HomeMy WebLinkAboutKEY LIME INC i
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File"umber:
WPA Form 7 — Extension Permit for Orders of Conditions 242-1337
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 Key Lime, InC.
computer, use Name
only the tab
key to move 6 Herpatica Drive
your cursor- Mailing Address
do not use the North Andover MA 01845
return key. City/Town
State Zip Code
2. Property Owner(if different):
Same
Name
,enan
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:
January 11, 2006
Date
for work at:
Old Salem Village, Salem Turnpike,Route 114 Map 1078 Parcel 16&73
Street Address Assessor's Map/Plat Number ParceVLot Number
recorded at the Registry of Deeds for:
Essex North 11396 123
County Book Page
Certificate(if registered land)
is hereby extended until`.
January 11, 2011
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): January 11, 2010
Date
Issued by:
North Andover
Conservation Commission Date
wpaform7.doc•rev.1/07 Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions 242-1337
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
htt ://www.mass. ov/de /about/re ion/find our.htm
p a o a � ?.
Signatures:
<T
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this 1114-4 3dN 4+�' ca?fi)to
Day of Month Year
Before me, the undersigned Notary Public, personally appeared
John Mabon,
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
City/Town
=# WNNA?M.WEDGEPIlBUCSignature of Notary Public
iNASSACIg13ETfSJ*I5,2QI6 -b4l?Alf M AL8U e
Bog Printed Name of Notary Public
Place notary seal and/or any stamp above
My Co missio Expires(Date)
wpaform7.doc•rev.1107 Page 2 of 3
f i
�a
:8N
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions 242-1337
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:
Old Salem Village, Salem Turnpike, Route 114 242-1337
Project Location DEP File Number
has been recorded at the Registry of Deeds of:
Essex North
County
fora
Key Lime, Inc.
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 3
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions 242-1337
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 Key Lime, Inc.
computer, use Name
only the tab
key to move 1538 Turnpike Street
your cursor- Mailing Address
do not use the North Andover MA 01845
return key. City/Town State Zip Code
Q2. Property Owner(if different):
Same
Name
rerun
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:
January 11, 2006
Date
for work at:
Old Salem Village, Salem Turnpike, Route 114 Map 1078 Parcel 16 &73
Street Address Assessor's Map/Plat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Essex North 10118 281
County Book Page
Certificate(if registered land)
is hereby extended until:
January 11, 2010
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 12/4/08
Conservation Commission Date
wpaformZdoc•rev.1/07 Page 1 of
r `
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 7 - Extension Permit for Orders of Conditions 242-1337
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://w\A,w.mass.gov/dep/about/region/findyour.htm).
Signatures:
fF�,X
�
1r /
�N
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this '3 �`t of Dam e y'Lne
Day Month Year
Before me, the undersigned Notary Public, personally appeared
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
Cityrrown
DONNA M.WEDGE
NOTARY PUBLIC Signature of Notary Public10,
`:-EACTH OF MASSACHUSETTS
;mm.Expires Aug.7,2009 Printed Name of Notary Public
Place notary seal and/or any stamp above
My Com issi n Expires(Date)
wpaform7.doc•rev.1/07 Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 7 — Extension Permit for Orders of Conditions 242-1337
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:
Old Salem Village, Salem Turnpike, Route 114 242-1337
Project Location DEP File Number
has been recorded at the Registry of Deeds of:
Essex North
County
for:
Key Lime, Inc.
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 3