HomeMy WebLinkAboutMiscellaneous - 66 JAY ROAD Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number.
WPA Form 8B — Certificate of Compliance 242-1477
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 provyed by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer,use Carlo Alpuerto
only the tab key Name
to move your 66 Jay Road
cursor-do not
use the return Mailing Address
key. North Andover MA 01845
CR1'?own State Zip Code
VQ 2. This Certificate of Compliance is issued forwork regulated by a final Order of
Conditions issued to:
Carlo AlpueKo
"a Name
June 16,2010 242-1477
Dated DEP File Number
3. The project site is located at:
66 Jay Road North Andover
Street Address CMy?own
Map 98A Parcel 58
Assessors Map/Plat Number ParosULot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(d ditmnt)
Essex North 12075 87
County Book Pape
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
► a-It� to
Date
,..Sb d..vev.1==. W A Fo-aB,Ceft%r N of Compliance•P,e 103
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number.
WPA Form 813 — Certificate of Compliance 242-1477
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 PI.M d 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Conditions has lapsed and is therefore no longer valid.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.
® 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:
74
C. Authorization
Issued by:
North Andover of 19116
Conservation Commission Date of Issuance
This Certificate must be signed by a majority of the Con tion Commission and a
copy sent to the applicant and appropriate DEP Region ffice(See
htti)71/www.mass.gov/dep/abouttregion/findvour.htm).
Signature
.Paerem aoc•rev.iviaos MA Faao es.cenmmw m coreProom-Page s ux
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
DEP FII9 Number.
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1477
Provitle0 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.
Toi.____-__.–_.__-___-'__–___–__–'____--'__--__–__–._._.-._.-'_-----._.___._–_—._.-._.
North Andover
Conservation Commisebn
Please be advised that the Certificate of Compliance for the project at:
661 Road _ 242-1477
Project Location DEP Fib Number
Has been recorded at the Registry of Deeds of:
Essex North
for:
Carlo A puerto
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 or Applicant
*wrnran.am.rev.rarzsm
WPA Fa,m BB,CeNF¢e1e of COmpfan[e'Paye 3IN 3