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HomeMy WebLinkAbout- Certificate of Compliance - 12/2/2008 Ll�lMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP He Number: WPA Form 8B v Certificate of Compliance 242-1367 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 David & Patti Castricone computer, use — - only the tab Name _ key to move 31 Court Street your cursor- Mailing Address do not use the North Andover MA 01845 return key. CityfTown __. _. State _._. Zip Code V , 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: David & Patti Castricone Name October 4, 2006 242-1367 Dated DEP File Number 3. The project site is located at: 31 Court Street North Andover Street Address City[Town Map 58 _ Parcel 29 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 10432 171 Gounty _ Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 11/3/08 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: wpatorra 8b_do--•rev.7113164 Page 1 or 4 LAMassachusetts Department of Environmental Protection I Bureau of Resource Protection - Wetlands DPP File Number:--WPA Form 8B Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131 40 242-1367 Provided by DER 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 73 C. Authorization Issued by: North Andover /4"IN Hd Conservation Commission Date of ssuance This Certificate must be signed by a majority of the Conservat'trn Commission and copy sent to the applicant and appropriate DEP Regional Office (See Attachm& t). Signatures: � l rpaform Bb.doc•rev.7113104 Page 2 o4 4 \ Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 1 Massachusetts Wetlands Protection Act M.G.L. c. 131 �40 242-1367 Provided by DEP C. Authorization (coat.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this ,F LI (��'�a '���'i� Day Of 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_ City/Town Conservation Commission Signature of Notary Public DONNA M.WEDGE NOTARY YUatIC Printed Name of Notary Public w _. EALTH OF MASSACAUSETTS Comm.Expires Avq,7,2Q35 ( l M "omm ssion xpires(Date) Place notary seal and/or any stamp above �7�1�`� /'- Signature of Notary Public wpafotm BbAcc•rev.71131D4 Page 3 of 4 L Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: am WPA Form 8B — Certificate of Compliance 1 Massachusetts Wetlands Protection Act M.G.L. c. 131 40 Provided by DEP Provided by DFP 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: 31 Court street 242-1367 Project Location DEP Fife Number Has been recorded at the Registry of Deeds of: Essex North County _ . for: Property owner and has been noted in the chain of title of the affected property on: Date m.. 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 App€icant wpeform Bb.doc•rev.711=4 Page 4 of 4 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 Sox 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Alford Cummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dallon Hawley a g ry Rowe Warwick Springfield,MA 01103 AshfEald neorfrald Heath Monson Russefl Washington Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandefeld Wendell Bi lchartovm East Longmeadow Holland New Ashford Savoy Westfield Fax:413-784-1149 Bernardston Egremorll Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Florida Lanesborough North Adams Shulesbury West Slockbrid_oe Buckfarlb Gill Lee Northampton Southampton Wnatel Ghartemont Goshen Lenox Nodl-itield South Hadley Wilbraham Cheshire Granby Leverell Orange Southwick Williamsburg Chester Granville Leyden 011s Springfield Williams€Quin Cheslerfieid Great Barrington Longmeadow Palmer Stockbridge Vkrindsor Chicopee Greenfield Ludlmv Pelham Sunderland Warthirigton Clarksburg Hadley Middlefield Peru Tolland DEP Central Region Acton Chariton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston 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 Boyiston Fax:508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencet West Brookfield Barre Fitchburg Leominster Oakham Slerfing Westford TDD:508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Sturbridge Wnchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxboraugh Hard"'Ack Mod•rmy Phillipston Toxmsend Boylston Holden Mention Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth Freelown Mattapoisetl Provinceto:m Tisbury Acushnat Dennis Gay Head y Truro 2D Riverside Drive y Middleborough Ra nham Attleboro Dighton Gosnold Lakeville, MA 02347 Wareham Nantucket Rehobofh Avon Duxbury Halifax New Bedford Rochester Wellfleet Phone:508-946-2700 Barnstable Eastham Hanover NorthAtlleborough Rockland WeslB dyewater Berkley East Bridgewater Hanson Sandwich West w Fax:508 947-6557 9 Norton P Bourne Easton Harwich Norwell Scituate West Tisbu TDD:508-946-2795 Brewster Edgarlovm Kingston Oak Bluffs ry Seekonk Whitman Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marton Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Piympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook, Methuen Randolph Walpole Boston,MA D2108 Arlington Cohasset Hull Middleton Reading Waltham Ashland Concord 1psvrich 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 Nevbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lynnfield Newburyport Sherbom Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Manchester-Ely-The-Sea Norfolk Stoneham Wilmington BurlingtonGloucester Marblehead North Andover Sudbury Winchester Cambridge Groveland Madfield North Reading Swampscott Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody Topsfieid v,paform8b.doc•DEP Addresses•rev.10127/08 Page 1 of 1