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
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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.
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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
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