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Home My WebLink AboutMiscellaneous - 87 FOXWOOD DRIVE 4/30/2018 (2)cl� Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 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 A. Project Information 1. This Certificate of Compliance is issued to: Joe E. Simmons & Monica L. Simmons Name 87 Foxwood Drive Mailing Address North Andover City/Town MA State DEP File Number: OAO aOl --Vu Vu vy ver 01845 Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Summer Street Realtv Trust Name January 27, 1994 242-683 Dated DEP File Number 3. The project site is located at: 87 Foxwood Drive Street Address Map 65 Assessors Map/Plat Number North Andover City/Town 263 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Summer Street Realty Trust Property Owner (if different) Essex North 4007 County Certificate Book 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 8/10/09 Date B. Certification 241 Page 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 87 Foxwood Drive oniv. wpaform 8b.doc • rev. 7/13/04 Page 1 of 4 FA Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance PCOC 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 4/5— G. Authorization Issued by: North Andover Conservation Commission �/3 JO% 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 Co Authorization (cont.) Notary Acknowledgement wpaform 8b.doc • rev. 7/13/04 DEP File Number: PC 0G 242-68'3 . Provided by DEP Commonwealth of Massachusetts County of Essex North On this /3Of `� ao� Day Month U Year before me, the undersigned Notary Public, personally appeared John Mabon, 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 North Andover City/Town Place notary seal and/or any stamp above Conservation Commission Signature of Notary Pub Ip Printed Name offf6tary Public s16 2� My Commission Expires Date) Signature of Notgry Public i Mary Leary-Ippolito wrt Notary Public Commonwealth of Massachusetts My Commission Expires May 16, 2014 Page 3 of 4 q r_ Massachusetts, Department of Environmental Protection Bureau of Resource Protection,- Wetlands DEP File Number: WPA Form 8B - Certificate of Compliancepco r - Massachusetts Wetlands Protection Act M G.L, c. 131, §40 242-683' 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: 87 Foxwood Drive 242-683 Project Location DEP File Number Has been recorded at the Registry of Deeds of: for: Essex North County Joseph E. Simmons & Monica L. Simmons Property Owner and has been noted in the chain of title of the affected property on: Date Book If recorded land, the instrument number which identifies this transaction is: If registered land, the document number which identifies this transaction is: .Jwwnem rvurnoei Signature of Applicant Page wpaform 8b.doc • rev. 7/13/04 Page 4 of 4 DEP Northeast Region g Amesbury Massachusetts Department of Environmental Protection Hin ham 9 Merrimac Quincy Bureau of Resource Protection - Wetlands 1 Winter Street Andover Arlington Chelsea Holbrook / DEP Regional Addresses Wakefield Walpole Boston, MA 02108 Ashland Cohasset Concord Massachusetts'Wetlands Protection.Act M.G.L. c. 131, §40 . Reading Mail transmittal forms and DEP payments, payable to: Bedford Danvers Ipswich Lawrence Commonwealth of Massachusetts Revere Watertown Fax: 617-556-1049 Belmont Department of Environmental Protection Lexington 9 on Nahant Rockport Rowley Box 4062 TDD: 617-.574-6868 Beverly Billerica Dover Lincoln Boston, MA 02211 Salem Wellesley Wenham Boston DEP Western Region Adams Colrain Hampden Monroe Salisbury West Newbury Boxford Agawam Conwayancock 436 Dwight Street y Lynnfield Montague Pittsfield Tyringham Alford Cummington Suite 402 Hatfield g Monterey Plainfield Richmond Wales Amherst Dalton Springfield, MA 01103 Ashfield Deerfield Hawley Heath Montgomery Rowe Ware Warwick Phone: 413-784-1100 Becket Easthampton Hinsdale Monson Mount Washington Russell Sandisfield Washington BelcheRown East Longmeadow Fax: 413-784-1149 g Holland New Ashford Savoy Wendell Bernardslon Egremont Blandford Erving Holyoke Huntington New Marlborough Sheffield Westfield Westhampton Brimfield Florida Lanesborough New Salem North Adams Shelburne West Springfield Buckland Gill Charlemont Lee Northampton Southampt Southampton West Stockbridge Wilbrah Goshen Cheshire Granby Lenox Levereft Northfield South Hadley Wilbraham Chester Granville Leyden Orange g Otis Southwick Williamsburg Chesterfield Great Barrington Longmeadow Palmer Springfield Stockbridge Williamstown Windsor Chicopee Greenfield Clarksburg Hadley Ludlow Middlefield Pelham Sunderland Worthington Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Uxbridge Ashby Douglas Worcester, MA 01608 Athol Dudley Hudson Holliston New Braintree Shrewsbury Waren Webster Phone: 508-792-7650 Auburn Dunstable Lancaster Northborough 9 Southborough Westborough Ayer Fax: 508-792-7621 y East Brookfield Leicester Northbridge North Brookfield Southbridge Spencer West Boylston Barre Fitchburg TDD: 508-767-2788 Bellingham Leominster Oakham Sterlin g West Brookfield Westford Gardner Berlin Grafton Littleton Lunenburg Oxford Paxton Stow Westminster Blackstone Groton Marlborough Pepperell Sturbridge Sutton Wnchendon Worcester Bolton Harvard Boxborough Hardwick Maynard Medway Petersham Templeton Boylston Holden Mendon Phillipston Princeton Townsend Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth g Freetown Matta oisett p Provincetown 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Tisbury Truro Attleboro Dighton Lakeville, MA 02347 Avon Duxbury Gosnold Halifax Nantucket Rehoboth Wareham Phone: 508-946-2700 Barnstable Eastham Hanover New Bedford Rochester Wellfleet Fax: 508-947-6557 Berkley East Bridgewater Hanson North Attleborough Norton Rockland West Bridgewater Boume Easton TDD: 508-946-2795 Brewster Edgartown Harwich Kingston Norwell Sandwich Scituate Westport West Tisbury Bridgewater Fairhaven Lakeville Oak Bluffs Orleans Seekonk Whitman Brockton Fall River Mansfield Pembroke Sharon Somerset Wrentham Carver Falmouth Chatham Marion Plainville Stoughton Yarmouth Foxborough Chilmark Franklin Marshfield Mashpee Plymouth Swansea Plympton, Taunton DEP Northeast Region g Amesbury Chelmsford Hin ham 9 Merrimac Quincy 1 Winter Street Andover Arlington Chelsea Holbrook Methuen Randolph Wakefield Walpole Boston, MA 02108 Ashland Cohasset Concord Hull Middleton Reading Waltham Phone: 617-654-6500 Bedford Danvers Ipswich Lawrence Millis Milton Revere Watertown Fax: 617-556-1049 Belmont Dedham Lexington 9 on Nahant Rockport Rowley Wayland TDD: 617-.574-6868 Beverly Billerica Dover Lincoln Natick Salem Wellesley Wenham Boston Dracut Essex Lowell Lynn Needham Salisbury West Newbury Boxford Everett Lynnfield Newbury P ort Saugus Sherbom Weston Braintree BrooklineSomerville Framingham Georgetown Malden Manchester Newton Westwood Weymouth Burlington Gloucester -By -The -Sea Marblehead Norfolk Stoneham Wilmington Cambridge Groveland Medfield North Andover North Reading Sudbury Swampscott Winchester Canton Carlisle Hamilton Medford Norwood Tewksbury Winthrop Woburn Haverhill Melrose Peabody Topsfield wpaform8b.doc • DEP Addresses • rev. 8/5/09 Page 1 of 1