HomeMy WebLinkAbout242-1512, 45 Thistle Road COC - Certificate of Compliance - 45 THISTLE ROAD 12/8/2011 -4,
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection -Wetlands DEP File Number
WPA Form 8B — Certificate of Compliance 242.1512
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 Brian Whipple
only the tab key Name
to move your 45 Thistle Road
cursor-do not
use the return Mailing Address
key North Andover MA 01845
City/Town State Zip Code
VQ 2 This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to
Brian Whipple
0" Name
April 14, 2011 242-1512
Dated DEP File Number
3 The project site is located at
45 Thistle Road North Andover
Street Address City/Town
Map 38 Parcel 333
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 12467 93
County Book Page
Certificate
4 A site inspection was made in the presence of the applicant, or the applicant's agent,
on
12/6/11
Date
wpafrm8b doc•rev 12/23/09 wPA Form 8B Certificate of Compliance•Page 1 of 3
ILIMassachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number
WPA Form 8B ® Certificate of Compliance ;2Q_ f5r.Q
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Conditions has lapsed and is therefore no longer valid No future work subject to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
614
C. Authorization
Issued by
North Andover /Q 4
Conservation Commission Date of Issuance
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
http//www mass gov/dep/about/region/findyour htm)
Signatures
C 17TL'
'
wpafrm8b doc•rev 12/23/09 WPA Form 8B,Certificate of Compliance•Page 2 of 3
ILIMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number
WPA Form 8B — Certificate of Compliance 242-1512
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
45 Thistle Road 242-1512
Project Location DEP File Number
Has been recorded at the Registry of Deeds of
Essex North
County
for
Brian Whipple
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 doc•rev 12/23/09 WPA Form 8B Certificate of Compliance Page 3 of 3