HomeMy WebLinkAboutMiscellaneous - 96 PALOMINO DRIVE 4/30/2018 (2)IL \
Massachusetts Department of Environmental Protection
�,- Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance PG cc
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-885Provided 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:
Lot 11A
M
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 .
Pulte Homes of N. E., L. L. C.
computer, use
Name
only the tab
key to move
257 Turnpike Road Suite 200
your cursor -
Mailing Address
do not use the
Southborough MA. 01772
return key.
Cityrrown State Zip Code
2.
This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Mesiti Development
Name
3/9/98 242-885
Dated DEP File Number
3.
The project site is located at:
//��
Forest View Subdivision Lot 11A 9� /f zom %yp North Andover
Street Address City/Town
Maps 106D -108C -107B Parcels 8, 37, 57, 48-77
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
Essex North 5375 29
County Book Page
N/A
Certificate
4.
A site inspection was made in the presence of the applicant, or the applicant's agent, on:
11/17/03
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:
Lot 11A
M
wpaform 8b.doc • rev. 12/15/00 Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
Lki WPA Form 8B — Certificate of Compliance
242-885
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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:
69
C. Authorization
Issued by:
North Andover
Conservation Commission
This ertificate must be signed by a majority of the Conservation Commissi
applitant and appropriate DEP Regional Office (See Appendix A). i
res:
On 1
Day
before me personally appeared
J
Date of Issuance
I -a copy sent to the
Of /) 620G
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.
//&.& Lyl, lltl'�45Z - �_' k1 �Aqoc' '/
No ary Pubic V My commission Opires
wpaform 8b.doc • rev. 12/15/00 Page 2 of 3
Massachusetts Department of Environmental Protection
Ll
Bureau of Resource Protection - WetlandsWPA Form.8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
242-885
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:
County
for:
Property Owner
242-885
DEP File Number
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
wpaform 8b.doc • rev. 12/15/00 Page 3 of 3
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
Abington
Dartmouth
Freetown
DEP Western Region
Adams
Colrain
Hampden
Monroe
Pittsfield
Tyringham
436 Dwight Street
Agawam
Conway
Hancock
Montague
Plainfield
Wales
Nantucket
Alford
Cummington
Hatfield
Monterey
Richmond
Ware
Suite 402
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
Norwell
Belchertown
East Longmeadow
Holland -
New Ashford
Savoy
Westfield
Fax: 413-784-1149
Bernardston
Egremont
Holyoke
New Marlborough
Sheffield
Westhampton
Orleans
Blandford
Erving
Huntington
New Salem
Shelburne
West Springfield
Pembroke
Brimfield
Florida
Lanesborough
North Adams
Shulesbury
West Stockbridge
Plainville
Buckland
Gill
Lee
Northampton
Southampton
Whalely
Plymouth
Charlemont
Goshen
Lenox
Northfield
South Hadley
Wilbraham
Plympton
Cheshire
Granby
Leverett
Orange
Southwick
Williamsburg
Merrimac
Chester
Granville
Leyden
Otis
Springfield
Williamstown
-
Chesterfield
Great Barrington
Longmeadow
Palmer
Stockbridge
Windsor
Middleton
Chicopee
Greenfield
Ludlow
Pelham
Sunderland
Worthington
Millis
Milton
Clarksburg
Hadley
Middlefield
-Peru
Tolland
Lexington
DEP Central Region
Acton
Charlton
Hopkinton
Millbury
Rutland
Uxbridge
627 Main Street
Ashburnham
Clinton
Hubbardston
Millville
Shirley
Warren
Worcester, MA 01605
Ashby
Douglas
Hudson
New Braintree
Shrewsbury
Webster
Newbury
Athol
Dudley
Holliston
Northborough
Southborough
Westborough
Phone: 508-792-7650
Auburn
Dunstable
Lanrater
Northbridge
Southbridge
West Boylston
Fax: 508-792-7621
Ayer
East Brookfield
Leicester
North Brookfield
Spencer
West Brookfield
Norfolk
Barre
Fitchburg
Leominster
Oakham
Sterling
Westford
TDD: 508-767-2788
Bellingham
Gardner
Littleton
Oxford
Stow
Westminster
North Reading
Berlin
Grafton -.
Lunenburg
Paxton.
Sturbridge
Winchendon
Norwood
Blackstone
Groton
Marlborough
Pepperell
Sutton
Worcester
Peabody
Bolton
Harvard
Maynard
Petersham
Templeton
Boxborough
Hardwick
Medway
Phillipslon
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
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
Amesbury
Chelmsford
Hingham
Merrimac
Quincy
Wakefield
205 Lowell Street
Andover
Chelsea
Holbrook
Methuen
Randolph
Walpole
Wilmington, MA 01887
Arlington
Ashland
Cohasset
Concord
Hull
Middleton
.Reading
Waltham
Phone: 978-661-7600
Bedford
Danvers
Ipswich
Lawrence
Millis
Milton
Revere
Rockport
Watertown
Wayland
Fax: 978-661-7615
Belmont
Dedham
Lexington
Nahant
Rowley
Wellesley
TDD: 978-661-7679
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 • Appendix A • rev. 11/17/03 Page 1 of 1