HomeMy WebLinkAboutMiscellaneous - 795 GREAT POND ROAD . A
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Massachusetts Department of Environmental Protection
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Bureau of Resource Prxotection - Wetlands DEP File Number:
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WPA Form 8B - Certificate of Compliance
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Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-967
Provided by DEP
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A. Project Information
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Important:
When filling out 1. This Certificate of Compliance is issued to: t
forms on the
computer, use Ian Carrera&Jill Carrera
only the tab key Name
to move your 795 Great Pond Road
cursor-do not Mailing Address
use the return
key. North Andover MA 01845
City/Town State Zip Code
vir.5
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
S. J. J. Trust
reran Name
August 5, 1999 242-967
Dated DEP File Number
3. The project site is located at:
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795 Great Pond Road (Lot 2) North Andover
Street Address City/Town i
Map 103 Parcel 116 �°
Assessors Ma /Plat Number Parcel/Lot Number (
the final Order of Condition was recorded at the Registry of Deeds for:
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Property Owner(if different)
Essex North 6325 191
County Book Page t!;
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
9/13/12 ,,
Date '
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wpafrm8b doc•rev.12/23/09 WPA Form 88,Certificate of Compliance•Page 1 of 3 t.t.
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Massachusetts Department of Environmental Protection
Bureau of Resource Protpcition - Wetlands DAP File Number:
L WPA Form 8B - Certificate of Compliance ��°`' j
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 24vided
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:
PCOC for 795 Great Pond Road (Lot 2) only.
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❑ 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 4
Notice of Intent and receiving a new Order of Conditions. r
® 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). f
Condition Numbers:
(
73
C. Authorization
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Issued by:
North Andover %
Conservation Commission Dat of I uance )
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.gov/dep/about/region/findyour.htm).
Signatures:
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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
LA Bureau of Resource Potc�f<ion - Wetlands
WPA Form 8B — Certificate of Compliance DEC ile Number: t
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r Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
242-967 vided
Provided by DEP il
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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.
To:__________-----------------------------------------------------------------------------------------.
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at: 1°
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795 Great Pond Road (Lot 2) 242-967 X,'
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
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Essex North
;County
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for:
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Ian Carrera&Jill Carrera
Property Owner
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and has been noted in the chain of title of the affected property on:
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Date t'
Book Page ;'
If recorded land, the instrument number which identifies this transaction is:
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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