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Home My WebLink AboutMiscellaneous - 78 VEST WAY 4/30/2018 (5)'k� Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1194 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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: wpaform 8b.doc • rev. 7113/04 Page 1 of 4 A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Shaun Milliken computer, use Name only the tab key to move 78 Vest Way your cursor - Mailing Address do not use the North Andover MA. 01845 return key. City/Town State Zip Code Q2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Shaun Milliken Name 10/28/03 242-1194 Dated DEP File Number 3. The project site is located at: 78 Vest Way North Andover Street Address City/Town Map 1048 Parcel 170 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Shaun Milliken Property Owner (if different) Essex North 6257 47 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 7/21/06 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 8b.doc • rev. 7113/04 Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1194 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 conservation Commission Date of Issuance 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 Attachment). Signatures: 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 C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this Day Of Month Year before me, the undersigned Notary Public, personally appeared Name of Document Signer -proved to through satisfactory -evidence of identification, which was/were Massachusetts License Description of evidence of identification DEP File Number: 242-1194 Provided by DEP 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 DOM K WEDGE WARYPUBUC L10f,) COMMONWEALTH OF MASSACHUSETTS MY Comm, Expires Aug. 7, 2009 Place notary seal and/or any stamp above North Andover City/Town Conservation Commission ignature of Notary Public G' Printed Name of Notary Public S' I aC-svq My Co issio Expires (Date) Sig 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 DEP File Number: WPA Form 8B — Certificate of Compliance 242-1194 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: 242-1194 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. 7/13/04 Page 4 of 4 Massachusetts 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 Acton Charlton Hopkinton DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Suite 402 Alford Cummington Hatfield Monterey Richmond Ware Springfield, MA 01103 Amherst Dalton Ashfield Deerfield Hawley Heath Montgomery Rowe Warwick Phone: 413-784-1100 Becket Easthampton Hinsdale Monson Mount Washington Russell Sandisfield Washington Wendell Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Sterling Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Oxford Blandford Erving Huntington New Salem Shelburne West Springfield Lunenburg Brimfield Florida Buckland Lanesborough North Adams Shutesbury West Stockbridge Groton Gill Charlemont Goshen Lee Lenox Northampton Northfield Southampton South Hadley Whately Wilbraham Bolton Cheshire Granby -"Chester Leverett Orange Southwick Granville Chesterfield Great Barrington Leyden Longmeadow Otis Palmer Springfield Stockbridge _Williamsburg Williamstown Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Tyngsborough Clarksburg Hadley Middlefield Peru Tolland Milford DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01608 Ashby Athol Douglas Hudson New Braintree Shrewsbury Webster Phone: 508-792-7650 Auburn Dudley Dunstable Holliston Lancaster Northborough Northbridge Southborough Southbridge Westborough Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Boylston West Brookfield TDD: 508-767-2788 Barre Bellingham Fitchburg Gardner Leominster Oakham Sterling Westford Edgartown 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 DEP Northeast Region Brookfield Hopedale Milford Royalston Upton Wakefield DEP Southeast Region 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 North Attleborough Rochester Rockland Wellfleet Fax: 508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich West Bridgewater Westport TDD: 508-946-2795 Bourne Brewster Easton Harwich Norwell Scituate West Tisbury 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 Plimpton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Boston, MA 02108 Arlington Cohasset Hull Middleton Reading Waltham Phone: 617-654-6500 Ashland Bedford Concord Danvers Ipswich Lawrence Millis Milton Revere Watertown Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rockport Rowley Wayland Wellesley TDD: 617-574-6868 Beverly Dover Lincoln Natick Salem Wenham 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 wpaform8b.doc • DEP Addresses • rev. 7119106 Page 1 of 1