HomeMy WebLinkAboutMiscellaneous - 345 CANDLESTICK ROAD - r
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1118
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 John Miller
computer, use Name
only the tab
key to move 345 Candlestick 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:
John Miller
�t Name
2/28/02 242-1118
Dated DEP File Number
3. The project site is located at:
345 Candlestick Road North Andover
Street Address City/Town
Map 106A Parcel 230
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
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
-11/30/05 & 12/1/05
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 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.7/13/04 Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
� 242-1118
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Order of Conditions never commenced.The Order of Conditions has lapsed and is therefore no
longer valid.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:
63
C. Authorization
Issued by:
North Andover 5
Conservation Commission Date f Is ance
This Certificate must be signed by a majority of the Conservation Commission an opy sent to the
applicant and appropriate DEP Regional Office(See Attachment).
Signatures:
ya
wpaform Bb.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
242-1118
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
�(:t �
On this Day Of Month Year
before me, the undersigned Notary Public, personally appeared
y
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
ignature of Notary Public
1�Cr�n a /'y h)z1
DONNA M.WEDGE Printed Name of Notary Public
r y + NOTARY PUBLIC
•^+ -M,%EALTH Of MASSACHUSETTS
Expire,,k!;,,7,2009 7 )6C /
'P )
My Co iss n E ares(Date)
Place notary seal and/or any stamp aboveSigt
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
242-1118
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:
242-1118
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
Massachusetts Department of Environmental Protection
L7', I 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 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:413-784-1 100 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
Charlemont Goshen Lenox Northfield South Hadley Wilbraham
Cheshire Granby Leyerett 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 Pens Tolland
DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge
627 Main Street Ashbumham 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 Mandan 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 Welifleet
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
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 Winthropinthro
Canton Hamilton Medford Norwood Tewksbury Woburn
Carlisle Haverhill Melrose Peabody Topsfield
wpaformBb.doc•DEP Addresses•rev.12/12/05 Page 1 of 1
d
310 CMR 10.991
Form 8
a SCJ MDEP Fide No. 242— 461
.�• rTo oe provioed by DEP)
• Commonwealth city-iown " North Andover
of Massachusetts
/+ooucant .Robert _Janusz _
Certificate of Compliance
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
North Andover Conservation Commission
From Issuing Authority
To Robert Janusz 40- Sunset Rock Road, Andover,. MA 01810
(Name) (Address)
Date of Issuance June _18, 199 ,,
This Certificate is issued for work regulated by an Order of Conditions issued to Robert Janusz
dated 5/31/88 and issued by the NACC
1 . UX It is hereby certified that the work regulated by the above-referenced Order of Conditions has
been satisfactorily completed.
2. ❑ It is hereby certified that only the following portions of the work regulated by the above-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.)
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(onger:valid. No future
work subject to regulation under the Act maybe commenced without filing anew Nome of Intent", „
and receiving a new Order of Conditions.
............................................................ .............. ............................ ..........................................
(Leave Soace Bunk)
I
s-1 ,
Effective 11/10/89
r
4. UX 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_ August 9. 1988 (date)
at the Registry of North Essex , Book . Page Inst. #18614
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 period.)
longer 9 p )
Issued by North #ndover Conserva on Commission
Signature(s)
4A A
When issued by the Conservation Commision this Certificate must be signed by a majority of is members.
On this A? Jday of i�u w e , 19 before me
personally appeared, yavc� �.r�cav���eu �v.Y•�+'Ss'e^' ,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/hfree act and deed.
cwt
Notar Public My commission expires
Detach on dotted line and submit to the NORTH ANDOVER CONSERVATION COMMISSION
...................................................................................................». ..........»..................... ......................................................................
To NACC Issuing Authority
Please be advised that the Certificate of Compliance forme protect at. Lot 22 Candlestick Road
FileNumoer 242- 461 has been recorded at the Registry of Deeds, Northern Essex
and hes been noteo in the chain of title of the affected prooerty on 19
It receroeo lanc.tine instrument numoer wnien joenutles trits transaction is
I:registered land.the cocument numoer wnich identifies this transaction is
Signature AMICant
8-2
Received. by Town Clerk
FORM A `
APPLICATION FOR ENDORSEMENT OF PLp
BELIEVED NOT TO REQUIRE APPROVAL
r
March 12 19 92
To the Planning Board of the Town of North Andover:
The undersigned wishes to record the accompanying plan and requests a
determination by said Board that approval by it under the Subdivision
Control Law is not required . The undersigned believes that such approval
is not required for the following reasons:
1 . The division of land shown on the accompanying plan is not a sub-
division because every lot shown thereon has the amount of frontage
required by the North Andover Zoning By Law and is 'on a public way ,
namely , Forest Street , or 'a private way , namely ,
Jerard Place Road/Candlestick Rd. , being land bounded as follows :
Westerly by Forest Street,
Northerly by Jerad Place Road
Easterly by Candlestick Road n/f land of
Westerly by land of
2 . �etndi viii of orl anfd shown on the accompanying plan is not a sub-
division for the following reasons :
Conform' to the Zoning By-laws of t-h mown of North Andover
3. Titld reference North Essex Deeds , Book , Page L or
Certificate of Title No . Registration Book ; .
Page
Appl ' ant' s S ' gnature:
Owner 's signature and address if not
the appli ant :
(Print Name)
Applicant ' s Address :
aN
;PT i
Tel. No.
' Received by Town Clerk :
Notice to APPLICANT/TOWN CLERK of action of Planning Board on
accompanying plan :
I . The North Andover Planning Board has determined that said plan
does not require approval under the Subdivision Control Law ,
and the appropriate endorsement has been made upon the same .
2 . The Vorth Ando r Planning Bo rd has deter ined that aid pl
show a subdi i ion , as def n d by G . L . . 41 , s . 8 L , an
must herefo e e re-sub tte to it f r a proya un er he
Subdi isio Cont 1 W .
Very truly yours ,
NORTH ANDOVER PLANNING BOARD
By
Date : 2e-
Keceivea. Dy iown tterk :
FORM A 1"All
APPLICATION FOR ENDORSEMENT OF PLANr ;l
BELIEVED NOT TO REQUIRE APPROVAL
rn
LIL y 2, 19
�
To tyre Planning Board of the Town of North Andover:
`Y � undersigned wishes to record the accompanying plan and requests a
d6tero nation by said Board that approval by it under the Subdivision
Control Law is not required . The undersigned believes that such approva'
is not required for the following reasons :
I. The division of land shown on the accompanying plan is not a sub-
division because every lot shown thereon has the amount of frontage
required by the North Andover Zoning By Law and is on a public way ,
namely , — or a private way , namely ,
CAN&Esr/�K �0,4p t �5LI6,4 'c�4NF_ LAAE bei ng land bounded as fol lows
�yd[lNrr J�,e�r� ��ArF t9-" 6 JA1VzJs7_
SDiJrfif,eLy �,�,lyv0 dF gi2/la V� �/YIJ�..LE,e
l�Csrte1-y�T r~,D of
2 . The division of land shown on the accompanying plan is not a sub-
.division for the following reasons :
S
0)1--, A);e 7W AVf3ai1r_-R
3. rT1tle reference North Essex Deeds , Book li797- Page 7_g 2 or
fi
Certificate of Title No . Registration Book —
Page —
Appl ' ant's Signature:
Owners signature and address if not
the appl ' cant :
(Print Name)
Applicant ' s Address :
0212 Za-, J.SI'"
Tel. No.
MCL,C I VCU LJY IUWII V IerK . •
r
Notice to APPLICANT/TOWN CLERK of action of Planning Board on
accompanying plan :
1 . The North Andover Planning Board has determined that said plan
does not require approval under the Subdivision Control Law,
and the appropriate endorsement has been made upon the same.
•
2 . T e North Ando v anning Board ha a rmined th sai plan
s ows a sub vision as .define y G.L . 419 . 81-L , nd
st ther ore be r submit d to it for .val under he
S bdiv' ion Control W.
Very truly yours ,
NORTH ANDOVER PLANNING BOARD
By :
Date :—V'3/9z'