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Home My WebLink AboutMiscellaneous - 249 REA STREET 4/30/2018 (3),1*4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance DEP File Number: Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1195 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Geddie Busanovich computer, use Name only the tab key to move 249 Rea Street your cursor - Mailing Address do not use the North Andover MA. 01845 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: Geddie Busanovich Name 5/16/03 242-1195 Dated DEP File Number 3. The project site is located at: 249 Rea Street North Andover Street Address City/rown Map 38 Parcel 143 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North 7825 307 County Book Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 8/23/04 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: wpaform 8b.doc . rev. 12/15/00 Page 1 of 3 Massachusetts Department of Environmental Protection L7�� Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1195 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 71 C. Authorization Issued by: North Andover Conservation Commission This Certificate must be signed by a applicant and appropriatgPEP Regi Signatu On ;2 E 4-h Day before me personally appeared )rity of the Conservation Commi Office (See Appendix A). Of Auc Month aqH Year U of I as cony -slant to the to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed. No ary Pubic My corn issiq&expires DONNA M WEDGE wpaform 8b.doc • rev. 12/15/00 NOTARY PUBUC COMMONWEALTH OF MASSACHUSEM 14 Comm Expires Aug.. T. 2009 . Page 2 of 3 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, 40 242-1195 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: 242-1195 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 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 Acton Charlton Hopkinton DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Suite 402 Alford Cummington Hatfield Monterey Richmond Ware Springfield, MA 01103 Amherst Dalton Ashfield Deerfield Hawley Heath Montgomery Monson Rowe Warwick Phone: 413-784-1100 Becket Easthampton Hinsdale Mount Washington Russell Sandisfield Washington Wendell Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Sterling Bemardston Egremont Holyoke New Marlborough Sheffield Westhampton Oxford Blandford Erving Huntington New Salem Shelburne West Springfield Lunenburg Brimfield Florida Lanesborough North Adams Shulesbury West Stockbridge Groton Buckland Gill Lee Northampton Southampton Whately Bolton Charlemont Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Leverett Orange Southwick Williamsburg Wilmington Chester Granville Leyden Otis Springfield Williamstown Tyngsborough Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Royalston Chicopee Greenfield Ludlow Pelham Sunderland Worthington Freetown Clarksburg Hadley Middlefield Peru Tolland Acushnet DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01605 Ashby Athol Douglas Hudson New Braintree Shrewsbury Webster Phone: 508-792-7650 Auburn Dudley Dunstable Holliston Lancater Northborough Northbridge Southborough Southbridge Westborough West Boylston Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield TDD: 508-767-2788 Barre Fitchburg Leominster Oakham Sterling Westford Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Weymouth Boxborough Hardwick Medway Phillipston Townsend Wilmington Boylston Holden Mendon Princeton Tyngsborough Winchester Brookfield Hopedale Milford Royalston Upton Winthrop DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Lakeville, MA 02347 Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Avon Duxbuy Halifax NewBedford 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 TDD: 508-946-2795 Bourne Easton Harwich Norwell Scituate 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 Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Wilmington, MA 01887 Arlington Ashland Cohasset Hull Middleton Reading Waltham Phone: 978-661-7600 Bedford Concord Danvers Ipswich Lawrence Millis Milton Revere Rockport Watertown Wayland Fax: 978-661-7615 Belmont Dedham Lexington Nahant Rowley Wellesley TDD: 978-661-7679 Beverly Dover Lincoln Natick Salem Wenham Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherbom 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. 8/25/04 Page 1 of 1