HomeMy WebLinkAboutMiscellaneous - 557 BOXFORD STREET 4/30/2018 (3) U�
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North Andover
•- Commonwealth Cry.Town
' of Massacnusetis Tompkins, William & Susan
.�_ =11cani
557 Boxford Street
Order of Conditions
Massachusetts Wetlands Protection Act
s
O.L. c. 131, §40
and under the Town of North Andover's Wetlands Bylaw, Chapter 178
Frc - North Andover Conservation Commission
TC R J. Pica Eng. Co. , Inc. William & Susan Tompkins.
(Name of Ap;,iicantj (Name of prorerty owners
119 Newton Road 557 Boxford Street
Acores_
Plaistow, NH 03865 ACpress North Andover, MA 01845
Th!s C;cer is issuec anc celivereC as follows:
=e. C
by nano ce!ivery to ac�iic�.rtt or repro sive h (CFte
d by cenifiea maii.retum receipt recuestec cn P354 489 691 (Cate1
This D;c;ect;5 lccatec at 557 Boxford Street
The--c--ertyisrecc.-cea at the Registry of Deeds, Northern Essex
�cc!( Dgge
Ccri'ica:e :If f�^'eleron'
The Abbreviated Notice of Intent
The Not,ca cf Inten:for ,pis crclec.was,ileo cn August 24, 1994 icct_
The cut!ic nearing wes cfcsee on September 21, 1994 ,Cale!
Fincincs
North Andover Conservation Commission
The ryas revieweclne ancve-retere.^.cepNc:,ce of
Inter.:anc-•ans anc nas neic a aumc.neanng cn trio_.oleo_. ?p-sea cn the inic'-maucn zVzii=:e SC !"Ie
NACC at this*,:me, the NACC ..
has ce.erntnet i, at
the area on wni=the ercnosee werK is to ce cone is signnic=ril to the touowing interests in ar_crcance wan
the Presurrc::cns of Sianifi=--a set tcrtri in;he re^,:nations:cr ea=..Area.Suciec:to Prctec.nnn Uncer:ne
Ac:tc:ecx as arcrc--nater: Ch.178 R Prevention of erosion and sedimentation
L7 PuCitz water sucvy Flood control L Lana ccntaininc snellfisn
Pnvate water surpiy Storm camace prevention Q Fsneries
[g Grcuna water suopty Prevention of pollution Prc!e^cn of wildlife rizz"Mt
a >JC� ll8l Wildlife Ch.17EQ Re"reation
Teal Fi+inc �
. __ _ _mrne ,r.�-,. S -r tate Share i.,.nr,
C tyrTawn :hare (IF fee in excess C,S2=i
Total Refunc Cue S C:vw i own Portion S State Parncn S
(1/2 total) (Y2 tomi)
Commonwealth of Massachusetts IF -ECEIV D
City/Town of
System Pumping Record AUG 13 2008
Form 4lug i
70'hN OF NORTHANDn"c^
C." l D! P the
DEP has provided this form for use by local Boards of Health.Other forms may-be use,
information must be substantially the same as that provided here. Before using this form,check with 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
Important:
When filling out 1. System Location:
forms on the
computer,use
only the tab key Address �S
to move your
use the cursor-
do no City/Town State Zip Code
retrn
key. 2. System Owner.
` Name
Address(if different from location)
City/Town State �Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ YesFlo If yes,was it cleaned? ❑ Yes ❑ No
5. Cond' io�of$yste� 47e7� c� D--Ge>)c
6. Sy m PulQtped By
Name Vehicle License Number
Company
7. Lo t' wh re cont is re disposed:
Sign Date
t5form4.doc^06103 System Pumping Record.Page 1 of 1