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HomeMy WebLinkAboutMiscellaneous - 410 BEAR HILL ROAD • Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided 24ided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to forms on the Mark Cafua computer, use Name only the tab key to move 410 Bear Hill 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: Zachary Realty Corporation and Mitchell Johnson Name 9/08/82 242-158 Dated DEP File Number 3. The project site is located at 410 Bear Hill Road North Andover Street Address City/Town 64 Parcel 102 Assessors Map/Plat Number ParcelA of Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner(if different) North Essex 1606 264 County gook Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's,agent, on: 11/19/02 Date B. Certification Check all that apply: El Complete Certification: It is hereby certified that the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. Partial Certification: Itis hereby certified thatonly the following portions of work regulated try ft above-referenced Order of Conditions have been satisfactorily completed.The project areas or work subject to this partial c ertifi mbw that have been completed and are released from this Order are: 410 Bear Hill Road on Lot#could not be determined)only( neo)- No wetlands exist on the property or wntfrn 100 feet of the property 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 242-158 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by the above- referenced Omer of Conditions never commenced.The Order of Conditions has lapsed and is therefore no longer valid.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 followingconditions of the Omer 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: North Andover Conservation / Conservation Commission 09(e of Isifusince ThisCertifica mu be si by mgonty'of the Conservation Comrrmission and a copy sent to the applicant an app pnat ional Office(See Appendix A). Signatures On Of Z Day Month-Mb Year 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: ih b�l Notary Pubic My comm i expires wpaform 8b.doc•rev.12/15/00 Page 2 of 3 L7 Massachusetts Department of Environmental Protection - Bureau of Resource Protection=Wetlands DEP File Number: WPA Form 8B - Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 P4�edb DEP Y 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: Conservation Commission Please be advised that the Certificate of Compliance for the project at: 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 gook Page If recorded land, the instrument number whichidentifies this transaction is: If registered land, the document number which identifies this transaction is: Document Number Signature of Applicant wpaform 8b.doc•rev.12/15/00 - _ Page 3 of 3 LlMassachusetts 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 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 T yringharn 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 Deni field Heath Monson Russell Washington Phone:413-784-1100 Becket Easthampton Hinsdale Moak Washington SandisfM Wendell Belchertown East Longmeadow Holland New Ashford Savoy Wesirield Fax:413-784-1149 Bemardston Egremont Holyoke Now Marlborough Sheffield Westhampton Bfandford Erving Huntington NOW Salem Shelburne west Springfield Brimfield Florida Lanesborough North Adams Slwtesbury West Stockbridge Buckland Gill Lee Northampton Southampton Wh aah Chademont Goshen Lenox NothPiaM South Hadley Wilbraham Cheshire Granby Leverett orange Southwick wwamsburg 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 Chariton Hopkinton Mules, Rutland Uxbridge 627 Main Street Ashbumham Clinton Hubberdston MWA#e Shirley Warren Worcester,MA 01605 Athol y Douglas Hudson few Braintree Shrewsbury Webster Dudley Houistar Northborough Phone:508-792-7650 Auburn Dunstable - Lancator N Southbridge gee Wes n Boylston Fax:508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brooldield Barre Fitchburg Leominster Oakham Sterling Westford TDD:508-767-2788 Bellingham Gardner Littleton oxford stow, ZMestrninater Berlin Grafton Lunenburg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway phwpst- Townsend Boylston Holden Merndon Princeton Tyngsboraugh Brookfield Hopedale MilfordRoyalstat Upton DEP Southeast Region Abington Dartmouth Freetown Maftnpo"Ill Provincetokwn Tistuay 20 Riverside Drive Acushnet Dermis Gay Head Middleborough Raynnham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury- Halifax NewBedlord Rochester Wellfieet Phone:508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West,Bridgewater Fax:508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport Boume Easton Harwich Norwell Scituate Wast Tisbury TDD:508-9462795 Brewster Edgartown Kingston oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fan River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxboough Marshfield` Plymouth Swansea Chilmark Franklin Mashpee PlymOon Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hull Mutdlelon Reading Waltham Wilmington,MA 01887 Ashland concord Ipswich mms Revere Watertown Phone:978-661-7600 Bedford Danvers Lawrence MOM Rockport Wayland Fax: 978-661-7615 Belmont Dedham Lexington Nafiart` Rowley Wellesley Beverly Dover Lincoln Natick Salem Wenharn TDD:978-661-7679 Billerica Dracut Lowell Needham Sells" West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherborn Westwood Braintree Framingham -Malden Neotal 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 Woburn Carlisleav H ertrip Melrose Peabody Topsfield wpatorm8b.doc-Appendix A•rev.11/20/02 Page 1 of 1