HomeMy WebLinkAboutCertificate of Compliance - 151 BOXFORD STREET 6/24/2015 Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B ® Certificate of Compliance 242-1562
Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 Provided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Jeff&Alyson Kutz
only the tab key Name
to move your 151 Boxford Street
cursor-do not Mailing Address
use the return
key. North Andover MA 01845
City/Town State Zip Code
,a 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Jeff&Alyson Kutz
retun Name
September 17, 2012 242-1562
Dated DEP File Number
3. The project site is located at:
151 Boxford Street North Andover
Street Address City/Town
Map 106A Parcel 257
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 Northern 13169 282
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
6/23/15
Date
wpafrm8b.doc•rev.5/29/14 WPA Form 8B,Certificate of Compliance-Page 1 of 3
�
�
�
�
Massachusetts Department of Environmental Protection
BU[88U Of ReGOU[Ce Protection - W8fl8DdG osP File Number:
��U��& ������� �@� .� Certificate^ �� ����00�U^���� |
- -' - ' ' --- —' Compliance— 242-1562
M@GSG��UG8t�� \�/eƒlGDdG Protection Act M.{�.L. C. 131. 540 Provided bvosp
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. �
[l 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 areaeVrwmrksubjenttothispodio|nedifioationthothove
been completed and are released from this Order are:
F-1 Invalid Order mf Conditions:|tia hereby certified that the work regulated by
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Conditions has lapsed and is therefore no longer valid.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 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 a longer poriod).
Condition Numbers:
SQ
C. Authorization
Issued by:
North Andover
Conservation Commission uatbnr|sduanoe
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
Signatur
d111W �
�
�
°pafrmnb.*"'rev,vme* wpx Form mx Certificate m Compliance'Page eofu �
�
`
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B ® Certificate of Compliance 242-1562
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
I
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:
151 Boxford Street 242-1562
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex Northern
County
for:
Jeff&Alyson Kutz
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.5/29/14 WPA Form 813,Certificate of Compliance-Page 3 of 3