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HomeMy WebLinkAboutMiscellaneous - 29 JOHNNY CAKE STREET 4/30/2018 (4)owl's 10 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Numbc WPA Form 8B — Certificate of Compliance 242-1177 L� i I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEI A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Linda DelPaggio computer, use Name only the tab key to move 29 Johnny Cake Street your cursor - Mailing Address do not use the North Andover MA. 01845 return key. Cityrrown State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Linda DelPaggio Name 12/19/02 242-1177 Dated DEP File Number 3. The project site is located at: 29 Johnny Cake Street North Andover Street Address City/Town Map 107A Lot 178 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 7451 227 County Book Page N/A Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 9/9/03 Date B. Certification Check all that apply: Z Complete Certification: It is. hereby certified that the work regulated by the above -referenced Order of Conditions has been satisfactorily completed. F-1 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 LidMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number WPA Form 8B — Certificate of Compliance 242-1177 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP B. Certification (cont.) F1 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 The Order of Conditions has lapsed and is therefore no longer valid.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. Z 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: 62 C. Authorization Issued by: North Andover Conservation Commission Date 161' l9suance This Certificate must be signed by a majority of the Conservation Commission py sent to the applicant nd appropriate DEP Region Office (See Appendix A). Signatu4 On / �) Day before me personally appeared Of 9 -,2 ,),ro Month and Year 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. -2;1 Nota�y Pubic My commission expires wpaform 8b.doc - rev. 12115/00 Page 2 of ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1177 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: 242-1177 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. 12/15100 Page 3 of 3 LlMassachusetts 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: Abington Dartmouth Freetown Mattapoisett Commonwealth of Massachusetts Acushnet Dennis Gay Head Middleborough Department of Environmental Protection 20 Riverside Drive Attleboro Dighton Gosnold Box 4062 Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax Boston, MA 02211 Rochester Welffleet Phone: 508-946-2700 Barnstable Eastharn DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Alford Conway Cummington Hancock Hatfield Montague Monterey Plainfield Richmond Wales Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfield Deerfield Heath Monson Russell Washington Lakeville Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Phone: 413-784-1100 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax: 413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Marshfield Blandford Erving Huntington New Salem Shelburne West Springfield Mashpee Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Medfield Buckland Gill Lee Northampton Southampton Whately Medford Charlemont Goshen Lenox Northfield South Hadley Wilbraham Melrose Cheshire Granby Levereft 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 OEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Ashby Clinton Douglas Hubbardston Hudson Millville New Braintree Shirley Shrewsbury Warren Webster Worcester, MA 01605 Athol Dudley Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunstable Lancater Northbridge Southbridge West Boylston Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Fax: 508-792-7621 Barre Fitchburg Leominster Oakham Sterling Westford TDD: 508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Winchenclon 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 Acushnet Dennis Gay Head Middleborough Raynham Truro 20 Riverside Drive Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax NewBectford Rochester Welffleet Phone: 508-946-2700 Barnstable Eastharn Hanover North Attleborough Rockland West Bridgewater Berkley East Bridgewater Hanson Norton Sandwich Westport Fax: 508-947-6557 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 Carver Falmouth Marion P:ainville Stoughton Weymouth Chatham Foxborough Marshfield P ymouth Swansea Wilmington Chilmark Franklin Mashpee Plympton Taunton Winchester DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield Andover Chelsea Holbrook Methuen Randolph Walpole 205 Lowell Street 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 Belmont Dedham Lexington Nahant Rowley Wellesley Fax: 978-661-7615 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 Maiden 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.cloc - Appendix A - rev, 9/9/03 Page 1 of 1