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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
DEP File Number.
242-933
Provided by DEP
MPG Realty Corporation
Property. Owner (if different)
Essex North 5375 12
County Book Page
N/A
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
7/29/03
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. 12/15/00 Page 1 of 3
A. Project Information
Important:
When filling out
1. This Certificate of Compliance is issued to:
forms on the
Mesiti Development Corporation
computer, use
Name
only the tab
key to move
100 Andover By - Pass Suite 300
your cursor -
Mailing Address
do not use the
North Andover
MA. 01845
return key.
City/Town
State Zip Code
,Q
2. This Certificate of Compliance is issued for work regulated
by a final Order of Conditions issued to:
MPG Realty Corporation
Name
11/04/98
242-933
Dated
DEP File Number
3. The project site is located at:
Lyons Way Subdivision (Lot 4),
North Andover
Street Address
Citylrown
Map 106B
31, 72, 155-160
Assessors Map/Plat Number
Parcel/Lot Number
the final Order of Condition was recorded at the Registry
of Deeds for:
MPG Realty Corporation
Property. Owner (if different)
Essex North 5375 12
County Book Page
N/A
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
7/29/03
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. 12/15/00 Page 1 of 3
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection - Wetlands
WPA Form 8B - Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Certification (cont.)
DEP File Number:
242-933
Provided by DEP
❑ 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:
61
C. Authorization
Issued by:
North Andover
Conservation Commission D#fe of Issifance
This Certificate must. be si by a majority of the Conservation Commission and a copy sent to the
applicant and appropri DEP Regional Office (See Appendix A).
Signatures:
I
On '30
Day
before me personally appeared
Of j7 oC dD3
Month and Year
to me known to be the person described in and who executed the foregoing instrument and
acknowledged that he/she executed the same as his/her free act and deed.
0,,,n,,- X 'P17 b�"w
Notary Pubic My commission pires
wpaform 8b.doc • rev. 12/15/00 Page 2 of 3
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
DEP File Number
242-933
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
242-933
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
Page
wpaform 8b.doc • rev. 12/15/00 Page 3 of 3
LI)Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Appendix A - 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
TDD: 508-946-2795
Bemardston
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
Leveret/
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
Ashbumham
Clinton
Hubbardston
Millville
Shirley
Warren
Worcester, MA 01605
Ashby.
Douglas
Hudson
New Braintree
Shrewsbury
Webster
Athol
Dudley
Holliston
Northborough
Southborough
Westborough
Phone: 508-792-7650
Auburn
Dunstable
Lancater
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
NewBedford
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
Bourne
Easton
Harwich
Norwell
Scituate
West Tisbury
TDD: 508-946-2795
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
Weymouth
Chatham
Foxborough
Marshfield
Plymouth
Swansea
Wilmington
Chilmark
Franklin
Mashpee
Plympton
Taunton
Winchester
DEP Northeast Region
Amesbury
Chelmsford
Hingham
Merrimac
Quincy
Wakefield
205 Lowell Street
Andover
Chelsea
Holbrook
Methuen
Randolph
Walpole
Wilmington, MA 01887
Arlington
Cohasset
Hull
Middleton
Reading
Waltham
Ashland
Concord
Ipswich
Millis
Revere
Watertown
Phone: 978-661-7600
Bedford
Danvers
Lawrence
Milton
Rockport
Wayland
Fax: 978-661-7615
Belmont
Dedham
Lexington
Nahant
Rowley
Wellesley
Beverly
Dover
Lincoln
Natick
Salem
Wenham
TDD: 978-661-7679
Billerica
Dracut
Lowell
Needham
Salisbury
West Newbury
Boston
Essex
Lynn
Newbury
Saugus
Weston
Boxford
Everett
Lynnfield
Newburyport
Sherbom
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 • Appendix A • rev. 7/29/03
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