Elks Lodge CofC.pdf
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: 246-0500
Provided by DEP
A. Project Information
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1. This Certificate of Compliance is issued to:
Northampton Lodge of Elks #997
Name
17 Spring Street
Mailing Address
Florence
City/Town
MA
State
01062
Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Northampton Lodge of Elks #997
Name
February 14, 2002
Dated
246-0500
DEP File Number
3. The project site is located at:
17 Spring Street
Street Address
Northampton (Florence)
City/Town
22B
Assessors Map/Plat Number
110 / 111
Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Northampton Lodge of Elks #997
Property Owner (if different)
Hampshire
County
6580
Book
158
Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant’s agent, on: July 19, 2023
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: 246-0500
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.
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).
35, 36, 37, 38
C. Authorization
Issued by:
Northampton
Conservation Commission
May 9, 2024
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
David Reckhow
Jen Smith
Elizabeth Spriggs
Paul Fosteer-Moore
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: 246-0500
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