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Home My WebLink AboutMiscellaneous - 252 RALEIGH TAVERN LANE 4/30/2018 (3)Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. tab rehun 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 1. This Certificate of Compliance is issued to: Dana Cohen, Es Name 873 Turnpike Street Mailing Address North Andover City/Town MA State DEP File Number: 1pc0 cG ')a')_7aA nuviueu oy utr 01845 Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Barco Corporation Name Feburary 13, 1980 Dated 3. The project site is located at: 252 Raleiqh Tavern Lane (Lot Street Address Map 106C Assessors Map/Plat Number 242-79A DEP File Number North Andover City/Town 108 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North 1487 316 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 8/10/09 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 for 252 Raleiqh Tavern Lane (Lot E) only 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 PCOG Ll Massachusetts Wetlands Protection Act M.G.L. c. 131 40 242-79A 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 The Order of Conditions has lapsed and is therefore no longer valid.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 t Ci Conservation Commission Date of Iss ance 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 Attachment). wpaform 8b.doc • rev. 7/13/04 Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance PC OG Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24 Provided 2-79A 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: 252 Raleigh Tavern Lane (Lot E) 242-79A Project Location DEP File Number Has been recorded at the Registry of Deeds of: for: Essex North County rroperty Uwner 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: Uocument Numbei Signature of Applicant wpaform 8b.doc • rev. 7/13/04 Page 4 of 4 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance PCCIG LIMassachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-79A Provided by DEP C. Authorization (cont.) Notary Acknowledgement wpaform 8b.doc • rev. 7/13/04 Commonwealth of Massachusetts County of On this Day /4 Essex North Of « a OCA? Month 0 Year before me, the undersigned Notary Public, personally appeared John Mabon, 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 City/Town Place notary seal and/or any stamp above Conservation Commission Signature of Notary P blic Printed Name EyNotary Publi a7 a / My Commission Expir s (D te) , Signature o otary Public tx Mary Leary•lppft o� � Notary Public Commonwealth of Massachusetts ` My Commission Expires l...�4o May 16, 2014 Page 3 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: 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 Cummin ton g Hatfield Monterey Richmond Ware Springfield, MA 01103 Amherst Dalton Ashfield Deerfield Hawley Heath Montgomery Rowe Warwick Fax: 508-792-7621 Becket Easthampton Hinsdale Monson Mount Washington gton 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 Paxton Blandford Erving Brimfield Florida Huntington New Salem Shelburne West Springfield Marlborough Buckland Gill Lanesborough North Adams Shutesbury West Stockbridge Harvard Charlemont Goshen Lee Lenox Northampton Northfield Southampton South Hadley Whately Wilbraham Boxborough Cheshire Granby Chester Leverett Orange Southwick Williamsburg Granville Chesterfield ChesterGreat Barrington Leyden Longmeadow Otis Palmer Springfield Williamstown Winchester Chicopee Greenfield Ludlow Pelham Stockbridge Sunderland Windsor Worthington Upton Clarksburg Hadley Middlefield Peru Tolland Medford DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01608 Ashby Athol Douglas -Dudley Hudson New Braintree Shrewsbury Webster Phone: 508-792-7650 Auburn 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 Oakham Sterling Westford Berlin Grafton Littleton Lunenburg oxford Paxton Stow Sturbridge Westminster Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Yarmouth Boxborough Hardwick Medway Phillipston Townsend Wilmington Boylston Holden Mendon Princeton Tyngsborough Winchester Brookfield Hopedale Milford Royalston Upton Winthrop DEP Southeast Region Abington Dartmouth Freetown Maltapoisett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Lakeville, MA 02347 Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Phone: 508-946-2700 Avon 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 Wilmington Chatham Foxborough Marshfield Plymouth Swansea Winchester Chilmark Franklin Mashpee Plympton Taunton Winthrop DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Boston, MA 02108 Arlington Cohasset Hull Middleton Reading Waltham Phone: 617-654-6500 Ashland 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 Needham Salisbury West Newbury Boxford Everett Lynn 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. 7130/09 Page 1 of 1