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HomeMy WebLinkAboutMiscellaneous - 79 GRAY STREET 4/30/2018 (2)W" 441 qj , V, DATE OF PUMPING:,_a— ' WIL OWNER a "DRESS SYSTEM LOCATION DATE- SEPTIC TANK: NO .(example: left front of house) YES NATURE OFSERVICE: _C ROUTINE EMERGENCY' dBii RVATIQN S 441 qj , V, DATE OF PUMPING:,_a— ' WIL OWNER a "DRESS SYSTEM LOCATION c_ SEPTIC TANK: NO .(example: left front of house) YES NATURE OFSERVICE: _C ROUTINE EMERGENCY' dBii RVATIQN S ""GOOD.CONDITION'"FULL TO COVER HEAVY GREASE -BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK 441 qj , V, DATE OF PUMPING:,_a— ' - QUANTITY PUMPED GALLONS CESSPOOL: NO__._._ YES SEPTIC TANK: NO YES NATURE OFSERVICE: ROUTINE EMERGENCY' dBii RVATIQN S ""GOOD.CONDITION'"FULL TO COVER HEAVY GREASE -BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: C 0 ][jj#M ENTS: CONTENTS TRANSFERRED TO: v. 441 qj , V, TOWN OF NORTH ANDOVER r. SYSTEM PUMPING RECORD DATE: i ] 61or� SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: QUANTITY PUMPED_ 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: r' 'CONTENTS TRANSFERRED TO: "vVN F NORTTU60�` BOARD OF HEALTH A FEB 2 8 2001 I,' W% " 0% YL a Im! oft A it :ill -� Si= r� ;�,► �-�`� , o �, , �� �� .6.x,7 , FORM U - LOT RELEASE FORM INSTRUCTIONS:.. This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *************APPLICANT FILLS OUT THIS SECTION******************'`**** APPLICANT E. 14,40ACil .3R. PHONE .JC-7LL7 LOCATION: Assessor's Map Number . Jv a PARCEL oO SUBDIVISION LOT (S) STREET G R Ay S 7. ST. NUMBER_ *****************************************OFFICIAL USE ONLY************************** ******** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED S EFTfe INS ReCTOR-HEAL DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9197 jm k' APR i 2 2000 i. MEN DATE AAAE INSPECTION PLAN Daher �} scaler 1-" , ------ ------------- -_---------- ------ Deet Rel. 2 g 4 �Plan No. 11-2-4 _____ Dram per CitylTovn Of ___�_Tae Assessors Nip. LC,r r n G Tot --An fl 0-V e12... F;� A n V— L,—, r I hereby certify that the above Mortgage Inspection Plan vas prepared for use in connection vith a Rev Mortgage olid is not Intended or represented to'be a property line or land survey. It cannot be used for establishing fence, hedge , valls or building lines. No responsibility is extended herein to the land Queer or occupant. The location of the original building W as shovn herein vas in compliance vith the local applicable toning bylays in effect vhen constructed, vith respect to horizontal dimensional requirements, to lot lines or is exempt (roe violation enforcement action under Mass A.L. Title VII, Chap. 40A, Sec. 71 unless othervise shove herein. Su9ect building(s) lies in a flood zone designated Zone: and shovn on ------------------------- FIRM gap.Community-Panel 1 Z`�oa_�P.- rh lUi', Dated: 6-t f..,�_ Job No. -� JCD, INCORPORATED, LAND USE 1 DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, NA 01944 309-683-9932 FA 44, 1 k, rAXlk" 4 F-IM30 OF HEWN r NaI�TM AuPOvEl,�, NIA, t ' s() PPLY Q Tewnl D QUELL_ :5 Prlc SY STEAA VE51 AP ZOvI-tvG Aurhoi?iTy PLAAJ D651 &AA;K PUA.) DA1 �I�PP�vE� D _ Co,�ptr�o�s /SIE R�45oNS D S SrPT'I 'STEM I j sjA u-. Tiwj eX4V4TfdlJ 1NSpE6l ID&j 94r�_ r25 'I��SS [J F411_ �wA� Iti���rlo� -Z6 -V APPRWI^iG Aurfto�?i y i NS l�U-GR +4��IT�p/•�,QL I��-I (ONS X11= A�Y� r DtS,(�Pt'>z�v�i� D,arC R��s NS •, FVAL APPR)VAL 0ATj�7 G APP►3Nv)6 V -*'SEWER SERVICE 61,�L h JOHN SOUCY Prosidenj 46— COJ�" CO.' 'IFE', " ,401 Ate: 6 q -V K" vo Pu ot C5 I/u 11-T 17' 4W L A'36 ;f 44; 1 :j,-- G0 CoQe-t (, O• JOSem J 148•'2' 537.36 -raw-- y u1 0 r u N i "-- a' Z71 io-• �7 � j `� t000 Gaa.• %Af,FA ERCP AREA 4 pod ��GvT �lz� ry i %01. 1 • ° ©©� L.� gri . goo• o�P� L G9f46T CO. DoT G 91A ST, p. i� P tii Ue:i4� O l hiV f %j L. IV7 4 - - ABSORPTION BED END SECTION V . z .1 CALLON J � ea � n r o` .w �` Fl,. .` TANK N9 1 aS�j DISPOSAL. SYSTEM PROFILE whretz� ��� qt S 4-5 ABsc>apno N AREA= 9-000 ABSORPTION BED PLAN v i OBS HOLE FERC. HOLE t� FERC RATE I 1 z Tor 4 SUB �} -'21 `74 P E RC TEST f To qi5 ,f I -EST DATE 4- Z9 -74 r A" w 7q 6(6� S( Z- t© -E7 ev, rjwVwef�ovr) Sc -5Tcw► . 3o v jk T how z -9-J7 — Goik� IP'k►w►ed 4% - SovvvS pLA)& 'I CL GST Ohe_ J . se � LO r (S � U L,T 51 sco-ff v15rre-d 2--i3 77 /%�, �✓�T, RJRA wMtEe DL)l T COV LO ftVC, t.OFFOV (P: w4S TgNK FGC70oaq TOWN OF NORTH ANDOVER. MASSACHUSETTS orricE or CONSERVATION COMMISSION t ORT" p"".c .. �r 0 o I t� a � TELEPHONE 683-7105 PURSUANT TO THE AUTHORITY OF THE WETLANDS PROTECTION ACT, MASSACHUSETTS GENERAL LAWS CHAPTER 131, SECTION 40, AS AMENDED , AND THE TOWN OF NORTH ANDOVER'S WETLAND PROTECTION BYLAW; THE NORTH ANDOVER CONSERVATION COMMISSION WILL HOLD A PUBLIC MEETING ON February 18, .1987 AT 8:00 P.M., AT THE SELECTMEN'S MEETING ROOM, 120 MAIN STREET, NORTH ANDOVER, MA ON THE WETLAND DETERMINATION REQUEST OF Alan Solomont LAND LOCATED AT: Lot #lChestnut Street BY:-GUILLERMO'J. VICENS CHAIRMAN RUN ONCE IN THE North Andover Citizen on Feb. 12, 1987 COPIES TO: PLANNING BOARD BOARD OF HEALTH PUBLIC WORKS HIGHWAY.DEPT. APPLICANT ENGINEER DEQE FIRE CHIEF Bldg.,-Insp. f TO: FROM: NORTH ANDOVER, MASS 7 19 7-5.— BOARD rBOARD OF HEALTH 41 DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at Z - G 6-1R A Y S11- North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated 7A 19X57 w �jN OF MgSf e r ineejl�')rian ,Jm 'S l Gd c -t RIA O C> BARBAGALLO v A v a� -p No. 464 F O�= 0 T ERE P��P S�0 SPN�� rllz- .401 Ab - C -T y I" •m. i f ZOO - 24 .�42'-►1 27 lye 1 _ � 1 n•gox � ---- d 3 car 7.- ^s:�fri� - _;• pr.....; �, .. 'r ... .. .,:.. c.9. ;.: - c, ,: ,.:..., ., ... , ,.. .. aw,.�x. ,. ..: a ..-.,-. ,. .. :. :..: .. .. .... ,_,_.,q..,,.-.9,.._.:-`-�.a.�untre+.F. .. .,.., a,. v�.M.• ,. .:;A «.. �� J A`(C,(� GDN i CO. LATC-� 1�1a - r4.5 Iii eicaLvD PLS ,. 1`-��'.i - � •'-tea _� _ -`-•-- _. _ ..__. -•- �_. '-_^.. ._ �- � ��`' y}:�►� Tt`�t #, Lill � .•'3.3s.n [`L U lav» _ .-- �-9 ' 16. A»SQIRPTI ON BE 0 1 1 0 CTION ` •.1, "; DISPOSAL SYaST"--t,.A P 0FILE ASSORP'i'10M BED PLAN ® GBl HOLE FERC. NQLE 4 ! �12 Tor 4 Sop 4 -2`j' -7q epolL- To i PERC P A-E TE F T DATE b mia lI"przcf 4.29 -74 C PERC TEST S,�e--TugaTwo ISM14 12#%-9 17KI4 Commonwealth of Massachusetts H City/Town of NORTH ANDOVER, MASSACHUSETTS w� System Pumping Record Form 4 M V. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 101 10 iznm. DEP has provided this form for use by local of Health. The System Pumping Record must be submitted to the local Board of Health or 4ther #p Q jrag—authority. A. Facility Information r�I q F1 -roW Y062008 1. System Location: 4ofi Fa6vor) , Gr,C$,4 4� Address N. on Cityfrown 2. System Owner: Name / . Address (if—different fro/n location) City/Town State (AVS Zip Code State Zip Code 1. Telephone Number B: PumpiRecord .p� 1. Date of PumpingDatl + t o�G 2 Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) '&I Septic Tank ❑ Tight Tank ❑ , Other (describe): 4. Effluent Tee Filter present? ❑ Yes 16 No 5. Condition of System: If yes, was it cleaned? ❑ Yes ❑ No 6. System Pumped By: me Vehicle License Number Company 7-16 7. Location where contents were disposed: _ST naturr of Hauler_ . http://www.mass.gov/ ep/water/approvals/t5forms.htm#inspect Date t5form4.doc• 06/03 1 System Pumping Record • Page 1 of 1