HomeMy WebLinkAboutExtension permit 2215 Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
1WPA Form 7 - Extension Permit for Orders of Conditions SE83-2215
Provided by DEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out 1. Applicant:
forms on the Wayne Kurker, Hyannis Marina
computer, use Name
only the tab •
key to move 1 willow street
your cursor- Mailing Address
do not use the Hyannis MA 02601
returnur key. City/Town State Zip Code
,/(i�, 2. Property Owner (if different):
��VV •
' Name
,gun
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:
12/23/2019 Yarmouth
Date Issued by: Conservation Commission
for work at: 21 Arlington Street 28 17
Street Address Assessor's Map/Plat Number Parcel/Lot Number
recorded at the Registry of Deeds for:
Barnstable
County Book Page
1 387 434
Certificate(if registered land)
3/29/2027
is hereby extended until: 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 (https://www.mass.qov/service-details/massdep-
regional-offices-by-community).
wpaform7 doc•rev 3/2/2021 Page 1 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
L1I1WPA Form 7 — Extension Permit for Orders of Conditions DEP File Number:
SE83-2215
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Authorization (cont.)
Issue Date(mm/dd/yyyy)
Signature
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Page 2 of 3
wpaform7.doc•rev.3/2/2021
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 7 - Extension Permit for Orders of Conditions SE83-2215
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:
Yarmouth
Conservation Commission
Please be advised that the Extension Permit to the Order of Conditions for the project at:
21 Arlington Street 083-2215
Project Location DEP File Number
has been recorded at the Registry of Deeds of:
Barnstable
County
for:
Wayne Kurker
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
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