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 The Order of Conditions has lapsed and is therefore no
longer valid.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