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HomeMy WebLinkAboutMiscellaneous - 47 WOODCREST DRIVE 4/30/2018p 0 a �r . 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