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ILIMassachusetts 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
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A. Project Information
1. This Certificate of Compliance is issued to:
DEP File Number:
242-1119
Provided by DEP
Mitchell E. Weisman, Esq., Rubin, Weisman, Colasanti, Kajko, Stein, LLP
Name .
1 Elm Square
Mailing Address
Andover MA 01810
Cityrrown State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Maria Rei
Name
January 24, 2002
Dated
3. The project site is located at:
712 Sharpners Pond Road
Street Address
Map 105D
Assessors Map/Plat Number
North Andover
City/Town
Parcel 6
Parcel/Lot Number
242-1119
DEP File Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
Essex North 93 65
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
5/18/10
wpafrm8b.doc • rev. 12/23/09
Date
WPA Form 8B, Certificate of Compliance • Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
L, i WPA Form 8B — Certificate of Compliance 242-1119
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
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:
EK 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Conditions has lapsed and is therefore no longer valid.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
wpafrm8b.doc - rev. 12/23/09
Issued by:
North Andover
Conservation Commission
('blld
Date of fssuance
This Certificate must be signed by a majority of the Conservation Commission and a
copy sent to the applicant and appropriate DEP Regional Office (See
hftp://www.mass.gov/dep/about/region/findyour.htm).
Cinntn+i inoe-
WPA Form 8B, Certificate of Compliance - Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
L, i WPA Form 8B — Certificate of Compliance 242-1119
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:
712 Sharpners Pond Road 242-1119
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
wpafrm8b.doc - rev. 12/23/09 WPA Form 8B, Certificate of Compliance - Page 3 of 3