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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
L1WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-1056
Provided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Kevin Grasso C/O Grasso Construction
computer, use Name
only the tab
key to move 13 Sarah J. Circle
your cursor- Mailing Address
do not use the Haverhill MA. 01832
return key. City/Town State Zip Code
r� 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Kevin Grasso
Name
2/14/2001 242-1056
Dated DEP File Number
3. The project site is located at:
430.Pleasant Street North Andover
Street Address City/Town
Map 95 Parcel 22
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 6089 201
County Book Page
N/A
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
4/26/04
Date
B. Certification
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:
wpaform Bb.doc•rev.12/15/00 Page 1 of 3
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1056
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therefore no longer valid.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:
67
C. Authorization
Issued by:
North Andover
Conservation Commission Datfi of Is uance
This Certificate must be signed by a majority of the Conservation Commissio d-a- opy sent to the
applicant and appropriate DEP Regional Office (See Appendix A).
Signatures:
U
On Of aQ y
Day Month and Ye r
before me personally appeared
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.
Notary Pubic My corn sio xpires DONNA M.WEDGE
WrARY FUBUC
CMAKMI 7NOFMAMHUSEM
fir Coean lExpir�es Aug.7.X09
wpaform 8b.doc•rev.12/15/00 -rage 2 of 3
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 24
Provvidedided 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:
242-1056
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
i
i
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
Town of North Andover NORTh
��jSLEo'6�ti
Office of the Conservation Department
Community Development and Services Division
e
S ti
27 Charles Street �SSaCHueti��
Julie Parrino P { )
North Andover,Massachusetts 01845 T
978
Telephone 688-9530
Conservation Administrator Fax(978)688-9542
Modification to Order of Conditions
The NORTH ANDOVER CONSERVATION COMMISSION agreed to accept
Applicant: WeV±,% G re,55;,
1 - wsso Co�s'�ruc�,an
13
r f Cf��^ JGtA 1 a Skou)n 6 n -�er `SAS 6w,�T �,�e C e ' i! lQrt
o dock s ,�
d,-te-d Au,.sf 40a0o3 wj remi sed hay ra ooy
r .
as a Modification to the Order of Conditions issued in File 242- 1056 dated a 1 . and
recorded in Book# 60V and"page a0I
Issued by the NORTH ANDOVER CONSERVATION COMMISSION:
On this of Hay dQ0Ybefore me personally appeared Scott Masse to me
day m nth/yr
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.
Notary Public ssio kc
MASSACKUM
P4 Conus EVIn A4 7.20
A receipt from the Lawrence Registry of Deeds must be submitted to this office showing
that this Modification has been recorded and referenced to the book and page numbers.
BOARD OF APPEALS 688-9541 BUILDIi'VG 688-9545 CONSERVATION 688-9530 HEALTH 68b 9540 PLANNING 688-9535