HomeMy WebLinkAboutSeptic Pumping Letter - Correspondence - 911 JOHNSON STREET 10/6/2022 ��TTLED,�6
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North Andover Health Department
Community and Economic Development Division
Septic System Pumping Records
Date: 10/6/22
Address: 911 Johnson St
Condition of system: Leach field runback
Dear Owner:
Please note that a septic system pumping record dated 7/21/22 and received on 10/3/22 states
that your septic system's tank had run back from the leach field. 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,
Stephe Casey Jr.
Health Inspector
Office: (978) 688 9540
Enc: Title 5 inspectors List
Page 1 of 1
North Andover Health Department, 1600 Osgood Street, Suite 2035
North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
�L\ Commonwealth of Massachusetts RECENE0
W City/Town of No. Andover 2022
- 03
a System Pumping Record OU �vcR
RTH
,t^M Form 4 TOWN OF NO DE- ARTNtiENT
HEALTH
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
Important:When
filling out forms 1. System Location: _
on the computer, 49�S�/
use only the tab �J_ /
key to move your Address
cursor-do not No. Andover MA 01845
use the return City/Town State Zip Code
key.
2. System Owner:
Cv
Name JC.
rtrtn
Address(if different from location)
City/Town State Zip Code
Telephone Number
B. Pumping Record 1. Date of Pumping Dat 2. Quantity Pumped: t624��v
e Gallons
3. Component: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap
❑ Other(describe): / --
4. Effluent Tee Filter present? ❑ Yes LJ►'No If yes, was it cleaned? ❑ Ye No
5. Observed condition of component umpt,
Z, b a
Observations are driver's opinion based on what he sees at time of pumping on the date above.
ryst Pumped y:
Name Vehicle License Number
J&S Development Corp. d/b/a
Stewart's Septic 58 So. Kimball St., Bradford,MA
7. Location where contents sed:
S s Global Environmental, LLC, 20 So. I Bradford, MA 01835
Same _
Signature of Haul Date
Same I
Signature of Receiving Facility(or attach facility receipt) Date
t5form4.doc•11/12 System Pumping Record•Page 1 of 1
Septic Inspector Title 5 -07.20.2022
Record Business Street Zip
# Applicant Name: Applicant Email: Applicant PhoneNo Business Name: Address: City: State: Code:
1 66658 Michael Bonenfant kportbo@gmail.com 978-590-0787 Michael Bonenfant 515 Groton Rd Westford MA 01886
CJ Jablonski Septic Inspection &
2 66096 Chad Jablonski cjablonskil7@yahoo.com 978-360-9358 Repair, Inc. P.O. Box 8464 Haverhill MA 01835
3 65197 Dean Dynan deandynan@yahoo.com 508-726-9935 Dean Dynan 2 Suntaug St Lynnfield MA 01940
123 c Hyde Park
4 64524 Patrick Rutledge title5specialists@gmail.corr 508-237-4628 Proline inc. Ave Boston MA 02130
5 41953 Bill Hickey chrisbi1123@yahoo.com 978-423-9064 AB Septic PO Box 4082 Andover MA 01810
deanluscombandsons@ya
6 40608 Dean Luscomb hoo.com 978-774-4065 Dean G. Luscomb II &Sons 288 Maple St Middleton MA 01949
7 42516 Peter Reilly pfreillysr@verizon.net 9783753750 Peter Reilly 136 Andover St Andover MA 01810
8 51445 George Bruedle mbruedle@gmail.com 978-479-5343 Boraczeks Septic & Drain Inc 4 Hazel Drive Hampstead NH 03841
9 42136 Anthony Campano amcampano@gmail.com 978-495-0235 Campano Title 5 Inspections 30A Elm Street Pepperell MA 01463
37 1/2
10 40993 F. Paul Cardone rocko5454@gmail.com 978-815-3115 Septic Compliance, Inc Baremeadow St Methuen MA 01844
11 63996 Todd Bateson bei111@comcast.net 978-815-2703 Bateson Enterprises Inc. 111 Argilla Rd Andover MA 01810
12 41956 David Chandler david@sewerworks.net 978-692-4410 Sewer Works 26 Hillside Ave Westford MA 01886
boraczeksseptic@gmail.co
13 40681 James Boraczek m 978-479-5236 Boraczek's Septic and Drain 4 Hazel Dr Hampstead NH 03841
R.A. Briscoe Inc./ Briscoe
14 52140 Richard Briscoe louann2554@gmail.com 978-372-2200 Septic 61 Garrison St Groveland MA 01834
jhcurrier@jays-septic-
15 40940 James Currier drain.com 978-774-6685 James H. Currier 131 Forest St Middleton MA 01949
briscoeservicesl@gmail.c
16 59136 Daniel Briscoe om 978-375-6465 Briscoe Services LLC 17 Lindsays Way Groveland MA 01834
kathy.stewarts@outlook.c J &S Development Corp. d/b/a
17 51727 John L. DiVincenzo om 978-372-7471 Stewart's Septic Svc. 58 So. Kimball St Bradford MA 01835
18 41116 Charles Roux crouxllc@gmail.com 978-640-9984 Charles Roux LLC 213 Patten Rd Tewksbury MA 01876
19 51506 ronald jenkins jake1960613@gmail.com 978-314-0503 R.Jenkins &Sons 58 Pleasant St Rowley MA 01969
tgannon@wrenvironment
20 63377 Timothy Gannon al.com 978-751-1191 Wind River Environmental 46 Lizotte Dr Marlborough MA 01752
rherrick@wrenvironmenta
21 41220 Robert Herrick Isom 774-545-6229 Wind River Environmental 46 Lizotte Dr Marlborough MA 01752
dgrenier@wrenvironment
22 58989 Gerardo Valentin al.com 774-556-1057 Wind River Environmental 46 Lizotte Dr Marlborough MA 01752