HomeMy WebLinkAbout- Certificate of Compliance - 165 AMBERVILLE ROAD 12/10/2004 L
Massachusetts Department of Environmental Protection
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LlBureau of Resource Protection - Wetlands DEP Pile Number:
PA Form ® Certificate of Compliance242-885
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by®EP
A. Project Information
When tilling out
W 1, This Certificate of Compliance is issued to:
VifE're
forms on the Pulte Homes of New England, LLC
computer, use
only the tab
key key to move 115 Flanders Road
your cursor- Mailing Address
do not use the Westboro MA. 01551
return key. Citylrown State Zip Code
Q2, This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Aff I Iesiti Development Corporation
Marra@
3/9/199 r_ u_ 242-885
®at@d CEP File Number
3. The project site is located at:
15 AmbeYville load ( Lot 25 ( Forest view Estates} North Andover
Street address City/Tcvrn `v
Maps 106D - 108C- 107B 3, 37, 57, 48-77�
Assessors Map/Plat Number � Parcel/Lot dumber
the final Order of Condition was recorded at the Registry of Deeds for:
=C)
Shashikant S. Mahadik and Hemangi S. Mahadik
Property Owner(if different) 5375 2 >�
Esser North
County Book Page
N/A
Certificate
4. A site inspection was bade in the presence of the applicant, or the applicant's agent, on: �
11/1/04 ems'
®at@
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 is for Lot 28 only does not certify compliance with the overall drainage design.
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection o Wetlands DEP File Number:
J �1� WPA Form 8B — Certificate of Compliance 242-885
` Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by&EP
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therefore no longer valid.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:
69
C. L tho 'izati n
Issued by:
North Andover
Conservation Commission ®ate of ssu nce
This Certificate must be signed by a majority of the ConseZA).
d a copy seat to the
applicant and appropriate DEP Regional Office (See App
Signat es:
On Of '900 Y
®ay Mi onth and Year
before me personally appeared
to me known to be the person described in and who executed the foregoing instrument and
acknowledged that he/she executed the same as his/her free act and deed.
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o ry Pubic My
DONNA M.WEDGE
NOT IMMIX
cot" o TH OF MWaU&4CWJKM
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