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For Registry of Deeds Use On!y
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 88 -Certificate of Compliance 083-2044 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:
Matthew Pulicken
Name
285 Buck Island Road
Mailing Address
West Yarmouth MA 02673
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions or Order of Resource Area Delineation issued to:
Matthew Pulicken
Name
1/19/2016
Dated
3. The project site is located at:
285 Buck Island Road
Street Address
47
West Yarmouth
City/Town
78
Assessors Map/Plat Number Parcel/Lot Number
SE83-2044
DEP File Number
The final Order of Conditions or Order of Resource Area Delineation was recorded at
the Registry of Deeds for:
Constance Wright
Property Owner (if different)
Barnstable
County
#206102 Document #1289709
Certificate
Book Page
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
Nov 14, 2024
Date
B. Certification
Check all that apply:
[8J 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
Matthew Pulicken
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
083-2044
Provided by DEP
B. Certification (cont.)
D 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:
D 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Conditions has lapsed and is therefore no longer valid.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.
D 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:
D 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
wpafrm8b.doc • rev. 7/1/2021
Issued by:
Yarmouth 11/15/2024
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
https:/ /www.mass.gov/service-detai ls/massdep-reg ional-offices-by-commu n ity).
WPA Form BB, Certificate of Compliance• Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Form 88 -Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Town of Yarmouth Wetland By-Law, Chapter 143
C. Authorization (cont.)
DEP File Number:
SE083-2044
Provided by DEP
Printed Name q :-\
~C}Y\A 10_37
at+ Mu\ v~01n Pr~ed Name \ A •
Signature
Signature Printed Name
Signature Printed Name
wpafrm8b.doc • rev. 7/1/2021 WPA Form 8B, Certificate of Compliance• Page 3 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Form 88 -Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131 , §40
Town of Yarmouth Wetland By-Law, Chapter 143
D. Recording Confirmation
DEP File Number:
083-2044
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:
285 Buck Island Road SE083-2044
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Barnstable
County
for:
Matthew Pulicken
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 8B, Certificate of Compliance• Page 4 of 4