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HomeMy WebLinkAboutCertificate of Compliance - 762 DALE STREET 10/16/2017 Massachusetts Department of Environmental Bureau of Resource Protection - Protection Wp,4 Form 8g _ Wetlands Massachusetts Wetlands Certificate of Co mpliance DEP File Number: ProtectionLLIJ Act M.G.L. c. 131, §40 A. Project Information NACC# 11 Provided by DEP ►rnpo►7ant: When filling out I. This Certificate of Compli forms on the ance is issued to: computer, use Stephen Smolak only the tab Name key to move 762 Dale Street your cursor- Mailing Address do not use the North Andover return key. City/Town MA. 01845 2. This Certificate of Compliance is issued for work regulated state Zip Code James Dufresne g ed by a final Order of Conditions issued to: ,,w„ Name 9/5/01 Dated NACC# 11 3• The project site is located at: DEP File Number Delucia Way Street Address North Andover Map 22 city/Town _ Assessors Map/Plat Number Parcels 125-129 the final Order of Condition was recorded at the Regist o Parcel/Lot Number James Dufresne rY f Deeds for: Property Owner(if different) Essex North County 6432 N/A Book 72 — Certificate page 4. A site inspection was made in the presence of thea _ 3/16/04 applicant, or the applicant's agent, on: 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: Itis hereby certified that only the following portonof work regulated by the above-referenced Order of Conditions have been satisfactorily completed. subject to this partial certification that have been com le s h p ted and are releasedfromoth Project O der work w0aform 8b.doc•rev.12/15/oo age 2 of 3 Page 1 of 3