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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
SE083-1961
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143 _
A. Project information
1. This Certificate of Compliance is issued to:
2
Jason Lilly
Name
PO Box 75
Mailing Address
South Dennis
MA rl9RFr)
%
a yr I GYYI I OWRII cfP �.oae
This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
Jason Lilly
Name
4/2/2013 SE83-1961
Dated DEP File Number
3. The project site is located at:
143 Mayflower Terrace South Yarmouth
Street Address CitylTown
120 5
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
County
27291 275
Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
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.
vvpafrm8b.doc • rev. 71112021
WPA Form 8B, Certificate of Compliance • Page 1 of 4
Bk 36526 Pg244 #32956
Massachusetts Department of Environmental Protection
��- Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
61
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 sEo83-b D
` � 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Conditions has lapsed and is therefore no longer valid.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
8/5/2024
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
htt s://www.mass. ov/service-details/massde -re inal-offices-b-communit ).
wpafrm8b_doc • rev. V112021 WPA Form 813, Certificate of Compliance • Page 2 of 4
Bk 36526 Pg245 #32956
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B -- Certificate of Compliance SE083-1961
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
C. Authorization (coat.)
Signatures:
0,
Sign Printed NameIV La
7�����-- —
Signature Printed Na
me00" � k-
Signature Printed Name
Signature Printed Name
Signature Printed Name
Signature Printed Name
wpafrm8b.doc • rev. 71112021 WPA Form 8B, Certificate of Comp@ance • Page 3 of 4
Bk 36526 Pg246 #32956
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B Certificate of Compliance SE083-1961
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:
SE083-1961
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Barnstable
County
for:
Property dwr
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 identities this transaction is:
Number
Signature of Applicant
URNSTOLE
wpafrm8b.doc • rev, M12021 john F, Meade,
Re WPA Form 8B, Certificate of Compliance • Page 4 of 4