HomeMy WebLinkAboutMiscellaneous - 33 NUTMEG LANE f
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B — Certificate of Compliance DEP File Number:
pcc)c.
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-784
Provided by DEP
A. Project Information
Important:
When filling out This Certificate of Compliance is issued to:
forms the
computer, use North Andover Land Corporation
only the tab Name
key to move 1538 Turnpike Street
your cursor- Mailing Address
do not use the North Andover MA.
return key. City/Town 01845
State Zip Code
rad 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:
33 Nutmeg Lane Lot 15 North Andover
Street Address City/Town
Map 38 Parcel 285
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:
2/12/07
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.
Isfactoril c
p eted.
® 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 15)#33 Nutmeg Lane only.
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L
I LI, Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance P&06
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 The Order of Conditions has lapsed.and is therefore no
longer valid.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:
47
C. Authorization
Issued by:
North Andover
Conservation Commission Dat of ssuance
This Certificate must be signed by a majority of the Conservation Commission and y sent to the
applicant and appropriate DEP Regional Office(See Attachment).
Signatures:
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Page 2 of 4
17L Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance pcae'
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24
Provided
by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massaghusetts County of Essex North
On this -f� Fe /'u� �t
Day Of Month Year
before me, the undersigned Notary Public, personally appeared
s�
Name of Document Signer
proved to me through satisfactory evidence of identification, which wastwere
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
ignature of Notary Public
DONNAM.WEDGE Z�Dhna �I. CL/ '
NOTARY PUBLIC Printed Name of Notary Public
COMMONWEALTH OF MASSACF,USETfS
My Comm.Expires Aug.+ "IN
My Co is ion E fres(Date)
07)
Place notary seal and/or any stamp above le
Sigriature of Notary Public
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B — Certificate of Compliance DEP File Number:
40 24
Massachusetts Wetlands Protection Act M.G.L. c. 131, Provided
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.
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
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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 DEP payments,payable to:
commonwealth of Massachusetts
Department of Environmental Protection
Box 4062
Boston, MA 02211
DEP Western Region Adams Colrain Hampden
Agawam ttsfield
436 Dwight Street ConwayHancock Monroe
9 Conwa Tyringham
Alford Hancock
Hatfield Montague Plainfield Wales
Suite 402 Amherst Dalton Monterey Richmond Ware
Springfield,MA 01103 Ashfield Hawley Montgomery Rowe
Deerfield Heath Warwick
Becket Eastham Monson Russell Washington
Phone:413-784-1100 Belchertown
Easthampton Hinsdale Mount Washington Sandisfield Wendell
Fax:413-784-1149 East Longmeadow Holland New Ashford Savoy Westfield
Blandford n Egremont Holyoke New Marlborough Sheffield
Erving Huntington Westhampton
Brimfield Florida g New Salem Shelburne West Springfield
Buckland Lanesborough North Adams Shutesbu
Grit Lee Northampton ry Wast Stockbridge
Charlemont Goshen d n Southampton Wilbra
Cheshire Granby Leve ett Northfield South Hadley Wilbraham
Chester Orange Southwick Williamsburg
Granville Leyden Otis Springfield
Chesterfield Great Barrington Longmeadow
Chicopee
Palmer Williamstown
e Greenfield Ludlow Pelham Stockbridge Windsor
Clarksburg Hadley Middlefield PeSunderland Worthington
Peru
Tolland
DEP Central Region Acton Charlton Hopkinton Millbury Rutland
627 Main Street Ashbumham Clinton Hubbardston Uxbridge
Ashby Mlllville Shirley Warren
Douglas Hudson New Braintree Shrewsbury Webster
Worcester,MA 01608 Atholby
Dunstable Holliston Northborough Southborough Westborough
Phone:508-792-7650 Auburn Lancaster Northbridge
Fax:508-792-7621 Ayer East Brookfield Leicester Southbridge West Boylston
Barre North Brookfield Spencer West Brookfield
TDD:508-767-2788 Gardner Leominster Oakham Sterling Westford
Bellingham Gardner Littleton Oxford
Berlin Grafton Stow Westminster
Blackstone Lunenburg Paxton Sturbridge Winchendon
Groton Marlborough Pepperell Sutton Worcester
Bolton Harvard Maynard
Petersham Boxborough Hardwick Medway Philli ston Templeton
Boylston Holden Mendon Princeton TyngsTownsend
Brookfield Hopedale Milford Royalston Uptonborough
P
DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury
20 Riverside Drive Acushnet Attleboro Dennis Gay Head Middleborough Raynham Truro
Lakeville,MA 02347 Dighton Gosnold Nantucket Rehoboth Wareham
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
Bourne Easton Sandwich Westport
TDD:508-946-2795 Harwich Oak
Scituate West Tisbury
Brewster Ed artown Kingston
ak Bluffs Seekonk Whitman
Bridgewater Fairhaven Lakeville O
Orleans Sharon Wrentham
Brockton Fall River
Mansfield Pembroke
Somerset Yarmouth
Carver Falmouth Marion g Marshfield Plainville Stoughton
Chatham
Foxborou h Plymouth Swansea
Chilmark Franklin Mashpee P Piympton Taunton
DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield
1 Winter Street Andover Chelsea Holbrook Methuen Randolph
Arlington Cohasset Ph Walpole
Boston,MA 02108 Hull Middleton Reading Waltham
Ashland Concord Ipswich Millis Revere Watertown
Phone:617-654-6500 Bedford Danvers Lawrence Milton
Belmont Dedham Rockport Wayland
Fax: 617-556-1049 Beverly Dover Lexington Nahant Rowley Wellesley
TDD:617-574-6868 Lincoln Natick Salem Wenham
Billerica Dracut Lowell Needham
Boston Essex Salisbury West Newbury
Boxford Everett Lynnfield Newbury Saugus Weston
Braintree Framingham Malden Newburyport Sherbom Westwood
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 Woburn
Peabody Topsfield
wpaform8b.doc-DEP Addresses•rev.2/15/07
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