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HomeMy WebLinkAboutMiscellaneous - 261 CARLTON LANE 4/30/2018 (3)Cl) 'I'S I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands U WPA Form 8B PeEertificate of Compliance L11 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 A. Project Information 1. This Certificate Of Compliance is issued to: Curtis Law Office Name 8 Cedar Street, Suite 55 Mailing Address Woburn Cityfrown MA State DEP File Number: F>Ccc 9A9_1 1 r�A r-IUVIUUU UY Licr- 01801 Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Desun Corporation Name December 21, 1982 Dated 3. The project site is located at: 261 Carlton Lane (Lot 44) Street Address Map 107A Assessors Map/Plat Number 242-115A DEP File Number North Andover Cityrrown Parcel 212 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North County Certificate 1652 Book 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 11/16/09 Date B. Certification 79 Page Check all that apply: D 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 261 Carlton Lane (Lot 44) oniv. wpaform 8b.doc - rev. 7/13/04 Page I of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance PCOC, Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-115A L� i Provided by DEP B. Certification (cont.) El 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 The Order of Conditions has lapsed and is therefore no longer valid.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. EJ 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 // // , 7 Le) -'7 Date of Isguance 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). Signatures: We � =4 - 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 P60c- L Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-115A Provided bv DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this Day /.7 V"I Of 41a ver-i6ee ;200t7 Month 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 Conservation Commission DONNA M. WEDGE WrAWPUBM =WWff&IH0FWAAQlftWM W/CWME)j*njukI6,2DI6 49 -q . 1. 1 Place notary seal and/or any stamp above -1tary Public Printed Name of Notary Public — 9' /S- lvolp Mv Co/mi—ssio/Expires (Date) - - 0- ! � t- A �' � 2; -/ ", 4, - �z (L Signature of Notary Public If wpaform 8b.doc -rev 7/13/04 Page 3 of 4 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — certificate Of Compliance P6 0c, Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-115A 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: 261 Carlton Lane (Lot 44) 242-115A Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex North Co—unty for: -�—ro—pertyowner and has been noted in the chain of title of the affected property on: Date Book If recorded land, the instrument number which identifies this transaction is: If registered land, the document number which identifies this transaction is: JUUMUM NUMDel oi9tiature OT Appicant Page wpaform 8b.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: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Agawam Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Afford Conway Hancock Montague Plainfield Wales Suite 402 Amherst Cummington Dalton Hatfield Monterey Richmond Ware Springfield, MA 01103 Ashfield Deerfield Hawley Heath Montgomery Rowe Warwick Phone: 413-784-1100 Becket Easthampton Hinsdale Monson Mount Washington Russell Sandisfield Washington Wendell Fax: 413-784-1149 Belchertown Bernardston East Longmeadow Egremont Holland Holyoke New Ashford Savoy Westfield Blandford Erving Huntington New Marlborough New Salem Sheffield Shelburne Westhampton Brimfield Buckland Flodda Gill Lanesbomugh North Adams Shutesbury West Springfield West Stockbridge Charlemont Goshen Lee Lenox Northampton Northfield Southampton South Hadley Whately Wilbraham Cheshire Chester Granby Granville Leverett Orange Southwick Williamsburg Chesterfield Great Barrington Leyden Longmeadow Otis Palmer Springfield Stockbridge Williamstown Windsor co Chi pee Clarksburg Greenfield Hadley Ludlow Middlefield Pelham Sundedand Worthington Carlisle Haverhill Melrose Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Tisbury 627 Main Street Ashbumham Clinton Hubbardston Millville Shirley Uxbridge Warren Worcester, MA 0 1608 Ashby Athol Douglas Hudson New Braintree Shrewsbury Webster Phone: 508-792-7650 Auburn Dudley Dunstable Holliston Lancaster Northlborough Southborough Westborough Fax: 508-792-7621 Ayer East Brookfield Leicester Northbridge North Brookfield Southbridge 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 Winchandon Blackstone Bolton Groton Harvard Marlborough Maynard Pepperell Petersham Sutton Worcester Boxborough Hardwick Medway Phl!llpston Templeton Townsend Weymouth Boylston Brookfield Holden Menclon Princeton Tyngsborough Wilmington Chilmark Hopedale Milford Royalston Upton Winchester Winthrop DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincelown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynharn 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 Attleloorough Norton Rockland Sandwich West Bridgewater TDD: 508-946-2795 Bourne Brewster Easton Harwich Norwell Scituate Westport West Tisbury Bridgewater Edgartown Fairhaven Kingston Lakeville Oak Bluffs Seekonk Whitman Brockton Fall River Mansfield Orleans Pembroke Sharon Somerset Wrentham Yarmouth Carver Falmouth Marion Plainville Stoughton Weymouth Chatham Foxborough Marshfield Plymouth Swansea Wilmington Chilmark Franklin Mashpee Plympton Taunton Winchester Winthrop DEP Northeast Region Amesbury Chelmsford Hingham 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 Brookline Framingham Maiden Newton Somerville Weymouth Burlington Georgetown Gloucester Manchester -By -The -Sea Norfolk Stoneham Wilmington Cambridge Groveland Marblehead Medfield North Andover North Reading Sudbury Swampscott Winchester Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody Topsfield wpaform8b.doc - DEP Addresses - rev. 11/10/09 Page 1 of 1