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HomeMy WebLinkAboutTitle V Inspection Report - 29 GRANVILLE LANE 9/23/2015 Commonwealth of Massachusetts w - W /1 "itl Official Inspection , Subsurface Sewage Disposal System Form - Not for Vol untary'Assessments 29 Granville Lane Property Address Robert Lanigan _ Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may no be ` way. Please see completeness checklist at the end of the form. Important:When A. General information 14 ZU14 filling out forms w. on the computer, TOWN Ul-NUR I b 0 ANDOVER use only the tab 1. Inspector: key to move your p fit Al Tl I tC l Aft t IEtT cursor-do not Michael Graham use the return Name of Inspector -- key. Wind River Environmental _ �� Company Name 163 Western Ave IL Company Address r Gloucester MA 01930 City/Town State Zip Code - 978-281-6524 S113560 Telephone Number License Number i I I B. Certification j I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ❑ Passes E]' Conditionally Passes ails ❑ Needs Further Evaluation by the Local Approving Authority Inspector's Signa re Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information Description: Septic tank, distribution box, SAS Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d attached 9 ( Y 9 (gp ))� Detail attached Sump pump? ❑ Yes ® No Last date of occupancy: occupied Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: The home owner and Wind River Environmental are the sources of the information Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1000 gallons How was quantity pumped determined? The quantity was determined by the pump truck and it was measured. Reason for pumping: To check the structural integrity of the septic tank Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 9/15/79 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 16"feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): All joints and venting in good shape no evidence of any leakge. Septic Tank (locate on site plan): " Depth below grade: 6 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) H-20, 1000 gallon tank If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 9x5x5 Sludge depth: 6" l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? The dimensions were determined by sludge judge, rod and ruler. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Recommend yearly pumping, inlet and outlet baffle in good shape. Tank is structurally okay, h20. Liquid level good, no evidence of any leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain). Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 1" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is not in good shape, rotten all the way down side and has orangeburg lines leading into the field, which are partially broken in spots and has some sludge build up and roots. Ran camera down and inspected. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 4 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The leaching field shows signs of failure, there is no ponding, grass over field. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No l5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately W c -x l� C, 16 �3 L3o 3 t5inc•3113 Titfo 5 Official IMPootm Form.Subourfxo Sowago DIOPOCJI Syctom•Pago 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 48 11+feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 8/13/08 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health - explain: Plans on file at BOH ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Plans on file at BOH, #39 a few houses down, closest one on file. Plans dated 8/13/08 perfoemd by B Dufresne, witnessed by Mill River Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 ce Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Granville Lane Property Address Robert Lanigan Owner Owner's Name information is required for every North Andover MA 01845 9/23/14 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 NEW OFFICE HOURS ! ' Town a� North At�dav�l Monday 8:00 - 4:30 081151201F�9$189.27 �.. Tues 8:00 - 6:00 _ 120 Main Street Wed 8.00 -4:30 - - North Andover, MA01845 Thur's 8.00 4:3o ACCOUNT BILLING DATE (978)688-9550 Fri 8:00 12:00 3170023 07/16/2014 - - -- --- - Billing information: ---SERVICE DATES DUE DATE — -- -- (978) 688-9550 03/10/2014-06/09/2014 08/15/2014 Reading information: SERVICEADDRESS j 29 GRANVILLE LANE (978)688-957 ------ --- --- --1 LANIGAN, ROBERT J. --- - 29 GRANVILLE LANE TRANS 0 1845 ACTIONTHISPERIOD AMOUNT N. ANDOVER, MA ( PREVIOUS BALANCE $45.82 l 0 I , PAYMENTS THROUGH 07/08/2014 $-45.82 ADJUST. THROUGH 07/08/2014 $0.00 INTEREST AS OF 08/15/2014 $0.00 I RETAIN THIS PORTION FOR YOUR RECORDS BALANCE-FORWARD - -- $0.00 j MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE SERIAL# READINGS USAGE NB OI CURRENT BILL DETAIL_ USAGEIUNIT AMOUNT Current Type Date DAY' — --— i 34644388 531 ACTUAL 06/09/2014 39 91 WATER USAGE 39 $181.45 ;ADMINISTRATIVE FEE $7.82 SERIA01 READINGS USAGE NB Of j Previous Type Date DAYS 34644388 492 ACTUAL 03/1012014 10 91 134644388 482 ACTUAL 12/09/2013 11 90 TOTAL $189.27 134644388 471 ACTUAL 09/10/2013 21 92 MESSAGES 'NOTE` PAYMENTS SHOULD BE MADE TOWN HALL o"t? 120 MAIN STREET OR BY MAIL TO OUR LOCKBOX Cav P O BOX 184.MEDFORD MA 021,55 WATER RATE: FIRST 20 UNITS $3.80 OVER 20 UNITS $5.55 Please note our office hours have SEWER RATE: FIRST 20 UNITS $5.95 OVER 20 UNITS $9.24 changed, effective 4/30. See above. BYPASS METER WATER RATE: ALL UNITS $5.55 Pay Online at www.townofnorthaiidover.com I Please return this portion with your payment by Any amount which is not paid by due date will be subject to interest charges of Town of North Andover 14%Per Year NEW OFFICE HOURS u 120 Main Street North Andover, MA 01845 Billing information: Monday 8:00 -4:30 (978) 688-9550 Tues 8:00 - 6:00 (978)688-9550 Reading informations Wed 8:00-4:30 (978) 688-9570 Tours 8:00 - 4:30 Fri 8:00-12:00 I11111111111IIIIIIIIIIIIIIIIIIIIIIIIIIII ACCOUNT BILLING DATE 3170023 I 07 16 2014- i SERVICE ADDRESS v'w 29 GRANVILLE LANE gc#405NoAndWtrSgIsT2 P1••'"•AUTO**S-DIGIT 01840 20 $ 89.27 08115114 LANIGAN, ROBERT J. 29 GRANVILLE LN NORTH ANDOVER MA 01845-4901 _ -` _ - ----_ - 0000415171201 4000000000000031700230403170023000000018927005 NEW OFFICE HOURS °Town of North ndover ��ues�:oo�6 00 0511212W�� - $45.82 -- --- 120 Main Street Wed 8:00 -4:30 - -- NorthAndover, MA 01845 ACCOUNT BILLING DATE Thurs II:00 - 4:30 .- - --- - - ' (978)688-9550 Fri 8:00-12:00 3170023 04/11/2014 Billing in SERVICE DATES DUE DATE (978) 688-9550 12/09/2013_03/10/2014- 05/12/2014 - Reading information: SERVICEADDRESS (978) 688-9570 -- - __ -- , 29 GRANVILLE LANE LANIGAN, ROBERT J. (- 29 GRANVILLE LANE TRANSACTION-- --- ---- - - THIS PERIOD AMOUNT N. ANDOVER, MA r - -- -- - — 01845 PREVIOUS BALANCE $49.62 PAYMENTS THROUGH 04/02/2014 $-49.62 ADJUST. THROUGH 04/02/2014 $0.00 INTEREST AS OF 05/12/2014 $0.00 RETAIN THIS PORTION FOR YOUR RECORDS BALANCE FORWARD $0. 00 MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE ---- - DETAIL USAGE/UNIT AMOUNT CURRENT BILL D I -- - I - -- -- - - --- - ---- I sFRIAI- R�ACINCS usacF ^!B of L_ current Type D-te DAYS 34644388 492 ACTUAL 03/10/2014 10 91 WATER USAGE 10 $38.00 ( ADMINISTRATIVE FEE $7.82 SERIAL# READINGS USAGE NB OF Previous Type Date DAYS 34644388 482 ACTUAL 12/09/2013 11 90 TOTAL $45.82 34644388 471 ACTUAL 09/10/2013 21 92 34644388 450 ACTUAL 06/10/2013 39 91 MESSAGES --- - -- - - -- r — — l– ;( --5 *NOTE PAYMENTS SHOULD 8E MADE TOWN HALL a 12.,DRAIN S I REF OR BY MAIL TO OUR LOCKBOX. f'0 BOX 18 4,MEDFORD,MA 0215. i WATER RATE: FIRST 20 UNITS $3 .80 OVER 20 UNITS $5.55 Please note our office hours have SEWER RATE: FIRST 20 UNITS $5.95 OVER 20 UNITS $9.24 changed, effective 4130. See above. BYPASS METER WATER RATE: ALL UNITS $5.55 Pay Online at www.townofnorthandover.coin I j ?lease return this portion with your payment by Any amount which is not paid by due date will be subject to interest charges of I-own of North Andover 14% Per Year 120 Main Street NEW OFFICE HOURS NorthAndovel-, MA01845 �y� �' Uilling information: Monday 8:00 - 4:30 (978)688-9550 Tues 8:00 - 6:00 (978)688-9550 V - ;I i 7C-L`I ( L_ `Reading information: Wed 8:00-4:30 (978) 688-9570 Thurs 8:00 - 4:30 Fri 8:00-12:00 ACCOUNT BILLING DATE 3170023 04/11/2014 SERVICE ADDRESS � 29 GRANVILLE LANE gcN398 NoAndWtrSgls T2 P1******AUTO**5-DIGIT 01840 0511212014 $45.82 _ ----� o LANIGAN, ROBERT J. I 29 GRANVILLE LN NORTH ANDOVER MA 01845-4901 - -- --- - 000041 51712014000000000000031700230403170023000000004582001 NEW OFFICE HOURS • • ' • Town of North Andover Monday 8:00 -4:30 Tues 8:00 - 6:00 L_ 0211712014- - _ $49.66 2 — -- — — 120 Main Street wed 8:00 -4:30 ACC Thurs 8:00 - 4:30 T BILLING DATE OUN NorthAndover, MA01845 �- — -- (978)688-9550 Fri 8:00-12:00 j_ 3170023 01/17/2014 Billing information: SERVICE DATES DUE DATE (978)688-9550 09/10/2013- 12/09/2013 02/17/2014 Reading information: SERVICEADDRESS (978) 688-9570 29 GRANVILLE LANE LANIGAN, ROBERT J. - -- 29 GRANVILLE LANE TRANSACTION THIS PERIOD AMOUNT N. ANDOVER, MA 0 1845 PREVIOUS BALANCE $88.99 0 PAYMENTS THROUGH 01/07/2014 $-88 .99 ADJUST. THROUGH 01/07/2014 $0.00 INTEREST AS OF 02/17/2014 $0.00 RETAIN THIS PORTION FOR YOUR RECORDS BALANCE FORWARD $0.00 MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE SERIAL# READINGS USAGE NB OF CURRENT BILL DETAIL USAGE/UNIT AMOUNT Current Type Date DAYS 34644388 482 ACTUAL 12109/2013 11 90 WATER USAGE 11 $41.80 ADMINISTRATIVE FEE $7.82 SERIAL# READINGS USAGE NB OF Previous Type Date DAYS 34644388 471 ACTUAL 09/10/2013 21 92 34644388 450 ACTUAL 06/10/2013 39 91 TOTAL $49.62 34644388 411 ACTUAL 03/11/2013 12 94 MESSAGES "NOTE` PAYMENTS SHOULD BE MADE:TOWN HALL @ 120 MAIN STREET OR BY MAIL TO OUR LOCKBOX @ P O.BOX 184,MEDFORD,MA 02155 WATER RATE: FIRST 20 UNITS $3.80 OVER 20 UNITS $5.55 Please note our office hours have SEWER RATE: FIRST 20 UNITS $5.95 OVER 20 UNITS $9.24 changed, effective 4/30. See above. BYPASS METER WATER RATE: ALL UNITS $5.55 Pay Online at www.townofnorthandover.com Please return this portion with your payment by Any amount which is not paid by due date will be subject to interest charges of «.:., Town of North Andover 14°i°Per Year =w, NEW OFFICE HOURS 120 Main Street North Andover, MA01845 Billing information: Monday 8:00 -4:30 (978)688-9550 Tues 8:00 - 6:00 (978)688-9550 Reading information: Wed 8:00-4:30 7 (978)688-9570 Thurs 8:00 - 4:30 Fri 8:00-12:00 ACCOUNT BILLING DATE _ 3170023 01/17/2014 SERVICE ADDRESS 29 GRANVILLE LANE qc#389 NoAndWtrSgls T2 P1"•"'AUTO•;5-DIGIT 01845 v • • • 11r1 111.111�rl�l�lrri1111 �li�l�1-11111 lil����li�lrl��r�lll�i 0211712014 549.62 LANIGAN, ROBERT J. `' • 29 GRANVILLE LN C� NORTH ANDOVER MA 01845-4901 - ----- 00004151 71201400000000000003170023040 3170023000000004962001 NEW OFFICE HOURS Town i or l-i Andover Monday 8:00 4:30 qq qq�q pp�p nnnn Tues II:00 6:00 11LLL13_ -- UO.1,1 I 120 Main Street Wed 8:00 -4:30 AC COUNT BILLING DATE r North Andover, MA 01845 Thurs 8:00 4:30 -_ _ (978)688-9550 Fri 5:00-12-00 3170023 10/2512.013 Billing information ! SERVICE DATES DUE DATE (978) 688-9550 06/10/2013-09/10/2013 _ 11/25/2013 Reading information: L SERVICEADDRIESS (978) 688-9570 -- -- LANIGAN, ROBERT J. i 29 GRANVILLE LANE - — --- 29 GRANVILLE LANE TRANSACTION THIS PERIOD AMOUNT N. ANDOVER, MA , 01845 PREVIOUS BALANCE $189.27 PAYMENTS THROUGH 10/02/2013 $-189.27 ' ADJUST. THROUGH 10/02/2013 $0. 00 INTEREST AS OF 11/25/2013 $0.00 RETAIN THIS PORTION FOR YOUR RECORDS BALANCE FORWARD $0. 00 MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE --- - -- r Si READINGS USAGF NF OF ( CORRENT BILL DETAIL USAGE/UNIT AMOUNT ---- Current --Type Date - --_ DAY.,- - - ---- —----- -1 34644388 471 ACTUAL 09/10/2013 21 92 WATER USAGE 21 $81.17 i ADMINISTRATIVE FEE $7.82 SER14L# READINGS USAGE NB OF Previous Type Date DAYS 34644388 450 ACTUAL 06/10/2013 39 91 p 34644388 411 ACTUAL 03/11/2013 12 94 TOTAL $88.99 34644388 399 ACTUAL 12/07/2012 16 86 MESSAGES ^NOTE' PAYMENTS SHOULD BE MADE TOWN HALI 120 MAIN STREL 1 OR BY MAIL TO OUR LOCKBOX��p°O BOX 184 MEDFORD,MA 02155 WATER RATE: FIRST 20 UNITS $3 . 80 OVER 20 UNITS $5.55 Please note our office hours have SEWER RATE: FIRST 20 UNITS $5. 95 OVER 20 UNITS $9.24 changed, effective 4/30. See above. BYPASS METER WATER RATE: ALL UNITS $5. 55 Hay Online at www.townofnorthanclover.com , Please return this portion with your payment by Any amount which is not paid by due date will be subject to interest charges of `town of North Andover 14% Per Year 120 Main Street NEW OFFICE HOURS Noi-thAndover, MAO-1845 Billing information: Monday 8:00 - 4:30 (978) 688-9550 Tues 8:00 - 6:00 (978?688-9550 Reading information: Wed 8:00 -4:30 (978) 688-9570 Thurs 8:00 -4:30 Fri 8:00-12:00 ll 1"111'1"1 11"1'11'1 II'll I"II II'I I"I ___ __ ACCOUNT BILLING DATE 3170023 _. 10/25/2013 SERVICEADDRESS -_2.9 GRANVILLE LANE I!�Isffil gc#389 NoAndWtrSgls T2 P1'....`AUTO"S-DIGIT 01845 tF g r�iiiiirllrriiiirll�lllrr�l�llir,rr�rrirl�ri�rlllll�lrilr�r�r�li �_ 1112512013 $88.99 LANIGAN, ROBERT J. 29 GRANVILLE LN NORTH ANDOVER MA 01845-4901 00004151,7120140❑0000000000031,700230403170023000000008899008 NEW OFFICE HOURS I Town of North Andover Monday 8:00 - 4:30 —08312013 __$189.27 Ties a:oo s:oo _ /I r 120 Main Street Wed 8:00 -4:30 --_ _ _-_ -_ -- - -.i North Andover, MA 01845 Thurs 8:00 - 4:30 -__ ACCOUNT BILLING DATE —i (978)688-9550 Fri 8:00-12:00 3170023 07/24/2013 Billing information: SERVICE DATES DUE DATE (978) 688-9550 03/11/2013-06/10/2013 08/23/2013 Reading information: SERV(CADDRESS -� --- --_ X70 29 GRANVILLE LANE - --- — --- LANIGAN, ROBERT J. --- ---- _- _—_- 29 GRANVILLE LANE TRANSACTION THIS PERIOD AMOUNT j N. ANDOVER, MA - � 01845 PREVIOUS BALANCE $53 .42 (PAYMENTS THROUGH 07/12/2013 $-53.42 ADJUST. THROUGH 07/12/2013 $0. 00 j INTEREST AS OF 08/23/2013 $0.00 RETAIN THIS PORTION FOR YOUR RECORDS JBALANCE FORWARD $0. 00 MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE -- - - - - - - SERIAL# READINGS USAGE NB OF CURRENT BILL DETAIL USAGE/UNIT AMOUN—T Current Type Date DAYS i 4644388 450 ACTUAL 06/10/2013 39 91 WATER USAGE 39 $181.45 DMINISTRATIVE FEE $7. 82 SERIAL# READINGS USAGE NB OF Previous Type Date DAYS 4644388 411 ACTUAL 03/11/2013 12 94 4644388 399 ACTUAL 12/07/2012 16 86 TOTAL i I !iL 5189.27 4644388 383 ACTUAL 09/12/2012 37 96 MESSAGES -- --- "NOTE' PAYMENTS SHOULD BE MADE TOWN HALL @ 120 MAIN STREET OR BY MAIL TO OUR LOCKBOX @ PO.BOX 184,MEDFORD MA 02155 i WATER RATE: FIRST 20 UNITS $3 .80 OVER 20 UNITS $5.55 Please note our office hours have j SEWER RATE: FIRST 20 UNITS $5. 95 OVER 20 UNITS $9.24 changed, effective 4/30. See above. j BYPASS METER WATER RATE: ALL UNITS $5.55 Pay Online at www-townofnorthandover.com Please return this portion with your payment by Any amount which is not paid by due date will be subject to interest charges of Town of North Andover •14%Per Year 1' 120 Main Street NEW OFFICE HOURS North Andover, MA01845 Billing information: Monday 8:00 -4:30 (978) 688-9550 Tues 8:00 - 6:00 (978)688-9550 Reading information: Wed 8:00-4:30 (978) 688-9570 Thurs 8:00 - 4:30 Fri 8:00-12:00 1"111'1"1(I"I III' II'I�I"'I(III I"I ACCOUNT BILLING DATE 3170023 j 07/24/2013 - _ SERVICEADDRES_S- 29 GRANVILLE LANE qc#393 NoAndWtrSgls T2 P1**``"AUTO**5-DIGIT 01845 ® 0 Illl�nllrllll�l�rr�uil�il��rn�llir�lilillrin�r������l�liln, 0812312013 $189.27 LANIGAN, ROBERT J. 29 GRANVILLE LN NORTH ANDOVER MA 01845-4901 00004151,71201 3000000000000031700230403],70023000000018927008 NEW OFFICE HOURS • . ® a �63 Tow n of North Andover Monday II:00 ° 4:30 Tues 8:00 - 6:00 -0512212013 . 2 120 Main Street Wed 8:00 -4:30 -. North Andover, MA 01845 Thurs a:oo - 4:30 ACCOUNT BILLING DATE � (978)688-9550 Fri 8:00-12:00 3170023 04/22/2013 i Billing information: 12 072 012031 1% ot3 05U22/2 013 DUE DATE (978) 688-9550 Reading information: �- SERVICE ADDRESS ADDRESS (978) 688-9570 �- -------- LANE LE LANIGAN, ROBERT J. 29 GRANVILLE _ -- _--_- - —_ ---J 29 GRANVILLE LANE - - N. ANDOVER, MA F TRANSACTION THIS PERIOD _ AMOUNT 01845 PREVIOUS BALANCE l $68.62 PAYMENTS THROUGH 04/10/2013 $-68.62 ( ADJUST. THROUGH 04/10/2013 $0. 00 INTEREST AS OF 05/22/2013 $0. 00 RETAIN THIS PORTION FOR YOUR RECORDS BALANCE FORWARD $0. 00 MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE -- —--- -- - -- — _ -- -- — SERIAL# READINGS __ USAGE NB OF ----- Current Type Date DAYS O______BILL DETAIL USAGE/UNIT AMOUNT 34644388 411 ACTUAL 03/11/2013 12 94 iWATER USAGE — 12 $45.60 ADMINISTRATIVE FEE $7.82 SERIAL# -- READINGS _-- USAGE NB OF Previous Type Date DAYS 34644388 399 ACTUAL 12/07/2012 16 86 34644388 383 ACTUAL 09/12/2012 37 96 34644388 346 ACTUAL 06/08/2012 29 86 TOTAL $53.42 MESSAGES - — --_-- -- --- NOTE` PAYMENTS SHOULD BE MADE TOWN HALL @ 120 MAIN STREET OR BY MAIL TO OUR LOCKBOX @ P.O.BOX 1L4,MED---- - -02155 iWATER RATE: FIRST 20 UNITS $3.80 OVER 20 UNITS $5.55 Please note our office hours have SEWER RATE: FIRST 20 UNITS $5. 95 OVER 20 UNITS $9.24 changed, effective 4/30. See above. BYPASS METER WATER RATE: ALL UNITS $5.55 Pay Online at www.towriofnorthanclover.com Please return this portion with yourpaymentby Any amount which is not paid by due date will be Town of North Andover subject too Per Year charges of c _ ' 120 Main Street 14/o NEW OFFICE HOURS NorthAndover, MA01845 Billing information: Monday 8:00 -4:30 (978)688-9550 (978)688-9550 Rues 8:00 - 6:oo Reading information: Wed 8:00 -4:30 (978)688-9570 Thurs 8:00 -4:30 Fri 8:00-12:00 ACCOUNT BILLING DATE 3170023 -04/22/2013 SERVICEADDRESS 29 GRANVILLE LANE qc#398 NogndWtrSgls T2 P1******AUTO**5-DIGIT 01845 0512212013 $53.42 LANIGAN, ROBERT J. 29 GRANVILLE LN NORTH ANDOVER MA 01845-4901 ,/ -- -- ' � 000041517 120130000000000000317002304031 70023000000005342001 NEW OFFICE HOURS ® ® . 7oWn of North Andover Monday 8:00 - 4:30 nq p� M3___ _ C Tues 8.00 - 6:00 --_[41oQI --- 468.62 120 Main Street wed 8:00-4:30 1 ACCOUNT - - North Andover, MA 01845 Thurs 8:00 - 4:30 BILLING DATE (978)688-9550 Fri 8:00-12:00 3170023 _ _ 01/09./2013 j ------------------- Billing information: SERVICE DATES_ DUE DATE (978) 688-9550 py/12/2p12- 12/07/2012 - -- -I �-- __— 0 2/0 8/2 013 Reading information: SERVICE—AD DRESS (978) 688-9570 ----- -------- 29 GRANVILLE LANE - -- - - ---OD -- ROBERT J. �TRAN,SACTION THIS PERIOD AMOUNT 29 GRANVILLE LANE N. ANDOVER, MA PREVIOUS BALANCE $176.25 01845 ( PAYMENTS THROUGH 01/03/2013 $-176.25 ADJUST. THROUGH 01/03/2013 $0. 00 j INTEREST AS OF 02/08/2013 $0.00 RETAIN THIS PORTION FOR YOUR RECORDS BALANCE FORWARD MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE - $0.00 SERIAL# READINGS --- -- - USAGE NE of CURRENT GILL C7ETAlL USAGEIUNIT AIMOUNT� Current Type pate DAY'S 34644388 399 ACTUAL 12/07/2012 16 86 WATER USAGE 16 $60.80 ADMINISTRATIVE FEE $7.82 1 --- - - - SERIAL# READINGS USAGE NH OF Previous Type Date DAYS 34644388 383 ACTUAL 09/12/2012 37 96 34644388 346 ACTUAL 06/08/2012 29 86 TOTAL $68,62 34644388 317 ACTUAL 03/14/2012 15 96 MESSAGES — - NOTE' PAYMENTS SHOULD BE MADE TOWN HAIL Co) 120 MAIN STREET OR - BY MAIL TO OUR LOChBOX CU)P O BOX 14,MEDFORD,MA 02155 WATER RATE: FIRST 20 UNITS $3.80 OVER 20 UNITS $5.55 Please note our office hours have SEWER RATE: FIRST 20 UNITS $5. 95 OVER 20 UNITS $9.24 changed, effective 4/30. See above. BYPASS METER WATER RATE: ALL UNITS $5.55 Pay Online at www.townofnorthandover.com portion your_.. payment ment t� y a y -- Ai T, ch T� _ ..._ with mount whi is not aid by dUe date will be Please return this Town �� North Andover subject to interest charges of 14% Per Year 120 Main Street _ NEW OFFICE HOURS North Andover, MA01845 Billing information: Monday 8:00 - 4:30 (978)688-9550 1 (978) 688-9550 Tues 8:00 - 6:00 Reading information: Wed 8:00 -4:30 (978) 688-9570 Thurs 8:00 -4:30 Fri 8:00-12:00 - ACCOUNT BILLING DATE _ 3170023 ( 01/09/2013 SERVICEADDRESS - L-_ 29 GRANVILLE LANE_---— 'qc#398 NoAndWtrSgls T2 P1******AUTO**5-DIGIT 01845 11IIrrJI.11111.1-111111111111111111 0210812013 568.62 LANIGAN, ROBERT J. 29 GRANVILLE LN NORTH ANDOVER MA 01845-4901 000 04151712013000000000 0000317002304037,700230❑0000006862009 NEW OFFICE HOURS ® 103:0 ® _ Town of North Andover Monday 8:00 - 4:30 Tues 8:00 - 6:00 -_ 11114J2012 --$176.25 120 Main Street Wed 8:00 -4:30 -- -----. North Andover, MA01845 Thurs 8:00 - 4:30 ACCOUNT BILLING DATE (978)688-9550 Fri 8:00- 12:00 3 17 0023 _ 10/15/2012 Billing information: [—SERVICE DATES DE DATE (978) 688-9550 6/08/2012-09/12/2012 14/2012 Reading information: SERVICE ADDRESS (978)688-9570 _- - 29 GRANVILLE LANE ---� AN, ROBERT J. 29 GRANVILLE LANE TRANSACTION THIS PERIOD AMOUNT 29 GRANVILLE N. ANDOVER, MA PREVIOUS BALANCE $133 .77 01845 PAYMENTS THROUGH 10/02/2012 $-133 .77 ADJUST. THROUGH 10/02/2012 $0.00 INTEREST AS OF 11/14/2012 $0.00 RETAIN THIS PORTION FOR YOUR RECORDS BALANCE FORWARD $0.00 MOVING? PLEASE CALL(978) 688-9570 IN ADVANCE �- SERIAL# READINGS USAGE NB OF CURRENT BILL DETAIL USAGE/UNIT AMOUNT Current Type Date DAYS -. 34644388 383 ACTUAL 09/12/2012 37 96 WATER USAGE 37 $168 .43 ADMINISTRATIVE FEE $7.82 S E R�-- -- - - -- AL# READINGS USAGE NB OF Previous Type Date DAYS 34644388 346 ACTUAL 0610812012 29 86 34644388 317 ACTUAL 03/14/2012 15 96 TOTAL $176,25 34644388 302 ACTUAL 12/09/2011 13 88 MESSAGES — NOTE* PAYMENTS SHOULD BE MADE:TOWN HALL @ 120 MAIN STREET OR BY MAIL TO OUR LOCKBOX @ P.O BOX 184,MEDFORD,MA 02155 WATER RATE: FIRST 20 UNITS $3 .80 OVER 20 UNITS $5.55 Please note our office hours have SEWER RATE: FIRST 20 UNITS $5.95 OVER 20 UNITS $9.24 changed, effective 4/30. See above. BYPASS METER WATER RATE: ALL UNITS $5 .55 Pay Online at www.townofnorthan dove r.coin Please return this portion with your payment by Any amount which is not paid by due date Will be subject to interest charges of Town of North Andover 14% Per Year 120 Main Street NEW OFFICE HOURS North Andover, MA01845 9 Billing information: Monday 8:00 - 4:30 (978)688-9550 (978) 688-9550 Tues 8:00 - 6:00 Reading information: Wed 8:00-4:30 ! (978) 688-9570 Thurs 8:00 -4:30 Fri 8:00-12:00 ACCOUNT BILLING DATE 3170023 10/15/2012 SERVICE ADDRESS 29 GRANVILLE LANE qc#386 NoAndWtrSgls T2 P1'****AUTO**5-DIGIT 01845 0 ® - e . Illr�r��rlll,.I,�LJJ�I��i,.II,L�II��r�rrIL�LILLrL„II 171 114012012 $176.25 LANIGAN, ROBERT J. ® y 29 GRANVILLE LN NORTH ANDOVER MA 01845-4901 00004157,712013000000000000031700230403 7,70023000000017625000 NEW OFFICE HOURS PAYMENT ON OR BEFORE Town of North Andover Monday 8:00-4:30 08/15/2012 $133.77 Tues 8:00-6:00 -' 120 Main Street Wed 8:00-4:30 North Andover, MA 01845 Thurs 8:00-4:30 , ,AGCdl7tJT WMFri 8:00-12:00 3170023 07/16 (978)688-9550 --- --" Billing Information - DU(978)688-9550 08/15/2012 1 LANIGAN, ROBERT J. , 29 GRANVILLE LANE Y;SER�/ICE�ADDRESS Reading Information. N.ANDOVER, MA (978)688-9570 29 GRANVILLE LANE J 01845 --- — - ;�����7RgNSACT[ONS;TFISPEROD ,�PREVIOUS BALANCE BALANCE $64.82 PAYMENTS THROUGH 07/09/2012 ($64.82) 1, ADJUSTMENTS THROUGH 07/09/2012 $0.00 RETAIN THIS PORTION FOR YOUR RECORDS INTEREST AS OF 08/15/2012 $0.00 MOVING? PLEASE CALL(978)688-9570 IN ADVANCE BALANCE FORWARD $0.00 SERIAL# READINGS USAGE NB OF CURRENT BILL DETAIL USAGE/UNIT AMOUNT { Current Type Date DAYS �— 34644388 346 Actual 06/08/2012 29 86 ! WATER USAGE 29 $125.95 ADMINISTRATIVE FEE $7.82 1 I I ' SE IALR READINGS USAGE NB OF Previous_Type Date DAYS J Sub-Total $133.77 I 34644388 317 Actual 03/14/2012 15 96 34644388 302 Actual 12/09/2011 13 88 i TOTAL , *�MESSAGES * PAYMENTS SHOULD BE MADE:TOWN HALL @ 120 MAIN STREET OR BY MAIL TO OUR LOCKBOX @ P.O.BOX 184,MEDFORD,MA 02155 j WATER RATE: FIRST 20 UNITS @$3.80 OVER 20 UNITS @$5.55 Please note our office hours have ` changed,effective 4130.See above. SEWER RATE: FIRST 20 UNITS @$5.83 OVER 20 UNITS @$8.22 Pay Online at (BYPASS METER WATER RATE: ALL UNITS @ $5.55 www.townofnorthandover.com Any amount which is not paid by due date will be Please return this portion with your payment by 0811512012 subject to interest charges of Town of North Andover 14%Per Year NEW OFFICE HOURS 120 Main Street 415171 Billing Information: Monday 8:00-4:30 North Andover, MA 0 1845 (978)688-9550 Tues 8:00-6:00 (978)688-9550 I II�III�I��I II'�IIII�I II�II1111111111111 Reading Information: Wed 8:00.4:30 Z01189-000001 (978)688-9570 Thurs 8:00-4:30 Fri 8:00-12:00 3170023 07/16/2012 ... 29 GRANVILLE LANE If your address has changed, correct it below. PLEASE PAY ON OR BEFORE LANIGAN, ROBERT J. 0850012 j $133.77 29 GRANVILLE LANE N.ANDOVER, MA AMOUNT PAID 01845 , 00004,151,712012000000006600031,70023403170023 D000 1,3377097 0207053240 051011 000 -- - -- Ctl5r9f71eI' t1C nz �pa;f # Tech Ccmfinents I?�t?f571 Svc lrrUl� -JAIL! ?Or +_itj,-* five lr'}Aet 4t 4/14 dig safe-, #3 2014 36104L)6 oept lotix, after 13,1 site HONE/CHE'K fowl i_3C Yd. (OP) .1,I3 09/23/2014 Titles five clts'comlr :+ill be home i s2 i? st th plan-'4 Wand uator rr-'Cord�;f $c7sLEi�z'.IiPC,�C iP: i aJ1:. A� �aare�.;ce 1000gplu e:?passd front arcs JK ok`d coupon $25 System Location Lanigan Robert f Primary dome D Granville Lan 29 Granville Lai North ?ndd ver, ice, 01845 forth Andover, MA, 01.845 (978)--685-2002 x (978)--685-2002 x Lanigan A p of a _ Type qucncy AM vii i l p 'tu Prac!e Locnrron biagram xt Price I Pumping 1000 i 228.7500 $228.75 u�1 Surcharge TtQciclen't ial t 19.5000 $19.50 Suc,to#al � nx $248.25 r unifier mLdch lei 1tt Y $0-no ?'cral $248. 5 T of l t'uc r v io} : ^ate>! r zl lunar s Payment o - -- - y i7_#ails Payment Tyne f is ", ys Ci .ezp your sys- 1 he,-,!Thy: : a it e�M,SPrvfc't. Credit Caro' Us, t:t ,fdiir. ,a t_ €e Ad+iv` Cnrd - _— tr: ,Security Code ! i Tie Id V UVtr1(:I?IVr{'BOOSI PI'OgrC'71 411 . R.,tr A,da/t:€J. i r XC'Date ' T e i- rr 3 . i €iU°0. Due on Receipt l_41Lo ?..rstr ti om hr a cucl -n 6-onfny. Terms: the Oil:vnn t aSJo = — � t �it°u ?i li ! f ier ? re. Vre 4. i* 1S Tt a2.Gr�krj y .., 5;5Ten'�letTliirOJ=� f The observct ns and sr jloioe3 t _.fJif rid,nay reaui-L,additional i'r2atmen .Please Call ' uur Customer 5o1u ons 5u.,cralr.t(it 976-6411-5013 for additional information,or call u r cusionwr Sc Mice line ot S00-499-1682 with an questions. --- ., t/'f-- C'--..._ C✓ �`� 1_ C r L_L/LG G£ l t ._. l � G' j ! 1('t /0 G s /- — - / Remit ?ayment.._to ------ i >� Gf"'L ,� �- e T . 1 Triiia!s Customer Signature WO-001- O 001 rte.... &e a G,2'0 Copy .