HomeMy WebLinkAboutClerk's files (9) r I
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B - Certificate of Compliance 242-1451
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 Bruce Thibodeau, P. E. North Andover Division of Public Works
only the tab key Name
to move your 384 Osgood Street
cursor-do not
use the return Mailing Address
key. North Andover MA 01845
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Town of North Andover Division of Public Works
Name
July 9, 2009 242-1451
Dated DEP File Number
3. The project site is located at:
Aurtran Avenue North Andover
Street Address City/Town
Plat 22 Street-Right-of-Way
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Town of North Andover
Property Owner(if different)
Essex North 11727 187
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
1/22/13
Date
wpafrm8b.doc•rev.12/23/09 WPA Form 88,Certificate of Compliance•Page 1 of 3
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Lwi Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP File Number: },
WPA Form 8B - Certificate of Compliance .2y _!y 1 f;
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Certification
k
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 areas or work subject to this partial certification that have I
been completed and are released from this Order are:
F
f-
❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the y;
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Conditions has lapsed and is therefore no longer valid.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:
7/
C. Authorization
Issued by:
North Andover .)9 i3
Conservation Commission D e of suance
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
htto://www.mass.gov/deo/about/region/findyour.htm).
Signatures:
-. . 111: , I
A / '4k.. /.��
A rte- 9
wpafrm8b.doc•rev.12/23/09
WPA Form BB,Certificate of Compliance•Page 2 of 3
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Massachusetts Department of Environmental Protection F
Bureau of Resource Protection - Wetlands DEP File Number: r
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WPA Form 8B - Certifica 5!IE!/?C't M.G.L. c. 131, §40 Provided by DEP
D. Recording Confirmation
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The applicant is responsible for ensuring that this Certificate of Compliance is recorded in 7
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:
i'
North Andover
i.
Conservation Commission
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Please be advised that the Certificate of Compliance for the project at:
Autran Avenue 242-1451 I
Project Location DEP File Number r.
Has been recorded at the Registry of Deeds of:
Essex North
County
for:
Town of North Andover Division of Public Works s'
Property Owner
,
and has been noted in the chain of title of the affected property on:
Date Book Page
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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