HomeMy WebLinkAboutMiscellaneous - 55 BLUE RIDGE ROAD Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-158 pc®G
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. Project Information
Important:
When filling out1. p
This Certificate of Compliance is issued to:
.
forms on the Michael E. Lombard Law Offices
computer, use Name
only the tab
key to move 44 Park Street
your cursor- Mailing Address
do not use the Andover MA. 01810
return key. Cityrrown State Zip Code
�__� 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
I� Zachary Realty Corporation/Mitchell Johnston
Name
September 8,.1982 242-158
Dated DEP File Number
3. The project site is located at:
55 Blueridge Road(Lot 24A)(Bear Hili) North Andover
Street Address City/Town
Map 65 Parcel 104
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Zachery Realty Corporation
Property Owner(if different)
Essex North 1606& 1766 264& 157
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
7/25/05
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 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 24A only.
wpaform 8b.doc•rev.7/13104 Page 1 of 4
Massachusetts Department of Environmental Protection
�,- Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-158
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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 The Order of Conditions has lapsed and is therefore no
longer valid.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:
23
C. Authorization
Issued by:
North Andover 6
Conservation Commission Date if Issuafince
This Certificate must be sign y a majority of the Conservation Commission and a copy sent to the
applicant and appropriat EP Regional Office(See Attachment).
Signatures:
OEi
wpaform 8b.doc•rev.7/13/04 Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-158
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of, Essex North
On this .17 Of 7JZ j 0104S
Day Month Year
before me, the undersigned Notary Public, personally appeared
Name of Document Signer
proved to me through satisfactory evidence of identification,which was/were
Massachusetts License
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged
to me that he/she signed it voluntarily for its stated purpose:
As member of North Andover Conservation Commission
City/Town
41
S1nature of Notary Public
Iia kKC
NOTARYt VEM Printed Name of Notary Public
COMMONWEALTHTM OF MA88ACHUMM
My Cwm.Vie.�.r,zotai�
sell �I
D
My Commission Expires(Date)
Place notary seal and/or any stamp aboved
Sign ure of Notary Public
wpaform 8b.doc.rev.7/13/04 Page 3 of 4
Massachusetts Department of Environmental Protection
�-- Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B - Certificate of Compliance 242-158
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=158
Project Location DEP File Number
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.7/13/04 Page 4 of 4
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP Regional Addresses
Massachusetts Wetlands Protection Act M.G.L.c. 131, §40
Mail transmittal forms and DEP payments,payable to;
Commonwealth of Massachusetts
Department of Environmental Protection
Box 4062
Boston, MA 02211
DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tynngham
436 Dwight Street Agawam Conway Hancock Montague Plainfield wales
Alford Cummington Hatfield Monterey Richmond Ware
Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick
Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Washington
Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington' Sandisfield 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 Springfield
Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge
Buckland Gill Lee Northampton Southampton Whately
Charlemont Goshen Lenox Northfield South Hadley Wilbraham
Cheshire Granby Leverett 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 Charlton Hopkinton Millbury Rutland Uxbridge
627 Main Street Ashburnham Clinton Hubbardston Miliville Shirley Warren
Ashby Douglas Hudson New Braintree Shrewsbury Webster
Worcester,MA 01608 Athol Dudley Holliston Northborough Southborough Westborough
Phone:508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston
Fax:508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield
Barre Fitchburg Leominster Oakham Sterling Westford
TDD:508-767-2788 Bellingham Gardner Littleton Oxford stow Westminster
Berlin Grafton Lunenburg Paxton Sturbridge Winchendon
Blackstone Groton Marlborough Pepperell Sutton Worcester
Bolton Harvard Maynard Petersham Templeton
Boxborough Hardwick Medway Phillipston Townsend
Boylston Holden Mention Princeton Tyngsborough
Brookfield Hopedale Milford Royalston Upton
DEP Southeast Region Abington Dartmouth Freetown Mattapoiseft Provincetown Tisbury
20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro
Attleboro Dighton Gosnold Nantucket Rehoboth Wareham
Lakeville, MA 02347 Avon Duxbury Halifax New Bedford Rochester Welifiest
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 Edgartown Kingston Oak Bluffs Seekonk Whitman
Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham-
Brockton Fall River Mansfield ' Pembroke Somerset Yarmouth
Carver Falmouth Marion Plainville Stoughton
Chatham Foxborough Marshfield Plymouth Swansea
Chilmark Franklin Mashpee Plympton Taunton
DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield
1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole
Arlington Cohasset Hull Middleton Reading Waltham
Boston,MA 02108 Ashland Concord Ipswich Millis Revere Watertown
Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland
Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rowley Wellesley
Beverly Dover Lincoln Natick Salem. Wenham
TDD:617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury
Boston Essex Lynn Newbury Saugus Weston
Boxford Everett Lynnfietd Newburyport Sherbom Westwood
Braintree Framingham Malden Newton Somerville Weymouth
Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Wilmington
Burlington Gloucester Marblehead North Andover Sudbury Winchester
Cambridge Groveland Medfield North Reading Swampscott Winthrop
Canton Hamilton Medford Norwood Tewksbury Woburn
Carlisle Haverhill Melrose Peabody' Topsfield
wpaform8b.doc•DEP Addresses•rev.7127105 Page 1 of 1
1,()41
310 CMR 10.99 {41!CE SRAD� HAW
TOW CLERK
Form 8
b1001i ANDOVER DEP File No. 242— 158 i
VuN ZZ I I 5oAM ' r10 oe orovioed by DEP)
Commonwealth 010own North Andover
`3 of Massachusetts Designer Homes by Zachary
Aooticant
oms W. Callafian
• Lot 24A Blue Ridge Road
PARTIAL Certificate of Compliance
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
From North Andover Conservation Commission issuing Authority
To Eaton & Chandler, P.C. , Attys at Law 89 Main Streeti. Andover MA 01810 _
(Name) (Address)
Date of Issuance June 21, 1995
This Certificate is issued for work regulated by an Order of Conditions issued to Designer Homes by Zachary &
Thomas W. Callhan dated 12/15/83 and issued by the NACC
1 . C3 It is hereby certified that the work regulated by the above-referenced Order of Conditions has
been satisfactorily completed.
2. XUU It is hereby certified that only the following portions of the work regulated by the zbave-refer-
enced Order of Conditions have been satisfactorily completed:(If the Certificate of Compliance
does not include the entire project,specify what portions are included.)
Lot 24 A Blue Ridge Road ONLY!
3. Q It is hereby certified that the work regulated by the above-referenced Order of Conditions was
never commenced.The Order of Conditions has lapsed and is therefore no longer valid. No future
work subject to regulation under the Act may be commenced without filing a new Nonce of intent
and receivinc a new Order of Conditions.
.. .
(leave Soace Blank)
S-1
Effective 11/10/89
4. ® This certificate shall be recorded in the Registry of Deeds or the Land Court for the district in
which the land is located.The Order was originally recorded on (date)
at the Registry of Deeds Northern District . Book 1606 , Page 264
5. Q The following conditions of the Order shall continue: (Set forth any conditions contained in the
Final Order, such as maintenance or monitoring,which are to continue for a longer period.)
Issued by North Andoej
Conservation Commission
Signature(s)
:When issued by tie Conservation Commision this Certificate must be signed by a majority of is members.
On this21st day of June . 19 95 before me
cersunally appeared Joseph Lynch , to me known to be the
person describad`tn and who executed the foregoing instrument and acknowledged that he/she executed
the same as hisliier free act and deed.
I
March 22, 2002
Notary Public Donna.�Mae--DfAga't'a` My commission expires
RECORDING INFORMATION:
North Andover Conservation Commission
Detach on dotted line and submit to the
... ...................... ............................... 120„Ma.... .> a x... � iZty�P D1.8.4.5
NACC P JUt+'ER CO"�ScRVATIO�I CC"'r�►sSt .r�
To "I,^,RT4 �� �`�l�Ta+ +rt Issuing Authority
Please be advised that the Certificate of Compitance for the protect at. 120 NIAIIN STREET ggpp Lot 24A Blue Rid e Road ONLY
242— 158 , eeds;C N YC'tle�ttRIssex
rite Numoer has been recOraed at the Registry Of
anC has been notes in the c^am of tate of me atlectea orocerty on
It reccroeo ianc.:^.e instrument numcer wnscn icentales mss:ransac:ion is
H regtsterea land.ne coct;ment numoer wrncn identifies this transaction t5
Signature a00ticant
8-2