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Home My WebLink AboutMiscellaneous - 299 WEBSTER WOODS 4/30/2018i Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. vl�te!A x ratan 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: Robert Green Name 299 Webster Woods Lane Mailing Address North Andover Cityrrown MA. State DEP File Number: 9A9-11An rroviueu oy vr-r 01845 uN wuc 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Robert & Susan Green Name 4/29/03 Dated 3. The project site is located at: 299 Webster Woods Lane Street Address Map 1068 Assessors Map/Plat Number 242-1190 DEP File Number North Andover City1rown Parcel 168 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North County Certificate Instrument # 25892 Book 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 6/24/05 Date B. Certification Check all that apply: Page ® 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: wpaform 8b.doc • rev. 7/13/04 Page 1 of 4 Massachusetts Department of Environmental Protection LkiBureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1190 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 71 C. Authorization Issued by: North Andover Q� Conservation Commission Dat of Iss ante This Certificate must be signed b jority of the Conservation Commission and a copy sent to the applicant and appropriate DEP4egional Office (See Attachment). Signatures: 4/ MIJIViOWN4011-1- wpaform M' 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 o Certificate of Compliance 242-1190 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this 0? q th Of Tvye d bob" Day Month Year before me, the undersigned Notary Public, personally appeared 0-��e 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 Conservation Commission Cityrrown DONNA M. WEDGE C0MM0WATH0FW=0WM My Comm. EX ft Aug. 7, 2008 Place notary seal and/or any stamp above Signature of Notary Public 47 :D611414 121 6 Printed Name of Notary Public My C mission xpires (Date) Si ature of Notary Public wpaform 8b.doc • rev. 7/13/04 Page 3 of 4 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: 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: 242-1190 Project Location DEP File Number Has been recorded at the Registry of Deeds of: for: County Property Owner 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: Document Number Signature of Applicant Page wpaform Bb.doc • rev. 7/13/04 Page 4 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP Regional Addresses Massachusett DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge Warren s Wetlands Protection Act M.G.L. c. 131, §40 Clinton Hubbardston Mail transmittal forms and DEP payments, payable to: Shirley Truro 627 Main Street Commonwealth of Massachusetts Douglas Hudson New Braintree Department of Environmental Protection Webster Worcester, MA 01608 Athol Box 4062 Holliston Northborough Southborough Boston, MA 02211 Phone: 508-792-7650 Auburn Dunstable DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham Wales Agawam Conway Hancock Montague Plainfield Leicester Dwight Street 436 Dwi g Alford Cummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfield Deerfield Heath Easthampton Hinsdale Monson Mount Washington Russell Sandisfield Washington Wendell Phone: 413-784-1100 Becket Belchertown East Longmeadow Holland New Ashford Savoy Westfield Fax: 413-784-1149 Bemardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shulesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately 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 Milford DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge Warren Ashbumham Clinton Hubbardston Millville Shirley Truro 627 Main Street Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester, MA 01608 Athol Dudley Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston West Brookfield Ayer East Brookfield Leicester North Brookfield Spencer Westport Fax: 508-792-7621 Barre Fitchburg Leominster Oakham Sterling Westford TDD: 508-767-2788 Bellingham Gardner Littleton Oxford Slow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Weymouth Boxborough Hardwick Medway Phillipston Townsend Wilmington Boylston Holden Mendon Princeton Tyngsborough Winchester Brookfield Hopedale Milford Royalston Upton Winthrop 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 New Bedford Rochester Wellfieet Phone: 508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Berkley East Bridgewater Hanson Norton Sandwich Westport Fax: 508 947-6557 Boume 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 Plainville Stoughton Weymouth Chatham Foxborough Marshfield Plymouth Swansea Wilmington Chilmark Franklin Mashpee Plympton Taunton Winchester DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield Andover Chelsea Holbrook Methuen Randolph Walpole 1 Winter Street Arlington Cohasset Hull Middleton Reading Waltham Boston, MA 02108 Ashland Concord Ipswich Millis Revere Watertown Phone: 617-654-6500 Bedford Danvers Lawrence Millon Rockport Wayland Wellesley Belmont Dedham Lexington Nahant Rowley Fax: 617-556-1049 Beverly Dover Lincoln Natick Salem Wenham TDD: 617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherbom 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 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