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HomeMy WebLinkAboutMiscellaneous - 1895 GREAT POND ROAD 4/30/2018 (2) Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Kenneth Yameen computer, use Name only the tab key to move 224 Bridle Path your cursor- Mailing Address do not use the North Andover MA. 01845 return key. City/Town State Zip Code Q2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Kenneth Yameen Name October 16, 1997 242-878 Dated DEP File Number 3. The project site is located at: 1895 Great Pond Road North Andover Street Address City/Town Map 35 Parcel 5 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Kenneth, William, Evon &Thomas Yameen Property Owner(if different) Essex North 4881 205 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 11/22/06 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: 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 2-878 Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 51 C. Authorization Issued by: North Andover Conservation Commission Date of I suan e This Certificate must be signed by a majority of the Conservati Commission an c py sent to the applicant and appropriate D egional Office(See Attachm ). Signatures: 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 LI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this �-9 Of k0yGn, 6W X066 Day Month Year before me, the undersigned Notary Public, personally appeared ,5e-04 MA-ss¢. 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 North Andover City/Town Conservation Commission Signature of Notary Public (DONNA M.WEDGE D04N'4 /7/ / NOTARY PUBLIC Printed Name of Notary Public COMMONWEALTH OF MASSACHUSETTS My Comm.Expires Aug.7.2009 `J My Commis ion Ex ires(Date) Place notary seal and/or any stamp above 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 2-878 Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24 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: 242-878 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 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 DEP Western Region Adams Colrain Hampden Monroe Pittsfield Agawam ConwayWales 436 Dwight Street Alford y Hancock Montague Plainfield Wales Suite 402 Cummington Hatfield Monterey Richmond Ware Amherst Dalton Hawley Montgomery Rowe Springfield,MA 01103 Ashfield Deerfield Heath Warwick Becket Monson Russell Washington Phone:413-784-1100 Easthampton Hinsdale Mount Washington Sandisfield Wendell Belchertown East Longmeadow Holland New Ashford Savo Fax:413-784-1149 Bemardston Egremont Holyoke y Westfield Blandford y New Marlborough Sheffield Westhampton Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shutesbu Buckland Gill Lee Northampton ry West Stockbridge Charlemont Goshen Lenox P Southampton Whately Cheshire Northfield South Hadley Granby Leverett Oran e Y Wilbraham Chester Granville Leyden Otis g Southwick Williamsburg Chesterfield Great Barrington Longmeadow Palmer Springfield Williamstown Chicopee Stockbridge Windsor P Greenfield Ludlow Pelham Sunderland Clarksburg Hadley Middlefield Peru Worthington Tolland DEP Central Region Acton Charlton g Hopkinton Millbury Ashbumham Clinton Hubbardston Rutland Uxbridge 627 Main Street Mutwiue Ashby Douglas Hudson Shirley Warren Worcester,MA 01608 Athol New Braintree Shrewsbury Webster Dudley Holliston Northborough Southborough Westborough Phone:508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge Ayer East Brookfield Leicester Spencerg West Boylston Fax:508-792-7621 Barre North Brookfield West Brookfield TDD:508-767-2788 Fitchburg Leominster Oakham Sterling Westford Bellingham Gardner Littleton Oxford Stow Berlin Grafton Westminster Lunlborou Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Bolton Harvard Maynard Petersham Templeton Worcester Boxborough Hardwick Medway Phillipston Townsend Boylston Holden Mendon Princeton Tpn sborou Brookfield Hopedale Milford Royalston Upton gn DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury Acushnet Dennis Middleborough Ra nham 20 Riverside Drive Gay Head Attleboro Dighton Gosnold Nantucket y Truro Lakeville,MA 02347 Avon Duxbu Rehoboth Wareham Barnstable ry Halifax New Bedford Rochester WestlBri Phone:508-946-2700 Eastham Hanover North Attleborough Rockland West Bridgewater Fax:508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Bourne Easton Harwich Westport TDD: 508-946-2795 Norwell Scituate West Tisbury Brewster Edgartown Kingston Oak Bluffs Seekonk Bridgewater Fairhaven Lakeville Orleans Whitman Brockton Sharon Fall River Mansfield Wrentham Carver Pembroke Somerset Yarmouth Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Andover g Merrimac Quincy Wakefield 1 Winter Street Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hull Middleton ReadingP Boston,MA 02108 Ashland Concord Ipswich Waltham Bedford P Millis Revere Watertown Phone:617-654-6500 Danvers Lawrence Milton Rock Wayland Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rowley rt Wellesley TDD:617-574-6868 Beverly Dover Natick Salem Billerica Dracut Lowell Needham Wenham Boston Essex Lynn Salisbury West Newbury Boxford Lynnfield Newbury Saugus Weston i Everett ryport Sherbom Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Burlington Gloucester Marblehead Wilmington Cambridge North Andover Sudbury 9 Groveland Medfield ry Winchester Canton North Reading Swampscott Hamilton Medford Norwood P Winthrop Carlisle Haverhill Melrose PeabodyTewksbury Woburn Topsfietd wpaform8b.doc-DEP Addresses•rev.11/27/06 Page 1 of 1