HomeMy WebLinkAbout- Permits #242-1675 - 40 HILLSIDE ROAD 11/1/2018 n
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 7 — Extension Permit for Orders of Conditions 242 1675__
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. General Information pk, 1,15, a 7 F :2 8 2 e5i,7 3
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Important: `;.* ti k: 9�d""" 4 �'4 :r d w tR" Jt i
When filling out 1. Applicant:
forms on the Winslow Drive Realty Group, LLC
computer, use _ ...,.... __._ _... .....
Name
only the tab
key to move 24 Winslow Drive
your cursor- Mailing Address
do not use the Atkinson NH 03811
_ _........_ .,_. .. --- — _......_.. _. __...........
return key. Cityrrown State Zip Code
r� 2. Property Owner(if different):
Norman & Janet Wallace
Name
40 Hillside Road
Mailing Address
North Andover MA 01845
—_. ............._ ....._._ _......_....
City/Town State Zip Code
B. Authorization
The Order of Conditions (or Extension Permit) issued to the applicant or property owner listed above on:
4/14/2016 Issued by: North Andover Conservation Commission
__ ...._....... _......_.._.. _-- ....._.._._.
Date Conservation Commission
40 Hillside Road 98C 10
for work at: _ - _._......._ _._. . ...m......
Street Address Assessor's Map/Plat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Northern Essex 14609 78
County Book Page
Certificate(if registered land)_...._._.._
is hereby extended until: 4/14/2020
--- --.- ... ......__m . ..._._ ._
Date Date the Order was last extended(if applicable)
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.
This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to
the applicant and the appropriate DEP Regional Office
(htt ://www.mass. ov/eea/a encies/m s de /about/contacts/find-the-massde -re Tonal-office-for- our-city or-
town.html).
Signatures: Date
4)
wpaformTdoc•rev.5129/2014 Page 1 of 2
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LlMassachusetts Department of Environmental Protection oep File Number:
Bureau of Resource P[OfOcUnn - Wetlands
WPA Form 7 ~~ Extension Permit for Orders of Conditions 242-1675
Massachusetts W8fl@DdS P[OfeCtiOO /\Cf 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 Pennit, have it stamped by the
Registry of Deeds, and return itto 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 |and, 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 mf the owner of the land upon which the
proposed work isdone.
Detach this page and submit it to the Conservation Commission prior to the expiration of the Order of
Conditions subject tothis Extension Permit.
To:
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xp-r/o J / /-.5,5 //2M
Please i Permit to the Order of Conditions for the project at: �
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Project Location DEP File Number
has been recordeq at theRegistry of Deeds of
County
~
. nor:
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 ofConditions on:
7� C�
ou
ooun Book Page
If recorded land the instrument number which identifies this transaction is:
|fregiatered |end. thedooumontnumbervvhinhidendfieethiot/mnnaotionio:
Docurnent Number
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Signature of Applicant