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Massachusetts Department of Environmental Protection i
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1283 t
Massachusetts Wetlands Protection Act M.G.L. C. 131, §40 Provided by DEP f
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
, forms on he r
computer,use P. L. Hingorani, Trustee, One Hundred Fourteen Trust
only the tab key Name
to move your 51 Mount Joy Drive
cursor-do not Mailing Address
use the return
key. Tewksbury MA 01876
City/Town 1 State Zip Code
-V� 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
P. L. Hingorani, Trustee, One Hundred Fourteen Trust I*Ifl:=4k Name
December 29, 2004 242-1283 }
Dated DEP File Number
3. The project site is located at:
Route 114, East of Berry Street North Andover F.
Street Address City/Town t
Map 106D Parcel 63
Assessors Map/Plat Number ParcelLot Number
l
the final Order of Condition was recorded at the Registry of Deeds for: t
Property Owner(if different) t
Essex N orth 9342 274
County Book Page f�
g;.
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
8/23/10 ``
Date .
4,.
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wpafrm8b.doc•rev.12/23/09 WPA Form 8B,Certificate of Compliance•Page 1 of 3
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1283
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Certification
. i,
Check all that apply:
g
❑ 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: k
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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 F
Conditions has lapsed and is therefore no longer valid.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 I.
i
Issued by:
North Andover q I 0
Conservation Commission Dat of Iss ante
This Certificate must be signed by a majority of the Conservation Commission and a 1
copy sent to the applicant and appropriate DEP Regional Office(See
http://www.mass.gov/dep/about/region/findyour.htm). ;
Signatures: ' # ■ ;PM(. %�f 1� !
IllWarhaiN
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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
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1283
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
Route 114, East of Berry Street 242-1283
Project Location DEP File Number
Has been recorded at the Registry of Deeds of
Essex North
County t"
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