HomeMy WebLinkAboutMiscellaneous - 675 GREAT POND ROAD 4/30/2018 (2) i 675 GREAT POND ROAD !ad
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Environmental
Technical Services, Inc.
Asbestos Abatement, Deleading, Industrial Cleaning & Painting
DATE: 7— F_ 9q
Board of Health
City/Town of MOP
RE: Notification of Asbestos Abatement
Dear Sir or Madam,
This letter is to inform you that our company will be
undertaking asbestos removal operations at the following
location:
�amee
S TART: k- 99
STOP:
Any person entering the work site during removal
operations or shut-down of operations can be exposed to
asbestos contaminations. In the event that a fire does
occur in the work areas, any person entering to deal with
that situation should be wearing an appropriate
respirator, and should be made aware of the conditions
within.
Sincerely,,
Lorry Feeney
Environmental Technical Services, Inc.
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461 Boston Street, Rt. 1 • P.O. Box 406 Topsfield, MA 01983 978-887-3888 FAX 978-887-3830
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WATERSHED RESIDENTS QUESTIONNAIRE
1. Name //✓c.l� �✓ S
2. Street Address �'�� De
3. How many members are in your household? Z
4. Wl} t type of sewage disposal system do you have?
�' cesspool
❑ 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. Ho old is your sewage dis osal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years
ET over 20 years do not know
7. Has your sewage disposal sys-em been rebuilt or repaired?
❑ yes ❑ no 0 do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumpo"out? Elannually
El
❑ every 2-4 years every 5-10 years L� over 10 years ❑ never
9. Have you had any problems with your sewage disposal system? ❑ yes ❑ no
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 applian are connected to your sex/age disposal system?
washing machine dishwasher 1/ garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub
11. Please state the brand and type (,liquid or powder) of detergent you use for:
dishwasher S�N�d7
clotheswasher
12. Does your property have a lawn? NI 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
Season(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.
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19�36 22
North Andover Board of Health
Town Hall, 120 Main Street
North Andover, MA 01845
Town of North Andover, MA "!" 3
Watershed Septic System
L TT I Mlp Z,
Servicing Report
Date: r
Homeowner:
VOL"J p
C ave - Pum er
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Street G Address:
Phoneg Phone
Nature of Service: Routine
Emergency
Observations: Good Condition
i
Full to Cover
i
Baffles in Place
Leachfield Runback
Excessive Solids
Heavy Grease
Roots
Other (Explain)
Description of Work:
Comments:
4 Y
P.)tJrwS
twoo SEPTIC SYSTEM INSPECTION FORM_
G14D
ADDRESS v�- PC y�
DATE INSPECTED "
PROPERLY FUNCTIONING? Y N
WEATHER CONDITIONS
COMMENTS :
DYE TEST PERFORMED? Y N
DATE?
SKETCH: r Li
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FORK U - ZAT RELEASE FORM .
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits frog Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
' *****************Applicant fills out this section*****************
VAP
PLICANT: d� 0 � � e� Phone
LOCATION: Assessor's Map Number Parcel
Subdivision Lots)
7.
�treet �0 5 C.��� 1'°c�wc. 1'-°.� . St. Number
Use Only************************
RECOMMENIDATIONS OF TOWN AGENTS:
Date Approved
Conservation Admin;_stra=or Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
✓ „1ALL Date Approved Y8
Septic Inspector-Health Date Rejected
Comments or-
7-6)
GTU 729111II& y --ZOOM
Public Works - sewer/water connections
- driveway permit
✓Fire Department
r ,
Received by Building Inspector Date