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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
SE083-2338
Massachusetts Wetlands Protection Act M.G.L. C. 131, S40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
A. Project Information
Important:
When filling out
1. This Certificate of Compliance is issued to:
forms on the
computer, use
Alice Joselow
only the tab key
Name
to move your
38 Sunset Drive
cursor - do not
Mailing Address
use the return
key.
Ossining
NY 10562
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:
Peter and Alice Joselow
"
Name
5/12/2022
083-2338
Dated
DEP File Number
3. The project site is located at:
4
11 Prince Road _Yarmouth
Street Address City/Town
29 97.1
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
Certificate
35124 306
Book Page
A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
5/2/2025
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.
wpafrm8b.doc • rev. 7/1/2021 WPA Form 8B, Certificate of Compliance • Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
SE083-2338
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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Conditions has lapsed and is therefore no longer valid.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:
SC# 11 and 14
❑ 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
9/22/2025
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-details/massdep-regional-offices-by-community).
wpafrm8b.doc • rev. 7/1/2021 WPA Form 8B, Certificate of Compliance • Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 86 — Certificate of Compliance SE083-2338
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By -Law, Chapter 143
C. Authorization (cont.)
Yarmouth Conservation Commission
Signature�C,✓�/
Signature i
Printed Name,
Signature —
Printed Nagne
Signature
Printed Nam
Signature Printed Name —
Signatur
+CI—)
Printed Name
�al �✓ �f/ %AIL
Signature
Printed Name
Signature
Signature
Printed Name
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 DEP File Number:
L�; WPA Form 8B — Certificate of Compliance SE083-2338
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:
11 Prince Road
Project Location
Has been recorded at the Registry of Deeds of:
Barnstable
County
for:
Alice and Peter Joselow
Property Owner
SE083-2338
DEP File Number
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
BARNSTABLE REGISTRY OF DEED6
wpafrm8b.doc • rev. 7/1/2021 John F. Meade, Register WPA Form 8B, Certificate of Compliance • Page 4 of 4