HomeMy WebLinkAboutCertificate of Compliance - 499 WAVERLY ROAD 8/23/2017|
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ILIMassachusetts Department of Environmental Protection
AUPeaUOfRe&OUrCePrOfe[tiOO -WetlGDds DEP Fife Number:
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- - - - - - --- Certificate- ' Compliance— 242-548
Massachusetts Wetlands Protection Act M.G.L. c. 131' §40 Provided uvDEP
A. Project Unforma*-on
Important:
When filling out 1� This CodifioateofCompliance ieissued to:
forms onthe
computer, use Garry VV ON iU
only the tab key Name
Vomove your 1gClark Road
cursor-do not
use the return Mailing Address
key. Brookline MA 02445
Qty[Tmwn State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to: '
R b r Bai|e
mumo
June 19, 1891 242-548
Dated DEP File Number
3. The projectmihein located at:
499 Waverly Road North Andover
Street Address CityfTown
26 5
Assessors Map/Plat Number PwrceVLotNumbe,
the final Order ofConditions was recorded edthe Registry ofDeeds for:
Hannah SBailey
pmpunyOwne/(ifdiffemn0
Essex Northern 4023212
6nunty Book Pogo
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
N/A
Date
wpafr=8b.o""'rO"5118/17 wrxForm oo.Certificate mCompliance`Page 1mo
B. Certification
Check all that apply:
Complete Certification: Kishereby certified that the work regulated bythe
above-referenced Order ofConditions has been satisfactorily completed.
El 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:
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Conditions has lapsed and is therefore no longer valid.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
toregulation under the Wetlands Protection Act may commence without filing
a new Notice ofIntent and receiving a new Order ufConditions.
[l
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 alonger pariud).
Condition Numbers:
C. Authorization
Issued by:
North Andove
Conservation Commission Date of Issuance
This Certificate must be signed by a majority of the Conservation Commission and
acopy sent 0uthe applicant and appropriate DEP Regional Office (See
'.
Signatures-
D. Recording Confirmation
� wpafrm8b.d=.rev.m,8/1/ �Form�Certificate mCompliance'Page,m^
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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.
------ ------------------_-----------_-------------------------------------------------------------------_-
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
499 Waverly Road 242-548
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex Northern
County
for:
Hannah S. Bailey
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
wpafrm8b.doc•rev,5118117 WPA Form 8B,Certificate of Compliance•Page 3 of 3