HomeMy WebLinkAboutMiscellaneous - 933 GREAT POND ROAD 4/30/2018Tel. (508) 475-4786
STATEMENT
Bateson Enterprises Inc.
111 Argilla Road • Andover, Mass. 01810
Nov. 11 19 93
r
F933
avid Tracy
reat Pond load
Andover � Ma . 01845
J I
L
To insure proper credit please return this stub with your remittance. AMOUNT $ 145,00
_ - AMOUNT
DESCRIPTION
DATE
$145-00
5
.00
11/8/93 Pumped 'Septic Tank
Bateson Enterprises, Inc. - Andover, MA 01810
SEPTIC SYSTEM INSPECTION FORM
ADDRESS 9-�3 G
DATE INSPECTED
PROPERLY FUNCTIONING? N
WEATHER CONDITIONS
COMMENTS:-
4Y..
f
Please forward uas much of the follow ng- information that is possible -
1. Type of system
2. lige
3. Location AYLA,
4- Maintenance records and date of last pumping; out
0
Document^ t on of repairs and reconstruction
6. Site conditions
7. Builder of system
4-"� crL�
8. Engineer who app
roved%
-- Site
-- System
9A Installation Procedure
10, Problems
-a -
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name[
2. Street Address % 3 M147-/2C4C/) %'lP
3. How many members are in your household?
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 M do not know"
6. How old is your sewage disposal system? ❑ 0-5 years 6-10 years ❑ 11-20 years
❑ over 20 years ❑ . do not know
7. Has your sewage disposal system been rebuilt or repaired?
$ yes ❑ no ❑ do not know
If yes, approximately how long ago? years. What was done?
S. How frequently is your sewage disposal system pumped out? ❑ annually
O❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years never
9. Have you had any problems with your sewage disposal system? ❑ yes I 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 I_ dishwasher _(_ garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub 2-
11.
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher DK A C V < /L A21", 1-'/L-
clotheswasher,/'�r►ct#/V _ �F� c/►f�t/� J 'U �.)✓E�,/La�� L-�► (2r14 1) 1L
12. Does your property have a lawn? D4, 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 ' -0-
14. —
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
❑ Check here if your lawn is,tr'' -fined by a professional landscape contractor.