HomeMy WebLinkAbout- Certificate of Compliance - 88 DUNCAN DRIVE 4/27/2016 B III �. - -Sr P:q 48 ML T.L 0C'J67
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection -Wetlands DEP File Number:
WPA Form SB -- Certificate of Compliance 242-1573
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 Ga Wiemann
only the tan key Name
to move your 88 Duncan Drive
cursor-do not
use the return Mailing Address
key. North Andover MA 01845
Cityfrown State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Gary Wiemann -
' "' Name
March 29, 2013 _ 242-1573
Dated DEP File Number
3. The project site is located at:
88 Duncan Drive North Andover
Street Address Cityfrown
Map 104B Parcel 174
Assessors MaplPlat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Essex Northern 13455 263
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
4127/16
Date
wpatrm8b,doc•rev.5129114 WPA Form 813,Certificate of Compliance•Page 1 of 3
Bk 14625 Pg49 #10869
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection -Wetlands DEP File Number:
WPA Form SB -- Certificate of Compliance 242-1573
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
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:
❑ 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Conditions has lapsed and is therefore no longer valid.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:
74
C. Authorization
Issued by:
North Andover
Conservation Commission Date of rssu nce
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
htt a/www.m@gs. ovleea/a encies/massde lobouVcontacts/find-the-massde -
re_gional-office-fonr-your-cite-or-town tml .
Sign ures:
c
7V
wpafrm8b.doc•rev.Sf29114 WPA Form 86,Certificate of Compliance•Page 2 of 3
Bk 14625 Pg50 #10869
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP Fife Number:
° WPA Form 8B — Certificate of Compliance
242-1573
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.
t6 ---------------------------------------------------------------------------------------------------
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
88 Duncan Drive 242-1573
Project location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex Northern
County
for.
Gary Wiemann
Property Owner
and has been noted in the chain of title of the affected property on:
Date Boost 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
wpafrmBb.doc•rev.5129114 WPA Form 813,Certiftcate of Compliance•Page 3 of 3