HomeMy WebLinkAboutMiscellaneous - 209 VEST WAY 4/30/2018 (3).E:!-
-CN Commonwealth of Massachusetts
s tts
City/Town of
a
System Pumping Record
wM .
Form 4
DEP has provided this form for use by local Boards of Health. Oth rF$ r f� M,ck
he
information must be substantially the same as that provided here. o�-.e=ustngxffi- fs istwith your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left ight front of hous Left / Right rear of house, Left / right side of house, Left /
Right side of building, Left Ig ron o building, Left / Right rear of building, Under deck
Address
City/Town
2. System Owner:
tate
P?�
Zip Code
Name
Address (if different from location)
City/Town IState , Zip Cod
Telephone Number
B. Pumping Record
� 2 -fid
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Type of system: ❑ Cesspool(s) epbc Tank ❑ Tight Tank
❑ Other (describe):
4. Effluent Tee Filter present? ❑ Yes, o If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:�
6. System Pumped By:
Neil Bateson
Name
Bateson Enterprises Inc
Company
7.
s were disposed:
Lowell Waste Water
F5821
Vehicle License Number
L') r--aG -- I (
Date
t5form4.doc• 06/03 System Pumping Record • Page 1 of 1
310 CMR 10.99
Form 5 REC(�DNAW
�..� J3 TOWN CLER1
._�.� 114RTH atIDCVER
! � ,•. CommonwealthgJi
of MassachusL�0 t5 Pt'
i
209 Vest Way, Lot 26
Order of Conditions
DEP Fib no. I ` 242-758
111 (to up vwuMn try UEI'1
city"town North Andover
ADphGant John M: McCormick
C.�
v
r Z o
Massachusetts Wetlands Protection Act
G.L. c. 131, §40
and under the Town of North Andover's Bylaw Chapter 3.5
From
NORTH ANDOVER CONSERVATION COMMISSION
1'o John M. McCormick
Address
(Name of Applicant)
209 Vest Way
North Andover MA 01845
This Order is issued and delivered as follows:
Same
(14ame of property owner)
A
I
Address Same
7 by hand delivery to applicant or representative on (date)
XMx by certified mail, return receipt requested on �` e�%�' ��� I�%�� - A dYTe►
Phis project is located at
209 Vest Way, Lot 26
The property is recorded at the Registry of Unrrlip ro r' PV -
Book 3454 Page 209
Certificate (if registered)
The Notice of Intent for this project was filed on June 14 1995 (datel
The public hea-:ng was closed on July 5, 1995 (date)
Findings
The North Andover Conservation Commission; has reviewed the above-refere,iced ►Joyce of
Intent and plans and has held a public hearing on the project. Based on the uilormation availaote to the
NACC at this time. the ---- I Ih1L;r — has determined that
the area on wr..ch the proposed work is to be done is significant to the following interests in accoroarice v.ilh
the Presumpt:c-is of Significa ce e1 Jorth in the re ulations for each Area Subject to Protecno.n Under the
. /i3 Y Recreation
Act (check as appropriate): Ch. 178: 7' Prevention of Erosion & Sedimentation Ch. 178YWildlife
,dA
9Q Pubilz: -,.ater supply Flood control 1, Lind containing shellfish
. Private water supply . Storm damage prevention Fisheries
Grounc water supply W Prevention of pollution Protection of wildlife habitat
Total Filing Fee Submitted $55.00 + $25.00 Local State Share 15.00 _
City/Town Sh—z,e $40.00 + $25.00 (! _ lee irl Pxcess of?�►
Total Refund 1—ue S Cily/Town Portion S State Portion S
('/z total) ('iz total)