HomeMy WebLinkAbout- Permits #242-1114 - 90 MEETINGHOUSE ROAD 4/23/2014 Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1114
Massachusetts Wetlands Protection Act M.G,L. c. 131, §40 -Provided by DEP
A. Project Information
Important:
When filling out I This Certificate of Compliance is issued to:
forms on the
computer, use Thomas D. Zahoruiko, Meetinghouse LLC
only the tab key Name
to move your 78 Great Pond Road
cursor-do not Mailing Address
use the return
key. North Andover ....... MA 01846
City/Town State Zip Code
ray 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Meetingh.ou.se Commons LLC
rarum Name
March 28, 2002 242-....1114
Dated DEP File Number
I The project site is located at:
Dale Street/South Bradford Street North Andover
_street Address City/Town
Map,104C Parcels 28& 31
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Martin Smolak Revocable Trust, H. Michael & Helen R. Smolak
Property owner(if&ff_erent)
Essex Northern 8732 329
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
4/8/2014
wpafrm8b.doc-rev.12123/09 WPA Form aB,Certificate of Compliance-Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA► Form 8B Certificate of Compliance 2 2_1114ILI '
Massachusetts Protection Act M.G.L. c. 131, §40 Provided by DDP
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.
I
El
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: I
❑ 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Conditions has lapsed and is therefore no longer valid.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:
76
C. Authorization
Issued by:
North Andover
Conservation Commission Da e o is once
This Certificate must be signed by a majority of the Conservation Commission and a
copy sent to the applicant and appropriate D]EP Reglorwi Office (See
http://www.mass,,qov/dep/abibut/rea' n1find our.htm .
Signatures:
i
l
1
twparrm8b.doc•rev.12/23109 WPA Form 8B,Certificate of Compliance-Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number,
WP'A Form 8B — Certificate of Compliance
242-1 1 1 4 t
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:
I
Dale Street/South Bradford Street 242-11 14
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex northern
County
fo r:
Property Owner
and has been noted in the chain of title of the affected property on:
J
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:
r
Document Number -
's
.m� _..
Signature of Applicant
wpafrm8b.doc•rev.12/23109 WPA Form 8B,Certificate of Compliance-Page 3 of 3