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 The Order of Conditions has lapsed and is therefore no
longer valid.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