HomeMy WebLinkAboutMiscellaneous - 1849 GREAT POND ROAD Massachusetts Department of Environmental Protection
, Li Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B - Certificate of Compliance
242-1600
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP P
I
A. Project Information
Important: I
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Dehullu Homes do Stephen Dehullu
only the tab key Name
to move your 36 Benjamin Street
cursor-do not Mailing Address
use the return
key. Groveland MA 01834
inill
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of i~
Conditions issued to: __
�� Dehullu Homes do Stephen Dehullu
II Name
September 26, 2013 242-1600
Dated DEP File Number s,
3. The project site is located at
1849 Great Pond Road (Lot 1) North Andover
Street Address City/Town
Map 35 Parcel 04 I t
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
i
Property Owner(if different) i
Essex Northern 13690 39
County Book Page
Certificate t`
i
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on: }
1021/14
Date
X
P
wpafrm8b.doc•rev.5/29/14 WPA Form 8B,Certificate of Compliance•Page 1 of 3 e-.
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1600
,,,,:'.:
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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Conditions has lapsed and is therefore no longer valid.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. I'
fEl Dnanoing 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).
i
Condition Numbers:
75
C. Authorization
Issued by:
North Andover /p 43 i
Conservation Commission D e of I sua ce
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/eea/agencies/massdep/about/contacts/find-the-massdep-
regional-office-for-your-city-or-town.htmp.
Sign es:
klri l L.ra►'L% c)
1 NM
i
wpafrm8b.doc•rev.5/29/14 WPA Form 8B,Certificate of Compliance•Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
' WPA Form 8B - Certificate of Compliance DEP File Number:
242-1600
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by DEP .
1
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:
1849 Great Pond Road (Lot 1) 242-1600
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Ft
f
Essex Northern
County
r
Dehullu Homes c/o Stephen Dehullu
Property Owner
and has been noted in the chain of title of the affected property on
Date
Book Page
t:
If recorded land, the instrument number which identifies this transaction is: F.
If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
wpafrm8b doc•rev.5/29/14
WPA Form 8B,Certificate of Compliance•Page 3 of 3