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Home My WebLink About- Permits #242-1194 - 78 VEST WAY 7/27/2006 � ,� Massachusetts Department of Environmental Protection Bureau Df Resource Protection - Wetlands oEP File Number: �� D�00 �K� ~� ��»�^�� m� ��K�K��U~��- - ' ~ - ' --- Certificate-- -- Compliance — 242- 1B4 Massachusetts Wetlands Protection Act M.G.[. C131. §40 Provided by DEp Ll A. Project'ec* Information hnpodord: 1 Th� �e��ca�nf��m��nce � ios�� to� - VVhen0Hingout � . � forms on the Shaun Milliken computer, use Name only the tab 78 Vest VVe koy�umovo your cursor Mailing Address dn not use the North Andover MA. 01045 return key. City/Town ' State Zip Code �Qll� Z This Certificate of Compliance im issued for work regulated bva final Order nf Conditions issued to: Shaun Milliken Name 10/28/03 242-1184 Datad nEPFi|e Number 3. The project site is located at 78 Vest Way North Andover ---------- StreetAddresn City/Town Map,.1O4B Parcel 170 Assessors Map/P|mtNumhnr PameVLmWumber the final Order of Condition was recorded at the Registry VfDeeds for: Shaun Milliken pmpeny0wnn,(if diff ,�nV Essex North 8257 47 County ----------�— Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 7/31/06 Dute B. Certification Check all that apply: Complete Certification: It is hereby certified that the work regulated by the above-referenced Order uf 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 projectareas orwork subject to this partial certification that have been completed and are released from this Order are: ~r=m=o^uoc're.n1so4 Page`of^ Massachusetts Department of Environmental Protection Bureau Of Resource Protection - Wetlands oEp File Number: WPA Form �� —~ Certificate �� — Compliance — 242-11Q4 Massachusetts Wetlands Protection Act M.G.L. C. 131. §40 Provided by DEP B. Certification (cont.) [] Invalid Order ofConditions: 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 The Order of Conditions has lapsed and is therefore no longer valid.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 Actmay commence without filing a new Notice of Intent and receiving a new Order of Conditions. Z 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 pahod). Condition Numbers: 71 C. Authorization Issued by: North Andover Conservation Commission D'at6 of 1,%6uanc'e This Certificate must be signed bvo majority oftheCunmemationCommieoionandaoopyeenttVthm applicant d appropriateOEPRegionalAttachment), Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1194 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP Co Authorization (cont.) Notary Acknowledgement Essex North Commonwealth of Massachusetts County of On this Day----------- Of Month Year before me, the undersigned Notary Public, personally appeared -- "-� 6--rt-1- 04S-Ac-� -- -------- Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License Description of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of North Andover CitylTown Conservation Commission J' WIN ignature of Notary Public C/ DOMKWEDGE WTAMrpwuc i�an2�re o CoMuowaATH of wSSACHUSETTS Printed Name of Notary Public My CommExpires Aug.7,2009 EM I My co jnrTnissio Expires(Date) , Place notary seal and/or any stamp above 's-t ------- -g`nature of Notary Public wpaforin 8b,doc-rev.7/13104 Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WP'A Form 8B — Certificate of Compliance 0 242-1194 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. ---------- -------------v_-.--_..-._.------------------------- -------------------------- _.. ------------- -------- To: North Andover Con eervat'on Commission Please be advised that the Certificate of Compliance for the project at: 242-1194 Project Location DEP File Number Has been recorded at the Registry of Deeds of: County fo r: 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 Signature of Applicant wpa(orm 8b.doc•rev.7/13/04 Page 4 of Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 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 Tyringharn 436 Dwight Street Agawarn Conway Hancock" Montague Plainfield Wales lon Alford Cumming Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield,MA 01103 Ashfield Deerfield Heath Monson RUSS011 Washington Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Belcherlown East Longmeadow Holland New Ashford Savoy Westfield Fax:413-784-1149 Bernardston Egromant Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shulesbury West Stockbridge Buckland Gill Lee Northampton Southampton Whately Chademont Cost len Lenox Northfield South Hadley Wilbraham Cheshire Granby Lavereft 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 Chariton Hopkinton Millbury Rutland Uxbridge Ashburnham Clinton HUbbardslon Millville Shirley Warren 627 Main Street Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester,MA 01608 Athol Dudley Holliston Northborough Southborough Westborough Phone: 508-792-7650 Auburn Dunslable Lancaster Northbridge Southbridge West Boylston Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Fax:508-792-7621 Barre Fitchburg Leominster Oakharn Sterling Westford TDD:508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunanburg Paxton Sturbridge Winchendon Blackstone Croton 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 Acushmet Dennis Gay Head Middleborough Raynham Truro 20 Riverside Drive Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville,MA 02347 Avon Duxbury Halifax New Bedford Rochester Wellfleet Phone: 508-946-2700 Barnstable Eastham Hanover North AttleborOUgh Rockland West Bridgewater Berkley East Bridgewater Hanson Norton Sandwich Westport Fax: 508-947-6557 Bourne Easton Harwich Norwell Scituate West Tisbury TDD:508-946-2795 Brewster Edgarlown 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 Mashpae Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohassel Hull Middleton Reading Waltham Boston, MA 02108 Ashland Concord Ipswich Millis Revere Watertown Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland Belmont Dadharn Lexington Nahant Rowley Wellesley Fax: 617-556-1049 Beverly Dover Lincoln Natick Salem Wenham TDD:617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherborn Westwood Braintree Framingham Maiden Nowton 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-DEP Addresses-rev,7119106 Pago 1 of 1