HomeMy WebLinkAboutSE83-1703 COC recorded\V
Doc: 1 v 374 s 714 07-19-2019 1:58
BARNSTABLE LAND COURT REGISTRY
ORIGII T i
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number.
!- WPA Form 8B — Certificate of Compliance
i 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided bODEP
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
Robert Griffin
only the tab key Name
to move your
cursor - do not
use the return
kkey. Palisades NY
�
"�—U 2.
3. The project site is located at:
347 Great Island Road
Street Address
Assessors Map/Plat Number
West Yarmouth
City/Town
4
Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Robert E. Griffin and Judy M. Zehentner
Property Owner (if different)
Barnstable
County Book Page
9158001, Lot 79, PL 14426-H, DOC # 992, 789
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
6/3/19
wpafrm8b.doc • rev. 5129114
Date
WPA Form 8B. Certificate of Compliance • Page 1 of 3
f
2 Dustin Court
Mailing Address
10964
City/Town
_
State Zip Code
This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Robert Griffin
.
Name f
1/10/2005
SE83-1703
Dated
DEP File Number
3. The project site is located at:
347 Great Island Road
Street Address
Assessors Map/Plat Number
West Yarmouth
City/Town
4
Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Robert E. Griffin and Judy M. Zehentner
Property Owner (if different)
Barnstable
County Book Page
9158001, Lot 79, PL 14426-H, DOC # 992, 789
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
6/3/19
wpafrm8b.doc • rev. 5129114
Date
WPA Form 8B. Certificate of Compliance • Page 1 of 3
Massachusetts Department of Environmental Protection
`r -- Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance SE83-1703
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
B. Certification
Check all that apply:
B] 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
Conservation Commission
b /ty- _Zq
Data of tss anca
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:t/www.mass.povfeealaQencies/tnassdealabouticontactsl ).
wpefrm8b doc • rev 5/29/14 WPA Form 88, Certificate of Compliance • Page 2 of 3
11
Massachusetts Department of Environmental Protection
4 Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
SE83-1703
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 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:
347 Great Island Road
Project Location
Has been recorded at the Registry of Deeds of:
Barnstable
County
for:
Property Owner
SE83-1703
DEP File Number
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 Doc : 1 s 374: 714 07-19-2019 1 - 58
BARNSTABLE LAND COURT REGISTRY
Signature of Applicant
wpafrmBb.doc - rev. 5/29/14 WPA Form BB, Certificate of Compliance - Page 3 of 3