HomeMy WebLinkAboutCOC recordedMassachusetts 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
Town of Yarmouth Wetland By -Law, Chapter 143
A. Project Information
DE
P File Number:
SE83-1414
Provided by DEP
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the
computer, use Cape Cod Hospital/Cape Cod Healthcare
only the tab key c/o Daniel A. Ojala, PE, PLS, Down Cape Engineering Inc
to move your 27 Park Street
cursor -do not
use the return Mailing Address
key. Hyannis MA 02601
City/Town State Zip Code
r� 2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
Cape Cod Hospital
Name
8/7/1997 SE83-1414
Dated DEP File Number
3. The project site is located at:
4 Bayview Street Yarmouth
Street Address City/Town
36 93
Assessors Map/Plat Number Parcel/Lot Number
The final Order of Conditions or Order of Resource Area Delineation was recorded at
the Registry of Deeds for:
Property Owner (if different)
Barnstable 10906 216
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
1 /18/2022
Date
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.
wpafrmt3b.doc •rev. 7/1/2021 WPA Form 8B, Certificate of Compliance •Page 1 of 4 -
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
Town of Yarmouth Wetland By -Law, Chapter 143
B. Certification (cont.)
SE83-1414
Provided by DEP
❑ 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Conditions has lapsed and is therefore no longer valid.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:
❑ Order of Resource Area Delineation: It is hereby certified that the wetland
I esource area delineation for the above -referenced Order of Conons has been
satisfactorily completed
C. Authorization
Issued by:
Yarmouth
Conservation Commission
1 /26/2022
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
https://www. mass.gov/service-details/massdep-regional-offices-by-community).
wpafrm8b.doc •rev. 7/1/2021 WPA Form 88, Certificate of Compliance •Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance SE83-1414
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
C. Authorization (cont.)
Sig4,e = G
Signature
Signature
wpafrm8b.doc •rev. 7/1/2021
Printed Name
Do v d 1,?e`r2s*1r7
Printed Name
i?ic k f3is h o,�
Printed Name
PO- / "/hearty
Printed Name
�20 ff7 a DU r ti 107
Printed Name
,! haOr Gczwrel)c,
Printed Name
Printed Name
Printed Name
BARNSTABLE REGISTRY OF DEEDS
John F. Meade, Register
WPA Form 8B, Certificate of Compliance •Page 3 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
SE83-1414
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:
4 Bayview Street; Yarmouth SE83-1414
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
for:
Barnstable
County
Property Owner
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
Signature of Applicant
wpafrm8b.doc •rev. 7/1/2021 WPA Form 88, Certificate of Compliance •Page 4 of 4