HomeMy WebLinkAboutCOC 12.11.2025 Permit Number:
° Certificate of Compliance
' 6 Sw2021-002
w• Jy Town of Yarmouth Stormwater By-Law, Chapter 145
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A. Project Information
1. This Certificate of Compliance is issued to:
URO-SAFE LLC
Name
4 Lichen Ln.
Mailing Address
Forestdale MA 02644
City/Town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a Stormwater Management Permit
issued to:
Evan Cohen, Urology Associates of Cape Cod
Name
3/10/2022 SW2021-002
Dated Yarmouth File Number
3. The project site is located at:
125 & 133 Route 6A Yarmouth
Street Address City/Town
121 & 122 85, 86&2
Assessors Map/Plat Number Parcel/Lot Number
The Stormwater Management Permit was recorded at the Registry of Deeds for:
Property Owner(if different)
Barnstable 35109 233
County Book Page
Doc: 1,458,714
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
11/20/2025
Date
B. Certification
Check all that apply:
Complete Certification: It is hereby certified that the work regulated by the above-referenced
Stormwater Management Permit has been satisfactorily completed.
Stormwater Management Permit COC Rev 12/2025 •Page 1 of 4
o<Y Permit Number:
° Certificate of Compliance
6 r+" p Sw2021-002
t• Town of Yarmouth Stormwater By-Law, Chapter 145
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B. Certification (cont.)
❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the
above-referenced Stormwater Management Permit have been satisfactorily completed.The project
areas or work subject to this partial certification that have been completed and are released from this
Stormwater Management Permit are:
El Invalid Stormwater Management Permit: It is hereby certified that the work regulated by the
above-referenced Stormwater Management Permit never commenced. The Stormwater
Management Permit has lapsed and is therefore no longer valid. No future work subject to
regulation under the Town of Yarmouth Stormwater By-Law may commence without filing a new
Stormwater Management Permit Application and receiving a new Stormwater Permit.
® Ongoing Conditions: The following conditions of the Stormwater Management Permit shall
continue: (Include any conditions contained in the Stormwater Management Permit, such as
maintenance or monitoring that should continue for a longer period).
Condition Numbers:
General conditions 15 and 19-26. Special conditions 2 and 3. Manhole covers labeled "sewer"
must be replaced with ones labeled "drain".
C. Authorization
Issued by:
Yarmouth 12/11/2025
Conservation Commission Date of Issuance
This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the
applicant.
Stormwater Management Permit COC Rev 12/2025 •Page 2 of 4
oY �1 Permit Number:
= °' Certificate of Compliance
E r+'' Sw2021-002
'3a Town of Yarmouth Stormwater By-Law, Chapter 145
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C. Authorization (cont.)
Yarmouth Conservation Commission
Si tures:
Pau/ /4 S
ignature Printed Name
Signa ure �nn{t�nae
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Signatture Prin t—/(95
u e Printed Name
Signature Printed Name
Signature Printed Name
Stormwater Management Permit COC Rev 12/2025 •Page 3 of 4
Permit Number:
o
° Certificate of Compliance
SW2021-002
V� Town of Yarmouth Stormwater By-Law, Chapter 145
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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:
125 & 133 Route 6A SW2021-002
Project Location Yarmouth File Number
Has been recorded at the Registry of Deeds of:
Barnstable
County
for:
URO-SAFE LLC
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
Stormwater Management Permit COC Rev 12/2025 •Page 4 of 4