HomeMy WebLinkAboutCertificate of Compliance - 143 LACY STREET 8/23/2017 ILIMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1628
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. Project Information
Important:
When filling out 1, This Certificate of Compliance is issued to:
forms on the
computer, use Stephanie L. O'Mahony
only the tab key Name
to move your 143 Lacy Street
cursor-do not
use the return wiling Address
key. North Andover MA 01845
Cityrrown State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Stephanie L. O'Mahony
-a'm-,e--
11-05-2014242-1628
Dated DEP File Number
3. The project site is located at:
143 Lacy Street North Andover
Street Address City/Town
._Map.105D, Lot 167 6-A ...........
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Conditions was recorded at the Registry of Deeds for:
John, and Stephanie O'Mahony.
Property Owner(if different)
Essex Northern 14031 2,45
County Book Page
#25013
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
08/16/2017
Date
wpafrm8b.doc•rev.5/18117 VVPA Form 8B,Certificate of Compliance-Page 1 of 3
B. Certification
Check all that apply:
Complete Certification: It is hereby certified that the work regulated by the
above-referenced Orderof Conditions 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:
El 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Conditions has lapsed and is therefore no longer valid.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:
(lnclude any conditions contained in the Final Order, such as maintenance or
monitoring, that should continue for a longer period).
Condition Numbers:
72
C. Authorization
Issued by:
North Andover
Conservation Commission Date of Ossuance
This Certificate must be signed by a majority of the Conservation Commission and
a copy sent to the applicant and appropriate DEP Regional Office (See
http://www.mass.gov/eea/agencies/massdep/about/conitacts/
Signatures: /1
J
1A
D. Recording Confirmation
wpafrm8b.doo rev,W18117 WPA Form 8B,Certftale of CompHance-Page 2 of 8
I
f
4
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.
--------------------------------------------_-- _---
- ----W---------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
143 Lacy Street 242-1628
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex Northern
County
for:
John and Stephanie O'Mahony
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
wpafrmBb.doc•rev.5118117 WPA Form 83,Certificate of Compliance•Page 3 of 3