HomeMy WebLinkAboutMiscellaneous - 125 CAMPION ROAD •
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
/ DEP File Number:
WPA Form 8B - Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 2 -
Prov42 ided 1285 by DEP
A. Project Information
• Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Norse Environmental Services, Inc.
only the tab key Name
to move your
cursor-do not 92 Middlesex Road Unit 4
use the return Mailing Address
key. Tyngsborough
City/Town MA 01879
State Zip Code
° I 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to
Richard Stoddard
I®�I Name
December 29, 2004 242-1285
Dated
DEP File Number
3. The project site is located at:
125 Campion Road North Andover
Street Address City/Town
Map 62 Parcel 87
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 11396 31028
County Book
Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
9/5/12
Date
wpafrm8b doc•rev.12/23/09
WPA Form 8B,Certificate of Compliance•Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B - Certificate of Compliance DEP File Number:
Massachusetts Wetlands Protection Act M.G.L. c. 131 40 242-1285
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Conditions has lapsed and is therefore no longer valid.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.
IRI 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:
76
C. Authorization
Issued by:
North Andover 43/4,
Conservation Commission Da e of Is nuance
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.qov/dep/about/region/findvour,htm).
Signatures:
• J.#.■ / / I
,. 4 A 3 •
wpafrm8b.doc•rev.12/23/09
WPA Form 8B,Certificate of Compliance•Page 2 of 3
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B - Certificate of Compliance DEP File Number:
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1285
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
125 Cam ion Road 242-1285
Project Location
DEP File Number
Has been recorded at the Registry of Deeds of:
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:
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