36_-251_letterAB 21 Maple Ridge Rd- signatures310 CMR: DEPARMENT OF ENVIRONMENTAL PROT-_,- fION
10.99: continued
Doc; 980015188 OR /5480/0056 09/10/199810;46
Issued by the Northa dh Consen
Signatur�,(s)
W - �-W� ' S
This Order must be signed by a majority of the Conservation Commission.
fi[_.vi'S
�S
On this 7 day of C`J f 19 , before me personally
appeared , to me known to be the person described in, and who executed,
the foregoing instrument, and acknowledged that he/she executed the same as his/her free act and deed.
Notary Public My Commission Expires
WAYN r tint.
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land upon which the
proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified
of their right to request the Department of Environmental Protection to issue a Superseding.Order, providing the
request is made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee
Transmittal Form as provided in 310 CMR 10.030 within ten days from the date of issuance of this determination.
A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission
and the applicant.
Detach on dotted line and submit to the Northampton Conservation Commission prior to commencement of work.
To Northampton Conservation Commission Issuing Authorif7" --
Please be advised that the Order of Conditions for the project at
File Number
has been recorded at the Registry of
has been noted in the chain of title of the affected property in accordance with General Condition 8 on
If recorded land, the instrument number which identifies this transaction is
If registered land, the document number which identifies this transaction is
Signature Applicant
ATTEST: HAMPSHIRE, jJ'REGISTER
WI=NNE
and
19
4/1/94 110 CMR - 423 423