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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
Town of Yarmouth Wetland By -Law, Chapter 143
A. Project Information
1. This Certificate of Compliance is issued to:
Cape Cod Hospital/Cape Cod Healthcare
c/o Daniel A. Ojala, PE, PLS, Down Cape Engineering Inc
27 Park Street
Mailing Address
Hyannis MA
City/Town State
SE83-1486
Provided by DEP
02601
Zip Code
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
9/22/1999
SE83-1486
Dated DEP File Number
3. The project site is located at:
4 Bayview Street Yarmouth
Street Address CityfTown
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 12570 286
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.
wpafrm8b.doc •rev. 7/1/2021 WPA Form 88, Certificate of Compliance •Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
PA Form 8B — Certifi
Wcate of Compliance SE83-1486
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
B. Certification (cont.)
❑ 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Conditions has lapsed and is therefore no longer valid.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
resource area delineation for the above -referenced Order of Conditions 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
hftps://www, mass.gov/service-details/massdep-regional-offices-bv-community).
wpafrm8b.doc •rev. 7/1/2021 WPA Form 80, Certificate of Compliance •Page 2 of 4
Massachusetts 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
C. Authorization (cont.)
Signature
Signature
DE File Number:
SE83-1486
Provided by DEP
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Printed Name
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Printed Name
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Printed Name
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Printed Name
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Printed Name
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Printed Name
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Printed Name
Pririted Name
BARNSTABLE REGISTRY OF DEEDS
wpafrm8b.doc •rev. 7/1/2021 �OII�I F._ Meade, Register WPA Form 86, 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 SE83-1486
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 SE83-1486
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
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
wpafrmSb.doc •rev. 7/t/2021
WPA Form 88, Certificate of Compliance •Page 4 of 4