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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
�j 1�,[, DEP File Number:
WPA Form 8B —Certificate of Compliance 2PCO
442-52-5`'
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 5
Provided by DEP
A. Project Information
1. This Certificate of Compliance is issued to:
INA
James J. Marconi and Rita Marconi c/o Samuel J. Concermi
Name
184 Pleasant Valley Street
Mailing Address
M th
e yen MA 01844
City/Town State Zip Code
This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Andrew Circle Realty Trust
Name
April 24, 1979 242-55
Dated DEP File Number
3. The project site is located at:
10 Crossbow Lane (Lot N)
Street Address
Map 106B
Assessors Map/Plat Number
North Andover
City/Town
Parcel 152
Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
Essex North
County
Book Page
certmcate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
9/28/11
Date
wpafrm8b.doc • rev. 12/23/09 WPA Form 8B, Certificate of Compliance • Page 1 of 3
ILIMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B-ftrertificate of Compliance pc oc"
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-55
Provided by DEP
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 for 10 Crossbow Lane (Lot N) only.
❑ 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Conditions has lapsed and is therefore no longer valid.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 D of Issuance
This Certificate must be signed by a majority of the Conservation Commission and a
copy sent to the applicant and appropriate DEP Regional Office (See
Signatures:
wpafrm8b.doc • rev. 12/23/09 WPA Form 88, Certificate of Compliance • Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource r tectP - Wetlands DEP File Number:
WPA Form 8B--fCertificate of Compliance iococ--
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-55
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:
10 Crossbow Lane (Lot N) 242-55
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex North
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
wpafrm8b.doc • rev. 12/23/09
WPA Form 88, Certificate of Compliance - Page 3 of 3