HomeMy WebLinkAboutMiscellaneous - 47 WOODCREST DRIVE 4/30/2018p 0
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Reg-Qature of Service
ASP IJ Reg. Maint.
'7 ❑ Emergency
.� ANDOVER SEPTIC PUMPERS 0 -Day ❑ Night
Date ofService � PAY FROM THIS SILL
Customer Name: , /
v e P.O. Box 4173 B Station
Service Location: ZZ
(/ Andover, MA 01810
Phone: V,i /' A /711 (508) 475-2593
Contact: 6O0 O Professional Septic & Drain
Billing Address: Locally Owned and Operated
City: zip: �Emergen�y 24 Hr. Svc. — 7 Days
ZO
Special Instructions Completed / V
❑ In mplete Reason:
Per:
AM/PM 1
Services Rendered
"Vacuum Pumping J a, Observations Drain Cleaning
❑
Septic Tank Mood Condition ElMain Line
/ED Drywelh 6 Leechfield Runbac ❑ Toilet Bowl
❑ Leech Pit / Overflow
❑ Riding
C3High Kitchen Sink
❑ D -Box
❑ Pump Chamber
(liquid level
El Full to Cover
❑ Bathtub / Shower
❑ Vanity/
❑ Grease Trap e
Excessive lids
Top /Bottom
Flaof/Dx��d A
❑ Catch Basin
�
Use No Powdered Soap
LJ YardDr In
❑ Portable Toilet
El Other 1 �G{ ti {moi
Heavy Gre�se
ED Vent J�
ElSeweWJet'/—/- t
Qty: /
Size:
❑ Roots
❑ Suggest Electric f
r
,rFoo;❑
Under 1000 gallons 1000 gallons ❑ 1500 gallons
2000 gallons ❑ 000 ga Ions ❑ 4000 gallons
Rootering❑
❑ Van Calld
C%!%
❑ 5000 allons ❑ other
❑ Other
9
Misc. v
❑ Digging Charge ❑ Backhoe ❑ Inspection
rs.
El Location
Location ❑ Consultation ❑ Certification: P/F
❑ Service Call ❑ Estimate Reason: O
El Labor El Portable Toilet Rental El Pump Repair (�
❑ Waiting Time ❑ Baffle ❑ Repair
" Digging Charge Is Per Driver ❑ Chemical Treatment
Discretion ----� / 1 ❑ Other
Descriptionof Work
Aj-Z
Drain Clea
Month 1
`Tie�l & Conditions I ❑ Cash
P, 1. N�t responsible for damage beand curb line.
2. fil complaints shall be reporte within 48 hours.
,,tf% undersigned agree to ail °err !pd' nditit
Customer Signature \
U
Check
Terms of Pay nt
i� NET 15 DAYS
3. 1.51% per month will be charged to accounts past due.
4. TWe purchaser agrees to pay all cost of.collection.
Serviceman
Parts
Tax
Di count
,o%al / ` 6
MASSACHUSETTS PROPERTY INSURANCE
R PUN UNDERWRITING ASSOCIATION
Three Center Plaza w'^_
Bostun, Massachtisects 021011 '
(61 77) 7 23-3800
Form of Notice of Casualty Loss to B uildin g
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
T0: Building Commissioner or Board cf Health or
Inspector of Buildings Board of Selectmen
RE: Insured: ejI C, &/
'.Property Address:
Policy Number:
Loss of - (> 19 .
File or Claim Number(s) :
Fire Department cr
Arson Scuad
Claim has been ;Wade involving toss, damage or destruct_on or :he above -
captioned property, which may either exceed 31,000.00 or cause `vias=ac::usec_s
General Laws, Chao -ter i43, Section 6 to be aoclicable. If anv notice under
Massachusetts General Laws. Chaoter 139, Section 3B is appropriate, oiease
Ciirect it to the attention of the writer and inciude a reference :o the captioned
insured, location, policy number, date of loss and claim or .;;.Ie number.
( Signature)
Title:
Cr. ... s date,- _caused copies of this notice co be sent :o :` a person named
_bore i. .^e ca.resses indicated above b v rust class -:ail.
IREV. 'L/87)
Please rete! .`o 4(„4 14Ur►lcer 'n :otresouriaetice )n RoAes
SEPTIC SYSTEM INSPECTION FORM
ADDRESS�1
DATE INSPECTED -
PROPERLY FUNCTIONING? N
WEATHER CONDITIONS
COMMENTS:
WA`iC.R a.UALI- y 'T'ES ► �'� ��Si�i_T��?
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name 9 LP
2. Street Address i Z�
a3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ c spool
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 know
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years 2 11-20 years -=-T
❑ over 20 years ❑ do not know
7. Has your sewage -disposal system been rebuilt or repaired?
El yes LTJ' 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 Cly
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�age "disposal system?
washing machine ✓ dishwasher garbage disposal
dehumidifier drain sump pump f toilet
roof/pavement drains shower/bathtub
11. Please state the brand and type (ld or powder) of detergent you use for:
dishwasher & —.- - i�,ui' ill I
clotheswasher
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 -
OSeason(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.
.. 4 Pe rmit #1 1
Arnold C. McNutt
Lot 4 Woodcrest Circle
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hgg ebur make application for a permit for a sewage disposal installation at
Lot 4 , Woodcrest Circle 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 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 200 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 must be submitted with application.
DATE 3/12/69
Z
ignature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE 3/12/69
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
P
r.
Signature of n petting Officer
Percolation Test 10 Minutes Soil:Clay
Garbage Grinder
f -t/ `.. i
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS..
's' v
1-41
1
3v
1. NAME DATE 3 r Z �;
2. ADDRESS LOT NO. - TEL.
3. NO. OF BEDROOMS DEN YES NO
4. GARBAGE GRINDER YES NO DG
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.
'? 0-0
Y
4- -0
BOARD OF HEALTH OF NORTH ANDOVER) MASSACHUSETTS
NAME OF APPLICAN
LOCATION
SEWAGE DISPOSAL
DATE /'2-
BUILDING:
Dwelling X Other
V�
SYSTEM: New K Repair
GENERAL DESCRIPTION OF LAND
SUBSOIL: Clay lavel Sand
PERCOLATION TEST 10 minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK_IC��_gallon capacity.
LEACH FIELD 2," lineal feet of drain pipe.
illiam J, Di 03'111 Engine.
Board of Hea t
i
Town of North Andover t 40RTIy ,
OFFICE OF 3= °
COMMUNITY DEVELOPMENT AND SERVICES p
27 Charles Street
North Andover, Massachusetts 01845 �9ssnceHuS�`�y
WILLIAM J. SCOTT
Director
(978) 688-9531 Fax (978) 688-9542
March 24; 2000
Mr. Michael Venanzi
47 Woodcrest Drive
No. Andover, MA 01845
Re: Sewer Tie-in
Dear Mr. Venanzi:
The Health Department has been supplied with a list of all residences, currently on septic,
which have access to the municipal sewer system. As previously published at a Public
Hearing on March 17, 1994, the Board of Health has adopted regulations concerning the
required sewer tie-in. The following timetable concerning your property status was
adopted:
4.1 All establishments that currently do not have municipal sewer available
to them must connect to the sewer as soon as it becomes available, with a
maximum time limit of six months.
The purpose of these regulations is to safeguard North Andover's drinking water, surface
waters, groundwater and surrounding environment. Sanitary sewer is believed to be the
most effective form of wastewater treatment. A copy of the entire regulation can be
obtained at our office.
Your property is in violation of this Board of Health regulation. Please contact the Health
Department regarding this matter immediately. If we do not hear from you by May 10,
2000 your name will be placed on the regularly scheduled Board of Health meeting agenda
and placed on public notice. The meeting will be held on May 25, 2000 for discussion of
legal action including court hearings.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
j/ Sewer Tie -In 47 Woodcrest Drive Page 2
Any questions concerning this regulation should be directed to the Board of Health at
(978) 688-9540. Additional inquiries regarding the physical tie-in and permitting process
should be directed to the Department of Public Works at (978) 685-0950. Please be
advised this Board intends to persevere in this regulation.
Yours truly,
G h Osgood, Chairman .
Francis P. MacMillan, M.D., Member
S. Rizza, D.M.D., ember
SF/smc