HomeMy WebLinkAboutMiscellaneous - 59 CONCORD STREET Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number.
WPA Form 8B — Certificate of Compliance VAL K
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 itAe,K47FS
computer, use Na e
only the tab
G
key to move y
your cursor- M;Jilinq Ad ress o
do not use the Pr
return key. City own State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Name
-� zo 01- ZuZ- ��-
Dat4'cf I DEP File Number
3. The project site is locatedat'
# s - G_f- r/_
Street Address City/Town
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Pro erty Owner(if different)
1)�� I�reh liacl b5-1
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
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:
"aform 8b.doc•rev.4/18/01 Page 1 of 3
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number;
1 WPA Form 8B — Certificate of Compliance
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therefore no longer valid.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:
r3, Lt U2, L
C. Authorization
Issued b 411S6 &I
K)nl'iu A",Lk I
Conservation Commission bate of Issuance
This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the
applicant and appropriate DEP Re al Office(See Appendix A).
Signatures:
IX
On Of la r�
Day Monfh and Year
before me personally appeared
5co� M.(A,ffk
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.
FLINDA DIANE POOIR R
Notary Public
Notary Pubic My commission expires W 11
My Commission Expires
Februa%14,2008
wpaform 8b.doc•rev.4/18/01 Page 2 of 3
310 CMR 10.99
Form S
OE'Fiie No. 242-740
rro oe oroviaed by OEF)
_ Caty Town North Andover
Commonwealth
o
Brickyard Realty Trustf Massachusetts Aooucanr
Lots B1 & 1OB Concord St.
Certificate of Compliance
Massachusetts Wetlands Protection Act, C.L. c. 131 , §40
F-cm North Andover Conservation Commission Issuing Authority
14 Thomas Avenue
To Brickyard Realty Trust Methuen, MA 01844
(Name) (Address)
Date of Issuance July 1, 1998
Th,s Cer-ffic—nte is issued for work regulated by an Order of Conditions issued to Brickyard Realty Trust
dated 3/21/95 and issued by the NACC
It ;s hereby certified that the work regulated by the above-referenced Orcer of Conditlens has
been satisfactorily completed.
2. ❑ It is hereby certified that only the following portions of the work regulated by the acove-reier-
enced Orcer of Conditions have been satisfactorily compietec: (if the Certificate of Compiiance
does not include the entire project, specify what portions are included.)
Q It isnerety certified that the work regulated by the above-referenced Orcer of Concitions was
never commenced.The Order of Conditions has lapsed and is therefore no longer vaiid. No future
wcrK subject to regulation unser the Act may be commenced without fiiinc a new Notice of Intent
anc receiving a new Orcer of Conditions.
.......................................................................................................................................
(Leave Soace Biank)
S-t ,
242-740
4. ❑ This certificate shall be recorded in the Registry of Deeds or the Land Cour, for the district in
which the land is located. The Order was originally recorded on 4/4/95 (date)
at the Registry of Deeds, North Essex YNYA XXXX
Instrument #6666
5. ❑ The following conditions of the Order shall continue: (Set forth any conditions contained to the
Final Order, such as maintenance or monitoring, which are to continue for a longer period.)
Issued by North Andover Conservation Commission
Signatures)
When issued by the Conservation Commision this Certificate must be signed by a majority of is members.
On this 1st day of July 19 98 . before me
personally appeared Albert Manzi, Jr. . to me known to be the
person desc.ibed in and wno executed the foregoing instrument and acknowledged that hershe executed
the same as his/her free act and deed.
F !
r�
Notary Public My commission expires
Detach on cotted line and submit to the
To NACC Issuing Autttonry
Please be auvisec mat the Certificate of Comauance for the protect at.
FileNumoer 242-740 nasneenrecoroecattneRegistry at Deeds, Northern Essex
and has teen notes in the cnatn of title of lite attectea oracerty an 1 n
it.reccraea tanc.t^e instrument numoer wntc:z jaennttes oris transaction is
!:re_gtsterea lana.inn cocument nurnaer wn,cn icennites tris traimacuan r
1
� y �
310 CMR 10.99
'! Form 5
oEP Re rro. [ 242-857
r _
(to t,e wwrswn try UEF't
North Andover
Commonwealth C,ry,Town
Of Massachusetts Comet Realty Trust
:r
.'' Order of Conditions
Massachusetts Wetlands Protection Act
G.L. c. 131 , §40
and under the Town of North Andover's Bylaw Chapter 3.5
• From NORTH ANDOVER CONSERVATION COMkIISSION
To Comet Realty Trust Same
(Name of Applicant) (Name of property owner)
Address P.O. Box 802, Andover, MA 01810 Address Same
This Order is issued and delivered as follows:
I] by hand delivery to applicant or representative on (dale)
by certified mail, return receipt requested on March 20 1997 (date)
Lot A-1 Concord Street
Chis project is located at
The property is recorded at the Registry of Nnrt-hPrti Essex _
Book 1309 Page 651
Certificate (if registered) -----
The Notice of Intent for this project was filed on January 24, 1997 (date)
' •The public hearing was closed on
March 12, 1997 (date)
Findings
The North Andover Conservation Commission has reviewed the above-refer Priced Holice of
Intent and plans and has held a public hearing on the project. Based on the information availaole tc t►re
NACC at this time, the _ IALC — has delerrrnned that
the area on which the proposed work is to be done is significant to the following interests in accoraance v.ith
the Presumptions of Signi(ica ge g 8 fo in the re ufations for each Area Subject to Prolection Under the
c:n. 1� Recreation .
Act (check as appropriate): Ch.178: Prevention of Erosion & Sedimentation Ch.178Wildlife
Pubiic water supply Flood control ❑ land containing she) fish
Private water supply Storm damage prevention Fisheries Ground water supply Prevention of pollution Protection of wildlife habitat
Total Filing Fee Submitted $300.00 State Sharia $112_50
City/Town Share $187.50 C.'_ IPC in r+xccss of S,2:5)
Total Refund Due S City/Town Portion S State Portion S
('/z total) (Yz total)
DEP FILE # 242 - 857
Therefore, the North Andover Conservation Commission (hereafter the
"NACU) hereby finds that the following conditions are necessary, in
accordance with the Performance Standards set forth in the State Regulations,
the local ByLaw and Regulations, to protect those interests noted above. The
NACC orders that all work shall be performed in accordance with said
conditions and with the Notice of Intent referenced above. To the extent that the
following conditions modify or differ from the plans, specifications or other
proposals submitted with the Notice of Intent, the conditions shall control
GENERAL CONDITIONS
1. Failure to comply with all conditions stated herein, and with all related
statutes and other regulatory measures, shall be deemed cause to revoke or
modify this Order.
2. This Order does not grant any property rights or any exclusive privileges; it
does not authorize any injury to private property or invasion of property
rights.
3. This Order does not relieve the permittee or any other person of the necessity
of complying with all other applicable federal,state or local statutes,
ordinances,by-laws or regulations.
4. The work authorized hereunder shall be completed within three years from
the date of this order.
5. This Order may be extended by the issuing authority for one or more periods
of up to one year each upon application to the issuing authority at least thirty
days (30) prior to the expiration date of the Order (Refer to Section VIII (p.15)
of the North Andover Wetland Regulations).
6. Where the Department of Environmental Protection (DEP) is requested to
make a determination and to issue a Superseding Order, the Conservation
Commission shall be a party to all agency proceedings and hearings before
the Department.
7. The proposed work includes: Construction of a single family dwelling,driveway
and appurtenances within the Buffer Zone of a Bordering Vegetated Wetland(BVW).
C.\Winword\OOC\242-857.doc 1 NACC 3/20/97
DEP FILE #242 - 857
s. The work shall conform to the following (except as noted in the remainder of
this document where revisions may be required):
Notice of Intent filed by: Comet Realty Trust
P.O.Box 802
Andover,MA 01810
Plans prepared by: Merrimack Engineering Services,Inc.
entitled"Plan of Land"
DATED 1/20/97
9. The following wetland resource areas are affected by the proposed work:
Buffer Zone to Bordering Vegetated Wetland (BVW). These resource areas
are significant to the interests of the Act and Town ByLaw as noted above.
These resource areas are also significant to the recreational and wildlife
interests of the ByLaw. The applicant has not attempted to overcome the
presumption of significance of these resource areas to the identified interests.
10. The NACC agrees with the applicant's delineation of the wetland resource
areas on the site as shown on the plans dated 1/20/97. Prior to the issuance of
a Certificate of Compliance, the applicant will submit a plan showing the
site's wetland delineation at a scale identical to the Town wetland map for
this location.
11. Issuance of these Conditions does not in any way imply or certify that the site
or downstream areas will not be subject to flooding or storm damage.
12. The conditions of this decision shall apply to, and be binding upon, the
applicant, owner, its employees and all successors and assigns in interest or
control.
13. The NACC finds that the intensive use of the upland areas and buffer zone
proposed on this site will cause further alteration of the wetland resource
areas. In order to prevent any alteration of wetland resource areas a twenty
five foot(25') No-Disturbance Zone and a fifty foot(50') No-Construction
Zone shall be established from the edge of the adjacent wetland resource
area. The Conservation Administrator and/or other agents of the NACC do
not have the authority to waive these setbacks as established under the local
bylaw. No disturbance of existing grade, soils or vegetation is permitted in
the No-Disturbance zone. (See Appendix 5 of the local Regulations).
14. IMPORTANT: No authorization for any deck or for discharge of roof or surface
drainage is encompassed in this Order. Prior to any construction of any deck or such
drainage,the applicant shall submit for review and approval plans relative thereto,
which must be approved prior to implementation.
C.\NY1pwAFd\P0G\242-857,,0PP 2 NACC 3/20/97
DEP FILE #242 - 857
15. IMPORTANT: The existing brush fine running behind northeast of)the proposed
house on Lot Al and the existing houses on Lots B and 10 B shall not be disturbed
during the construction work or subsequently(except in any location where such line
runs outside the 25' No-Disturbance Zone). A row of white pine (2 -3' in
height/spaced 10-15' on-center) shall be added on said three lots as indicated on the
aforesaid plan and shall be planted outside the 25' No-Disturbance Zone.
16. All catch basins shall contain oil/gasoline traps, and it shall be a continuing
condition of this order, even after a Certificate of Compliance is issued, that
the oil/gasoline traps in the catch basins be maintained. All catch basins
shall be free of all accumulated silt and debris before a Compliance is issued
and the owner or his/her agent shall so specify in the request for
Compliance.
17. This Order of Conditions is issued as a substitution for those issued under
DEP #242-768.
18. The sewer lines on the site shall be tested for water tightness in accordance
with North Andover DPW standards.
19. The NACC shall be notified in writing of any lot line or number changes
with a copy of a plan showing these changes prior to any work on these lots.
C.\Winword\OOC\242-857.doc 3 NACC 3/20/97
DEP FILE #242 - 857
PRIOR TO CONSTRUCTION
20. No work shall be undertaken until all administrative appeal periods from
this Order have elapsed or, if such an appeal has been filed, until all
proceedings before the Department or Court have been completed.
21. This Order shall be recorded by the applicant at the Registry of Deeds
immediately after the expiration of all appeal periods. No work shall be
undertaken until the Final Order has been recorded in the Registry of Deeds
or the Land Court for the district in which the land is located,within the
chain of title of the affected property. In the case of recorded land, the Final
Order shall also be noted in the Registry's Grantor Index under the name of
the owner of the land upon which the proposed work is to be done. In the
case of registered land, the Final Order shall also be noted on the Land Court
Certificate of Title of the owner of the land upon which the proposed work is
to be done. The recording information shall be submitted to the North
Andover Conservation Commission on the form at the end of this Order
prior to commencement of the work.
22. A sign shall be displayed at the site not less than two square feet or more
than three square feet in size bearing the words "Massachusetts Department
of Environmental Protection, File Number 242-857."
23. Any changes in the submitted plans caused by the applicant, another Board's
decision or resulting from this Order of Conditions must be submitted to the
NACC for approval prior to implementation. If the NACC finds said
changes to be significant, the NACC will call for another public hearing (at
the expense of the applicant). Within 21 days of the close of said public
hearing the NACC will issue an amended or new Order of Conditions. Any
errors found in the plans or information submitted by the applicant shall be
considered as changes. The proposed project may be still under review by
other local or state boards or agencies. This may result in changes to the
project plans or wetland impacts. If any such changes occur a revised plan
and an explanation of the revisions shall be submitted to the NACC for
review and approval prior to the start of construction. No work shall begin
on a project until written approval has been granted by the NACC.
24. The applicant shall contact the Conservation Office prior to site
preparation or construction and shall arrange an on-site conference with an
NACC representative,the contractor and the applicant to ensure that all of
the Conditions of this Order are understood. This'Order also shall be made
a part of the contractor's written contract. The applicant or contractor shall
notify the NACC in writing of the identity of the on-site construction
C.\Winword\00C\242-857.doc 4 NACC 3/20/97
DEP FILE #242 - 857
supervisor hired to coordinate construction and to ensure compliance with
this Order.
25. The applicant shall submit a construction schedule/sequence to the NACC
detailing the proposed sequence of work on site to complete this project.
26. Wetland flagging shall be checked prior to start of construction and shall be
re-established where missing so that erosion control measures can be
properly placed and wetland impacts can be monitored.
27. A row of staked hay bales backed by trenched siltation fence shall be
placed between all construction areas and wetlands. The erosion control
barrier will be properly installed and placed as shown on the plans approved
and referenced herein and shall be inspected and approved by the NACC
prior to the start of construction and shall remain intact until all disturbed
areas have been permanently stabilized to prevent erosion. All erosion
prevention and sedimentation protection measures found necessary during
construction shall be implemented at the direction of the NACC.
28. The applicant shall have on hand at the start of any soil disturbance, removal
or stockpiling, a minimum of twenty(20) hay bales and sufficient stakes for
staking these bales (or an equivalent amount of silt fence). Said bales shall be
used only for the control of emergency erosion problems, and shall not be
used for the normal control of erosion.
29. A check payable to the Town of North Andover shall be provided in the
amount of$3,000 which shall be in all respects satisfactory to Town Counsel,
Town Treasurer, and the NACC, and shall be posted with the North
Andover Town Treasure before commencement of work. Said deposit of
money shall be conditioned on the completion of all conditions hereof, shall
be signed by a party or parties satisfactory to the NACC, and Town Counsel,
and shall be released after completion of the project,provided that provision,
satisfactory to the NACC,has been made for performance of any conditions
which are of continuing nature. The applicant may propose a monetary
release schedule keyed to completion of specific portions of the project for the
NACC's review and approval. This condition is issued under the authority of
the local ByLaw.
C:\Winword\OOC\242-857.doc 5 NACC 3/20/97
DEP FILE #242 - 857
DURING CONSTRUCTION
30. IMPORTANT: Immediately upon completion of the dwelling foundation,
and prior to further construction activities associated with the site, the
applicant shall complete a plan prepared by a Registered Professional Land
Surveyor (R.P.L.S.) which accurately depicts the foundation location and it's
proximity to wetland resource areas as approved under this Order of
Conditions. Said plan shall be submitted to the Conservation Administrator
for approval.
31. Upon beginning work, the applicant shall submit written progress reports
every two (2) months detailing what work has been done in or near resource
areas, and what work is anticipated to be done over the next period. This will
update the construction sequence.
32. Any fill used in connection with this project shall be clean fill, containing no
trash, refuse rubbish or debris, including but not limited to lumber, bricks,
plaster,wire ,lath ,paper, cardboard, pipe, tires, ashes, refrigerators, motor
vehicles or parts on any of the foregoing.
33. No exposed area shall remain unfinished for more than thirty (30) days,
unless approved by the NACC.
34. No regrading in the buffer zone shall have a slope steeper than 2:1
(horizontal: vertical). Slopes of steeper grade shall be rip-rapped to provide
permanent stabilization.
35. There shall be no stockpiling of soil or other materials within twenty-five(25)
feet of any resource area.
36. After proper grading, all disturbed areas located within a resource area
which will not remain as wetland areas,shall be loamed (minimum of 4" of
quality loam), and seeded. This shall all be done in accordance with SCS
guidelines. All disturbed areas located within wetland resource areas which
are to be only temporarily disturbed during construction, shall be restored to
their original grade, soil profile and vegetative cover. Soil used for this
purpose will either be wetlands topsoil or a minimum of 4" of quality loam.
37. Washings from concrete trucks, or surplus concrete, shall not be directed to,
any drainage system, or wetland resource area.
C:\Winword\OOC\242-857.doc 6 NACC 3/20/97
DEP FILE #242 - 857
38. All waste generated by, or associated with, the construction activity shall be
contained within the construction area, and away from any wetland resource
area. There shall be no burying of spent construction materials or disposal of
waste on the site by any other means. The applicant shall maintain
dumpsters (or other suitable means) at the site for the storage and removal of
such spent construction materials off-site.
39. Accepted engineering and construction standards and procedures shall be
followed In the completion of the project.
40. Members of the NACC or its agent shall have the right to enter upon and
inspect the premises to evaluate and/or effect compliance with this Order of
Conditions. The NACC reserves the right to require, following field
inspection, additional information or resource protection measures.
41. During and after work on this project, there shall be no discharge or spillage
of fuel, or other pollutants into any wetland resource area. If there is a spill
or discharge of any pollutant during any phase of construction the NACC
shall be notified by the applicant within one (1) business day. No
construction vehicles are to be stored within 100 feet of wetland resource
areas, and no vehicle refueling, equipment lubrication, or maintenance is to
be done within 100 feet of a resource area.
CAWinword\00C\242-857.doc 7 NACC 3/20/97
DEP FILE #242 - 857
AFTER CONSTRUCTION
42. No underground storage of fuel oils shall be allowed on any lot within one-
hundred (100) feet of any wetland resource area. This condition shall survive
this Order of Conditions, and shall run with the title of the property. This
condition is issued under the authority of the Towns Wetland protection
Bylaw.
43. Fertilizers utilized for landscaping and lawn care shall be organic and low-
nitrogen content, and shall be used in moderation. Pesticides and herbicides
shall not be used within 100 feet of a wetland resource area. This condition is
issued under the authority of the Town's Wetland Protection ByLaw.
44. Upon completion of construction and grading, all disturbed areas located
outside resource areas shall be stabilized permanently against erosion. This
shall be done either by loaming and seeding according to SCS standards. If
the latter course is chosen, stabilization will be considered complete once
vegetative cover has been achieved.
45. Upon completion of the project, the applicant shall submit a letter to the
NACC from a Registered Professional Civil Engineer certifying compliance
with this Order of Conditions and the approved plans referenced herein (or
approved revisions). Certification includes, but is not limited to,verification
that the limit of work coincides with the approved "NO-
DISTURBANCE/NO-BUILD" zones. A stamped "As-Built"topographic
plan of all areas within the jurisdiction of the Wetlands Protection Act and
ByLaw shall be submitted when a Certificate of Compliance is requested.
This plan will include:
a) "As-Built" elevations of all drainage structures constructed within 100
feet of any wetland resource area;
b) "As-Built" elevations and grades of all filled or altered wetland
resource areas;
c) Distances from structures to wetland resource areas. Structures
include (but are not limited to) septic systems, stone walls, POOLS,
retaining walls, and approved decks;
d) A line showing the limit of work. "Work" includes any disturbance of
soils or vegetation;
e) Location of all subsurface utilities entering the property;
C:\Winword\OOC\242-857.doc 8 NACC 3/20/97
DEP FILE #242 - 857
f) Location of existing erosion controls.
47)Furthermore, the following information must be submitted to the NACC
when requesting a Certificate of Compliance:
a) The name and address of the current landowner;
b) The name and address of the individual/trust or corporation to whom
the compliance is to be granted;
c) The street address and assessor's map/parcel number for the project;
d) The DEP file number;
e) A statement certifying compliance with the Order of Conditions and
approved plans.
48. The following special conditions shall survive the issuance of a Certificate
of Compliance (COC) for this project:
• 25' No-Disturbance Zone and a 50' No-Construction Zone shall be
established from the edge of adjacent wetland resource areas except in
those locations approved under DEP # 242-857. Future work within
100' of existing wetland resource areas will require a separate filing
with the NACC (refer to Section XI (page 18) of the Regulations for
performance standards within these zones) The Conservation
Administrator and/or other agents of the NACC do not have the
authority to waive these setbacks as established under the local
ByLaw;
• Maintenance of catch basins;
• Discharge of spillage of pollutants;
• Prohibition of storage of fuels underground;
• Limitations on the use of fertilizers,herbicides and pesticides.
CAWinword\00C\242-857.doc 9 NACC 3/20/97
242-857
Issued 8y North An a Conservation Commission
Signature(s)
This Orcer must be signed by a majority of the Conservation Commission.
On this 19th day of March 19 97 before me
personally appeared Joseuh GT T.Nnrh, Jr- to me Known to be the
person cescribed in and who executed the foregoing instrument and acKnowleaged that he she executec
the same as hisi her free act and need.
December 11, 1997
Naar`, Pudic My commission expires
The arcucartt.:n9 owner. any Berson aggnevee dy this Orcer,any owner of lana aouning the Lana ucon wmcn the crcacse^_Wcrk is tc ce
cone.or any ten res ceps of the city or town in wnicn such tano is located.are nereoy notilim of ineir right to request cne Deoanment o'
Environmental Protecrch to issue a Sueerseoino oreer, proviorng the request is mace cy cenrntiea maii or nano ce ivery to the Decan-re
with the aecrccnare tiiinc fee ano Fee Transminal Form as oroviom in 310 VAR 10.03171.within ten cays from the Cafe et issuance ct tr,:s
Determinaticn.A cccy ct the request snail at the same time oe sent ay cenitiea mail or nano Ceiivery to the Conservat.cn Commission
anc the a^ci cant.
If you wish to appeal this decision under the Town Bviaw, a complaint
must 'De piled in Superior Court.
Detach on eottea line and suomit t0 the North Andover Conservation Gomm. prior to commencement of worn.
...........................................................................................................................`....:.....:..............No....Andover..........0..8.............
MA 01 45
To North Andover Conservation Commission, 120 Main St. , 'ssu:ng AutnCrity
Please oe advisea that the Oreer of Conditions for the protect a
;:,ie Numoer 242— 857 has oeen recorcea at the Recisty of Deeds, North _Essex_ ano
has Been noteo in the chain of title of the attectea Property in accorcance with General Coneition 8 on 19
It recorcea fano. the instrument numoer wnicn identities mis trarLsaction is
If registered fano. the occument number which identifies this transactton is
�concan,
Sicnature
5.4A
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-SY4
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:
13' Lq u 2�L13
C. Authorization
Issued b
411 56 01
Conservation Commission bate of Issuance
This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the
applicant and appropriate DEP Re ' al Office(See Appendix A).
Signatures:
On 1��^ Of t�
Day Monfh and Year
before me personally appeared
Sco�A14'ae-
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.
.
LINDA DIANE POIRIER
y Notary Public
Notary Pubic T My commission expires My Commission Expires
Februa 14,2008
wpaform 8b.doc•rev.4118101 Page 2 of 3
a
r 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 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:
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 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.4/18/01 Page 3 of 3