HomeMy WebLinkAbout- Certificate of Compliance - 56 MONTEIRO WAY 10/10/2018 F or Re,gisrry of [) et],s, Use Only
Massachusetts Department of Environmental protection
Bureau of Resource Protection - Wetlands DEP File Number:
L11 WPA Form $B — Certificate of Compliance
242-1624
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 Kenneth Heitzmann and Christine Nassivera
only the tab key Name
to move your 56 Monteira Way
cursor-do not _...... ---_-_ .......... ....._......._.__
use the return Mailing Address
key. North Andover _MA 01845
City/Town State Zip Code
Q 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
Kenneth Heitzmann and Christine Nassivera
Name
6-13-2014 242-1624
Dated DEP File Number
3. The project site is located at:
56 Monteiro Way. North Andover
Street Address City/Town
60 146
__...... ..._... ..__..._...__.......--
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:
Kenneth Heitzmann and Christine Nassivera
Property Owner(if different)
Northern Essex _.._ _.._ 13949 _ _1 2d______._._._ }
County Book Page
Certificate '
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
8-28-18
Date
1
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wpafrm8b.doc-rev.61'17117 WPA Form 8B,Certificate of Compliance•Page 1 of 3
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA► Farm 8B Certificate of Compliance
242-1624
IL Massachusetts Wetlands Protection Act M.C.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:
❑ 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:
75
❑ 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:
Town of North Andover
Conservation Commission Date of Issuance
This Certificate must be signed by a majority of the Conservation Commission and a
copy sent to the applicant and appropriate DEP Regional Office (See
htt /fwww.mass. ov/eeafa encies/massde /about/contacts/).
Signature .
wpafrmab.doc•rev.8117/17 VJPA Form 8B,Certificate of Compliance-Page 2 of 3
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1624
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 -Prov-kcied by DEP
I
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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.
t-6:-----------------------------------*-----------------*----------------------------------------------
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:
Document Number
-§l"gn"a"t'ure—of-"Applicant
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