HomeMy WebLinkAboutMiscellaneous - 40 CANDLESTICK ROAD 4/30/2018 40 CANDLESTICK ROAD 3d
L 210/106.A-0093-0000.0
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PARCEL # STREET -..._..__�!rS.�lC �.......
CO.NSTRUCTI.ON APPROVA..
HAS PLAN REVIEW FEE BEEN PAID? YES NO
PLAN APPROVAL: DATE V5- APP. BYzG(/�/�
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DESIGNER: C� FIST/ASIS /L7 PLA14 DATE;_ a_N. •S__
CONDITIONS
WATER SUPPLY: TOWN WELL
WELL PERMIT _ DRILLER._..._.._.__.__..._..._ ._.
WELL TE8 CHEMICAL UA I E (IPPRUVED
BACTERIA I Ufa(E (1E'I)F2UVLv
BACTERIA II DAI'E APPROVED
COMMENTS:
FORM U APPROVAL: APPROVAL TO ISSUE Y-EE, NO
DATE ISSUED �� BY
CONDITIONS:
FINAL APPROVAL:
ALL PERMITS PAID NO
WELL CONSTRUCTION APPROVAL YES NU
SEPTIC SYSTEM CONSTRUCTION APPROVAL ES - 110
OTHER YES NO
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: DATE: _.._. ......._. _ ,,.DY
NO
JHE
INSTALLER LICENSED?
,...,
NEW
TYPE OF CONSTRUCTION: ' • -
• , ..:
. . ...NEW CONSTRUCTION:-,.. CERTIFIED PLOT. PLAN `REVIEW NO
: _. .:: ,:.:.:: • CONDITIONS OF..APPROVAL. ' YES NO
(FRO
M FORM U) . 1
DWC •PERMIT NO
. -ISSUANCE OF ES
IS -
DWC PERMIT N0. 7- t�
INSTALLER: AAy�
BEGIN INSPECTION LYE N0:
EXCAVATIONy;•INXf
SPECTION: . NEEDED: �� MOVE GG- ,eD�
BY—
PASSED
BY
PAS ` _
,' CONSTRUCTION INSPECTION: NEEDED:
AS BUILT PLAN SATISFACTORY: YES:
APPROVAL TO BACKFILL: DATE: HY
FINAL . GRADING APPROVAL: DATE
FINAL CONSTRUCTION APPROVAL: DATE: _ BY
TOWN OF RECEIVED
SYSTEM PUMPING REC04 NOV 18 2005
✓ \ 15 TO EALTH DEPARTMENT R
DATE. O �V
SYSTEM OWNER& ADDRESS SYSTEM LOCATION
�14k(A,� (example:left front of hoose)
q0
DATE OF PUMPING: t C QUANTITY PUMPED : GALLONS
CESSPOOL: NO �S SVhC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER(EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste
AAPeSSCAN1 ~
5� a Title of File
Page of
Date File Open: Date f le closed:
Doc Document/Action Title Date of Refer to other Purpose of Document/Action and note
action Document/ document/ —�
INun Action Department
—
Board of Appeals — Board of Health = Planning Board _ Conservation Commission — Buibdin p
epartr,,�ent �'�
i
Conun nwe th of�M/assachusetts
• �'`� Massachusetts
System Pumping Record
System Owner System Location
Date of Pumping: �(/ " f Quantity Pumped: ( 6C�—g/allons
Cesspool: No Septic "Tank: No L] Yes F+
System Pumped by: Faredert o&m"t-tided License#
Contents transferrred to : Greater Lawrence Sanitary District
llate: _ Inspector-
J
f
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE:
SYSTEM OWNER &ADDRESS SYSTEM LOCATION
(example: left front of house)
DATE OF PUMPING: —L- —O( QUANTITY PUMPED r��"� GALLONS
CESSPOOL: NO r-- YES SEPTIC TANK: NO YES �—
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER ' OTHER (EXPLAIN)
SYSTEM PUMPED BY-
ov _
COMMENTS: Y
1 0 2001
CONTENTS TRANSFERRED TO: