HomeMy WebLinkAboutMiscellaneous - 197 BERKELEY ROAD 4/30/2018 (2) 197 /3e�2ICeL�y/zo4,1 (dory)
Massachusetts Department of Environmental Protection
Bureau of Resource Prote tion -Wetlands DEP File Number:
WPA Form 8B S'&e tificate of Compliance pca1
242-21
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer,use Law Office of Michael E. Lombard for Boris and Dvora Bel
only the tab key Name
to move your 44 Park Street
cursor-do not
use the return Mailing Address
key. Andover MA 01810
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Ambrose Development Corporation
Name
May 6, 1982 242-21
Dated DEP File Number
3. The project site is located at:
197 Berkeley Road (Lot 4) North Andover
Street Address Citylrown
Map 47 Parcel 51
Assessors Map/Plat Number ParcellLot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Essex North 1575 260
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
6/7/10
Date
wpafrm8b.doc•rev.12/23/09 WPA Farm 8B,Certificate of Compliance•Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form WE certificate of Compliance PC 6C
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-21
Provided by DEP
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:
PCOC for 197 Berkeley Road (Lot 4)only.
❑ 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Conditions has lapsed and is therefore no longer valid.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:
C. Authorization
Issued by:
North Andover
Conservation Commission Date of I suance
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
hftp://www.mass.-
gov/dep/about/region/findvour.htm).
Signatu es:
wpafrm8b.doc•rev.12/23/09
WPA Form 86,Certificate of Compliance•Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B 4�ertificate of Compliance PcoC,
Ll Massachusetts Wetlands Protection Act M.G.L. c. 1.31 40 242-21
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:
197 Berkeley Road (Lot 4) 242-21
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:
I
If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
wpafrm8b.doc•rev.72123109 WPA Form 8B,Certificate of Compliance•Page 3 of 3