The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 28 WEYLAND CIRCLE 4/30/2018'ems- til LlMassachusetts 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 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. A. Project Information 1 . This Certificate of Compliance is issued to: Katie Potrzuski, SKM Title & Closing Services P. C. Name 619 Washington Street Mailing Address South Easton 2. City/Town MA State DEP File Number: PC0<:: ')A7 COO r-iuviucu uy u�_r 02375 Zip Code This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to Summer Street Realtv Trust Name -- January 27, 1994 242-683 Dated DEP File Number 3. The project site is located at: 28 Weyland Circle (Lot 44A & Lot Y) North Andover Street Address City/Town Map 65 269 Assessors Map/Plat Number Parcel/Lot Number `the final Order of Condition was recorded at the Registry of Deeds for Summer Street Realtv Trust Property Owner (if different) Essex North 4007 County Book Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 11/2/09 Date B. Certification 7A'I _y1 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 28 WeyLand Circle (Lot 44A & LotY) onlv. wpaform 8b.doc • rev. 7/13/04 Page 1 of 4 r,;, 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 §40 242-683 � iProvided 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 45 C. Authorization Issued by: North Andover Conservation Commission Date of I suance 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). Signatu wpaform 8b.doc • rev. 7/13/04 Page 2 of 4 a 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 C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North Olayepl4e On this Day Of Month 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 DEP File Number: PC o c n1) r_oo 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 DONNA K WEDGE NNMY FUBW Lis COM1111CO 11n OFMASSACHUSETTS My Came. E*e J yy 15, 2018 oil slip Place notary seal and/or any stamp above wpaform Bb.doc • rev. 7/13/04 North Andover City/Town Conservation Commission Signature of Notary Public a2lv aj,1 -pcE Printed Name of Notary Public 71s-Ak My omC mission Expires (Date) Signature of Notary Public Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance PC 0C Li Massachusetts Wetlands Protection Act M.G.L. c. 131 40 24 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: 28 Weyland Circle (Lot 44A & Lot Y) 242-683 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex North 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. 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: Amesbury Chelmsford Hingham Merrimac Commonwealth of Massachusetts 1 Winter Street Andover Chelsea Holbrook Methuen Department of Environmental Protection Walpole Boston, MA 02108 Arlington Cohasset Box 4062 Middleton Reading Waltham Ashland Concord Boston, MA 02211 Millis Revere Watertown Phone: 617-654-6500 Bedford 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 Dracut 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 Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield - Georgetown 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 01608 Ashby Douglas Hudson New Braintree Shrewsbury Webster 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 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 - "- I Worcester Bolton Harvard Maynard Petersham Templeton Boxborouch Hardwick Medwav Phil!ipston Townsend Boylston Holden Mendon Princeton Tyngsborough Brookfield Hopedale Milford Royaiston Upton 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 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 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 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Boston, MA 02108 Arlington Cohasset Hull Middleton Reading Waltham 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 TDD: 617-574-6868 Beverly - Dover Lincoln Natick Salem Wenham 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. 11/5/09 Page 1 of 1