HomeMy WebLinkAboutCertificate of Compliance - Certificate of Compliance - 75 THISTLE ROAD 3/9/2006 Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
LI) WPA Form 8B -- Certificate of Compliance f'ce;
-784
d,, � j�nc�a✓�k� /r�� �LHI�}s'�'Rc'i'�.i i �4,q 24 Provided
by DEP
A. Project Information
I
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms the Andover Construction & Development Corporation
computer,
r, use Name
only the tab
key to move 51 Thistle Road
your cursor- Mailing Address
do not use the North Andover MA. 01845 _
return key. City/Town state zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
North Andover Land Corporation
Name
crm 6/6/96 242-784
Dated DEP File Number
3. The project site is located at:
75 Thistle Road Lot 26 North Andover
Street Address Citylfown
Map 38 ,
Assessors MaplPlat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
North Andover Land Corporation
Property Owner(if different)
Essex North 5495 39,52,57,60
County Book Page
Certificate _. W
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
3/2/06
Date
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:
PCOC for Lot 26 only
wpaform 8b.doa-rev.7113104 Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP Pile Number:
` WPA Form SB — Certificate of Compliance �'� `""
Massachusetts Wetlands Protection Act M.G.L. c. 131 242 784
, �40 Provided 6y DEP
B. Certification (cont.)
❑ 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 The Order of Conditions has lapsed and is therefore no
longer valid.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:
47
C. Authorization
Issued by:
North Andover t " i
Conservation Commission Date o Ess nce
This Certificate must be signed by a majority of the Conservation Commission an y sent to the
applicant and appropriate DEP Regional Office (See Attachment).
Signatures
.LPG~
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wpaform ab.doe•rev.7113104 Page 2 of 4
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Nufnber:
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G,L, c. 131, §40 242-784
Provided by DEP
C. Authorization (cant.)
Notary Acknowledgement
Essex North
Commonwealth of Massachusetts County of W
y �
On this ��_ Of
Day Month Year
before me, the undersigned Notary Public, personally appeared
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 - Conservation Commission
cityfTown
ignature of Notary Public
_ DONNA M.WEDGE
Pr—lilted iVame of Notary Public
NOTARY PUBLIC
' CoMMONW=TH OF MASSACHUSETTS
My Comm.Expires Aug.7,2009
My Commis ion E fires{Dale) /
Place notary seal and/or any stamp above Si nature of Notary Public :T
3
�', wpaform Bb.dec•rev.7113104 Page 3 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form SB — Certificate of Compliance
242-784
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:
242-784
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
0
Signature of Applicant
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Page 4 of 4
wpa(orm 8b.doc•rev.7/13104
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 Tyringham
436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales
Alford Cumminglon Hatfield Monterey Richmond Ware
Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick '..
Springfield, MA 01103 Ashfietd Deerfield Heath Monson Russell Washington
Phone:413 784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell
Belchertown East Longmeadow Holland NewAshferd Savoy Westfield
Fax:413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton
Blandford Erving Huntington New Salem Shelburne West Springfield
Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge
Buckland Gill Lee Northampton Southampton Whately
Char lament Goshen Lenox Northfield South Hadley Wilbraham
Choshire Granby Leverell Orange Southwick Williamsburg
Chester Granville Leyden Otis Sp6ngfield Wif iamstown
Chastefeld Great BarrSnglon Longmeadow Palmer Stockbridge Windsor
Chicopee Greenfield Ludlow Palham Sundertand Worthington
Clarksburg Hadley Middlefield Peru Tolland
DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge
627 Main Street Ashbumham Clinton Hubbardslon Millville Shirley Warren
Ashby Douglas Hudson New Braintree Shrewsbury Webster
Worcester, MA 01608 Athol Dudley Holliston Northborough Southborough Westborough
Phone:508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston
Fax:508 792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield
Barre Fitchburg Leominster Oakham Sterling Westford
TDD:508-767-2788 Bellingham Gardner Littleton Oxford Slow Westminster
Berlin Grafton Lunenburg Paxton Sturbridge Winchendon
Blackstone Groton Marlborough Pepperell Sulton Worcester
Bolton Harvard Maynard Petersham Templeton '..
Boxborough Hardwick Medway Ph4hpston Townsend
Boylston Holdan Mandan Princeton Tyngsborough
Brookfield Hopedale Milford Royalston Upton
DEP Southeast Region Abington Dartmouth Freetown Maltapoisell Provincelowrr Tisbury
20 Riverside Drive Acushnel Dennis Gay Head Middleborough Raynham Truro
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
Fax:50$-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport
Bourne Easton Harwich Norwell Scituate West Tisbury
TDD:508-946-2795 Brewster Edgartown 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
Ghilmark Franklin Mashpee Plymptcn Taunton
DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield
1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole
Arlington Cohasset Hull Middleton Reading Waltham
Boston,MA 02108 Ashland Concord Ipswich Millis Revere Watertown
Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland
Fax; 617-556 1049 Belmont Dedham Lexington Nahanl Rowley Wellesley
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 Sherhorn Westwood
Braintree Framingham Malden Newton Somerville Weymouth
Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Wilmington
Burlington Gloucester Marblehead North Andover Sudbury Winchester
Cambridge Grovaland Medfield North Reading Swampscott Winthrop
Canton Hamilton Medford Norwood Tewksbury Woburn
Carlisle Haverhill Melrose Peabody Topsfie€d
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