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Upon
completion of
the work
authorized in
an Order of
Conditions, the
property owner
must request a
Certificate of
Compliance
from the issuing
authority stating
that the work or
portion of the
work has been
satisfactorily
completed.
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8A — Request for Certificate of Compliance
Massachusetts Wetlands Protection Act M.G. L. c. 131, §40
Town of Yarmouth Wetland By-law, Chapter 143
A. Project information
DEP File
Number
Provided by
DEP
1. This request is being made by:
^
Name— a l - 1 -
�
'J 37
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2. This request is in reference to work regulated by a final Order of Conditions issued to:
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The project site is located at:
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Assessefs MapPlat Number S 6
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4. The final Order of Conditions was recorded at the Registry of Deeds for:
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5. This request is for certification that (check one):
the work regulated by the above -referenced Order of Conditions has been satisfactorily
completed.
wpaform8a.doe -- rev. 5/29/14 Pagel of
Massachusetts Department of Environmental Protection DEP File
Number
Bureau of Resource Protection - Wetlands
WPA Form 8A — Request for Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Preyided by
Town of Yarmouth Wetland By-law, Chapter 143 DEP
the following portions of the work regulated by the above -referenced Order of Conditions have
been satisfactorily completed (use additional paper if necessary).
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vthe above -referenced Order of Conditions has lapsed and is therefore no longer valid, and the
work regulated by it was never started.
A. Project Information (cont.)
6. Did the Order of Conditions for this project, or the portion of the project subject to this request,
contain an approval of any plans stamped by a registered professional engineer, architect,
landscape architect, or land surveyor?
Yes If yes, attach a written statement by such a professional certifying substantial
compliance with the plans and describing what deviation, if any, exists from the
plans approved in the Order.
No
B. Submittal Requirements
Requests for Certificates of Compliance should be directed to the issuing authority that issued the final
Order of Conditions (OOC). If the project received an OOC from the Conservation Commission, submit
this request to that Commission. If the project was issued a Superseding Order of Conditions or was the
subject of an Adjudicatory Hearing Final Decision, submit this request to the appropriate DEP Regional
Office (see http://www.mass.00v/eea/agencies/massdep/about/contacts/find-the-massdep-regional-
office-for- our-ci -or-town.html .
wpaform8a.doc -- rev. 5/29/14 Pa9e21t2