HomeMy WebLinkAboutfinal signed COC Foc� of Only
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1709
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:
farms on the
computer, use Thomas Zahoruiko (TKZ LLC}
only the tab key Name
to move your 4 High Street, Suite 201
cursor-do not .. -
use the return Mailing Address 1
key. North Andover MA_. .......... 01845
CityCrown State Zip Code
fQ 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
Thomas Zahoruiko (of TKZ LLC)
.._.......... _....__......
Name
7/14/17 242-1709
_.. ........ ._ w....... --
Dated DEP File Number
3. The project site is located at:
75 Nutmeg Lane North Andover
Street Address Cityrrown
38 ...... _.._..._ _._......... ......... 288 _..........m.._..
Assessors Map/Plat Number Parcel/Lot Number
The final Order of Conditions or Order of Resource Area Delineation was recorded at
the Registry of Deeds for:
Richard Cavanaugh
Property Owner(if different)
North Essex 15294 172
County
Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
Date
wpafrm8b.doc•rev.8/17/17 WPA Form 8B,Certificate of Compliance•Page 1 of 3
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Massachusetts Department of Environmental Protection
Bureau OfResource Protection - Wetlands DEP File Number:
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~ ~ ~ ~ ^ ~ ~~~~ Certificate-- ' Compliance— 242-1709
Massachusetts Wetlands Protection /\Ct M.G.L. C. 131' §40 pmvmeu 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.
F-1 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 areasorwmrksubjecttothinportia|oertificobonthe(hmve
been completed and are released from this Order are: �
Fl Invalid Order mfConditions: It is hereby certified that the work regulated by the �
above-referenced Order ofConditions 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Conditions has lapsed and is therefore no longer valid.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 ofIntent and receiving anew Order ofConditions. �
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 alonger pe,iod).
Condition Numbers:
59535468G87071 and 75
Fl
Order of Resource Area Delineation: It is hereby certified that the wetland
resource area delineation for the above-referenced Order of Conditions has been
satisfactorily completed
C. Authorization
Issued by:
Conservation Commission Date of Issuance
This Certificate must be signed by a majority of the Conservation Commission and o
copy sent tothe applicant and appropriate DEP Regional Office (See
)
Signaturesk:
°pafr"ob.m='rev.wmn wp^Form eB,Certificate mCompliance'Page zofn
ILIMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form SB — Certificate of Compliance 242- 709
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.
ta,----------------------------------------------------------------------------------------------------
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
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:
i
Document Number
Signature of Applicant
wpafrm8b.doc•rev.8117117 WPA Form 813,Certificate of Compliance•Page 3 of 3