HomeMy WebLinkAbout- Permits #242-1577 - 78 GREAT POND ROAD 11/25/2013 S)
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
IPA Form 813 — Certificate of Compliance
242-1577
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
ILI
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use TILD, LLC, c/o Thomas Zahoruiko
only the tab key Name
to move your 78 Great Pond Road
cursor-do not Mailing Address .......
use the return
key. North Andover MA 01845
CityfTown State Zip Code
V This Certificate of Compliance is issued for work regulated by a final Order of Q Z
Conditions issued to:
TLD, LLC
Name
January 10, 2013 242-1577
Dated DEP File Number
3. The project site is located at:
78 Great Pond Road North Andover
Street Address CityfTown
Map 96 Parcel 4
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Essex North 13335 121
County Book Page
Cwr-t7liica—te-
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
9/24113
Date
wpafrm8b.doc•rev.12123/09 WPA Form 8B,Certificate of Compliance-Page 1 of 3