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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 SE83-2063
Provided D
Town of Yarmouth Wetland By -Law, Chapter 143
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Mark Burgess Shorefront Consulting
only the tab key Name
to move your
cursor - do not 290 Center Street
use the return Mailing Address
key. Dennis Port MA 02639
City(Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
J. Hughes Bluefin Rlty AA Will CP Jaqueline Hughes TR
" Name
5/23/16
3. The project site is located at:
11 Kelp Lane South Yarmouth
Street Address Citylrown
25 20
Assessors Map/Plat Number Parcel/Lot Number
SE83-2063
DEP File Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
Barnstable 29732 41
County Book Page
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
Date
wpakm8b.doc • rev. 5/29/14 NPA Form 8B, Certificate of Compliance • Page 1 of 3
I
Bk 31818 Pg27 #5246
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
063
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 SEss-2byD
Town of Yarmouth Wetland By -Law, Chapter 143 Provided by DEP
B. Certification
Check all that apply:
L2 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Conditions has lapsed and is therefore no longer valid.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
Issued by:
Yarmouth I t,7Z 7 0 jU
Conservation Commission Date of Issuance
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.gov/eea/agencies/massdep/about/contacts ).
Signatures:
BARNSTABLE REGISTRY OF DEEDS
v,PafrmB°.°°°• rev. 5,29114 John F. Meade, Register
WPA Form 8B, Certificate of Compliance • Page 2 of 3
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