HomeMy WebLinkAboutSE83-2094 COCMassachusetts Department of E nvironmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B - Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131 , $40
Town of Yarmouth Wetland By-Law, Chapter 143
DEP File Number:
sE83-2094
Provided by DEP
A. Project !nformation
'1. This Certificate of Compliance is issued to
Keith Froleiks
Name
21 Bentbluff Lane
l\4ailing Address
Yarmouth Port MA 0267 5
City/Tolvn State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Keith Froleiks
Name
119117 sE83-2094
Dated
3. The project site is located at:
21 Bentbluff Lane
DEP File Number
Yarmouth Port
Street Address
117
City/Tolvn
10
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Keith Froleiks
Property Owner (if different)
Barnstable 30275 234
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
8115118
rralrmgb doc. rev 5/29n4
Date
wDAco'- 88 .elr€eolco-plarce.page 1 0'3
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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:
sE83-2094
Provided by DEP
Town of Yarmouth Wetland By-Law, Chapter 143
Check all that apply:
fi Complete Certification: lt is hereby certified that the work regulated by the
above-referenced Order of Conditions has been satisfactorily completed.
E partiat Certification: lt is hereby ce(ified 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:
! lnvalid Order of Conditions: lt 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Conditions has lapsed and is therefore no longer valid.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 lntent and receiving a new Order of Conditions.
E Ongoing Conditions: The following conditions of the Order shall continue:
(lnclude any conditions contained in the Final Order, such as maintenance or
monitoring, that should continue for a longer period).
C. Authorization
lssued by
Yarmouth
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 Office (See
http //www.mass.oov/eea/aoencies/massdepiabouVcontacts/
Signatures:
1 q
wpairmSb doc . rev.5/29114
tt L.
wPA Form 88 Certrfi€te ol Compla.ce'Page 2 of3
B. Gertification
Condition Numbers:
tful164E
:-
ra(r
Massachusefts 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:
sE83-2094
Provided by DEP
Town of Yarmouth Wetland B Law, Cha ter 143
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:
Yarmouth
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
21 Bentfluff Lane sE83-2094
Project Location
Has been recorded at the Registry of Deeds of
Barnstable
DEP File Number
County
for:
Property O!.'ner
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
wpafmSb.d@'rev 5/29/14
Signature of Applicant
WPAFom 88, Cen fr€b of Complian@ . Paq€ 3 or3