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HomeMy WebLinkAboutMiscellaneous - 492 SHARPNERS POND ROAD 4/30/2018 (2) mom 4 492 SHARPNERS POND ROAD ' d Road - -- 210/105.D-0121-0000.0 P5 E 1. Y MAP ## _ LOT #_--4-._.%.k' ............_................... PARCEL ##____ ------- STREEI"...._.- .v . ......... ............. CONSTRUCTION APPROVAL HAS PLAN REVIEW FEE BEEN PAID? YES NO PLAN APPROVAL: DATE Z APP. BY....._._......--.............. ..j�..���f.. DESIGNER: �' C ___----_ PLAN DATE:_._.._. ._...... .....__._... ....-- -- _ ' . . CONDITIONS 4 Of WATER SUPPLY: TOWN WELL WELL PERMIT _ DDRILLER..._...................... WELL TESTS; CHEMICAL lU(a 1 E AI-`6='RUVEU...��g__�/_. r' f, BACTERIA I DATE CIPPRUVED, . BACTERIA II DA 1 EAPPROVED..__._....__._.................. ..._ COMMENTS: ©�172> /S5 f FORM U APPROVAL: APPROVAL lU ISS' = NO DATE ISSUED_ L 6 �� BY 5C- CxPA,101 CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES N ANY VARIANCE NEEDED YES NU FINAL BOARD OF HEALTH APPROVAL: DATE...__..-. ......__...........IiY:__.._.._....._.._. _.... r . ,,•; ;. SEPT X G_�_Y_SIE.�1_t..N.�.7:9.4..L..A.�.t�_QN. • IS THE INSTALLER LICENSED? NO TYPE OF CONSTRUCTION: NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW NO CONDITIONS OF-APPROVAL . YES NO (FROM .FORM U) ISSUANCE OF DWC PERMIT _ + YES NO ''DWC PERMIT NO. �--" INSTALLER: 'OS -- BEGIN . INSPECTION GYS NO: EXCAVATION , INSPECTION: : NEEDED: i 1 k PASSED BY ' CONSTRUCTION INSPECTION= NEEDED:� �_ :_•�___•__ _............. AS BUILT PLAN SATISFACTORY: YES: APPROVAL, TO BACKFILL: DATE:4 � BY�_ FINAL . GRADING APPROVAL: DATE BY FINAL CONSTRUCTION APPROVAL: DATE: BY -__T_•___._ �� s , F ommonwoalth of MassachusettsEW f "Pk17it /Town o 'NORTH ANDOVER MASSAC USETT Y System Pumping Recrird 3 NO V 1 2006 Form­4*' :". , TOWN OF� NORTH ANDOVER '. HEALTH DEPA DEP has provided this form for use by local Boards of Health. The must be submitted to the local Board of Health or other approving authority. A: Facility Information Important:. . When filling out 1. System Location: forms on the".:, computer, use only the tab key Addres �f n to move your l�fJ cursor-do not . City/Town State Zip Code' use the return key..!. 2.`; System Owner C Name Address(if different from location) Cityrrown. State i e `•' Telephone Number B. Pumping Record f` 1. Date-of Pumping 2. Quantity Pumped: Date Gallons j Type of system: . ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑' Other(describe): 4.' Effluent Tee Filter present? ❑ Ye No If yes, was it cleaned? ❑ Yes ❑ No 5 Condition of.System 6. Sy em Pumped By: C-1 Name Vehicle License Number 14 ad-Ord rna. Company wh re c ntents were dis posed: 7. Location e o a ,: Signature of Hauler Date hitp:ltwww.mass.gov/dep/water/approva.Is/t5forms.htm#inspect i. t5fonmCdoc•06/03 System Pumping Record•Page 1 of 1 HAUL LIC # 777 $100 1996 STEWART'S SEPTIC TANK SERVICE INST LIC # 659 $200 1996 47 RAILROAD STREET BRADFORD, MA 01835 508-372-7471 May 3, 1996 : NO ANDOVER BOH r v,",3o5 TOWN HALL ANNEX � � 120 MAIN STREET NO ANDOVER, MA 01845 PH# 508-682-6483 508-688-9540 FAX 508-688-9556 Dear SIRS: The following is a list of properties that we pumped in your town. In accordance with TITLE V regulations, we are complying by sending you the following on a monthly basis, if need be. If we didn't pump, you will not be notified. PUMP DATE ADDRESS GALMNS 04-01-96 197 ABBOTT STREET 1,500 105 WINTERGREEN DRIVE 11000 04-02-96 A 42 OLYMPIC LANE 11000 04-04-96 A 71_PENNI LANE 11000 04-06-.96 r92._SHARPNER'S POND-ROAD 11000 A 39 HAYMEADOW ROAD 1,500 04-08-96 498 WINTER STREET 11000 187 SOUTH BRADFORD 11000 04-09-96 A 495 REA STREET 11000 04-10-96 A 706 FOSTER STREEET 11000 04-11-96 A 83 CAMPBELL ROAD 11000 04-11-96 A 43 CHRISTIAN LANE M 1,500 04-12-96 7 HAYMEADOW ROAD 11000 1577 SALEM STREET 11000 04-13-96 278 BARKER STREET .1,000 HEAVY 04-16-96 A 30 BRENTWOOD CIRCLE 11000 04-17-96 A 27 COACHMAN'S LANE 11000 04-18-96 369 HIGH PLAIN ROAD 11000 28 CEDAR LANE 11,000 A 121 CAMPBELL ROAD 11000 04-19-96 A 160 BRIDALPATH LANE 2,200 04-20-96 A 200 RALEIGH TAVERN LANE 1,500 A 1 GARFIELD LANE 1,800 c � Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH NORTH O�tt� o ,e�tiO i am. oL _ w 1� , F e 1 0� -19�� f F t 's ''�S �•'�� DISPOSAL WORKS CONSTRUCTION PERMIT SACHUSE Applicant ,1 NAME ADDRESS TELEPHONE Site Location 7 t tj r y ,a f' y t, Permission is hereby granted to Constructor Repair ,, an Individual Soil Absorption Sewage Disposal System as shown on the Des gn Approval S.S. No. r A.s h , s CHAIRMAN,BOARD OF HEALTH Fee— D.W.C. No. Z xoir• r� L:�c��v`. 'r� t+ �. _..y„ $� �'e ",ra,°�'�'' T,�Ct*7+5�. Y F 5"'rvr^.;�� r•:. '�r� .... `i -C {r cY ��"-'^�i�'""� 7'.. t r r{x��"X-t "tw x r•`'`t'' r ! y �� j i tax "' � r •rk'T.� a r Rt � x � `'' 'c.,.,r 3� a�'� f� �7ti -7 � r }VSh y�. n n�d t SY ,• 4( t 0.a", z x�7 a'�� S u r x 4 it( ^Ylt ttl�+. � St A �..>+ - � y•k�t,��r��,��}`'y;� �k',`ft Erst5't' Y.x34."4{st Yt - t tpq ;� •a t 1 r t y. t Tj}r'�r ait�Ry k �S�a9r�,�,:-�i`- 'd F i r '(,�3'5 7 r ` • ` ti +t y' w: s1 k_�:5"is •{ <t �"' fi ir•a"a� l�f,3cS1ri c��-5s�t a r _ tx r ' }1{'riSS!Z,�`ts T t 3r >� tr 'tr,� sant t*t �y r f.• Cot s � r^a�� {t�t s art' r _ - t G. HENDERSON CO., INC. 280 CHANDLER -- r H 1ANDOVER, MA018 p�� �^ ' 315 u PAY TO THE } ORDER OF ` "r. 19�. 53-235/113 j BayBank BayBank DOLLARS Massachusetts Middlesex '1:0 1130235 ? ' 161 0234211 0317-15 - 777.,.� r .. t .r 1 1 1 Town of North Andover, Massachusetts Form No.3 NaRTM BOARD OF HEALTH D 19 cs � +F off_.«mEm7.K,-:`,`� • 1 "�•,;.o �' DISPOSAL WORKS CONSTRUCTION PERMIT i ,SSACHUSEt I Applicant NAME ADDRESS TELEPHONE � Site Location f � � _�� - p("n XA I Permission is hereby ranted to Construct or Repair >��.�, an Individual Soil Absorption y Y g �) P p . 1 Sewage Disposal System as shown on the Des gn Approval S.S. No. i 1 1 } CHAIRMAN,BOARD OF HEALTH 7 ti L"U Fee D.W.C. No. .J I V ws Mao— FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION C-'��" 5��.��,'.r'c`�i t1 S' C.01_? 0197 ASSESSORS MAP 1-3 SUBDIVISION LOT(S) PERMANENT ADDRESS ASSIGNED BY D.P.W. STREET i APPLICANT / -f �- 3L.r1devk -KL PHONE i DATE OF APPLICATION IZ9 Ci 1 TOWN USE BELOW T1iiS LINE PLANNING BOARD DATE APPROVED TOWN PLANNE DATE REJECTED CONSERVATION COMMISSION DATE APPROVED CONSERVATION ADMIP. DATE REJECTED BOARD OF HEALTH DATE APPitovru � HEALTH SANT ARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT / � i o.�..app (�c.�,�-�,,.-tf a��,��1,I ak C SEWER/WATER CONNECTIONS -21 N�f� FIRE DEPT. l•L l^��2� �l E�f�/�Z�l'�l fi c — �� I� 1� 6- -A RECEIVED BY BUILDING INSPECTION DATE i and Health Boards This form shall be signed b the agents o f the Plannii < g Y � S I the Conservation Commission prior to the issuance of any building permft�, for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. BOARD QF HEALTH fo.Andover,, Mass . } SUBSURFACE DISPOSAL DESIGN CHECK LIST -- LOT # G( S!-417FAAf- J��N17 'PROVES _ Dpggs��t / DISAPPROVED DATE rovideds (J Reasonss SS (2�j itle VF An OK eg 2.5 The submitted plan must sho as a minimum'. a) the lot to be served-ar ,dimensions 1 #,abu rs b location and log deep ob ervation hoes- stanc ties c location and results perc lation tests- st ce ties d design calculations & cal ulations showin requi lea hing area (e) location and dimensions o cyst luding reserve are f) existing and proposed con urs (g) location any vet areas wi 00' o sewage spsal stem or disclaimer-check wetlands pp g (h) surface and subsurface s thin ' of s sposal system or disclaimer (i) location any drainage easem is tiithin ' of serge disposal system or disclaimer-Plannin Bo d files (J) knos.0 sources of water suppl wit 200' f sewage disposal a system or disclaimer (k) location of any proposed well s lot- 00' from leaching facility (1) location of water lines on pro arty-10 m leaching facility (m) location of b chmark (n) driveways (o) garbage disposal (p) no PVC to be used construction (q) profile of system- tions of b sement, plumb, pipe, septic tank, distribution box inle and outlet , distribution field piping and other elevations (r) maximum ground water ele tion in sewage disposal system (s) plan must be prepared by a ofessio Engineer or other professional authorized by la to pre a such plans Reg 6 Septic ..Tanks (a) capacities-150% of flow, water table, es, depth of tees, access, pumping (b) cleanout (c) 10' from cellar wall or inground swimming pool (d) 25' from subsurface drains k eg 10.2 Distribution Boxes (a) —slope greater than 0.08 eg 10.E (b) i NUM:FR FEE r. Q THE COMMONWEALTH OF MASSACHUSETTS TOWN of NORTH ANDOVER .............._............................................... This ie to Certify that .-......D...L.-MAhar................. IYAMB 71.•••Concord---St ree-t-,..•.No.r-th..-Reading.,-..-MA...................... ADDBE33 IS HEREBY GRANTED A LICENSE For ............... permit to drill a well - Lot #4 Sharpner' s Pond Rd. ...-...................................................................--..-............ ......... .............. ...... ..................................................................•...........•...........-..............•....................... ..... ... ...................•---.-....-..........•......................-..-.......-•..............--..........-.......-.....-.....-..........-.. ...................•.....---........................•_..•................-•---........................................................... Thie license is granted in conformity With the Statutes and ordinances relating thereto, anal expires...Decemher....31 /....19.9.1................ualem soouar +uspen�dily�/ coked. C. ..Yebruary...2.8.......................19..91 -�.. ....... .......� r�J .•. .............. .......`Lh ......................... FORM 493 HOBB3 d WARREN INC. LCC!- _.................•..... BOARD U1 III-AL'1 BO 11 Town of ttorLh Andover ,hl;+:; . rmi t 13111 t e ,3 – 1 19 ll APPLICATION FOR WELL e, 1'11111' PERHIT _ plication is hereby made for pvrrnit to dri 1. 1. r+ wcl. l. ( _) . Application f,s de to install (_) a pump system . cation : Address ItJT �� ���%+�� �`!.-�S �,Gc� �)��__ Lot 11 1 ner � �-- /yL �,�S Address /1/ I'cl . k3� ����%U t ll Contractor �L/17/�A, 2_ Address � G ����� � /t?/ITcl mp Contractor �U��%�1�6� 1 „` l/) Addressllii•� c'�/�I,�� Tel .�O�' LL CONTRACTOR ( To be completed at Lime of p+unp Lest ) pe of Well _$e. cIL Well used for_ U.p/?1eST/cL ameter of Well to Size of pth of Bed Rock y� Depth casing I.+ILO Bed Rock s / s Seal Tested? Yes ( ) No (–) Date of Testi. nf;____� pth We 11 Ended i.ii What. 1.1ateri.al pth to Water_ / S Delivers.– Jl _Gals . l'er Hin . for 4 hours awdown /00 feet after pumping; _hours. i+ L _ e) GPUI to of Completion 3 ----T''+ ,+Cure McIl Coil ractor XX*:r:1':�:ri:..ir:. .:-:r:. .::k:rYr�.%::'t.:sifric:i:. .. .. .. .. .. .. .. ..ir:. .. .. .. .. .. .. .. ,:�, .. .. .. .. .. ,. .. .. .. .. ., . .. MP INSTALLER (To be• filled in before i nsL;.+ l l aL i 0 ze & Name Pump _ ------ – - -- p Type Used ter Pump Delivers G P H Size of --_— pe Material Used in Well : Cast Iron ( _) (;nlv;ini %.0d ( _) Plastic (_1 Al Pit (_) or Pitless .AdaptCr ( _ ) ,s sleeve used to protect j)ipe? Yes (_) NO( _) Type or Name Well Seal to rit*�Ir�4r�1r�M�r+�tk�r�4+M�tih�t�M�4tt+4�Ir�►r+tthiM�Y*�4�Mt4�4�4iMJ4���4i�+4�'r}'r>'r�'r�'r�'�.':r.l;:�t;1 %I1 �+U ;�` .. �h�4h�t+hhth ite I-later analysis report suhmiLLed to Board of Ile' allh__ ite release given m owner of record & Bldg . Irish --- - �IlealLh Inspector i 4 Windham Pump Co a, Sample # 2- 2 31 Harris Rd. Windham, NH 03087 Tel 843-4246 SAMPLE FROM a Lot # 4 03/03/91 Sharpners Pond Rd. N. Andover, Ma 01845 ---------------- ------------------------------------- Water Analysis Results ----- Maximum Contaminant Level -------------------- __ _____ PH -- ------___ e,0000 ( 6.5 - 8.5 EPASECSTD) HARDNESS ------- 85.50 *** ( 75 PPM EPA SEC STD) CHLORIDES ------- 15. 1000 ( 250 PPM EPA SEC STD) NITRATES -------- 0. 0000 ( 10, 00 PPM EPA PRI STD) NITRITES -------- 0.0000 ( 1 .00 PPM EPA PRI STD) SODIUM ---------- 11 . 3300 ( 250 PPM EPA SEC STD) IRON ------------ 0_0000 ( .30 PPM EPA SEC STD) MANGANESE ------- 0. 0000 ( .05 PPM EPA SEC STD) COLIFORM BACTERIA O ( O OTHER BACTERIA --- «0O EPA PRI STD) ( 200 EPA PRI STD) COPPER ------ 0.0000 ( 1.0 HYOFtOGEN SULFIDE - N/p _ O PPM EPA SEC STD) TURBIDITY ------- ( •01 PPM EPA SEC STD) 0.00 - ( 5.00 EPA PRI STD) TOTAL SOLIDS- --- 95.00 ( 500 PPM EPA SEC STD) RESULTS ENTERED 9Y ---------------------------- TEST Denotes over Standard but only Prirary S ----- ---------- tan ds Cause failure of Test. �- - This water meets EPA standards for safe drinking water and household use based on the above items tested. Any secondary standards are not considered harmful to health. 'i. 1 The 21st Century Pump Comy"nv wish over 25ymn of Experience ` Department of Environmental Management/Division of Water Resources t` s WATER WELL +rOMPLETION REPORt WELL LOCATION GEOGRAPHIC DESCRIPTION Address Lvr4V � � o0 4� S E W of (feet) (circle) City/TownIg, Al, 41ilde uLal /1'1.9 SMN4f yp XV Md I#olD.J D Well owner E fF QUJ/d e-4-f (road) Address :3 IV41 e-4 N S L W of ,,iV• .,AA�&/,PVef M (mi. in tenrns) (circle) Board of Health permit: yes no 0 intersect. w/ /ZT Ily (road) WELL USE WELL DATA Domestic [9 Public ❑ Industrial ❑ Total well depth :;CL; ft. / Monitoring ❑ Other Depth to bedrock Water-bearing rocklunconsolidated material: Method drilled R 4 DoT zT— %J Date drilled y-8 �' description— It4Ar J (. Water-bearing zones: CASING 1) From To off Type Length 525 ft. Dia(.I.D.)_�_in. �� From To 3) From To Length into bedrock / Y ft. Gfivel pack well: dia. Protective well seal: Screen: dia. Grout-C] Other_dita/ Slot O length from to PUMP TEST Static water level below land surface ft. Date Drawdown - ft. after pumping hr. min. at gpm How measured RecoveryIt. after hr. min. t,. 0 LOG of FORMATIONS COMMENTS e Materials From To c Driller - I^ /gs GS D Mass. Registr6tion 2 Firm Grp Address ST'wT Citv[Town /lJ• lL4,71,,V4 __ iorrpture o Siroervisinq revisrered well driller - - -- -- _ -1 ., . Lormly 0P [LL ER DOPY BOARD OF IIIAIA11 Town of MorLh Artdover , tl;Iss . DUte 19 rmit � APPLICATION FOR WILL & FUHP PERPII"I plication is hereby made for permit to drill a well (_) • Application LS de to install (_) a pump system . Lot �l cation: Address Tel . nerr � /5L ��5 Address lJL/Z'�/✓ri n- ! �j�i ; :' ,: i l / /,------- J c 1 . / fes{ 11 Contractor r Acic:lt c.,.,_ imp ContractOrG!//w`C l>l1�:=1 '?f Address ru ',LL CONTRACTOR (To be completed at Lillie of primp test ) rpe of Well Well used for .ameter of Well Size of Casi.ilg _ pth of Bed Rock Depth casirnl; ittLo Lec1 1?ocic_ - is Seal Tested? Yes (_) No (_) Date of TesLi llg I, th ••o-f -�>•ell — _. lJell Inded iii l•)l�a-t. ttaterial iP Delivers Gals . Per Hill . for 4 hours :pth to Water_ — feet after �um �in ' hbur�;• � t G1'I1 cawdown ite of Completion -_ — _ Sil;naCvrc 11cl- 1 CoiILractor lfilled in bcf.orc JMP INSTALLER (To be i n i.ou ) Pump Type Used i ze & Name Pump - - ---- - - iter Pump Delivers GPM Size of Talllc �pe hlaCerial Used in We Cast Iron ( _) c.;, ] v:>»i zed Zell pit (_) or Pitless •Adapter ( _) as sleeve used Co protect pipe? Yes (_) 1JUt �) •1'ypc or i',;imc 1•)e11 Seel ate _ — - --- -; :- 1 --- - t'r t414 t4>M t4 t4 t4 t4 i4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4 t4,4 r'r,4,4 t'r 'r.'r ti'r i r ti'r 5'r,: .: ,. late Water analysis repor-t'' "submitted to l,oZIrd of llcr� lt{i __ _ )ate release given tD owner of record & lj).d�; • lisp — I Ileaaltl� Lrishector r , r :). J.-4, .. t I 1 <i}!♦ l �rsf�-.�_:m..:-d�aiyazL'st'saril+s:anc<w,.w,,.,n....uuae.kx..,e.ew�ywr.e,,,y,s.N...., +. I a'� NUM.ZF.R FEE 3/0 THE COMMONWEALTH OF MASSACHU E7TS t $25—D.0: TOWN of NORTH ANDOVER t . ..... .. This is to Certify that ........D,,L_Xabe.r-..-.•-. .........---•.................. ... NAME 71----Concord•..S-treet-,.-_.N-o-r-th- Reading 1 .. ADDRESS r IS HEREBY GRANTED A LICENSE ............................t j For ermlt to drill a well - Lot #4 Sharpner' s Pond Rd. 4 ...... .... ....... .. ... ..... ......................•--- r ...................................... .......................................... .... .. ................ Thie license is granted in confornlity with the Stat "tc� and orllinanecs ry latin� the ►1 to, anrl {' expires—D.eCember....31.,....1.9.9.1.._ .--......linlesy r ok d. : Q �1 P I- j ..Eebrular.. ---.2.$. • ,.. � Iy 1 ...;i_. FORM 433 HOBS 8 WARRENazS . INC. - 3 . .. 1 Y. is D. MAHER CO. WOBURN NATIONAL BANK 0019146 71 CONCORD STREET WOBURN, MASS. NORTH READING, MASSACHUSETTS 01864 53-307 CHECK NO 11 DATE AMOUNT PAY TO THE. rk1 r. L, I°.i��?�`I•� �,U'•i r,:{,l`,1h y+_v.1 i't;' . ORDER OF MAHER COI. 111019 14611. 1:0 ,,!C AUTHORIZED SIGNATURE ---: --. 1 1 30 30 7 13oil g-19of, TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD °+ DATE: D� SYSTEM OWNER & ADDRESS SYSTEM LOCATION l� (example: left front of house) O DATE OF PUMPING: y UZ QUANTITY PUMPED KW GALLONS CESSPOOL: NO 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; COMMENTS: CONTENTS TRANSFERRED TO: \I 52 Alk 1Q ^ V)'1�J�/'� � r�! �� 1I��t lJ,,j)������ ���il�( {`r (�'• 'Pl�,,�tJ )/�1(.,.-� -""�',°'�,•_ .i�.�. IJ�;.{)�Y{ /)�•,�J(I�.11���.fl til. �,'.1 � s sTNrn p � n� � w �i> I �m Uwn�R & hUORCSs SYSTCM rAy S 9 n rs u 1 I C Yi , r ,�r ,, � JUl1 UU 0 rrc S- TvRF..oF.:S6RY.i'cer R0UTIne en: E:RCF.�c . port,`; '• ��'.UVO',CQ.�1',U.�I"i'I�gl^i.. hUl,� TU CU 's.^ GXGESSI,Y,E:$QL'fQS. CJnR' YQYYR`'1 c, j� �I�ll)`�i,yifl �i�•1>< rlr� l/l` �' � � ;' 1' J 1 C U �l l"ri ('r(TS �� ' '• (�{r�,,.t �Ivll(,''11tjiJ�•1'h}r'"!l.{�:I')ll. " „ " I 1 TOWN OF NORTH ANDOVER t NORTH , Office of COMMUNITY DEVELOPMENT AND SERVICES o:°'z a°OA HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 CHU 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.9542—FAX Public Health Director E-MAIL: healthdept@townofnorthaiidover.com WEBSITE:http://www.townofnorthandover.com April 11, 2005 To all Sharpeners Pond Road Residents: Please note that it has come to the attention of the Health Department that many residents are leaving their trash barrels and trash bags out at the curbside for days, or weeks at a time. Empty trash barrels blowing about in the road are a safety hazard, and trash and debris along the roadway is a health hazard. Please be mindful of this, as the Health Department will conduct periodic inspections of the area to determine who is in violation, and fines will be issued if protocol is not followed. The Board of Health follows the State Sanitary Code regarding Human Habitation, 105.CMR.410, Section 1: 410.600 (A): Garbage or mixed garbage and rubbish shall be stored in watertight receptacles with tight- fitting covers. Said receptacles and covers shall be of metal or other durable, rodent-proof material. Rubbish shall be stored in receptacles of metal or other durable,rodent-proof material. Garbage and rubbish shall be put out for collection no earlier than the day of collection. (B): Plastic bags shall be used to store garbage or mixed rubbish and garbage only if used as a liner in watertight receptacles with tight-fitting covers as required in 105 CMR 410.600(A), provided that the plastic bags may be put out for collection except in those places where such practice is prohibited by local rule or ordinance or except in those cases where the Department of Public Health determines that such practice constitutes a health problem. For purposes of the preceding sentence in making its determination the Department shall consider, among other things, evidence of strewn garbage,torn garbage bags, or evidence of rodents. 410.602 (A) Land. The owner of any parcel of land, vacant or otherwise, shall be responsible for maintaining such parcel of land in a clean and sanitary condition and free from garbage, rubbish or other refuse. The owner of such parcel of land shall correct any condition caused by or on such parcel or its appurtenance which affects the health or safety, and well-being of the occupants of any dwelling or of the general public. (D) Common Areas. The owner of any dwelling abutting a private passageway or right-of-way owned or used in common with other dwellings or which the owner or occupants gunder his control have the right to use or are in fact using shall be responsible for maintaining in a clean and sanitary condition free of garbage, rubbish, other filth or causes of sickness that part of the passageway or right-of-way which abuts his property and which he or the occupants under his control have the right'to use, or are in fact using, or which he owns. ' Residents should know the following: • The Town has a mandatory paper and cardboard recycling ordinance that requires residents to separate these items from their household trash. Paper and cardboard are collected every other week on the same day as the household's normal trash. Residents can call the DPW at 978.685.0950 to get their recycling schedule. • Residents are responsible for picking up loose trash left at the curb after collection. Banned Items and Recycling Requirements: Please refer to the DPW website for a complete list of all the recycling requirements: http://www.northandoverrecycles.com. Please contact the Health Department if you have any additional questions. Thank you. Sincere / an Y. Sawyer, REHS/RS / Public Health Director File Commonwealth of Massachusetts City/Town of No.Andover System Pumping Record Form 4 M 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 1. Systemocation: forms on the Wqa �:)n a rp n(-:> computer,use only the tab key Address to move your No Andover Ma cursor-do not City/Town State Zip Code use the return key. 2. System Owner: RECEIVED C-Gac-�-h Name JA '10 ZU1Z Address(if different from location) TOWN OF NORTH ANDOVER HEALTH DEPARTMENT City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped:e d: Gallons 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: &Ocrf 6. Systern: Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant Awa—Mill Bradford, Ma 01835 Signature of Hauler Date 1 -2, Signature of Receiving Faci ty Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1