HomeMy WebLinkAbout- Permits #242-690 - 46 WHITE BIRCH LANE 11/18/2020 For Registry of Deeds Use Only
ILIMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-690
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 ,Kyle Burke..& Kathleen Connell
only the tab key Name
to move your 46 White Birch Lane
cursor-do not ------ -------___..........
use the return Mailing Address
key. North Andover MA 011845
ity/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
Scott Construction
Name
May 18, 1994 242-690
Dated DEP Fite Number
3. The project site is located'at:
46 White Birch Lane (subdivision Lot#2 North Andover
Street Address City[rown
Map 61 Lot 94
-----------
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:
Property Owner(if different)
Northern Essex 4104 318
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
n/a
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.
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Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection - Wetlands DEP File Number:
WPA Form 813 — Certificate of Compliance 242-690
Massachusetts Wetlands Protection Act MI.G.L. c. 131, §40 Provided by DEP
B. Certification (cont.)
M 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 thiis partial certification that have
been completed and are released from this Order are:
Release of 46 White Birch Lane, Subdivision Lot#2 -this property not located
within Con Com jurisdiction
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Conditions has lapsed and is therefore no longer valid.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.
E] 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:
...............
El 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:
North Andover 11-18-20
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
https://www,mass.gov/service-details/m!assdep-re,
q final-offices-by-comm unit
wpafvm8b.dDc,•rev.511812020 WPA Form SR,Certificale of Compliance-Page 2 of 3
Massachusetts Department of Environmental Protection
LIBureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-690
I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 -Provided by DEP
C. Authorization (cont.)
Signed by Amy R. Maxner, Conservation Administrator as authorized by the North
Andover Conservation Commission -See N.E.R.D. Book: 16327 Page: 22
..S i-g-n.atur- dL Amy R. Maxner, Conservation
Signatur Administrator
Signature Printed Name
Signature Printed Name
Louis Napoli, Chair
Signature Printed Name
Sean McDonough
Signature Printed Name
Joseph Lynch .......................
Signature Printed Name
John, Mabon
Signature Printed Name
Tony�Cappachietti
Signature Printed Name
wpafrm8b.doc-rev.51181202E WPA Form 8B,Certificate of Compliance-Page 3 of 3
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-690
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.
_0_:----------------------------------------------------------------------------------------------------
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
46 White Birch Lane (subdivision Lot#2) 242-690
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Northern Essex
County
for:
Kyle Burke & Kathleen Connelly
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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