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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
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A. Project Information
1. This Certificate of Compliance is issued to:
Alan B. Sharaf, Esq., SKM Title & Closing Services, P. C.
Name
1583 Beacon Street
DEP File Number:
7d7_1 R
r-rovioeo Dy utr
Mailing Address
Brookline MA 02446
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
North Andover Associates
Name
Novemeber 16, 1973
Dated
3. The project site is located at:
88 Saw Mill Road (Lot 42 & New Lot 41A
Street Address
104B
Assessors Map/Plat Number
242-16
DEP File Number
North Andover
City/Town
Parcel 60
Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
North Andover Associates
Property Owner (if different)
Essex North
County
Certificate
1356
Book
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
5/18/09
Date
B. Certification
1;n.1;
rays
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.
wpaform 8b.doc • rev. 7/13/04
® 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:
Lot 41 A on Plann No. 7709 and Lot 42 of the previous Plan No. 7570 as recorded at the Registry of
Deeds.
Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance °G
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 242-16
Provided by DEP
B. Certification (cont.)
LJ 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 The Order of Conditions has lapsed and is therefore no
longer valid.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
DVao �fs suance
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).
Sig
wpaform 8b.doc • rev. 7/13/04
Page 2 of 4
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, 40 242-16
Provided by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
- ' .7A-0/ ANG
On this
Day Of Month Year
before me, the undersigned Notary Public, personally appeared
.Jo17t) 11AtJ0n
Name of Document Signer
provedto 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 Conservation Commission
DONNA M. WEDGE
"I' F7
NOTARY PUBLIC
nNWEALTH OF MASSACHUSETTS
Comm. Expires Aug. 7, 2009
Place notary seal and/or any stamp above
s
N em,
Signature of Notary Public '
dnr7.4 41. Gr/ 6l,6: �5—
Printed Name of Notary Public
7 eco 9'
My Commissio Expires (Date)
Si nature 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 pc;®C-
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-16
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:
242-16
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
If recorded land, the instrument number which identifies this transaction is:
If registered land, the document number which identifies this transaction is:
vucumem rvumoei
oignaiure OrHppucant
Page
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
Monson
Rowe
Russell
Warwick
Phone: 413-784-1100
Becket Easthampton
Hinsdale
Mount Washington
Sandisfield
Washington
Wendell
Fax: 413-784-1149
Belchertown East Longmeadow
Holland
New Ashford
Savoy
Westfield
Sterling
Bernardston Egremont
Holyoke
New Marlborough
Sheffield
Westhampton
oxford
Paxton
Blandford Erving
Huntington
New Salem
Shelburne
West Springfield
Marlborough
Brimfield Florida
Lanesborough
North Adams
Shutesbury
West Stockbridge
Harvard
Buckland Gill
Lee
Northampton
Southampton
Whately
Boxborough
Charlemont Goshen
Lenox
Northfield
South Hadley
Wilbraham
Cheshire Granby
Leverett
Orange
Southwick
Williamsburg
Chester Granville
Leyden
Otis
Springfield
Williamstown
Upton
Chesterfield Great Barrington
Longmeadow
Palmer
Stockbridge
Windsor
Plympton
Chicopee Greenfield
Ludlow
Pelham
Sunderland
Worthington
Hingham
g
Clarksburg Hadley
Middlefield
Peru
Tolland
Andover
DEP Central Region
Acton
Charlton
Hopkinton
Millbury
Rutland
Uxbridge
627 Main Street
Ashbumham
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
West Boylston
Fax: 508-792-7621
Ayer
East Brookfield
Leicester
North Brookfield
Spencer
West Brookfield
TDD: 508-767-2788
Barre
Bellingham
Fitchburg
Gardner
Leominster
Littleton
Oakham
Sterling
Westford
TDD: 508-946-2795
Berlin
Grafton
Lunenburg
oxford
Paxton
Stow
Sturbridge
Westminster
Winchendon
Blackstone
Groton
Marlborough
Pepperell
Sutton
Worcester
Bolton
Harvard
Maynard
Petersham
Templeton
Wrentham
Boxborough
Hardwick
Medway
Phillipston
Townsend
Yarmouth
Boylston
Holden
Mendon
Princeton
Tyngsborough
Brookfield
Hopedale
Milford
Royalston
Upton
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
Avon
Duxbury
Halifax
New Bedford
Rochester
Wellfieet
Phone: 508-946-2700
Barnstable
Eastham
Hanover
North Attleborough
Rockland
West Bridgewater
Fax: 508-947-6557
Berkley
East Bridgewater
Hanson
Norton
Sandwich
Westport
TDD: 508-946-2795
Bourne
Easton
Harwich
Norwell
Scituate
West Tisbury
Brewster
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
Plympton
Taunton
DEP Northeast Region
g
Amesbury
Chelmsford
Hingham
g
Merrimac
Quincy
Wakefield
1 Winter Street
Andover
Chelsea
Holbrook
Methuen
Randolph
Walpole
Boston, MA 02108
Arlington
Cohasset
Hull
Middleton
Reading
Waltham
Ashland
Concord
Ipswich
Millis
Revere
Watertown
Phone: 617-654-6500
Bedford
Danvers
Lawrence
Milton
Rockport
Wayland
Fax: 617-556-1049
Belmont
Dedham
Lexington
Nahant
Rowley
Wellesley
TDD: 617-574-6868
Beverly
Billerica
Dover
Lincoln
Natick
Salem
Wenham
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
Topsfeld
wpaform8b.doc • DEP Addresses • rev. 5/12/09
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