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23C-065 113 Bliss Certificate of Compliance.pdfMassachusetts 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 DEP File Number: 246-673 Provided by DEP A.Project Information Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 1.This Certificate of Compliance is issued to: Marsha Leavitt Name 44 Graves Street Mailing Address South Deerfield City/Town MA State 01373 Zip Code 2.This Certificate of Compliance is issued for work regulated by a final Order ofConditions issued to:Marsha Leavitt Name 10/21/2013 Dated 246-673 DEP File Number 3.The project site is located at: 113 Bliss Street Street Address Northampton (Florence) City/Town 23C Assessors Map/Plat Number 065 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Marsha Leavitt Property Owner (if different) Hampshire County 11396 Book 213 Page Certificate 4.A site inspection was made in the presence of the applicant, or the applicant’s agent,on:February 23, 2022 Date 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 DEP File Number: 246-673 Provided by DEP 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: 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 33 C. Authorization Issued by: Northampton Conservation Commission February 24, 2022 Date of Issuance Signatures are made in accordance with M.G.L. c.110G, and pursuant to the board’s electronic signature authorization vote recorded on June 5, 2020 in Book 13653, page 165 at the Hampshire Registry of Deeds. Kevin Lake Jason Perry Jen Smith Randy Krotowski 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 DEP File Number: 246-673 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