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Home My WebLink AboutMiscellaneous - 453 FOREST STREET Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number LlWPA Form 8B — Certificate of Compliance PC d G Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-441 Provided by DEP A. Project Information Important: 1 This Certificate of Compliance is issued to: When filling out. p forms on the Jennifer Herald computer, use Name only the tab key to move 453 Forest Street your cursor- Mailing Address do not use the North Andover MA. 01845 return key. City(rown State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Litha Flynn, Trustee of Long Pasture Realty Trust Name 3/25/96 242-441 Dated DEP File Number 3. The project site is located at: 453 Forest Street(Lot 8 Long Pasture Road) North Andover Street Address Cityrrown Map 106A Lot 268 Assessors Map/Plat Number Parcei Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Long Pasture Realty Trust Property Owner(if different) Essex North 4471 171 County Book Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 12/12/03 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: PCOC Lot 8 wpaform 8b.doc•rev.12/15/00 Page t of 3 ' r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File plumber: WPA Form 8B — Certificate of Compliance 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 Provided Pby 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 The Order of Conditions has lapsed and is therefore no longer valid.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: C. Authorization Issued by: North Andover Conservation Commission Date of Issuance This Certificate must be sig by a majority of the Conservation Commission and a c y sent to the applicant and appropriat EP Regional Office(See Appendix A). Signatures: AK Vr On Of `07 v2d,�J3 Day Month and 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. A7 N tary Pubic My commission expires wpaform 8b.doc•rev.12/15/00 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 2-441 Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24Provided 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: 242-441 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.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 Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield wales Suite 402 Dwight Afford Cummington Hatfield Monterey Richmond Ware Amherst Dalton Hawley Montgomery Rowe Warwick Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Belcherlown 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 Lanesbm-0 North Adams Shutesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately Charlemont Goshen Lenox Northfield Souk 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 Asan Chariton Hopkinton Mitibury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Milivile Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster A 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 Barre Fitchburg Leominster Oakham Starting Westford TDD:508-767-2788 Bel righam Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton. Sturbridge Wnnchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Philipston Townsend Boylston Holden Mendon Princeton Tyrgsborough Brookfield Hopedale Milord Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Ma/tapoisett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville,MA 02347 Avon Duxbury Halifax NewBedford Rochester WeltFleet Phone:508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Fax:508-947 6557 Berkley East Bridgewater Hansen Norton Sandwich Westport Bourne Easton Harwich Nowell Scituate West Tisbkuy TDD:508-946-2795 Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fait River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marian Plainville Stoughton Chatham Foxhorough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merriman Quincy Wakefield 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hut Middleton Reading Waltham Wilmington, MA 01887 Ashland Concord Ipswich Milks Revere Watertown Phone:978-661-7600 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 978-661-7615 Belmont Dedham Lexington Nahant Rowley Wellesley Beverly Dover wSalem Wenharn TDD:978-661-7679 Billerica t Lowell Needham sry West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfiekl Newburyport Sherborn Westwood Braintree Framingham Malden Newton Samervile 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 Carlisle Haverhill Melrose Peabody Topsheld wpaform8b.doc•Appendix A•rev.12/9/03 - Page 1 of 1