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Home My WebLink AboutMiscellaneous - 10 HAWKINS LANE 4/30/2018 (3)0 Massachusetts Department of Environmental Protection QCac) LJ 1 Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-388 Provided by DEP A. Project Information Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. r� 1. This Certificate of Compliance is issued to: Mark & Lori Smith 10 Hawkins Lane .... ,y r UUIVaa North Andover MA. 01845 Lay/ i own State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: George H. Farr 3 Name 4/1/87 Dated The project site is located at: 242-388 UEP File Number 10 Hawkins Lane ( Lot 1) North Andover Street Address Cityrrown Map 106C Parcel 31 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: George H. Farr Property Owner (if different) Essex North 2699 125 County Book Page 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 5/20/05 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 for 10 Hawkins Lane ( Lot 1) only wpaform 8b.doc • rev. 7/13/04 Page 1 of 4 1 C4(t r taj protection DEp File Number: Ment of Environrr1en 242_3a8 art Wetlands liance provided by DEP ao Re rtts tts ceprotection - of CO Mp i 131, §40 s ,f _ Certificate ea prm $8 nds protection Act M G � chusetts wetla the above -referenced work regulated by and is therefore no COO that the has lapsed Act may Iflcat OOn C Itis hereby certified of Conditions protection Gert The Order Wetlands onditions. Order of Conditions rnenced. under the a new Order °f C never com elation receiving Q Invalid onditions work subject to reg Order of C No future Notice of Intent and longer valid•without filing a new commence order shall continue. (Include should continue of the Ord Monitoring, following conditions aintenance °r S•. The order, such as m i ongoing COonntta ned in the Final ' cor a longer Period) for a � nCo dWOn Numbers nesa�5 pa Iss Issued by a c y sent to the North Andover o fission mission and ConseNation Comm ation Com Ma ority of the Cons' ent) ed by a. m '1 Office (See Attachm st be si pEP Regional -This Certlflcate m ropriate applicant and app Sicanaturl�s/ Page 2 of 4 ,,,,,0,.8 doc• rev- 7113104 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of On this Day Essex North Of M '�- — Month before me, the undersigned Notary Public, personally appeared S Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License uescnption of evidence of identification fCur- - Lot -j' DEP File Number: 242-388 Provided by DEP ao0S Year to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of DONNA AL WEDGE �ARYKIBILIC TMOFIMAU M18 M M3' C lK E*=Aug. 7, 2= Place notary seal and/or any stamp above North Andover City[Town Conservation Commission ignature of Notary Public Printed Name of Notary Public S" My is on pires (Date) 4-/ Signature of Notary Public wpaform 8b.doc • rev. 7/13/04 Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 1 l: v� — Lc°t 1 DEP File Number: 242-388 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: 242-388 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 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 wpaform 8b.doc • rev. 7/13104 Page 4 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, 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 Street Agawam Conway Hancock Montague Plainfield Wales 436 Dwight g Alford Cummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfield Deerfield Heath Monson Russell Washington Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Phone: 413-784-1100 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax: 413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately Charlemont Goshen Lenox Northfield South 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 Acton Charlton Hopkinton Millbury Rutland Uxbridge Ashbumham Clinton Hubbardston Millville Shirley Warren 6Z7 Main Street' Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester, MA 01608 Athol Dudley Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Fax: 508 792-7621 Barre Fitchburg Leominster Oakham Sterling Westford TDD: 508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phillipslon Townsend Boylston Holden Mendon Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury Acushnet Dennis Gay Head Middleborough Raynham Truro 20 Riverside Drive Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax New Bedford Rochester Wellfleet Phone: 508-946-2700 Ph Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Berkley East Bridgewater Hanson Norton Sandwich Westport Pao: 508-947-6557-27 Bourne Easton Harwich Norwell Scituate West Tisbury TDD: 508-946-2795 Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Weymouth Chatham Foxborough Marshfield Plymouth Swansea Wilmington Chilmark Franklin Mashpee Plympton Taunton Winchester DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield Andover Chelsea Holbrook Methuen Randolph Walpole 1 Winter Street Arlington Cohassel Hull Middleton Reading Waltham Boston, MA 02108 Ashland Concord Ipswich Millis Revere Watertown Phone: 617-654-6500 Bedford Danvers Lawrence Millon Rockport Wayland Belmont Dedham Lexington Nahant Rowley Wellesley Fax: 617-556-1049 Beverly Dover Lincoln Natick Salem Wenham TDD: 617-574-6868 Billerica Drawl Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherbom Westwood Braintree Framingham Malden Newton 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 Carlisle Haverhill Melrose Peabody Topsfield wpaform8b.doc • DEP Addresses • rev. 5123105 Page 1 of 1