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HomeMy WebLinkAbout2002-12-27 Certificate of Compliance LAMassachusetts Department of Environmental p nvtronmen#al Protection Bureau of Resource Protection - Wetlands WPA Form HB -- Certificate of Compliance Df=P File Number. Massachusetts Wetlands Protection Act M.G.L. c, 131 40 242-1179 ' § Provided by DEP A. Project Information Important; When filling out 1 This Certificate of Compliance is issued to: forms on the computer, use Tara Leigh Development, LLC only the tab Name key to move 121 Carter Field Road your cursor- Malling Address do not use the North Andover MA return key. City/Town 01846 State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Tara Leigh Development, LLC Name Feburary 12, 2003 Dated 242-1179 EP Fife Number 3• The project site is located at: Carter Field Road (off Bradford Street) North Andover Street Address City/Town Map 62 Parcel 2 & 138 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 7605 179 County Book page Certifioate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 1217/04 bate 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: wparorm ab.doc•rev.7/1 3/o4 Page 1 of 4 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Ll DEP Fife Number: WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §404 -1179 Provided by DPP 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 The Order of Conditions has lapsed and is therefore no longer valid.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 Conservation Commission pate o Iss nce This Certificate must be signed by a majority of the Conservation Commission Copy sent to the applicant and appropriate DEP Regional Office(See Attachment). Signatur wparorm Bb.doc rev.710104 Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form SB — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1179 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North tih + On this Day Of Month Year before me, the undersigned Notary Public, personally appeared . C t Ij.- 6- 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 Cityrrown Conservation Commission ilgnature of Notary Public DOW K WEt E 7 crl/ri`� Printed Name of Notary Public MOTARY PUBLIC com;hoHWE1tL OF 106SAgi118 M I&ComuL 11 x$"Aug,7,2008 My Commission Expires(Date) Place notary seal and/or any stamp above Signature of Notary Public wpaform Wdoc•rev.7113104 Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form SB -- Certificate of Compliance 242-1179 Massachusetts Wetlands Protection Act M,G,L, c. 131, §40 Provided by DEP L11 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 Commisston Please be advised that the Certificate of Compliance for the project at: 242-1179 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 gook 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 wpaform ftdoo•rev.7113104 Pago 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 rand DEP payments,payable to: Commonwealth of Massachusetts [department of Environmental Protection j Box 4062 Boston, MA 02211 DEP Western Region Adams Cotrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agaw Conway Hancock Montague Plainfield. Wales Altordam Cumminglon Hatfield Monterey Richmond were Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield,MA 01103 AshfieId Deerfield Heath Monson Russell Washington Phone:413 7$4 1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell Bekhertown East Longmeadow Holland New Ashford Savoy Westfield Fax:413-784-1149 Bernardston Egromont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfiold Florida Lanesborough North Adams Shulasbury West Stockbridge Buckland Gill Lee Northampton Southampton Wnalely Charlemonl Goshen Lenox Northfield South Hadley Wilbraham Cheshire Granby Leverelt Orange Southwick Will emsburg Chester Granville Leyden Olis Springfield Williamstown Chastarfierld Great Barrington Longmeadow Palmer Stockbridge Windsor CNcopea Greenfield Ludlow Pelham Sunderland Worthington Clarksburg Hadley Mlcl&efield Peru Tolland DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardston Millvlile Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester, MA 01608 Athol Dudley Holliston Nodhborough Southborough Westborough Phone:508-792-7650 Auburn Dunslable Lancaster Northbridge Southbridge West Boylston Fax:508 792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield Barre Fitchburg Leominster Onkham Slarling Wesiford TDD: 508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster Berlin Grafton Lunenburg Paxton Stufb€idga Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phillipslon Townsend Boylston Holden Mandan Princeton Tyngsborough Brookfield Hopedale Milford Royalslon Upton DEP Southeast Region Abington Dartmouth Freetown Mattapolselt Provincelown Tlsbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosrold Nantucket Rehoboth Wareham Lakeville,MA 02347 Avon Duxbury Halifax New Bedford Rochester Well(leal Phone:508-946-2700 Barnstable Eastham Hanover North Allleborough Rockland West Bddgewater Fax: 508-947-6557 Berklay East Bridgewater Hanson Norton Sandwich Westport Bourne Easton Harwich Norwell Scituate West Tlsbury TDD: 508-946-2795 Brewster Edgarlown Kingston Oak Bluffs Seekonk Whitman Brdgewater Fairhaven Lakeville Orleans Sharon Wrentham Brockton Fall River Mansfield Pembroke Somerset Yarmouth Carver Falmouth Marion Plainville Stoughton Chatham Foxborough Marshfield Plymouth Swansea Chilmark Franklin Mashpee Plympton Taunloa DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohassel }lull Middleton Reading Watthare Boston,MA 02108 Ashland Concord Ipswich Millis Revere Watertown Phone:617-654-6500 Bedford Danvers Lawrence Millen Rockport Wayland FaX: 617 556 1049 Belmont Dedham Lexington Nahenl Rowley Wellesley Beverly Dover Lincoln Natick Salem Wenham TDD:617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everell Lynnfield Newburyport Sherborn Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Wilmington Burlington Gfoucester Marblehead North Andovar Sudbury Winchester Cambridge Groveland Medfield North Reading Swampscott Winthrop canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody TopsFeld i wpaformob.doe DEP Addresses•rev.12004 Page 1 of 1 i LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form SB -- Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1179 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: C.�Aiie-R E._D lP,D 242-1179 Project Location/pf:P 'P,-k"Fb DEP File Number Has been recorded at the Registry of Deeds of: county for: Property Qwner 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: � R�giof IDeeds North If registered land, the document number which identifies this transaction is: Document Number S n re of Applicant vrparorm 8b.doo•rev.7I13/04 Page 4 of 4