HomeMy WebLinkAboutWPA form 8aMassachusetts Department of Environmental Protection
LiBureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8A — Request for Certificate of Compliance 083-2356
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By-law, Chapter 143
A. Project Information
Important:
When filling out 1.
This request is being made by:
forms on the
James & Krista Egan
computer, use
Name -- - - --
- -
only the tab
key to move
22 Holly Lane
your cursor -
Mailing Address
do not use the
Yarmouth
MA
return key.
_
City/Town
State
508 380 1084
reb
Phone Number
- -
2.
This request is in reference to work regulated by a final
Order of Conditions issued to:
ed
James & Krista Egan
Applicant - -
-
10/13/22
083-2356
Dated
DEP File Number
Upon completion
of the work 3.
The project site is located at:
authorized in
an Order of
22 Holly Lane _ _
Yarmouth
Conditions, the
Street Address
- -
City/Town
property owner
33
182
must request a
__
Assessors Map/Plat Number
Parcel/Lot Number
Certificate of
Compliance 4.
The final Order of Conditions was recorded at the Re
Registry
9� ry of Deeds for:
from the issuing
James & Krista Egan
authority stating
-- -- - -
Property Owner (if different)
- -
that the work or
portion of the
Barnstable
35455
work has been
_
County
Book
satisfactorily
completed.
Certificate (if registered land)
5.
This request is for certification that (check one):
11r1�A
1
Page
® the work regulated by the above -referenced Order of Conditions has been satisfactorily completed.
❑ the following portions of the work regulated by the above -referenced Order of Conditions have
been satisfactorily completed (use additional paper if necessary).
❑ the above -referenced Order of Conditions has lapsed and is therefore no longer valid, and the
work regulated by it was never started.
wpaform8a.doc •• rev. 5/29/14
Page 1 of 2
�I
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP File Number:
WPA Form 8A — Request for Certificate of Compliance 083=2356
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By-law, Chapter 143
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.
17 •
M 5uamittal 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.gov/eea/agencies/massdep/about/contacts/find the massdep regional office
for- our -city -or -town html).
wpaform8a.doc •• rev. 5/29/14
Page 2 of 2