HomeMy WebLinkAboutMiscellaneous - 11 Marble Ridge Road (4) r
11 MARBLERIDGE ROAD 3
2101037.C-0011-0000.0
i
s
J
V
li
7
/ 17
,L.,
17CI 0_
e_l us
ZZ�
r
a
7
Aelilao ,
TZ�
61-7
J
r
1 i C i s�- _. �� ✓'i C�.�,� Z
L5
e2 e
( ✓ �,
i
1/9/08
RECEIVED
No. Andover Board of Health Dpt.
Attn: Michelle Grant JAN — 9 2008
1600 Osgood Street
No. Andover MA 01845 TOWN NORTH ANDOVER
HEALTH DEPARTMENT
Ms. Grant,
I appreciate your taking the time to speak with me today.
Attached you will find copies of the dialogue between Patricia A. Warringer(Tenant),
Kingfish Trust(Landlord) and Atty. Wayne Simmons (Morris, Rossi &Hayes). The
copies are in order of how they transpired.
I hope that this not going to become an issue with Patricia as per her letter dated 12/27/07
of vacating the property.
Thank you once again for your help in this matter.
Sino.rely,
Kinfish rust
g
Elbridge C. Leland, Trustee
11 Marbleridge Road �---�
No. Andover, MA 01845
(978) 683-0958
NOV e1 U-/ Ub: dua WHKKIMUtK UIU bC,J yl-IU P. 1
FAX
Date: Tot. # pages(inclusive)
Fax To
company:
Attn: -)
2 ,
Fax To # 9 �
Tet. #
From:
Tel. M [978) 975-7727
l ��L
tU-* k (M
Fax #: 978 975-7727 same 9, call first
J CON
Subject:
Notes:
C,
i1
Nov i�l U'l UU: JUa WINK I NbLK U'IU UUU UVIU P e-
FPaM :GLRSSMASTE-RACT CLASS FAX 1,U. :97196834500 Nov. 1B 2007 06:42P"! P3
LF3"
R305-04
-R-EN7A
L C,REDIT A PPLICA 71
ON,
Date A ^Interviewed By
Name Of App0can't Date of Blrth
Social Sec.No.
Drivers License No.
Present Addr935
City
---7T
state
L
Prim Address zip
CRY A,
$tale
7-P
h."
Now long have you lived a,Present address? I -S /(0 ,1
r OW!Qng have YOU lived at pribr SO
NEIM9 Of LandW C S-" /C /V'
Pror Landlord
Telephone
Telephone
Now many will bo living in this unit?
Adult8-- P*13�- Weight of pets
1 Employer
Occupation614 es
Ho ,act Poison Tolepone /I-/-
fl
Name of Spouse DATLI,of Birth
Telephone
Social See.No. Drivers Licensc
Employer Occupation Current Salary
How long? Contact Person Te4ephTelephoneIMA1011T.7,KTF Ill Ms, �
Bank Name
w lo,,gl
Branch
fAddfess A of
Checking Account No.
Savings Account No..
1192.2M Milk E-Z Frodu.m.Jul, ft4e 1
Tt-Prod-docs nut constitute the me4cring of tepj;ad%iceorservices. u4; Rt-j MM
T114 PftyJ I it i=ndcd ler Inromfititmal use baly and is no:a sub%jilutc for;gat
Avire.31W(-�vary,w coob'414 mn aflomy an all kcal minors.nil wnOuct was bol tv 4 penon licgl' e
to prlietter Ia.ill a-hills.
NOV G1 ut UU: JZlE urNKKLriur=K 010 000 0410
FROM :GLASSMAETERACT GLASS FAX. NO, :9786834500 Nov. 18 2007 06:11PM P2
PERSONAL /CREDIT REFEREWES
r )NAME RELATIDNSH7 TELEP I
_.1'Q..!�YYZ— i S--G��'L-- /; •E c�yt` r/•cPf I'�U— ���J •—�
CREDIT GRANTOR ADDRESS TELEPHONE
^,
r- \ A-0
L �y
OTHER
v�
INFORMATION
Number of vehicles;including carppany cars)_
MakelModel C�i'f �/. r�.' r'7 L.% Year Color 1 r ,
!Vo. State
i .06k,MakelModel ( o{or iA4G
State
Make/Model Year Color Tag Na State
HAVE YOU EVER
Filed for Dankruptcy o Yes 14No,: If yeS,when?
Been served an eviction notice or been asked to vacate a property you were ranting? o Yes Q No -
willfully or intentionally retuned to pay rent when due? oyes e 4 No If yes,when? `
Been sued for unlawfu ��\ a�
=� o Yes kNn
How were you referred to us,.• ♦Newspaper(nit ' ) o Realtor(name) o Other
Rental Unit applied for
KQ0N 6115 Notice to Prospective Tenant Radon is a naturally owurring radioactive gag that,when it has acCumulated in a building in '
sufficient quantities,may present health mica to persons who are exposed to it over time.a.Levste of radon that exceed federal and sial#
guidelines have been found in buildings in every state.Additional Information regerdinp radon and radon tG$ting may be obtained from
your county public health unit.
LEAD PAINT —Every purchaser of any Interest in residential real property on which a residential dwelling was bultt prior to 1978 is notified
that such property may present expoavrd to lead from lead-booed paint that may place young children at risk of developing lead poison-
ing.Lead poisoning n young children may. produce ermanent neurological damage, including learning disabllicies. reduced intelligence
Quotient,behavioral problems Ano memory.Lead poisoning also poses a particular risk io Pregnant women-The geu®r of any
interest in residential real estate is required to provide the buyer with any information on lead-based paint hazards from risk 10883smenta
or Inspection In the salter s possessior and notify the buyer of any known lead-based paint hazards.A risk assessment or inspection for
Lpossible head-based paint hazards is recommended prior to purchase. `
oe,t
12/26/07
Morris, Rossi &Hayes
Attn: Dan Hayes
32 Chestnut Street
Andover, MA 01810
Landlord:
Kingfish Trust
Elbridge C. Leland, Trustee
11 Marbleridge Road
No. Andover, MA 01845
Telephone# (978) 683-0958
Work # (978) 683-4500
Please Note: The Kingfish Trust beneficiaries are the Landlord's two sons who do not
know that they are the beneficiaries.
Tenant:
Patricia A. Warringer
11 Rear Marbleridge Road
No. Andover, MA 01845
On November 16th, 2007,Patricia Warringer called to inquire of a home at 11 Rear
Marbleridge Road,No. Andover for rent.
Sandra Leland, wife of Elbridge Leland, called Patricia Warringer that afternoon spoke
with her in length about Patricia's background and why she wanted to move from her
present rental apartment. She told Sandra that she had lived in a Duplex at 75 Davis
Street for about 1 %2 years and had been recently divorced with 3 children and was having
a few issues with her present landlord. We set up an appointment to look at the
apartment for the next day,November 17' , 2007.
Patricia and her daughter, Haley, came to check out the rental home on November 17tH
and stated that they would definitely like to rent it. Sandra asked if they had any pets,
and they both stated just a small dog. Sandra informed them that we had never allowed
any pets whatsoever in the home but we did have 2 other potential renters and they both
had small dogs. Sandra said that she would speak to her husband about the dog and get
back to her. They were very interested and asked that Sandra get back to them ASAP.
Sandra and Elbridge agreed that they would allow one small dog into the home because
all 3 potential residents each had small dogs of their own.
Sandra called Patricia the in the morning of next day and told her of the decision of the
one dog,but no other pets and we would consider renting to her. She said she was
interested in renting from us and would move in January lst. Sandra said she had other
prospective tenants that were willing to move in as of December lst and we would have to
rent to them because we wanted to rent the home as of December 1St, 2007. She hesitated
a little , and then stated that would be fine and please decide to rent to her instead of the
other prospective tenants. Sandra said she would get back to her later during the day.
Patricia then spoke in length of her background of recently getting divorced from her
husband of over 25 years. Her husband and 3 children lived in a home near Harold State
Park for over 25 years but after the divorce moved into a Duplex home at 75 Davis
Street,No. Andover, MA which was where they were presently living. She spoke of her
three children—2 boys living away in college and one daughter living with her and going
to No. Andover High School. She stated that she worked from home. She continued to
ramble of her hard life with her Ex-husband. Sandra had to kindly cut her off. Sandra
had an appointment to get to and it was getting late.
Sandra called Patricia back that evening and said we would rent to her as of December
1St and she would have to fill out the Rental/Credit application so that we could check for
references and with her present landlord. She asked Sandra to FAX it to her and in a
shaky voice asked Sandra to please DO NOT Call her present landlord because she just
found out recently that she, Patricia had been paying for all the water and sewer bills for
the other part of the duplex house that she was presently living in. She did not want her
landlord to know that she was going to do something about this situation, so if Sandra
called'to check out Patricia,things could get worse. She stated that he was a very mean
person and when she brought up the fact that she thought she was paying for the water
and sewer for the whole house and was this a fact. He became very angry and said yes
she was but she had been compensated in her monthly rent. She also stated that she felt
that she was paying for the electricity for the entire house, not just her rental. She stated
to Sandra that her heating bill was well over$400.00 per month and felt that she had been
paying for the entire house for this bill also. Please Do Not Call her landlord because
she did not want him to know that she was considering moving because things could get
tough for her if he knew. Then her voice started to quiver and she stated that one day
she came home and found her landlord in the hallway looking suspiciously. She knew
her daughter was home alone and asked what was going on. He stated that he was just
checking on things for the other tenants. She said he had become very mean and creepy
lately and thought he was going through a rough divorce. She stated she didn't trust
anything he said or did.
Patricia called Sandra later in the day of Sunday,November 18th , crying and distraught
that her landlord was taking her to court because of the water situation. She was very
distraught and said that the landlord told her that he just got divorced and wanted to move
into Patricia's duplex with his two sons. Patricia stated she felt that was just a way to
move her out so that he did not have to deal with the illegal things that he had been doing.
She didn't know what to do. She stated that Patricia had 2 days to move out with all her
things. She started to cry and couldn't believe someone could do this. She had 2 days to
decide what to do. Sandra asked if she had received a written notice to evict and she
stated NO. Sandra stated that she found this hard to believe that she was not served a
written notice. Patricia stated that she was not being evicted but it was called something
else-because it was not eviction because the landlord himself wanted to move in, not
renters. Sandra suggested she speak to a lawyer. Patricia said Haley, her daughter, had a
friend whose dad was a lawyer. Sandra then told her she would talk to her husband and
maybe consider letting her move in right away. Sandra just couldn't believe the landlord
could do this.
Sandra and Elbridge decided the only humane decision to make would be to let her
move in. She had convinced Sandra and Elbridge that she had no place to move to
within 2 days—which was 3 days before Thanksgiving Day. Her boys would be home for
the holiday and no place to live with their mother and sister. Patricia seemed so nice and
with going through a divorce recently and now the problem with her landlord taking
advantage of her-it was just a terrible situation for a person to be in right before the
holidays.
Sandra called Patricia Sunday night at 6PM to let her know that she could move in but
before she did they needed the Rental/Credit Application ASAP. Patricia stated she never
received the 1St FAXED copy so Sandra FAXED another copy to her. Patricia stated that
her daughter's friend, who is a lawyer suggested to Patricia to go to Salem Court early
Monday AM so speak to a judge that deals with situation just like this one. He might be
able to demand that her landlord give her more time to find a place and move after the
holidays. Patricia asked if we had any storage space in our barns to rent to her at this
time. Sandra couldn't promise anything but would speak to Elbridge about renting a
small space about 8'x8' but Sandra couldn't promise anything. Tuesday AM no FAX or
telephone calls from Patricia but late Tuesday evening Sandra called Patricia to ask what
had happened with the Salem Court. Patricia stated that she decided to drive into Boston
at 5AM to be at the Boston Court house for 7AM so that she would have a better chance
in court. The court said she had to move out by Wednesday and nothing else could be
done. Patricia stated she was shocked by the decision and was so thankful that she met
such nice, caring people like Sandra and Elbridge. Sandra stated she still had not
received the Rental/Credit Application and needed this before Patricia moved in. Patricia
stated she would FAX it over ASAP. She then stated that the Landlord informed her that
a moving company was moving all of Patricia's belongings to wherever she told them.
He didn't care where, but it was ALL being moved out by the end of the day, Wed.,
November 21",2007.
Sandra told her she could tell the movers to move the items to I IRear Marbleridge Road
and she would have to pay %Z a month's rent for 11/22/07-11/30/07 which would be
$1,000.00. We would also need$2,000.00 by December 1St for December's rent and
another $2,000.00 for Security Deposit by December 1St. Sandra also stated that Elbridge
and she did not have any space to rent for extra storage but felt badly about this.
Sandra and Elbridge finally received the Rental/Credit Application from Patricia at
6:30PM on November 21St,the day before Thanksgiving.
The moving truck moved her items to the outside of 1.1 Rear Marbleridge Road around
9:30AM on Wed, 11/21/07. It was a terrible snow/rainy day and a huge amount of
furniture and boxes, etc. were left by the movers in our driveway. She asked where was
the space she was going to have in our barns and we stated we would allow her to place
the items that would not fit into the rental home in a small section of our work barn for 2
weeks. We gave her 2 weeks because of the holidays, but no longer. She became very
angry and belligerent. She started to scream and said that Sandra had positively stated
that she could rent a barn for her items. Sandra stated that she had said no such thing.
We felt badly once again for her and she looked extremely exhausted. We reiterated she
could place a few extra belongings in the work barn until we returned from our Florida
trip which was December 8`h, 2007. I handed her the Monthly rental agreement and
explained that she would be paying for all her utilities including water and sewer
including an additional line to barn. Sandra and Elbridge explained this was a water line
that was in a barn next to her rental home. The cost would be minimal. She understood
and agreed by signing the Monthly Rental Agreement..
On Thanksgiving day Elbridge noticed 3 cats roaming outside the rental property. He
knocked on Patricia's door and asked about these cats. She admitted they were hers and
that she would get rid of them. Elbridge reiterated NO CATS were allowed on this
property and that her dog must be on a lease at all times while outside. She agreed to
this.
While talking to Patricia, Elbridge noticed another dog in the house and asked Patricia
whose dog wasit. She stated it washer sister's and she was doing her a favor just for the
day by taking care of her sister's dog. Elbridge reiterated that she is only allowed one dog
and no other pets whatsoever. Patricia stated not to worry about the items outside-they
would be moved shortly. Sandra later went to Patricia's door and asked for the $1,000.00
that she owed for the November rent. She said that she had agreed to pay $1,000.00 for
the November rent, but when she figured it out she did not owe this amount. A month's
rent was agreed upon as being$2,000.00,therefore,that would make it $66.66 a day
times 9 days left in November which would be $600.00. She then handed Sandra
a check.
The check for$2,000.00 was placed in a account for Kingfish Trust, Beneficiary of
Patricia A. Warringer.
On Saturday, the 24h, 2 i/2 days after the movers moved 2 huge truck loads of furniture
and boxes to 11 Rear Marbleridge for Patricia and her family, 90% of these items were
still in the middle of our driveway. About 10% of the items her children moved into our
work barn the day before. Elbridge spoke to Patricia and reiterated that all the items must
be out of the driveway and the items that were placed in the work barn must be removed
before he returned from Florida which would be 12/8/07. Elbridge asked Patricia to leave
the $4,000.00 that she owed to us with one of our sons on 12/1/07.
Around November 28, 2007, Chris Jenkins, old Landlord of Patricia Warringer on
75 Davis Street,No. Andover, MA stopped by 11 Marbleridge Road looking to speak
with Elbridge of his old tenant, Patricia Warringer. He left his cell number for Elbridge
to call him. Elbridge called Chris and Chris explained the terrible situation that he was in
with Patricia. He E-mailed several court documents and mentioned that Chris evicted
Patricia for Non payment and destroying the interior of his rental home. He also
mentioned that Joseph Levis, Patricia's previous landlord before Chris Jenkins had also
evicted Patricia for non payment and for destroying the interior of his rental home. They
both stated that"She Trashed The Place".
r• '
Patricia lied on her Rental/Credit Application twice-she stated that she had never been
evicted and said no when asked if she willfully or intentionally refused to pay rent when
due.
While Elbridge was in Florida, Elbridge's two sons who live at 11 Marbleridge Road,
called to let their father know that there were 3 cats peering from the rental property at
11Rear Marbleridge Road,No. Andover. They also have seen these 3 cats outside
numerous times. One son also informed Elbridge that one day he noticed 2 Verizon
trucks on our property and asked them what they were doing. They informed him they
were told by the owner of 11 Rear Marbleridge Road to add their wires for Verizon
service. In fact, Elbridge,the Landlord had no idea of Verizon adding their wiring.
. 12/25/07
Noticed a cat peering from the window at 11 Rear Marbleridge Road.
12/24/07
Received copy of Rejected check for insufficient funds of$2,000.00 per attached.
Security deposit, escrow account.
ADVICE FOR UNPAID DEPOSITED ITEMS Page 1 of 1
SS1912079-136 ACCT. NO. 69200075401-0 12/19/2007
OFFICE/BRANCH: 692/692 ACCOUNT TYPE: REGULAR DDA - DIRECT
THE FOLLOWING ITEMS HAVE BEEN RETURNED.
WE ARE CHARGING YOUR ACCOUNT FOR ITEMS # ITEMS: 1
RETURNED 'UNPAID AS LISTED BELOW AND AMOUNT: $2 , 000 . 00
A RETURN ITEM HANDLING FEE. FEE: $10 . 00
TOTAL: $2, 010 . 00
Reason REFER 'EM
PATRICIA WARRINGER tENEF SDItREIbN' NEW 'ENGLAND
KINGFISH TRUST AF PO BOX 841002
11 MARBLERIDGE RD BOSTON MA 02284
N ANDOVER MA 01845 1-877-768-2265
--------
*011100481*
(� �.. r. • a.� t �s�+'Y.�'e. �a w^._ .r.+.�1. ^.' .. ic..:er.)+r.±-c !"YJI..w.�f!l�Pi3t S t"
12/19./2007 0
6330592597
"u PATRICIA A.WARRINGER ` Y� 2033 }� '
This is a LEGAL COPY of N nq ' : ('
your check. You can use i t a N NQRTH DOx�X81 0 �_�y�127MA
12 �
the same way you would � mr Q7�{'J' $'
use the original check. tiru'.
� Ln S
RETURN REASON-A C-:,4, pay W,
NOT SUFFICIENT f-9 0
FUNDS N o QV Waoffors 8
co a
M o ankofAmerica
� .
ao c ""
_0
Ln
F `
6J I:0 L L000 1381: 00460940"a?301 ;3 3 ��'000 000004'
�Y�.bYa1 -. •�M_�%: ar. 19. ` /♦ �4_ .'dyYi , :!3 VrI.RI. •R/.•CLr
tYl
IXO L L000 L 381: 00460940 5 7 3.0112 20 3 3 1'0000 2000001'
MORRIS, ROSSI & HAYES
ATTORNEYS AT LAW
32 CHESTNUT STREET
ANDOVER. MASSACHUSETTS 01810
MICHAEL W.MORRIS,SR. TELEPHONE (978) 475-1300
LAURENCE J. ROSSI FAX (978) 474-0478
DANIEL A. HAYES, JR' E-Mail:MRH.ANDOVER@VERIZON.NET
MELISSA MORRIS DANISCH'
WAYNE F. SIMMONS, JR.'
MICHAEL W. MORRIS, JR.'
JONATHAN J. ROSSI
'Also admitted in NH
December 27, 2007
Served Via Constable
Patricia A. Warringer
11 Rear Marbleridge Road
N, Andover, MA 01845
Re: Three(3)DAYNOTICE TO QUIT(Default of Lease)
TENANT: Patricia A. Warringer
PREMISES: 11 Rear Marbleridge Road N. Andover, MA 01845
Dear Ms. Warringer:
Please be advised that this office represents your landlord Elbridge C. Leland, Trustee of
the Kingfish Trust, owner of the premises you rent as tenant located at 11 Rear Marbleridge
Road N. Andover, MA 01845.
YOU ARE HEREBY REQUESTED TO QUIT AND DELIVER THE PREMISES
YOU NOW RENT AS A TENANT AT THE ABOVE NAMED PROPERTY.
In accordance with Paragraph 8 of your Lease Agreement, you have three (3) days
from your receipt of this notice to vacate the premises.
The reason(s) that the Landlord wishes to terminate your tenancy is because you have
(1) failed to pay rent when due; (2) failed to pay security deposit when due (check bounced);
(3) made false representations as part of lease application; and (4) kept pets (cats) on the
premises, each of which is in violation of the terms of your written lease agreement signed by
you on November 21, 2007 (copy attached).
IF YOU FAIL TO SO VACATE, YOUR LANDLORD SHALL TAKE DUE COURSE
OF LAW TO EVICT YOU. By law, a court is the final authority in every eviction, and if you
believe you are entitled to remain as Tenant, you or your lawyer may present your case in court.
-1
Patricia A. Warringer
December 27, 2007
Page 2
ANY MONIES PAID AND ACCEPTED BY THE LANDLORD ARE ACCEPTED
FOR USE AND OCCUPANCY ONLY AND NOT AS BACK RENT AND WITHOUT IN
ANY WAY WAIVING ANY AND ALL RIGHTS UNDER THIS NOTICE TO QUIT UNDER
ANY SUBSEQUENT SUMMARY PROCESS PROCEEDING.
Vacating these premises will not, however, release you from liability for rent under the
terms of your Lease Agreement.
Incl
s, Jr., Esq.
WFS/cd
Enclosure
cc: Elbridge C. Leland
' d
LF255-04
R255-04
MONTHLY RENTAL AGREEMENT
THIS AGREEMENT, entered into this day of 20
b and between 07 ,
y Elbridge C. Leland, Trustee (Kingfish Trust) , hereinafter Lessor,
and Trisha Warringer , hereinafter Lessee.
WITNESSETH: That for and in consideration of the payment of the rents and the performance
of the covenants contained on the part of Lessee,said Lessor does hereby demise and let unto Lessee, and
Lessee hires from Lessor those premises described as:
11 Rear Marbleridge Road The Ice House located at -
located at: No. Andover, MA 01845
for a tenancy 'of T.2 months commencing on the day of
and at a monthly rental of $220 0�
,000.00 =Two thousand dollars Dollars
($ 2,000.00 ) per month, payable monthly in advance on the 1st day of each and every
month, on the following TERMS AND CONDITIONS:
children.1. Occupants. The said premises shall be occupied by no more than 1 adults and 3
2. Pets. No pets shall be brought on the premises without the prior written consent of Lessor. _
3. Ordinances and Statutes. Lessee shall comply with all statutes, ordinances and requirements
of all municipal, state and federal authorities now-in force, or which may hereafter be in force, pertaining
to the use of the premises.
4. Repairs orAlterations. Lessee shall be responsible for damages caused by his negligence and
that of his family or invitees and guests. Lessee shall not paint, paper or otherwise redecorate or make
alterations to the premises without the prior written consent of Lessor. All alterations, additions, or
improvements made to the:premises with the consent of Lessor shall become the property of Lessor and
shall remain upon and be surrendered with the premises.
S. Upkeep of Premises. Lessee shall keep and maintain the premises in a clean and sanitary
condition at all times, and upon the termination of the tenancy shall surrender the premises to Lessor in as
good condition as when received, ordinary wear and damage by the elements excepted,
6 Assignment and Subletting. Lessee shall not assign this Agreement or.sublet any portion of
the premises without prior written consent of Lessor.
7. Utilities. Lessee shall be responsible for the payment of all utilities and services wh=ieh:;inq.judes
water and sewer including additional line-.to barn.
8. Default. If Lessee shall fail to pay rent when due, or perform any term hereof, after not less
than three(3)days written notice of such default given in the manner required.by law, Lessor, at his option,
may terminate all rights of Lessee hereunder, unless Lessee, within said time, shall cure such default. If
Lessee abandons or vacates the property, while in default of the payment of rent, Lessor may consider any
property left on the premises to be abandoned and may dispose of the same in any manner allowed by law.
NOTICE: Contact your local county real estate be , 'or additional forms that may be required to meet
your specific needs,
® 1992.2001 Made E•Z Products,Inc.
This product does not constitute the rendering of legal advice or services. , Rev. 10/01
advice.State laws vary,so consult an attorney on all legal matters.This rodu, s intended for informational use only and is not a substitute for legal ,
P +eeessanlY prepared by a person licensed to practice law in your state.
9.Security. The security deposit in the amount of$ 2,000.00 shall secure the
performance of Lessee's obligations hereunder. Lessor may,,but shall not be obligated to, apply all or
portions of said deposit on account of Lessee's obligations hereunder. Any balance remaining upon
termination shall be returned to Lessee. Lessee shall not have the right to apply the security deposit in
payment of the last month's rent.
10.Right of Entry. Lessor reserves the right to enter the demised premises at all reasonable hours
for the purpose of inspection, and whenever necessary to make repairs and alterations to the demised
premises. Lessee hereby grants permission to Lessor to show the demised premises to prospective
purchasers, mortgagees, tenants, workmen, or contractors at reasonable hours of the day.
11.Deposit Refunds. The balance of all deposits shall be refunded within two (2) weeks(21 days
in California) from date possession is delivered to Lessor, together with a statement showing any charges
made against such deposits by Lessor.
12.Termination. This Agreement and the tenancy hereby granted may be terminated at any time
by either party hereto by giving to the other party not less than 2 full month's prior notice in writing.
13. Attorney's Fees. The prevailing party in an action brought for the recovery of rent or other
moneys due or to become due under this lease or by reason of a breach of any covenant herein contained
or for the recovery of the possession of said premises,or to compel the performance of anything agreed to
be done herein, or to recover for damages to said property, or to enjoin any act contrary to the provision
hereof, shall be awarded all of the costs in connection therewith, including, but not by way of limitation,
reasonable attorney's fees.
14.Radon Gas Disclosure. As required by law,(Landlord)(Seller)makes the following disclosure:
"Radon Gas" is a naturally occurring radioactive gas that,when it has accumulated in a building in sufficient
quantities, may present health risks to persons who are exposed to it over time. Levels of radon that exceed
federal and state guidelines have been found in buildings in . Additional
information regarding radon and radon testing may be obtained from your county public health unit.
15.Lead Paint Disclosure. "Every purchaser or lessee of any interest in residential real property on
which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead
from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in
young children may produce permanent neurological damage, including learning disabilities, reduced
intelligence quotient, behavioral problems and impaired memory. Lead poisoning also poses a particular risk
to pregnant women.The seller or lessor of any interest in residential real estate is required to provide the buyer
or lessee with any information on lead-based paint hazards from risk assessments or inspection in the seller or
lessor's possession and notify the buyer or lessee of any known lead-based paint hazards.A risk assessment or
inspection for possible lead-based paint hazards is recommended prior to purchase."
16. Additional Terms and Conditions.
Signed:
'- '1 vv L�� ,� Date
Lessee, Trisha Warringer
Date
Lessor, Elbridge C. Leland,Trustevo2
Kingfish Trust
January 2007
Mr. Elbridge Leland
ii Marbleridge Rd.
North Andover,-MA o1845
Dear Mr. Leland:
I am in receipt of your"notice tomout eady prepared n January any way,based on --
to you, a letter of notice to you,that we will be
our previous conversation that you would need for us to move our storage off your
property altogether, for your insurance
emoved from heree that if we cou 't afford
Atta hed is the letter of
to do that,it would be alright with you if w
notice that I had prepared to give to you, and detailing the unexpected expenses that we
would incur by continuing to rent this home for my family,that I can't afford to pay on a
monthly basis.
Attached is a bank check for $1,667.00,since the $3,000.00 that iniygaveDecember's you
paid for the to days of November ($66.70 x to days = $667.00), p
lus($2,000.00), leaving a $333•oo remaining balance to be applied to the last month's
rent.
Also attached is a money order for $35.03,for the Electric bill that you left inside the
house for me to pay.
The"notice to quit" stated that you will pursue a court eviction. Since we were prepared
to, and will be moved out of here by the end of this month anyway, I don't know if you
still want to pursue the eviction process, tweto hold off, since we'll be willbe moved out of heretby
by
the end of the month anyway. If you want to hold off
January 31St, and I promise to leave the premises in same clean condition it was in when
we moved in,so you can quickly rent it out again right away.
Please let me know what your decision is as soon as possible. You can call me at home
or if it's easier,you can email me at: trishawarringer@hotmail.com
Thank you.
Sincerely,
Trisha Warringer
11A/Rear Marbleridge Road
North Andover,MA
978-975-7727
f � 0924920
�, . • JANUARY 02; 2009
-IORTA ANDUM',
>092T1T` 00U05 0002 V2'0 " ERIK STEFAN WRINGER
Wlliolt,isvd B,
**1667 .00**
**ONE INOUSAND SI% HOKDRID lI%TlF'°`WIN'DOLLARS AND 00 CENTS**
**BDHRIDGB"'L.nmt* 'A r K i n c1 i�'1 S 712 U.S i'
:x
1<,,:tlzA�:, ry�r►9v: (��Gt�CI�?C o� La n,)ci7.+�1 /eat>
11109 249 20115 1: 1140000 L91: 00 164 LOOS 3 39110
,.: .%'t i ."; •'\ .i..: i I_I\- .`. fi .. .---'— =.t�. i� ... ...�i1t ORiiil ----- _-\1 1_\_ <i.l ._ _-_ .. ... ..-.. — .....
Bank of America Personal Money Order No, 0960927
t'OI1')AFTER 91i DAYS
i:i-(ii14t1
NORTH ARDOVIR N'rx
35.03
'"THIRTY 411VI'DOLLARSWS3''tlIM**
-„
I nelica is not 11abA'im lost ul Stolen -k,ncv Orders.(cam>,t,plut_c[ior a � �L D1 1 �
Ica.,or thetl.Sign;tnu complete this Nloney()rder as Soon as po,sslh!e. m, Of I urd,u;ci Urawc:) liter
Drumm We
RE
c ica _
Adlip
1130960927,12 1: 111,0000191: 00 164 LOOS 36 2110
i,it I,w!t NAt is it :iHli�1 ll\5 I<.L.'rLf.(l'I`,` \ I F:hM\i?K t)'; `iii:HACK THF ORIGINAL DO .t`ILN I HAI ItI i L 1(l i\'t-W. C,RNIARK UV !Tl!.BACK
_
--_.._. _....._ _..__.. _ _.... _ ------- -- ._ _ .... _.._ .— –– --._–
.Elbridge & Sandra Leland
11 Marbleridge Road, No. Andover, MA 01845
Telephone & FAX: (978) 683-4500
FACSIMILE TRANSMITTAL COVER SHEET
DATE:
FROM: �4
ATTN: / //� �
COMPANY: .-
AA
OMPANY: :
PHONE #: -P�
7
NUMBER OF PAGES (Including Cover Sheet):
For: _Quote _Approval _Distribution ✓0ormation
_Selection Y r Use _Your Action ecords
Order iew&Comment _Compliance with your Request
JOB NAME: _ T' '/G//�. l�J ��� ►C'
COPIE§_[bKT_Ej NUMBER DESCRIPTION
REMARKS:
SIGNATURE:
December 28, 2007
Mr. Brigg Leland
11 Marbleridge Rd.
North Andover,MA 01845
Dear Brigg:
I left you a message last evening that I would need an extra day to look into the check not going
through and that I would take care of it. After receiving your phone message and returning your
call the night before last I contacted m husband,whose court ordered support is always direct
deposited into my account, and I didn't realize it was not there. He informed me that he's lost
his job, and is unable to pay my support, indefinitely. I needed the time until today to get the
funds together myself, so that I could in turn reimburse the security deposit to you.
Because of this and other issues,the purpose of this letter is to give my one month notice that we
will be moving from here by the end of January (2008),as you told me earlier that this would be
alright With you(after discussing the storage issue). In light of the news from my husband,I can
not afford the $2,000.00 per month on my own,plus the significant additional unexpected
expenses I found out about after moving in.
When I originally answered the ad,the rent was $1800.00. Since there is no basement, attic or
garage to the home that we wanted to rent, in speaking with your wife about this, I agreed to pay
$2,000.00 ($200.00 more) for use of one of the barns for storage space, as I was clear that I
needed storage. When you returned from your trip to Florida,you informed me that we would
need to remove the things we needed to store from your property altogether, for your insurance
purposes, and as your insurance agent had advised.
In researching the prices of the storage facilities in the area, I've found that it would cost me
several hundred dollars more per month,to move the things I need to store, into a rented storage
facility (since they are all climate controlled, etc.). I know that you would like to have use of
your barn as soon as possible, I appreciate your patience, and I feel very badly that I haven't
been able to move it as of yet. I am anxious to get our things out so you can have full use of that
space again that you need
In addition to storage costs, I was not aware until the lease was given to me the next day,
Thursday,November 22"d (Thanksgiving morning),that I would be required to pay the water bill
for the home we're renting. In addition to the water bill for this residence, I will be required to
also pay the water bill for an additional building, "The Barn",which is the building for your
industrial glass, aluminum etc. family business,plus the'newer addition on the back of that
building next to your house. These are unexpected, significant expenses that I can not afford to
pay to stay here. For these and other reasons,I am providing this notice that we will be moving
out by the end of January,which we had already discussed and you said would be ok. (thank
you).
I will pay for January with a bank check to make things easier for you. I would prefer however,
not to drop the check into an open,uncovered basket at your back door,that you have asked me
to do. When I went to drop the rent there on December I", the wind was blowing and there was
nothing to keep it from blowing away into the snow. I rang the bell and knocked at the door but
there was no answer and no one seemed to be home. Both you and your wife were in Florida,
and apparently your sons were out. I went back later and still no one was home. The next day I
went back,rang the bell and knocked at the door again but still no one was home. But, since
there were magazines and newpapers in the basket,I tucked the check under those since it was.
where you told me to leave it, even though it was windy and snowy, and there was snow blowing
into the basket.
I would prefer to deliver my check for this last month's rent to you, or a member of your family,
in person so that I can be sure that you have the check in hand. Thank you.
Sincerely,
Trisha Wamnger .
J
Rte;, ?(uji-C ��..
January 1, 2008
Mr. Brigg Leland
11 Marbleridge Rd.
North Andover, MA 01845
Dear Mr. Leland:
This is to inform you that the rent for use and occupancy of my family's tenancy
will be paid by bank check to you tomorrow, January 2nd, since banks are not open
today.
Sincerely, f
Trisha Warringer
11 A Marbleridge Road
North Andover, MA 01845
987-975-7727
MORRIS, ROSSI & HAYES
ATTORNEYS AT LAW
32 CHESTNUT STREET
ANDOVER, MASSACHUSETTS 01810
MICHAEL W.MORRIS,SR. TELEPHONE (978) 475-1300
LAURENCE J. ROSSI FAX (978) 474-0478
DANIEL A. HAYES. JR* E-Mail:MRH.ANDOVER@VERIZON.NET
MELISSA MORRIS DANISCH'
WAYNE F. SIMMONS, JR.-
MICHAEL W. MORRIS,JR.'
JONATHAN J.ROSSI
'Also admitted in NH
January 4, 2008
Via Reg Mail and Email (trishawarringer(ahotmail com)
Patricia A. Warringer
11 Rear Marbleridge Road
N. Andover, MA 01845
Re: 11 Rear Marbleridge Road N. Andover, MA 01845
Dear Ms. Warringer:
As you are aware this office represents your landlord, Elbridge C. Leland, Trustee
of the Kingfish Trust, owner of the premises you currently rent as tenant located at 11 Rear
Marbleridge Road, N. Andover, MA 01845. I am writing in follow up to the recent
correspondence you forwarded to my client.
First
I am writing to acknowledge e your payments to my client in the amounts of$1,667.00
0
and $35.03. However, as indicated in the prior notice to quit which you acknowledged receipt of
in your letter, these monies are being accepted as "use and occupancy only", not as rent, and will
not reinstate your tenancy which remains terminated in accordance with the prior notice to quit.
As you are aware, despite the recent payment, you remain in default of the written lease agreement
as you have failed to pay the required $2,000.00 security deposit.
Second, notwithstanding the above, my client has agreed to accept your offer to vacate
the premises on or before January 31, 2007 as set forth in your letter. My client has also agreed
to forgo the remaining lease term so long as you vacate the premises in broom clean condition,
remove all possessions and debris and return the keys on or before that date.
Thank you for your time and attention to this matter. Please feel free to contact me with
any questions or concerns.
Sincerely,
WFS/cd Wayne F. Simmons, Jr., Esq.
cc: Elbridge C. Leland V .
11 MARBLERIDGE ROAD 7.0-0011
Complaint Detail Report
rinted On:Fri Jan 04,2008
Complaint#: CT-2008-000030 Status: Pending GIS#: 1.896 Violator: LELAND,ELDRIDGE(BRIG)
KORrsr Address: 11 MARBLERIDGE ROAD Map: 037.0 Address:
�� ,• '• °o� Date Recvd.: Jan-04-2008 Time Recv& 02:19 PM Block: 0011 NORTH ANDOVER, MA 018
o s -
Category: Housing Lot: Type: Residential
-- - -
,� _ GeoTMS Module: Board of Health District: Trade:
�SSRcNOg�t Recorded By: Pamela DelleChiaie _ Zoning: Structure:Home
Description
Complaint: Requesting housing inspection of rental property by homeowner,Eldridge(Brig)Leland,978.683.0958. Does not have an issue right now,but wants tenant removed
from the property,and wants the condition of the property evaluated before tenant has a chance to compromise anything at the property to negotiate a health
inspection. This is I IRear Marbleridge Road. It was an 1800's bam that was renovated into a home
Tenant is Patricia Warringer,978.975.7727. There have been past issues with this person as a renter at other properties in Town. She moved in the day before
Thanksgiving. She has not paid,as she did not have the money available,as she had not been paid by ex-husband. Attorney for landlord sent her a notice of eviction
letter on December 27,2007.
Comments:
Callers
Date Time Name Phone Best Time To Reach Recorded By Response
Jan-04-2008 2:19 PM Eldridge(Brig)Leland Pamela DelleChiaie
Actions Taken
GeoTMS Module Status Date Time Response Type Action Taken Comments
Board of Health REFERRAL
CGT , - mv, \ Pit ,
'0� C, ��fip
S�-6+
l
u� �- 91'
�ti r l, � �ti�- C-(-) tarn, �
vj�
00 61 Z'� m 4)+7 )
GeoTMS®2008 De Lauriers Municipal Solutions, Inc. I o �/� S Page 1 of 1
�� ��ru f ^�
NEW ENGLAND CLAIMS SERVICE, INC.
ReplyTo f] Reply To Reply To Q
P.O. BOX 345 100 CONIFER IIILL DRIVE, SUITE 308 P.O. BOX 578
MANSFIELD, MA 02048 DANVERS, MA 01923 SHREWSBURY, MA 01545
TEL. (508) 337-8058 'TEL. (978) 777-9900 TEL. (508) 842-3995
FAX (508) 339-5835 FAX (978) 774-9296 FAX (508) 842-7510
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch. 139, Sec. 3D
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
TD W kj A
_____._....addresses ---------__. ----- ----- _ --- ----- —._
RE: INSURED
PROPERTY ADDRESS 4�1...__.. � e_► �.__. T,__.T_____..__.,_ _.. ...__�____ ._..,__..
POLICY NO.: �'� 0 0
LOSS OF:
FILE OR CLAIM NO.: ..._.._ _._--
Claim has been made involving loss,damage or destruction of the above-captioned
property which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143,
Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139 Section 3D
is appropriate, please direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, (late of loss and claire or file number.
t_ �_n►rn�, -
TITLE��T
On this date, I caused copies of this notice to be sent to the persons named above
at the addresses indicated above by first class mail.
i rwN OF NORTH ANDO'ViE $IG AT E AND DATE
BBOARDBOARDOF HEALTHEALTH
,fit 2 i6 2 1
cc : Fire Dept . _ . _ ___
r .
D U_�EY_A 5-83E5-T-0-5-R_ EMOV
AO. Box132
Arlington, MA 02476
(a division of Dudley Services, Inc.)
Tel. 781-643-4328 Fier. 781-643-12515,1,f-
MA
81-643-1255,,,r
- MA Lic. #-AC 000112
www.du dl eyasbestos.conn
SPE
Date: January 25, 2001
To: No. Andover Board of Health
Enclosed,please find copies of the Division of Occupational Safety and the Dept. of
Environmental Protection forst ANT-001 for an risbestos abatement J project
1
to be perforated in,your city/town Please feel free to call if you have arty questions.
Sincerely,
Santuel I Nigro III
'Vv of r�aRrH,A
ROAR)OF HEALIy�
JAN,2 6
ti
Commonwealth of Massachusetts
l•
Asbestos Notification form— ANF-991
N° 546836
Asbestos Abatement Description
1. Facility location:
No. Andover Historical Society 11 Marble Ridge Rd
INSTRUCTIONS Narne Mhess
i.Allsedlonsolthis NO.Andover, MA 01845 978-686-4035
form must be completed D'ry/rn;M TPP* releMrnne
In order to comply with Basement
the Department of IM9Is/heovAsilelrralnn?buildiggnarne,/,wing,loaf,rmm
Environmental ��LL
Protection nalOkalion 2. Is the facility occupied? 0 Yes No
requirements of 310 CMR
7.15(Im workingdays
pdanollArallonls 3. Asbestos Contractor:
requ/re:aabalemed Dudley Services, Inc. __ 43 Dudley St. ,
prnja4;andndthe (P.O. Box 132
Department of Labor Name Adrkcss
andIndustries
equi Arlington, MA 02476 781-643-4328
notification requirements g
of 453 CMA 6.12 (hal Ciry/fown ;1P Code Telephone
days pilnrnolilkalion If
requltedolANY AC 000112 Written
abatement pm/ed gieale 0[llicense/ Cn lead Type(willertAe hrlr
Ihan lhra,linear or
squaieleM. 4. On-Site Project Supervisor/Foreman:
2.Submit Original Form Samuel J. Nigro, III AS 51363
To: Mae --
Commonwealth of D[I(edilaalion/
Massachusetts 5. Project Monitor:
Asbestos Program
P.O.B.120087 Enviro—Safe Engineering PM 51638
Boston,MA 02112- Nvre DllC.talilialinn/
0087
6. Asbestos Analytical Lab:
3.This form maybe
used lor notifying the Enviro—Safe Eng. _ AA 0_00131
O.S.Environmental N,n a 011 Cr mbfibn i
Protection Agency Regfon
Iofasbestos demolition/ 7. Project startdateo /P/0/enddate�/�/��specilicworkhours(Mon.-Fri.) .3d '�.ed(Sat.Sun.) 30 S'd d
renovalinn operations
subject to NESNAPS(40
8. What 1 ( one):Subpart Mj. type of project is This? CIICIe One: danolilian repair ,> �rennvalinn nlha(ey/a/n/
9. Describe the asbestos abatement procedures to be used C
P (circle): glove hag endnnn 6il/mnlainncnl � ckanup �
erxdosulalan disposalon/y o/ter(expbin)
10. Is the job being conducted indoors ❑outdoors 7
."p; 11. Total amount of each type of sbestos Containing Materials(ACM)to be handled on pipes or ducts(linear ft.)350 or other
surfaces(square ft.) 30 to be removed,enclosed or encapsulated:
linear/square feet
boilerbreaching•durl•lank surface coatings..._/3 0 thermal,solid core pipe Insu/alion......
corrugalrrd of layer,dpaprr pipe iasulallon....5 0/ insulating rencnl.................. _J
spray--Afrpmoling....................._J Irowo•1/.spiay'ff a Zings..............
Cloths.wnverakhrks....................._/ Irans/leboard,,wallboard.............
other(please describer....................
12. Describe the deconlamination system(s)to be used:
_Containment barrier wi6 clean room_using a negative air
_sy-s±-em_arm. _ealed o_Lf__and p_1_a_carded
13. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g):
_Wet asbestos packed in double 6 mil poly bags labeled
"Asbe� os"
14. For Emergency Asbestos Abatement Operations,the DEP and DLI officials who evaluated the emergency:
Nano olOfPOTaaI ril/e----
Dale olifu/halzallm IYaiWr/
Name HOl/Dlmdal Dlle
Da/eolAuthrviralim
15. Do prevailing wage rates apply as per M.G.L.c.149,§26,27,or 27A-F to this project? DY No
Rev.6192 /I
Facility Description
1. Current or prior use of facility:
Historical House
2. Is the facility owner-occupied residential with 4 units or less? O Yes C No
3. Facility Owner: /I
Same __ 153 Academy Road
NamAdrkess--
No. Andover, MA 01845
Cily/rawn tip mde Telrplrnne
4. Facility's Owner's On-Site Manager:
Nam Adhess --
Ci(y/Inwn ip rode Te/ep4nne
5. General Contractor:
Name Mdress
Cityyrmvo Zip rode. Telephone
Reliance Ins. Co. _ _ 897K6577 __ 07/09/01
Contractor's Workers Com.Insurer policy/ Emoate
6. What is the size of the facility? 2000(sq ft)-3 (#of floors)
I.
Asbestos Transportation and Disposal
1. Transporter of asbestos-containing waste material from site to temporary storage site(if necessary)to final disposal site:
Moire Address
Cityl7imi Zip aide rel,*cne
2. Transporter of asbestos-containing waste material from removal/temporary storage site to final disposal site:
J.O.B./Rolloff, Inc. _ P.O. Box 6037 _
N,rrre Adrhess
Chelsea, MA _ 02150 617-387-1495
Note:Transfer OvIr n 5p de TrleMone
Stations must
comply with the 3. Refuse transfer station and owner(if applicable):
Solid o Waste
USA Waste of Connecticut 203 Pickering St.
Division regula- �, Adess
tions 310 CMR
18.00 _ Portland/, CT 06480 86.0-342-0667 _
Qy/row Trp code lelrphone
4. Final Disposal Site:
Valley Landfill
I aalionName Owners Name
Pleasant Valley Road
Addess
Trwin, PA 15642 724-744-7446
QYlTown Ip code Telephone
ja Certift8tiun
The undersigned hereby states,under the penalties of perjury,that he/slie has read the Commonwealth of Massachusetts Regulations
for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in
this notification is true and correct to the best of his/her knowledge and eliel.
Samuel J. Nigro
/hInlN.rme �rftAhoriarl5ipnahne bale
Note:Contractor j
must sign this President Dudley Services 781-643-4328
form for DLI pnsilinn/Tilk Rrpresenlirg Telr#�hnne
notification
purposes P.O. Box 132 Arlington, MA 02476
Address City/raw�r Zip aode
Fee exempt(City,Town,district,municipal housing authority,owner-occupied residential of four units or less)?0 yesno
�o
Sticker B(from front of form): p 3a
I'FICATiO FORM`
FOS U;
- VER necessary
that. all
Th
form is used to .verify urisdiction %
INSTRUCTIONS. Depart-me having ,7
ermts from Boards and. Departm
Islp a applicant .an p
aha This does not wrelieve
have .been ob£aiiied°.' ,a lcak�le local or state law,
om comp an, with any PP
fJandowner" fr co k,
irements. ;.
;regulati4 .
ons or ;,.requ w < • *** ** ** ****** `� 4
lout ,'ts
his ection ,
******* ** *Applicant fills ,; s
# ** ;Phone
APPLICANT Paroel
ssorfs Map .Number
LO.CATI�JN Asse Lots{:d),'P:
Subdivision �; Number
Sty'
Iv I
-Street
Use only s x ; z
_ . . Official � h � X - ,
p
OF TOWN AGENTS: y `s 7
f
PMC.p DATLO , lE w Date Approved -1
j �Vrator `g a" r Date Rel ected r r
servatlo ;,Adminls
C , a x
' Comments
Dat h pproved {
. � e ed
s ect
Date Rei a
Town Plan
C
a x-
Ne APPro"ved ,
4 L5 to ""
Date Fte�ect.
_H alth v 7 `
Food Inspector d _
. '� Date --P,ppro.,
> r r
, { Date _Re3 ected
ptic Inspector Health
Se r e
h 't ' ;:Comments ��
e
F
pub "Works sewer/water connections
driveway permit G
e artment
Fire;,'D P; R
Date --
d by `Building
Inspector
Receive
o
rt
5
t
I
SEPTIC SYSTEM INSPECTION FORM
ADDRESSG-�� ;�
DATE INSPECTED �• �Q
PROPERLY FUNCTIONING? N
. WEATHER CONDITIONS
COMMENTS :
Wig►E 1;ALiTY (ES TL;,s
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
�J U
1�
{
WATERSHED– RESIDENTS QUESTIONNAIRE
1. Name \— _1 )\►J '
2. Street Address } Z� 2CL
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 ❑ do not know..
+° 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years =
over 20 years El do not know -
7. Has your sewage disposal system been rebuilt or repaired?
❑ yes Nid no ❑ do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? ❑ annually
❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years `,Yr never
9. Have you had any problems with your sewage disposal system? ❑ yes 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 _�__ dishwasher _� garbage disposal
dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub
11. Please state the brand and.type (liquid or powder) of detergent you use for:
dishwasher
clotheswasher
12. Does your property have a lawn? yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/i acre ❑ 3/4 acre I1 acre
❑ more than 1 acre (Specify) acres l \
13. How often do you fertilize your 1n3
No. of applications per year
/r—
Season(s) of the year
14. Please state the brand and type (liq d or ranular) of lawn fertilizer you use:
❑ Check here if your lawn is maintained by a professional landscape contractor.