35-012 a
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
246-410
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:
240 North Farms Road 246-410
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Hampshire
County
for:
Albert and Sarah Dekin
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
WPA Form 8B Page 3 of 3
Rev.02100
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
M WPA Form 8B — Certificate of Compliance 246-410
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
City of Northampton Wetlands Protection Ordinance, Chapter 24
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therefore no longer valid.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 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 December 26, 2000
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 Appendix A).
Signaturer
,o
t
L
On the 11th of December, 2000
Day Month and Year
before me personally appeared
Mason Maronn
to me known to be the person described in and who executed the foregoing instrument and
acknowledged that he/she executed the same as his/her free act and deed.
�svtxl �i '� May 31, 2007
Notary Pubic My commission expires
WPA Form 8B
Rev.02/00 Page 2 of 3
Massachusetts Department of Environmental Protectio
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 246-410
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
w City of Northampton Wetlands Protection Ordinance, Chapter 24 _ -
Vr
A. Project Information
Important: DEC 27
When filling out 1. This Certificate of Compliance is issued to:
forms on the Albert and Sarah Dekin _
computer, use Name i tp( OC
only the tab .
key to move 240 North Farms Road
your cursor- Mailing Address
do not use the Northampton MA 01060
return key. City/Town State Zip Code
t� 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Elizabeth J. Olbris, et al./Kevin W. Heafey
Name
September 26, 1997 246-410
Dated DEP File Number
3. The project site is located at:
240 North Farms Road Northampton
Street Address City/Town
Map 12 35
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Elizabeth J. Olbris, et al.
Property Owner(if different)
Hampshire 5264 71
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
December, 2000
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:
All work required on Lot 9
WPA Form 8B Page 1 of 3
Rev.02/00