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HomeMy WebLinkAboutMiscellaneous - 197 BERKELEY ROAD l I i 1 3 i I l 1 i , I Massachusetts Department of Environmental Protection 4 Bureau of Resource Protection - Wetlands DEP File Number: ' WPA Form 8B �-Certificate of Compliance p2 2� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP 1 A. Project Information i Important: 5 When filling out 1. This Certificate of Compliance is issued to: forms on the computer, use Law Office of Michael E. Lombard for Boris and Dvora Bel only the tab key Name to move your 44 Park Street cursor-do not use the return Mailing Address key. Andover MA 01810 City/Town State Zip Code m 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Ambrose Development Corporation h Min Name t May 6, 1982 242-21 Dated DEP File Number 0 N, 3. The project site is located at: N 197 Berkeley Road (Lot 4) North Andover t. Street Address City/Town Map 47 Parcel 51 Assessors Map/Plat Number ParceVLot Number 1 N the final Order of Condition was recorded at the Registry of Deeds for 1 Property Owner(if different) t Essex North 1575 260 County Book Page 1 c Certificate 4 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on t. 6/7/10 Date is f ( k ) wpafrm8b doc•rev.12/23/09 WPA Form 8B,Certificate of Compliance•Page 1 of 3 1 0 i _7 g D Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B Ettfiertificate of Compliance pcoc 242-21 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP 1- I B. Certification 1 Check all that apply: i ❑ Complete Certification: It is hereby certified that the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. t g ® Partial Certification: It is hereby certified that only the following portions of work O o regulated by the above-referenced Order of Conditions have been satisfactorily c o ompleted.The project areas or work subject to this partial certification that have i been completed and are released from this Order are: PCOC for 197 Berkeley Road (Lot 4) only. d ❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the t above-referenced Order of Conditions never commenced. The Order of t Conditions has lapsed and is therefore no longer valid.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. g ❑ Ongoing Conditions: The following conditions of the Order shall continue: (Include any conditions contained in the Final Order, such as maintenance or t monitoring, that should continue for a longer period). Condition Numbers: t C. Authorization Issued by: t: North Andover ,y©//0 Conservation Commission Date of I seance 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.dov/dep/about/redion/findvour.htm). Signatu es: �∎ , /I 1 e wpafrm8b.doc•rev.12/23/09 WPA Form 88,Certificate of Compliance•Page 2 of 3 1 i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands ( DEP File Number: WPA Form 8B .e ertificate of Compliance Pc°G 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. To: North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: 197 Berkeley Road (Lot 4) 242-21 Project Location DEP File Number Has been recorded at the Registry of Deeds of: t Essex North 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: 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 gs