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HomeMy WebLinkAboutMiscellaneous - 130 WEYLAND CIRCLE 4/30/2018 (2)LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B e8ertificate 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. VQ �eoen A. Project Information This Certificate of Compliance is issued to: Greoory Johnson DEP File Number: )Zlex-_. 242-683 Provided by DEP Name 130 Weyland Circle (Lot 36) Mailing Address North Andover MA 01845 City/Town State zip code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Summer Street Realty Trust Name January 27, 1994 Dated 3. The project site is located at: 130 Weyland Circle (Lot 36) Street Address 242-683 DEP File Number North Andover City/Town Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North County Certificate 9251 Book 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: 118 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: PCOC for 130 WeyLand Circle (Lot 36) only. 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 loC©c Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-683 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 45 G. Authorization Issued by: North Andover Conservation Commission f� 0 Da a of I suance This Certificate must be signed'6i a majority of the Conservation Commission and a copy sent to the applicant and appropriate dtl? Regional Office (See Attachment). Sigi wpaform 8b.doc • rev. 7/13/04 Page 2 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 C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this a y Of Se-rew>!'e Day Month before me, the undersigned Notary Public, personally appeared John Mabon, Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License uescnption of evidence of identification DEP File Number. P606 242-683 Provided by DEP 2200'7 9" 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 WMM. won MoaMr�auc North Andover City/Town Place notary seal and/or any stamp above Conservation Commission Signature of Notary Public /��r�•� hJ Gy��" Printed Name of Notary Public '7 My mmissio Expires (Date) Signature of Notary Public wpaform 8b.doc - rev. 7/13/04 Page 3 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 §40 242-683 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: 130 Weyland Circle (Lot 36) 242-683 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 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, §40 Mail transmittal forms and DEP payments, payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 Acton Chariton Hopkinton DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Suite 402 Alford Cummington Hatfield Monterey Richmond Ware Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone: 413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Oakham oxford Bemardston Egremont Holyoke New Marlborough Sheffield Westhampton Lunenburg Blandford Erving Huntington New Salem Shelburne West Springfield Groton Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Bolton Buckland Gill Lee Northampton Southampton Whately Chademont Goshen Lenox Northfield South Hadley Wilbraham Wilmington Cheshire Granby Leverett Orange Southwick Williamsburg Tyngsborough Chester Granville Leyden Otis Springfield Williamstown Royalston Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Freetown Chicopee Greenfield Ludlow Pelham Sunderland Worthington Dennis Clarksburg Hadley Middlefield Peru Tolland Lakeville, MA 02347 DEP Central Region Acton Chariton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashbumham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01608 Ashby Athol Douglas Hudson New Braintree Shrewsbury Webster Dudley Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield TDD: 508-767-2788 Barre Bellingham Fitchburg Gardner Leominster Littleton Oakham oxford Sterling Stow Westford Berlin Grafton Lunenburg Paxton Sturbridge Westminster Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Weymouth Boxborough Hardwick Medway Phillipston Townsend Wilmington Boylston Holden Mendon Princeton Tyngsborough Winchester Brookfield Hopedale Milford Royalston Upton Winthrop DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provinostown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Lakeville, MA 02347 Attleboro Avon Dighton Gosnold Nantucket Rehoboth Wareham Duxbury Halifax New Bedford Rochester Wellfieet Phone: 508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Fax: 508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport TDD: 508-946-2795 Bourne Brewster Easton Edgartown Harwich Kingston Norwell Oak Bluffs Scituate Seekonk West Tisbury Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Boston, MA 02108 Arlington Ashland Cohasset Hull Middleton Reading Waltham Concord Ipswich Millis Revere Watertown Phone: 617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rowley Wellesley TDD: 617-574-6868 Beverly Billerica Dover Dracut Lincoln Lowell Natick Needham Salem Salisbury Wenham 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. 9/15/09 Page 1 of 1