83-1861 - COC recorded29372 P -a276 'W16
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
�j WPA Form 8B . Certificate .of Compliance SE89 -186/
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
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
baAa/ Fra t?ch c
only the tab key
Name
to move your
5 %�� 9firee.
cursor - do not
use the return
Mailing Address
key.
#amofen CT 0 6Ti g
r t
Cityrrown
State
Zip Code
r�
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
1 FV -0 Vt Ci, f
ren
Name
gh1200g
S 5121
Dated
DEP File
Number
3. The project site is located at:
165 Sou-th9-1re
SoutH yarmcgu-fh
Street Address
Cityliown
34 Z6s"
S
Assessors Map/Plat Number
Parceill_ot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
8vnslabte,
23 q7T
lop
County
Book
Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
Date
wpafrm8b.doc - rev. 12/23109 WPA Form 8B, Certificate of Compliance - Page 1 of 3
IF
Bk 29372 Pg277 #16
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
se 63-180
Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
B. Certification
Check all that apply:
❑ 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Conditions has lapsed and is therefore no longer valid.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:
qi-m oc.cd—, 12 2/W/S-
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/der)/abouttregion/findvour.htm).
wpafrmBb.doc • rev. 12123!09 BAR NSTA B LE REGISTRY OF 0 EE0fPA Form SB, Certificate of Compliance • Page 2 of 3
John F. Meme, Register