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HomeMy WebLinkAboutMiscellaneous - 44 OAKES DRIVE 4/30/2018 (2) 44 OAKES DRIVE 210/107.A-0146-0000.0 cT" �,, �,��' /Q�� �� , � � SEPTIC SYSTEM INSTALLATION IS THE INSTALLER LICENSED? YES TYPE OF CONSTRUCTION: NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF APPROVAL YES NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES NO DWC PERMIT PAID? YES NO DWC PERMIT NO. INSTALLER: BEGIN INSPECTION YES 0: EXCAVATION INSPECTION: NEEDED: PASSED BY CONSTRUCTION INSPECTION: NEEDED: AS BUILT PLAN SATISFACTORY: YES: APPROVAL TO BACKFILL: DATE:- BY FINAL GRADING APPROVAL: DATE BY FINAL CONSTRUCTION APPROVAL: DATE: BY Commonwealth of Massachusetts 4 City/Town of North Andover JUL7 0 2014 System Pumping Record Form 4 TOWN OF AORTH ANDOVER w� HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, 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 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location- on the computer, use only the tab key to move your Address cursor-do not North Andover Ma 01886 use the return City/Town State Zip Code key. 2. System Owner: Name rerun Address(if different from location) City/Town State Zip Code Telephone Nu er d� B. Pumping Record 1. Date of Pumping ~2. Quantity Pumped: Date GalloA 3. Type of system: ❑ Cesspool(s) eptic Tank ElTight Tank El Grease Trap Other(describe): 6(s- F-1 4. Effluent Tee Filter present? ❑ Yes```"""'''�o If yes, was it cleaned? ❑ Yes E] No 5. Condition of System: 6. Syste Pumped By: za— Name— Vehicle License NuAl5er Stewart's Septic Service Company 7. Location where contents were disposed: Stew s re-treatment Plant, 20 So. Mill Bradford, Ma 01835 Sign re a r Date Sin re of Receiving acility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 X15'1, tii.... :... A;'� •.'li.:':ya j�.;�L�:;. .1.';I.i! :1;:, :�r y/ ,'i:".� •S: CY. rye, sit: k• �,- ;,rr�..�74` '�<��� /y:•• 'r,:.'rp';t.,titijr 1�ir� rx;�dr•if;�.��:.,,a(i �:.i�•.; •i5.'. � •,!iii�fi!;i:IA�I�}v"��'i.�',1';•�.`;, • VMS� RECEIVED U.,, tJYs`T'p—m PIJMPIN(1 RpC,�,x •• DEC 0 6 2005 iY31'6M OWNQR ADOUss ._ TOWN NAQT NDEPA ANDO�EF? r S Ys OV goePATI of P Mp1N0;��/ QOA N717Y PUM�ec lTO(i �-'tsJPOOL; '•A rV0 oy s�RY�cei x�V'rIN� , _ _ . ��ItK��►.�� /�` Vti�t1RY,�'f'IUNJ, 0000C0�0KUyy1'1'IUry rVLLIU t:c>Yrx . RU0T3.' �E!ACFMl,0 �OL►DCAIVSYOY�� 0NER-EXPLAIN i�14M Ll tVuMMWNT�, uN I'm r� rx irryrr�xrt�u r� . . a:. , y . RECEIVED TOWN OF NOR['H ANI /ov NOV 3 2004 UAltSYSTEM PUMCORETOWNOF NORTH HELTDEPA ANDTMEOVER SYSTEM OWNER ADDRESS SYS �I;'M LOCATION DATE OF PL1MPfNU;_./C) c� PUMPED: �{-- — �LSSPO()L: NO—_ YES NO YES N" 'URE OF SERVICE: ROU'f1.NE:. .•_. __...E►�!IrRUEN('1' UbSI;RVATIONS; Owl)CONDITION �! FULL 'TY)COVER HEAVY OREASE f ROOTS __ BS IN PI,AC�, _ "CESSIVE SOLIDS LILACHFAIELD RUNBACK ....... SOLID CARRY0VER..____ FLOODED _...,.....01-H'ER EXPLAIN Jy.tom Pumpcd by 1 177a. (�'UMMrNTS. ( UN I EN I'S I'KtANSkti( ED 1*0 r .,Irk• Air_ .+:✓ TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD > l E�1 OWNER & ADDRESS SYSTEM LOCATION -- - (example: fe from of houst) Al �)P-P-h i L) I E OF PUMPING: ro � _ '--- QUANTITY PUNIPIDl//,) ��POOL. NO DYES SEPTIC TANK: NO YES � A-I"URE OF SERVICE: ROUTINE Cll--�EMERCENCY f !I >FRV \TIONS: /"" C OOD CONDITION V FULL TU CUVE;2 HFAVY CREASC BAFFLLS IN PLAC1,' ROOTS LEACHFIELD RUNIUACK.. CXCESSIVE SOLIDS FLOODED -� SOLIDS CARRYOVER O,�HER (EXPLAIN.) 1 , I Lm P U M PLD BY, ��r'�l'r, Y' 'r� U WI 'l FLATS: UI I-.'N S I'IZANSFCIZIZED TO ", {; 14 ;.M JV46(4h Alvwver' as 4,- MSTS"T S SEPTIC TANK SERVICE )�G Qln Sf 47 RAILROAD S'PREEP Na�I11 A nno,/��- BRADFORD, MA 01835 u"u/ Lie. i 6I-o6 978-372-7471 ,nS�G 11 L.i e- MONTH OF -cf cd be-r- cQ � ;: : ra�rr�;x FOR TQnTN of /Vto An Nver DATE ADS Cowen /a �0-3, /a5 pock-y ncl Is6o ID 'Ll ql� Oq klfs ,Clr I o0O 76 Tuc/Ceor f® `3q Fv3*r. ° 146 win �r5t l� 7/ 61yol i s /gn e lddb I a�6 `790 Oq /e �f loan 0- £ I o—to /1 C � �-, 1 Sem . , � Ism 1066 10ma-1 I06 tr 66 `�IO,,Y 1641 3a�'f1.Et v.EaK ►ZnMi�. hP�lny 4KIyr• 'F a E•t+Y IDOO(AAL. MOP, 1,EbeV4 Prt (1, •Tb•in1, tilLTy . e7E(nC GLn�Y o0 71" ,ffE avLna • 00 IIIA-f E C, Ltn�,k 138 LEPrAE 6? 77," CF-cuOoA-rEv — ' 0 00 ' P�d F (AgovE� _ oZ,a7 ' r�EL.o1,4 GCu �NFa L J � Z ID N M I el I M Z o A S6PT1� o �. 121-Ge'� I To�4C. c W Aw g�uE �aLL �t< pou6�s; I..JA�I�rr V.Open. ' ''f ' * Y�c _ 2�ALL pIq,Q6 0E 460 9a RK. M� �Aa i• u'"� f ntI lief"O TAR '1961.x- 66 ?I4"rEP&w5, f 44 e4a fir •�1 '4�F�wlFL05 5114�L $E G1JE/,GBD 2ept,e.GED IG i Y . 3-TOTAL/10 �brrt' lo' 1 ` 1.=ISS. S•� PIS. � 511x1,1. �e �' 1', ��i R-'yZ5' �� 3�� osEq ��eG►t Prrs 5>IAw �>> ,,.Iyfa1 LrA } E pETa1L. ApioVE. 12 !VE '7) TL►e Ex�sr�u� LEec� PITS 4.IAu, 3E P�H�� p f"��i GLEAnlfoa7 ! �f-IuStsU Ea IF I►1 �jA'�IS�AGTdrty GoN4Mo,y To 66 Pei-cv-Hi cv K`( 'roe 576S.Idi l • EN�c,l►.lroti C . t3) PS6r 1C1I Y14E1G: t Ia TGFi E�(I!sft►1(a (S�Q[�O(��i 41)p0e;,160 10 WMA OW61061. Afte:,4EP PLAnI. DISPOSAL �Ion.I1�.IGI SUBSURFACE g Pax'rnyBa l.Enct-� PiTs. LOCATED IN SYSTEM 0012-TO t>,d IVF, t2 AS PREPARED FOR ' a 4-A Y 1 > Too r--1 E Y hssuM ; ►S M F I P-trE FwcH 0041akL, DATE : AUC-,. e6vi-pEo -1 . 19.q+ �sl�•.I SCALE: I '= � o' Rpr/Ite IQ,Ig�� DoH Prl.�= 3rlvw rr1(6.u)Z= 36o0 4F TOWN OF NORTH AN DOVER � M 3��1sFx .�3u,,y%r. 15$ (SAI, Ap rov d Date /1� Z `71 n E ; '7o7 2 f Signature ^s�� ,-.�1 -(rrrAL .Ga Pr -rrY - l02i{-(gal., MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 4 TEL (617) 473-3553. 313.3721 / w 0 TO: NORTH ANDOVER, MASS Oc—t 23 19 7S' BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at �0 TyZ o /-/,e L S J)K North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated GCAL 192�7 eg. P n nil �-,"' qi arian J. t o BARBAGALLO No. 404 �. S�0 ALL x(05 ; 5 ,r 0 o l�-DT 2 Dl�►k�� 1�.P�l�IE. . , 1 �A � �., ,4l`., "�� �� pfd • S7 , LOT 2. ' ao' \ } IZo }- I I 0 aaQ 3 PAs 51 t0 w Joseph j. barbegallo, r.s. 1 westward circle no. reading,mass. LOT 2 04K-E5 0,P) . c i K 1- CA,-,, �!'o, i 4� ,i 1U, -,UAL i � � W►, � �2�, MAS H0.O �l ULLZ.c Fni�ic,r �a� 5/NTvZ'!h'Tr__►)k5 H10, Il-lq-14 �2'`- 9" 25 Mau ��Lco" 35n110 IJ�►JT�lLI�l�. 210 � A o 0 oaw 0" 'tl sa�m 3n�1S, GaNIMJ� amhsa�►, „zj�4,w�1 v :o..� oe` tri c 0041 Q► o ® � p0 6 I 00 0 © 0 Q 0 a,0 t 000 (0 ® 000 00 '� 00T 0 ® m 00 0 m © 00 0 m 00. o � Q �a apo00 •.,0 AMIN 0 ppo�of 00o0o;0 0 p !Q ad t w�go ssno►irr+H ��+�d°rp r cmir�lsn� Nz,l � �g o z � -fs-ft'.Js '400Y tl 'Sn�nlf tiPNnY 4XIYf• �"Gr. til LTA( el 0,0 EX je4r. 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PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS �' 66 PARK STREET 0 ANDOVER, MASSACHUSETTS 01810 G TEL (617) 473-3333. 373-3721 c iL `k\�� 4 ;:•z •ram j a,.i.y�a �Cr T',lc•t•'.r rc;'. t NO, . *f NE � lI' 11`i S"y�`3'k wYt��"� p� `.'\•'1)4�rL;T-:y't ':` xY� :ti..' y „ T:•�!i,•h.7.Ti 'Ci�t 'tl' �P4. ,.. S. Y• e_ .\: i. '.\\4' }.v .'1'.• ?1�t \.:; ".1�'S'f.. '1(♦ .t L, '��•.t'\+y t i�� �.`l.. :i'L..>r.b's ;5�..+1..• ��.:... ..�1,,, is •�., :y.:� '=C'1'Cx,rt.'to.:.a.•'Ci,P �:r .� ss�.k. 1 �1 •'3'T T�1.,�j,Y'�1�.`a.�<a n.II1�. Via• ... •q.: .y.: :e 'tr9 jAi '�",i1.. .�i.: .,.:,1: ��:'=i•'' _ -� r�.�,`:r.. .i.�;. 2�' ?� v�V,� 'ywl�.+�,`, 1°' �!a:�,�( i. 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T.rl;• '.!', �2'„`.•.1'1N...; `., 1 ;'1' a; •,} •'r`a: ,•11" ..L �.Y., '' :•i'1:?t. _,Y-C" cLs. <y':• '•�/....S. ,1:�:i'.:�iC;."G. .� t•'L s •,y;r7. 4 ,. '.lS.'i \i�y�i,'!y i,L 'dt�'t '� ,:.b•,. .1 .ri,?,,y Z `•�i.;a.:? , '.�, 52{t"{. '`.`ia+,..�N. Via.;°: 1„ 2.;�•,." 'i: - .o; ;'}"+�' Y� st:•y'i.?�' .t:�''�•., '.it•.,,�•tix, .,i'Cxe_at...xZ. vtitt,.}r �,aa, �Y7 .> .�. .�:- ,(:` tib •7` -�. � :�: t '2�3\-�, `.. Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH NORTH 1 L -19 DISPOSAL WORKS CONSTRUCTION PERMIT �,S3ACHUSEt Applicant NAME ADDR SS TELEPHONE Site Location C�-�t �� n�—�-- : Permission is hereby granted to Construct ( ) or Repair an Individual Soil Absorption : Sewage Disposal System as shown on the Design Approval S.S. No. L —CHAIRMAN,BOARD OF HEALTH Fee 60 D.W.C. No. �PHONE CALL FORM- ,>DATE TIME M y2 ZZ4 fit' 1 7Ldi' OF PHONED / RETURNER PHONE �' — 4, 1 YOUR:GALL AREA CODE NUMBER EZCTENSION ,. SASE CALL MESSAGE -l�L ti lL.� !�[e''L,�`�C�✓ G'''�iE'�Cit . WILL GALL V Y14dtLJ CTZLE/C_' AGAIN s. •5E1;YClU. UVANT TO SEE YOU SIGNED 2/- TOPS FORM 4003 F� t 'S • 1W t ��� IES �a,"fL.6r v,6ac IZ"n;u. y Til.- 61 LT — r E,c,�T' IoP. L6Acra Frr •,?�' C+tw( 1000 lnAL I /71LTY �7E(/rIG '(.pNK 0 M 6 ow loo %_ (GLAI \ - 110 I<lact E i2 G 1�" Z �.�,,•JL� t38• r � C-, CCU t1n,,1A-TEr LE.�G►-I P-r •,b��rAl1, C �iELoI--I� All !•. ,il�Ll T 1-" / l L � L -r 1p, 21511414 �.F) V. / D N \9 <.r i�T i I r r T I fptIV ? CP►lfA111,1A (C9 Lj°IL Li�lw 0E. I?.Erlovrp,Aria \ no.' �,rd (�r1r, l) Aai ftMCED wrfT4lo,^0 7 0,Avi"6 A Z?-tP.l .P.rlG2Afr-OK LEy, tou E -,!70 A LL 6E40 Pot1R�E' W A l G .T (`` t' ['^, T2 �� p > -0I .--\ T5'I �'. . . , y�..i �!l Gj���rr�•`, �^114L.�., r'4E !t'r.GLEt? ? Er1:t_nrc.L i�. LE11L11 fir > -; �J► , <1yl P.3 Ti7Tyr,L.))101 C�t►i�1 l o' , �) A (!zc ? v Jfl�Fv 4E'Ac11 ( rT t7cr, ����intt.E.n 'Silt Ex,ht. 16 LEAc_a �UL-If",Er) (/ !�l l ' J G4EeJ617 f (�F-I,.IcrLLL1E0 1� 111 Grrl�t'rlU1,l T^ BC reT[2Ft,,�Fp �Y �fN6 Ur..4IC•,,,! �hl lg11..1CoE E . q), Pse,•�Gri Y1e¢tG : YInTG'I.t4 1!�CPIE�'`• rip0,lb0 1LfEtiIS 3L L til Go,.i�e�e 1-tA 01-64 OL'161,1&L APreoYE P P Ate► SU13SURFACE DISPOSAL �SYSTEM LOCATED IN AS PREPARED FOR ' LEticaalIIGP�11Y ' E-Ij �voo M E y hx1aM : 15tirl rGPe� P!A-rf F.WCH Orm" vel— DATE •• AUC-,. ��I, SCALE: 1 4o' Fv�dH Age2 j, 3P1T>,r rd(s.ZS)2. 2C,o4F 971 r7 E e PAG rTY _ 50 i MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS O1t10 TEL (617) 473.3553, 373-3721 ":i�"t21^`"^"^'S+' �._ "+.}R.�` 3��.;.a?Y+_-K-• +..oti.. r.qL.. .w ..... .o-. --. ,�ORTI� 0�� ao ,a1ti 3? , BOARD OF HEALTH t , 120 MAIN STREET TEL. 682-6483 ,SSA�MUSEt NORTH ANDOVER, MASS. 01845 Ext23 " September 8, 1994 Bill Dufresne Merrimack Engineering 66 Park Street Andover, MA 01810 Re: Lot #44 Oaks Drive This is to inform you that the proposed plans for site referenced above have been disapproved for the following reasons: 1) Add note: All contaminated soil to be removed and replaced with material which peres at 2 minutes per inch. 2) Add note: All pipe to be schedule 40. 3) Add note: All stone to be double-washed. 4) Please calculate amount of leaching capacity and show on plan. If you have any questions, please do not hesitate to call the Board of Health Office at the number above. Sincerely, ' J Sandra Starr, R.S. Health Administrator SS/cjp ��U_�Q__�-�G1�c_�� I..CJ�i�_��'J�7-E_�l�G f�/_�4_7_`,/ --�. /�L G __1'/��_ Td �� S Cf�'E-DUG � � > .__ DATE g Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEE PERMIT # DATE RECEIVED APPLICANT ASSESSOR'S MAP ADDRESS PARCEL ## Z)of";ez-s va LOT ## 4- ENGINEER A/I �n�/�CK STREET 01aKS bjel i6' ADDRESS (1, 6 �/3�1°� fir. %, )P-6 r)en7- PLAN DATE _ 400. 31, /qq4� REVISION DATE CONDITIONS OF APPROVAL: SCE E APPROVED DISAPPROVED ?� • a, G/� PIS e ry cy, 540 ,�404Y SoriPY tiANoy iklYf �1•°GI. ._ Goo(SAL• . FSP, LEAG�1 v� hl LTY 0 tJo IJa rE�. 12 �`��°' 138' LEp�r►E Q- -7�� LtR&,k: o 6ezu0otjATEe C9pQ0� uT- LF.p.��1 P1 n�TAIL, C gEto" N:r. Geu-45,f-1 E o Z VpJ tA � Z I D N M I y P01%Le uffi*"evr srFw� EAjq,loco ''► ►tai't'107.ON a(�' .�}��.'�,�• ,: .sr � k 1•)E�t►g•ri►!G 4E�'G T4 NIG 4tteu. YjE puth�EDoND pQO ti° R1r 'ki ,•`2�� � �� t f4 I 1 fj ix' d BwCFLES �i4I4Ll. aE G1IEG�6D Qk LAGED �C TYP�G`R,L ✓ ' ����' .k' ��S*� ISE �Je Atfir e o �T �10 1p,rrf Iv �v,�. ..'ds: t Ls p' 2.) P U R. Diyr. °oK '7►l4 LL PjE bia1�9CDLl.eo `I . .� 1:'-:• . ,•';s'y' � � Z5 3.1dPcpPoSeq L EeGN Prrs 7�laL�. BC h►yr,LLLv jPEE pETA1L, 4poVE. E)cisn u� LEac,J PiTs S.tA�.a r3� PU�1PE� D G1,9Ar1Lv IIZB-IuSrnLLEo l� l �pnlgFpG�oAy 6o1l91,1104 T- K`( THE D0,4143J f;GN fg11JgE E . C,) gE..1G�tYla¢L:. : r1ATG1-, ��{t'/t�F.IG ls�Qt�p�ili f2,E pQ l �L�. �l a� �.> a ►�1� ,►�Te�aT IS To oN°yrt!uG7 �uE tiYhrrl ItiI co��Kac►-tA,l(� t-►IT4+ OV,16104L APAc,^rEn PLAN SUBSURFACE DISPOSALSYSTEMLOCATEDIN 0012-TO D.►1Dc�VEi2 MASS, AS PREPARED FOR • (�EN1115 -foo MEY DATE: AUG. SCALE: I "I 4o' 0 z MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 011110 TEL (617) 675-3553, 373-5721 U0_49e, zs R /rte. Xf 7-6/ IJ /f1C,5 —7:::,/914::�e57 0 { F 7- i NQ rep 5c(5 f/ G'� /e s KtOT -To -To ry -TST- b T� � FORM U TOWN OF NORTH ANDOVER ' LOT RELEASE FORM ' SUBDIVISION t .. ASSESSORS MAP SUBDIVISION LOTS) : PERMANENT ADDRESS ASSIGNED BY D.P.W. STREET04,ee APPLICANT .V4►,,�,g .1� PHONE DATE OF APPLICATION vn2, TOWN USE BELOW THIS LINE .s FMMS' R.. PLANNING BOARD DA'T'E APPROVED TOWN. PLANNER DATE REJECTED CONSERVATION .0011MISSION DATE APPROVED CONSERVA ADMIN. DATE REJECTED _ r BOARD OF AL1 \D (bilAM�`_ DATE APPROVED , �3 HEALTTi S I A�I DATE REJEC'T'ED 1400177041 of= X)O P/73 /o t � 6v � . _�V/ va DEPARTMENT OF PUBLIC WORKS �Oba& tTL? � P?c� �Jji7 ,V 3o S p� / t. DRIVEWAY PERMIT �� tAoga za,yt,�ct_,f 44fyn)L., ( zlcG SEWER/WATER CONNECTIONS I FIRE DEPT. 1 C • v l 1A rt. �1 Y`e_- P I�A �•-� L, A__J �t� o►J ��►5', wury � GT.. � 0 1.. �Vna.A.,}�., M-VAS i3—c, t,+'Df-6It1� :: RECEIVED BY BUILDING INSPECTION DATE t This form shall be signed by the agents of the Planning and Health Boards, the Conservation Xommission prior to the issuance of any building permits - `-or the subject lot. This form shall not reieJ_ve- the" applicant from the �mpliance of any applicable Town requirement or Bylaw. PHONE CALL fFOR DATE�' �/TIME &&IA4. kwzl-� PHONED OF >.;RETURNED PHONE J� YQIJFiGALL AREA CODE NUMBER EXTENSIONPLEASE CALL MESSAGE _ WILL GALL AGAIN CAME TO. SEE YOU WANTS TO SEE YOU SIGNED TOPS FORM 4003 I STRESS ev, /'GZ/Y �� WM ✓err , �djW Th confusion created when ones mind overrides the body's basic desire to choke the living daylights out of some jerk who desperately deserves it. 635492©RPP,Inc. OF HORTh 1 " OFFICES OF: 3r' � ' �m Town of 120 Main Street BUILDING D North Andover .:: NORTH ANDOVER CONSERVATION Massachusetts 01845 HEALTH 1y,°"uset4 DIVISION OF (508)682-6483 PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECI.OR CONSERVATION COMMISSION PUBLIC HEARING PURSUANT TO THE AUTHORITY OF THE WETLANDS PROTECTION ACT, MASSACHUSETTS GENERAL LAWS CHAPTER 131, SECTION 40, AS AMENDED, AND THE TOWN .OF NORTH ANDOVER'S WETLAND PROTECTION BYLAW, THE NORTH ANDOVER CONSERVATION COMMISSION WILL HOLD A PUBLIC HEARING ON: July 10, 1991 at 8:00 P.M. , AT THE SELECTMEN'S MEETING ROOM LOCATED IN THE TOWN HALL, ON THE WETLAND DETERMINATION OF: Dennis Toomey LAND LOCATED AT: 44 Oakes Drive (Lot 2) North Andover, Mass. BY: GEORGE L. REICH CHAIRMAN, NACC RUN ONCE IN THE No. Andover Citizen ON July 3, 1991 cc: NACC Applicant's Rep. \/$oard of Health Planning Board Invoice To: Dennis Toomey 44 Oakes Drive North Andover, Ma. 01845 TOWN OF NORTH ANDOVER - SYSTEM PUMPING RECORD DATEAf/1*L SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: QUANTITY PUMPED /C'DGALLONS CESSPOOL: NOYES._______SEPTIC TANK: NO _ YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: C/ GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE _ ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Anooyer S'pJQc-, COMMENTS: CONTENTS TRANSFERRED TO: rn l E �, M� • n CI(�IJ , 4 .�' d., — ,,� 1 plj f: SYSTEM PUM'PINC, �1 1'�M .U.:WN R & AuO�tCSS SYSTCM L0O. . k � r YF,P(IMNI�� VANTITY f' jmC ,� �i i r•Yll,+(�,}}�Y. V''iF UUl 'N0 y F5 3CPTI(' Thn} . TURE..O.F.:S6R:Y.LCE .::ROUTI�{E. 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', v'�?11 ,'I�;;IZy.YI,;j�>I;��yll' ,'!',;� ,,rli:,.:,,'�,',�. • ,Y�-,---rte;.'.;,r•,;',.,��'v'I%,�'ii'.I,f,rllr•'�'„I',,.�;'!,.,. fff �. ,1. }' �IJ �(•,,�', � � � I NI 14 I/Inl /p�n buUv�J J1 81 Pumpinrd Nil 91 PvIII o ytI I't 1i11 I`/-(_'-(—) 1 7y Q n'o .. . , ,,.,.: I,•;�; ,;�b�,t;,C,4�,rdl on p '�y+� '/',r. � , ° ..., r t 5 ' '��,',fi'�•,1�yrh'J'✓,�'(rlrl�(1I15UIly'1�” Cf i:' f •'lir' .f,f,II� `r rl,�,,r r:I 1i 1, ,r1, iro•, I�'I '�'ll l'Irr;'ri�f,11":t//15'1,' $III '1rl t;y�•,'1, • f',,;�I,i,;'��� I �' ,Y+(�' t� ,;I� 1� /•/'���I�/�IcJ I J�4 n I 1 n�',•^�I/ _ r',s'•;�'):r ^��:;'���>,�j�y 1f1,15�'�� I 1'� �... moi, ''''.': •''�'`�yi/'r{�! 1'ni,�ly IYI � r�oio dl�poaoo: ._ .:/^• ;:',,:%;,'�;','�'�I f�ll�„kYl 9�NIY4(y�1�Y�111�.',r,r,l � � ' � ., �r.main.porldep�efeila�Dl4Yel�l4lorma.r�,�nai i Commonwealth of Massachusetts City/Town of RECEIVED System Pumping Record DEC 19 2010 Form 4 i TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health. Other forms ma TMENT information must be substantially the same as that provided here. Before using this form, 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 310 CMR 15.351, A. Facility Information Important: When filling out 1. System L o . forms on the computer,use only the tab key Address to move your North Andover ma 01886 cursor-do not use the return City/Town State Zip Code may' 2. System Owner. Name Address(if different from location) i Cityrrown State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Quantity Pumped: 1606 6O6 Date Gallons 3. Type of system: ❑ Cesspool(s) [Septic Tank El Tight Tank El Grease Trap ❑ Other(describe): '\ 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: goo 6. Sy m Pumped Name Vehicle License Number Stewart Septic Service Company 7. Locatibret here contents were disposed: Stewreatment Plant 20 So. Mill St, Bradford Ma 01835 M( I I/ Signatu of er 15atel Signature 8f Receiving Facility Date t5form4•doc•03/06 System Pumping Record•Page 1 of 1 1 Commonwealth of Massachusetts City/Town of No.Andover System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, 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 310 CMR 15.351. A. Facility Information RECEIVED Important: When filling out 1. System Location: 011 forms on the computer, use L4 On only the tab key Address TOWN OF NORTH ANDOVER to move your No.Andover Ma HE T EPARTMENT cursor-do not use the return City/Town State Zip Code key. 2. System Owner: _T tab Name fe"07 Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping 2. Quantity Pumped: 1191�1) Date Gallo 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: me Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signatureler Date Signat of eceiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 x - � Commonwealth of Massachusetts W City/Town of North Andover j System Pumping Record 1 rn Form 41,.,zI -t- _1r� DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, 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 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, / use only the tab `� key to move your Address cursor-do not North Andover Ma 01845 use the return key. City/Town State Zip Code 2. System Owner: \f rab -Tc 1 rey Name rehrm Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping 2. Quantity Pumped: A0" 6 Date Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes%t�_No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: Old 6. stem Pumped By: Q' -ma­mUVehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: St art's Pre-treatment Plant, 20 So. Mill Bradford Ma 01835 ignature of auler Date /0/;?/)- Signatu of eceiving Facility Date t5form4.doc-03/06 System Pumping Record•Page 1 of 1