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HomeMy WebLinkAboutMiscellaneous - 380 SUMMER STREET • t Massachusetts Department of Environmental Protection �— Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B Certificate of Compliance 242-821 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information Important: 1. This Certificate oCompliance tf CMance is issued to: When filling out p forms on the Belford Construction, Inc. computer, use Name only the tab key to move 1049 Turnpike Street your cursor- Mailing Address do not use the North Andover MA. 01845 return key. Cityrrown State Zip Code Q2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: SFR Realty Trust, William Rockwell,Trustee Name 9/19/96 242-821 Dated DEP File Number 3. The project site is located at: 380 Summer Street( Lot 86) North Andover Street Address City/Town Map 107A Parcel 164 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 Instrument#30105 County Book Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 7/12/04 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.12/15/00 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance a U-81,� 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 The Order of Conditions has lapsed and is therefore no longer valid.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 Omer 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: ) k!tr-Flit A4"OC �r oof issdance consetvatron commission This Certificate must be signed by a majority o the Conservation Commissio a copy sent to the applicant and appropriate DEP Regional OM (See Appendix A). Signat res: -1+� . Of 1k.� v1b0Y On Day Month and Tor before me personally appeared 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. Notary Pubic DOI�NVA K W®tE i00PARUPUDW wr on�ai�.nw,r.�000 Page 2of3 wpatortn 8b.doc•rev.12!15100 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-821 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: 242-821 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 Page 3 of 3 wpaform 8b.doc rev.12/75!00 Massachusetts Department of Environmental Protection L77Bureau of Resource Protection -Wetlands WPA Appendix A - 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 Hampden Monroe Pittsfield Tyringham Adams Colrain P Montague Plainfield Wales DEP Western Region Agawam Conway Hancock Richrnond Ware 436 Dwight Street Alford Cummington Hatfield Monterey Warwick Dalton Hawley Montgomery ROWe Washington Suite 402 Amherst Heath Monson Russell Springfield,MA 01103 Ashfield Deerfield Mount Washington Sandisfield Wendell Becket Easthampton Hinsdale New Ashford Savoy Westfield Phone:413-784-1100 Betchertown East Longmeadow Holland New Marlborough Sheffield Westhampton Fax:413-784-1149 Bemardston Egremont Holyoke Shelburne West Springfield Blandford Huntington New Salem West Stockbridge Erving Shutesbury Lanesborou h North Adams Whatel Brimfield Florida g Northampton Southampton y Gill Lee P Wilbraham Buckland Lenox Northfield South Hadley Chartemont �� Orange Southwick Williamsburg Cheshire Granby Leverett g Springfield Williamstown Chester Granville Leyden Otis Stockbridge Windsor Chesterfield Great Barrington Ludes Palmer Longmeadow Pelham Sunderland Worthington Chicopee Greenfield Peru Tolland Clarksburg Hadley Middlefield Millbury Rutland Uxbridge Acton Charlton Hopkinton Shirleyarren DEP Central Region Ashbumham Clinton Hubbardston MillviNe y Webster plinton Hudson New Braintree Shrewsbury 627 Main Street Ashby Northborough Southborough Westborough Worcester,MA 01605 Athol Dudley Holliston Southbridge West Boylston Auburn Dunstable Lancater Northbridge Spencer West Brookfield Phone:508-792-7650 East Brookfield Leicester North Brookfield Westford Ayer Leominster Oakham Sterling Fax:508-792-7621 Barre Fitchburg Oxford Stow Westminster TDD:508-767-2788 Bellingham Gardner Littleton Paxton Sturbridge Wmchendon Berlin Grafton Lunenburg Worcester Groton Marlborough Pepperell Sutton Blackstone petersham Templeton Bolton Harvard Maynard PTownsend Princeton BoxbwMedway ough Hardwick Princetonton Tyngsborough Boylston Holden Mandan Ro alston Upton Brookfield Hopedale Milford y Mattapoisett Provincetown Tisbury Abington Dartmouth Freetown Ra ham Truro DEP Southeast Region Dennis Gay Head Middleborough Rehoboth Wareham Acushnet Gosnold NantucfketWelHlest 20 Riverside Drive Attleboro Dighton NewBedford Rochester Lakeville,MA 02347 Avon Duxbury Halifax North Attleborough Rockland West Bridgewater Barnstable Eastham Hanover Norton Sandwich Westport Phone: 508-946-2700 Berkley East Bridgewater Henson Norwell Scituate West Tisbury Fax: 508-947-6557 Bourne Easton Harwich Seekonk Whitman Edgartown Kingston Oak Bluffs Sharon Wrentham TDD:508-946-2795 Brewster Fairhaven Lakeville Orleans Yarmouth Bridgewater Mansfield Pembroke Somerset Brockton Fall River Plainville Stoughton Carver Falmouth Marion Swansea Foxborough Marshfield Plymouth Taunton Chatham Franklin Mashpae Plympton Chilmark Merrimac Quincy Wakefield Amesbury Chelmsford Hingham P Walpole DEP Northeast Region Chelsea Holbrook Methuen Randolph Waltham Andover Middleton Reading 205 Lowell Street Arlington Cohassel Millis Revere Watertown Hull Wilmington,MA 01887 Ashland Concord Ipswich Milton Rockport Wayland Bedford Danvers Lawrence Nahard Rowley Wellesley Phone:978-661 7600 Belmont Dedham Lexington Natick Salem Wenham Fax: 978-661-7615 Beverly y Dover Lowell Needham SalWest Newbury Salisbury TDD:978-661-7679 Billerica -Dracut Newbury Saugus Weston Essex Lynn Sherbom Westwood Boston Newburyport Boxford Everett Lynnfield Newton Somerville Weymouth Braintree Framingham Malden Stoneham Wilmington Georgetown Manchester-By-The-Sea Norfolk Sudbury Winchester Brookline Marblehead North Andover Winthrop Burlington Gloucester North Reading Swampscott Cambridge Groveland Medfield Norwood Tewksbury Woburn Canton Hamilton Medford Peabody Topsfield Carlisle Haverhill Melrose Page d of 1 wpaformBb.doc•Appendix A•rev.7115/04