34-026 (3) LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
M
assachusetts Wetlands Protection Act M.G.L. c. 131, §40 24
Provided
by DEP
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:
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
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
wpaform 8b.doc•rev.12/15/00 Page 3 of 3
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 24s-
Provided by y DEP
B. Certification (cont.)
❑ 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therefore no longer valid.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 nevi(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 November 1 2004
Conservation Commission Date of Issuance
This Certificate must be signed by a jority of the Conservation Commission and a copy sent to the
applicant and appropriate DEP Re6ionbl Office(See Appendix A).
Sign
so
G `
autnugq ,..
On This Twenty Eighth Day Of October, 2004 tiQ M ��hry,F
before me personally appeared
the above-named
f`f�r��r�►�rt111uc`t,
to me known to be the person described in and who executed the foregoing instrument ail,;_
acknowledged that he/she executed the same as his/her free act and deed.
September 4, 2009
Nota Pubic My commission expires
wpaform 8b.doc•rev.12115/00 Page 2 of 3
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, 40 246-421#511Z
Provided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Jim Harrity
computer, use Name
only the tab
key to move 41 Corticelli Street y
your cursor- Mailing Address
do not use the Florence MA 01062
return key. CityfTown State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Tristram Metcalf and Thomas Fortier
Name
December 6, 2002 246-430
Dated DEP File Number
3. The project site is located at:
Turkey Hill Road Northampton
Street Address City/Town
34 26 & 31
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Hampshire 6959 235
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
October 27, 2004 r--
Date
I
nnA
B. Certification
Check all that apply: DEPT OF gtA!RN4G INSPEC7IOM
�iypir�'tlji',H,A QI0f,0
❑ Complete Certification: It is hereby cert 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:
All work has been satisfactorily completed EXCEPT Condition#31. Existing markers must be
replaced with permanent markers of the 50'wetland buffer, which is a permanent no
disturbance zone.
wpaform 8b.doc•rev.12/15/00 Page 1 of 3