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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
�i11PA Fora 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:
Suzanne Hayden
Name
357 Hockanom Road
Mailing Address
SE83-2020
Provided by DEP
Yarmouth Port MA 02675
City/Town State Zip Code
This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Suzanne Hayden
Name
5/1 /2015
Dated
3. The project site is located at:
357 Hockanom Road
Street Address
150
Assessors Map/Plat Number
Yarmouth Port
City/Town
47
Parcel/Lot Number
SE83-2020
DEP File Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner (if different)
Barnstable 28899 129
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
3/1 /2017
��
wpafrm8b.doc •rev. 5/29/14 WPA Form 8B, Certificate of Compliance •Page 1 of 3
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
SE80-4u4u
Provided by DEP
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Conditions has lapsed and is therefore no longer valid.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:
Yarmouth
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/eea/agencies/massdep/about/contacts/ ).
wpafrm8b.doc •rev. 5/29/14 WPA Farm 88, Certificate of Compliance •Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPik Form 8B — Certificate of Compliance SE83-2020
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:
357 Hockanom Road SE83-2020
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Barnstable
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
GARNSTARLR REGISTRY OF DEEDS
wpafrm8b.doc •rev. 5/29/14 John F, Meade, Register WPA Form 8B, Certificate of Compliance •Page 3 of 3