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HomeMy WebLinkAboutMiscellaneous - 10 STILES STREET 4/30/2018A ". L7Massachusetts 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 DEP File Number: WO-1Onl ivv U uy ver Street Address Map 107D Assessors Map/Plat Number City/Town Parcel 14 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North County Certificate 8624 Book 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 6/23/09 nate B. Certification uy. 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: wpaform 8b.doc•rev. 7/13/04 Page 1 of 4 A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the computer, Eugene P. Willis use Name only the tab key to move 76 Boston 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: Same Name June 26, 2003 242-1203 Dated DEP File Number 3. The project site is located at: 10 Stiles Street North Andover Street Address Map 107D Assessors Map/Plat Number City/Town Parcel 14 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North County Certificate 8624 Book 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 6/23/09 nate B. Certification uy. 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: wpaform 8b.doc•rev. 7/13/04 Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1203 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: 71 C. Authorization Issued by: North Andover Conservation Commission This Certificate must be signed by a majority of th applicant and appropriate DEP Regional Office (IS Signatures: 110 �( / r"" �-� wpaform 8b.doc • rev. 7/13/04 k S -16L? Dat of !ss ance Page 2 of 4 LI(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 Month before me, the undersigned Notary Public, personally appeared Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License Description of evidence of identification Year DEP File Number: 242-1 2ni rroviaea Dy utr 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 M. WEDGE NOTARY PUBUC COIAAIONWm UPI= OF MASSACHUSETTS My ComPI= Aug. 7, 2009 North Andover City/Town Place notary seal and/or any stamp above Conservation Commission Siature of Notary Public 7� Printed Name of Notary Public O" *7� GO My Commissio xpires (Date) 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 DEP File Number: WPA Form 8B — Certificate of Compliance L1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1203 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 Stiles Street 242-1203 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex North County fo r: 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. 7/13/04 Page 4 of 4 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 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 Acton Charlton Hopkinton DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street A g y Agawam Conwayancock Shirley Montague Plainfield Wales Suite 402 Alford Cummington Amherst Dalton Hatfield Monterey Richmond Ware Springfield, MA 01103 Ashfield Deerfield Hawley Heath Montgomery Monson Rowe Warwick Phone: 413-784-1100 Becket Easthampton Hinsdale Mount Washington Russell Sandisfield Washington Wendell Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Sterling Bemardston Egremont Blandford Erving Holyoke Huntington New Marlborough Sheffield Westhampton Oxford Paxton Brimfield Florida Lanesborough New Salem North Adams Shelburne Shutesbury West Springfield West Stockbridge Marlborough Buckland Gill Lee Northampton Southampton Whately Harvard Charlemont Goshen Cheshire Granby Lenox Leverett Northfield Orange South Hadley Wilbraham Boxborough Chester Granville Leyden Otis Southwick Springfield Williamsburg Williamstown Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Winthrop Chicopee Greenfield Clarksburg Hadley Ludlow Middlefield Pelham Sunderland Worthington Upton Woburn Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashbumham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01608 Ashby Athol Douglas Hudson New Braintree Shrewsbury Webster Phone: 508-792-7650 Auburn Dudley Dunstable Holliston Lancaster Northborough Northbridge Southborough Southbridge Westborough Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Boylston West Brookfield TDD: 508-767-2788 Barre Bellingham Fitchburg Gardner Leominster Oakham Sterling Westford Berlin Grafton Littleton Lunenburg Oxford Paxton Stow Sturbridge Westminster Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Yarmouth Boxborough Hardwick Medwav Phillipston Townsend Wilmington Winchester Boylston Holden Mendon Princeton Tyngsborough Winthrop Brookfield Hopedale Milford Royalston Upton Woburn DEP Southeast Region Abington Dartmouth Freetown Mattapoiselt Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Lakeville, MA 02347 Attleboro Avon Dighton Gosnold Nantucket Rehoboth Wareham Phone: 508-946-2700 Barnstable Duxbury Eastham Halifax Hanover New Bedford Rochester Wellfleet Fax: 508-947-6557 Berkley East Bridgewater Hanson North Attleborough Norton Rockland Sandwich West Bridgewater TDD: 508-946-2795 Bourne Easton Harwich Norwell Scituate Westport West Tisbury Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Carver Fall River Mansfield Pembroke Somerset Yarmouth Burlington Falmouth Marion Plainville Stoughton Wilmington Winchester Chatham Foxborough Marshfield Plymouth Swansea Winthrop Chilmark Franklin Mashpee Plympton Taunton Woburn DEP Northeast Reg ion Amesbury Chelmsford Hingham 9 Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole P Boston, MA 02108 Arlington Ashland Cohasset Hull Middleton Reading Waltham Phone: 617-654-6500 Bedford Concord Danvers Ipswich Lawrence Millis Milton Revere Watertown Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rockport Rowley Wayland Wellesley TDD: 617-574-6868 Beverly Billerica Dover Lincoln Natick Salem Wenham Boston Dracut Essex Lowell Lynn Needham Salisbury West Newbury Boxford Everett Lynnfield Newbury Newburyport Saugus Sherbom Weston Westwood Braintree Brookline Framingham Georgetown Malden Manchester -By -The -Sea Newton Norfolk Somerville Weymouth Burlington Gloucester Marblehead North Andover Stoneham Sudbury Wilmington Winchester Cambridge Canton Groveland Medfield North Reading Swampscott Winthrop Carlisle Hamilton Haverhill Medford Melrose Norwood Tewksbury Woburn Peabody Topsfield wpaform8b.doc • DEP Addresses • rev. 6/12/09 Page 1 of 1