HomeMy WebLinkAboutMiscellaneous - 59 SALEM STREET 4/30/2018 (2) \ - `
v�
�"'f�
4
I
I
J 44 V R alt LTY
4;ALWA
JOSH J , d3,A1Z�dLLO ILS,
<„ NILLV f f�`R1 6t,GyA Q
k,�CLfif~i "{�E:�f�fJ 4� •/Il.t�,�s'S, 'rr
J U tar. `zc. 1�1"t'► •�
la
` 1
OF 2 . L `
�f
gjyJs a'r t
It
30 Cm-
ALE /A 57
- �•
a
X
/F R777f
S/ ST
\l 1+.�\��+ \.\ 1�\yy, H`r-L- ♦ll'ts.�c+�\ IG.,t P1�. Vs�+ M}7�Q
Odr A 0 o 0
♦ • i 4•+ WWCPWA'M.00"W.%,aajt b
0 Id pl
T .
ABSORPTION BED `,EN D SECTION, j{
. JJF1 ,
- t000 ,
W
o ,TRK
AtAK
DISPOSAL SYSTEM PROFILE
g
ABSORPTION BED -PLAN
48S.HOLE PERC. HOLE PERC WE"' TEST' DATE
0 FERC TEST
,xis a�� , ' S�.r�r. r.�ra /•5h�v. • , . .
TOWN
OF NORTH ANDOVER
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845-2909
J. WILLIAM HMURCIAK, DIRECTOR, P.E.
Timothy J. WillettI
F "ORT" Telephone h (978) 685-0950
Staff Engineer a°•'+` � °1tio
F A Fax (978) 688-9573
�' CpP tion
NCHUS t�
November 1, 2000
TO RESIDENTS OF SALEM STREET:
Please be advised that the recently installed sewer main on Salem Street has passed all required testing
and inspections. Consequently, it is now ready for public use. This affects the following houses on
Salem Street: #39, #40, #49, #58, #59, #69, #70, #79, #99, and#120.
You may now begin the process of connecting to the sewer. A sewer connection permit must be taken
out from this office. The fee for the permit is.$1,000.00. You must hire your own contractor to make
the connection. A list of contractors is available at this office. Contractors not on the list may also be
hired.
The permit requires "sign-offs"from the Health Agent and Conservation Agent at 27 Charles Street.
Once the permit has been paid, and has been signed by the Conservation and Health Agents, your
contractor may proceed to connect your house to the sewer line.
The Board of Health has a regulation in place stating that all homes that have access to town sewerage
must connect within six months after a line becomes ready for connections.
CC: Sandra Starr
Susan Ford
r
v fl
1607
APPLICATION FOR SEWER SERVICE CONNECTION
J
North Andover, Mass. D V
Application by the undersigned is hereby made to connect with the town sewer main in �� � Street,
subject to the rules and regulations of the Division of Public Works. f
The premises are known as No. � Street
or subdivision lot no.
Owner Address
Contractor Address
Applicant's Signature
G.�
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at Street
subject to the rules and regulations of the Division of Public Works..
Division of Public Works
By
Inspected by
Date
See back for rules and regulations
I
i
i
I
� ,�-- T� eo�O hc�u�ns
Q,a.-cR- �'�j
FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FOIU1
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS (ASSIGNED BY D.P.W.
/STREET 9-7 L,4lEM ,S'j
APPLICANT C\AMLS 'N�GG���ls PHONE
/ATE OF APPLICATION
TOWN USE BELOW THIS LINE
PLANNING BOARD
DA'T'E APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION CObalISSION
DATE APPROVED
CONSERVATION AD t DATE REJECTED
. /BOARD OF H TH
V DATE APPROVED 3117
SA tIAN DATE REJECTED
�� �usT �" �ff',�v �s i b�/Zo�•cr � ���sS
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
0,G. k / - — -- -- — - -- — - —
2•Z k,4
PLA T EQDFF(TY&N TS
1
I
2 8s 111A
U
�f.
a
19
at
r•
_ si N
et,
- •-+..L ..,► �y k'�r>°I,dC�'h�"3r, ..k:,,,�.. .•-t.-y.. ` _2:....` .._.a.,.
I' ` ' .. 1
.•�.-yam ,}9K �� Wit. • ��.
r►✓
r
I'
cZA ' «i y.
ClIIM
Qt JR. bi HAVUHILL ST ZVT
NO. 3M
t. No. js�otAta N0. REAViNG-AMASS. 66 3:;
G T I C E: VERIFY Aid
RECSIVS ►
IL'-, Commonwealth of Massachusetts
City/Town of
System Pumping Record NORTH ANDOVER '�T
Form 4 TOWN OF NORTH ANDOVER
DEP has provided this form for use.by local Boards of Health.Other forms may be u ed,KAIATH DEPARTMENT
information must be substantially the same as that provided here.Before using this rm,
total 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 fining out 1. System Location:
forms on the L O -^(,-
computer,use _-..___ ._.. _. _ - -
only the lab key Address. �h A
to move your �
cursor-do not 6 frown ate Zip Code
use the return
key, 2. System Owner
Name - - - -
Atltlress til different from tocationj
Cityffown - - - Slate - ^- Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping 9- e ate 2. Quantity Pumped: /`�� — -
Gallons
3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap
❑ Other(describe) - - \
4. Effluent Tee Filter present? ❑ Ye�No If yes,was it cleaned? ❑ Yes,&lo
5. Condition of System:
6. Sym Pumped BY: -
Name vehicle license Number
Company
7. Location where contents were disposed:
Noft Andover MA.
Signaiure of Hauier - Gate -` ---
Signature oI Receiving Facility - _ Date
151ormcdoc•03106 System pumping Record•Page I or t
