HomeMy WebLinkAboutMASSACHUSETTS HIGHWAY DEPARTMENT Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions 242-1327
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. General Information
Important:
When filling out 1. Applicant:
forms on the Massachusetts Highway Department
computer, use Name
only the tab
key to move 10 Park Plaza, Room 4260
your cursor- Mailing Address
do not use the Boston MA 02116-3973
return key. City/Town State Zip Code
,U 2. Property Owner(if different):
IL
Name
retam
Mailing Address
City/Town State Zip Code
B. Authorization
The Order of Conditions (or Extension Permit) issued to the applicant or property owner listed above on:
8/10/05
Date
for work at:
Route 125 at Hillside and Meadowood Road NIA N/A
Street Address Assessor's Map/Plat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Essex North N/A(Project within State
County Highway R-O-W Page
Book
Certificate(if registered land)
is hereby extended until:
8/10/09
Date
This date can be no more than 3 years from the 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): Date
Issued by:
North Andover tip /a
Conservation Commission Date
wpaformTdoc•rev.1/07 Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions 242-1327
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Authorization (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 appropriate DEP Regional Office(see
http://www.mass.gov/dep/about/region/findvour.htm).
Signatures:
i
Nota y Acknowledgement
Commonwealth of Massachusetts County of Essex North
-et
On thlSDay Of Month Year
Before me, the undersigned Notary Public, personally appeared
141 d elz v,v:zi �.
Name of Signer
proved to me through satisfactory evidence of identification, which was/were
Massachusetts License
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged to
me that he/she signed it voluntarily for its stated purpose.
As member of North Andover Conservation Commission
Cityaown
DONNA M.WEDGE "
NOTARY PueuC ignature of Notary Public
a COMMONWEALTH OF MASSACHUISETTS
nay comm.Expires Aug.7,2009
Printed Name of Notary Public
Place notary seal and/or any stamp above
My Commissio Expires(Date)
wpaform7.doc•rev.1/07 Page 2 of 4
f
Massachusetts Department of Environmental Protection DEP File Number.
Bureau of Resource Protection Wetlands
WPA Form 7 — Extension Permit for Orders of Conditions 242-1327
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Recording Confirmation
The applicant shall record this document in accordance with General Condition 8 of the Order 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 shall 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 prior to the expiration of the
Order of Conditions subject to this Extension Permit.
To:
North Andover
Conservation Commission
Please be advised that the Extension Permit to the Order of Conditions for the project at:
Route 125 at Hillside and lbleadowood Road 242-1327
Project Location DEP File Number
has been recorded at the Registry of Deeds of:
Essex North
County
for:
Property Owner
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 Page
If recorded land the instrument number which identifies this transaction is:
Instrument Number
If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
wpaform7.doc•rev.1/07 Page 3 of 4
310 CMR 10.99
Form 8
� DEP Fiie No 242- 263 I
no be urovioed by DEP)
o" _== Commonwealth Gw lover North Andover
of Massachusetts
O -=r-= AooIlcant Etal Realty Trust
Partial -' Lot 60AHaymeadow Road
Certificate of Compliance
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
From NORTH ANDOVER CONSERVATION COMMISSION
Issuing Authority
To
Etat Realty Trust 401 Andover Street, North Andover, MA 01845
(Name)
(Address)
Date of Issuance May 15, 1991
This Certificate is issued for work regulated by an Order of Conditions issued to Etal Realty Trust
dated April 18, 1985 NACC
and issued by the
1 . It is hereby certified that the work regulated by the above-referenced Order of Conditions has
been satisfactorily completed.
2. Z, It is hereby certified that only the following portions of the work reoulated by the above-refer-
enced Order of Conditions have been satisfactorily completed: (II the Certificate of Compliance
does not include the entire project, specify what portions are included.)
3. It is hereby certified that the work reoulated by the above-referenced Order of Conditions was
never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future
work subject to regulation under the Act may be commenced without filing a nes•.• Nolice of Intent
and receiving a new Order of Conditions.
................................... .
. .... .................
(Leave SDace Bianp)
6.1
4. This certificate shall be recorded in the Registry of Deeds or the Land Court for tlie district in
which the land is located.The Order was originally recorded on May 28, 19$6 (date)
at the Registry of Deeds North Essex , Book-. Page
Instrument # 14431
5 �, The following conditions of the Order shall continue: (Set forth any conditions contained in the
Final Order, such as maintenance or monitoring, which are to continue for a longer period.)
.Issued by NORTH'.'AN VER CONSERVATION COMMISSION
Signature(s)
hflLC
when issued by the Conservation Commision this Certificate must be signed b9yi majority of is members.
On this
15th day of May g before me
personally appeared
Paul L. Tariot , to me known to be the
person described in and who executed the foregoing instrument and acknowledged that hershe executed
the same as his/her free act and deed.
September 9, 1994
qot�aPublic Janet L. Eaton My commission expires
Detach on dotted line and submit to the
...........................................
Issuing Authority
To
Please be advised that the Certificate of Compitance for the protect at.
File Numoer 242 has been recorded at the Registry of
.v
and has oeen noteo in the chain of title of the atlected orocerTy on
it reccroeo fano. :ne instrument numoer,wnlcn ioenuues mss.ransac:ion is --
i!registered lano. !ne cocument number which rdenuhes this transaction r5
acpi�anl
signature
e-2
F NORTy �
q�RATED
�SSRCHUS
CONSERVATION DEPARTMENT
Community Development Division
Modification to Order of Conditions
The NORTH 4NDOVER O SERVATION COMMISSION agreed to accept
Applicant: ` p�a,�aT�tT
as a Modification to the Order of Conditions issued in File 242- dated (, '�
recorded in Book# and pa e
ria W -77'1/ ja
Issued by the NORTH ANDOVER CONSERVATION COMMISSION:
On this j3 ied of X LY rider before me psonally appeared Scott Masse to me
day monthly,
known to be the person described in and who executed the foregoing instrument and
acknowledged that he/she executed the same as his/her free act and deed.
®0
Notary Public s
� DONNA M.WEDGE
BNOTARY PUBUC
COMNONWEALTH OF MASSACHUSETTS
My CWm Expo Aug.7,2009
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web www.townofnorthandover.com