HomeMy WebLinkAbout242-1140, 107 Old Farm Road COC - Certificate of Compliance - 107 OLD FARM ROAD 6/25/2003 Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number
WPA Form 8B — Certificate of Compliance Ll 242-1140 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. Project Information
Important: 1. This Certificate of Compliance is issued to:
.When filling out
forms on the Christine Karelas
computer, use Name
only the tab
key to move 107 Old Farm Road
your cursor- Mailing Address
do not use the North Andover MA. 01845
return key. CityfTown State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Christine and Richard Karelas
Name
5/14/02 242-1140
Dated DEP File Number
3. The project site Is located at:
107 Farm Road North Andover
Street Address Cityrrown
Map 35 Parcel 31
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 6849 143
County Book Page
N/A
Certificate
4.. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
5/27/03
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:
wpaform 8b.doc-rev.12/15/00 Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 813 — Certificate of Compliance
Massachusetts Wetlands Protection Act K.G.L. c. 131, §40 242-1140
Provided by DEP
B. Certification (cont.)
F] 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therefore no longer valid.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.
0 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:
65
C. Authorization
Issued by:
North Andover 5 63
Conservation Commission [late of I nuance
This Certificate must be signed by a majority of the Conservation Commission a copy sent to the
applicant and appropriate DEP Regi,* al Office(See Appendix A).
Signatures: -7�
------------7.
On g Of X23
Day Month an ear
before me personally 7ear;d
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.
Notary Pubic My commis'siwexpires
wpaform 8b.doc-rev.12/15100 Page 2 of 3
Massachusetts Department of Environmental Protection
IBureau of Resource.Protection -Wetlands DEP File Number:
Y WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act Ll M.G.L. c. 131, §40 242-1140 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,
------------------------------------------------ --------------------------------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
242-1140
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
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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