HomeMy WebLinkAboutMiscellaneous - 95 THISTLE ROAD LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance IG606
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Pr42-78ovided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Key-Lime, Inc.
computer, use Name
only the tab
key to move 60 Beechwood Drive
your cursor- Mailing Address
do not use the North Andover MA. 01845
return key. City/Town State Zip Code
Z 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:
95 Thistle Road (Lot 28) North Andover
Street Address City/Town
Map 38 Parcel 298
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
North Andover Land Corporation
Property Owner(if different)
Essex North 5495 39,52,57,60
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
4/7/06
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 area
PCOC for Lot 28 only ---Dr c..s ,6- ct,+&- ,A,ra„y%J e r re^AwAAx 0,M04JO
O
wpaform Bb.doc•rev.7/13104 Page 1 of 4
i
Massachusetts Department of Environmental Protection
��— Bureau of Resource Protection - Wetlands
r DEP File Number;
WPA Form 8B — Certificate of Compliance 0-60(�
Massachusetts Wetlands Protection Act M.G.L. c. 131 4 0 24Provided
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 The Order of Conditions has lapsed and is therefore no
longer valid.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 to 26
Conservation Commission Date f is ance
This Certificate must be signed by a m F#j!p of the Conservation Commission and a copy sent to the
applicant and appropriate DEP nal Office(See Attachment).
Signatures:
wpaform 8b.doc•rev.7/13/04
Page 2 of 4
. t
Massachusetts Department of Environmental Protection
<, Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B - Certificate of Compliance ' `f 6
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 this1 � �
Day Of Monthf Year
before me, the undersigned Notary Public, personally appeared
� tttSS�
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
gnature of Notary Public
1Jonl2,4 1-n
DONNA M.WEDGE Printed Name of Notary Public
NOTARY PUBLIC
COMMONWEALTH OF MASSACHUSETTS
My Comm.Expires Aug.7,2609
My Commission Ex ires(Date)
Place notary seal and/or any stamp above �'kk4l- X11
Si ature of Notary Public
wpaform 8b.doc•rev.7/13104
Page 3 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP File Number:
WPA Form 8B — Certificate of Compliance
/IC( C
1242-784
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:
Project Location 242-784DEP 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
Massachusetts 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 DEPnts,payable to:
a me
p a
commonwealth th of Massachusetts
Department of Environmental Protection
Box 4062
Boston, MA 02211
DEP Western Region Adams Colrain Hampden
436 Dwight Street AgawamConwayHancock Pittsfield
Conwa Monroe Tyringham
Alford Montague Plainfield Wales
Suite 402 Cummington Hatfield Monterey Richmond Ware
Amherst Dalton Hawley Montgomery Rowe
Springfield, MA 01103 Ashfield Deerfield Heath Warwick
Becket Monson Russell Washington
Phone:413-784-1100 Easthampton Hinsdale Mount Washington Sandisfield gton
Fax:413 784-1149 Belchertown East Longmeadow Holland New Ashford g Wendell
Bernardston Savoy Westfield
Egremont Holyoke New Marlborough Sheffield Westhampton
Blandford Erving Huntington p
Brimfield Florida Lanesborou h New Salem Shelburne West Springfield
Buckland Gill Lee g NorthamNorth pams ton on Soutesburyhampt West Stockbridge
hately
Chademont Goshen Lenox Northfield Southampton Wilbrah
Cheshire Granby Leverett South Hadley Wilbraham
Chester Orange Southwick Williamsburg
Granville Leyden Otis Springfield Williamstown
Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor
Chicopee Greenfield Ludlow Pelham
Clarksburg Hadley Middlefield Peru Tolland
and Worthington
DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge
627 Main Street Hubbardston Millville Shirley
Ashby Douglas Hudson Warren
Worcester,MA 01608 New Braintree Shrewsbury Webster
Athol Dudley Holliston
Phone:508-792-7650 Auburn Dunstable Northborough Southborough Westborough
A ar Lancaster Northbridge Southbridge West Boylston
Fax: 508-792-7621 y East Brookfield Leicester North Brookfield Spencer West Brookfield
TDD:508-767-2788 Barre Fitchburg Leominster Oakham Sterling Westford
Bellingham Gardner Littleton Oxford
Berlin Grafton Stow Westminster
Lunenburg Paxton Sturbridge
Blackstone Groton 9e Wo cester
Bolton Marlborough Pepperell Sutton Worcester
Harvard Maynard Petersham Templeton
Boxborough Hardwick Medway Philli Ston Townsend
Boylston Holden Mendon p
Rrnnkfield Hopedale Milford Ro Princeton
Upton orough
Y Upton
DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury
20 Riverside Drive
Acushnet Dennis Gay Head Middleborough Raynham Truro
Attleboro
Lakeville, MA 02347 Dighton Gosnold Nantucket Rehoboth Wareham
Avon Duxbury Halifax New Bedford Rochester Wellfleet
Phone:508-946-2700 Barnstable Eastham Hanover North Attleborou h Rockland
Attleborough West Bridgewater
Berkley East Bridgewater 9ewater Hanson Norton Sandwich Westport
Bourne
TDD:508-946-2795 Easton Harwich Norwell Scituate West Tisbury
Brewster Edgartown Kingston Oak Bluffs Seekonk
Bridgewater Fairhaven Whitman
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
Andover Chelsea Holbrook
1 Winter Street Arlington Cohasset Methuen Randolph Walpole
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 y
Beverly Dover l Natick Rowley Wellesley
TDD:617-574-6868 Lincoln Natick Salem West Ne
Billerica Dracut Lowell Needham Salisbury West Newbury
Boston
Essex rY
Boxford Everett Lynn Newbury Saugus Weston
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
Carlisle Haverhill Melrose ry Woburn
Peabody Topsfield
wpaform8odoc•DEP Addresses•rev.4/10/06
Page 1 of 1
Town of North Andover HORrH
Office of the Conservation Department
Community Development and Services Division ey
. off..
w r `h
�TlO�
27 Charles Street ,SSgc"US
Alison E. McKav North Andover, Massachusetts 01845 'Telephone(978)688-9530
CO)15cr1 h0H Aili1Linistrator
Fax(978}688-9542
Modification to Order of Conditions
The NORTH ANDOVER CONSERVATION COMMISSION agreed to accept
Applicant:�r y�,, Ch(l
0o Lr_Ayz�
Pase�f1 ��#-'� Lir e. rbc
rh,kt ?f� .Drexalj, W MU) 6, � iv►Ft
as a Modification to the Or er of Conditions issued in File 241- -70PY dated . and *XVj
recorded in Book# and page
Issued by the NO T DOVER CONSERVATION COMMISSION:
na,
�Y
On this i of 'j before me personally appeared Scott Masse to me
day �onth/yr
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.
Notary Public Ton;AW41%s
COMMOtJWEALiH OF NASSACHUSEM
My Comm E*=Aug.7,2009
A receipt from the Lawrence Registry of Deeds must be submitted to this office showing
that this Modification has been recorded and referenced to the book and page numbers.
;`11 0111,I)f"i1 4K`�::4; C'�)'•'SL�h.V.1FI( wIYSQ:;.',) 10 .\l III PI1N?.Ni; .t��i:ii