HomeMy WebLinkAbout- Permits #242-1366 - 326 CAMPBELL ROAD 3/13/2019 I
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP He Number:
'SPA Form $B — Certificate of Compliance
242 1366
ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, 540 Provided by DEP
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X Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Edward Swinarski
onlly the tab key Name
to move your 2 Shell Drive
cursor-do not . Y ...._____..___ _ ......... .._......._
use the return Mailing Address
key. Pelham NR_m..._._._ 03076
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:
Greg Swinialrski _..._.._
Name
08/23/2006 242-1366
Dated DEP Pile Number
3. The project site is located at:
326 Campbell Road North Andover
Street Address Ciitiir;wn
23
-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:
Edward Swinarski _......_
Property Owner(if different)
Essex North 14366 269
County Book Page
.-.. _e.............
Cerkifioat.._ '
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
Date �
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wpafrrm8b.doc^rev.8117/17 WPA Form 88,Corlificato of compliance.Page 1 of 3
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1366
Massachusetts Wetlands Protection Act M.G.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.
0! 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Conditions has lapsed and is therefore no longer valid.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:
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:
J �
Town of North Andover
Conservation Cornrnissuon Date of Issuance
This Certificate must be signed by a majority of the Conservation Commission and a
copy sent to the applicant and appr priate DEP Regional Office (See
htt //www.mass. ov/eea/a encie d assde /about/contacts/).
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Signatures:
wpafrm8b.doc rev.8/17117 WPA Form 88,Certificate of Compliance•Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1366
Ll
0 Massachusetts Wetlands Protection Act M.G.L. c. 131, §4 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.
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nServati�on Com
mission
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:
-do-un t y
far:
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
wpafrm8b.doc-rev.8/17/17 WPA Form 8B,Ceffificate of Compliance•Page 3 of 3