HomeMy WebLinkAboutMiscellaneous - 67 ROCKY BROOK ROAD 4/30/2018 (4) �� �a���` ����� ����
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Commonwealth of Massachusetts 7JUN
BCity/Town of
System Pumping Record 13
y` Form 4 TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
DEP has provided this form for us&by local Boards of Health. Other forms may a useT, but the
information must be is
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
1. System Location:(LW Righlfrsolax&4 Left/Right rear of house, Left!right side of house,.Left/
Right side of building, Left!Right front of building, Left/Right rear of building, Under deck
Address d7
City/Town State Zip Code
2. System Owner.
Name
Address(if different from location)
City/Town State Zi e
Telephone Number
I
B. Pumping Record P� 9
1. Date of Pump in g Date Quantity Pumped: Gallons
3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filterresent?
p ❑ Yes 9'No If yes,was it cleaned? E3 Yes ❑ No
5. Condition W Syst 02-a—'(
� -
6. System Pumped By.-
Neil
y:Neil Bateson. F5821
Name Vehicle License Number
Bateson Enterprises Inc
Company
7. Location where contents were disposed:
Lowell Waste Water
ZSignAtufe au
Date
t5form4.doc•06/03
System Pumping Record•Page 1 of 1
- GQEFile No. 242-392
(Tobe provided by DEOE)
' = Commonwealth City/Town Nnrtlidover y
of Massachusetts
Applicant, R�-Rrnnk Ronl ty
Trust
Order of Conditions
Massachusetts'Wetiands Protection Act
C.L. c. 131, §40
and under the Town of North Andover Bylaw, Chapter 3.5 A & B .
From North Andover Conservation Comm;ssfon
To Rocky Brook Realty Trust Rocky Brook RealtyT- us
(Name of Applicant) (Na ne of property owner)`
Address c//o Peter Breen 770 Boxford- StrPet4ddress c/o .Peter Breen 770 Boxford Street
lqortri Andover, "MA, . 01845
North Andover; MA. :- 01845
This Order's issued and delivered as follows: '
Iby hand delivery to applicant or representative on April 13, i987 (date)
X11- by certified mail,return receipt requested on (date)
This project is located at Rocky Brook Estates, off -Forest Street
". The property is recorded at the Registry•of Fssex-1Unrth .
Book -2r Page
227,228,229
Certificate(if registered)
7
The Notice of Intent for this project was filed on February 6. 1987 (date) .
The public hearing was closed on. March 18, 1,987 ,(date)
Findings
The NACC has reviewed the above-referenced Notice of
:Intent and plans and has held a public'hearing on the project; Based or 'the'information available tothe
NACC at this time, the NACc has determined that ,
the area on which the proposed work is to be done is significant tti the IbIlowing interests In accordance with
the Presumptions of Significance set,forth in the regulations for each Awa Subject to Protection Under the
Act(check as appropriate):
u
pp y Storm damage prevention
.Q Publicwaters
® Private water.supply U Prevention of pollution
�J Ground water supply. O• Land containing shellfish
Flood control ® Fisheries