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Home My WebLink AboutMiscellaneous - 55 TURTLE LANE 4/30/2018 (3)TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD )I tm V WNIIK (!� ADDRESS - L [0 >> SYSTEM LOCATION (example; lef( from of hou�t) Frori k&P A o u S �e D:\TC OF PUMPINC: 7 % QUANTITY PUMPCD-6 00 0/, L o�-1 NO YES SEPTIC TANK: NO YES MATURE OF SERVICE; ROUTINE EMERGENCY WI.>F(ZV.:\TIONS: -� COOD CONDITION. FULL TO COVER HEAVY CREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK . EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER DHFR (EXPLAIN) >1 .S•I LM. PUMPED BY: � UM'YI rNTS: UNI,.INTr T]I ANSFEIZRED TO: TO" OF NORTH AND0;VER SYSTEM PUMPING RECORD' �'i'EM OWNER & ADDRESS SYSTEM LOCATION (example; left front of house) ")o \,I,c OF PUMPING /_ QUANTITY PUMPED/L1''"' CALLU-,I NO YES SEPTIC T NK: NO YES �ATUREOFSERVICE: ROUTINE V EMERCENCY t)I1.>FRV:\T10NS: GOOD CONDITION_ FULL TO COVEil HEAVY CREASE BAFFLES IN 1)LAC1' ROOTS LEACHFIELD RUNBACK. v EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER Oj�HER (EXPLAIN) PUMPED BY: i' (-UMNIFNTS: T)1 ANSFCIZRLD TO: TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD — 7 K03 >>"I'EM OWNER & ADDRESS SYSTEM LOCATION (example; lef( from of house) Jo �dry�— ',000"i U \"I,E OF PUMPINC;,-�g QUANTITY PUMPCD�J� 0 �LLc»� C. .-SP00L: NO YES SEPTIC TANK: NO YES � ATURE OF SERVICE: ROUTINEy EMERCENCY (MSFRVATIONS; GOOD CONDITION. HFAVY CREASE ROOTS EXCESSIVE SOLIDS SOLIDS CARRYOVER PUMPED BY: c u 1"I M FNTS: `1'lZANSFCIZIZED TO: FULL TO COVER BAFFLES IN PLACE LEACHFIELD RUNBACK . FLOODED ,O�HFR (EXPLAIN) E TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD z DATE: -721). L o bovogm_ 55 _Turf -lam (_Cu7e_' _a° APR 2 503 SYSTEM LOCATION (example: lett front of house) 1he, bouse DATE OF PUMPING: D QUANTITY PUMPED GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE = EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS �— LEACHFIELD RUNBACK EXCESSIVE SOLIDS — FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) Soucy's Sewer Service, Inc. SYSTEM PUMPED BY: 830 Livingston Street Tewksbury, MA 01876 COMMENTS: CONVENTS TRANSFERRED TO SYSTEM I'UMPfNC [ZECC��, �E & f�uDRCSS-------\ - -- 95 tU r f /c Iglk 40 lqn haver `> i M.? C YES SEPTIC TANK E EA L��-- ROCTS L EACHF!!" ti ----- EXCESS!VE SOLIDS FLOODED -_ SOLIDS CARRYOVER O�HFiz-- OF N 0 RTH 'AfJD 0 V E R SYSTEM PUM-p INC R.�Cop_D UATE: M QWNFR & ADDRESS «. SYSTEM EUCATON (exilmple: IQ('( front or house) 3�_ L)..\'I'C OF p VMPING. Q U . ANTITY. f'UMPU_ZtLn_cALL0.v) S 1 0 0 L:b 0 YES SEPTIC TANK: NO y ES NATURE OF S.ERYICE: ROUTINE E M F, R CENCY 'COOD CONVITION'. NLLTOCOYER HRAYY CREASE .13AFFLES IN P'LACP ROOTS LFACHFIELD RUNUACK- CXCESSIYE SOLIDS FLOODED SOLII)SC,AR.RY0YER_ PHFm (EX%A.IN) -ST '.m p U m P c 0 y: YI 'Yl R NTS � � r�., !� ZY' +y�Q'M.�1+i f� u!t <<l,s �s �lw Y{-tir f( — •---_.._.._._____ _... . � ll .f `V.t�+ t�'tl +, +l l�l�i•)IyY , t'� �!D„1�, 1 ! 5 � - TbWN OF NORTH'ANDOVER..: SYSTEM PUM-pi.NG RECORD I� VI l'.. 'a3 2 5I'EM OWNER & ADDRCSS SYSTEM LOCATION ' (ez�m�le; Icft frons of housr) l V NTC 0 F P.VMPINC; ` X110 (QUANTITY PUMPQ, D L L c C. UUt°'NO /YES SEPTIC TAN / ------- K, N 0 Y E S C� NATURE OF SERYICE; ROUTINE EMERCEN'CY G'UOD CUNUJ1'LON,. PULL70 COYER FI('AVY C:K1~r�SG —� AAFFLLS IN 1)LACP ;:RO.OTS LEACHFICLD RUNBACK.,'1 GXCESSIYI✓',S0),�lDS FLOODED' SOl;IDS� CaRRYOYER HF.R.(EXPLA.)N) PUM FCI� BY: r : .. �' .. UN"I.I:'!�''I'S' 1,1 A N F13,1 R 2 D TO L11Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rab r8� A. Project Information 1. This Certificate of Compliance is issued to: Edward and Sarah Laubinger Name 55 Turtle Lane Mailing Address North Andover MA DEP File Number: NIA(,.(, it 19; ..v....vaJ ..r 01845 many/ i own State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Edward and Sarah Laubinger Name May 3, 2004 NAAC # 15 Dated DEP File Number 3. The project site is located at: 55 Turtle Lane North Andover Street Address Cityrrown Map 106B Parcel 25 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North Instrument# 19997 County Book . Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 8/9/04 Date B. Certification Check all that apply: ® Complete Certification: It is hereby certified that the work regulated by the above -referenced Order of Conditions has been satisfactorily completed. ❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the above -referenced Order of Conditions have been satisfactorily completed. The project areas or work subject to this partial certification that have been completed and are released from this Order are: wpaform 8b.doc • rev. 12/15/00 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance NACC # 15 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP B. Certification (cont.) ❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above - referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act may commence without filing a new Notice of Intent and receiving a new Order of Conditions. ® Ongoing Conditions: The following conditions of the Order shall continue: (Include any conditions contained in the Final Order, such as maintenance or monitoring, that should continue for a longer period). Condition Numbers: 60 C. Authorization Issued by: North Andover Conservation Commission Date df Iss ance This Certificate must be signed by a majority of the Conservation Commission'and a copy sent to the applicant and appropriate DEP Regional O Ice (See Appendix A). Sig On Of AU uof o5?00y Day Month qyd Year before me personally appeared SCaff mas.5''— to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. Rotary Pubic My c expir4D0" JL CMKO NOTARY WHOF WSSACHUS M W Conry Expos Aug. 7,1008 wpaform 8b. doe • rev. 12/15/00 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance NACC # 15 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP D. Recording Confirmation The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land Court for the district in which the land is located. Detach on dotted line and submit to the Conservation Commission. IM North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: NACC # 15 Project Location DEP File Number Has been recorded at the Registry of Deeds of: for: County Property Owner and has been noted in the chain of title of the affected property on: Date Book Page If recorded land, the instrument number which identifies this transaction is: If registered land, the document number which identifies this transaction is: Document Number Signature of Applicant wpaform 8b.doc • rev. 12/15/00 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands L) i WPA Appendix A — DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments, payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Afford Cummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone: 413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax: 413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately - Charlemont Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Leverett Orange Southwick Williamsburg Chester Granville Leyden Otis Springfield Williamstown Chesterfield Chester Great Barrington Longmeadow Palmer Stockbridge Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Clarksburg Hadley Middlefield Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester, MA 01605 Athol Dudley Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunstable Lancater Northbridge Southbridge West Boylston Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Barre Fitchburg Leominster Oakham Sterling Westford TDD: 508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phillipston Townsend Boylston Holden Mendon Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax NewBedford Rochester Wellfleet Phone: 508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Fax: 508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport Bourne Easton Harwich Norwell Scituate West Tisbury TDD: 508-946-2795 Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hull Middleton Reading Waltham Wilmington, MA 01887 Ashland Concord Ipswich Millis Revere Watertown Phone: 978-661-7600 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 978-661-7615 Belmont Dedham Lexington Nahant Rowley Wellesley Beverly Dover Lincoln Natick Salem Wenham TDD: 978-661-7679 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherbom Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Manchester -By -The -Sea Norfolk Stoneham Wilmington Burlington Gloucester Marblehead North Andover Sudbury Winchester Cambridge Groveland Medfield North Reading Swampscott Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody Topsfield wpaform8b.doc • Appendix A • rev. 8/11/04 Page 1 of 1