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BOARD QF HEALTH
146MAIN STREET
TELEPHONE# (508) 688-9540
f
APPLICATION FOR ABANDONMENT
OF SUBSURFACE DISPOSAL SYSTEM
(SEPTIC SYSTEM)
Pursuant to Section 310 CMR 15.351
of the State Environmental Code, Title v
Name � tt K w El C' �t T Phone
Address 43Z W, k1 1 H Z o P A J�
Contractor hired for work:
Name
G Lo 0075-
Phone
Address
Zvo
,
Date for scheduled abandonment / D - I - 7-00o
The septic system at the above address has been abandoned according to
Title V specifications.
Signatu�e of Contractor
TJX <arh ke7 arsovo
Method of septic tank abandonment (check one). () removal () sandfill
W crush ( ) other
Name of Offal Hauler A. �k AKSPoJ�eo2t MA
This form must be returned to the North Andover Board of Health.
PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH
REPRESENTATIVE'S USE ONLY. 2 2
'ft\4 WILL��`Ij
Inspecting Agent
0
rN
Date
TOWN OF4ANDOVER
SEPTIC SYSTEM SERVICING
REPORT
Date:-
Homeowner:
ate:Homeotoner: `l
Street _ 3� j�n-t1�r�A, .
Phone : a (0 -. - UOLL-3
Nature of Service:
Observations:
Description of Work:
Comments:
Routine
Emergency
Pumper Rcza4er-
Address :
Phone
Good Condition z
Full to Cover
Baffles in Place
Leachfield Runback
Excessive Solids
Heavy Grease
Roots
Other (Explain)
4"Aus Kay, M.D., Chairmnn
R. George Caron'
Edward J. Scanlon
John J. Hogan Jr.
132 Winthrop Ave.
No. Andover., Mass. 01845
Dear Mr. Hogan:
BOARD OF HEALTH
NORTHANDOVER
MASSACHUSETTS
01845
May 22, 1978
t NORrh
F
9
�o 7:
9SSACHUS�t
TEL. 682-6400
In regard to your complaint of septic odors from Shay prop. on
Winthrop Ave. Our board at the May 1 1978 meeting recommended our Agent
Mr. Phillips consult with the otiner and list options of pumping or replacing
faulty system .
Very truly yours,
-------;,us�_`�___--
JKay M.D.
Chairman
1p/gc
At
h
W YE TH LABORATORIES Division of American Home Products Corporation
May 18, 1978
Julius Kaye M.D.
Board of Health
No. Andover, Ma. 01845
Dear Dr. Kaye:
Over a month ago I wrote to you concerning the
serious potential health hazard of a septic tank which
constantly overflows and emits a foul odor regularly --
one which is next door to me. Thus far, I have
received no response from you.
I hope that you understand fully that my complaint
is only as a taxpayer in No. Andover, and in no way
reflects the company stationary.
It seems to me that a man of your reputation,
character, and integrity, both as a physician and
Director of the Board of Health, would at least have
the courtesy to respond to my original letter long
before now.
May I request, Doctor, that, as Director of the
Board of Health, you locate the cause of this obvious
health problem to me and my family, and inform me of
your findings as soon as possible. Thank you.
Sincerel ,
432 nthro Avenue
No. Andover, Ma. 0 845
cc: Beard of Selectmen
File