10-018 441Kennedy Road PlanningCheck all that apply:
® Complete Certification: It is hereby certified that the work regulated by the above - referenced
Order of Conditions has been satisfactorily completed.
❑ 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:
Note: A Partial Certificate of Compliance was issued on June 23, 1997 for house construction. All
work is now complete.
Page 1 of 3
WPA Form 8B
Rev. 02/00
Doc, 992104140 OR /6145/0126 03/14/200114;45
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP File Number:
w:
WPA Form 8B — Certificate of Compliance
246 -371
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by DEP
City of Northampton Wetlands Protection Ordinance, Chapter 24
A. Project Information
Important:
1. This Certificate of Compliance is issued to:
When filling out
forms on the
Robert F. Borawski
computer, use
Name
only the tab
441 Kennedy Road
key to move
your cursor -
Mailing Address
MA
01053
do not use the
Leeds
State
Zip Code
return key.
City/Town
r�
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Robert F. Borawski
Name
Aril 12, 1995 246 -371
Dated DEP File Number
3. The project site is located at:
441 Kennedy Road Leeds
Street Address City/Town
10 18
Assessors Map /Plat Number Parcel /Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Robert F. Borawski
Property Owner (if different)
Hampshire 4658
290
County Book
Page
N/A
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
N/A
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.
❑ 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:
Note: A Partial Certificate of Compliance was issued on June 23, 1997 for house construction. All
work is now complete.
Page 1 of 3
WPA Form 8B
Rev. 02/00
Doc; 992104140 OR /6145/0121 03/14/200114;45
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
City of Northampton Wetlands Protection Ordinance, Chapter 24
B. Certification (cont.)
DEP File Number:
246 -371
Provided by DEP
❑ 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:
C. Authorization
Issued by:
Northampton Conservation Commission February 7, 2001
Conservation Commission Date of Issuance
Date sent to DEP Regional Office: February 7, 2001
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 Appendix A).
Signatures:
On fourth
Day
before me personally appeared
Of January, 2001
Month and Year
the above —named
WPA Form 8B
Rev. 02/00
to me known to be the person described in and who executed the foregoing in
acknowledged that he /she executed the same as his /her free act and deed.
Notary Pubic! My dommi6sion expires
iuilp!.�I"U's -"�'
•.....•• 9e 2 of 3
'C PvQ
Doc; 992104740 OR /6145/0128 03/14/100114;45
�i Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 246 -371
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
City of Northampton Wetlands Protection Ordinance, Chapter 24
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:
Northampton Conservation Commission
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
441 Kennedy Road
Project Location
Has been recorded at the Registry of Deeds of:
County
for:
Robert F. Borawski
Property Owner
246 -371
DEP File Number
and has been noted in the chain of title of the affected property on:
February 7, 2001
Date
4658 290
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
WPA Form 8B A MS ?_ � � /�� RGISTU Page 3 of 3
Rev. 02100 WJANNE L. DONO E