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Home My WebLink AboutMiscellaneous - 1270 TURNPIKE STREET 4/30/2018 (6)i 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 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. �I A. Project Information I. This Certificate of Compliance is issued to: David L. Bilodeau & Sons, Inc. Name 25 Cedar Street Mailing Address Hopkinton City/Town MA. State DEP File Number: gag -i nar, rIUv1UUU Uy utr' 01748 Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Seven Hills Foundation, Attn:Richard Martel Name 12/12/01 Dated 3. . The project site is located at: 1270 Turnpike Street Street Address Map 107A Assessors Map/Plat Number 242-1095 DEP File Number North Andover City/Town Parcel 148 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North County Certificate 6615 Book site inspection was made in the presence of the applicant, or the applicant's agent, on: 3/23/07 B. Certification Check all that apply: 284 Page ® 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 LlMassachusetts 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, §40 242-1095 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 The Order of Conditions has lapsed and is therefore no longer valid.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: �a G. Authorization Issued by: North Andover Conservation Commission Date of Iss ante This Certificate must be signed by a majority of the Conservation Commission and a co y sent to the applicant and appropriate DEP Regional Office (See Attachment). Signatures: L wpaform 8b.doc - rev. 7/13/04 Page 2 of 4 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, 40 242-1095 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of a g -A On this Day Essex North Of H° -r G A Month before me, the undersigned Notary Public, personally appeared _<S'ccrff Mc,ss-,- Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License Description of evidence of identification x9002 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 North Andover City/Town Place notary seal and/or any stamp above Conservation Commission Signature of Notary Public //� / Dgpi 1: 7 Z41Z0r C Printed Name of Notary Public k.2oeq' My Commission pires (Date) Signature of Notary Public wpaform 8b.doc • rev. 7/13/04 Page 3 of 4 DONNA M. WEDGE NCITARY PUSUC COMMONWEALTH OF MASSACHUSETTS My Comm. Expims Aug. 7, -,00 North Andover City/Town Place notary seal and/or any stamp above Conservation Commission Signature of Notary Public //� / Dgpi 1: 7 Z41Z0r C Printed Name of Notary Public k.2oeq' My Commission pires (Date) Signature of Notary Public wpaform 8b.doc • rev. 7/13/04 Page 3 of 4 f LJMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1095 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: North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: 242-1095 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. 7/13/04 Page 4 of 4 Y Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP Regional Addresses LEI 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 436 Dwight Street A g Agawam Conway Hancock Montague Plainfield Tyringham Suite 402 Alford Amherst Cummington Dalton Hatfield Montero Richmond Wales Ware Springfield, MA 01103 Ashfield Deerfield Hawleyy Heath Montgomery Monson Rowe Warwick Phone: 413-784-1100 Becket Easthampton Hinsdale Mount Washington Russell Sandisfield Washington Fax: 413-784-1149 Belchertown Bernardston East Longmeadow Egremont Holland New Ashford Savoy Wendell Westfield Blandford Erving Holyoke Huntington New Marlborough g New Salem Sheffield Westhampton Brimfield Florida Lanesborough North Adams Shelburne Shutesbury West Springfield West Buckland Charlemont Gill Goshen Lee Northampton Southampton Stockbridge Whately Cheshire Granby Lenox Northfield Orange South Hadley Wilbraham Chester Granville Leyden Otis Southwick Williamsburg Chesterfield Great Barrington Longmeadow Palmer Springfield Stockbridge Williamstown Chicopee P Clarksburg Greenfield Hadley Ludlow Middlefield Pelham Sunderland Windsor Worthington Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Provincetown 627 Main Street Ashbumham Clinton Hubbardston Millville Rutland Shirley Uxbridge Worcester, MA 01608 Ashby Athol Douglas Dudley Hudson Holliston New Braintree Shrewsbury Warren Webster Phone: 508-792-7650 Auburn Dunstable Lancaster Northborough Southborough Westborough Fax: 508-792-7621 Ayer East Brookfield Leicester Northbridge North Brookfield Southbridge 9 Spencer West Boylston TDD: 508-767-2788 Barre Bellingham Fitchburg Gardner Leominster Oakham Sterling West Brookfield Westford Bertin Grafton Littleton Lunenburg Oxford Paxton Stow Westminster Blackstone Groton Marlborough Pepperell Sturbrid e Sutton g Winchendon Balton Boxborough Harvard Hardwick Maynard Y Petersham Templeton Worcester Boylston Holden Medway Mendon Phillipston Princeton Townsend Wilmington Brookfield Hopedale Milford Royalston Tyngsborough Upton Winchester DEP Southeast Region g Abington Dartmouth Freetown Matta p Provincetown 20 Riverside Drive Acushnet Dennis Gay Head Middleborough boron Raynham Tisbury Lakeville, MA 02347 Attleboro Avon Dighton Duxbury Gosnold Nantucket Rehoboth Truro Wareham Phone: 508-946-2700 Barnstable Eastham Halifax Hanover New Bedford Rochester Wareha ellfleat Fax: 508-247-6557 Berkley East Bridgewater HansSandw North Attleborough Rockland West Bridgewater g TDD: 508-946-2795 IRIS Brewster Caston Edgartown Harwich Kingston Norwell ch Scituate Westport West Tisbury Bridgewater Fairhaven Lakeville Oak Bluffs Orleans Seekonk Whitman Brockton Fall River Mansfield Pembroke Sharon Somerset Wrentham Carver Falmouth Marion Plainville Stoughton Yarmouth Chatham Chilmark Foxborough Franklin Marshfield Plymouth Swansea Wilmington Cambridge Groveland Mashpee Plympton Taunton Winchester DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Wakefield Boston, MA 02108 Arlington Ashland Cohasset Concord Hull Middleton Reading Wal ole P Waltham Phone: 617-654-6500 Bedford Danvers Ipswich Lawrence Millis Milton Revere Watertown Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rockport Rowley Wayland TDD: 617-574-6868 Beverly Billerica Dover Lincoln Natick Salem Wellesley West Boston Dracut Essex Loran y Needham Salisbury West Newbury Ne Boxford Everett Lynnfield Newbury Newburyport Saugus Sherbom Weston Braintree Brookline Framingham Georgetown Malden Manchester Newton Somerville Westwood Weymouth Burlington Gloucester -By -The -Sea Marblehead Norfolk North Andover Stoneham Wilmington Cambridge Groveland Medfield North Reading Sudbury Swampscott Winchester Canton Carlisle Hamilton Haverhill Medford Norwood Tewksbury Winthrop Woburn Melrose Peabody Topsfield wpaform8b.doc • DEP Addresses • rev. 3/16/07 Page 1 of 1