HomeMy WebLinkAboutSeptic - Septic Pumping Slip - 66 LACY STREET 6/26/2026 Town � r���Andover
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lrtforrrt 1tior! must l e labskr�rrrt Hy M same as Wtnt prc,�ntled h f e BOOMBOOMinch M ,ref<`'ed m n I l c�
Iocai Board of I it�r l o cir:t�,rrrllrrr We ornl nc� wilir your
(rrQrrr Ihc�y rr�ar,� I tre, ::,y,tr lil E'tin7pir1y7 F�ecerrci rr'1�Isk her srularniktr=c1 Io
Me for gal Board of LOW or Aher approAY1 wtwrdy wHhin l r1 days Porn the• fm"nping rlaM in
accordance. with '3'i0 C,,[vAf-� 1
C I�.�.� C C�L1SC f!<rrrt rru[r. �,lrfr� rr�trr cf1 `i 7I
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A. Facility _ � ftlllt.DINC; I)ack 6C1e. rt'�ri Irnf`t ri(;W
knportank When DECK, un(:1Ri'.!
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ray to m[wr„your Aclrir r
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E3. Pumping Renard
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1, C) trs Of P(Jrnping �. t?u<�n(ity 4='urrlfaE;ci
oaten Gallons
3. Cornponerrt: .__J cesspr,a )y" Se;pac I>nk ( J 1-iclt-rl 1.r~7nk [_] C reasr., .1.r,aF)
OUnr (describey
T ErfflueM Tee Filter prose'r'g? �. `/es rwo If yes was A r,Ir.:n ned? l_a 'as L] f`do
5, Observed conetitl >n of <sonvonerrt pumVeci
I Syste rn Pur'nped By
Dave _t;InF'%_ __. ---__ Mas,s f AA )5E= ass 1AC7"
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Baleson l nlplises,_In_c,_ ..._ _._ ....... ......
7 f -n wnef`r3 cononts wtN a spo:Ef:r,'J.
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f5fe W dow 11f12 ` yy'de fn Purnping R(',(:Ord ('ege2 1 ()( I