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Home My WebLink AboutMiscellaneous - 189 WILLOW STREET 4/30/2018 (2)r -.s ILIMassachusetts 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. A. Project Information 1. This Certificate of Compliance is issued to: Sudarshan Chatterjee Name 55 South Bradford Street Mailing Address North Andover City/Town MA State DEP File Number: k 242-1279 Provided by DEP 01845 Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Sudashan Chatteriee Name May 4, 2005 242-1279 Dated DEP File Number 3. The project site is located at: 189 Willow Street (Lot 4) Street Address Mao 25 Assessors Map/Plat Number North Andover City/Town Parcel 4 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North County. Certificate 11049 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: 205 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: Installation of 8'x26' box culvert and construction of 925 s.f. replication area (only size of replication area confirmed no monitoring of replication area success has been completed). Lot cleared in accordance with approved limit of work. No additional work may be conducted without a new Notice of Intent. 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 ac�� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1279 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. Z 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: 34, 96 V`7 7P �7 9 PJ C. Authorization Issued by: North Andover Conservation Commission f� Date f Iss Once 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 Attachment). Signatures: L� wpaform 8b.doc • rev. 7/13/04 - Page 2 of 4 Ll�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 /`� *17Day Essex North DEP File Number: PG66 ?d?_1 ?7Q rivviucu uy ucr- Of —m90017 Mo th Year 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 Description of evidence of identification 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 K WM OF ftS Mroamm,�� a, 2Dt6 North Andover Cityrrown Place notary seal and/or any stamp above Conservation Commission ?tel, x" Signature of Notary Public -:) . )14 /21. Z`G-JC- Printed Name of Notary Public 7 �- a� My Co missio Expires (/D. ate) 11 Signature of Notary Public wpaform 8b.doc • rev. 7/13/04 Page 3 of 4 A ,01 :. LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Pco 6 Massachusetts Wetlands Protection Act M.G.L. c. 131 40 242-1279 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: 189 Willow Street (Lot 4) 242-1279 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex North County for: Sudarshan Chatterjee Property Owner and has been noted in the chain of title of the affected property on: uate 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 wpaform 8b.doc • rev. 7/13/04 Page 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 DEP Southeast Region Abington Dartmouth Freetown Mattapoisett LAMail Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro' Lakeville, MA 02347 Attleboro Dighton Gosnold transmittal forms and DEP payments, payable to: Rehoboth Wareham Phone: 508-946-2700 Commonwealth of Massachusetts Duxbury Eastham Halifax Hanover New Bedford Department of Environmental Protection Wellfleet Fax: 508-947-6557 Berkley Box 4062 Hanson North Attleborough Norton Rockland Sandwich Boston, MA 02211 TDD: 508-946-2795 Bourne Easton DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham Agawam Conway Hancock 436 Dwight Street Montague Plainfield Wales Alford Cummington Hatfield Suite 402 Monterey X Richmond Ware Amherst Dalton Hawley Springfield, MA 01103 Ashfield Deerfield Heath Montgomery Monson Rowe Warwick Phone: 413 784-1100 Becket Easthampton Hinsdale Mount Washington Russell Sandisfield Washington Wendell Belc&ertown East Longmeadow Holland Fax: 413-784-1149 New Ashford Savoy Westfield 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 Charlemont Goshen Lenox Northampton Northfield Southampton Whately - Cheshire Granby Leverett Orange South Hadley Southwick Wilbraham Williamsburg Chester Granville Leyden Chesterfield Great Barrington Longmeadow Otis Palmer' Springfield Stockbridge Williamstown Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Clarksburg Hadley Middlefield Peru Tolland Chelsea DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Miliville- - Shirley. Warren Ashby Douglas Hudson Worcester, MA 01608 Athol New Braintree Shrewsbury Webster Dudley Holliston Phone: 508-792-7650 Auburn Dunstable Lancaster Northborough Northbridge Southborough Southbridge Westborough West Boylston Fax: 508-792-7621 Ayer East Brookfield, Leicester North Brookfield Spencer West Brookfield Barre Fitchburg Leominster TDD: 508-767-2788 Bellingham Gardner Littleton Oakham Oxford Sterling Westford Berlin Grafton Lunenburg Paxton Stow Sturbridge Westminster Winchendon Blackstone Groton Marlborough Pepperell - Sutton Worcester Bolton Harvard Maynard Petersham Templeton Lincoln Boxborough Hardwick Medway Phillipston Townsend Boylston Holden Mendon Princeton Tyngsborough Needham Brookfield Hopedale Milford Royalston Upton Boston DEP Southeast Region Abington Dartmouth Freetown Mattapoisett - Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro' Lakeville, MA 02347 Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Phone: 508-946-2700 Avon 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 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 ph Walpole Boston, MA 02108 Arlington Cohasset Hull Middleton Reading Waltham Ashland 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 Dover Lincoln Natick Salem Wenham Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherborn 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. 8/5/09 Page 1 of 1