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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
A. Project Information
This Certificate of Compliance is issued to:
Alice & Joseoh Case
DEP File Number:
242-1255
Provided by DEP
Name
2177 Turnpike Street
Mailing Address
North Andover MA. 01845
Cityfrown State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Joseph Casey
Name
June 25, 2004
Dated
3. The project site is located at:
2177 Turnpike Street
Street Address
Map 108C
Assessors Map/Plat Number
242-1255
DEP File Number
North Andover .
Cityrrown
Parcel 66
Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
Essex North
County
Certificate
Document # 29451
Book
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
10/31/05
Date
B. Certification
Check all that apply:
rage
® 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 242-1255
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 The Order of Conditions has lapsed and is therefore no
longer valid.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:
.:
C. Authorization
Issued by:
North Andover
Conservation Commission
iE UJ
Date of I suan e
This Certificate must be signed by a majority of the Conservation Commission and y -sent to the
applicant and appropriate DEP Regional Office (See Attachment).
Signature
011
wpaform 8b.doc • rev. 7/13/04 Page 2 of 4
L7
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1255
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of
On this �V
Day
Essex North
P9 �Oos
Of 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
i _:
DONNA M. WEDGE
COMMONWEALTH OF MALIC
NOTARY PUBLIC
SSACHUSETTS
My Comm. Expires Aug. 7, 2009
North Andover
City/Town
Place notary seal and/or any stamp above
Conservation Commission
rl�1-7)1112-1911
ignature of Notary Public
Panted Name of Notary Public
My Co imfssion/Expires (Date)
Si§nature 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
242-1255
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:
242-1255
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 Bb.doc • rev. 7/13/04 Page 4 of 4
LllMassachusetts 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
Acton
Charlton
Hopkinton
DEP Western Region
Adams Colrain
Hampden
Monroe
Pittsfield
Tyringham
436 Dwight Street
Agawam Conway
Hancock
Montague
Plainfield
Wales
Douglas
Alford Cummington
Hatfield
Monterey
Richmond
Ware
Suite 402
Amherst Dalton
Hawley
Montgomery
Rowe
Warwick
Springfield, MA 01103
Ashfield Deerfield
Heath
Monson
Russell
Washington
Phone: 413-784-1100
Becket Easthampton
Hinsdale
Mount Washington
Sandisfield
Wendell
Spencer
Belchertown East Longmeadow
Holland
New Ashford
Savoy
Westfield
Fax: 413-784-1149
Bemardston Egremont
Holyoke
New Marlborough
Sheffield
Westhampton
Littleton
Blandford Erving
Huntington
New Salem
Shelburne
West Springfield
Grafton
Brimfield Florida
Lanesborough
North Adams
Shutesbury
West Stockbridge
Blackstone
Buckland Gill
Lee
Northampton
Southampton
Whately
Charlemont Goshen
Lenox
Northfield
South Hadley
Wilbraham
Cheshire Granby
Leverett
Orange
Southwick
Williamsburg
Townsend
Chester Granville
Leyden
Otis
Springfield
Williamstown
Princeton
Chesterfield Great Barrington
Longmeadow
Palmer
Stockbridge
Windsor
Milford
Chicopee Greenfield
Ludlow
Pelham
Sunderland
Worthington
Dartmouth
Clarksburg Hadley
Middlefield
Peru
Tolland
20 Riverside Drive
DEP Central Region
Acton
Charlton
Hopkinton
Millbury
Rutland
Uxbridge
627 Main Street
Ashbumham
Clinton
Hubbardston
Millville
Shirley
Warren
Ashby
Douglas
Hudson
New Braintree
Shrewsbury
Webster
Worcester, MA 01608
Athol
Dudley
Holliston
Northborough
Southborough
Westborough
Phone: 508-792-7650
Auburn
Dunstable
Lancaster
Northbridge
Southbridge
West Boylston
Fax: 508-792-7621
Ayer
East Brookfield
Leicester
North Brookfield
Spencer
West Brookfield
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
Tyngsborough
Brookfield
Hopedale
Milford
Royalston
Upton
DEP Southeast Region
Abington
Dartmouth
Freetown
Mattapoisett
Provincetown
Tisbury
20 Riverside Drive
Acushnet
Dennis
Gay Head
Middleborough
Raynham
Truro
Attleboro
Dighton
Gosnold
Nantucket
Rehoboth
Wareham
Lakeville, MA 02347
Avon
Duxbury
Halifax
New Bedford
Rochester
Wellfleet
Phone: 508-946-2700
Barnstable
Eastham
Hanover
North Attleborough
Rockland
West Bridgewater
Fax: 508-947-6557
Berkley
East Bridgewater
Hanson
Norton
Sandwich
Westport
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
Plymplon
Taunton
DEP Northeast Region
Amesbury
Chelmsford
Hingham
Merrimac
Quincy
Wakefield
1 Winter Street
Andover
Chelsea
Holbrook
Methuen
Randolph
Walpole
Arlington
Cohasset
Hull
Middleton
Reading
Waltham
Boston, MA 02108
Ashland
Concord
Ipswich
Millis
Revere
Watertown
Phone: 617-654-6500
Bedford
Danvers
Lawrence
Milton
Rockport
Wayland
Fax: 617-556-1049
Belmont
Dedham
Lexington
Nahant
Rowley
Wellesley
Beverly
Dover
Lincoln
Natick
Salem
Wenham
TDD: 617-574-6868
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 • DEP Addresses • rev. 10/31/05 Page 1 of 1
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
From: North Andover
1. Conservation Commission
DEP File Number:
242-1255
2. This issuance is for (check one): ® Order of Conditions ❑ Amended Order of Conditions
s. To: Applicant:
Joseph
a. First Name
65 Federal Sreet
d. Mailing Address
Wilmington
e. City/Town
Casey
b. Last Name
4. Property Owner (if different from applicant):
c. Company
MA.
f. State
01887
g. Zip Code
a. First Name b. Last Name
c. Company
d. Mailing Address
e. Cityrrown
f. State g. Zip Code
5. Project Location:
2177 Turnpike Street
North Andover
a. Street Address
b. City/Town
Map 108.0
Lot 66
c. Assessors Map/Plat Number
d. Parcel/Lot Number
Latitude and Longitude, if known (note:
electronic filers will click for GIS locator):
e. Latitude f. Longitude
6. Property recorded at the Registry of Deeds
for (attach additional information if more than one parcel):
Essex North
a. County
b. Certificate (if registered land)
6272
89
c. Book
5/11/04
7. Dates:
d. Page
619/Q y .2S ay
a. Date Notice of Intent Filed
b. Datd Public Hearing Closed c. Date of Iss ance
8. Final Approved Plans and Other Documents (attach additional plan or document references as
needed):
Sewage Disposal System Site Plan and Profile
a. Plan Title
Joseph J. Serwatka
Joseph J. Sefwatke, P. E.
b. Prepared By
c. Signed and Stamped by
5%8/04
1 " = 20'
d. Final Revision Date
e. Scale
f. Additional Plan or Document Title
g. Date
250.00
9. Total WPA Fee Paid:
a. Total Fee Paid
b. State Fee Paid c. City/Town Fee Paid
wpaform5.doc • rev. 6/9/04 Page 1 of 8
C
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
1 WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings
1. Findings pursuant to the Massachusetts Wetlands Protection Act:
DEP File Number:
242-1255
Following the review of the above -referenced Notice of Intent and based on the information provided
in this application and presented at the public hearing, this Commission finds that the' areas in which
work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that
apply:
a. ® Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollution
d. ® Private Water Supply e. ❑ Fisheries f. ® Protection of Wildlife
Habitat
g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control
2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes)
Approved subject to:
® the following conditions which are necessary in accordance with the performance standards set forth
in the wetlands regulations. This Commission orders that all work shall be performed in accordance
with the Notice of Intent referenced above, the following General Conditions, and any other special
conditions attached to this Order. To the extent that the following conditions modify or differ from the
plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall
control.
Denied because:
❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland
regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is
submitted which provides measures which are adequate to protect these interests, and a final Order of
Conditions is issued. A description of the performance standards which the proposed work cannot
meet is attached to this Order.
❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect
of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may
not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information
and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions
is issued. A description of the specific information which is lacking and why it is necessary is
attached to this Order as per 310 CMR 10.05(6)(c).
Inland Resource Area Impacts: Check all that apply below. (For Approvals Only)
Resource Area
Proposed
Alteration
3. ❑
Bank
a. linear feet
4. ❑
Bordering Vegetated
Wetland.
a. square feet
5. ❑
Land Under
a. square feet
Waterbodies and
Waterways
e. cu.yd dredged
Permitted Proposed Permitted
Alteration Replacement Replacement
b. linear feet c. linear feet d. linear feet
b. square feet c. square feet d. square feet
b. square feet c. square feet d. square feet
1. cu.yu ureugeu
wpafonn5.doc • rev. 6/9/04 1 I Page 2 of 8
i
V,
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
242-1255
B. Findings (cont.)
❑
Barrier Beaches
Indicate size under Coastal Beaches and/or Coastal Dunes below
Resource Area
Proposed
Permitted
Proposed
Alteration
Alteration
Replacement
6. [:]. Bordering Land Subject
b. square feet c. c/y nourishmt. d. c/y nourishmt.
13.
❑
to Flooding
a. square feet
b. square feet
c. square feet
Cubic Feet Flood
a. square feet
b. square feet c. c/y nourishmt. d. Gy nourishmt
Storage
e. cubic feet
f. cubic feet
g. cubic feet
7. ❑ Isolated Land Subject
to Flooding
a. square feet
b. square feet
❑
Cubic Feet Flood
Storage
c. cubic feet
d. cubic feet
e. cubic feet
8. ❑ Riverfront area
❑
Salt Marshes
a. total sq. feet
b. total sq. feet
Sq ft within 100 ft
b. square feet c. square feet d. square feet
17.
❑
Land Under Salt
c. square feet
d. square feet
Sq ft between 100-200 ft
Ponds
a. square feet
b. square feet
e. square feet
f. square feet
Coastal Resource Area Impacts: Check all that apply
below. (For Approvals Only)
9. ❑ Designated Port
Areas
Indicate size under Land Under the Ocean, below
1o. ❑ Land Under the
Ocean
a. square feet
b. square feet
Permitted
Replacement
d. square feet
h. cubic feet
f. cubic feet
11.
❑
Barrier Beaches
Indicate size under Coastal Beaches and/or Coastal Dunes below
12.
❑
Coastal Beaches
a. square feet
b. square feet c. c/y nourishmt. d. c/y nourishmt.
13.
❑
Coastal Dunes
a. square feet
b. square feet c. c/y nourishmt. d. Gy nourishmt
14.
❑
Coastal Banks
a. linear feet
b. linear feet
15.
❑
Rocky Intertidal
Shores
a. square feet
b. square feet
16.
❑
Salt Marshes
a. square feet
b. square feet c. square feet d. square feet
17.
❑
Land Under Salt
Ponds
a. square feet
b. square feet
c. cu.yd dredged d. cu.yd dredged
18. ❑ Land Containing
Shellfish a. square feet b. square feet c. square feet d. square feet
19. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the
Ocean, and/or inland Land Under Waterbodies and Waterways,
above
20. ❑ Land Subject to
Coastal Storm Flowage a. square feet b. square feet
wpaform5.doc • rev. 6/9/04 Page 3 of 8
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
242-1255
C. General Conditions Under Massachusetts Wetlands Protection Act
(only applicable to approved projects)
1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory
measures, shall be deemed cause to revoke or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any
injury to private property or invasion of private rights.
3. This Order does not relieve the permittee or any other person of -the necessity of complying with all
other applicable federal, state, or local statutes, ordinances, bylaws, or regulations.
4. The work authorized hereunder shall be completed within three years from the date of this Order
unless either of the following apply:
a. the work is a maintenance dredging project as provided for in the Act; or
b. the time for completion has been extended to a specified date more than three years, but less
than five years, from the date of issuance. If this Order is intended to be valid for more than three
years, the extension date and the special circumstances warranting the extended time period are
set forth as a special condition in this Order.
5. This Order may be extended by the issuing authority for one or more periods of up to three years each
upon application to the issuing authority at least 30 days prior to the expiration date of the Order.
6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse,
rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard,
pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing.
7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such
an appeal has been taken, until all proceedings before the Department have been completed.
8. No work shall be undertaken until the Order has become final and then has been recorded in the
Registry of Deeds or the Land. Court for the district in which the land is located, within the chain of title
of the affected property. In the case of recorded land, the Final Order shall also be noted in the
Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to
be done. In the case of the registered land, the Final Order shall also be noted on the Land Court
Certificate of Title of the owner of the land upon which the proposed work is done. The recording
information shall be submitted to this Conservation Commission on the form at the end of this Order,
which form must be stamped by the Registry of Deeds, prior to the commencement of work.
9. A sign shall be displayed at the site not less then two square feet or more than three square feet in
size bearing the words,
"Massachusetts Department of Environmental Protection" [or, "MA DEP"]
"File Number 242-1255
wpaform5.doc • rev. 6/9/04 Page 4 of 8
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number -
242 -1255
C. General Conditions Under Massachusetts Wetlands Protection Act
10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the
Conservation Commission shall be a party to all agency proceedings and hearings before DEP.
11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of
Compliance (WPA Form 8A) to the Conservation Commission.
12. The work shall conform to the plans and special conditions referenced in this order.
13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the
Conservation Commission in writing whether the change is significant enough to require the filing of a
new Notice of Intent.
14. The Agent or members of the Conservation Commission and the Department of Environmental
Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours
to evaluate compliance with the conditions stated in this Order, and may require the submittal of any
data deemed necessary by the Conservation Commission or Department for that evaluation.
15. This Order of Conditions shall apply to any successor in interest or successor in control of the
property subject to this Order and to any contractor or other person performing work conditioned by
this Order.
16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland,
the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden
stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate
of Compliance has been issued by the Conservation Commission.
17.
All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully
stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or
water body. During construction, the applicant or his/her designee shall inspect the erosion controls
on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately
control any erosion problems that occur at the site and shall also immediately notify the Conservation
Commission, which reserves the right to require additional erosion and/or damage prevention controls
it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of
work line has been approved by this Order.
Special Conditions:
If you need more
space for
additional
conditions,
select box to
attach a text
document
wpaform5.doc • rev. 6/9/04 Page 5 of 8
DEP FILE # 242 -1255
Therefore, the North Andover Conservation Commission (hereafter the "NACC")
hereby finds that the following conditions. are necessary, in accordance with the
Performance Standards set forth in the State Regulations, the local ByLaw and
Regulations, to protect those interests noted above. The NACC orders that all work
shall be performed in accordance with said conditions and with the Notice of Intent
referenced below. To the extent that the following conditions modify or differ from the
plans, specifications or other proposals submitted with the Notice of Intent, the
conditions shall control.
GENERAL CONDITIONS
18. Failure to comply with all conditions stated herein, and with all related statutes and
other regulatory measures, shall be deemed cause to revoke or modify this Order.
19. This Order does not grant any property rights or any exclusive privileges; it does
not authorize any injury to private property or invasion of property rights.
However, the NACC, agent of the NACC or the Department of Environmental
Protection (DEP) reserves the right to enter and inspect the property at all
reasonable times until a Certificate of Compliance is issued, to evaluate compliance
with this Order of Conditions, the Act (310 CMR 10.00), the North Andover Wetland
ByLaw and Regulations, and may require any information, measurements,
photographs, observations, and/or materials, or may require the submittal of any
data or information deemed necessary by the NACC for that evaluation. Further,
work shall be halted on the site if the NACC, agent or DEP determines that any of
the work is not in compliance with this Order of Conditions. Work shall not resume
until the NACC is satisfied that the work will comply and has so notified the
applicant in writing.
20. This Order does not relieve the permittee or any other person of the necessity of
complying with all other applicable federal, state or local statutes, ordinances, by-
laws or regulations.
21. The work authorized hereunder shall be completed within three years from the date
of this order.
22. This Order may be extended by the issuing authority for one or more periods of up
to one year each upon application to the issuing authority at least thirty days (30)
prior to the expiration date of the Order (Refer to Section 8.3 (p.37) of the North
Andover Wetland Regulations).
23. The NACC reserves the right to amend this Order of Conditions after a legally
advertised public hearing if plans or circumstances are changed or if new conditions
or information so warrant.
CAWinword\000242-1255 1 NACC 6/19/04
DEP FILE # 242 - 1255
24. Where the Department of Environmental Protection (DEP) is requested to make a
determination and to issue a Superseding Order, the Conservation Commission
shall be a party to all agency proceedings and hearings before the Department.
25. This Order of Conditions is issued under File No. 242-1255. A previous Order of
Conditions was issued under File No. 242-1055, but has expired and is therefore
no longer valid. This Order of Conditions supercedes that of 242-1055.
26. The conditions of this decision shall apply to, and be binding upon, the applicant,
owner, its employees and all successors and assigns in interest or control.. These
obligations shall be expressed in covenants in all deeds to succeeding owners of
portions of the property.
27. The term "Applicant" as used in this Order of Conditions shall refer to the owner,
any successor in interest or successor in control of the property referenced in the
Notice of Intent, supporting documents and this Order of Conditions. The NACC
shall be notified in writing within 30 days of all transfers of title of any portion of
property that takes place prior to the issuance of a Certificate of Compliance.
28. The proposed work includes: Construction of a single family home, septic system,
driveway, associated grading and appurtenance installation.
29. The work shall conform to the following (except as noted in the remainder of this
document where revisions may be required):
Notice of Intent filed by: Joseph Casey (Applicant)
65 Federal Street
Wilmington, MA 01887
Site Plans prepared by: Joseph J. Serwatka, P.E. (Representative)
Post Office Box 1016
North Andover, MA 01841
Entitled, "Sewage Disposal System Site Plan and
Profile"
Dated 6/12/00, Last Revised 5/8/04
Notice of Intent
Prepared by: Joseph J. Serwatka, P.E. (Representative)
31 Kendrick St.
Lawrence, MA 01841
No Date, Receoived May 11, 2004
Other Record Documents: Wall'Detail plan and Specifications
Dated 6/3/04
CAWinword\000242-1255 2 NACC 6/19/04
DEP FILE # 242 -1255
30. The following wetland resource areas are affected by the proposed work: Buffer
Zone to Bordering Vegetated Wetland (BVN). These resource areas are significant
to the interests of the Act and Town ByLaw as noted above and therein. The
applicant has not attempted to overcome the presumption of significance of these
resource areas to the identified interests.
31. The NACC agrees with the applicant's delineation of the wetland resource areas on
the site as shown on the plans dated referenced herein.
32. The NACC finds that the intensive use of the upland areas and buffer zone
proposed on this site will cause further alteration of the wetland resource areas. In
,order to prevent any alteration of wetland resource areas a twenty-five foot (25')
No -Disturbance Zone and a fifty foot (5(Y) No -Construction Zone shall be
established from the edge of the adjacent wetland resource area. The Conservation
Administrator and/or other agents of the NACC do not have the authority to waive
these setbacks as established under the local bylaw. No disturbance of existing
grade, soils or vegetation is permitted in the No -Disturbance zone. (See Section 3.4
& Appendix F of the local Regulations).
33. There shall be no increase in the post development discharges from the storm
drainage system or any other changes in post development conditions that alter the
post development watershed boundaries as currently depicted in the Notice of
Intent and approved by this Order.of Conditions, unless specifically approved in
writing by the Commission.
34. This document shall be included in all construction contracts, subcontracts, and
specifications dealing with the work proposed and shall supersede any conflicting
contract requirements. The applicant shall assure that all contractors,
subcontractors, and other personnel performing the permitting work are fully aware
of the permits terms and conditions. Thereafter, the contractor will be held jointly
liable for any violation of this Order resulting from failure to comply with its
conditions.
35. The owners of the project and their successors in title, in the event they proceed to
alter areas subject to the Commission's jurisdiction under the order, agree that the
Order does not in itself impose upon the Town any responsibility to maintain the
proposed drainage system and that said Town shall not be liable for any damage in-
the
nthe event of failure. By acceptance of this Order, the owners agree to indemnify and
hold harmless to the Town and its residents for any damage attributable to
alterations undertaken on this property pursuant to the Order. Issuance of these
Conditions does not in any way imply or certify that the site or downstream areas
will not be subject to flooding, storm damage or any other form of water damage.
Maintenance of the drainage system, if accepted by the Town as part of a public
way, becomes the responsibility of the Town.
CAWinword\00C\242-1255 3 NACC 6/19/04
DEP FILE # 242 - 1255
36. Issuance of these Conditions does not in any way imply or certify that the site or
downstream areas will not be subject to flooding, storm damage or any other form
of water damage.
PRIOR TO CONSTRUCTION
37. No work shall be undertaken until all administrative appeal periods from this
Order have elapsed or, if such an appeal has been filed, until all proceedings before
the Department or Court have been completed.
38. This Order shall be recorded by the applicant at the Registry of Deeds
immediately after the expiration of all appeal periods. No work shall be undertaken
until the Final Order has been recorded in the Registry of Deeds or the Land Court
for the district in which the land is located, within the chain of title of the affected
property. In the case of recorded land, the Final Order shall also be noted in the
Registry's Grantor Index under the name of the owner of the land upon which the
proposed work is to be done. In the case of registered land, the Final Order shall
also be noted on the Land Court Certificate of Title of the owner of the land upon
which the proposed work is to be done. The recording information shall be
submitted to the North Andover Conservation Commission on the form at the
end of this Order prior to commencement of the work. Any Order not recorded
by the applicant before work commences may be recorded by the NACC at the
applicant's expense.
39. A sign shall be displayed at the site not less than two square feet or more than three
square feet in size bearing the words "Massachusetts Department of
Environmental Protection, File Number 242-1255."
40. Any changes in the submitted plans caused by the applicant, another Board's
decision or resulting from this Order of Conditions must be submitted to the NACC
for approval prior to implementation. If the NACC finds said changes to be
significant, the NACC will call for another public hearing (at the expense of the
applicant). Within 21 days of the close of said public hearing the NACC will issue
an amended or new Order of Conditions. Any errors found in the plans or
information submitted by the applicant shall be considered as changes. The
proposed project may be still under review by other local or state boards or
agencies. This may result in changes to the project plans or wetland impacts. If any
such changes occur a revised plan and an explanation of the revisions shall be
submitted to the NACC for review and approval prior to the start of construction.
No work shall begin on a project until written approval has been granted by the
NACC.
CAWinwor&00C\242-1255 4 NACC 6/19/04
DEP FILE # 242 -1255
41. It is the responsibility of the applicant, owner, and/or successor(s) to ensure that all
conditions of this Order of Conditions are complied with. The project engineer and
contractors are to be provided with a copy of this Order of Conditions and
referenced documents before commencement of construction.
42. Prior to any work commencing on-site, the applicant shall submit to the NACC for
approval, a detailed sequence of construction, including the installation of
sedimentation/ erosion control devices and re -vegetation to be completed before
other work begins on-site.
43. Wetland flagging shall be checked prior to start of construction and shall be re-
established where missing. All wetland flagging shall remain visible and
enumerated per the approved plan(s) throughout the life of the project and until a
Certificate of Compliance is issued so that erosion control measures can be properly
placed and wetland impacts can be monitored. The proposed limit of work shall be
shall be clearly marked with stakes or flags and shall be confirmed by the NACC.
Such markers shall be checked and replaced as necessary and shall be maintained
until all construction is complete. Workers should be informed that no use of
machinery, storage of machinery or materials, stockpiling of soil, or construction
activity is to occur beyond this line at any time. All flags used for the above
purposes shall be of a color different from other flagging used on the site.
44. The entire existing row of staked hay bales backed by trenched siltation fence
shall be re-placed/refreshed in the same exact location as approved due to its
current failing condition between all construction areas and wetlands. The erosion
control barrier will be properly installed and placed as shown on the plans
approved and referenced herein and shall be inspected and approved by the NACC
prior to the start of construction and shall remain intact until all disturbed areas
have been permanently stabilized to prevent erosion. All erosion prevention and
sedimentation protection measures found necessary during construction shall be
implemented at the direction of the NACC. The NACC reserves the right to impose
additional conditions on portions of this project to mitigate any impacts which
could result from site erosion, or any noticeable degradation of surface water
quality discharging from the site. For example, installation of erosion control
measures may be required in areas not shown on the plan(s) referenced in this
Order of Conditions. Should such installation be required by the NACC, they shall
be installed within 48 hours of the Commission's request
45. The applicant shall have on hand at the start of any soil disturbance, removal or
stockpiling, a minimum of 20 hay bales and sufficient stakes for staking these bales
(or an equivalent amount of silt fence). Said bales shall be used only for the control
of emergency erosion problems and shall not be used for the normal control of
erosion.
CAWinword\000242-1255 5 NACC 6/19/04
DEP FILE # 242 - 1255
46. A check payable to the Town of North Andover shall be provided in the amount of
$3,000, which shall be in all respects satisfactory to Town Counsel, Town Treasurer,
and the NACC, and shall be posted with the North Andover Town Treasurer
through the NACC before commencement of work. Said deposit of money shall be
conditioned on the completion of all conditions hereof, shall be signed by a party or
parties satisfactory to the NACC, and Town Counsel, and shall be released after
completion of the project, provided that provisions, satisfactory to the NACC, have
been made for performance of any conditions which are of continuing nature. The
applicant may propose a monetary release schedule keyed to completion of specific
portions of the project for the NACC's review and approval. This condition is
issued under the authority of the local ByLaw. Said bond monies already posted
under 242-1055 shall be properly transferred and processed with interest under
242-1255.
47. The applicant shall designate a professional Wetland Scientist as an "Erosion
Control Monitor" to oversee any emergency placement of controls and regular
inspection or replacement of sedimentation control devices. The name and phone
number of the erosion control monitor must be provided to the NACC by the
designated monitor in writing in the event that this person has to be contacted, due
to an emergency at the site, during any 24-hour period, including weekends. This
person shall be given the authority to stop construction for erosion control
purposes. The erosion control monitor will be required to inspect all such devices
and oversee cleaning and the proper disposal of waste products. Cleaning shall
include removal of any entrapped silt At least once during each week in which
construction activities occurs on-site and for as long thereafter as ground remains
unstabilized, the applicant shall submit a written report from the "Erosion Control
Monitor" to the NACC certifying that, to the best of his/her knowledge and belief
.based on a careful site inspection, all work is being performed in compliance with
this Order of Conditions and that approved setbacks are being adhered to. The
erosion control monitor must visually inspect all sedimentation/erosion control
measures and assume responsibility for their maintenance on a weekly basis and
that they are functioning as intended. In addition, all wetland resource areas must
be visually inspected for siltation, turbidity, and/or other water quality impacts.
48. Prior to construction, the applicant shall permanently mark the edge of the "25'
No -Disturbance Zone" with a permanent field stonewall (refer to approved wall
detail for location and specifications). This will designate their sensitivity and
assure no further inadvertent encroachment into the wetland. The stonewall is
subject to review and approval by the NACC. The applicant shall instruct all
agents to explain this barrier to buyers/lessees/landscapers and all persons taking
over the property from the applicant
49. The foundation comers shall be staked by a Professional Land Surveyor to verify
that the dwelling setbacks depicted on the approved plan are adhered to.
CAWinwor&00C\242-1255 6 NACC 6/24/04
DEP FILE # 242 - 1255
50. The applicant and/or the legal owner of that portion of land upon which these
Orders of Conditions have been placed shall provide to the NACC prior to
transferring, or assigning any portion of said land to another party, subject to
said Orders of Conditions, the "Compliance Certification Form Affidavit"
attached via "Appendix A" signed under the pains and penalties of perjury,
stating that said applicant and/or owner has read these Orders of Conditions and
is in compliance with each and every condition. This document shall apply to
each of the conditions referenced herein and shall be provided to the Conservation
Department at least five (5) business days prior to the closing of said land
transaction.
51. Once these above mentioned pre -construction requirements are complete, the
applicant shall contact the Conservation Office prior to site preparation or
construction and shall arrange an on-site conference with an NACC
representative, the contractor, the engineer, wetland scientist and the applicant to
ensure that all of the Conditions of this Order are understood.. A pre -
construction meeting was held under the expired filing, however a new pre -
construction meeting is necessary to ensure compliance with the conditions as
revised. This Order shall be included in all construction contracts, subcontracts, and
specifications dealing with the work proposed and shall supersede any conflicting
contract requirements. The applicant shall assure that all contractors, subcontractors
and other personnel performing the permitted work are fully aware of the permit's
terms and conditions. Thereafter, the contractor will be held jointly liable for any
violation of this Order of Conditions resulting from failure to comply with its
conditions. The applicant or contractor shall notify the NACC in writing of the
identity of the on-site construction supervisor hired to coordinate construction and
to ensure compliance with this Order. A reasonable period of time shall be
provided as notice of the pre -construction meeting (e.g. 72 hours).
DURING CONSTRUCTION
52. IMPORTANT: Immediately upon completion of the dwelling foundation, and
prior to further construction activities associated with the site, the applicant shall
complete a plan prepared by a Registered Professional Land Surveyor of the
Commonwealth (R.P.L.S.) which accurately depicts the foundation location and it's
proximity to wetland resource areas as approved under this Order of Conditions.
Said plan shall be submitted to the Conservation Administrator for approval.
53. Upon beginning work, the applicant shall submit written progress reports every
month detailing what work has been done in or near resource areas, and what work
is anticipated to be done over the next period. This will update the construction
sequence.
CAWinword\000242-1255 7 NACC 6/19/04
DEP FILE # 242 -1255
54. Any fill used in connection with this project shall be clean fill, containing no trash,
refuse, rubbish or debris, including but not limited to lumber, bricks, plaster, wire,
lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts on
any of the foregoing.
55. No exposed area shall remain unfinished for more than thirty (30) days, unless
approved by the NACC.
56. No re -grading in the buffer zone shall have a slope steeper than 2:1 (horizontal:
vertical). Slopes of steeper grade shall be rip -rapped to provide permanent
stabilization.
57. There shall be no stockpiling of soil or other materials within twenty-five (25) feet of
any resource area.
58. Washings from concrete trucks, or surplus concrete, shall not be directed to, any
drainage system, or wetland resource area.
59. All waste generated by, or associated with, the construction activity shall be
contained within the construction area, and away from any wetland resource area.
There shall be no burying of spent construction materials or disposal of waste on the
site by any other means. The applicant shall maintain dumpsters (or other suitable
means) at the site for the storage and removal of such spent construction materials
off-site. However, no trash dumpsters will be allowed within 50' of areas subject
to protection under the Actor local ByLaw.
60. Accepted engineering and construction standards and procedures shall be followed
in the completion of the project.
61. During and after work on this project, there shall be no discharge or spillage of fuel,
or other pollutants into any wetland resource area. if there is a spill or discharge of
any pollutant during any phase of construction the NACC shall be notified by the
applicant within one (1) business day. No construction vehicles are to be stored
within 100 feet of wetland resource areas, and no vehicle refueling, equipment
lubrication, or maintenance is to be done within 100 feet of a resource area.
M AFTER CONSTRUCTION 0
62. No underground storage of fuel oils shall be allowed on any lot within one -hundred
(100) feet of any wetland resource area. This condition shall survive this Order of
Conditions and shall run with the title of the property. This condition is issued
under the authority of the Town's Wetland protection ByLaw.
CAWinword100C1242-1255 8 NACC 6/19/04
DEP FILE # 242 -1255
63. Fertilizers utilized for landscaping and lawn care shall be slow release, low -nitrogen
types (< 5%), and shall not be used within 25 feet of a resource area. Pesticides and
herbicides shall not be used within 100 feet of a wetland resource area. This
condition shall survive this Order of Conditions and shall run with the title of the
property. This condition is issued under the authority of the Town's Wetland
Protection ByLaw and shall remain in perpetuity.
64. After completion of work, the applicant shall permanently mark the edge of
wetland resource areas and the "No -Disturbance Zone" with signs or markers
designating their sensitivity. This will ensure no further inadvertent
encroachment into the wetland. These permanent markers are available at the
Conservation Office for $2.00 each and are subject to review and approval by the
NACC. The applicant shall. instruct all agents to explain these markers to
buyers/lessees/landscapers and all persons taking over the property from the
applicant.
65. Upon completion of construction and grading, all disturbed areas located outside
resource areas shall be stabilized permanently against erosion. This shall be done
either by loaming and seeding according to SCS standards. If the latter course is
chosen, stabilization will be considered complete once vegetative cover has been
achieved.
66. Upon approved site stabilization by Conservation staff, the erosion controls shall
be removed and properly disposed of. Further, all exposed unvegetated areas
shall be seeded.
67. Upon completion of the project the applicant shall submit the following to the
Conservation Commission as part of a request for a Certificate of Compliance:
a. WPA Form 8A - "Request for a Certificate of Compliance."
b. A letter from the applicant requesting a Certificate of Compliance.
c. The name and address of the current landowner.
d. Signed statements from the individual property owners shall be submitted
with the request for a Certificate of Compliance indicating that they read and
understood the recorded Order of Conditions prior to purchasing their
property.
e. The name and address of the individual/ trust or corporation to whom the
compliance is to be granted.
f. The street address and assessor's map/ parcel number for the project.
g. The DEP file number.
h. A written statement from a Registered Professional Civil Engineer of the
Commonwealth certifying that the work has been conducted as shown on the
plan(s) and documents referenced above, and as conditioned by the
Commission.
CAWinword\000242-1255 9
NACC 6/19/04
DEP FILE # 242 - 1255
i. An "As -Built' plan prepared and signed and stamped by a Registered
Professional Civil Engineer of the Commonwealth, for the public record.
This plan will include:
➢ "As -Built" post -development elevations and grades of all filled or
altered wetland resource areas including the encompassing buffer
zone which is regulated as a resource area under the local Wetland
Protection Bylaw.
➢ Distances from structures to wetland resource areas. Structures
include (but are not limited to) septic systems, additions, fences,
sheds, stone walls, pools, retaining walls, subsurface utilities and
decks.
➢ A line showing the limit of work and the extent of existing erosion
control devices. "Work" includes a_ --y disturbance of soils or
vegetation.
➢ Location of all subsurface utilities entering the property.
68. The following special conditions shall survive the issuance of a Certificate of
Compliance (COC) for this project:
➢ 25' No -Disturbance Zone and a 50' No -Construction Zone shall be
established from the edge of adjacent wetland resource areas. Future
work within 100' of existing wetland resource areas will require a
separate filing with the NACC (refer to Section XI (page 18) of the
Regulations for performance standards within these zones) The
Conservation Administrator and/or other agents of the NACC do not
have the authority to waive these setbacks as established under the
local ByLaw;
➢ Discharge or spillage of pollutants (Condition # 61);
➢ Prohibition of underground fuels (Condition #62);
➢ Limitations on the use of fertilizers, herbicides and pesticides
(Conditions #63).
CAWinword\000242-1255 10 NACC 6/19/04
DEP MILE # 242 -1255
APPENDIX A - AFFIDAVIT
on oath do hereby depose and state:
(authorized agent applicant and/or current owner)
(PLEASE CHECK AT LEAST ONE BLOCK)
1. I am the of
( position with applicant) (applicant name or company name)
the applicant upon whom Order of Conditions
have been placed upon by (DEP or NACC number)
the North Andover Conservation Commission.
&/or
2. I am the of
(position with owner) (owner name)
the owner upon whose land Order of Conditions
have been placed up by (DEP or NACC number)
the North Andover Conservation Commission.
&
3. I hereby affirm and acknowledge that I have received said Order of Conditions
and have read the same and understand each
(DEP File #) and every condition which has been set forth
in said Order of Conditions.
&
4. I hereby affirm and acknowledge that on this day of 19
I inspected said property together with any and all improvements which have
been made to the same and hereby certify that each and every condition set
forth in Order of Conditions are presently in compliance.
(DEP File #)
&
5. I hereby affirm and acknowledge that this document will be relied upon by the
North Andover Conservation Commission as well as any potential buyers of
said property which is subject to said Order of Conditions
(DEP File #)
Signed under the pains and penalties of perjury this day of 19
(Signature - authorized agent of applicant or owner)
C:\Winword\00C\242-1255 11
NACC 6/19/04
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
242-1255
D.
Findings Under Municipal Wetlands Bylaw or Ordinance
1.
Furthermore, the North Andover hereby finds (check one that applies):
Conservation Commission
2.
❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
a. Municipal Ordinance or Bylaw b. Citation
Therefore, work on this project may not go forward unless and until a revised Notice of Intent is
submitted which provides measures which are adequate to meet these standards, and a final Order of
Conditions is issued.
3.
M that the following additional conditions are necessary to comply with a municipal ordinance or
bylaw:
North Andover Wetland Protection Bylaw Chapter 178
a. Municipal Ordinance or Bylaw b. Citation
The Commission orders that all work shall be performed in accordance with the following conditions
and with the Notice of Intent referenced above. To the extent that the following conditions modify or
differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the
conditions shall control.
If you need more
C. The special conditions relating to municipal ordinance or bylaw are as follows:
space for
additional
conditions,
select box to
attach a text /
document
E. Issuance
This Order is valid for three years, unless otherwise specified as a special condition pursuant to General
Conditions IM from the date of issuance.
bas/ay
1. Date & issuzfnce
Please indicate the number of members who will sign this form: .S
This Order must be signed by a majority of the Conservation Commission. 2. Number of signers
The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A
copy also must be mailed or hand delivered at the same time to the appropriate Department of
Environmental Protection Regional Office, if not filing electronically (see Appe and the property
owner. if different from applicant.
N,
wpaform5.doc • rev. 6/9/04 Page 6 of 8
.1 - ♦ 9
Massachusetts Department of Environmental Protection
�- Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
E. Issuance (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of
Essex North
On this a'` r of 1" e,
Day Month
Before me, the undersigned Notary Public, personally appeared
sc d Iq&s.-
Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
L16"e1qse olo4e-
of evidence of identification
v/
DEP File Number:.
242-1255
a 09
Year
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 C n
City/Town
Place notary seal and/or any stamp above
This Order is issued to the applicant as follows:
❑ by hand delivery on
nate
F. Appeals
Conservation U1 111
gnature of Notary Public
�d�nA x 1VC/)6S"
Printed Name of Notary Public
DONNA M. WEDGE
My Commi i �TMOFWS � g
MJC=� A%. 7.2008
® by certified mail, return receipt requested, on
6/ ashy
Date
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject
to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of
their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions.
The request must be made by certified mail or hand delivery to the Department, with the appropriate filing
fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in
310 CMR 10.03(7) within ten business days from the date of issuance of this Order. A copy of the request
shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to
the applicant, if he/she is not the appellant.
The request shall state clearly and concisely the objections to the Order which is being appealed and how
the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands
Protection Act, (M.G.L. c. 131, § 40) and is inconsistent with the wetlands regulations (310 CMR 10.00).
To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts
Wetlands Protection Act or regulations, the Department has no appellate jurisdiction.
Page 7 of 8
wpaform5.doc • rev. 6/9/04
I -�. 4 -
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 -.Order of Conditions
1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
242-1255
G. Recording Information
This Order of Conditions must be recorded in.the Registry of Deeds or the Land Court for the district in
which the land is located, within the chain of title of the affected property. In the case of recorded land, the
Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land
subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court
Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information
on Page 7 of this form shall be submitted to the Conservation Commission listed below.
North Andover
Conservation Commission
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission.
---------------------------------------------------------------------------------------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Order of Conditions for the Project at:
242-1255
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County Book Page
for:
Property Owner
and has been noted in the chain of title of the affected property in:
Book Page
In accordance with the Order of Conditions issued on:
Date
If recorded land, the instrument number identifying this transaction is:
Instrument Number
If registered land, the document number identifying this transaction is:
Document Number
Signature of Applicant
wpaform5.doc • rev. 6/9/04 Page 8 of 8