HomeMy WebLinkAboutLegal Document - 17 LACY STREET 2/11/2008 8-k d_ a F_:o 112 8 2
COVER SHEET
THIS IS THE FIRST PAGE OF THIS DOCUMENT
DO NOT REMOVE
GRANTOR GRANTEE
/7 Z4 ew S:7-,
ADDRESS OF PROPERTY CITY/TOWN
TYPE OF DOCUMENT
MLC ASSIGNMENT
DEED 6D TYPE
MORTGAGE
OTICE LL�Y C--
TYPE
DISCHARGE SUBORDINATION
AFFIDAVIT CERT
DEC OF HOMESTEAD UCC TYPE
DEC OF TRUST TYPE
OTHER
DESCRIBE
Essex North Registry of Deeds
Robert F. Kelley, Register
354 Merrimack St. Suite 304
Lawrence, MA 01843
(978) 683-2745
www.lawrencedeeds.com
NOTICE
The property referred to in a deed recorded at Book 4015 Page 306, located at 17 Lacy
Street,North Andover, Essex County, Massachusetts has been improved with a
subsurface sewage disposal system using an alternative technology know as a Presby
Enviro-Septic System. Said alternative technology is approved by the Massachusetts
Department of Environmental Protection and shall be operated under the terms and
conditions of said approval dated July 11, 2007 including the provision that the owner
maintain an operations and maintenance contract for the system with a qualified person.
This notice is being given by the property owner
'f
2i l i f C
Scott E. Rundle Date
Jo
Helen Denise Rundle Date
Commonwealth of Massachusetts County of Essex
On This_Day of K, 6 , 2008
Before me,the undersigned Notary Public,personally appeared
�Q-C u"J t� Lit
Name of Document Signers
Proved to me through satisfactory evidence of identification, which was/were
-1 R�" y\�-(Z _� I �
Description of evidence of identification
To be the person whose name is signed on the proceeding or attached document, and
acknowledged to me that he/she signed it voluntarily for its stated purpose.
1A-A 0 tA_
SignaturjNo P lic
Printed name of Notary Public
BRENDA E. JARRETT
NOTARY RURLI
My W0 20Date)
TOWN OF NORTH ANDOVER � NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES 6�ooYr
HEALTH DEPARTMENT
Y �
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845
978.688.9540—Phone
Susan Y. Sawyer, REtIS/RS 978.688.8476—FAX
Public Health Director E-MAIL: healthdept @btownofnorthandover,com
WEBSITE:http://www.townofnorthandover.coin
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ( repaired;
by
(Print Name)
located at t7 L-461 1,
(Installation Address)
was installed in conformance with the North Andover Board of Health approved plan, originally
dated and last Revised on -7—U -07 , with a design flow of
,Ld q gallons per day. The materials used were in conformance with those
specified on the approved plan; the system was installed in accordance with the provisions of 310
CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the
approved plan. All work is accurately represented on the As-built which has been submitted to
the Board of Health, f, ,
Bed inspection date: lo-1702
En neer Representative(Signature)
And-Print Name
Final inspection date: //,///0/ < —. 0" ')
_
Engineer Re resent v (Signature)
And-Print Name
r
Installer: °'t /1 (Signature) Date: ✓
And- Print Name
r
Engineer y (Signature) Date: (1 t- --
And-Prin ame