HomeMy WebLinkAboutMiscellaneous - 1160 GREAT POND ROAD (2) t �
Town of North Andover Planning Board
Application for Watershed Speci hr i
Please type or print clearly.
1. Petitioner:_ Rr„oks School
Petitioner's Address: 1160 Great Pond Rd, No. Andover, MA 01845
Telephone number: 978-686-6101
2. Owners of the Land: Same as above
Address: 1135 Great Pond Road, No. Andover, MA 01845
Number of years of ownership: 37+
3. Year lot was created: c. 1967
4. Is the lot currently on septic or sewer?On campus sysrem, which tips to Town system.
If on sewer,please provide date the sewer connection was completed: c. 1982
S. Description of Proposed Project• Addition of screened porch on rear of house.
6. Description of Premises': Single family house on 7.5 acre wooded lot.
Faculy residence for Brooks School.
7. Address of Property Being Affected 1135 Great Pond Rd.
Zoning District: R-2
Assessors: Map: 103 Lot# 2
Registry of Deeds:' Book#:. Page#:
Not available at Assessor's Office. Will obtain.
8. E)dsting Lot:
Lot Area(Sq.Ft) 326,700 BuildingHeight 25'
Street.Frontage: 1 ,120 Side Setbacks: 400' ; 656'
Front Setback: 35' Rear Setback: 336'
Floor Area Ratio: -M Lot Coverage: .02
9. Proposed Lot(if applicable): Same
Lot Area (Sq.Ft) Building Height
Street Frontage: Side Setbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage:
10. Required Lot(as required by Zoning'Bylaw):
Lot Area(Sq.Ft) 43,560 Building Height 35'
Street Frontage: 150' Side Setbacks: 30'
Front Setback: 30' Rear Setback: 30'
Floor Area Ratio: N/A Lot Coverage: N/A
11. Existing Building(if applicable):
Ground Floor(Sq.Ft.) 1,356 #of Floors: 2
Total Sq.Ft. 2.819 Height: 25'
Use: 1-fami 1_u Type of Construction wood frame
w
12. Proposed Building:
Ground Floor(Sq.Ft.) I68 #of Floors: 1
Total Sq.Ft. 1tiQ Height: 10'
Use: Attached screened porch Type of Construction wood frame w/ conc.
piers
13. Has there been a previous application for a Special Permit from the Planning Board on these
premises? No If so, when and for what type of construction?
14. Section of Zoning Bylaw that Special Permit is
$eing
Requested_ 4.136.3.c.ii(6) - construction of accessory structure in
Non-Disturbance zone of. the WPD,
15. Petitioner and Landowner signature(s):
Every application for a Special Permit shall be made on this form which is the official form of the
Planning Board. Every application shall be filed with the Town Clerk's office. It shall be the
responsibility of the petitioner to furnish all supporting documentation with this application.
The dated copy of this application received by the Town Clerk or Planning Office does not
absolve the applicant from this responsibility. The petitioner shall be responsible for all expenses
for filing and legal notification. Failure to comply with application requirements,as cited herein
and in the Planning Board Rules and Regulations may result in a dismissal by the Planning B oard
of this application as incomplete.
Petitioner's Signature:
Print or type name here:
Owner's Signature:
Print or type name here: - r, Brooks School
1P>t0eCC7Z&L. It Z/
16. Please list title of plans and documents you will be attaching to this application.
Plans by Rist-Frost-Shumway Engr. :
I - Site Plan
2 - Watershed Potection District Plan
Narrative
List of abutters + two envelopes each + 22 1st class stamps
Copy of Assessor's M^p
Suet-h of porch construction by prospective builder
Fee check
Copy of Brooks School Turf Management Program
r
Town of North Andover NORTH
Office
�rOb str`•O 4°1
O
ce of the Planning Department
Community Development and Services Division : i
27 Charles Street "° ------
North
--- •
North Andover,Massachusetts 01845 "S$�cwusEs
Julie Parrino Telephone(978)688-9535
T04'VIl Planner
Fax(978)688-9542
Notice 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: April 7,2004 cr
Date of Hearing: March 23, 2004,
Decision: April 6, 2004
Petition of: Brooks School
Premises Affected: 1160 Great Pond Road,North Andover 01845
Referring to the above petition for a special permit from the requirements of the North
Andover Zoning Bylaw Section 4.136.
So as to allow: the construction of two, single family houses and associated site work and
utility connections located in the Watershed Protection District on the property of Brooks
School.
After a public hearing given on the above date,the Planning Board voted to APPROVE,
the Special Permit for Watershed Protection District,based the'f owing conditions:
r
Signe�:jd
A erto Agles, Chairman
Cc: Applicant eorge White,Vice Chairman
Engineer Felipe Schwarz, Clerk
Abutters Rick Nardella
DPW John Simons
Building Department James Phinney
Conservation Department
Health Department
ZBA
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
r �
1160 Great Pond Road-Brooks School
Special Permit-Watershed Protection District
The Planning Board makes the following findings regarding the application of Brook
School, 1160 Great Pond Road, North Andover, MA 01845, filed on February 13, 2004.
The area affected is located on the property of the Brooks School, 1160 Great Pond Road
in the R-2 Zoning District, Map 90C, Lot 25 and Map 103, Lot 28. The lot was created in
1928 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
construction of two single family faculty houses, driveways, associated grading,utilities and
stormwater management. Activities will be located with the 325' Non-Discharge Zone
associated with bordering vegetated wetland resource areas located in the Watershed
Protection District. Actual construction located within the 325' Non-Discharge Zone is
limited to the construction of one of the faculty houses, a portion of the driveways,portions
of the drainage swale and parabolic swale, catch basins and underground groundwater
recharge systems.
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:
1. 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 proposed structures will be connected to the North Andover Town sewer
system;
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/renovate the structure and appurtenances. The location of the houses
will be located in a cleared maintained field.
2. There is no reasonable alternative location outside the Non-Disturbance Buffer
Zone, for any discharge, structure or activity, associated with the proposed project.
3. In accordance with Section 10.31 of the 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;
r
l
b) The use will not adversely affect the neighborhood as the use is accessory to an
existing school facility;
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;
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:
SPECIAL CONDITIONS:
1) This decision must be filed with the North Essex Registry of Deeds. The following
information is included as part of this decision:
a) Town of North Andover Planning Board Application for Watershed Special Permit
filed by Brooks School on February 13,2004;including:
• Narrative,dated February 27,2004;
• Turf Management Program, dated 2/12/04(2 pages);
• Recharge Calculations and plans prepared by John Scott, P.E. of
RFS,dated 2/23/04;
b) Plans entitled: Observatory Hill Faculty Housing Project
Cover Sheet,dated February 13, 2004;
Sheet Cl, General & Civil Notes, Legend, Symbols, and
Abbreviations, dated 2/13/04;
Sheet C2,Watershed Protection District Plan,dated 2/13/04;
Sheet C3,Proposed Site Plan,revised 2/27/04;
Sheet C4,Erosion Protection Details, dated 2/13/04;
Sheet C5,Civil Details,revised 3/12/04;
c) Engineering Review Letters:
Prepared by VHB,dated March 8,2004;
Prepared by RFS Engineering dated March 12,2004;
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.
2) PRIOR TO ANY WORK ON SITE:
a) A performance guarantee of two thousand dollars ($2,000) 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 limit of work as shown on the plan must be marked in the field and must be
reviewed and approved by the Town Planner.
c) Erosion controls consisting of haybales and silt fence must be installed along the
limit of work behind the proposed houses. The locations of the erosion controls
must be approved and reviewed 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.
3) PRIOR TO THE ISSUANCE OF A BUILDING PERMIT:
a) The Planning Board must endorse the final site plan mylars and three copies of
the signed plans must be delivered to and reviewed by the Planning Department.
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) No pesticides, fertilizers or chemicals shall be used in lawn care or maintenance
within 325' of Lake Cochichewick 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.
4) PRIOR TO THE ISSUANCE OF A CERTIFICATE OF OCCUPANCY:
Foundation Plan: Immediately upon completion of the house foundations and prior to
further construction activities associated with the site, the applicant shall complete a plan
prepared by a Registered Professional Land Surveyor (R.P.L.S.) which accurately depicts
the foundation locations and their proximity to wetland resource areas and watershed buffer
zones as shown on the approved Watershed Site Plan. Said plan shall be submitted to the
Town Planner for review to verify that the setback limits under the special permit have been
met.
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
certification from the design engineer that the site was constructed in accordance
with the approved plan and any changes or deviations from the approved plan must
be specifically noted in the certification 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# 1.
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 April 7, 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
File
Town of North Andover Planning Board '--' ;
Application for Watershed Special Permit
Please type or print clearly.
L Petitioner: Brooks Sdhool
Petitioner's Address: 1160 Great Pond Rd. , No. Andover, MA 01845
Telephone number: 978-686-6101
2. Owners of the Land: Same as above.
Address:
Number of years of ownership: 75 years.
3. Year lot was created: 1928
4. Is the lot currently on septic or sewer? Sewer.
If on sewer,please provide date the sewer connection was completed: 1982.
5. Description of Proposed Project: Two single-family houses and associated
site work and utility connections. Each house is intended as a
residence for a faculty member and his or her family.
6. Description of Premises: Campus of long-established private boarding
school.
7. Address of Property Being Affected 1160 Great Pond Road
Zoning District: R-2
Assessors: Map: 90C Lot# 25 and Map 103, Lot 28
Registry of Deeds: Book#:_530 Page#: 290
8. EidstingLot: (40 existing bldgs.
Lot Area(sq.Ft) 7,187,000 BuadingHeight Varies & Athletic Ctr. not
Street Frontage: 3,500 Side Setbacks: 70' Bigelow House yet con-
Front Setback: 170' Maint. Bldg. Rear Setback: 45' Boat House tructed.)
Floor Area Ratio: 0.07*— Lot Coverage: 0.10*
9. Proposed Lot(if applicable):
Lot Area(Sq.Ft) Same Building Height Same
Street Frontage: Same Side Setbacks: Same
Front Setback: Same Rear Setback: Same
Floor Area Ratio: 0.07** Lot Coverage: 0.10**
* Includes Athletic Center, which has approved permits, but has not started
construction.
**Proposed faculty houses not large enough to change floor area ratio or lot
coverage.
10. Required Lot(as required by Zoning"Bylaw):
Lot Area(Sq.Ft) 43,560 Building Height 35'
Street Frontage: 150' Side Setbacks: 301
Front Setback: 30' Rear Setback: 30
Floor Area Ratio: N/A Lot Coverage: NIA
11. Existing Building(if applicable): 40 existing buildings
Ground Floor(Sq.Ft.) #of Floors:
Total Sq.Ft. Height:
Use: Type of Construction
12. Proposed Building:
Ground Floor(Sq.Ft.) 2 x 1080 #of Floors: 2
Total Sq.Ft. 2 x (2100 + 440 garage) Height: 31 feet
Use: R3 Type of Construction 5B
13. Has there been a previous application for a Special Permit from the Planning Board on these
premises? Yes. If so, when and for what type of construction? Aug. '03: Athletic
facility, Type 2B, Protected; .Apr. '99: Dining Hall, Type 26 (steel frame,
14. Section of Zoning Bylaw that Special Permit 7s Being light
Requested 4.136 — Watershed Protection District gauge
inf ill)
unprotected)
15. Petitioner and Landowner signature(s):
Every application for a Special Permit shall be made on this form which is the official form of the
Planning Board. Every application shall be filed with the Town Clerk's office. It shall be the
responsibility of the petitioner to furnish all supporting documentation with this application.
The dated copy of this application received by the Town Clerk or Planning Office does not
absolve the applicant from this responsibility. The petitioner shall be responsible for all expenses
for filing and legal notification. Failure to comply with application requirements,as cited herein
and in the Planning Board Rules and Regulations may result in a dismissal by the Planning B oard
of this application as incomplete.
Petitioner's Signature:
Print or type name here: James R. .Pugh, Business Manager, Brooks Sdhool
Owner's Signature.
�r
Print or type name here: Barbara B. ermann, Assistant Business Manager
16. Please list title of plans and documents you will be attaching to this application.
See attached 'list.
Title Sheet
C 1 - General and Civl Notes, Legend, Symbols, and Abbreviations
C2 - Watershed Protection District Plan
C3 - Proposed Site Plan
C4 -Erosion Protection Details
C5 - Civil Details
NORTH
Cf{S`ec $61N
.�� 4� ' •s by
Bldg. ZBA �
Con/Com Health 70
aR CEIVEO
Fire Chief Police Chief 4 i „ * TOWN' `'-ERK'S 071C'=
TownClerk DPW/En ineers '� �, 99
DPW/Engineers '�► +°ttr�o ���� �
�SS,cHusa.� 2001 JUN 2 7 AM 11: 55
TO'dN OF
PLANNING DEPARTMENT NORTH ANDOVER.
Community Development Division MASSACHUSE1 TS
1600 Osgood Street
North Andover, Massachusetts,01845
Phone: 978-688.9535
Fax: 978-688-9542
NOTICE OF DECISION
A"appeal shall be filed
within(20)days atter the
date of filing this notice in
the office of the Town Clerk.
Date: June 27,2007
Date of Hearing: May 1,2007,June 5 and
June 26, 2007
Date of Decision: June 26,2007
Petition of: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Premises Affected: Brooks School,1160 Great Pond Road,Assessors Map 90C,Parcel 25
and Map 103,Parcel 28.
Referring to the above petition for a Watershed Speaal Permit frown the reqummants of the North Andover
Zwiug Bylaw,Section 4.136.3(bX i)(1).
So as to allow: the coosftlion of a ddention pond and outlet structures within the Non I3ischarp buffer
zone of the Watershed Protection District within the Residential 2(R2)Zomag District.
After a public hearing given on the above date, and upon a motion by Richard Rowen and 2°d by John
Simons to APPROVE a WAwAnd Special Pernut as am®ded and based upon the following conditions.
Vote was unanimous 4-0.
06 of the Norther Plamung Beard
Richard Nardella,Chairman
John Simons,Vice-Chairman
Richard R.owen
Jewifer Kusek
1
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
The public heating on the above referenced application was opened on May 1,2007 and closed by the North
Andover Planning Boatel on June 5, 2007. On June 26, 2007, upon a motion.made by Richard Rower and
seconded by John Simons to GRANT a Watershed Special Permit as amended in order to construct a
detention pond and outlet structures within the Non-Discharge buffer zone of the Watershed Protection
District associated with Lake Cochichewick.
The proposed detention pond and outlet structures are located at 1160 Great Pond Road,North Andover,
Massachusetts,01845,Map 90C,Parcel 25 and Map 103,Parcel 28 and is located within the Non Discharge
Zone of the Watershed Protection District under the requirements of Section 4.136& 10.3 of the North
Andover Zoning Bylaw.This Special Permit was requested by Brooks School,Trustee, 1160 Great Pond
Road,North Andover,MA 01845. The applicant submitted a complete application,which was noticed on
April 3& 10,2007,and reviewed in accordance with Section 4.136 of the Town of North Andover Zoning
Bylaw and MGL Chapter 40A,Section 9. The lot was created in 1928 and is subject to the Watershed
Protection District provisions for lots before October 24, 1994. Public hearings were held on May 1,2007,
June 5,2007,and June 26,2007.
The Planning Board voted on the motion by Richard Rowen and seconded by John Simons to approve the
Watershed Special Permit. A special permit issued by the special permit granting authority requires a
vote of at least four members of a five-member board
The applicant is hereby notified that should the applicant disagree with this decision, the applicant has the
right, under MGL Chapter 40A, Section 17, to appeal to this decision within twenty days after the date this
decision has been filed with the Town Clerk.
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. This decision specifically stated by the Planning Board makes the following
FINDINGS OF FACT:
1) That as a result of the proposed constriction 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 this finding on the following facts:
a) The proposed detention" pond and outlet structures will have a negligible impact on Lake
Cochichewick given the design and function/purpose of the pond and proximity to the Lake.
Further, the detention pond and outlet structures will be constructed using Best Management
Practices;,
b) The topography of the site will not be altered substantially. The detention pond and outlet structures
were specially designed and located to minimize the amount of gradinghopographical changes and
take advantage of natural features of the property. Further,construction of the proposed storm water
management measures and erosion control measures will use Best Management and Engineering
Practices and not substantially alter the topography of the site;
c) The limit of clearing and impact is restricted to the minimum necessary to construct the proposed
detention pond and outlet structures as shown on the plan;and
d) The construction of the detention pond and outlet structures and storm water management plan have
been reviewed by the Town's outside consultant and Town Planner and determined that there will be
2
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
no degradation to the quality or quantity of water in or entering the isolated vegetated wetland or
Lake Cochichewick.
2) There is no reasonable alternative location outside the Non-Discharge Zone for any discharge, structure
or activity.
In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the
following FINDINGS OF FACT:
1) 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. The project will be built using Best Management Practices;
2) The use will not adversely affect the neighborhood as the lot is located in a Residential 2 Zoning District;
3) There will be no nuisance or serious hazard to vehicles or pedestrians;
4) Adequate and appropriate facilities are provided for the proper operation of the proposed use;
5) 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
SPECIAL CONDITIONS:
1) 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.
2) Prior To Any Work On Site:
a. A performance guarantee of two thousand dollars ($2,000) 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 limit of work as shown on the plan by the erosion control line must be marked in the field and
must be reviewed andapproved by the Town Planner and Conservation Department.'
c. All erosion control measures as shown on the plan must be in place and reviewed by the Town
Planner and Department. Deteriorated erosion control measures shall be replaced and maintained
throughout the duration of the project.
d. If applicable, the site shall have received all necessary permits and approvals from the North
Andover Conservation Commission,Board of Health,Zoning Board of Appeals and the Department
of Public Works and be in compliance with the above permits and approvals.
3) Prior to issuance of a building permit:
a. The Planning Board must endorse the final site plan mylars and three copies of the signed plans
must be delivered to the Planning Department.
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.
3
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Pennit-Construction of detention pond and outlet structures '
c. No pesticides,fertilizers or chemicals shall be used in lawn care or maintenance within 325' of
Lake Cochichewick or within 325' of wetland resource areas. The applicant shall incoiporate
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.
d. All erosion control measures as shown on the plan must be in place and reviewed by the Town
Planner and Conservation Department.
5) Prior to release of the Performance Bond:
a) The applicant shall submit an as built plan stamped by a Registered Professional Engineer in
Massachusetts that shows all construction, including storm water management services and other
pertinent site features. This as built plan shall be submitted to the Town Planner for approval.The
applicant must submit a certification from the design engineer that the site was constructed as shown
on the approved plan.
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 construction of the project as proposed be allowed to further impact the site than
as shown on thelan referenced'
p in Condition#11.
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 was issued on June 26, 2007, however, this Special Permit shall be deemed to
have lapsed after a two (2) year period on June 26, 2009 unless substantial use or construction has
commenced.
11 This decision must be filed with the North Essex Registry of Deeds. The following information is
included as part of this decision:
Plan titled. Brooks School New Science Building
Prepared for. Brooks School
1160 Great Pond Road
North Andover,MA 01845
Prepared by. Architerra Inc.
68 Long Wharf
Boston,MA 02110
Scale: 1"=20'
Date: March 16,2007,revised 4/5/07
Sheets: AO.00, A2.01, A2.02, CO.01, C0.02, C2.01, C3.01, C3.02, C4.01, L1.00, L2.00,
L3.01,L3.02,L4.00
4
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
cc: Town Departments
Applicant
Engineer
Abutters
Assessor
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2001
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TOWN OF
PLANNING DEPARTMENT NORTH ANDO`d-"
Community Development Division MASSACF,'J
1600 Osgood Street
North Andover, Massachusetts,01845
NOTICE OF DECISION
A9 appy shall be filed
within(20)days after,the
date of filing this notice in
the office of the Town Clerk
Date: June 27,2007
Date of Hearing: May 1, 2007,June 5, and
June 26,2007
Date of Decision: June 26, 2007
Petition of: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Premises Affected: Brooks School,1160 Great Pond Road,Assessors Map 90C,Parcel 25 and
Map 1039 Pared 2$.
Referring to the above petition for a Site Plan Special Permit from the r uiremwb of the North Andover
Zoning Bylaw,Sections 8.3, 10.3,and 10.31 and MOIL C.40A,See.9
So as to allow.the construction of a(+)29,447 sq.$. Science Building, 12 ft.x 20 ft.grecWxmse structure,
mar lapped courtyat+d, installation of drainage and storm wmer maaagement system, 2 additional
Pig spaces, installation of underground utilities,cow of detention pond and outlet structuM and
limited grading work within the Readartial 2(R2)Zoning District,
After a public hearing given on the above date,and upon a motion by Jahn Simons and 2'by Jennifer Kusek
to APPROVE the Site Plan Special Permit as amended and based upon the fallowing conditions. Vote was
unanimous 4-0..
On behalf of the North An&wr Planning Board
Richard Nardella,Orman
John Simons,Vice-Chairman
Richard>lowen
Jennifer Kusek
1
N
°� Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
The Planning Board herein APPROVES the Site Plan Special Permit to construct a 29,447 sq. ft. Science
Building, 12 ft.x 20 ft.greenhouse structure,interior landscaped courtyard,installation of drainage and storm
water management system,2 additional parking spaces,installation of utilities,construction of detention pond
and outlet structures, and limited grading work. The project is located at 1160 Great Pond Road, North
Andover, Massachusetts, 01845, Map 90C, Parcel 25 and Map 103, Parcel 28 in the Residential 2 (R2)
Zoning District. The parcels total approximately 7,187,000 s.f with fiontage on Great Pond Road. This
Special Permit was requested by Brooks School, 1160 Great Pond Road, North Andover MA 01845. The
application was filed with the Planning Board on March 16, 2006. The public hearing on the above
referenced application was opened on May 1,2007 and closed by the North Andover Planning Board on June
5, 2007. The applicant submitted a complete application, which was noticed and reviewed in accordance
with Section 8.3, 10.3,and 10.31 of the Town of North Andover Zoning Bylaw and MGL C.40A, Sec.9.
The Planning Board makes the following findings as required by the North Andover Zoning Bylaws
Section 8.3 and 10.3:
FINDINGS OF FACT:
1) The specific site is an appropriate location for the project as it is located in the Residential 2 (R2)
Zoning District and consists of the construction of a 29,447 sq. ft. Science Building, 12 ft. x 20 ft.
greenhouse structure, interior landscaped courtyard, installation of drainage and storm water
management system, 2 additional parking spaces, installation of utilities, construction of detention
pond and outlet structures, and limited grading work. The proposal is a function of the capital
improvements and designed to harmonize with the existing campus architecture and natural landscape
and incorporates green and energy efficient technologies into the design. The project is located at the
southern end of the campus and will not visually impact the surrounding properties.
2) The use as developed will not adversely affect the neighborhood as a sufficient buffer has been
provided. The overall layout of the site has been designed to focus on traditional architecture and
provide site amenities designed at a pedestrian scale.
3) There will be no nuisance or serious hazard to vehicles or pedestrians. The proposal will have a
negligible impact on pedestrian safety and vehicular circulation within the site as the project will not
add additional vehicle trips to the site. The intent of the project is to add additional science classroom
space for the current student population and employees of the School. The project will not result in
the increase in enrollment or staff.
4) The landscaping and lighting plans approved as part of this plan meet the requirements of Section 8.4
as amended by the Planning Board of the North Andover Zoning Bylaw. The lighting plan consists
of shielded downcast lighting that has been arranged to provide adequate safety for students and
employees and shall not impact abutting properties. The landscaping has been placed so as to
maintain and enhance the appearance of the campus and site.
5) The applicant has met the requirements of the Town for Site Plan Review as stated in Section 8.3 of
the Zoning Bylaw;
6) Adequate and appropriate facilities will be provided for the proper operation of the proposed use.
The new Science Building and greenhouse will be serviced by town water and sewer. The Division
of Public Works, and the outside consulting engineer, Vanasse, I3angen Bntstlin, Inc, have reviewed
the application, utilities, and drainage and storm water management plan and deemed them to be
2
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
adequate.
Finally the Planning Board finds that this project generally complies with the Town of North Andover
Zoning Bylaw requirements as listed. in Section 8.3.5, but requires conditions in order to be fully in
compliance. The Planning Board hereby grants an approval to the applicant provided the following
conditions are met:
SPECIAL CONDITIONS:
1) Permit Definitions:
A) The"Locus"refers to the 7,187,000 sq. ft. parcel of land with land fronting on Great Pond Road
as shown on Assessors Map 90C, Parcel 25 and Map 103, Parcel 28, and also known as 1160
Great Pond Road,North Andover,Massachusetts.
B) The "Plans" refer to the plans prepared by Architerra Inc., 68 Long Wharf, Boston, MA 02110
entitled "Brooks School New Science Building", dated March 16, 2007, revised 4/5/07, and
consisting of Sheets A0.00,A2.01,A2.02,C0.01,C0.02,C2.01,C3.01,C3.02,C4.01,L1.00,L2.00,
L3.01,L3.02,L4.00,Lighting Plan.
C) The"Project" or"Brooks School, 1160 Great Pond Road"refers to the construction of a 29,447
sq. ft. Science Building, 12 ft. x 20 ft. greenhouse structure, interior landscaped courtyard,
installation of drainage and storm water management system, 2 additional parking spaces,
installation of utilities, construction of detention pond and outlet structures, and limited grading
work.
D) The"Applicant"refers to Brooks School, 1160 Great Pond Road,North Andover,MA 01845,the
applicants for the Special Permit.
E) The"Proj ect Owner"refers to the person or entity holding the fee interest to the title to the Locus
from time to time,which can include but is not limited to the applicant, developer,and owner.
2) The developer shall designate an independent Environmental Monitor who shall be chosen in
consultation with the Planning and Community Development Staff. The Environmental Monitor
must be available upon four (4) hours notice to inspect the site with the Planning Board designated
official.
3) The applicant shall designate an independent construction monitor who shall be chosen in
consultation with the Planning Department. The construction monitor must be available upon four(4)
hour's notice to inspect the site with the Planning Board designated official. The construction
monitor shall make weekly inspections of the project and file monthly reports to the Planning Board
throughout the duration of the project. The monthly reports shall detail area of non-compliance, if
any, and actions taken to resolve these issues.
4) Prior to the Endorsement of the Plans by the Planning Board,the Applicant MUST comply with the
following conditions:
A) The final plans must be reviewed and approved by the DPW and the Planning Department and be
endorsed by the Planning Board.The final plans must be submitted for review within ninety 90
days of filing the decision with the Town Clerk.
3
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
B) The final site drainage system must be designed in accordance with the Town Bylaw
requirements and reviewed by the Division of Public Works. All storm water drainage control
facilities utilized by the site shall be shown on the site plan. Storm water drainage calculations
which support the design of the control facilities shown the plan shall be submitted to the
Department of Public Works for review and approval. Written confirmation of said review and
approval by the Department of Public Works must be submitted to the Planning Department.
S) PRIOR TO THE START OF CONSTRUCTION
A) A detailed construction schedule shall be submitted to the Planning Staff for the purpose of
tracking the construction and informing the public of anticipated activities on the site.
B) All applicable erosion control measures must be in place and reviewed and approved by the Planning
Department.
C) It shall be the responsibility of the developer to assure that no erosion on the site shall occur which
will cause deposition of soil or sediment upon adjacent properties or public ways,except as normally
ancillary to off-site sewer or other off-site construction. Off-site erosion will be a basis for the
Planning Board making a finding that the project is not in compliance with the plan, provided,
however,that the Planning Board shall give the developer written notice of any such finding and ten
days to cure said condition.
D) Yellow"Caution"tape must be placed along the limit of clearing and grading as shown on the plan.
The Planning Department must be contacted prior to any cutting and or clearing on site.
E) A pre-construction meeting must-be held with the developer,their construction employees,Planning
Department and Building Department (and other applicable departments) to discuss scheduling of
inspections to be conducted on the project and the construction schedule.
E) The developer shall provide the Planning Board with copies of permits, plans and decisions
received from all North Andover Land-Use Boards.
F) A bond in the amount of ten thousand dollars $10 000.00 shall be posted for e
( � ) �- the purpose of
insuring-that a final as-built plan showing the location of all-on-site structures. The bond is also
in place to insure that the site is constructed in accordance with the approved plan.. This bond
shall be in the form of a check made out to the Town of North Andover. This check will then be
deposited into an interest bearing escrow account.
6) PRIOR TO THE ISSUANCE OF A BUILDING PERMIT
A) Three(3)copies of the signed,recorded plans must be delivered to the Planning Department.
B) One certified copy of the recorded decision must be submitted to the Planning Department.
'n DURING CONSTRUCTION
A) Dust mitigation must be performed weekly, or more frequently as directed by the Town Planner,
throughout the construction process.
B) Any stockpiling of materials (dirt, wood, construction material, etc.) must be shown on a plan and
4
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
reviewed and approved by the Planning Staff. Any approved piles must remain covered at all times
and fenced Off to min�any dust problems that may occur with properties.
erties.
J
C) In an effort to reduce noise levels, the developer shall keep intimum wo
°p ridng order, through
regular maintenance,any and all
equipment that shall emanate sounds from the structures or site.
8) PRIOR TO THE ISSUANCE OF A CERTIFICATE OF OCCUPANCY
A) The applicant must submit a letter from the architect and engineer of the project stating that the
building, landscaping, lighting and site layout substantially comply with the plans referenced at the
end of this decision as endorsed by the planning Board, Alternatively,the applicant and/or property
owner may provide a bond, determined by the Planning Board, to cover the full amount of the
landscaping materials and installation if weather conditions do not permit the completion of the
landscaping prior to the use of the parking area.
B) The Planning Staff shall approve all artificial lighting used to illuminate the site. All lighting
shall have underground wiring and shall be so arranged that all direct rays from such lighting falls
entirely within the site and shall be shielded or recessed.so as not to shine upon abutting
properties or streets. The Planning Staff shall review the site. Any changes to the approved
lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's
expense.
C) The applicant shall adhere to the following requirements of the North Andover Fire Department
and the North Andover Building Department: All structures must contain a commercial fire
sprinkler system. The commercial fire sprinkler systems must be installed in accordance with
referenced standard. NFPA 13D and in accordance with 780 CMR, Chapter 9 of the
Massachusetts State Building Code. Certification that the systems have been installed properly in
accordance with the above referenced regulations must be provided from both the North Andover
Fire Department and the North Andover Building Department to the applicant The applicant must
then provide this certification to the North Andover Planning Department.
9) PRIOR TO THE FINAL RELEASE OF ALL SECURITY AND ESCROWED FUNDS
A) The Planning Staff shall review the site. Any screening as may be reasonably required by the
Planning Staff will be added at the Project Owner's expense.
B) A final as-built plan showing final topography,the location of all on-site utilities,structures,curb
cuts,parking spaces and drainage facilities must be submitted to the Planning Department.
10) GENERAL CONDITIONS
A) Any plants,tree, shrubs, or fencing that have been incorporated into the Landscape Plan approved
in this decision that die or fall into disrepair must be replaced by the project owner in perpetuity.
B) Snow removal shall be maintained in accordance with the current facility management plan.
C) There shall be no dumpsters or outside storage of matmials/refuse on site. All materials/refuse to
be stored inside of the building.
D) The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation.
5
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
E) Gas, Telephone, Cable and Electric utilities shall be installed undergrouM as specified by the
restive utility companies.
F) The hours for construction sha11 be limited to between 7:00 a.m. and 5:00 p.m Monday through
Friday and between 8:00 a-m.and 5:00 p.m. on Saturday.
G) No open burning shall be done except as is permitted during burning season under the Fire
Department regulations.
H) No underground fuel storage shad be installed except as maybe allowed by Town Regulations.
1) The provisions of this conditional approval shall apply to and be binding upon the applicant, its
employees and all successors and assigns in interest or control.
J) Any action by a Town Board, Commission, or Department, which requires changes in the plan or
design of the building, as presented to the Planning Board, may be subject to modification by the
Planning Board.
K) Any revisions shall be submitted to the, Town Planner for mvww. If these revisions are deemed
substantial,the developer must submit revised plans to the Planning Board for approval.
L) This Special Permit approval shall be deemed to have lapsed aper June 26,2009(two years from
the date permit granted), 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 or for
good cause. For purposes of this development,the developer shall be deemed to have undertaken
substantial use or construction if the developer has begun renovation of the existing structurues.
NO The following information shall be deemed past of the decision:
Plan titled: Brooks School New Science Building
Prepared for: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Prepared by: Architerm Inc.
68 Lwg Wharf
Boston,MA 02110
Scale: I"=20%
Date: March 16,2007,revised 4/5/07
Sheets: A0.00,A2.01,A2.02,C0.01,C0.02,C2.01,C3.01,C3.02,C4.01,L1.00,L2.00,
L3,01,L3.02,L4.00.
Plan titled: Drainage Calculations for New Science 11�rMng
Prepared far: Brooks School
1160 Great Pond Road
North Andove4 MA 01845
Prepared by. Rist-Frost-Shumway Engineering,P.C.
Laconia,New Hampshire
Post Development Drainage Analyses Revised May 1,2007
6
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
Scale: 1"-40'
Date: 3/15/07 revised 4/30/07
Ste. Drawings 1 &2
cc: Town Departments
Applicant
Engineer
Abutters
Assessor
7
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PLANNING DEPARTMENT NORTH
Community Development Division MASS' 1�' t
1600 Osgood Street
North Andover,Massachusetts, 01845
Phone: 978-688-9535
Fag: 978-688-9542
NOTICE 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: June 27,2007
Date of Hearing: May 1, 2007, June 5 and
June 26, 2007
Date of Decision: June 26, 2007
Petition of: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Premises Affected: Brooks School, 1160 Great Pond Road,Assessors Map 90C,Parcel 25
and Map 103,Parcel 28,
Referring to the above petition for a Watershed Special Permit from the requirements of the North Andover
Zoning Bylaw,Section 4.136.3(b)(iixl).
So as to allow: the construction of a detention pond and outlet strictures within the Non-Discharge buffer
zone of the Watershed Protection District within the Residential 2(R2)Zoning District.
After a public hearing given on the above date, and upon a motion by Richard Rowers and 2'd by John
Simons to APPROVE a Watershed. Special Permit as amended and based upon the following conditions.
Vote was unanimous 4-0.
On of the North Anddler Planning Board
Richard Nardella,Chairman
John Simons,Vice-Chairman
Richard Rowen
Jennifer Kusek
1
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
The public hearing on the above referenced application was opened on May 1,2007 and closed by the North
Andover Planning Board on June 5, 2007. On June 26, 2007,upon a motion made by Richard Rowen and
seconded by John Simons to GRANT a Watershed Special Permit as amended in order to construct a
detention pond and outlet structures within the Non-Discharge buffer zone of the Watershed Protection
District associated with Lake Cochichewick.
The proposed detention pond and outlet structures are located at 1160 Great Pond Road,North Andover,
Massachusetts,01845,Map 90C,Parcel 25 and Map 103,Parcel 28 and is located within the Non-Discharge
Zone of the Watershed Protection District under the requirements of Section 4.136& 10.3 of the North
Andover Zoning Bylaw.This Special Permit was requested by Brooks School,Trustee, 1160 Great Pond
Road,North Andover, MA 01845. The applicant submitted a complete application,which was noticed on
April 3& 10,2007,and reviewed in accordance with Section 4.136 of the Town of North Andover Zoning
Bylaw and MGL Chapter 40A, Section 9. The lot was created in 1928 and is subject to the Watershed
Protection District provisions for lots before October 24, 1994. Public hearings were held on May 1,2007,
June 5,2007,and June 26,2007.
The Planning Board voted on the motion by Richard Rowen and seconded by John Simons to approve the
Watershed Special Permit. A special permit issued by the special permit granting authority requires a
vote of at least four members of a five-member board.
The applicant is hereby notified that should the applicant disagree with this decision, the applicant has the
right, under MGL Chapter 40A, Section 17,to appeal to this decision within twenty days after the date this
decision has been filed with the Town Clerk.
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. This decision specifically stated by the Planning Board makes the following
FINDINGS OF FACT:
1) 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 this finding on the following facts:
a) The proposed detention pond and outlet structures will have a negligible impact on Lake
Cochichewick given the design and function/purpose of the pond and proximity to the Lake.
Further, the detention pond and outlet structures will be constructed using Best Management
Practices;
b) The topography of the site will not be altered substantially. The detention pond and outlet structures
were specially designed and located to minimize the amount of grading/topographical changes and
take advantage of natural features of the property. Further,construction of the proposed storm water
management measures and erosion control measures will use Best Management and Engineering
Practices and not substantially alter the topography of the site;
c) The limit of clearing and impact is restricted to the minimum necessary to construct the proposed
detention pond and outlet structures as shown on the plan;and
d) The construction of the detention pond and outlet structures and storm water management plan have
been reviewed by the Town's outside consultant and Town Planner and determined that there will be
2
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
no degradation to the quality or quantity of water in or entering the isolated vegetated wetland or
Lake Cochichewick.
2) There is no reasonable alternative location outside the Non-Discharge Zone for any discharge, structure
or activity.
In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the
following FINDINGS OF FACT:
1) 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. The project will be built using Best Management Practices;
2) The use will not adversely affect the neighborhood as the lot is located in a Residential 2 Zoning District;
3) There will be no nuisance or serious hazard to vehicles or pedestrians;
4) Adequate and appropriate facilities are provided for the proper operation of the proposed use;
5) 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
SPECIAL CONDITIONS:
1) 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.
2) Prior To Any Work On Site:
a. A performance guarantee of two thousand dollars ($2,000) 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 limit of work as shown on the plan by the erosion control line must be marked in the field and
must be reviewed and approved by the Town Planner and Conservation Department.
c. All erosion control measures as shown on the plan must be in place and reviewed by the Town
Planner and Department. Deteriorated erosion control measures shall be replaced and maintained
throughout the duration of the project.
d. If applicable, the site shall have received all necessary permits and approvals from the North
Andover Conservation Commission,Board of Health,Zoning Board of Appeals and the Department
of Public Works and be in compliance with the above permits and approvals.
3) Prior to issuance of a building permit:
a. The PlanningBoard must endorse the final site plan m Lars and three copies of the signed plans
p Y P
must be delivered to the Planning Department.
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.
3
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25 &Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
c. No pesticides,fertilizers or chemicals shall be used in lawn care or maintenance within 325' of
Lake Cochichewick 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.
d. All erosion control measures as shown on the plan must be in place and reviewed by the Town
Planner and Conservation Department.
5) Prior to release of the Performance Bond:
a) The applicant shall submit an as-built plan stamped by a Registered Professional Engineer in
Massachusetts that shows all construction, including storm water management services and other
pertinent site features. This as-built plan shall be submitted to the Town Planner for approval. The
applicant must submit a certification from the design engineer that the site was constructed as shown
on the approved plan.
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 construction of the project as proposed be allowed to further impact the site than
as shown on the plan referenced in Condition# 11.
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 was issued on June 26, 2007, however, this Special Permit shall be deemed to
have lapsed after a two (2) year period on June 26, 2009 unless substantial use or construction has
commenced.
11) This decision must be filed with the North Essex Registry of Deeds. The following information is
included as part of this decision:
Plan titled: Brooks School New Science Building
Prepared for: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Prepared by: Architerra Inc.
68 Long Wharf
Boston,MA 02110
Scale: 1"=20'
Date: March 16,2007,revised 4/5/07
Sheets: A0.00, A2.01, A2.02, C0.01, C0.02, C2.01, C3.01, C3.02, C4.01, L1.00, L2.00,
L3.01,L3.02,L4.00
4
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
c. No pesticides, fertilizers or chemicals shall be used in lawn care or maintenance within 325' of
Lake Cochichewick or within 325' of wetland resource areas. The applicant shall incorporate
this condition as a deed restriction, and a copy of the recorded deed shalt be submitted to the
Town Planner and included in the file.
d. All erosion control measures as shown on the plan must be in place and reviewed by the Town
Planner and Conservation Department.
5) Prior to release of the Performance Bond
a) The applicant shall submit an as-built plan stamped by a Registered Professional Engineer in
Massachusetts that shows all construction, including storm water management services and other
pertinent site features. This as-built plan shall be submitted to the Town Planner for approval. The
applicant must submit a certification from the design engineer that the site was constructed as shown
on the approved plan.
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 construction of the project as proposed be allowed to further impact the site than
as shown on the plan referenced in Condition# 1 L
7) No open burning shall be done except as is permitted daring 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 was issued on June 26, 2007, however, this Special Permit shall be deemed to
have lapsed after a two (2) year period on June 26, 2009 unless substantial use or construction has
commenced.
11) This decision must be filed with the North Essex Registry of Deeds. The following information is
included as part of this decision:
Plan titled: Brooks School New Science Building
Prepared for: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Prepared by: Architerra Inc.
68 Long Wharf
Bast,MA 02110
Scale: 1"=20'
Date: March 16,2007,revised 4/5/07
Sheets: A0.00, A2.01, A2.02, C0.01, 00.02, 02.01, C3.01, C3.02, C4.01, LI.00, L2.00,
L3.01,L3.02,L4.00
Plan titled: Drainage Calculations for New Science Building
Prepared for: Brooks School
4
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Watershed Special Permit-Construction of detention pond and outlet structures
1160 Great Pond Road
North Andover,MA 01845
Prepared by: Rist Frost-Shumway Engineering,P.C.
Laconia,New Hampshire
Post-Development Drainage Analyses Revised May 1,2007
Scale: 1"=40'
Date: 3/15/07 revised 4/30/07
Sheets: Drawings 1 &2
cc: Town Departments
Applicant
Engineer
Abutters
Assessor
5
NORTH
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i�0YIN 10
PLANNING DEPARTMENT NORTH ATjtj�'#" a
Community Development Division
1600 Osgood Street
North Andover,Massachusetts,01845
NOTICE 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: June 27,2007
Date of Hearing: May 1, 2007,June 5, and
June 26, 2007
Date of Decision: lune 26, 2007
Petition of: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Premises Affected: Brooks School,1160 Great Pond Road,Assessors Map 90C,Parcel 25 and
Map 103,Parcel 28.
Referring to the above petition for a Site Plan Special Permit from the requirements of the North Andover
Zoning Bylaw,Sections 8.3, 10.3,and 10.31 and MGL C.40A,Sec.9
So as to allow:the construction of a(+ )29,447 sq.ft. Science Building, 12 ft.x 20 ft greenhouse structure,
interior landscaped courtyard, i mon of drainage and storm water management system, 2 additional
parking spaces,installation of underground utilities,construction of detention pond and outlet structures,and
limited grading work within the Residential 2(R2)Zoning District.
After a public hearing given on the above date,and upon a motion by John Simons and 2'd by Jennifer Kusek
to APPROVE the Site Plan Special Permit as amended and based upon the following conditions. Vote was
unanimous 4-0..
On behalf of the North An ver Planning Board
Richard Nardella,Chairman
John Simons,Vice-Chairman
Richard Rowen
Jennifer Kusek
i
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 118-,Map 103,Parcel 21
Site Plan Special Permit-Construction of Science building and greenhouse
The Planning Board herein APPROVES the Site Plan Special Permit to construct a 29,447 sq. ft. Science
Building, 12 ft.x 20 ft. greenhouse structure,interior landscaped courtyard,installation of drainage and storm
water management system,2 additional parking spaces,installation of utilities,construction of detention pond
and outlet structures, and limited grading work. The project is located at 1160 Great Pond Road, North
Andover, Massachusetts, 01845, Map 90C, Parcel 25 and Map 103, Parcel 28 in the Residential 2 (R2)
Zoning District. The parcels total approximately 7,187,000 s.£ with frontage on Great Pond Road. This
Special Permit was requested by Brooks School, 1160 Great Pond Road, North Andover MA 01845. The
application was filed with the Planning Board on March 16, 2006. The public hearing on the above
referenced application was opened on May 1,2007 and closed by the North Andover Planning Board on June
5, 2007. The applicant submitted a complete application, which was noticed and reviewed in accordance
with Section 8.3, 10.3,and 10.31 of the Town of North Andover Zoning Bylaw and MGL C.40A,Sec.9.
The Planning Board makes the following findings as required by the North Andover Zoning Bylaws
Section 8.3 and 10.3:
FINDINGS OF FACT:
1) The specific site is an appropriate location for the project as it is located in the Residential 2 (R2)
Zoning District and consists of the construction of a 29,447 sq. ft. Science Building, 12 ft. x 20 ft.
greenhouse structure, interior landscaped courtyard, installation of drainage and storm water
management system, 2 additional parking spaces, installation of utilities, construction of detention
pond and outlet structures, and limited grading work. The proposal is a function of the capital
improvements and designed to harmonize with the existing campus architecture and natural landscape
and incorporates green and energy efficient technologies into the design. The project is located at the
southern end of the campus and will not visually impact the surrounding properties.
2) The use as developed will not adversely affect the neighborhood as a sufficient buffer has been
provided. The overall layout of the site has been designed to focus on traditional architecture and
provide site amenities designed at a pedestrian scale.
3) There will be no nuisance or serious hazard to vehicles or pedestrians. The proposal will have a
negligible impact on pedestrian safety and vehicular circulation within the site as the project will not
add additional vehicle trips to the site. The intent of the project is to add additional science classroom
space for the current student population and employees of the School. The project will not result in
the increase in enrollment or staff.
4) The landscaping and lighting plans approved as part of this plan meet the requirements of Section 8.4
as amended by the Planning Board of the North Andover Zoning Bylaw. The lighting plan consists
of shielded downcast lighting that has been arranged to provide adequate safety for students and
employees and shall not impact abutting properties. The landscaping has been placed so as to
maintain and enhance the appearance of the campus and site.
5) The applicant has met the requirements of the Town for Site Plan Review as stated in Section 8.3 of
the Zoning Bylaw;
6) Adequate and appropriate facilities will be provided for the proper operation of the proposed use.
The new Science Building and greenhouse will be serviced by town water and sewer. The Division
of Public Works, and the outside consulting engineer, Vanasse, Hangen Brustlin, Inc, have reviewed
the application, utilities, and drainage and storm water management plan and deemed them to be
2
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
adequate.
Finally the Planning Board finds that this project generally complies with the Town of North Andover
Zoning Bylaw requirements as listed in Section 8.3.5, but requires conditions in order to be fully in
compliance. The Planning Board hereby grants an approval to the applicant provided the following
conditions are met:
SPECIAL CONDITIONS:
1) Permit Definitions:
A) The"Locus" refers to the 7,187,000 sq. ft. parcel of land with land fronting on Great Pond Road
as shown on Assessors Map 90C, Parcel 25 and Map 103, Parcel 28, and also known as 1160
Great Pond Road,North Andover,Massachusetts.
B) The "Plans" refer to the plans prepared by Architerra Inc., 68 Long Wharf, Boston, MA 02110
entitled "Brooks School New Science Building", dated March 16, 2007, revised 4/5/07, and
consisting of Sheets A0.00,A2.01,A2.02,C0.01,C0.02,C2.01,C3.01,C3.02,C4.01,L1.00,L2.00,
L3.01,L3.02,L4.00,Lighting Plan.
C) The "Proj ect" or"Brooks School, 1160 Great Pond Road" refers to the construction of a 29,447
sq. ft. Science Building, 12 ft. x 20 ft. greenhouse structure, interior landscaped courtyard,
installation of drainage and storm water management system, 2 additional parking spaces,
installation of utilities, construction of detention pond and outlet structures, and limited grading
work.
D) The"Applicant"refers to Brooks School, 1160 Great Pond Road,North Andover,MA 01845,the
applicants for the Special Permit.
E) The"Project Owner"refers to the person or entity holding the fee interest to the title to the Locus
from time to time,which can include but is not limited to the applicant,developer,and owner.
2) The developer shall designate an independent Environmental Monitor who shall be chosen in
consultation with the Planning and Community Development Staff. The Environmental Monitor
must be available upon four (4) hours notice to inspect the site with the Planning Board designated
official.
3) The applicant shall designate an independent construction monitor who shall be chosen in
consultation with the Planning Department. The construction monitor must be available upon four(4)
hour's notice to inspect the site with the Planning Board designated official. The construction
monitor shall make weekly inspections of the project and file monthly reports to the Planning Board
throughout the duration of the project. The monthly reports shall detail area of non-compliance, if
any, and actions taken to resolve these issues.
4) Prior to the Endorsement of the Plans by the Planning Board, the Applicant MUST comply with the
following conditions:
A) The final plans must be reviewed and approved by the DPW and the Planning Department and be
endorsed by the Planning Board.The final plans must be submitted for review within ninety(90)
days of filing the decision with the Town Clerk.
3
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
B) The final site drainage system must be designed in accordance with the Town Bylaw
requirements and reviewed by the Division of Public Works. All storm water drainage control
facilities utilized by the site shall be shown on the sitedraina lan. Storm water a calculations
p g
which support the design of the control facilities shown the plan shall be submitted to the
Department of Public Works for review and approval. Written confirmation of said review and
approval by the Department of Public Works must be submitted to the Planning Department.
5) PRIOR TO THE START OF CONSTRUCTION
A) A detailed construction schedule shall be submitted to the Planning Staff for the purpose of
tracking the construction and informing the public of anticipated activities on the site.
B) All applicable erosion control measures must be in place and reviewed and approved by the Planning
Department.
C) It shall be the responsibility of the developer to assure that no erosion on the site shall occur which
will cause deposition of soil or sediment upon adjacent properties or public ways,except as normally
ancillary to off-site sewer or other off-site construction. Off-site erosion will be a basis for the
Planning Board making a finding that the project is not in compliance with the plan; provided,
however,that the Planning Board shall give the developer written notice of any such finding and ten
days to cure said condition.
D) Yellow"Caution"tape must be placed along the limit of clearing and grading as shown on the plan.
The Planning Department must be contacted prior to any cutting and or clearing on site.
E) A pre-construction meeting must be held with the developer,their construction employees,Planning
Department and BuildingDepartment (and other applicable departments) to discuss scheduling of
inspections to be conducted on the project and the construction schedule.
E) The developer shall provide the Planning Board with copies of permits, plans and decisions
received from all North Andover Land-Use Boards.
F) A bond in the amount of ten thousand dollars ($10,000.00) shall be posted for the purpose of
insuring that a final as-built plan showing the location of all on-site structures. The bond is also
in place to insure that the site is constructed in accordance with the approved plan. This bond
shall be in the form of a check made out to the Town of North Andover. This check will then be
deposited into an interest bearing escrow account.
6) PRIOR TO THE ISSUANCE OF A BUILDING PERMIT
A) Three(3)copies of the signed,recorded plans must be delivered to the Planning Department.
B) One certified copy of the recorded decision must be submitted to the Planning Department.
7) DURING CONSTRUCTION
A) Dust mitigation must be performed weekly, or more frequently as directed by the Town Planner,
throughout the construction process.
B) Any stockpiling of materials (dirt, wood, construction material, etc.) must be shown on a plan and
4
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25 &Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
reviewed and approved by the Planning Staff. Any approved piles must remain covered at all times
and fenced off to minimize any dust problems that may occur with adjacent properties.
C) In an effort to reduce noise levels, the developer shall keep in optimum working order, through
regular maintenance,any and all equipment that shall emanate sounds from the structures or site.
8) PRIOR TO THE ISSUANCE OF A CERTIFICATE OF OCCUPANCY
A) The applicant must submit a letter from the architect and engineer of the project stating that the
building, landscaping, lighting and site layout substantially comply with the plans referenced at the
end of this decision as endorsed by the Planning Board. Alternatively,the applicant and/or property
owner may provide a bond, determined by the Planning Board, to cover the full amount of the
landscaping materials and installation if weather conditions do not permit the completion of the
landscaping prior to the use of the parking area.
B) The Planning Staff shall approve all artificial lighting used to illuminate the site. All lighting
shall have underground wiring and shall be so arranged that all direct rays from such lighting falls
entirely within the site and shall be shielded or recessed so as not to shine upon abutting
properties or streets. The Planning Staff shall review the site. Any changes to the approved
lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's
expense.
C) The applicant shall adhere to the following requirements of the North Andover Fire Department
and the North Andover Building Department: All structures must contain a commercial fire
sprinkler system. The commercial fire sprinkler systems must be installed in accordance with
referenced standard NFPA 13D and in accordance with 780 CMR, Chapter 9 of the
Massachusetts State Building Code. Certification that the systems have been installed properly in
accordance with the above referenced regulations must be provided from both the North Andover
Fire Department and the North Andover Building Department to the applicant. The applicant must
then provide this certification to the North Andover Planning Department.
9) PRIOR TO THE FINAL RELEASE OF ALL SECURITY AND ESCROWED FUNDS
A) The Planning Staff shall review the site. Any screening as may be reasonably required by the
Planning Staff will be added at the Project Owner's expense.
B) A final as-built plan showing final topography,the location of all on-site utilities, structures,curb
cuts,parking spaces and drainage facilities must be submitted to the Planning Department.
10) GENERAL CONDITIONS
A) Any plants, tree, shrubs, or fencing that have been incorporated into the Landscape Plan approved
in this decision that die or fall into disrepair must be replaced by the project owner in perpetuity.
B) Snow removal shall be maintained in accordance with the current facility management plan.
C) There shall be no dumpsters or outside storage of materials/refuse on site. All materials/refuse to
be stored inside of the building.
D) The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation.
5
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
E) Gas, Telephone, Cable and Electric utilities shall be installed underground as specified by the
respective utility companies.
F) The hours for construction shall be limited to between 7:00 a.m, and 5:00 p.m. Monday through
Friday and between 8:00 a.m. and 5:00 p.m. on Saturday.
G) No open burning shall be done except as is permitted during burning season under the Fire
Department regulations.
H) No underground fuel storage shall be installed except as may be allowed by Town Regulations.
1) The provisions of this conditional approval shall apply to and be binding upon the applicant, its
employees and all successors and assigns in interest or control.
1) Any action by a Town Board, Commission, or Department, which requires changes in the plan or
design of the building,as presented to the Planning Board, may be subject to modification by the
Planning Board.
K) Any revisions shall be submitted to the Town Planner for review. if these revisions are deemed
substantial,the developer must submit revised plans to the Planning Board for approval.
L) This Special Permit approval shall be deemed to have lapsed after June 26,2009(two years from
the date permit granted), 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 or for
good cause. For purposes of this development,the developer shall be deemed to have undertaken
substantial use or construction if the developer has begun renovation of the existing structures.
M) The following information shall be deemed part of the decision:
Plan titled: Brooks School New Science Building
Prepared for: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Prepared by: Architerra Inc.
68 Long Wharf
Boston,MA 02110
Scale: I"=20'
Date: March 16,2007,revised 4/5/07
Sheets: A0.00,A2.01,A2.02,00.01,C0.02,C2.01,C3.01,C3.02,04.01,L1.00,L2.00,
L3.01,L3.02,L4,00.
Plan titled: Drainage Calculations for New Science Building
Prepared for: Brooks School
1160 Great Pond Road
North Andover,MA 01845
Prepared by: Rist-Frost-Shumway Engineering,P.C.
Laconia,New Hampshire
Post Development Drainage Analyses Revised May 1,2007
6
Brooks School, 1160 Great Pond Road
Map 90C,Parcel 25&Map 103,Parcel 28
Site Plan Special Permit-Construction of Science building and greenhouse
Scale:
Date: 3/15/07 revised 4/30/07
Sheets: Drawings 1&2
cc: Town Departments
Applicant
Engineer
Abutters
Assessor
7
i 4
Town of North Andover Planning Board 2007 INAR, 16 i c
Application for Special Permit
Please type or print clearly.
1. Petitioner: Brooks School
Petitioner's Address: 1160 Great Pond Rd., N. Andover, MA 01845
Telephone number: 978-686-6101
2. Owners of the Land: Brooks School
Address: 1160 Great Pond Rd N. Andover MA 01845
Number of years of ownership: 79 years
3. Year lot was created: 1928
4. Description of Proposed Project: Construction of new Science building.
5. Description of Premises: Independent Boarding school
6. Address of Property Being Affected 1160 Great Pond Rd.
Zoning District: R-2
Assessors: Map: 90C Lot# 25 and Map 103, Lot 28
Registry of Deeds: Book#: 530 Page#: 290
7. Existing Lot:
Lot Area(Sq.Ft) 7,187,000 Building Height Varies (41 existing buildings)
Street Frontage: T,500 500 f t. Side Setbacks: (Big ow' House)
Front Setback: 170' (Maint Bldg)Rear Setback: 451 (Boat House)
Floor Area Ratio: .07 Lot Coverage: .10
8. Proposed Lot(if applicable):
Lot Area(Sq.Ft) 7,187,000 Building Height Varies (41 existing buildings)
Street Frontage: 3,500 f t. Side Setbacks: 0 (Bigelow House)
Front Setback: 170' (Maint Bldg)Rear Setback: 45' (Boat House)
Floor Area Ratio: .074 Lot Coverage: .106
9. Required Lot(as required by Zoning Bylaw):
Lot Area(Sq.Ft) 43,560 Building Height 35'
1 0
Street Frontage: 50 Side Setbacks:
Front Setback: 30' Rear Setback: 30'
Floor Area Ratio: N/A Lot Coverage: N/A
10. Existing Building(if applicable): 41 existing buildings
Ground Floor(Sq.Ft.) #of Floors:
Total Sq.Ft. Height:
Use: Type of Construction
11. Proposed Building:
Ground Floor(Sq.Ft.) 13,921 #of Floors: 2
Total Sq.Ft. 29,447 Height: 27'-11" ft. to top of occupied flr;
Use: A-3 (Large seminar room) ; Type of Construction 5B 47'—5" to roof
E (Classrooms) ridge of unoccu
12. Has there been a previous application for a Special Permit from the Planning Board on these pied mechani
premises? Yes If so,when and for what type of construction? 4/99 - cal penthouse.
Dining Hall, Type 2B; 5/03 -Athletic Facility, Type 2B
13. Section of Zoning Bylaw that Special Permit Is Being
Requested 4.136 — Watershed Special Permit
14. Petitioner and Landowner signature(s):
Every application for a Special Permit shall be made on this form which is the official form of the
Planning Board. Every application shall be filed with the Town Clerk's office. It shall be the
responsibility of the petitioner to furnish all supporting documentation with this application.
The dated copy of this application received by the Town Clerk or Planning Office does not
absolve the applicant from this responsibility. The petitioner shall be responsible for all expenses
for filing and legal notification. Failure to comply with application requirements,as cited herein
and in the Planning Board Rules and Regulations may result in a dismissal by the Planning B oard
of this application as incomplete.
Petitioner's Signature:
Print or type name here: E� n Trova e, Director of Facilities
Owner's Signature:
Print or type name here: /hn Trova e, Director of Facilities
15. Please list title of plans and documents you will be attaching to this application.
7-
-see Section 8.3 of the North Andover Zoning Bylaw for more detaile zr�ati l 1" j
Town of North Andover Planning Board
Appli
Please type or print clearly:
1. Petitioner: Brooks School
Address: 1160 Great Pond Rd. , N. Andover, MA 01845
Telephone Number: 978-686-6101
2. Owners of the Land: Brooks School
Address: 1160 Great Pond Rd. , N. Andover, MA 01845
Telephone Number:-978-686-6101
Number of years ownership: 79 years
If applicant is not the owner, please state interest in property:
3. Request for a Special Permit under Section 8.3 of the North Andover
Zoning Bylaw to Construct a new Science building.
4. Location of Property: 1160 Great Pond Rd. , N. Andover, MA 01845
Zoning District: R-2
Assessors: Map: 90C Lot# 25 and Map 103 Lot 28
Registry of Deeds: Book#: 530 Page# 290
5. Existing Lot:
Lot Area(Sq. Ft): 7,187,000 Building Height: Varies (41 existing Bldgs.)
Street Frontage; 3,500 Side Setbacks: 70' Bigelow House
Font Setback: 170' (Maine Bldg)Rear Setback: 45' Boat House
Floor Area Ration: .07 Lot Coverage: .10
6. Proposed Lot(if applicable):
Lot Area(Sq.Ft.): 7,187,000 Building Height: Varies (41 existing Bldgs.)
Street Frontage: 3,500 Side Setback: 70' Bigelow House
Front Setback: 170' (Mainz Bldg)Rear Setback: 45' Boat House
Floor Area Ratio: .074 Lot Coverage: .106
7. Required Lot(as required by Zoning Bylaw);
Lot Area (Sq.Ft.): 43,560 Building Height: 35'
Street Frontage: 150 Side Setback: 30'
Front Setback: 130' Rear Setback: 30'
Floor Area Ratio: N/A Lot Coverage: N/A
8. Existing Building (if applicable): (41 existing buildings)
Ground Floor(Sq.Ft.) #of Floors
Total Sq. Ft.; Height:
Use: Type of Construction:
9. Proposed Building:
Ground Floor(Sq.Ft.) 13,921 #of Floors 2
Total Sq. Ft.; 29,447 Height: 27'-11" to top of occupied flr;
Use: A-3 (Large seminar room) Type of Construction: 5B 471-5" to roof
E (Classrooms) ridge of un-
10. Has there been a previous application for a Special Permit from the Planning occupied mech-
Board on these premises? Yes If so,when and for what type of anical pent
construction? Apr. 1999 - Campus Center Dining Hall, construction Type 2B house
(steel frame, light guage infill, unprotected) ; May 2003 - Athletic
Facility, construction Type 2B, protected.
11. Petitioner and Landowner signature(s):
Every application for a Special Permit shall be made on this form which is
the official form of the Planning Board. Every application shall be filed with
the Town Clerk's Office. It shall be the responsibility of the petitioner to
furnish all supporting documentation with this application. The dated copy
of this application received by the Town Clerk or Planning Office does not
absolve the applicant from this responsibility. The petitioner shall be
responsible for all expenses for filing and legal notification. Failure to
comply with application requirements, as cited herein and in the Planning
Board Rules and Regulations may result in a dismissal by the Planning
Board of this application asinc plete.
Petitioner's Signature:
Print or type name here: ohn Trovage, Director of Facilities
Owner's Signature: 6�)
Print or type name here: ohn Trovage, Director of Facilities
s !'
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1057
Massachusetts Wetlands Protection Act M.G.L. c. 131, 40
I Provided b DEP
Y.�-1 S7
A. Project Information u,de-t
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Brooks School
computer, use Name
only the tab
key to move 1160 Great Pond Road
your cursor- Mailing Address
do not use the North Andover MA. 01845
return key. City/Town State Zip Code
w 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
_Brooks School
Name/
17/61 73 f o 242-1057 qq'?' —Ios- r
Dated if I I DEP File Numberfl
3. The project site is located at:
1160 Great Pond Road North Andover
Street Address City/Town
Map 90C, 103 Parcel 25, 28
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 BOG b Y 016 9
County ` ,5- Page
Certificate C?
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
9/7/06
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:
it
wpaform 8b.doc-rev.7/13104 Page 1 of 4
r y
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
�1 WPA Form 8B — Certificate of Compliance 242-1057
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided 7 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:
68
C. Authorization
Issued by:
North Andover f /3 4
Conservation Commission Date of IssuAnce
This Certificate must be signed by a majority of the Conservation Commission and a c ent to the
applicant and appropriate DEP Regional Office(See Attachment).
Ji
Signatures:
C' 4
I
wpaform 84.doc•rev.7/13/04 Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
l� WPA Form 8B — Certificate of Compliance 242-1057
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Authorization (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this « Of -�iaPe o7b 4-r (
Day Month Year
before me,�the undersigned Notary Public, personally appeared
'�tb7T G�I�SS�
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
City/Town
Signature of Notary Public /�
m Zf/tIJC C
lM. E Printed Name of Notary Public
ARY PUBLIC
COMMONWEALTH OF MASSACHUSETTS
tiny Comm.Expims Aug.7,2009
JaX
My Com issio xpires(Date)
Place notary seal and/or any stamp above k1l) -`" �1 j
Sid ature of Notary Public
wpaform 8b.doc•rev.7113104 Page 3 of 4
y
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
(1\ WPA Form 8B — Certificate of Compliance 242-1057
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 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:
242-1057
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.7113104 Page 4 of 4
i
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP Regional 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
436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales
g Alford Cummington Hatfield Monterey Richmond Ware
Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick
Springfield, MA 01103 Ashfield Deerfield Heath Monson Russell Washington
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 Malborough Sheffield Westhampton
Blandford Erving Huntington New Salem Shelburne West Springfield
Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge
Buckland Gill Lee Northampton Southampton Whately
Charlemont Goshen Lenox Northfield South Hadley Wilbraham
Cheshire Granby Leverett Orange Southwick Williamsburg
Chester Granville Leyden Otis Springfield Williamstown
Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor
Chicopee Greenfield Ludlow Pelham Sunderland Worthington
Clarksburg Hadley Middlefield Peru Tolland
DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge
627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren
Ashby Douglas Hudson New Braintree Shrewsbury Webster
Worcester,MA 01608 Athol Dudley Holliston Northborough Southborough Westborough
Phone:508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston
Fax: 508 792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield
Barre Fitchburg Leominster Oakham Sterling Westford
TDD:508-767-2788 Bellingham Gardner Littleton Oxford Stow Westminster
Berlin Grafton Lunenburg Paxton Sturbridge Winchendon
Blackstone Groton Marlborough Pepperell Sutton Worcester
Bolton Harvard Maynard Petersham Templeton
Boxborough Hardwick Medway Phillipston Townsend
Boylston Holden Mandan Princeton Tyngsborough
Brookfield Hopedale Milford Royalston Upton
DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury
20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro
Attleboro Dighton Gosnold Nantucket Rehoboth Wareham
Lakeville, MA 02347 Avon Duxbury Halifax New Bedford Rochester Wellfleet
Phone:508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater
Fax:508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport
Bourne Easton Harwich Norwell Scituate West Tisbury
TDD:508-946-2795 Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman
Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham
Brockton Fall River Mansfield Pembroke Somerset Yarmouth
Carver Falmouth Marion Plainville Stoughton
Chatham Foxborough Marshfield Plymouth Swansea
Chilmark Franklin Mashpee Plympton Taunton
DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield
Andover Chelsea Holbrook Methuen Randolph Walpole
1 Winter Street Waltham
Arlington Cohasset Hull Middleton Reading
Boston, MA 02108 Ashland Concord Ipswich Millis Revere Watertown
4-6500 Bedford Danvers Lawrence Milton Rockport Wayland
Phone:617-65
Fax: 617-556-10494-65 Belmont Dedham Lexington Nahant Rowley Wellesley
Beverly Dover Lincoln Natick Salem Wenham
TDD:617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury
Boston Essex Lynn Newbury Saugus Weston
Boxford Everett Lynnfield Newburyport Sherborn Westwood
Braintree Framingham Malden Newton Somerville Weymouth
Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Wilmington
Burlington Gloucester Marblehead North Andover Sudbury Winchester
Cambridge Groveland Medfield North Reading Swampscott Winthrop
Canton HamiltonMedford Norwood Tewksbury Woburn
Carlisle Haverhill Melrose Peabody Topsfield
I
wpaform8b.doc•DEP Addresses•rev.9/11/06 Page 1 of 1
\L242Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions
-1346
L 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 Brooks School
use the return a. First Name b. Last Name c.Company
key. 1160 Great Pond Road
d. Mailing Address
zv
tab North Andover MA. 01845
e.City/Town f.State g.Zip Code
4. Property Owner(if different from applicant):
Same
a. First Name b. Last Name c.Company
d. Mailing Address
e. City/Town f.State g.Zip Code
Project Location:
1160 Great Pond Road North Andover
a.Street Address b.City/Town
Map 90C & 103 Parcel 25&28
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)
530 290
c. Book d.Page
7. Dates: 1/24/06 "2h, D
a. Date Notice of Intent Filed b.Date Pifiblic Aearing Closed c. Date 9f IssuAnce
s. Final Approved Pians and Other Documents(attach additional plan or document references as
needed):
Site Plan
a. Plan Title
Rist-Frost- Shumway Engineering, P. C. John L. Scott, P. E.
b. Prepared By c.Signed and Stamped by
a1 t� t2 -•5hc�-�,s I s 1" =20'
;>
d. anal evision Date e.Scale
f.Additional Plan or Document Title g. Date
9. Total WPA Fee Paid' $ 1, 650.00 $ 537.50 $ 1,112.50
a.Total Fee Paid b. State Fee Paid c.City/Town Fee Paid
wpafomi5doc• rev.3/1/05 Page 1 of 9
\ Massachusetts Department of Environmental Protection DEP File Number:
T� Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions 242-1346
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. ® Protection of Wildlife
Habitat
g. ® Groundwater Supply h. ® Storm DamagePreventio6 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)
❑ Buffer Zone Impacts: Shortest distance between limit of project disturbance and
wetland boundary(if available) linear feet
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.3/1/05 Page 2 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 Order of Conditions 242-1346
Massachusetts Wetlands Protection Act M.G.L. c. 131, §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. ❑ Rlverfront area a.total sq.feet b.total sq.feet
Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet
Sq ft between 100-200 ft e.square feet f.square feet e.square feet f.square feet
Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only)
9. ❑ Designated Port Indicate size under Land Under the Ocean, below
Areas
1 o. ❑ 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.c/y nourishmt. d.c/y nourishmt.
13. ❑ Coastal Dunes a.square feet b.square feet c.c/y nourishmt. d.c/y 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.3/1/05 Page 3 of 9
Massachusetts Department of Environmental Protection
-- Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1346
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 dredgingproject 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, plaster, 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 242-1346 "
wpaform5.doc• rev.3/1105 Page 4 of 9
Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions 242-1346
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.
18. All work associated with this Order is required to comply with the Massachusetts Stormwater Policy
Standards.
Special Conditions:
If you need more See attached
space for
additional
conditions,
select box to
attach a text
document
Page 5 of 9
wpafcrm5.doc- rev.311105
Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions 242-1346
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Findings Under Municipal Wetlands Bylaw or Ordinance
i. Is a municipal wetlands bylaw or ordinance applicable? ® Yes ❑ No
2. The North Andover hereby finds(check one that applies):
Conservation Commission
3. ❑ 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.
4. ® 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 G 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
Page 6 of 9
wpaform5.doc• rev.3/1/05
DEP FILE #242 - 1346
Therefore, the North Andover Conservation Commission (hereafter the "NACU) hereby
finds that the following conditions are necessary, in accordance with the Performance
i Standards set forth in the State Regulations, the local Bylaw and Regulations,lations, to protect those
1 work shall be performed in accordance with
interests noted above. The NACC orders that al p
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 isnot incompliance 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).
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.
CAW inword',00CTrooks-addition.doc I NACC 2/23i2006
DEP FILE #242 - 1346
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. 242-1346.
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 1,280 s.f. (32'x 40') addition to an
existing hockey rink with associated drainage features and grading activities within the
Buffer Zone to a Bordering Vegetated Wetland (BVW). The site may also be within the
Watershed Protection District of Lake Cochichewick.
29. The work shall conform to the following (except as noted in the remainder of this
document where revisions may be required):
Notice of Intent filed by: Brooks School (Applicant)
1600 Great Pond Road
North Andover, MA 01845
Dated December 1,2005.
Prepared by: Rist-Frost-Shumway Engineering,P.C.
Narrative &Drainage Calculations Revised
Dated February 7,2006.
Site Plans prepared by: Rist-Frost-Shumway Engineering, P.C.
71 Water Street
Laconia,NH 03246
Entitled, "Brooks School- Addition to Ice Rink"
consisting of sheets 1 &2, dated 12,/02,/05,revised
February 3,2006.
Sheet 1 entitled "Site Plan"
Sheet 2 entitled"Civil Details"
Stamped &signed by John L. Scott, P.E.
Other Documents: Letter from Natural Heritage dated February 21,2006.
CAW inword`00CBrook s-add ition.doc 2 NACC 2/23/2006
DEP FILE # 242 - 1346
30. The following wetland resource areas are affected by the proposed work: Buffer Zone to
a Bordering Vegetated Wetland (BVW). 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.
31. The NACC agrees with the applicant's 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 (25') No-Disturbance Zone
and a fifty-foot (50') No-Construction Zone shall be established from the edge of the
adjacent wetland resource area. 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. 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.
34. 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 Order. Maintenance of the drainage system, if accepted by the Town as
part of a public way, becomes the responsibility of the Town.
35. 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.
ZPRIO:RTO CONSTRUCTION
36. 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.
C:\Winword\OOC\Brooks-addition.doe 3 NACC 2/23/2006
DEP FILE # 242 - 1346
37. 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 Commission on the form at the end of this Order prior
to commencement of the work. Any Order not recorded by the applicant before work
commences may be recorded by the NACC at the applicant's expense.
38. 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 242-1346."
39. 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 significant, 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.
40. 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.
41.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.
42. 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
I
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 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
C:\Winword\OOC\Brooks-addition.doc 4 NACC 2/23/2006
DEP FILE # 242 - 1346
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.
43. 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.
44. The applicant shall have on hand at the start of any soil disturbance, removal or
stockpiling, a minimum of 10 hay bales and sufficient stakes for staking these bales (or an
equivalent amount of silt fence). Said bales shall be used only for the control of emergency
erosion problems and shall not be used for the normal control of erosion.
45. A check payable to the Town of North Andover shall be provided in the amount of
$2,000,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.
46. Prior to the commencement of any work on site, a Registered Land Surveyor (R.L.S.)
shall stake the corners of the addition. This will be confirmed during the pre-construction
meeting.
47. The applicant shall designate a Wetland Scientist as an"Environmental 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 the event that this person has to be contacted, due to an
emergency at the site, during any 24-hour period, including weekends. The designated
professional shall submit a letter on company letterhead acknowledging that they have
been retained as the project's Environmental Monitor.The Conservation Department shall
be in receipt of this letter prior to, or at the pre-construction meeting. This person shall be
given the authority to stop construction for erosion control purposes. The Environmental
C:AWinword\00C\Brooks-addition.doc 5 NACC 2/23/2006
DEP FILE 9 242 - 1346
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.
48. ON EVERY MONDAY OF EACH WEEK, in which construction activities occurs on-site
and for as long thereafter as ground remains unstabilized,the applicant shall submit a
written report from the "Environmental 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 Environmental 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.
49. 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
Conservation Department at least five (5)business days after to the closing of said land
transaction.
50. 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 terms 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
51. 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.
NACC 2/23/2006
C:AW inword\00C\Brooks-addiNon.doc 6
DEP FILE # 242 - 1346
52.Water quality down gradient of BVWs 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.
D
URING CONSTRUCTION
53. Accepted engineering and construction standards and procedures shall be followed in the
completion of the project.
54. 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.
55. The limit of work/erosion control line shall be enforced and maintained, as depicted
on the approved plan referenced herein.
56. Erosion control devices shall be inspected regularly;any entrapped silt shall be removed
to an area outside of the buffer zone and wetland resource areas;silt fence and hay bales shall
be replaced as necessary. The areas of construction shall remain in stable condition at the
close of each construction day. All erosion controls shall be in place throughout the duration
of any construction on site or unless authorized by the Conservation personnel
57. The Environmental Monitor shall be on site during and/or following a rain event of 1-
inch or greater, to ensure that soils remain stable,erosion controls are adequate and secure,
and that all BMP's are adequately functioning.
58. The sewer lines on the site shall be tested for water tightness in accordance with North
Andover DPW standards.
59. Approved de-watering activities anticipated shall be supervised and witnessed by the
designated Environmental Monitor. This designee must be on-site while de-watering work
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.
60. 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.
CAW inword\000Brooks-addition.doc 7 NACC 2/23/2006
DEP FILE #242 - 1346
61. No exposed area shall remain unfinished for more than thirty (30) days, unless approved
by the NACC.
62. No re-grading in the buffer zone shall have a slope steeper than 2:1 (horizontal: vertical).
Slopes of steeper grade shall be permanently stabilized using clean stone riprap or
biodegradable erosion controls, such as jute matting.
63. There shall be no stockpiling of soil or other materials within twenty-five (25) feet of any
resource area.
64. After final grading, all disturbed areas located within a'resource area, which will not
remain as wetland areas, shall be loamed (minimum of 4 of quality loam), and seeded. This
shall all be done in accordance with SCS guidelines. All disturbed areas located within
wetland resource areas which are to be only temporarily disturbed during construction, shall
be restored to their original grade, soil profile and vegetative cover.Soil used for this
purpose will either be wetlands topsoil or a minimum of 4 of quality loam.
65. Washings from concrete trucks, or surplus concrete,shall not be directed to, any drainage
system, or wetland resource area.
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. 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
68. No underground storage of fuel oils shall be allowed on any lot within one hundred (100)
feet of any wetland e
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
Towns Wetland protection Bylaw.
69. 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
C:AWin"ord100C`Brooks-addition.doc 8 NACC 2/23/2006
DEP FILE #242 - 1346
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.
70. 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 completeonce vegetative v etative cover has been achieved.
e
d.
71. Upon approved site stabilization by Conservation Staff,the erosion controls shall be
removed and properly disposed of and all exposed areas shall be seeded.
72. 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 for a 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 (and/or
Registered Professional Land Surveyor)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. An"As-Built" plan prepared and signed and stamped by a Registered Professional
Civil Engineer (and/or Registered Professional Land Surveyor) 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
If portions of the stormwater systems exist partially within the
area. NOTE. Y
a p
Buffer Zone than the entire structure must be depicted to accurately verify
compliance.
Y "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.
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DEP FILE # 242 - 1346
v Distances from structures to wetland resource areas. Structures include (but
are not limited to)septic systems, additions, fences, shed, stonewall, pools,
retaining walls, subsurface utilities and decks.
➢ A line showing the limit of work and the extent of existing erosion control
devices. "Work" includes AU disturbance of soils or vegetation.
Location of all subsurface utilities entering the property.
73. Tile following special conditions shall survive the issuance of a Certificate of
Compliance (COC) for this project:
y 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 this filing. Future work within 100' of existing
wetlandresource 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
(Condition#32)
➢ Discharge or spillage of pollutants (Condition# 67);
Prohibition of underground fuels (Condition#68);
➢ Limitations on the use of fertilizers, herbicides, and pesticides(Condition
#69).
C:AWinvord\000\Brooks-addition.doc 10 NACC 2/23/2006
DEP FILE # 242 - 1346
APPENDIX A— AFFIDAVIT
I, on oath do hereby depose and state:
(authorized agent of applicant and/ or owner)
(PLEASE CHECK AT LEAST ONE BLOCK)
1) I am the of
(position with applicant) (applicant's name)
the applicant upon whom the Order of Conditions have been
(DEP or NACC File#)
placed upon by the North Andover Conservation Commission(NACC).
and / or
2) I am theof
(position with owner) (owner)
the owner upon whose land Order of Conditions have been
(DEP.or NACC File#)
placed upon by the NACC.
♦ I hereby affirm and acknowledge that I have received said Order of Conditions and
have read the same and understand each and every condition,which has been set
forth in said Order of Conditions.
♦ I hereby affirm and acknowledge that on this day of
20 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 the Order of Conditions are presently in
compliance.
♦ I hereby affirm and acknowledge that this document will be relied upon by the
NACC, as well as any potential buyers of said property, which is subject to the
Order of Conditions.
Signed under the pain and penalties of perjury this day of ,20
(Authorized agent of applicant or owner)
C:AWinword\OOC\Brooks-addition.doc i 1 NACC 2/23/2006
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands SEP File Number:
WPA f=orm 5 - Order of Conditions 242-1346
�'1v Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
E. Issuance
This Order is valid for three years, unless otherwise specified as a special ZZI&6
condition pursuant to General Conditions#4, from the date of issuance. 1.Date oflissuafice
Please indicate the number of members who will sign this form: y
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 i e, if not filing electronically, and the property owner, if different
from applicant.
Signatures: Z
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this Day of Month Year
Before me, the undersigned Notary Public, A
personally appeared 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
City/Town
MIM
DONNA M.WEDGE
NOTARY PUBLIC
rC, MONWEALTH OF h'ASVrh!SETTS
,�y Comm.Expires Aug./,2009 Ignature of Notary Public
22
Printed Name of Notary Public
Place notary seal and/or any stamp above My commission xpires(Date)
This Order is issued to the applicant as follows:
❑ by hand delivery on V�by certified mail, return receipt requested, on
Date Date
Page 7 of 9
wpaform5.doc• rev.3/1!05
Massachusetts Department of Environmental Protection DEP File Number:
L242-Bureau of Resource Protection - Wetlands
� WPA Form 5 - Order of Conditions
1346
\ Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
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 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. Any appellants seeking to appeal the Department's Superseding
Order associated with this appeal will be required to demonstrate prior participation in the review of this project.
Previous participation in the permit proceeding means the submission of written information to the
Conservation Commission prior to the close of the public hearing, requesting a Superseding Order or
Determination, or providing written information to the Department prior to issuance of a Superseding Order
or Determination:
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.
Section G, Recording Information is available on the following page.
Page 8 of 9
wpaform5.doc• rev.311105
Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
i;
WPA Form 5 - Order of Conditions 242-1346
Massachusetts Wetlands Protection Act M.G.L. c. 1.31, §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:
242-1346
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
Page 9 of 9
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