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HomeMy WebLinkAboutApplication - 220 ABBOTT STREET 5/27/2005 Massachusetts Department of Environmental Protection C\ L �ti Bureau of Resource Protection - Wetlands City/Town A Form 1 ® Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 RECEIVED A. General Information �&d Important: MAY 2 7 2005 When filling out 1. Applicant: forms on the �JfI -� C ,��/(��C� �� ��1'/� NORTH ANDOVER computer, use Name E-Mail Ad ress only the tab key �� / to move your 4� cursor-do not Mai' Address use the return /c�/9/ A17DBGrZ �� key. City/Town State Zip Code Phone Number Fax Number(if applicable) 2. Representative (if any): Firm Contact Name E-Mail Address Mailing Address City/Town State Zip Code Phone Number Fax Number(if applicable) B. Determinations 1. 1 request the �U� � �'. 0°L�'� make the following determination(s). Check any that apply: Conservation Commission ❑ a. whether the area depicted on plan(s) and/or map(s) referenced below is an area subject to jurisdiction of the Wetlands Protection Act. �] b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced below are accurately delineated. t © c. whether the work depicted on plan(s) referenced below is subject to the Wetlands Protection Act. [J� d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: Name of Municipality ❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). wpaformtdoc•rev.07/14/04. Page 1 of 4 Massachusetts Department of Environmental Protection , Bureau of Resource Protection - Wetlands City/Town A Forml ® Request for Determination of Applicability 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): Street Address City/Town 3n �-% Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): -0i�r� c. Plan and/or Map Reference(s): Title Date Title Date Title Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): �iS�L�P��j�'c= T1i i3c=� �ir�i��z •-- � ��' r��z-�� _ t J 1 wpaformt.doc•rev.07/14104. Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1 ® Request for Determination of Applicability City/Town Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description (cont.) b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work(use additional paper, if necessary). 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 8/1/96 ❑ Single family house on a lot recorded after 8/1/96 ❑ Expansion of an existing structure on a lot recorded after 8/1/96 ❑ Project, other than a single family house or public project, where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 8/7/96 ❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverfront Area for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ❑ District, county, state, or federal government project ❑ Project required to evaluate off-site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if necessary.) wpaforml.doc•rev.07/14/04. Page 3 of 4 Massachusetts Department of Environmental Protection , Bureau of Resource Protection - Wetlands �! 1 Fora 1 ® Request for Determination of Applicability CitylTown Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Signatures and Submittal Requirements I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional Office (see Attachment)were sent a complete copy of this Request(including all appropriate documentation) simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the pro erty owner: Name Mailing Ad r ss City/Town State Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in ac ance with Sect' n 10.05(3)(b)(1) of the Wetlands Protection Act regulations. 4!2� . '�7117talc) Signatur of Applicant Date Signature of Representative(if any) Date wpaforml.doc•rev.07114104. Page 4 of 4 �. .� �. \\�\ --• -__ 515- -- 34.5 �� �H l 11 Golf —w0c _ I Q,3urse Hill P.Lmpfng 37 a N' Sty �A' r 48 6 X STATE\ �, •North AndoYer FOREST •�-j '0 '.DALE -I ,�� °"-� A ToJvn farm • _\ . .� ter. — �/ `® 1pOq.- -.. -J� _'.., I� .,~ - '� a _ - - - _ Hill - wer � F I i Ao llll/� ` tu. HA"L0 FRA E-R �11�• S A3'£ FO ST S T A T£ ^ OSh6l1 = \\ 5G5 ~ -- �'�- BM 31.6 Hill a\ over,� - - I �°• ° - cZs fle ervol A �,.. U OREST RECEIVED Abutter to Abutter( x ) Building Dept. ( ) Conservation ( ) Zoning ( ) + MAY 2 7 2005 Town of North Andover NORTH ANDOVER Abutters Listing CONSERVATION COMMISSION REQUIREMENT: MGM 40A,Section 11 stales in part"Parties in Interest as used in this chapter shall mean the petitioner, abutters,owners of land directly oppositeon any public or private way,and abutters to abutters within three hundred(300)feet of the property line of the petitioner as they appear on the most recent applicable tax list,not withstanding that the land of any such owner is located in another city or town,the planning board of the city or town,and the planning board of every abutting city or town." Subject Property: MAP PARCEL Name Address 38 156 James Burke 220 Abbott Street North Andover,MA 01845 Abutters Properties Map Parcel Name Address 275 Abbott Street North Andover,MA 01845 gg 7 Wayne Niemi 38 21 Michele Cavallaro 7 Thistle Road North Andover,MA 01845 38 78 Alice Frost 225 Abbott Street North Andover,MA 01845 38 108 Malcolm Murphy 230 Abbott Street North Andover,MA 01845 319 Rea Street North Andover,MA 01845 38 121 Michael Dhirest a 38 120 James G 329 Rea Street North Andover,MA 01845 est 38 122 Steven Wudyka 200 Abbott Street North Andover,MA 01845 314 Rea Street North Andover,MA 01845 38 123 Sean Connolly 302 Rea Street North Andover,MA 01845 38 124 Elizabeth Gill 292 Rea Street North Andover,MA 01845 38 125 Raymond Metz Jr 38 151 Kenneth Velardi 186 Abbott Street North Andover,MA 01845 38 152 John Sanitoro 198 Abbott Street North Andover,MA 01845 38 153 Joanne Lynch 110 Abbott Street North Andover,MA 01845 38 155 Duane Morin 210 Abbott Street North Andover,MA 01845 38 157 Mark Reich 226 Abbott Street North Andover,MA 01845 38 158 Carrie Milardo 240 Abbott Street North Andover,MA 01845 38 159 David Solomon 250 Abbott Street North Andover,MA 01845 38 196 John Shellhom 185 Abbott Street North Andover,MA 01845 38 197 Scott Robertson 197 Abbott Street North Andover,MA 01845 120 Main Street North Andover,MA 01845 38 255 Town of North Andover 22 Thistle Road North Andover,MA 01845 38 329 Susan Green 38 330 Richard Gossman 15 Thistle Road North Andover,MA 01845 38 331 Edward Holmes 25 Thistle Road North Andover,MA 01845 Page 1 of 1 This cedfles that the names appearing on the records of the Assessors Office as of Certifi d b Date