HomeMy WebLinkAbout242-625, 110 Fuller Road COC Corrected - Permits #242-624 - 110 FULLER ROAD 8/28/2024 Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
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WPA Form 8B — Certificate of Compliance.,, 242-625
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 Re-Issued to: Christine Bernardini, Esq. -Touchstone Closing & Escrow
only the tab key Name
to move your 27 Main Street
cursor-do not
use the return Mailing Address
key. Andover MA 01810
City/Town State Zip Code
Q 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
Michael Casey
ewrn Name
October 2, 1992 242-625
Dated DEP File Number
3. The project site is located at:
110 Fuller Road (Subdivision Lot 112) North Andover
Street Address City/Town
Map 65 Lots 16
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
County Book Page
Doc. #54333 Certificate# 11615
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
n/a Re-Issue
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.
wpafrm8b.doc•rev.7/1/2021 wPA Form 813,Certificate of Compliance•Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8 — Certificate of Compliance 242_62
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Certification (cant.)
❑ 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Conditions has lapsed and is therefore no longer valid.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:
Condition #"s 32, 33 & 34
® 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 Re-Issued
---... _._._.
Conservation Commission 08-28-24
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.r-nass,qov/service-detaiMs/massdpA- gionakoffices-by-community).
vrpafrm8b.doc•rev.7/112021 WPA Form 86,Certificate of Compliance•Page 2 of 4
LIMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP rile Number:
WPA Form 813 -- Certificate of Compliance Reissue
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 JOCOC
242-625
Provided by DEP
--------___------... ._._...
C. Authorization (cant,)
Signatures:
m
�. "Signature Printed Name
ignatu Printed Name
t e atu 11 PriFed�Na'me
Signature Printed Name
ur Printed Name
ign ure 5—' -
Printed Name
Signatur Printed Name
_- _. _.._......w _
Signature Printed Name
wpafrm8odoc•rev.711t2021 WPA Form 8B,Certificate of Compliance•Page 3 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
' WPA Form 8B — Certificate of Compliance
242-625
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.
-------------------------------------------------------.-.-.-------------------
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
110 Fuller Road (Subdivision Lot 112) 242-625
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Northern Essex
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
wpafrm8b,doe•rev.711/2021 VVPA Form 8B,Cerliflcate of Compliance-Page 4 of 4