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Home My WebLink AboutMiscellaneous - 178 GRANVILLE LANE r ' Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B - Certificate of Compliance 242-1153 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Joseph Cinseruli computer, use Name only the tab key to move 178 Granville Lane your cursor Mailing Address do not use the North Andover MA. 01845 return key. City/Town State Zip Code Q2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Joseph Ginseruli Name 9/3/02 242-1153 Dated DEP File Number 3. The project site is located at: 178 Granville Lane North Andover Street Address Cityrrown Map 106G Parcel 76 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 7054 349 County Book Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 12/02/03 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: wpaform 8b.doc•rev.12/1.5100 .Page 1 of 3 Massachusetts Department of Environmental Protection -- Bureau of Resource Protection - Wetlands DEP File Numb WPA Form 8B — Certificate of Compliance 242-1153Massachusetts sWeHWetlands Act M.G.L. c. 131 40 Provided by DE 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 The Order of Conditions has lapsed and is therefore no longer valid.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 Ac 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 continu for a longer period). Condition Numbers: 60 C. Authorization Issued by: North Andover Conservation Commission Date of Issuance This Certificate must be signed by a majority of the Conservation Commission a copy sent to the appli t and appropriate DEP al Office(See Appendix A). Signa res: t On Of �21e7j Day Month and Year before me pers ally appeared r� ��- �- 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. !Xf. P174?0--�l Not ry Pubic My cornnfissVn expires wpaform 8b.doc-rev.12/15100Page 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP Fire Number: WPA Form 8B Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-1153 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: 242-1153 Project Location DEP Fite 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 Bb.doc-rev.12/15/00 Page 3 of 3 � 4 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 transmittalforms 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 Darton Hawley Montgomery Rowe Warwick Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone:413 784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Belc hertown 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 Ashbumham Clinton Hubbardston Mllville Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester,MA 01605 Athol Dudley Holliston Northborough Southborough Westborough Phone:508-792-7650 Auburn Dunstable Lancater Northbridge Southbridge West Boylston Fax:508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Bane Fitchburg Leominster Oakham Sterling Westford TDD:508-767-2788 BeNingham 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 Mifford Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dight- Gosnold Nantucket Rehoboth Wareham Lakeville,MA 02347 Avon Duxbury Halifax NewBedford Rochester Wellfleet Phone:508-946-2700 Barnstable Easltharn Hanover Nath 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 Fal River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark FraWin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cdhasset Hull Middleton Reading Waltham Wilmington,MA 01887 Ashland Concord Ipswich Millis Revere Watertown Phone:978-661-7600 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 978661-7615 Belmont Dedham Lexington Nahant Rowley Wellesley. Beverly Dover Lincoln Natick Salem Wenham TDD:978-661-7679 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-Spa Norfolk Stoneham YVhlmington Burlington Gloucester Marblehead North Andover Sudbury Winchester Cambridge Grovetand Medfield North Reading Swampscott Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody Topsheld wpaform8b.doc•Appendix A•rev.1212M Pagel Town of North Andover F ttORrtl Office of the Conservation Department s Community Development and Services Division Heidi Griffin, Division Director a��TEa/.PPS 27 Charles Street CHU North Andover,Massachusetts 01845 Telephone 978 Julie Parrino P ) 688-9530 Conservation Administrator Fax (978)688-9542 Modification to Order of Conditions The NORTH ANDOVER CONSERVATION COMMISSION agreed to accept Applicant: To.s,', i V A.te-r,L 17 r-%A /,I -e Ncv,+ n hru MA 61 YY S Apprc,joJ o L-P un e2.A l l T" v-4 leen c4 ,arr .e -Je d G' Ur of C>� usr4.11 r reJ--7n!nQ6Q)rt "tz ro u,l o + xnod :sl�v an the up c-54' Asch ism ,d. � � as a ModifitItion to the Order of Conditions issued in File 242-JjZ3 dated 7: and recorded in # `!y. Issued by the NOR ANDD CONSERVATION COMMISSION: On this of:Ak sl :11,03 before me personally appeared Scott Masse to me day nth/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 My C4mission Expires A receipt from the Lawrence Registry of Deeds must be submitted to this office showing P � ry g • that this Modification has been recorded and referenced to the book and page numbers. $OARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535