sanitary Engineer M/Ecw Enclosure DIVISION OF SANITARY ENGINEERING October 23, 1968 Board 6f Health Re: North Andover - Land'Use North Andover Management - Subsurface Massachusetts Sewage Disposal - Pelligrino Residence - Great Pond Road Attention: Julius Kay, M.D. Gentlemen: The Department of Public Health in response to the request contained in your letter dated May 7, 1968 has reviewed a revised plan of sewage disposal to serve the Pellegrino residence on Great Pond Road, North Andover. You have previously been advised relative to this matter in a letter from the Department dated August 7, 1968. The soil in the area proposed for sewage disposal consists of coarse sand to depths of seven feet and the result of a percolation test indicates that the soil is suitable for the subsurface disposal of settled sewage. The proposed sewage disposal facilities have been designed to serve a four bedroom home and will consist of a 1,000 gallon capacity reinforced concrete shptic tank, a distribution box, and a subsurface leaching field containing 1,250 square feet;; of available leaching area. The Division of Sanitary Engineering is of the opinion that the revised plan is drawn in accordance with modern engineering practice and hereby,spproves it as submitted with the following provisions: 1. Approval is limited to a daily sewage flow of 400 gallons. 2. No changes will be made in the plan without the prior written approval of this Department. 3. When the system has been completed prior to back- filling, arrangements must be made for an inspection by your agent. A Disposal Works Construction Permit must be obtained from your board in accordance with the provisions of Regulation 2.1 of Article II of -the State Sanitary Code. Enclosed herewith are stamped approved copies of the plan of sewage disposal, one of which must be kept at the site and must be used for construction purposes. Very truly yours, For the Director Enclosures •/ M/Ec Thomas F. McLoughlin District Sanitary Engineer Northeastern Regional Health Office Tewksbury Hospital, Bldg. X64 Tewksbury, Mass. Tel. 851-7261 1 r' s' •FJ , r A Disposal Works Construction Permit must be obtained from your board in accordance with the provisions of Regulation 2.1 of Article II of -the State Sanitary Code. Enclosed herewith are stamped approved copies of the plan of sewage disposal, one of which must be kept at the site and must be used for construction purposes. Very truly yours, For the Director Enclosures •/ M/Ec Thomas F. McLoughlin District Sanitary Engineer Northeastern Regional Health Office Tewksbury Hospital, Bldg. X64 Tewksbury, Mass. Tel. 851-7261 1 r' Mr. Thomas F. McLoughlin District Sanitary Engineer Northeastern Regional Health Office Tewksbury Hospital Tewksbury, Mass. Dear Mr. McLoughlin: November 5, 1968 lie: Pellegrino Residence Great Pond Rd. No.Andover Sewage Disposal At our regular monthly meeting of November 4, 1968 this Board reviewed your letter of October 23, 1968 relative to the above-named disposal system. In provision #%3 you inform us that prior to back -filling arrangements must be made for an inspec- tion by our agent, We refer you to a final decree handed down by Superior Court for Middlesex County on January 18, 1080 in the case of Colgate v. Lawlor, et als, Superior Court No.20339 which states in part, "That the Board of Health of North Andover does not have jurisdiction to approve or disapprove sewage disposal or drainage systems constructed by the petitioner in and upon the business -zoned portion of the petitioner's prop- erty on Osgood St., North Andover, located within two hundred fifty (250) feet from the high water mark of Lake Cochichewick, and that the power of approval for the construction and maintenance of such sewage disposal or drainage systems is exclusively in the Department of Public Health of the Commonwealth." In view of the above,this Board does not feel that our agent should make the final inspection on this system. jk;mj Very truly yours, Julius stay, MeD. Chairman p 7e� �/-'? % Please forward us as much of the following; information that is possible; 1. Type of system 2. A:*e //,44,0. 3. 1,0C :, t i. on Ao%&� V( d4e:2dan L�. M> intenance records and date of last pumpinw out M= _ —iii .� M .1 M 5, Documentation of repairs and reconstruction i 72�K.l�„B.v�Cti � OL 6. Site conditions CA.+tt. f �Qra.at,Q 7. BiAlder of systCm 8. F.nzineer who approved% ? — Site -- System 9. Installation Procedure 10. Problems Town of North Andover, MA Watershed Septic System Servicing Report Date : `-, 1 kp Homeowner: Street Phone Nature of Service: *Observations: Description of Work: 1 fl C'' Comments: a„ C Routine Emergencyy' j;�N Or �� OF (}ON 12 Pumper Address: Phone : 5�el b, �/ 9a PI/ Good Condition Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots Other (Explain) N c/ i HAUL LIC # $100 1996 INST LIC # $200 1996 NO ANDOVER BOH TOWN HALL ANNEX 120 MAIN STREET NO ANDOVER, MA 01845 PH# 508-682-6483 508-688-9540 ** FAX 508-688-9556 Dear SIRS: V STEWART'S SEPTIC TANK SERVICE 47 RAILROAD STREET BRADFORD, MA 01835 508-372-7471 May 30, 1996 OF NOO���y The following is a list of properties that we pun ped in your town. In accordance with TITLE V regulations, we are complying by sending you the following an a monthly basis, if need be. If we didn't pump, you will not be notified. PUMP DATE ADDRESS GALLONS 05-01-96 197 ABBOTT STREET 1,500 A 230 JOHNSON STREET 2,000 135 JOHNNY CAKE 1,500 05-02-96 A 151 OLYMPIC LANE 1,500 A 249 CARLETON LANE 1,500 A 1030 JOHNSON STREET 11000 05-03-96 A 135 BOSTON ROAD 11000 05-07-96 18 PENNI LANE 11000 05-09-96 A 31 GRAY STRRET 11000 05-10-96 230 FARNHAM STREET 11000 A 26 WOODBURY LANE 11000 A 614 SHARPNER'S POND ROAD 1,500 05-11-96 A 16 WOODBURY LANE 11000 A 544 JOHNSON STREET 750 05-14-96 A 201 CARLETON LANE 1,500 05-15-96 A 451 WINTER STREET 1,500 A 743 WINTER STREET 1,500 A 11 BARCO LANE 1,500 A 123 MARION DRIVE 11000 05-16-96 A 866 SALEM STREET 11000 A 195 SUTTONHILL ROAD 1,500 05-17-96 A 249 REA STREET 1,200 A 31 FULLER ROAD 1,500 05-18-96 A :1044 JOHNSON STREET 11000 A 755 WINTER STREET 11000 BAD SOLIDS FLOODED 1I STEWART'S SEPTIC y 05-20-96 1850 SALEM STREET A A 05-21-96 A 05-22-96 A A 05-24-96 A A A A 05-25-96 A 05-28-96 05-29-96 A A A 05-30-96 49 PADDOCK LANE 767 JOHNSON STREET 32 CHRISTIAN WAY 1801 TURNPIKE STREET 254 BARKER STREET 437 SUMMER STREET 222 BRADFORD STREET 344 RALEIGH TAVERN LANE 42 TANGLEWOOD LANE 30 MILL ROAD 254 BARKER STREET 269 BARKER STREET 1895 SALEM STREET 1159 OSGOOD STREET 1615 OSGOOD STREET 680 GREAT POND ROAD 54 LACY STREET 65 SPRING HILL ROAD 99 WOODCREST DRIVE (CONT'D) 1,250 1,500 1,000 1,500 3,500 1,000 1,000 1,000 1,000 TITLEV 1,500 1,000 1,000 1,000 1,000 500 750 1,000 1,500 1,000 FLOODED 06/03/96 ACTION -KING ENTERPRISES, INC. page DISPOSITION REPORT - NORTH ANDOVER, MA Service period: 05/01/96 - 05/31/96 Date Customer Destination Est. Gals ------------------------------------------------------------------------ 05/23/96 ERIC SANTULLO FITCHBURG 1500.00 373 SALEM STREET This is PROPRIETARY and CONFIDENTIAL information which may be used only by the Board of Health for regulatory purposes. 4 06/03/96 ACTION -KING ENTERPRISES, INC. JUN �3'g g 1 DISPOSITION REPORT - N. ANDOVER, MA Service period; 05/01/96 - 05/31/96 Date Customer Destination Est. Gals ------------------------------------------------------------------------ 05/07/96 EVELYN GREEN LOWELL 1000.00 1353 SALEM STREET This is PROPRIETARY and CONFIDENTIAL information which. may be used only by the Board of Health for regulatory purposes. 06/03/96 ACTION -KING ENTERPRISES, INC. �ER� r�, l p e DISPOSITION REPORT - N ANDOVER, M Service period: 05/01/96 - 05/31/9 Date Customer Destination - Est. Gals ------------------------------------------------------------------------ 05/02/96 CRUSADER PAPER FITCHBURG 3500.00 CRUSADER PAPER CO This is PROPRIETARY and CONFIDENTIAL information which may be used only by the Board of Health for regulatory purposes. 1