HomeMy WebLinkAboutMiscellaneous - 284 SALEM STREET Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1257
Provided by DEP
A. Project Information
Important:
When filling out 1- This Certificate of Compliance is issued to:
forms on the David W. Palmer
computer, use Name
only the tab
key to move 284 Salem Street
your cursor- Mailing Address
do not use the North Andover MA. 01845
return key. City/town State Zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
David W. Palmer
Name
7/14/04 242-1257
Dated DEP File Number
3. The project site is located at:
284 Salem Street North Andover
Street Address City/Town
Map 37D Parcel 39
Assessors Map/Plat Number Parcel/Lot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Owner(if different)
Essex North Instrument#40792
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
10/6/06
Date
B. Certification
Check all that apply:
® Complete Certification: It is hereby certified that the work regulated by the above-referenced
Order of Conditions has been satisfactorily completed.
❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the
above-referenced Order of Conditions have been satisfactorily completed.The project areas or work
subject to this partial certification that have been completed and are released from this Order are:
wpaform 8b.doc•rev.7/13/04 Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8B — Certificate of DEP File Number:
(` Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1257
Provided by DEP
B. Certification (cont.)
❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above-referenced
Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no
longer valid. No future work subject to regulation under the Wetlands Protection Act may
commence without filing a new Notice of Intent and receiving a new Order of Conditions.
® Ongoing Conditions: The following conditions of the Order shall continue: (Include any
conditions contained in the Final Order, such as maintenance or monitoring, that should continue
for a longer period).
Condition Numbers:
74
C. Authorization
Issued by:
North Andover 1
Ccrservaticn Ccmrrissi®n
Date of issuabee
This Certificate must be signed by a majority of the Conservation Commission and opy sent to the
applicant and appropriate DEP Region I Office(See Attachment).
Signatures:
i
II
wpaform 8b.doc•rev.7/13/04
Page 2 of 4
Massachusetts Department of Environmental Protection
L77 Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1257
Provided by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this �h Of 0(4d
Day Month Year
before me, the undersigned Notary Public, personally appeared
�pff- N e-
Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
Massachusetts License
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged
to me that he/she signed it voluntarily for its stated purpose.
As member of North Andover Conservation Commission
Cityrrown
Signature of Notary Public
DOW M.WEDGENOTARY PUBUC Printed Name of Notary Public
COMMOWiIX OF MASSACHUSETTS
My Comm.Expires Aug.7,2009
EMy Com ission xpires(Date)
Place notary seal and/or any stamp above �`'1 2q —
SidDature of Notary Public
wpaform Sb.doc•rev.7/13104 Page 3 of 4
Massachusetts Department of Environmental Protection
— Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 86 — Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 242-1257
Provided by DEP
D. Recording Confirmation
The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of
Deeds or the Land Court for the district in which the land is located.
Detach on dotted line and submit to the Conservation Commission.
---------------------------------------------------------------------------------------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
242-1257
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
Property Owner
and has been noted in the chain of title of the affected property on:
Date Book page
If recorded land, the instrument number which identifies this transaction is:
If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
wpaform 8b.doc•rev.7/13104 Page 4 of 4
Massachusetts Department of Environmental Protection
I
Bureau of Resource Protection - Wetlands
DEP Re i
�, g onal Addresses
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Mail transmittal forms and DEP payments,payable to:
Commonwealth of Massachusetts
Department of Environmental Protection
Box 4062
Boston, MA 02211
DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham
Agawam Conwayancock Montague Plainfield Wales
436 Dwight Street y s
Alford Cummington Hatfield Monterey Richmond Ware
Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick
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Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell
Belchertown East Longmeadow Holland New Ashford Savoy Westfield
Fax:413-784-1149 Bernardston Egremont Holyoke New Marlborough Sheffield Westhampton
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1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole
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wpaform8b.doc•DEP Addresses-rev.10/10/06 Page 1 of 1
4,
Town of North Andover f NORTH
Office of the Planning Department
Community Development and Services Division
r° 1
27 Charles Street " °* •-=�=-• 4
North Andover,Massachusetts 01845 'ss„C,,stt
Telephone(978)688-9535
Town Planner Fax(978)688-9542
Nonce Of Decision
Any appeal shall be filed
Within (20) days after the
Date of filing this Notice
In the Office of the Town �
Clerk ,
Date: September 22,2004--.- -
Date of Hearing: September_7, 2004
Decision: September 21, 2004
Petition of David Palmer,284 Salem Street,North Andover,MA 01845
Premises Affected: 284 Salem Street,North Andover, MA 01845
Referring to the above petition for a Watershed Special Permit. The application was
determined to be complete and was noticed and reviewed in accordance with the
procedures for review and approval in accordance with the Rules and Regulations
Governing the Subdivision of Land and M.G.L. Chapter 40-A,sec 11
So as to allow: The re-permitting of reconstruction of a driveway, installation of a storm
water management system,reconstruction of an existing deck and landscaping activities on the
site located within the Non-Discharge and Non-Discharge Zones of the Watershed Protection
District.
After a public hearing given on the above date,the PlanninBoard voted to APPRO ,
the Watershed Special Permit,based upon the following co,
o 'tions:
X < l
Sign d:
Alberto Angles, ChArman
Cc: Applicant George White,Vice Chairman
Engineer Felipe Schwarz,Clerk
Abutters John Simons
DPW James Phinney
Building Department
Conservation Department
Health Department
ZBA
BOARD OF APPEAf S 688-9541. BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
284 Salem Street
Special Permit-Watershed Protection District
The Planning Board makes the following findings regarding the application of David
Palmer, filed on July 19,2004. The area affected is located at 284 Salem Street in the R-3
Zoning District, Map 37D, Lot 39. The lot was created in 1984 and is subject to the
Watershed Protection District provisions for lots created on or prior to October 24, 1994.
The applicant is requesting a Watershed Special Permit for the re-permitting of
reconstruction of a driveway, installation of a stormwater management system,
reconstruction of an existing deck and landscaping activities on the site. Proposed activities
will be located within the Non-Disturbance and Non-Discharge Zones of the Watershed
Protection District.Public hearings were held on September 7,2004.
History: The project was previously approved by the North Andover Planning Board,
decision dated December 19, 2001. Activities did not commence within the 2 year permit
period,therefore,the applicant re-filed the project with minor changes.
FINDINGS OF FACT:
In accordance with 4.136 the Planning Board makes the finding that the intent of the Bylaw,
as well as its specific criteria,are met. Specifically the Planning Board finds:
I. That as a result of the proposed construction in conjunction with other uses nearby,
there will not be any significant degradation of the quality or quantity of water in or
entering Lake Cochichewick. The Planning Board bases its findings on the
following facts:
a) The structure is tied into public sewer.
b) A covenant will be placed in the deed restricting and limiting the types of
fertilizers that can be used on the site.
c) The topography of the site will not be altered substantially.
d) The limit of clearing is restricted to the minimum necessary to construct the
structure and appurtenances. All activities will be conducted in previously
disturbed areas.
e) Buffer zone restoration plantings will be conducted on the property, as required
by the North Andover Conservation Commission.
2. There is no reasonable alternative location outside the Non-Discharge Buffer Zone,
for any discharge, structure or activity,associated with the proposed project.
3. In accordance with Section 10.31 ofthe North Andover Zoning Bylaw,the Planning
Board makes the following findings:
a) The specific site is an appropriate location for the proposed use as all feasible
storm water and erosion controls have been placed on the site;
b) The use will not adversely affect the neighborhood as the use is accessory to an
existing single family;
c) There will be no nuisance or serious hazard to vehicles or pedestrians;
d) Adequate and appropriate facilities are provided for.the proper operation of the
proposed use; stormwater mitigation structures will be installed on site and
maintained in perpetuity,
e) The Planning Board also makes a specific finding that the use is in harmony with
the general purpose and intent of the North Andover Zoning Bylaw,
Upon reaching the above findings, the Planning Board approves this Special Permit based
upon the following conditions:
2)SPECIAL CONDITIONS:
a) This Special Permit is being issued for the proposed activities submitted with this
filing only.
b) This decision must be filed with the North Essex Registry of Deeds. The following
information is included as part of this decision:
• Town of North Andover Planning Board Application for Watershed Special
Permit filed by David Palmer,284 Salem Street,North Andover,MA;
• Drainage Calculations for Residential Landscaping Improvements at 284
Salem Street, North Andover, MA, prepared by McKenzie Engineering
Group,Inc. dated May 21,2004;
• Plans entitled:
Plan to Accom any Notice of Intent, Sheets 1-2, prepared by McKenzie
Engineering Group,Inc.,dated March 24,2004,revised August 17,2004;
d) The Town Planner shall approve any changes made to these plans. Any changes
deemed substantial by the Town Planner would require a public hearing and
modification by the Planning Board.
e) Stormwater management structures must be maintained in perpetuity by the
homeowners and in accordance to the maintenance schedule outlined on Sheet 2 of
the record plans.
3 PRIOR TO
ANY WORK ON SITE:
a) A performance guarantee of two thousand dollars ($1,000) in the form of a check
made out to the Town of North Andover must be posted to insure that construction
will take place in accordance with the plans and the conditions of this decision and
to ensure that the as-built plans will be submitted.
b) The decision must be filed with the North Essex Registry of Deeds. One certified
copy of the recorded decision must be submitted to the Planning Department.
c) Erosion controls as shown on the referenced plan must be installed and must be
reviewed and approved by the Town Planner.
d) The site shall have received all necessary permits and approvals from the North
Andover Conservation Commission, Board of Health, and the Department of Public
Works and be in compliance with the above permits and approvals.
e) Wetland resource area boundary flags must be in place and reviewed by the Town
Planner.
4) PRIOR TO THE ISSUANCE OF A BUILDING PERMIT:
a) Only organic or slow release lawn or garden products shall be used in lawn care or
maintenance within 325' of Lake Cochchewick or within 325' of wetland resource
areas. The applicant shall incorporate this condition as a deed restriction,and a copy
of the recorded deed shall be submitted to the Town Planner and included in the file.
b) The Planning Board must endorse the final site plan mylars and three copies of
the signed plans must delivered to the Planning Department.
5) PRIOR TO THE RELEASE OF THE PERFORMANCE BOND:
a) The applicant shall submit an as-built plan stamped by a Registered Professional
Engineer or Land Surveyor in Massachusetts that shows all construction, limits of
disturbance, existing topography, storm water mitigation structures and other
pertinent site features. This as-built plan shall be submitted to the Town Planner and
the Department of Public Works for approval. The applicant must submit a written
stamped and signed,certification letter from the design engineer stating that the site
was constructed in accordance with the approved plan, in additionto certification
that the drainage structures have been properly installed. Any and all changes from
the original plans must be clearly identified in the letter.
b) The Planning Board must by a majority vote make a finding that the site is in
conformance with the approved plan.
6) In no instance shall the applicant's proposed construction be allowed to further impact
the site than as proposed on the plan referenced in Condition 4e.
a.
7) No open burning shall be done except as is permitted during burning season under the
Fire Department regulations.
8) The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation.
9)The provisions of this conditional approval shall apply to and be binding upon the
applicant, it's employees and all successors and assigns in interest or control.
10 ) This Special Permit approval shall be deemed to have lapsed September 21, 2006
(two years from the date of issuance)exclusive of the time required to pursue or await
determination of any appeals, unless substantial use or construction has commenced
within said two year period. Substantial use or construction will be determined by a
majority vote of the Planning Board.
cc: Applicant
Engineer
File
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
1 WPA Form 5 - Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important: North Andover
When filling From: 1. Conservation Commission
out forms on
the computer, 2. This issuance is for(check one): ® Order of Conditions ❑ Amended Order of Conditions
use only the
tab key to 3. To: Applicant:
move your
cursor-do not David Palmer
use the return a. First Name b.Last Name c.Company
key. 284 Salem Street
d.Mailing Address
North Andover MA. 01845
e. City/Town f.State g.Zip Code
4. Property Owner(if different from applicant):
a. First Name b. Last Name c.Company
d. Mailing Address
e.City/Town f.State g.Zip Code
5. Project Location:
284 Salem Street North Andover
a.Street Address b.City/Town
Map 37D Lot 39
c.Assessors Map/Plat Number d.Parcel/Lot Number
Latitude and Longitude, if known (note:
electronic filers will click for GIS locator): e.Latitude f.Longitude
6. Property recorded at the Registry of Deeds for(attach additional information if more than one parcel):
Essex North
a.County b.Certificate(if registered land)
5808 313
c. Book d.Page
5/28/04 6/23/04 7/14/04
7. Dates: a. Date Notice of Intent Filed b.Date Public Hearing Closed c.Date of Issuance
8. Final Approv2d Plans and Other Documents(attach additional plan or document references as
needed):
Plan to Accompany Notice of Intent-(Sheet 1)/Construction Details(Sheet 2). _
a. Plan Title
Bradley C. McKenzie Bradley C. McKenzie, P. E.
b. Prepared By c.Signed and Stamped by
6/1/04 1" = 10"
d. Final Revision Date e.Scale
See attached
f.Additional Plan or Document Title g. Date
9. Total WPA Fee Paid: $82.50
a.Total Fee Paid b.State Fee Paid c.City/Town Fee Paid
wpaform5.doc• rev.7/14104 Page 1 of 8
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
1 WPA Form 5 - Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings
1. Findings pursuant to the Massachusetts Wetlands Protection Act:
Following the review of the above-referenced Notice of Intent and based on the information provided
in this application and presented at the public hearing, this Commission finds that the areas in which
work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that
apply:
a. ® Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollution
d. ® Private Water Supply e. ❑ Fisheries f. Z Protection of Wildlife
Habitat
g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control
2. This Commission hereby finds the project,as proposed, is:(check one of the following boxes)
Approved subject to:
® the following conditions which are necessary in accordance with the performance standards set forth
in the wetlands regulations. This Commission orders that all work shall be performed in accordance
with the Notice of Intent referenced above, the following General Conditions, and any other special
conditions attached to this Order. To the extent that the following conditions modify or differ from the
plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall
control.
Denied because:
❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland
regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is
submitted which provides measures which are adequate to protect these interests, and a final Order of
Conditions is issued. A description of the performance standards which the proposed work cannot
meet is attached to this Order.
❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect
of the work on the interests identified in the Wetlands Protection Act.Therefore, work on this project may
not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information
and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions
is issued. A description of the specific information which is lacking and why it is necessary is
attached to this Order as per 310 CMR 10.05(6)(c).
Inland Resource Area Impacts: Check all that apply below. (For Approvals Only)
Resource Area Proposed Permitted Proposed Permitted
Alteration Alteration Replacement Replacement
3. ❑ Bank
a.linear feet b. linear feet c. linear feet d.linear feet
4. ❑ Bordering Vegetated
Wetland a.square feet b.square feet c.square feet d.square feet
5. ❑ Land Under a.square feet b.square feet c.square feet d.square feet
Waterbodies and
Waterways
e.cu.yd dredged f.cu.yd dredged
wpaform5.doc• rev.6/9/04 Page 2 of 8
t s
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 931, §40
B. Findings (cont.)
Resource Area Proposed Permitted Proposed Permitted
Alteration Alteration Replacement Replacement
6. ❑ Bordering Land Subject
to Flooding a.square feet b.square feet c.square feet d.square feet
Cubic Feet Flood
Storage e. cubic feet f.cubic feet g.cubic feet h. cubic feet
7. ❑ Isolated Land Subject
to Flooding a.square feet b.square feet
Cubic Feet Flood
Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet
8. ® Riverfront area 2, 994 2,994
a.total sq.feet b.total sq.feet
Sq ft within 100 ft 1, 817 1,817
c.square feet d.square feet
Sq ft between 100-200 ft 1, 777 1,777
e.square feet f.square feet
Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only)
s. ❑ Designated Port Indicate size under Land Under the Ocean, below
Areas
10. ❑ Land Under the
Ocean a.square feet b.square feet
c.cu.yd dredged d.cu.yd dredged
11. ❑ Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below
12. ❑ Coastal Beaches
a.square feet b.square feet c.Uy nourishmt. d.cty nourishmt.
13. ❑ Coastal Dunes a.square feet b.square feet c.cty nourishmt. d.cty nourishmt
14. ❑ Coastal Banks a. linear feet b.linear feet
15. ❑ Rocky Intertidal
Shores a.square feet b.square feet
16. ❑ Salt Marshes
a.square feet b.square feet c.square feet d.square feet
17. ❑ Land Under Salt
Ponds a.square feet b.square feet
C.cu.yd dredged d.cu.yd dredged
18. ❑ Land Containing
Shellfish a.square feet b.square feet c.square feet d.square feet
19. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the
Ocean, and/or inland Land Under Waterbodies and Waterways,
above
a.cu.yd dredged b.cu.yd dredged
20. ❑ Land Subject to
Coastal Storm Flowage a.square feet b.square feet
wpaform5.doc- rev.7114104 Page 3 of 8
T -
Massachusetts Department of Environmental Protection
l �
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. General Conditions Under Massachusetts Wetlands Protection Act
(only applicable to approved projects)
1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory
measures, shall be deemed cause to revoke or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any
injury to private property or invasion of private rights.
3. This Order does not relieve the permittee or any other person of the necessity of complying with all
other applicable federal, state, or local statutes, ordinances, bylaws, or regulations.
4. The work authorized hereunder shall be completed within three years from the date of this Order
unless either of the following apply:
a. the work is a maintenance dredging project as provided for in the Act; or
b. the time for completion has been extended to a specified date more than three years, but less
than five years, from the date of issuance. If this Order is intended to be valid for more than three
years, the extension date and the special circumstances warranting the extended time period are
set forth as a special condition in this Order.
5. This Order may be extended by the issuing authority for one or more periods of up to three years each
upon application to the issuing authority at least 30 days prior to the expiration date of the Order.
6. Any fill used in connection with this project shall be clean fill.Any fill shall contain no trash, refuse,
rubbish, or debris, including but not limited to lumber, bricks, piaster, wire, lath, paper, cardboard,
pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing.
7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such
an appeal has been taken, until all proceedings before the Department have been completed.
8. No work shall be undertaken until the Order has become final and then has been recorded 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, the Final Order shall also be noted in the
Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to
be done. In the case of the registered land, the Final Order shall also be noted on the Land Court
Certificate of Title of the owner of the land upon which the proposed work is done. The recording
information shall be submitted to this Conservation Commission on the form at the end of this Order,
which form must be stamped by the Registry of Deeds, prior to the commencement of work.
9. A sign shall be displayed at the site not less then two square feet or more than three square feet in
size bearing the words,
"Massachusetts Department of Environmental Protection" [or, WA DEP"]
"File Number 242-1257
wpaform5.doc• rev.7114104 Page 4 of 8
Massachusetts Department of Environmental Protection
L11
Bureau of Resource Protection -WetlandsDEP File Number:
WPA Form 5 - Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. General Conditions Under Massachusetts Wetlands Protection Act
10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the
Conservation Commission shall be a party to all agency proceedings and hearings before DEP.
11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of
Compliance (WPA Form 8A)to the Conservation Commission.
12. The work shall conform to the plans and special conditions referenced in this order.
13. Any change to the plans identified in Condition#12 above shall require the applicant to inquire of the
Conservation Commission in writing whether the change is significant enough to require the filing of a
new Notice of Intent.
14. The Agent or members of the Conservation Commission and the Department of Environmental
Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours
to evaluate compliance with the conditions stated in this Order, and may require the submittal of any
data deemed necessary by the Conservation Commission or Department for that evaluation.
15. This Order of Conditions shall apply to any successor in interest or successor in control of the
property subject to this Order and to any contractor or other person performing work conditioned by
this Order.
16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland,
the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden
stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate
of Compliance has been issued by the Conservation Commission.
17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully
stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or
water body. During construction, the applicant or his/her designee shall inspect the erosion controls
on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately
control any erosion problems that occur at the site and shall also immediately notify the Conservation
Commission, which reserves the right to require additional erosion and/or damage prevention controls
it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of
work line has been approved by this Order.
Special Conditions:
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wpaform5.doc• rev.7/14/04 Page 5 of 8
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DEP FILE#242 - 1257
Therefore, the North Andover Conservation Commission (hereafter the
"NACC") hereby finds that the following conditions are necessary, in
accordance with the Performance Standards set forth in the State Regulations,
the local ByLaw and Regulations, to protect those interests noted above. The
NACC orders that all work shall be performed in accordance with said
conditions and with the Notice of Intent referenced below. To the extent that the
following conditions.modify or differ from the plans, specifications or other
proposals submitted with the Notice of Intent, the conditions shall control.
GENERAL CONDITIONS
18. Failure to comply with all conditions stated herein, and with all related
statutes and other regulatory measures, shall be deemed cause to revoke or
modify this Order.
19.This Order does not grant any property rights or any exclusive privileges; it
does not authorize any injury to private property or invasion of property
rights. However, the NACC, agent of the NACC or the Department of
Environmental Protection(DEP) reserves the right to enter and inspect the
property at all reasonable times until a Certificate of Compliance is issued, to
evaluate compliance with this Order of Conditions, the Act(310 CMR 10.00),
the North Andover Wetland ByLaw and Regulations, and may require any
information, measurements,photographs, observations, and/or materials, or
may require the submittal of any data or information deemed necessary by
the NACC for that evaluation Further,work shall be halted on the site if the
NACC, agent or DEP determines that any of the work is not in compliance
with this Order of Conditions. Work shall not resume until the NACC is
satisfied that the work will comply and has so notified the applicant in
writing.
20. This Order does not relieve the permittee or any other person of the necessity
of complying with all other applicable federal, state or local statutes,
ordinances, by-laws or regulations.
21. The work authorized hereunder shall be completed within three years from
the date of this order.
22. This Order may be extended by the issuing authority for one or more periods
of up to one year each upon application to the issuing authority at least thirty
days (30) prior to the expiration date of the Order (Refer to Section 8.3 (p.37) of
the North Andover Wetland Regulations).
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23. The NACC reserves the right to amend this Order of Conditions after a
legally advertised public hearing if plans or circumstances are changed or if
new conditions or information so warrant.
24.Where the Department of Environmental Protection(DEP) is requested to
make a determination and to issue a Superseding Order, the Conservation
Commission shall be a party to all agency proceedings and hearings before
the Department,
25. This Order of Conditions is issued under File No. 242-1257. A previous
Order of Conditions was issued under 242-1105 and was still valid upon
issuance of this Order. However,issuance of this Order Supercedes 242-
1105 in its entirety.
26.The conditions of this decision shall apply to, and be binding upon, the
applicant, owner, its employees and all successors and assigns in interest or
control. These obligations shall be expressed in covenants in all deeds to
succeeding owners of portions of the property.
27.The term "Applicant" as used in this Order of Conditions shall refer to the
owner, any successor in interest or successor in control of the property
referenced in the Notice of Intent,supporting documents and this Order of
Conditions. The NACC shall be notified in writing within 30 days of all
transfers of title of any portion of property that takes place prior to the
issuance of a Certificate of Compliance.
28.The proposed work includes: the construction of a revised driveway layout,
stormwater infiltration system,deck layout,fence location,front walkway
and the construction of a rear walkway,versalock retaining wall,
associated grading and landscaping,and a buffer zone enhancement area
within the buffer zone to a bordering vegetated wetland and within
Riverfront area. Proposed activities are also within the Watershed
Protection District.
THE NORTH ANDOVER CONSERVATION COMMISSION DENIES THE
FOLLOWING PROPOSED WORK:
• The Extension of the Brick Pavers to provide snow Storage area as
depicted on the Plan entitled"FIGURE-1-Sketch Showing Brick
Pavers Extended(to) Proposed Wall to Provide a Snow Storage Area",
No date.
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DEP FILE #242- 1257
29. The work shall conform to the following (except as noted in the remainder of
this document where revisions s ons ma be required):
Y � )•
Notice of Intent filed by: David Palmer(Applicant)
284 Salem Street
North Andover,MA 01845
Prepared by: Rimmer Environmental Consulting,LLC
21 Pine Island Road
Newbury,MA 01951
Dated May 28,2004
Site Plans prepared by: McKersie Engineering Group,Inc.
196 Central Street
Saugus,MA 01906
Entitled "Plan to Accompany Notice of Intent"-
Sheet 1,Dated March 24,2004,last revised 4W
&"Construction Details"- Sheet 2,Dated
August 12,2003
Supplemental Notice of
Intent Information: Appendix 2- North Andover Conservation
Commission Waiver Request Form;
Alternatives Analysis for No-Disturbance/No-
Build Zones and Riverfront Area
Additional Documents
and Reports: Drainage Calculations for Residential
Landscaping Improvements at 284 Salem Street
North Andover, Massachusetts,dated June 1,
2004,prepared by McKersie Engineering Group,
Inc.;
"Figure 1 Sketch showing Test Pit Locations"
with data sheets,prepared by McKensie
Engineering Group,Inc.;
Division of Fisheries &Wildlife letter dated
June 23,2004.
30. The following wetland resource areas are affected by the proposed work.
100-foot Buffer Zone,50-foot No-Build Zone,25-foot No Disturbance Zone of
a Bordering Vegetated Wetland(BVW),100-foot Buffer Zone of Inland Bank,
and 200-foot Riverfront area. These resource areas are significant to the
interests of the Act and Town ByLaw as noted above and therein. The applicant
has not attempted to overcome the presumption of significance of these resource
areas to the identified interests.
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DEP FILE#242 - 1257
31. The NACC agrees with the applicants delineation of the wetland resource
areas on the site as shown on the plans dated referenced herein.
32. The NACC finds that the intensive use of the upland areas and buffer zone
proposed on this site will cause further alteration of the wetland resource areas.
In order to prevent any alteration of wetland resource areas a twenty five foot
(251 No-Disturbance Zone and a fifty foot(5(') No-Construction Zone shall be
established from the edge of the adjacent wetland resource area except in those
approved locations as depicted on the plan and specified in this Order. The
Conservation Administrator and/or other agents of the NACC do not have the
authority to waive these setbacks as established under the local bylaw. No
disturbance of existing grade, soils or vegetation is permitted in the No-
Disturbance zone. (See Section 3.4 &Appendix F of the local Regulations).
33. As shown on the record plans and specified in the table entitled
"Proposed Buffer Zone enhancement Plantings",shrubs shall be planted
along the wetland edge and within the 25-foot No-Disturbance Zone as part
of the buffer zone restoration plan.
34. There shall be no increase in the post development discharges from the storm
drainage system or any other changes in post development conditions that alter
the post development watershed boundaries as currently depicted in the Notice
of Intent and approved by this Order of Conditions, unless specifically approved
in writing by the Commission.
35. This document shall be included in all construction contracts, subcontracts,
and specifications dealing with the work proposed and shall supersede any
conflicting contract requirements. The applicant shall assure that all contractors,
subcontractors, and other personnel performing the permitting work are fully
aware of the permits terms and conditions. Thereafter, the contractor will be
held jointly liable for any violation of this Order resulting from failure to comply
with its conditions.
36. The owners of the project and their successors in title, in the event they
proceed to alter areas subject to the Commission's jurisdiction under the order,
agree that the Order does not in itself impose upon the Town any responsibility
to maintain the proposed drainage system and that said Town shall not be liable
for any damage in the event of failure. By acceptance of this Order, the owners
agree to indemnify and hold harmless to the Town and its residents.for any
damage attributable to alterations undertaken on this property pursuant to the
g P Pert3'
Order. Issuance of these Conditions does not in any way imply or certify that
the site or downstream areas will not be subject to floodin& damage a or
g
an other form of water damage. Maintenance of the drainage system,if
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DEP FILE # 242 - 1257
accepted by the Town as part of a public way, becomes the responsibility of the
Town.
37. The NACC finds the applicant's proposal for 750 sq. ft. of buffer zone
wetland restoration/enhancement to be adequate. The restoration areas shall
be constructed in accordance with the proposed buffer zone enhancement list
as shown on the approved plans. The enhancement planting area shall be
constructed prior to other construction activity on site and this sequence shall
be reflected in the construction sequence. (Refer to Section 5.3 (page 28) of the
local Regulations for performance standards). However,if any time during or
after construction,additional resource areas are found to be disturbed above
and beyond what was approved under this Order,the NACC and/or it's agent
has the right to require additional mitigation measures.
38. The buffer zone restoration area shall be monitored by a qualified wetland
biologist/specialist for two growing seasons and monitoring reports shall be
submitted to the Conservation Department at the end of each growing season
to report on the relative success or failure of the restoration effort. If at the
end of the second growing season,or at any time within the 2-yr growing
season period,it has been determined that a 75%success rate has not been
achieved, the NACC shall require additional mitigative measures (Le-
replacement plantings).
39. Issuance of these Conditions does not in any way imply or certify that the site
or downstream areas will not be subject to flooding, storm damage or any other
form of water damage.
PRIOR TO CONSTRUCTION
40. No work shall be undertaken until all administrative appeal periods from
this Order have elapsed or,if such an appeal has been filed,until all proceedings
before the Department or Court have been completed.
41.This Order shall be recorded by the applicant at the Registry of Deeds
immediately after the expiration of all appeal periods. No work shall be
undertaken until the Final Order has been recorded 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, the Final Order shall
also be noted in the Registry's Grantor 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,
the Final Order shall also be noted on the Land Court Certificate of Title of the
owner of the land upon which the proposed work is to be done. The recording
information shall be submitted to the North Andover Conservation
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DEP FILE#242- 1257
Commission on the form at the end of this OrderI�'or to commencement of
the work. Any Order not recorded by the applicant before work commences
may be recorded by the NACC at the applicants expense.
42. A sign shall be displayed at the site not less than two square feet or more
than three square feet in size bearing the words"Massachusetts DEP,File
Number 242.1257."
43. Prior to any work commencing on-site,the applicant shall submit to the
NACC for approval a 20-scale plan of the proposed buffer zone enhancement
planting area depicting the correct total number of plantings spaced 5'on-
center to be approved by the Conservation Administrator.
44. Any changes in the submitted plans caused by the applicant, another Board's
decision or resulting from this Order of Conditions must be submitted to the
NACC for approval prior to implementation. If the NACC finds said changes to
be significants the NACC will call for another public hearing(at the expense of
the applicant). Within 21 days of the close of said public hearing the NACC will
issue an amended or new Order of Conditions. Any errors found in the plans or
information submitted by the applicant shall be considered as changes. The
proposed project may be still under review by other local or state boards or
agencies. This may result in changes to the project plans or wetland impacts. If
any such changes occur a revised plan and an explanation of the revisions shall
be submitted to the NACC for review and approval prior to the start of
construction. No work shall begin on a project until written approval has been
granted by the NACC.
45. It is the responsibility of the applicant, owner, and/or successor(s) to ensure
that all conditions of this Order of Conditions are complied with. The project
engineer and contractors are to be provided with a copy of this Order of
Conditions and referenced documents before commencement of construction.
46. Prior to any work commencing on-site, the applicant shall submit to the
NACC for approval, a detailed sequence of construction,including the
construction of compensation and retention areas, installation of
sedimentation/erosion control devices and re-vegetation to be completed before
other work begins on-site.
47. Wetland flagging shall be checked prior to start of construction and shall be
re-established where missing. All wetland flagging shall remain visible and
enumerated per the approved plan(s)throughout the life of the project and until
a Certificate of Compliance is issued so that erosion control measures can be
properly placed and wetland impacts can be monitored. The proposed limit of
work shall be shall be clearly marked with stakes or flags and shall be confirmed
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DEP FILE # 242- 1257
by the NACC. Such markers shall be checked and replaced as necessary and
shall be maintained until all construction is complete. Workers should be
informed that no use of machinery, storage of machinery or materials,
stockpiling of soil, or construction activity is to occur beyond this line at any
time. All flags used for the above purposes shall be of a color different from
other flagging used on the site.
48. A row of staked hay bales backed by trenched siltation fence shall be
placed between all construction areas and wetlands. The erosion control barrier
will be properly installed and placed as shown on the plans approved and
referenced herein and shall be inspected and approved by the NACC prior to the
start of construction and shall remain intact until all disturbed areas have been
permanently stabilized to prevent erosion. All erosion prevention and
sedimentation protection measures found necessary during construction shall be
implemented at the direction of the NACC. The NACC reserves the right to
impose additional conditions on portions of this project to mitigate any impacts
which could result from site erosion, or any noticeable degradation of surface
water quality discharging from the site. For example, installation of erosion
control measures may be required in areas not shown on the plan(s) referenced
in this Order of Conditions. Should such installation be required by the NACC,
they shall be installed within 48 hours of the Commission's request Additional
erosion controls(haybales &trenched silt fence) shall be placed along the
westerly 25' No-disturbance Zone extending from the enhancement area to the
chimney so to adequately protect the resource area from the proposed grading
activities immediately upgradient.
49. The applicant shall have on hand at the start of any soil disturbance, removal
or stockpiling, a minimum of 30 hay bales and sufficient stakes for staking these
bales (or an equivalent amount of silt fence). Said bales shall be usedd only for
the control of emergency erosion problems and shall not be used for the normal
control of erosion.
50. A check payable to the Town of North Andover shall be provided in the
amount of$5,000,which shall be in all respects satisfactory to Town Counsel,
Town Treasurer, and the NACC, and shall be posted with the North Andover
Town Treasurer through the NACC before commencement of work. Said
deposit of money shall be conditioned on the completion of all conditions hereof,
shall be signed by a party or parties satisfactory to the NACC, and Town
Counsel, and shall be released after completion of the project, provided that
provisions, satisfactory to the NACC, have been made for performance of any
conditions which are of continuing nature. The applicant may propose a
monetary release schedule keyed to completion of specific portions of the project
for the NACC's review and approval. This condition is issued under the
authority of the local ByLaw.
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51. The applicant shall designate a Wetland Scientist as an"Erosion Control
Monitor"to oversee any emergency placement of controls and regular
inspection or replacement of sedimentation control devices. The name and
phone number of the erosion control monitor must be provided to the NACC
in writing by the hired professional in the event that this person has to be
contacted, due to an emergency at the site, during any 24-hour period, including
weekends. This person shall be given the authority to stop construction for
erosion control purposes. The erosion control monitor will be required to
inspect all such devices and oversee cleaning and the proper disposal of waste
products. Cleaning shall include removal of any entrapped silt. At least once
during each week in which construction activities occurs on-sine and for as long
thereafter as ground remains unstabilized, the applicant shall submit a written
report from the"Erosion Control Monitor" to the NACC certifying that, to the
best of his/her knowledge and belief based on a careful site inspection, all work
is being performed in compliance with this Order of Conditions and that
approved setbacks are being adhered to. The erosion control monitor must
visually inspect all sedimentation/erosion control measures and assume
responsibility for their maintenance on a weekly basis and that they are
functioning as intended. In addition, all wetland resource areas must be visually
inspected for siltation,turbidity,and/or other water quality impacts. In
addition,the erosion control monitor shall be on site during the construction
of the retaining wall and shall update the Administrator on a day-to-day basis
as to ensure that the resource area is being adequately protected in this
location.
52. Prior to construction, the applicant shall permanently mark the edge of the
"25'No-Disturbance Zone/limit of disturbance"with signs or markers spaced
evenly every 25 feet incorporating the following text: "Protected Wetland
Resource Area". This will designate their sensitivity and assure no further
inadvertent encroachment into the wetland. These permanent markers are
available at the Conservation Office for$2 each and are subject to review and
approval by the NACC. The applicant shall instruct all agents to explain these
markers to buyers/lessees/landscapers and all persons taking over the property
from the applicant.
53. The applicant and/or the legal owner of that portion of land upon which
these Orders of Conditions have been placed shall provide to the NACC prior to
transferring,or assigning any portion of said land to another party,subject to
said Orders of Conditions,the"Compliance Certification Form Affidavit"
attached via "Appendix A"signed under the pains and penalties of perjury,
stating that said applicant and/or owner has read these Orders of Conditions
and is in compliance with each and every condition. This document shall
apply to each of the conditions referenced herein and shall be provided to the
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DEP FILE#242 - 125'7
Conservation Department at least five (5) business days prior to the closing of
said land transaction.
54. Once these above mentioned pre-construction requirements are complete,
the applicant shall contact the Conservation Office prior to site preparation or
construction and shall arrange an on-site conference with an NACC
representative,the contractor,the engineer,wetland scientist and the
applicant to ensure that all of the Conditions of this Order are understood.
This Order shall be included in all construction contracts, subcontracts, and
specifications dealing with the work proposed and shall supersede any
conflicting contract requirements. The applicant shall assure that all contractors,
subcontractors and other personnel performing the permitted work are fully
aware of the permit's berms and conditions. Thereafter, the contractor will be
held jointly liable for any violation of this Order of Conditions resulting from
failure to comply with its conditions. The applicant or contractor shall notify the
NACC in writing of the identity of the on-site construction supervisor hired to
coordinate construction and to ensure compliance with this Order. A reasonable
period of time shall be provided as notice of the pre-construction meeting (e.g.
72 hours).
STORMWATER MANAGEMENT CONDITIONS
I - — I J
55. There shall be no increase in the post development discharges from the storm
drainage system or any other changes in post development conditions that alter
the post development watershed boundaries as currently depicted in the Notice
of Intent and approved by this Order of Conditions,unless specifically approved
in writing by the Commission.
56. All stormwater best management practices shall be maintained as specified
in the Operation and Maintenance Plan submitted with the Notice of Intent and
incorporated in the Order of Conditions. Written evidence of maintenance of
the stormwater management system shall be provided to the NACC on an
manual basis by a Registered Professional Civil Engineer for a period of two
1) years from the date said structures go mon-line".
57. Wafter quality in down gradient BVW's shall not differ significantly following
completion of the project from the pre-development conditions. There shall be
no sedimentation into wetlands or water bodies from discharge pipes or surface
runoff leaving the site.
58. The applicants, owners, and their successors and assignees, shall maintain all
culverts, collections basins, traps, outlet structures, subsurface storage areas, and
other elements of the drainage system, unless put into an easement to the Town
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DEP FILE # 242 - 1257
of North Andover, in order to avoid blockages and siltation which might cause
failure of the system and/or detrimental impacts on-siteto
or of-site resource
areas, and shall maintain the integrity of vegetative cover on the site.
DURING CONSTRUCTION
59. Upon beginning work, the applicant shall submit written progress reports
every month detailing what work has been done in or near resource areas, and
what work is anticipated to be done over the next period. This will update the
construction sequence.
60. De-watering activities anticipated shall be supervised and witnessed by
the designated erosion control monitor. De-watering activities shall be
conducted as authorized and approved by the Conservation Administrator and
shall be monitored daily by the erosion control monitor to ensure that sediment
laden water is appropriately settled prior to discharge toward the wetland
resource areas. No discharge of water is allowed directly into an area subject
to jurisdiction of the Wetlands Protection Act and/or the North Andover
Wetland ByLaw. If emergency de-watering requirements arise, the applicant
shall submit a contingency plan to the Commission for approval,which provides
for the pumped water to be contained in a settling basin, to reduce turbidity
prior to discharge into a resource area.
61. Any fill used in connection with this project shall be clean fill, containing no
trash, refuse, rubbish or debris, including but not limited to lumber, bricks,
plaster,wire, lath,paper,cardboard, pipe, tires,ashes, refrigerators, motor
vehicles or parts on any of the foregoing.
62. No exposed area shall remain unfinished for more than thirty (30) days,
unless approved by the NACC.
63. No re-grading in the buffer zone shall have a slope steeper than 2:1
(horizontal: vertical). Slopes of steeper grade shall be rip-rapped to provide
permanent stabilization.
64..There shall be no stockpiling of soil or other materials within twenty-five(25)
feet of any resource area.
65. Washings from concrete trucks, or surplus concrete, shall not be directed to,
any drainage system,or wetland resource area.
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66. All waste generated by, or associated with, the construction activity shall be
contained within the construction area, and away from any wetland resource
area. There shall be no burying of spent construction materials or disposal of
waste on the site by any other means. The applicant shall maintain dumpsters
(or other suitable means) at the site for the storage and removal of such spent
construction materials off-site. However, no trash dumpsters will be allowed
within 50' of areas subject to protection under the Act or local ByLaw.
67. Accepted engineering and construction standards and procedures shall be
followed in the completion of the project
68. During and after work on this project there shall be no discharge or spillage
of fuel, or other pollutants into any wetland resource area. If there is a spill or
discharge of any pollutant during any phase of construction the NACC shall be
notified by the applicant within one(1)business day. No construction vehicles
are to be stored within 100 feet of wetland resource areas, and no vehicle
refueling, equipment lubrication, or maintenance is to be done within 100 feet of
a resource area.
AFTER CONSTRUCTION
69. No underground storage of fuel oils shall be allowed on any lot within one
hundred (100) feet of any wetland resource area. This condition shall survive
this Order of Conditions and shall run with the title of the property. This
condition is issued under the authority of the Town's Wetland protection
ByLaw.
70. Fertilizers utilized for landscaping and lawn care shall be slow release, low-
nitrogen types (<5%), and shall not be used within 25 feet of a resource area.
Pesticides and herbicides shall not be used within 100 feet of a wetland resource
area. This condition shall survive this Order of Conditions and shall run with the
title of the property. This condition is issued under the authority of the Town's
Wetland Protection ByLaw and shall remain in perpetuity.
71. Upon completion of construction and grading, all disturbed areas located
outside resource areas shall be stabilized permanently against erosion. This
shall be done either by loaming and seeding according to SCS standards. If the
latter course is chosen, stabilization will be considered complete once vegetative
cover has been achieved.
72. Upon the Issuance of a Certificate of Compliance or upon approved site
stabilization by Conservation staff, the erosion controls shall be removed and
properly disposed of and all exposed unvegetated areas shall be seeded.
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73. Upon completion of the project the applicant shall submit the following to
the Conservation Commission as part of a request for a Certificate of
Compliance:
a. WPA Form 8A-"Request fora Certificate of Compliance."
b. A letter from the applicant requesting a Certificate of Compliance.
c. The name and address of the current landowner.
d. Signed statements from the individual property owners shall be
submitted with the request for a Certificate of Compliance indicating
that they read and understood the recorded Order of Conditions prior
to purchasing their property.
e. The name and address of the individual/trust or corporation to whom
the compliance is to be granted.
f. The street address and assessor's map/parcel number for the project.
g. The DEP file number.
h. A written statement from a Registered Professional Civil Engineer of
the Commonwealth certifying that the work has been conducted as
shown on the plan(s) and documents referenced above, and as
conditioned by the Commission.
i. A written statement from a Professional Wetland Scientist certifying
that the buffer zone restoration areas are functioning as intended by
this Order of Conditions and in compliance with the local wetland
protection bylaw and regulations for at least two full growing
seasons.
j. An"As-Built." plan prepared and signed and stamped by a Registered
Professional Civil Engineer of the Commonwealth, for the public
record. This plan will include:
➢ "As-Built" post-development elevations of all drainage&
stormwater management structures constructed within 100 feet
of any wetland resource area. NOTE: If portions of the
stormwater systems exist partially within the Buffer Zone than
the entire structure must be depicted to accurately verify
compliance.
➢ "As-Built." post-development elevations and grades of all filled
or altered wetland resource areas including the encompassing
buffer zone,which is regulated as a resource area under the
local Wetland Protection Bylaw.
➢ Distances from structures to wetland resource areas. Structures
include(but are not limited to) septic systems, additions, fences,
sheds, stone walls,pools, retaining walls, subsurface utilities
and decks.
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➢ A line showing the limit of work and the extent of existing
erosion control devices. "Work' includes M disturbance of
soils or vegetation
➢ Location of all subsurface utilities entering the property.
74. The following special conditions shall survive the issuance of a Certificate
of Compliance (COC)for this project:
➢ 25' No-Disturbance Zone and a 50' No-Construction Zone shall
be established from the edge of adjacent wetland resource areas
except in those locations approved under DEP#242-1257.
Future work within 100' of existing wetland resource areas will
require a separate filing with the NACC. The Conservation
Administrator and/or other agents of the NACC do not have
the authority to waive these setbacks as established under the
local ByLaw;
➢ Discharge or spillage of pollutants (Condition# 68);
➢ Prohibition of underground fuels (Condition#69);
➢ Limitations on the use of fertilizers, herbicides, and pesticides
(Conditions # 70).
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APPENDIX A-AFFIDAVIT
I, on oath do hereby depose and state:
(authorized agent applicant and/or current owner)
(PLEASE CHECK AT LEAST ONE BLOCK)
1. I am the of
(position with applicant) (applicant name or company name)
the applicant upon whom Order of Conditions
have been placed upon by (DEP or NACC number)
the North Andover Conservation Commission
N/or
2. I am the of
(position with owner) (owner name)
the owner upon whose land Order of Conditions
have been placed up by (DEP or NACC number)
the North Andover Conservation Commission.
3. I hereby affirm and acknowledge that I have received said Order of Conditions
and have read the same and understand each
(DEP File#) and every condition which has been set forth
in said Order of Conditions.
4. I hereby affirm and acknowledge that on this day of 19
I inspected said property together with any and all improvements which have
been made to the same and hereby certify that each and every condition set
forth in Order of Conditions are presently in compliance.
(DEP File#)
5. I hereby affirm and acknowledge that this document will be relied upon by the
North Andover Conservation Commission as well as any potential buyers of
said property which is subject to said Order of Conditions
(DEP File#)
Signed under the pains and penalties of perjury this day of 19
(Signature-authorized agent of applicant or owner)
C:\Winword\OOC\242-1257284Salemst.doc 14 NACC 7/22/04
� , r
Massachusetts Department of Environmental Protection
i --
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Findings Under Municipal Wetlands Bylaw or Ordinance
1. Furthermore, the North Andover hereby finds (check one that applies):
Conservation Commission
2. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
a.Municipal Ordinance or Bylaw b.Citation
Therefore, work on this project may not go forward unless and until a revised Notice of Intent is
submitted which provides measures which are adequate to meet these standards, and a final Order of
Conditions is issued.
3. M that the following additional conditions are necessary to comply with a municipal ordinance or
bylaw:
North Andover Wetland Protection Bylaw Chapter 178
a.Municipal Ordinance or Bylaw b.Citation
The Commission orders that all work shall be performed in accordance with the following conditions
and with the Notice of Intent referenced above. To the extent that the following conditions modify or
differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the
conditions shall control.
If you need more c. The special conditions relating to municipal ordinance or bylaw are as follows:
space for
additional See attached
conditions,
select box to
attach a text
document
E. Issuance
This Order is valid for three years, unless otherwise specified as a special condition pursuant to General
Conditions#4, from the date of issuance.
7/14/04
1. Date of issuance
Please indicate the number of members who will sign this form:
This Order must be signed by a majority of the Conservation Commission. 2.Number of signers
The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant. A
copy also must be mailed or hand delivered at the same time to the appropriate Department of
Environmental Protection Regional O Ice, if not filing electronically (see Appendix A), and the property
owner, if different from applicant.
Signatur s:
wpaform5.doc• rev.7/14/04 Page 6 of 8
1 a
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
E. Issuance (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
I q w
Day as
On this of Month Year
Before me, the undersigned Notary Public, personally appeared
/&4Ze 177A
Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged to
me that he/she signed it voluntarily for its stated purpose.
As member of North Andover Conservation Commission
City/Town
nIk.A� k4�4�
ignature of Notary Public
Printed Name of Notary Public
DONNA M.WEDIU Place notary seal and/or any stamp above WTNntauB
My Commiss
F#F"M1=MW"u Au
This Order is issued to the applicant as follows:
❑ by hand delivery on ® by certified mail, return receipt requested,on
Date Date
F. Appeals
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject
to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of
their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions.
The request must be made by certified mail or hand delivery to the Department,with the appropriate filing
fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in
310 CMR 10.03(7)within ten business days from the date of issuance of this Order. A copy of the request
shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to
the applicant, if he/she is not the appellant.
The request shall state clearly and concisely the objections to the Order which is being appealed and how
the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands
Protection Act, (M.G.L. c. 131, §40)and is inconsistent with the wetlands regulations (310 CMR 10.00).
To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts
Wetlands Protection Act or regulations, the Department has no appellate jurisdiction.
wpaform5.doc• rev.7/14/04 Page 7 of 8
Massachusetts Department of Environmental Protection
��- Bureau of Resource Protection - Wetlands DEP File Number:
i
WPA Form 5 - Order of Conditions 242-1257
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
G. Recording Information
This Order of Conditions must be recorded 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, the
Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land
subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court
Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information
on Page 7 of this form shall be submitted to the Conservation Commission listed below.
North Andover
Conservation Commission
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission.
---------------------------------------------------------------------------------------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Order of Conditions for the Project at:
242-1257
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County Book Page
for:
Property Owner
and has been noted in the chain of title of the affected property in:
Book Page
In accordance with the Order of Conditions issued on:
Date
If recorded land, the instrument number identifying this transaction is:
Instrument Number
If registered land, the document number identifying this transaction is:
Document Number
Signature of Applicant
wpaform5.dcc• rev.7/14/04 Page 8 of 8
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CONSERVATION DEPARTMENT
fommunity Development Division
Modification to Order of Conditions
The NORTH ANDOVER CONSERVATION COMMISSION agreed to accept
ApplicantV1i�� TWil1Lf .
�'I,e ��G����1��� �lirl'1� `1C.rysSta��;' vtst�� �,`'���►sir� �` "`�yls��� ��
Vi i ' " G t 41
` ` ev► 0to' mhavA Mc--Ken.Z16
asaN odification to th Order of Condition issued in File 242- 1-1,57 dated 7 J0 and
recorded in fA+rv. # N 0 7 19,
Issued by the NORTH A OVER CONSERVATION COMMISSION:
"LT ,
On this 7 of before me personally appeared Scott Masse to me
day month/yr
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 C mmission Expires
-A. DONNAKWEDGE�
TM ppCHUSEM
W CW Mb bpk a Aug.7.2009
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web www.townofnorthandover.com