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Home My WebLink AboutMiscellaneous - 90 FARRWOOD AVENUE 4/30/2018 (3)°C� q c 4 Insurance Adjustment Service, Inc. 936 Roosevelt Trail Unit 5 Windham, ME 04062 (207) 892-0522 Fax (207) 892-0526 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139, SECTION 3B TO: Board of Health/Building Inspector RE: Insured: Debra Finn Property Address: 88 Farrwood Ave Unit 7 N Andover MA 01845 Date of boss: 2/2/2011 Policy Number: BCRDLG Type of Loss: File or Claim Number: 68157 Date: February 27, 2011 TOWN OF NORTH ANDOVER HEALTH DEPART►UI:ur Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6, to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 38 is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, locations, policy number, date of loss and claim or file number. Thank you for your cooperation. Very Truly yours, George S Long Adjuster Ext. 128 Property Owner (if different) Essex North 8863 County 177 Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 2/2/06 Date B. Certification Check all that apply: wpaform 8b.doc • rev. 7/13/04 ® 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: Page 1 of 4 Massachusetts Department of Environmental -- Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance DEP File Number: Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1234 Provided by DEP A. Project Information Important: When filling out 1 - This Certificate of Compliance is issued to: forms on the computer, use Heritage Green Condo. Trust only the tab Name key to move 39 Farrwood Avenue Unit # 1 your cursor - Mailing Address do not use the North Andover return key. City/Town MA. 01845 State 2. This Certificate of Compliance is issued for Zip Code work regulated by a final Order of Conditions issued to: Heritage Green Condo. Trust tenon Name March 17, 2004 _ Dated 242-1234 DEP File Number 3. The project site is located at: 88 & 90 Farrwood Avenue Street Address North Andover Map 46 City/I own Assessors Map/Plat Number Parcel 83 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner (if different) Essex North 8863 County 177 Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 2/2/06 Date B. Certification Check all that apply: wpaform 8b.doc • rev. 7/13/04 ® 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: Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands L7�, orm8B — Certificate of C DEP File Number: WPA Fomplifance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1234 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: 79 C. Authorization Issued by: North Andover Conservation Commission This Certificate must be signed by a majority -of the C applicant and appropriate DEP Regjonal Office (See Signatures: ,-- wpaform 8b.doc • rev. 7/13/04 3 6 Cv Date of I uance R Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance L7,1 -DEP File Number: Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1234 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of On this Day Essex North Of &6AL„ e, -r V. Ii b Month I Year before me, the undersigned Notary Public, personally appeared 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 DONNA M. WEDGE NOTARY PUBLIC { COMMONWEALTH OF MASSACHUSETTS My ComrrL Expires Aug. 7, 2009 North Andover Cityrrown Place notary seal and/or any stamp above Conservation Commission ignature of Notary Public /)- a -- 00 1{'1% Printed Name of Notary Public cf9�4°� My4atr.2f/-NLo,�ary missi Expires (Date) �/' .Sig Public wpaform 8b.d0c • rev. 7/13/04 Page 3 of 4 Massachusetts Department of Environmental Protection ice- Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance DEP File Number: Massachusetts Wetlands Protection Act M.G.L. c. 131, §40242-1234 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: Project Location Has been recorded at the Registry of Deeds of: for: County Property Owner 242-1234 DEP File Number 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: Document Number Signature of Applicant wpaform 8b.doc•rev, 7/13/04 Page Page 4 of 4 Massachusetts Department of Environmental Protection L7, ureau 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 Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Suite 402 Alford Cummington Hatfield Monterey Richmond Ware Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone: 413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately Charlemont Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Leverett Orange Southwick Williamsburg Chester Granville Leyden Otis Springfield Williamstown Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Clarksburg Hadley Middlefield Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren Worcester, MA 01608 Ashby Douglas Hudson New Braintree Shrewsbury Webster Athol Dudley Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston Fax: 508 792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield TDD: 508-767-2788 Barre Fitchburg Leominster Oakham Sterling Westford Bellingham Gardner 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 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 Wellfleet 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 Edqartown Kinqston 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 Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hull Middleton Reading Waltham Boston, MA 02108 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 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. 2/6/06 Page 1 of 1