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Release 1 (1).doc Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8A – Request for Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40  DEP File Number: 246-606 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 request is being made by:    Gregory C. Marotta and Kerry K. Marotta Name    1006 Florence Road Mailing Address    Northampton City/Town MA State 01060 Zip Code    413-586-2294 Phone Number   2. This request is in reference to work regulated by a final Order of Conditions issued to:    John Ewing Applicant    06/28/2007 Dated 246-606 DEP File Number  Upon completion of the work authorized in an Order of Conditions, the property owner must request a Certificate of Compliance from the issuing authority stating that the work or portion of the work has been satisfactorily completed. 3. The project site is located at:    1006 Florence Road Street Address Northampton City/Town   44-134-001 Assessors Map/Plat Number 2 Parcel/Lot Number   4. The final Order of Conditions was recorded at the Registry of Deeds for:    John Ewing Property Owner (if different)    Hampshire County 9290 Book 163 Page          Certificate (if registered land)   5. This request is for certification that (check one):    the work regulated by the above-referenced Order of Conditions has been satisfactorily completed.    the following portions of the work regulated by the above-referenced Order of Conditions have been satisfactorily completed (use additional paper if necessary).                      the above-referenced Order of Conditions has lapsed and is therefore no longer valid, and the work regulated by it was never started.      A. Project Information (cont.)   6. Did the Order of Conditions for this project, or the portion of the project subject to this request, contain an approval of any plans stamped by a registered professional engineer, architect, landscape architect, or land surveyor?        Yes If yes, attach a written statement by such a professional certifying substantial compliance with the plans and describing what deviation, if any, exists from the plans approved in the Order.         No        B. Submittal Requirements   Requests for Certificates of Compliance should be directed to the issuing authority that issued the final Order of Conditions (OOC). If the project received an OOC from the Conservation Commission, submit this request to that Commission. If the project was issued a Superseding Order of Conditions or was the subject of an Adjudicatory Hearing Final Decision, submit this request to the appropriate DEP Regional Office (see http://www.mass.gov/eea/agencies/massdep/about/contacts/find-the-massdep-regional-office-for-your-city-or-town.html).