83-1985 - COCMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B - Certificate of Compliance
Massachusetts Wetlands Prolection Act M.G.L. c. 131 , $40
DEP File Number:
sE83-1985
Provided by DEP
Town of Yarmouth Wetland By-Law, Chapter 143
A. Project lnformation
lmportant:
Wh€n filling out
toms on the
computer, us€
only the tab key
to move your
cursor - do not
use the relurn
key.
Name
PO Box 151 7
[railing Address
East Dennis 02641
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
John G. & Begina Dimock
Name
3t312014
MA
Dated
3. The project site is located at:
28 Kelley Road
DEP File Number
South Yarmouth
Street Address
70
City/Town
118
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Begistry of Deeds lor
Property Owner (il different)
Barnstable 2242
Book
1s9
PageCounty
Ceftficate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
1011812016
wDalrhab doc r rev s/29/14
Daie
WPA Fom 88, Cgniicate oi Comptiance. Pag€ 1 ot 3
1. This Certif icate ol Compliance is issued to:
Cape Cod Enqaneerinq
@ffi
sE83-198s
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 88 - Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131 , $40
DEP File Number
sE83-1985
Provided by DEP
Town of Yarmouth Wetland By-Law, Chapter 143
B. Certification
Check all that apply:
I Complete Certification: lt is hereby certilied that the work regulated by the
above-relerenced Order of Conditions has been satislactorily completed.
n partiat Certification: lt is hereby certified that only the following portions of work
regulated by the above+eferenced Order ol 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:
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Conditions has lapsed and is therefore no longer valid.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 f iling a new
Notice of lntent and receiving a new Order of Conditions.
I Ongoing Conditions: The following conditions of the Order shall conlinue:
(lnclude any conditions contained in the Final Order, such as maintenance or
monitoring, that should conlinue lor a longer period).
Condition Numbers:
C. Authorization
lssued by:
Yarmouth /o/zr / zor 6
Conservation Commission Date of lssuance
This Certificate must be signed by a majority of the Conservation Commission and a
copy sent to the applicant and appropriate DEP Regional Ollice (See
htto://www.ma ss. oov/eea,/aoencies/massdeo/abouVcontacts/
Signatures:
?
wpalmAb.d@ r rev 5/29 4
(q_
WPA Fom 68, Corlilical6 ol ComplEn@. Pag€ 2 ol3
! lnvalid Order of Conditions: lt is hereby certitied that the work regulated by the
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B - Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131 , $40
DEP File Number
sE83-1985
Provided by DEP
Town of Yarmouth Wetland By-Law , Chapter 143
To:
Yarmouth
Conservalion Commissaon
Please be advised that the Certaf acate of Compliance tor the proJect at:
28 Kelley Road sE83-1985
Project Location
Barnstable
DEP File Number
County
lor:
Property Owner
and has been noted in the chain of title of the affected property on:
Date Book
lf recorded land, the instrument number which identifies this transaction is:
Page
lf registered land, the document number which identifies this transaction is:
Document Number
,patm8b doc ! rev 5/29114
Signalure of Applicant
WPA Fo.maB, C6rt li@t€ o, ComptEncet Pags3 ot 3
D. Recording Confirmation
The applicant is responsible for ensuring that this Certificate ol Compliance is recorded in
the Registry ol Deeds or the Land Court for the district in which the land is located.
Detach on dotted line and submit to the Conservation Commission.
Has been recorded at the Registry of Deeds of: