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1 Jefferson Ave. mosquito control inspection a®@�� MAiBq CDttCIlr onhli ealtb of A.a osatbuortt.0 1. State Reclamation Board �: NORTHEAST MASSACHUSETTS MOSQUITO CONTROL AND WETLANDS MANAGEMENT DISTRICT 118 Tenney Street RECEIVED Georgetown, MA 01833 www.northeastmassmoNuito.com APR;2,2 2019 Telephone: 978.352.2800 CITY OF SALEM BOARD OF HEALTH Property Inspection Property owner Todd Waller Date 05 Apr 19 Location 1 Jefferson Avenue Collector Rohn J� City/Town Salem N W Start 8:30 Conditions End 8:45 Surrounding environment Business, residential Land Use Habitat Drainage Type x Industrial Salt Marsh Reflood Residential Fresh Water SWCS Conservation/Reservation Beaver Agricultural Agricultural Vernal Pool NEMMCWMD Ditch Municipal Pond Maintenance Project Site# Other Swamp F7x Other Paved Larvae per dip Insecticide Location 1 2 3 4 5 &amount Comments Aspiration vial# _ Landing rate Larval sample vial#s Requested by Todd Waller/ Board of Health from Date 01 Ai:r 19 Info relayed to Todd Waller/Board of Health at Date 09 Apr 19 Comments & recommendations on back Committed to a partnership of the principles of mosquito control and wetlands management i o� ► ► aa� ► H03W / 1NVN31 .ra 30VU019 ISM IR► 44 o � i Sa avo0 SS300V ViON 1 Jefferson Ave SEGER ARCHITECTS,INC. _ u NOTFD1J2o1s 1 Jefferson Ave 10 Derby Square,Salem,MA Salem,MA D 973-744-02A johnaseger@segem itect mm