HomeMy WebLinkAboutSeptic Pumping Letter - Correspondence - 400 WINTER STREET 5/31/2022 •
North Andover Health Department
[ommunity and Economic Development Division
Septic System Punipin, Records
Date: 5/31/22
Address: 400 Winter St.
Condition of system: Tank flooded
Dear Owner:
Please note that a septic system pumping record dated 3/08/22 and received on 4/20/22 states
that your septic system's tank was flooded. This indicates that repairs may need to be performed
on your current septic system. Please have your system inspected by a licensed Title 5
inspector within 30 days of receiving this letter. Attached is a list of Title 5 septic inspectors
that are permitted through the North Andover Health Department. If you have any questions or
concerns,please contact the Health Department at the phone number listed below.
Thank you for taking the time to consider the impact this may have on your system as well as the
environment.
Sincerely,
'e-, 4 ,,
Stephen Casey Jr.
Health Inspector
Office: (978) 688 9540
Enc: Title 5 inspectors List
Pagel of 1
North Andover Health Department, 1600 Osgood Street, Suite 2035
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
2022 Title 5 Inspectors 02.16.2022 Expiration Date 12.31.2022
Applicant
Record# Applicant Name Applicant Email PhoneNo Business Name: Street Address: City State Zip Code
1 58989 Gerardo Valentin dgrenier@wrenvironmental.com 978-815-1858 Wind River Environmental 46 Lizotte Drive Marlborough MA 01752
2 41220 Robert Herrick rherrick@wrenvironmental.com 774-545-6229 Wind river Environmental 46 Lizotte Marlborough MA 01752
3 63377 Timothy Gannon tgannon@wrenvironmental.com 978-751-1191 Wind river Environmental 46 Lizotte Drive Marlborough MA 01752
4 51506 ronald jenkins jake1960613@gmail.com 978-314-0503 R.Jenkins&Sons 58 Pleasant St. Rowley MA 01969
5 41116 Charles Roux crouxllc@gmail.com 978-640-9984 Charles Roux LLC 213 Patten Road Tewksbury MA 01876
J &S Development Corp.
6 51727 John L. DiVincenzo kathy.stewarts@outlook.com 978-372-7471 d/b/a Stewart's Septic Svc. 58 So. Kimball St Bradford MA 01835
7 59136 Daniel Briscoe briscoeservicesl@gmail.com 978-375-6465 Briscoe Services LLC 17 Lindsays Way Groveland MA 01834
8 40940 James Currier jhcurrier@jays-septic-drain.com 978-774-6685 James H.Currier 131 Forest Street Middleton MA 01949
R.A. Briscoe Inc./Briscoe
9 52140 Richard Briscoe louann2554@gmail.com 978-372-2200 Septic 61 Garrison Street Groveland MA 01834
Boraczek's Septic and Drain,
10 40681 James Boraczek boraczeksseptic@gmail.com 978-479-5236 Inc 4 Hazel Dr Hampstead NH 03841
11 41956 David Chandler david@sewerworks.net 978-692-4410 Sewer Works 26 Hillside Ave Westford MA 01886
12 63996 Todd Bateson bei111@comcast.net 978-815-2703 Bateson Enterprises Inc. 111 Argilla Rd Andover MA 01810
37 1/2
Baremeadow
13 40993 F. Paul Cardone rocko5454@gmail.com 978-815-3115 Septic Compliance, Inc Street Methuen MA 01844
14 42136 Anthony Campano amcampano@gmail.com 978-495-0235 Campano Title 5 Inpections 30A Elm Street Pepperell MA 01463
Boraczeks Septic&Drain
15 51445 George Bruedle mbruedle@gmail.com 978-479-5343 Inc 4 Hazel Drive Hampstead NH 03841
16 42516 Peter Reilly pfreillysr@verizon.net 978-375-3750 Peter Reilly 136 Andover Street Andover MA 01810
17 40608 Dean Luscomb deanluscombandsons@yahoo.com 978-774-4065 Dean G. Luscomb II &Sons 288 Maple Street Middleton MA 01949
18 41953 Bill Hickey chrisbi1123@yahoo.com 978-423-9064 AB Septic PO Box 4082 Andover MA 01810
123 c Hyde Park
19 64524 Patrick Rutledge title5specialists@gmail.com 508-237-4628 Proline inc. Ave Boston MA 02130
RECEIVED
Commonwealth of Massachusetts
119 City/Town of No Andover APR 2 p 2022
_- System Pumping Record TCv!` I OF NORTH ANDOVER
r' Form 4 F.-�AI.TH DEPAPTMENT
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local 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 D
Important:When
filling out forms 1. System Location:
on the computer, /
use only the tab �&
key to move your Address
cursor-do not
use the return City/Town State Zip Code
key.
�1 2. System Owner:
Name
seam
Address(if different from location)
No Andover MA
City/Town State Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping 2. Quantity Pumped: I IG Q
Date Gallons
3. Component: ❑ Cesspool(s) [✓Septic Tank ❑ Tight Tank ❑ Grease Trap
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes [�/No If yes, was it cleaned? ❑ Yes ❑ No
5. Observed condition of component pumped:
FIaG� eA.
6. System Pumped By:
04 S 0,
Name Vehicle License Number
Stewart's Septic 58 So Kimball St. , Bradford,MA
Company
7. Location where contents were disposed:
20 So.Mill St.,Bradford,MA
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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