HomeMy WebLinkAbout- Permits #242-1677 - 350 WINTHROP AVENUE 3/21/2019 i=. �� Kerr-b h R i
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection - Wetlands DEP File Number:
WPA Form SB — Certificate of Compliance 242-1677
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 Delta MB LLC
only the tab key Name
to move your 875 East Street
cursor-do not use the return Mailing Address
key. Tewksbury MA 01876
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Delta MB LLC.
Name
05/02/2016 242-1677
Dated DEP File Number
3. The project site is located at:
350 Winthrop Avenue North Andover
Street Address City/Town
210 27
Assessors MaplPlat Number Parcel/Lot Number
the final Order of Conditions was recorded at the Registry of Deeds for:
Delta MB LLC
Property Owner(if different)
Northern Essex 14639 273
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
10/12/2018 _
Date
ATTEST:
A True Copy
TGviii Cler)c
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1677
ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 P,roAded by DEP
B. Certification
Check all that apply:
Z Complete Certification: It is hereby certified that the work regulated by the
above-referenced Order of Conditions has been satisfactorily completed.
171 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:
171 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Conditions has lapsed and is therefore no longer valid.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.
0 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:
C. Authorization
Issued by:
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
htti)://www.mass.gov/eea/agenciesJmassdei)/`about/contacts/
Signatures:
wpafrm8b.doc-rev.5/1 IVI 7 WPA Form 8B,Cerlifiente of Complianca»Page 2 of 3
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection - Wetlands DEP File Number:
WPA Form SB — Certificate of Compliance 242-1677
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:
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex Northern
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
Signature of Applicant
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