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HomeMy WebLinkAboutMiscellaneous - 15 LONG PASTURE ROAD Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP Fire Number: WPA Form 8B — Certificate of Compliance PC61C Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-441 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Frances F. Crowell computer, use Name only the tab key to move 15 Long Pasture Road your cursor- Mailing Address do not use the North Andover MA. 01845 return key. City/Town State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Litha Flynn, Trustee of Long Pasture Realty Trust Name 3/25/96 242-441 Dated DEP File Number 3. The project site is located at: 15 Long Pasture Road(Lot 7) North Andover Street Address Cityrrown Map 106B Lot 17 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Long Pasture Realty Trust Property Owner(if different) Essex North 4471 171 County Book Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 12/12/03 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: 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: PCOC for Lot 7 wpaform 8b.doc•rev.12/15/00 Page 1 of 3 L1Massachusetts Department of Environmental Protection Bureau of Resource Protection Wetlands DEP Fire Number. 1 WPA Form 8B — Certificate of Compliance 242-441 Massachusetts Wetlands Protection Act M.G.L c. 131, X40 Provided by DEP B. Certification (cont.) ❑ 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 The Order of Conditions has lapsed and is therefore no longer valid.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: � l C. Authorization Issued by: R North Andover Conservation Commission Date of Issuance This Certificate must be signe y a majority of the Conservation Commission and a copy sent to the applicant and appropriate P R ' nal Office(See Appendix A). Signatures: Y r On Of Day Mond and Year before me rsonally appeared G to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. rl. jn,,. Notary Pubic My wmiinisOon expires wpaform 8b.doc•rev.12/15/00 Page 2 of 3 L11Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B - Certificate of Compliance 242-441 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP 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. --------------------------------------------------------------------------------------------------------------------------- To: North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: 242-441 Project Location DEP File Number A Has been recorded at the Registry of Deeds of: County for: 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 wpaform 8b.doc.rev.12/15/00 Page 3 of 3 R , Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Appendix A DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal farms and DEP payments,payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden poen Monroe Pittsfield Tyningham 436 Dwight Street Agawam Conway Hancock Montague gue Plainfiekt Wales Alford Cummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield,MA 01103 Ashfield Deerfield Heath Monson Russel Washington Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisrield Wendell Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax:413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfiekd Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately Charlemont Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Levered Orange Southwick Williamsburg Chester Granville Leyden Otis Springfield Williamstown Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Clarksburg Hadley Middlefield Peru Tolland DEP Central Region Acton Chardon Hopkinton Millbury Rutland Uxbridge Ashbumham Clinton Hubbardston Miliville Shu Warren 627 Main Street Ashby �' Worcester,MA 01605 Atholby p u� Now Braintree Shrewsbury Webster A Holliston Northborough Southborough Westborough Phone:508-792-7650 Auburn Dunstable Lancater Northbridge Southbridge West Boylston Ayer East Brookfield Leicester North Brookfield Fax:508-792-7621 spencer west Brookfield Barre Fitchburg Leominster Oakham Sterling Westford TDD:508-767-2788 Bellingham Gardner Littleton Oxford Stan Westminster Berlin Grafton Lumenbtxg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phidipston Townsend Boylston Holden Mendon Princeton Tyngsborough Brookfield Hopedale Mbdord Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Matt g apoisett Provincetown Tilbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax NewBedford Rochester Welldeet Phone:508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Fax:508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport Bourne Easton Harwich Norwell Scituate West Tisbury TDD:508-946-2795 Brewster Edgartovm tGngston oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfekd Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford HnghaMerrimac Quincy Wakefield 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hud Middleton Reading Waltham Wilmington,MA 01887 Ashland Concord Ipswich Millis Revere Watertown Phone:978-661-7600 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 978-661-7615 Belmont Dedham Lexington Nahant Rowley Wellesley Beverly Dover Lincoln Natick Salem Wenham TDD: 978-661-7679 Billerica Dracut Lowed Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynrttield Newburyport Sherbom Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Manchester-By-TheSea Norfolk Stoneham Wilmington Burlington Gloucester Marblehead North Andover Sudbury Winchester Cambridge Grovehand Medfield North Reading Swampscott Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody ToP sfield 'l wpaform8b.doc-Appendix A•rev.12/9/03 Paige 1 of 1