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HomeMy WebLinkAboutMiscellaneous - 91 CROSSBOW LANE 4/30/2018 (3)X Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B F-lGertificate of Compliance pcmG 242-78 ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP wpafrmftdoc • rev. 12/23/09 WPA Form 8B, Certificate of Compliance • Page 1 of 3 A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the computer, use Gilmartin, Magence & Ross, LLP only the tab key Name to move your 376 Boylston Street cursor - do not use the return Mailing Address key Boston MA 02116 City/Town State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Andre Paquette & Jennifer Paquette Name February 16, 1980 242-78 Dated DEP File Number 3. The project site is located at: 91 Crossbow Lane North Andover Street Address City/Town Map 106B Parcel 207 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Andrew Circle Realty Trust Property Owner (if different) Essex North 1305 6 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 9/22/10 Date wpafrmftdoc • rev. 12/23/09 WPA Form 8B, Certificate of Compliance • Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection feation - Wetlands DEP File Number: WPA Form 8B ` ertlficate of Compliance Pc°G 242-78 ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP wpafrm8b.doc - i I 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: PCOC for 91 Crossbow Lane only. ❑ 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 The Order of Conditions has lapsed and is therefore no longer valid.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 c� d Conservation Commission Dire of Issfuance This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the applicant and appropriate DEP Regi http://www.ma ss.gov/dep/about/region/findyour.htm). Signatures: WPA Form 8B, Certificate of Compliance - Page 2 of 3 L1Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B e-&ertificate of Compliance 106o�-' Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-78 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: 91 Crossbow Lane 242-78 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 Forth 813, Certificate of Compliance - Page 3 of 3 Bureau of Resource DEP File Number: {GOC WPA Form 8B 242-55 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the computer, use Gilmartin, Magence & Ross, LLP only the tab key Name to move your 376 Boylston Street cursor - do not Mailing Address use the return key. Boston MA 02116 Cityrrown State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Andre Paquette & Jennifer Paquette Name April 30, 1979 242-55 Dated DEP File Number 3. The project site is located at: Area Northeast of Salem Street &Southeast North Andover Ingalls Street, 91 Crossbow Lane Cityrrown Map 106B Parcel 207 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Andrew Circle Realty Trust Property Owner (if different) Essex North 1361/1362 258/009801 County Book 6 I Massachusetts Department of Environmental Protection Protection -Wetlands ��Certificate of Compliance Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 9/22/10 Date rafrm8b.doc • rev. 12/23/09 WPA Form 8B, Certificate of Compliance • Page 1 of 3 V_' k Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B "certificate of Compliance ��°G 242-55 ILI 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: PCOC for 91 Crossbow Lane oniv. ❑ 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 a`f Conservation Commission DA of Is uance This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the applicant and appropriate DEP Region �� Office (See http://www.mass.aov/dep/about/region/findyour.htm). /i. A Signatures: wpafrm8b.doc - rev. 12/23/09 WPA Form 86, Certificate of Compliance - Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protec ion - Wetlands DEP File Number: WPA Form 8B p'�Certificate of Compliance �c�c p 242-55 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: 91 Crossbow Lane 242-55 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: I 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: wpafrm8b.doc • rev. 12/23109 Document Number Signature of Applicant WPA Form 8B, Certificate of Compliance • Page 3 of 3