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therefore no longer valid.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