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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
SE83-1690
assachusetts Wetlands Protection Act MGLc131
M... . , §40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
A. Project Information
1. This Certificate of Compliance is issued to:
E
Cape Cod Hospital/Cape Cod Healthcare
c/o Daniel A. Ojala, PE, PLS, Down Cape Engineering Inc
27 Park Street
Mailing Address
Hyannis MA 02601
City/Town State Zip Code
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
11 /2/2004
Dated
3. The project site is located at:
Bayview Street
Street Address
28
Assessors Map/Plat Number
Yarmouth
City/Town
52.1
Parcel/Lot Number
SE83-1690
DEP File 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
County
19216
Book
216
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 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 SE83-1690
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Conditions has lapsed and is therefore no longer valid.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
https://www. mass.gov/service-details/massdep-regional-offices-by-community).
wpafrm8b.doc •rev. 7/1/2021 WPA Form 8B, 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
SE83-1690
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 vided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
C. Authorization (cont.)
Signatures:
Sig
Signature
Signature L'��� �
Signature
Signature
Printed Name
v,C'l f3�vjelS
Printed N me
elsho d
Printed Name
Pat In u,Il2 Porr)
Printed Name
Printed Name
OC lklo1� Garc/r�
Printed Name
1001f/ #Va9/r7S
Printed Name
Printed Name
wpafrm8b.doc •rev. 7/1/2021
BARNSTABIE REGISTRY OF DEEDS
John F. Meade, Register
WPA Form 8B, Certificate o(Compliance •Page 3 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
D. Recording Confirmation
SE83-1690
Provided by DEP
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:
Bayview Street, Yarmouth SE83-1690
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
wpafrm8b.doc •rev. 7/1/2021
WPA Form 86, Certificate of Compliance •Page 4 of 4