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25A-107 (12) Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File s WPA Form 8B — Certificate of Compliance 246-495 M s Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided k ,.6 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 Registl 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 WPA Form 8B Rev.02100 Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance L Massachusetts Wetlands Protection Act M.G.L, c. 131, 40 246-499 Provided by 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 The Order of Conditions has lapsed and is therefore no longer valid.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 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: # 26 & 27 C. Authorization Issued by: Northampton June 19, 2003 Conservation Commission Date of Issuance Date sent to DEP: June 19, 2003 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). Signatur C On 12th Of June, 2003 Day Month and Year before me personally appeared The above-named j��NtMr lot to me known to be the person described in and who executed the foregoing instrument acknowledged that he/she executed the same as his/her free act and deed. ` 44v s Nota Pubic Myc�mmissio expires °� f1f}1�`,�*r`r ,�''�}rtlllitt4t►��1 wpaform 8b.doc•rev.12115!00 Page 2 of 3 e,jG� 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 8B - Certificate of Compliance 246-499 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP } City of Northampton Wetlands Protection Ordinance, Chapter 24 a� A. Project Information r �,_ -- �-� Important: HD J 1. This Certificate of Compliance is issued to: t I When filling out P forms on the computer,use Christo her& Cynthia Aquadro JUN 11 Q Loo only the tab Name key to move P.O. Box 357 Mailing your cursor- g Address do not use the Northampton i- MA -` p0 n,n, — - -�01060 return key. City/Town State Zip Code ,Q 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Christopher& Cynthia Aquadro Name March 12, 2002 246-499 Dated DEP File Number 3. The project site is located at: Northampton aess „" City/Town ANEW ssessors Map/Plat Number t Number the final Order of Condition was recorded at the Registry of Deeds for: Christopher&Cynthia Aquadro Property Owner(if different) Hampshire 2596 238 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: June, 2003 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: WPA Form 8B Page 1 of 3 Rev.02100