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HomeMy WebLinkAboutMiscellaneous - Ciderpress WayL1Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 1 WPA Form 813 — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rab retwn A. Project Information 1. This Certificate of Compliance is issued to: Thomas D. Zahoruiko, Meetinghouse Commons LLC Name 78 Great Pond Road Mailing Address 2 DEP File Number: riuviueu uy ur-r North Andover MA 01845 City/Town State Zip Code This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Parcel/Lot Number Thomas D. Zahoruiko, Meetinghouse Commons LLC Thomas D. Zahoruiko Name Property Owner (if different) October 28, 2010 242-1499 Dated DEP File Number 3. The project site is located at: Ciderpress Way North Andover Street Address City/Town Map 104C Parcel 31 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Thomas D. Zahoruiko Property Owner (if different) Essex Northern 13832 95 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 4/8/14 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 DEP File Number: WPA Form 8B — Certificate of Compliance 242-1499 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 The Order of Conditions has lapsed and is therefore no longer valid.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. ® 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: C. Authorization wpafrm8b.doc • rev. 12/23/09 Issued by: North Andover Conservation Commission This Certificate must be signed by a majority of the copy sent to the applicant and appropriate DEP Re 141 3 DatEf df Issua ce rvation Commission and a WPA Form 813, Certificate of Compliance • Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1499 Lit 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: Ciderpress Way 242-1499 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex Northern 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 813, Certificate of Compliance • Page 3 of 3