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Home My WebLink AboutMiscellaneous - 2163 TURNPIKE STREET 4/30/2018 (4)r 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 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ return A. Project Information 1. This Certificate of Compliance is issued to: David Adams Name 2163 Turnpike Street Mailing Address North Andover MA DEP File Number: W7_11 r,'2 ., �y — n1AAG City/Town State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: David Adams Name May 15, 2006 Dated 3. The project site is located at: 2163 Turnpike Street Street Address Map 108C Assessors Map/Plat Number 242-1353 DEP File Number . North Andover City/Town Parcel 67 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Same Property Owner (if different) Essex North County certmcate 10187 Book 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 2/9/09 Date B. Certification 50 Page 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 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1353 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 63 C. Authorization Issued by: North Andover Conservation Commission This Certificate must be signed by a majority of the Conservation Commission applicant and appropriate DEP Regional Office (See Attachment). wpaform 8b.doc • rev. 7/13/04 Date of Issuance sent to the Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-1353 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this - �6 Of �PilDL�Ak Abp Day Month Year before me, the undersigned Notary Public, personally appeared 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 Cityrrown Conservation Commission Signature of Notary Public DONNA M. WC /� iz� r� - NOTARY PuDUC Printed Name of Notary Public COMMONWEALTH OF M,ASSACHUScTTS - Mp Comm. EVIhM Aug. 7, 2009 Place notary seal and/or any stamp above wpaform 8b.doc • rev. 7/13/04 7Oe277 My Com ission xpires (Date)) Si nature of Notary Public Jr Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131 40 242-1353 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: 2163 Turnpike Street 242-1353 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex North County for: David Adams 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 Bb.doc • rev. 7/13/04 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 Mail transmittal forms and DEP payments, payable to: Amesbury Chelmsford Hingham 9 Merrimac Commonwealth of Massachusetts 1 Winter Street Andover Chelsea Holbrook Methuen Department of Environmental Protection Walpole Boston, MA 02108 Arlington Ashland Cohasset Hull Box 4062 Reading Waltham Phone: 617-654-6500 Bedford Concord Danvers Ipswich Lawrence Boston, MA 02211 Revere Watertown Fax: 617-556-1049 Belmont Dedham DEP Western Region g Adams Colrain Hampden p Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Suite 402 Alford Cummington Hatfield Monterey Richmond Ware Springfield, MA 01103 Amherst Ashfield Dalton Deerfield Hawley Heath Montgomery Rowe Warwick Phone: 413-784-1100 Becket Easthampton Hinsdale Monson Mount Washington Russell Sandisfeld Washington Wendell Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Marblehead Bernardston Egremonl Holyoke New Marlborough Sheffield Westhampton Medfield Blandford Brimfield Erving Huntington New Salem Shelburne West Springfield Medford Buckland Florida Gill Lanesborough North Adams Shutesbury West Stockbridge Melrose - Charlemont Goshen Lee Lenox Northampton Northfield Southampton South Hadley Whately Wilbraham Cheshire Granby Leverett Orange Southwick Williamsburg Chester Chesterfield Granville Great Barrington Leyden Longmeadow Otis Palmer Springfield Williamstown Chicopee Greenfield Ludlow Pelham Stockbridge Sunderland Windsor Worthington Clarksburg Hadley Middlefield Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01608 Ashby Athol Douglas Hudson New Braintree Shrewsbury Webster Phone: 508-792-7650 Auburn Dudley Dunstable Holliston Lancaster Northborough Northbridge Southborough Southbridge Westborough Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Boylston West Brookfield TDD: 508-767-2788 Barre Bellingham Fitchburg Gardner Leominster Littleton Oakham Sterling Westford Berlin Grafton Lunenburg Oxford Paxton Stow Sturbridge Westminster Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phillipston Townsend Boylston Holden Mendon Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region g Abington Dartmouth Freetown Mattapoisetl Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Lakeville, MA 02347 Attleboro Avon Dighton Gosnold Nantucket Rehoboth Wareham Phone: 508-946-2700 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 Reg ion Amesbury Chelmsford Hingham 9 Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Boston, MA 02108 Arlington Ashland Cohasset Hull Middleton Reading Waltham Phone: 617-654-6500 Bedford Concord Danvers Ipswich Lawrence Millis Milton Revere Watertown Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rockport Rowley Wayland Wellesley TDD: 617-574-6868 Beverly Billerica Dover Lincoln Natick Salem Wenham Boston Dracut Essex Lowell Lynn Needham Salisbury West Newbury Boxford Everett Lynnfield Newbury Newburyport Saugus Sherborn Weston 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. 2/2/09 Page 1 of 1