The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 46 WINTERGREEN DRIVE 4/30/2018i Y �� R p(� 3 � "� �,' c� IG ".'� _tom' f = _ �. l u Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance P Coc Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-265. Provided by DEP 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 46 Wintergreen Drive (Lot 20) on wpaform 8b.doc • rev. 7/13/04 Page 1 of 4 A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Edmond & Shermayne Albert computer, use Name only the tab key to move 46 Wintergreen Drive (Lot 20) your cursor - Mailing Address do not use the North Andover MA 01845 return key. Cityfrown State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Wintergreen Realty Trust Name May 7; 1985 242-265 Dated DEP File Number 3. The project site is located at: 46 Wintergreen Drive (Lot 20) North Andover Street Address Cityrrown Map 104B Parcel 193 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 2824 214 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 11/3/08 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: PCOC for 46 Wintergreen Drive (Lot 20) on wpaform 8b.doc • rev. 7/13/04 Page 1 of 4 e is Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Pcvc: Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24 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: C. Authorization Issued by: North Andover Conservation Commission This Certificate must be signed by a majority of the Conservatio Commission an applicant and appropriate DEP Regional Office (See Attachm I i Signatures: � v l d R d? Da4 of suance copy sent to the wpaform 8b.doc • rev. 7/13/04 Page 2 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 G. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of S- �h On this Day Essex North DEP File Number: PCC,L 242-265 Provided by DEP Of Ci)Oo ' Month Year before me, the undersigned Notary Public, personally appeared �N fJ,46(,)A 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 i�Y�llili DONNA M. WEDGE NOTARY PUBUC COMMONWEALTH Of MASSACHUSETTS My Comm Expires Aug. 1, 2009 North Andover Cityrrown Place notary seal and/or any stamp above Conservation Commission Signature of Notary Public 1)0/),V . Printed Name of Notary Public My Commissio Expires (Date) nX Sig ature of Notary Public dr wpaform 8b.doc • rev. 7/13/04 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, Massachusetts Wetlands Protection Act M.G.L. c. 131 §40 242-265 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: 46 Wintergreen Drive (Lot 20) 242-265 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 y., LIMassachusetts 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: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region g Adams Colrain Hampden P Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Suite 402 Alford Amherst Cummin ton g Hatfield Monterey Richmond Ware Springfield, MA 01103 Ashfield Dalton Deerfield Hawley Heath Montgomery Rowe Warwick Fax: 508-792-7621 Becket Easthampton Hinsdale Monson Mount Washington gton Russell Sandisfield Washington Wendell Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Bernardston Blandford Egremont Erving Holyoke Huntington New Marlborough Sheffield Westhampton Brimfield Florida Lanesborough New Salem North Adams Shelburne Shutesbury West Springfield West Stockbridge Buckland Charlemont Gill Goshen Lee Lenox Northampton Southampton Whately Cheshire Granby Leverett Northfield Orange South Hadley Southwick Wilbraham Williamsburg Chester Chesterfield Granville Great Barrington Leyden Longmeadow Otis Palmer Springfield Williamstown Chicopee Greenfield Ludlow Pelham Stockbridge Sunderland Windsor Worthington Clarksburg Hadley Middlefield Peru Tolland Woburn DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashbumham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01608 Ashby Athol Douglas Dudley Hudson Holliston New Braintree Shrewsbury Webster Phone: 508-792-7650 Auburn Dunstable Lancaster Northborough Northbridge Southborough Southbridge Westborough West Boylston Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield TDD: 508-767-2788 Barre Bellingham Fitchburg Gardner Leominster Oakham Sterling Westford Berlin Grafton Littleton Lunenburg Oxford Paxton Stow Sturbridge Westminster Winchendon Blackstone Bolton Groton Marlborough Pepperell Sutton Worcester Boxborough Harvard Hardwick Maynard Medway Petersham Phillipston Templeton Townsend Yarmouth Boylston Holden Mendon Princeton Tyngsborough Wilmington Brookfield Hopedale Milford Royalston Upton Winchester DEP Southeast Region g 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 Phone: 508-946-2700 Avon Barnstable Duxbury Eastham Halifax Hanover New Bedford Rochester Wellfleet Fax: 508-947-6557 Berkley East Bridgewater Hanson North Aftleborough Norton Rockland Sandwich West Bridgewater TDD: 508-946-2795 Bourne Brewster Easton Harwich Norwell Scituate Westport West Tisbury Boston Edgartown Kingston Oak Bluffs Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Wilmington Chatham Foxborough Marshfield Plymouth Swansea Winchester Chilmark Franklin Mashpee Plympton Taunton Winthrop DEP Northeast Region g Amesbury Chelmsford Hingham g Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Boston, MA 02108 Arlington Ashland Cohasset Concord Hull Middleton Reading Waltham Phone: 617-654-6500 Bedford Danvers Ipswich Lawrence Millis Milton Revere Rockport Watertown Wayland Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rowley Wellesley TDD: 617-574-6868 Beverly Billerica Dover Dracut Lincoln Natick Salem Wenham Boston Essex Lowell Lynn Needham Newbury Salisbury Saugus West Newbury 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 Addresses • rev. 11/3/08 Page 1 of 1