HomeMy WebLinkAboutMiscellaneous - 201 AMBERVILLE ROAD 4/30/20187n:
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Massachusetts Department of Environmental Protection -pCOC - LJ a3
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-885
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 Pulte Homes of New England, LLC
computer, use Name
only the tab
key to move 115 Flanders Road
your cursor - Mailing Address
do not use the Westboro MA. 01581
return key. Citylrown State Zip Code
r� 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Mesiti Development Corporation
Name
r8d11 3/9/1998 242-885
Dated DEP File Number
3. The project site is located at:
201 Amberville Road ( Lot 23 ) (Forest View Estates) North Andover
Street Address City/Town
Maps 106D - 108C - 107B 8, 37, 57, 48-77
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Robert & Karen Fergus
Property Owner (if different)
Essex North 5375 29
County Book Page
N/A
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
11/1/04
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:
PCOC is for Lot 23 only does not certify compliance with the overall drainage design.
wpaform 8b.doc • rev. 12/15/00 Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-885
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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therefore no longer valid.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:
69
. Authorization
Issued by:
nlnrFh Gnrinvar
Conservation Commission
/a.
vale of
This Certificate must be signed by a majority of the Conservation Commission
applicant and appropriate DEP Regional Office (See Appendix A).
M
On
to the
+A
Day
before me personally appeared
..5coff- K65e-
Of -Pee-m be# '200Y
Month and Year
to me known to be the person described in and who executed the foregoing instrument and
acknowl dged that he/she executed the same as his/her free act and deed.
o ary Pubic My com xplres I)CWaILWEDGE
WITARY PAW
Wp�
Page 2 of 3
wpaform 8b.doc • rev. 12/15/00
r
wpaform8b.doc • Appendix A • rev. 11/2!04 Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Appendix A — 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
Tyringham
Wales
Agawam
Conway
Hancock
Montague
Plainfield
Dwight Street
436 Dwi g Alford
Cumminglon
Hatfield
Monterey
Richmond
Ware
Suite 402 Amherst
Dalton
Hawley
Montgomery
Rowe
Warwick
Springfield, MA 01103 Ashfield
d, MA
Deerfield
Heath
Monson
Russell
Washington
Wendell
Becket
Easthampton
Hinsdale
Mount Washington
Sandisfield
Phone: 4 -1100 Belchertown
East Longmeadow
Holland
New Ashford
Savoy
Westfield
Fax: 413-784-1149 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
Northampton
Southampton
Whately
Charlemont
Goshen
Lenox
Northfield
South Hadley
Wilbraham -
Cheshire
Granby
Leverett
Orange
Southwick
Williamsburg
Chester
Granville
Leyden
Otis
Springfield
Williamstown
Chesterfield
Great Barrington
Longmeadow
Palmer
Stockbridge
Windsor
Chicopee
Greenfield
Ludlow
Pelham
Sunderland
Worthington
Clarksburg
Hadley
Middlefield
Peru
Tolland
DEP Central Region Acton
Charlton
Hopkinton
Millbury
Rutland
Uxbridge
Warren
Ashbumham
Clinton
Hubbardston
Millville
Shirley
627 Main Street Ashby
Douglas
Hudson
New Braintree
Shrewsbury
Webster
Worcester, MA 01605 Athol
Dudley
Holliston
Northborough
Southborough
Westborough
Phone: 508-792-7650 Auburn
Dunstable
Lancater
Northbridge
Southbridge
West Boylston
Ayer
East Brookfield
Leicester
North Brookfield
Spencer
West Brookfield
Fax: 508-792-7621 Barre
Fitchburg
Leominster
Oakham
Sterling
Westford
TDD: 508-767-2788 Bellingham
Gardner
Littleton
Oxford
Stow
Westminster
Berlin
Grafton
Lunenburg
Paxton
Sturbridge
Winchendon
Blackstone
Groton
Marlborough
Pepperell
Sutton
Worcester
Bolton
Harvard
Maynard
Petersham
Templeton
Boxborough
Hardwick
Medway
Phillipston
Townsend
Boylston
Holden
Mendon
Princeton
Tyngsborcugh
Brookfield
Hopedale
Milford
Royalston
Upton
DEP Southeast Region Abington
Dartmouth
Freetown
Mattapoisett
Provincetown
Tisbury
Acushnet
Dennis
Gay Head
Middleborough
Raynham
Truro
20 Riverside Drive Attleboro
Dighton
Gosnold
Nantucket
Rehoboth
Wareham
Lakeville, MA 02347 Avon
Duxbury
Halifax
NewBedford
Rochester
Well
Phone: 508-946-2700 Barnstable
Eastham
Hanover
North Attleborough
Rockland
West Bridgewater
Berkley
East Bridgewater
Hanson
Norton
Sandwich
Westport
Fax: 508-947 6557 Bourne
Easton
Harwich
Norwell
Scituate
West Tisbury
TDD: 508-946-2795 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
Andover
Chelsea
Holbrook
Methuen
Randolph
Walpole
205 Lowell Street Arlington
Cohasset
Hull
Middleton
Reading
Waltham
Wilmington, MA 01887 Ashland
Concord
Ipswich
Millis
Revere
Watertown
Phone: 978-661-7600 Bedford
Danvers
Lawrence
Milton
Rockport
Wayland
Fax: 978 661-7615 Belmont
Dedham
Lexington
Nahant
Rowley
Wellesley
Wenham
Beverly
Dover
Lincoln
Natick
Salem
TDD: 978-661-7679 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 • Appendix A • rev. 11/2!04 Page 1 of 1
. - t
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-885
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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:
242-885
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. 12/15/00 Page 3 of 3