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DEME File No.
(To be provided by DEOE)
Commonwealth city/Town
of Massachusetts ti
Applicant,
Notice of Intent
Under the
Massachusetts Wetland's Protection Act, G.L. c. 131,,§40
and
Application for a Department of the Army Permit
and under the Town of North Andover ByLe-,,-p 'Chapter 3 Section 3.5 A
Part 1: General Information
Foster St. N. Andover
1. Location: Street Address
winter Green E --.states
Lot Number
Subdivision A 11.0 acre Parcel, is
2. Project: Type Description
proposed to be divided i -n to -30 residential lots
and dri-ain Iines
with roadways,
North Essex 1.286
3. Registry: County Current Book & Page
Certificate(if Registered Land)
Wintergreen Reail.ty Trust
4. Applicant
865 Turnpike. No. Andover, -MA 01.8/1-5
Address
5. Property Owner Wintergreen Realty Trust
865 Ti.irnpil.---e St. No., Andover •MA
Address I
Christiansen Engineering., Inc.
6. Representative
11.4 Kenbza Ave., Haver'hil.l , MA 01830 -
Tel.
Tel.
,Tel.
Address
Ip 7. Have the Conservation Commission and the DEOE Regional Office.each been sent, by certified mail or
hand delive'ry, 2 copies of completed Notice of Intent, with supporting plans and documents?
Yes l!)k No. 0
I