HomeMy WebLinkAboutCertificate of Compliance - 255 HAY MEADOW ROAD 10/25/2017 f
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Massachusetts Department of Environmental Protection
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Bureau of Resource, Protection - Wetlands DEP File Number:
WPA Form $B - Certificate of Compliance 242.458
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ProvrdedyD-P
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Devan Aranga Ramanujam &
only the tab key Name
to mored not ovur 255 Hay Meadow Road
cursuse the return wiling Address
key. North Andover MA 01845
City/Town
State Zip Code
r� 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to: l
O' & H Realty Trust.._.__
Name
July 8, 1988242-458
Dated DEP File Number
3. The project site is located at:
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255 Haymeadow Road (Lot 64A .__._ North Andover
Street Address City/Town
104B 86
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Conditions was recorded at the Registry of Deeds for:
.... .._..
Property Owner(if different)
Northern Essex
County Book Page
Certificate _ f
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
7/10/2017
Date
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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.
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Conditions has lapsed and is therefore no longer valid.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:
(include any conditions contained in the Final Order, such as maintenance or
monitoring, that should continue for a longer period).
Condition Numbers:
26, 27
C. Authorization
Issued by:
Conservation Commission bate of 1ssua6oe
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 ii
http://www.mass.gov/eea/aqenciesjmiassdep/abouUconitacts/
Signatures:
D. Recording Confirmation
wpafrm8b.dcc-rev.6118/17 WPA Form 813,Certificate of CompFance-Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-458
ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
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D. Recording Confirmation
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.
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Conservation Commission
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Please be advised that the Certificate of Compliance for the project at:
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
fo r:
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:
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If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
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