HomeMy WebLinkAbout- Permits #242-1689 - 1995 L-1 SALEM STREET 2/19/2020 Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection -Wetlands
WPA Form 7 — Extension Permit for Orders of Conditions 242-1689
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
ILI
A. General Information
Important:
When filling out 1. Applicant:
forms on the Livingstone Development Corp.
computer, use -Name
only the tab
key to move PO Box 50
your cursor- Mailing Address
do not use the Tewksbury MA 01876
return key. Cityll-own State Zip Code
V Q 2. Property Owner(if different):
Lois Lachapelle
Name
931 Wilton Road
Mailing Address
Mason NH 03048
Cityrrown State Zip Code
B. Authorization
The Order of Conditions (or Extension Permit) issued to the applicant or property owner listed above on:
04/24/2017 Id b North Andover Conservation Commission
ssuey:
Date Conservation Commission
Salem Street 106B 16
for work at: Street Address Assessor's MaptPlat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Essex North 15060 69
County Book Page
Certificate(if registered land)
is hereby extended until: 04/24/2021
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
(httpl/www,mass.gov/eea/aaencies/mas,sdep/about/contacts/find-the-massdep-regional-office-for-your-city-or-
town.html).
Signatures: Date U
&tL,
KIN
V
wpaformTdoc-rev.512912014 Page 1 of 2
Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
Ii1V'PA► Form 7 — Extension Permit for Orders of Conditions 242-1689
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 this page 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:
Salem Street(Lots 1, 2 & 3) 242-1689
Progect Location DEP File Number
has been recorded at the Registry of Deeds of-,
Northern Essex
County
for:
Livingstone Development, Corp._..__._
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:
gnstfument Number
If registered land, the document number which identifies this transaction is:
Document Number
.......... ..........
Signature of Applicant
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