HomeMy WebLinkAboutCertificate of Compliance - 14 LORRAINE AVENUE 12/2/2015 DEP File Number:
WPA ILI Form ® Certificate of Compliance 242-1480
-t-4 A?,odC CJ,- et j,' 1,4j Provided by DEP
A. Project Informati®n
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use David Kindred
only the tab key Name
to move your 14 Lorraine Avenue
cursor-do not Mailing Address
use the return
key. North Andover MA 01845
Cityfrown State Zip Code
r� 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Peter Breen, Breenmore Realty Trust
Name
April 13, 2012 &Amended July 23, 2013 242-1480
Dated DEP File Number
3. The project site is located at:
14 Lorraine Avenue North Andover
Street Address City/Town
Map 47 Parcel 1
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Peter Breen, Breenmore Realty Trust
Property Owner(if different)
Essex Northern ooc=13616 57
County Book Page
Amended OOC=Book 13616, Page 92
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
11/17/15
Date
B. Certificati®n
wpafrm8b.doc•rev.5129/14 WPA Form 86,Certificate of Compliance•Page 1 of 3
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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.
[-1 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 oraasnrvvorkoutjeottothiepartia|certiDoationthathave
been completed and are released from this Order are:
[l Invalid Order ofConditions: It is hereby certified that the work regulated by the
above-referenced Order of Conditions never commenced. The Order nf
Conditions has lapsed and is therefore no longer valid. No future work subject to
regulation under the Wetlands Protection'Act may commence without filing anew
Notice of Intent and receiving o new Order ofConditions.
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 o longer pariod).
Condition Numbers:
74
C. Authorization
Issued by:
North Andover
Conservation Commission Date mIssuance
This Certificate must be signed bya majority oftheConsenxationCommieaiononda
copy sent to the applicant and appropriate DEP Regional Office(See
ll 'R,
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ILI - . . osp File Number:
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- -- Certificate-'- - Compliance- 242-1480
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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.
________________________________________________________________________
/m�
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
14 Lorraine Avenue 242-1480
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex Northern
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
wpaffm8b.doc-rev.5/29/14 WPA Form 88,Certificate of Compliance-Page 3 of 3