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Massachusetts Department Of Environmental Protection DEP File Number
Bureau of Resource Protection - WetlandsI'anCe 242.1078
PA Form 8B — Certificate of Comp
131, §40 Provided by DEP
Massachusetts Wetlands Protection Act M c
A. Project Information
1. This Certificate of Compliance is issued to:.
Nancy Alib=
Name.
350 Summer Street 01845
Mailing Address MA.
Zip Code
North Andover state
Cityrrown regulated by a final Order of Conditions issued to:
2. This Certificate of Compliance is issued for work reg
Nancy Szypszak (now Huuial,,,,,
242-1078
Name
DEP File Number
8/1/2001
Dated
3. The project site is located at:
North Andover
350 Summer Street
cityrrown
Parcel 162
Street Address
Parcel/Lot Number
Map 107A
Assessors Map/Plat Number
at the Registry of Deeds for:
the final Order of Condition was recorded
Property owner (if different)
6316
Essex North
Book
County
NIA
336
Page
Certificate licant, or the applicant's agent, on:
as made in the presence of the app
4. A site inspection w
12/10/03
Date
B. Certification
cation
-referenced
Check all that apply regulated by the above
Complete Certification: Itis hereby certified thawork
® Order of Conditions has been satisfactorily completed.
onions of work regulated by the
certified that only the followir►g p areas or work
Partial Certification: it hereby
y leted. Theproject
Conthat have been completed and are released from this Order are:
above -referenced Order of Conditions have been satisfactorily coni
subject to this partial certification
page 1 of 3
wpaform BbAoc - rev. 12115100
wpafo
-ayc t oT 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act 242-1078
M.G.L. c. 131, §40 Provided 8 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:
242-1078
Project Location DEP File Number
•
Has been recorded at the Registry of Deeds of:
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. 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:
Commonwealth of Massachusetts
Department of Environmental Protection
Box 4062
Boston, MA 02211
DEP Western Region
Adams
Colrain
Hampden
Monroe
Pittsfield
Tyringham
436 Dwight Street
Agawam
Conway
Hancock
Montague
Plainfield
Wales
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
Belchertown
East Longmeadow
Holland
New Ashford
Savoy
Westfield
Fax: 413-784-1149
Bernardston
Egremont
Holyoke
New Marlborough
Sheffield
Westhampton
Blandford
Erving
Huntington
New Salem
Shelburne
West Springfield
Brimfield
Florida
Lanesborough
North Adams
Shutesbury
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
DEP Southeast Region
Chesterfield
Great Barrington
Longmeadow
Palmer
Stockbridge
Windsor
20 Riverside Drive
Chicopee
Greenfield
Ludlow
Pelham
Sunderland
Worthington
Clarksburg
Hadley
Middlefield
Peru
Tolland
Wareham
DEP Central Region
Acton
Charlton
Hopkinton
Millbury
Rutland
Uxbridge
627 Main Street
Ashburnham
Clinton
Hubbardslon
Millville
Shirley
Warren
Ashby
Douglas
Hudson
New Braintree
Shrewsbury
Webster
Worcester, MA 01605
Athol
Dudley
Holliston
Northborobgh
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
Mendon
Princeton
Tyngsborough
Brookfield
Hopedale
Milford
Royalston
Upton
DEP Southeast Region
Abington
Dartmouth
Freetown
Mattapoisett
Provincetown
Tisbury
20 Riverside Drive
Acushnet
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
Carver
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
wpaformdb.doc • Appendix A • rev. 12/9/03 Page 1 of 1