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Home My WebLink AboutMiscellaneous - 271 CANDLESTICK ROAD 4/30/2018 (3)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 DEP File Number: 242-461 Provided by DEP B. Certification Check all that apply: r_J Complete Certification: It is hereby certified that the work regulated by the above -referenced Order of Conditions has been satisfactorily completed. Z 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 Lot 27 onlv wpaform 8b.doc - rev. 12/15/00 Page 1 of 3 A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the computer, Stacy & Douglas Korn use Name only the tab key to move 271 Candlestick Road your cursor - Mailing Address do not use the North Andover MA. 01845 return key. Cityrrown State Zip Code VQ 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Robert Janusz Name April 19, 1988 242-461 Dated DEP File Number 3. The project site is located at: 271 Candlestick Road ( Lot 27) North Andover Street Address City/Town 106.A Parcel 235 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 2781 117 County Book Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 7/29/04 Date B. Certification Check all that apply: r_J Complete Certification: It is hereby certified that the work regulated by the above -referenced Order of Conditions has been satisfactorily completed. Z 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 Lot 27 onlv wpaform 8b.doc - rev. 12/15/00 Page 1 of 3 Massachusetts Department of Environmental Protection LkiBureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Pmvidled by DEP B. Certification (cont.) 0 Invalid Order of Conditions: It is hereby certified thatthe 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: Conservation Commission ITI-41-Aal Of 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 Appendix A). 46 19T11 Day before me personally appeared Sco44- 46Lsse- Of xoq ks-� Month aq Year to me known to be the person described in and who executed the foregoing instrument and ackn he/she executed the same as histher free act and deed. = -X/ Nblary Pubic 67 wpaform 8b.doc - rev. 12MSM DONNA M. WEDGE 4F r NOTARY PUBLIC COMMONWEALTH OF MASSACHU;SEUTTS My Comm. Expires Aug. J7,2DO9 ----------- s Page 2 of 3 Ll'Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-461 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: 242-461 Project Location DEP File Number Has been recorded at the Registry of Deeds of: County fo r: 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: Amesbury Chelmsford Hingham Merrimac Commonwealth of Massachusetts 205 Lowell Street Andover Chelsea Holbrook Methuen Department of Environmental Protection Walpole Arlington Cohasset Box 4062 Middleton Reading Waltham Wilmington, MA 01887 Ashland Concord Boston, MA 02211 Millis Revere Watertown Phone: 978-661-7600 Bedford DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Dover 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 Framingham Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax: 413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Gloucester Blandford Erving Huntington New Salem Shelburne West Springfield Groveland Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Hamilton Buckland Gill Lee Northampton Southampton Whately Haverhill Charlemont Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Leverett Orange Southwick Williamsburg Chester Granville Leyden Otis Springfield Williamstown Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Chicopee Greenfield Ludlow Pelham Sunderland 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 01605 Ashby Athol Douglas Dudley Hudson New Braintree Shrewsbury Webster Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunstable Lancater 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 Menclon Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury 20 Riverside Drive A ushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury 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 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 C arver 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 Arlington Cohasset Hull Middleton Reading Waltham Wilmington, MA 01887 Ashland Concord Ipswich Millis Revere Watertown Phone: 978-661-7600 Bedford Danvers Lawrence Milton Rockport Wayland Fax: 978-661-7615 Belmont Dedham Lexington Nahant Rowley Wellesley Beverly Dover Lincoln Natick Salem Wenham TDD: 978-661-7679 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 - Appendix A - rev. 8/5/04 Page 1 of 1 NOV 10 2009 drOWN OF WRTH v ,%IDJ�VER'j HEALTH DEPAR E T-7 �umpinq.�,.Qq p vm L n-1 lom C� I I PQQI(�) YQ) CD NO 41� 101 k Iwo lo If r I ! 1 2 �-Q I �-1 I "I �Ql I $0,000 Ten, ? r7 T v c2 Ror, - , 4144 tow vqf)) �umpinq.�,.Qq p vm L n-1 lom C� I I PQQI(�) YQ) CD NO 41� 101 k Iwo lo If r I ! 1 2 �-Q I �-1 I "I �Ql I $0,000 Ten, ? r7 T v TRANSMISSION VERIFICATION REPORT TIME 07/13/2007 11:12 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATEITIME 07 ' �13 11:11 FAX NO. e"NA4,1E 819782087226 DURATION 00:01:26 03 ,PAGE(S) RESULT OK MODE STANDARD orth Andover H 'h Departmmt 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 — Fax heplibdeptfib northandmE.—com - E-Mckil www.towndnorth Ld-over.com - Website Letter of Transmittal r�a� e of We are sending you: DCqpyofletter 0PIalls J Other (fill in he/ow) These are transmitted as checked below. > L7&r*wW > L7fw&mhy&Wo"nW );;� 0A%'R*gW �, G&raww �. oftS670- ap*or myvmi > 0&&$�_ qg;ff fDr&% North Andover Health Department 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 — Fox healthdept(—a)-townofnorthandover.com - E-mail www.townofnorthandover.com - Website Letter of Transmittal IPage / of Lj 0 Col.. 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