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HomeMy WebLinkAboutNORTH ANDOVER LAND CORPORATION (5) Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection-Wetlands WPA Form 7 — Extension Permit for Orders of Conditions 242-784 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. General Information Important: 1. A licant: When filling out pp forms on the North Andover Land Corporation computer, use Name only the tab key to move 33 Walker Road your cursor- Ma&V Address do not use the North Andover MA 01845 return key. City/Town State Zip Code 2. Property Owner(if different): SAME Name Mailing Address Cityrrown Swe Zip Code B. Finding Information The Order of Conditions(or Extension Permit) issued to the applicant or property owner listed above on Original issued 616/96, Latest amendment issued June 16,1999 Date for work at: Abbott Village Estates(Nutmeg,Periwinkle&Thies Rd.). Numerous Street Address Assessor's Map M Number Parcel/Lot Number recorded at the Registry of Deeds for Essex 5495 35,52,57,60 County Book Page Certificate(if registered ted} is hereby extended until: 6/16/2004 (This is the last extension} Date This date can be no more than 3 years from tate expiration date of the Order of Conditions or the latest extension. Only unexpired Orders of Conditions or Extension may be extended. Date the Order was last extended{if applicable): 6/16/02 Date Issued by: North Andover Conservation commission wpaformTdoc•rev.12/15/00 Page 1 of 3 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection Wetlands WPA Form 7 - Extension Permit for Orders of Conditions 242-784 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 PfnvKled by DEP B. Finding Information(cont.) This Order of Conditions Extension must be signed by a majority of the Conservation Commission and a copy sent to the applicant and the ap op 'ate DEP Regional Office(see ix A). Signat s: On 1�91 Of Day 6ih_&W Year before meonaliy appea - to me known to be the person described in and who executed the foregoing instrument and acknowledged" that he/she executed the same as histher free ad and deed. rte- P 7 ado Notary Public My . E C. Recording Confirmation The applicant shall record this document in accordance with General Condition 8 of the Carder of Conditions(see below),complete the form attached to this Extension Permit, have it stamped by the Registry of Deeds, and return it to the Conservation Commission. Note: General Condition 8 of the Order of Conditions requires the applicant,prior to commencement of work,to record the final Order(or in this case,the Extension Permit for the Order of Conditions)in the Registry of Deeds or the.Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, it shalt be noted in the Registry's Granter Index under the name of the owner of the land upon which the proposed work is to be done. in the case of registered land, it shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. Detach page 3 of Form 7 and submit it to the Conservation Commission pri"to the expiration of the Order of Conditions subject to this Extension Permit. wpaformTdoc-rev.12(15)00 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection Wetlands WPA Appendix A - DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal foram and DEP payments,payat ik to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02219 DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyrimham Agawam Conway Hancock Montague Plainfield Weles 436 Dwight Street wane 9 N Curran' HatCieM Richmond Alford rnglon Motdemy Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Wer W*Vtan Phone:413-784-1100 Becket EasftMpton Hinsdale M urtwasltrgton San field wendelt Belchermwn Eaattrngmendow Holland Now Ashford Savoy Westfiew Fax:413-784-1149 Bemardston Egremonnt Ho4mke New Marlborough SheKneki Westhampton Blandford Erring Huntington NewSalem Shelburne Westsprvvnew North Adams West Stack~ Brimfield Fonda fur!` Buckland Gill Lee NorBrernpton SoU#-npton Whately Charlemont Goshen Lenoir Northfield South Hadley Wilbraham Cheshire Granby I everett orange Southwick Williamsburg Chester Granville Leyden Otis Springfield Williamstown Chesterfield Great-Barrington wvmeadow Palmer Stockbridge Windsor Chicopee Greenfield Ludlow Pelham Sunderland Worthington Clarksburg HadleyHadleyAfidd T Peru ohharnd DEP Central Region Acton Cheriton Hopkinton MiNbnuy Rutlaal 627 Main Street Ashbumham Clinton Hubti�ton MNIvioe Shirley Warren Ashby Douglas Hudson New Brainbee Shrewsbury Webster Worcester,MA 01605 Athol Dudley Holliston Mad borough Southborough Westborough Phone:5508-792-76550 Auburn Dunstable Lancater Northbridge Southbridge West Boylston Ayer East Brookfield Leicester Nath Bnx*raM spencer West Fax:508-792-7621 &ooidield SarreWestford TDD:508-767-2788 Bellingham Ga 4igktoh Stag+ westrninster Berlin Grafton Lunenburg Paw" Sturbridge Wrichendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway PhilNpston Townsend Boylston Holden Mention Princeton TyrgsI__* Brookfield Hopedale Milord Royalist- Upton DEP Southeast Regan Abington Dartmouth Freetown Matlapolselt Pmvincetown 'ns" 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynhsm Truro Attleboro Dighton Gosrald Nantucket Rehobaun Wareham Lakeville,MA 02347 Avon Duxbury Fldtifanc Nev ilord Rodnas►er Welf lest Phone:508-946-2700 Barnstable Eastern Hanover Nath Alle orough Fodriarnd West Brld9awaW Berkley Fax:508-947 6557 East Bridgewaater Hanson Norton Sandwich Westport TDD:508-946-2795 Bourne Edgantown Kiroslon Oak Bluffs Seekonk Whilivian Bridgewater Fairhaven Laicenrige Orleans am" Wrerthern Brockton Fag f Iver MartfieW Pembroke Somerset Yarmouth Carver Falmouth ` Marion Plainville Stoughton Chatham F-borough Mwsh iekl Plymouth 9wwnsea Chilmark Franklin Mashpee FMrmPt- Taunton DEP Northeast Region Amesbury Chelmsford Hlrgtram Memlrmc Quincy Wakefield 205 LCWe11 Street Andover Chelsea Holbrook Methuen Randolph Walpole, Walpole Arlington Cohasset FAWN Middleton Reading Wolthern Wilmington,MA 01867 Ashland con cow Ipswich Millis Revere Watertown Phone:978-661-7600 Lawrence Rockport V"YWW Bedford �Dt� Lexington Nahant RmA49y Wellesley Fax 978-661-7615 Beverly Dover Lingdn Natick Salem Wanhmm TDD:978-661-7679 Billerica Dracut Lowell Neddham Salisbury West Newbury Boston Essen Lynn Newbury Seugus Weston Boxford Everett Lynnfield Newburyport Sherban Westwood Braintree Framingham Malden Newton Somerville Weymouth Brookline Georgetown Man Chester-wTbe-sea Nwh* Stoneham Wilrttngton Burlington Gloucester Marblehead Nat Andower Sudbury Winchester Cambridge Grovetarm Medfield Nath Reading Swampscott Winthrop Canton Hamilton Medford Norwood Tewksbury Woburn Carlisle Haverhill Melrose Peabody Topsfield wpaform7.doc•Appendix A•rev.5/14/03 Page 1 of 1 Massachusetts Department of Environmental Protection DEP File Numbw. Bureau of Resource Protection -Wetlands WPA Form 7 - Extension Permit for Orders of Conditions 242-784 Provkled Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ay DEP C. Recording Confirmation(cont) To: Conservation Commission Please be advised that the Extension Permit to the Order of Conditions for the project at: Project Location DEP Fle Number has been recorded at the Registry of Deed of: County for: and has been noted in the chain of title of the affected property in accordance with General Condition 8 of the original Order of Conditions on: Date Book Pap If recorded land the instrument number which idenWi s this transaction is: Instrument Number If registered land,the document number which identifies this transaction is: Document Number Signature of Applicant wpaformTdoc•rev.12M5100 Page 3 of 3