HomeMy WebLinkAboutMiscellaneous - 84 THISTLE ROAD Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number.
WPA Form 8B — Certificate of Compliance pc vc,
Ll—
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-784
Provided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Andover Land Development Corporation c/o Paul St Hilaire, Sr
computer, use Name
only the tab
key to move 90 Pembrook 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:
North Andover Land Corporation
Name
6/6/96 Last Amendment issued June 16, 1999 242-784
Dated DEP Fite Number
3. The project site is located at:
84 Thistle Road (Lot 39D)(Formerly or otherwise known as North Andover
39C) `City/Town
Map 38 Parcel 307
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Essex North 5495 Admendment 1, 5495 39,52
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
8/11/08
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 84 Thistle Road (Lot 39D)(Formerly or otherwise known as Lot 39C) only
wpaform Sb.doc•rev.7113104 Page 1 of 4
a
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP
WPA Form 8B — Certificate of Compliance PCO
ii�Number.
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-784
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 The Order of Conditions has lapsed and is therefore no
longer valid.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:
47
C. Authorization
Issued by:
North Andover "
Conservation Commission Da a of Issuance
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 Attachment).
Signatures:
wpaform 8b.doc•rev.7/13/04
Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Ll
DEP File Number:
WPA Form 8B — Certificate of Compliance pcoG
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-7s4
Provided by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
/Y fti
On this Day Of i4uc�u.r7 62�'P`
Month Year
before me, the undersigned Notary Public, personally appeared
'4N F- MC�U�ocx7
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
City/Town Conservation Commission
Signature of Notary Public
DONNA M.WEDGE
" NOTARY PUBLIC Printed Name of Notary Public
COMMONWEALTH OF YASSACHUSEM
My Cann.Expires WN:
2009 cc/
- d
Z/
My Co i sion E pires(Date)
Place notary seal and/or any stamp above - 4!
Signature of Notary Public
wpeform 8b.doc•rev.7113/04
Page 3 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
i DEP File Number:
WPA Form 8B — Certificate of Compliance PC C)C'
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24
Provided
by DEP
D. Recording Confirmation
g anon
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:
84 Thistle Road Lot 39D 242-784
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex North
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 Bb.doc•rev.7/13/04
Page 4 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
t
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 Tyringham
436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales
Suite 402 Alford Cummington Hatfield Monterey Richmond Ware
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 Bemardston Egremont Holyoke New Marlborough Sheffield Westhampton
Blandford Erving Huntington New Salem Shelburne West Springfield
Brimfield Florida Lanesborou h o
Buckland Gill g North Adams Shutesbury West Stockbridge
Northampton
Charlemont Goshen Lenox Northfield Southampton Wilbrah
Cheshire GranbySouth Hadley Wilbraham
Chester Leverett Orange Southwick Williamsburg
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 Ashbumham Clinton Hubbardston Miliville Shirley warren
Worcester,MA 01608 Ashby Douglas Hudson New Braintree Shrewsbury Webster
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
TDD: 508-767-2788 Bellingham Gardner Westford
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 Mendon Princeton Tyngsborough
Brookfield Hopedale Milford Royalston Upton
DEP Southeast Region Abington Dartmouth Freetown
g sbury
Acushnst Dennis Middleb Midseftdleborough
RaynProvhcetown Truro
20 Riverside Drive Gay Nantucket
Raynham Truro
Attleboro Dighton Gosnold Nantucket Rehoboth Wareham
Lakeville, MA 02347 Avon Duxbury Harrfax New Bedford Rochester Weltfleet
Phone:508-946-2700 Bamstable Eastham Hanover North Attleborough Rockland West Bridgewater
Fax:508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport
Boume Easton Harwich p
TDD: 508-946-2795 Oak Bl Scituate West Tisbury
Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman
Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham
Brockton fall River MansfieldPembroke 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 Lynnfield 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
wpaformBb.doc•DEP Addresses•rev.8/7108
Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
2-784
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24
Provided
by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Dalton & Finegold, LLC
computer, use Name
only the tab
key to move 34 Essex Street
your cursor- Mailing Address
do not use the Andover MA. 01810
return key. CitylTown
State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
North Andover Land Corporation
--
Name
6/6/96 Last Amendment issued June 16, 1999 242-784
Dated DEP File Number
3. The project site is located at:
84 Thistle Road (Lot 39C) North Andover
Street Address City/Town
Map 38 Parcel 309
Assessors Map/Plat Number ParceULot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Essex North 4248 164
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
10/6/06
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 39C, 84 Thistle Road only-does not certify any drainage or roadways associated with
overall subdivision.
wpaform 8b.doc•rev.7113104 Page 1 of 4
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-784
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:
47
C. Authorization
Issued by:
North Andover 0ak�
Conservation Commission Date of ssu nce
This Certificate must be signed by a majority of the Conservation Commission a opy sent to the
applicant and appropriate DEP Regional ffice(See Attachment).
Signatures:
AA I
p
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
2-784
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24
Provided
by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this 11
0 Of I04okee, cob
Day Month Year
before me, the undersigned Notary Public, personally appeared
Mks S�—
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
-M, Gr/
Signature of Notary Public
NwAR1f"Jew Printed Name of Notary Public
Co►A owxAlTH OF MASSACHUSETTS
My Comm,Expges Aug.7,2009
T � 7/CV do
_ 41
My Co issio Expires(Date)
Place nota ryseal and/or any stamp above
Signature of Notary Public
wpaform 8b.doc•rev.7/13104 Page 3 of 4
L1, Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B Certificate of Compliance
242-784
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:
242-784
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
I......L..
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 lard, the document number which identifies this transaction is:
Document Number
SII
Signature of Applicant
wpaform 8b.doc•rev.7/13/04 Page 4 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP Regional Addresses
�1 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 Tyringham
436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales
g 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 Gilt 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 Millville 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
Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield
Fax:508-792-7621 Westford
Barre Fitchburg Leominster Oakham Sterling
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 Mendon Princeton Tyngsborough
Brookfield Hopedale Milford Royalston Upton
DEP Southeast Region Abington Dartmouth Freetown Mattapoisett 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 Wellf eet
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 Mashpae 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 Lynnfield Newburyport Sherborn 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.1016/06 Page 1 of 1
t
Massachusetts Department of Environmental Protection ID C 0 C
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24
Provided
by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Dalton& Finegold, LLP
computer, use Name
only the tab
key to move 34 Essex Street
your cursor- Mailing Address
do not use the Andover MA. 01810
return key. City/Town State Zip Code
VQ 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Abbott Street Trust, Benjamin C. Osgood, Trustee
Name
January 12, 1988 242-443
Dated DEP File Number
3. The project site is located at:
84 Thistle Road(Lot 39C) North Andover
Street Address City/Town
Map 38 _ Parcel 309
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Essex North 4248 164
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,on:
10/6/06
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 39C, 84 Thistle Road.
wpaform 8b.doc•rev.7/13/04 Page 1 of 4
Massachusetts Department of Environmental Protection PC O G
Bureau of Resource Protection - Wetlands DEP File Number;
WPA Form 8B — Certificate of Compliance
2-443
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24
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:
C. Authorization
Issued by:
North Andover
Conservation Commission Date of Issu nce
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 Attachment).
Signatures:
wpaform Bb.doc•rev.7/13/04 Page 2 of 4
Massachusetts Department of Environmental Protection 1066 C
Bureau of Resource Protection - Wetlands DEP File Number.
WPA Form 8B — Certificate of Compliance
2-443
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24
Provided
by DEP
C. Authorization cont.
Notary Acknowledgement
Commonwealth of Massachusetts County of .Essex North
On this Of go`�`' &- AN
Day Month Year
before me, the undersigned Notary Public, personally appeared
'�i C64L M 6 S S4--
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
Cityrrown
/tel.
Signature of Notary Public
/-��Or
p01� K WEDGE 1642-44 ZA !✓4-4:4! r
COMMOI F�LTH�OF N PUBLIC CHUSETTS Printed Name of Notary Public
My Comm.Expires Aug.7,2009
MIN
`7 00o
My Commissio Expires(Date)
Place notary seal and/or any stamp above tel, F
I l/
",e—
Place of Notary Public
wpaform 8b.doc•rev.7/13/04 Page 3 of 4
Massachusetts Department of Environmental Protection PC D C
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance Ll
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24
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:
242-443
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
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
1 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 Tyringham
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 Bemardston 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
Chademont 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 Millville 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 Mendon Princeton Tyngsborough
Brookfield Hopedale Milford Royalston Upton
DEP Southeast Region Abington Dartmouth Freetown Mattapoisett 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 Wellfleet
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: 617-5561049 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
BoxfordEverett Lynnfield 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 Marwood Tewksbury Woburn
Carlisle Haverhill Melrose Peabody Topsfield
wpaform8b.doc•DEP Addresses-rev.10/18/06 Page 1 of 1