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HomeMy WebLinkAboutMiscellaneous - 87 GLENNCREST DRIVE 4/30/20181 `l X533 9 APPLICATION FOR SEWER SERVICE CONNECTION 4p90 North Andover, Mass. A!6',/) —�� Application by the undersigned is hereby made to connect with the town sewer main in ( yC rki D- Street, subject to the rules and regulations of the Division of Public Works. ic The premises are known as No. 9( D/—il V (f Street or subdivision lot no. Owner Contractor G Address A ca is Signatur 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.. Inspected by Date By See back for rules and regulations Division of Public Works WATERSHED RESIDENTS QUESTIONNAIRE 1. Name LA'i&tQ4,' (� 2. Street Address Sri %At"a-ese DV'LYC 3. How many members are in your household? 3 4. What 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 [k do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years ❑ over 20 years X do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes ❑ no (W 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 X every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes [K 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 appliance are connected to your sewage disposal system? washing machine ✓ dishwasher V garbage disposal dehumidifier drain sump pump toilet roof/pavement drains showerlbathtub v// _ 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher varteu S clotheswasher vaviaue, —/ 12. Does your property have a lawn? L�' yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre 1/4 acre El1/2 acre El3/4 acre El1 acre 0 more than 1 acre (Spe ify) 120007 acres 13. How often do you fertilize your lawn? No. of applications per year 2.- Season(s) Season(s) of the year a"c I Cal 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: Varlov-S {�►blS d� AIQl1yl2� ❑ Check here if your lawn is maintained by a professional landscape contractor. C' C r � 2. Street Address �i (o it-e&e D V LV C 3. Flow many members are in your household? 4. V1. hat type of sewage disposal system do you have? D cesspool 04- septic tank and leaching area ❑ connection to municipal sewer other (describe) ❑ do not know 3 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no [k do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years ❑ over 20 years W do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes ❑ no (e do not know If yes, approximately how long ago? years. What was done? 8. flow frequently is your sewage disposal system pumped out? ❑ annually ❑ every 2-4 years X every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system?' ❑ yes N 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 appliance are connected to your sewage disposal system? W O F'` O,ng machine ✓ dishwasher _I/ garbage disposal 6x 1. :,r-iidifier drain sump pump toilet .r roof/pavement drains shower/bathtub .. 11. Please state the'brand and type (liquid or powder) of detergent you use for: dishwasherykvteu S clotheswasher VAVIouS —/ 12. Roes your property have a lawn? �7 yes ❑ no It yes, approximately what size? ❑ less than 1/4 acre k 1/4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre to more than 1 acre (Spe i ) 1,5000' acres 13. How often do you fertilize your lawn? No. of applications per year — 2- Season(s) of the year Ste✓%" 2. Call 14. Pi..ease 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. F Town of North AndoverNORTH OFFICE OF 3a °; ,�°°� COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street o'!' North Andover, Massachusetts 01845 �9SSgc•►+u5��4y WILLIAM J. SCOTT Director (978)688-9531 Fax(978)688-9542 March 24, 2000 Mr. & Mrs. Stephen King 87 Glencrest Drive No. Andover, MA 01845 Re: Sewer Tie-in Dear Mr. & Mrs. King: 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 Sewer Tie -In 87 Glencrest 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, Francis P. Mac C�y]lan, embe John S. Rizza, D.M.D., Member /smc