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HomeMy WebLinkAboutBuilding Permit #739 - 58 MAYFLOWER DRIVE 6/13/2008Permit NO: Date Issued: L/ - / -i' 0 BUILDING PERMIT 0.1NORTH H, TOWN OF NORTH ANDOVER oL o APPLICATION FOR PLAN EXAMINATION Wk -:r Date Received 4��-z>/ 4nD PP. ��n gA7ED • ''�� I IMPORTANT: ADAicant must complete all items on this naize I LOCATION ' / e DX110 - (E Q44 S#LLrpt V,+ L4 qgl 14 Tal e Print PROPERTY OWNER !s e q �Ews 'C " Print MAP N0: 10 7-4 PARCEL;/A 7i ZONING DISTRICT: tr Historic District yes Machine Shop Village ves TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Z10 Wetlands Watershed District )VO Water/Sewer 1 / DESCRIPTION OF WORK TO BE PREFORMED: STQVG�vo4l S�%N &1e --:Fr4w Lq j Dane LA.44*&e a S44LL &4e"O- , Identification Please Type or Print Clearly) OWNER: Name: "Mr- 1;.z C- Phone: X179 -(o$ '-z3llo� �T Address: 1d) y e et 4i",C- . q�b eo vIT, P t:> Ve e , M 4- & A5 4S' CONTRACTOR Name: j*willk C. 6-o oh Phone: AV6 Address: 3to goy (9LJ V.'L 46o. �*sva Iia 4h1e0caee.. 1M tBSFs' Supervisor's Construction License: C'S 7S30,�Exp. Date: l.'x 4 / 08 Home License: Date: ARCH ITECT/ENGINEERO U X&V 41 c�1��'eo is Phone: 7cf ( -o75/(a - Aa(v "? Address: ,SOI ��64A. 4.412 _'b Q �4 keFe,.� - � Reg. No. 66/C9 FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ '76d� Check No.: 131 Receipt No.: (�? NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund r Signature of Agent/Owner Signature of contract Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer +� Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF -'U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ��C> COMMENTS /<<> Al? - /� ern, % a �,xj ` /j% CONSERVATION Reviewed on 6471110 Signature COMMENTS Q� HEALMH.-, Reviewed on Signature COMMENTS '. •. ; Zoning Board -of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer Connection/sign DPW Town Engineer: Signature< FIRE DEPARTMENT - Temp Located at 124 Main Street Fire Department signature/date COMMENTS Comments Comments V - V Located 384 Osgood Street on site yes no Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 M Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Z Building Permit Application ❑ Certified Proposed Plot Plan rad Photo of H.I.C. And C.S.L. Licenses a,' Workers Comp Affidavit e"'Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location No. Date O� 40*TIq TOWN OF NORTH ANDOVER Oi �t�♦O '♦,h�0 At Certificate of Occupancy $ Building/Frame Permit Fee $ �a C14 Foundation Permit Fee $ Other Permit Fee .$ TOTAL $ Check # 21241 Building Inspector H LAL I H CC ��« yy� O'}A tMNewwKM y�I` T �Nz-AcHus CONSERVATION DEPARTMENT Community Development Division Modification to Order of Conditions The NORTH ANDOVER CONSERVATION COMMISSION agreed to accept Applicant: Key -Lime, Inc. 6 Hepatica Drive North Andover MA 01845 PAGE 02/02 The proposed modification to the order of conditions is to change some of the du lex units to sin le family unit buildings. - Unit numbers 13 & 14 unit 21 & 22 (not within conservation commission jurisdictional area) unit 29`7 30 and unit 31 & 32 are ro osed.as single unit buildings. There will be some minor grading changes as a Modification to the Order of Conditions issued in File 242_1337 dated 1/11 /2(, and recorded in Book # 10118 and page to implEnMt thee single mit lays SERVATION COMMISSION: On this "d of - 400,9 before me personally a any �onovy p Y ppcated Scott Masse to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as.his/her free act and deed. Notary Pubii c P/7 /vo 1�',* - DONNA M. WEDGE WTA" PWUC coMMDWb7 TH OF MASSACHUSETTS Mr comm Fres Mg. 7, 2009 I ouu usgood Street, North Andover, Massachusetts 01845 Phone 978.688.9530 Fax 918.688.9542 Web WWWAwnahorthandover-com Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. reb rerun Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information DEP File Number: 242-1337 From: North Andover 1. Conservation Commission 2. This issuance is for (check one): ® Order of Conditions ❑ Amended Order of Conditions 3. To: Applicant: a. First Name b. Last Name 60 Beechwood Drive Key -Lime, Inc. c. Company a. mailing Address North _Andovery MA. e. City/Town f. State 4. Property Owner (if different from applicant): Harold & Beverly Whipple North Andover a. First Name b. Last Name c. Company 123 Winchester Drive Lots 16 & 73 01845 g. Zip Code d. Mailing Address Monroe NH. e. City/Town f. State g. Zip Code 5. Project Location: Old Salem Village (Salem/Turnpike-Rte 114 North Andover a. Street Address b. City/Town Map 107B Lots 16 & 73 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) c. Book d. Page 9/13/05 _ 7. Dates: , { ' j< 1/!!16L a. Date Notice of Intent Filed b. Date Pu lic He ring Closed c. Date f Is ance s. Final Approved Plans and Other Documents (attach additional plan or document references as needed): Index Plan sheets 1 thru 19 a. Plan Title Hayes Engineering, Inc. Peter J. Ogren, P. E. h Prepared By c. Signed and Stamped by �I%� Wl 1"=60'& 1"=40' d. RsionDate e. Scale f. Additional Plan or Document Title g. Date 9. Total WPA Fee Paid: $ 17,975.00 $5,237.50 $12,737.50 a. Total Fee Paid b. State Fee Paid c. Cityrrown Fee Paid wpaform5.doc • rev 3/1/05 Page 1 of 9 LIST OF OWNERS OLD SALEM VILLAGE NORTH ANDOVER, MASSACHUSETTS LOCUS MAP Lot Location Owner 107.8 16 Rt. 114 L.A.M. Realty Trust 89 Main Street North Andover, MA 01845 107.B 13 Rt. 114 Harold & Beverly Whipple 123 Winchester Drive Monroe, NH September 1, 2005 Reference Doc. # 3390 7127/556 r Massachusetts Department of Environmental Protection L7�1--Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings 1. Findings pursuant to the Massachusetts Wetlands Protection Act: DEP File Number: 242-1337 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. f. ® Protection of Wildlife ® pp y ❑Fisheries Habitat g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control 2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes) Approved subject to: ® the following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect these interests, and a final Order of Conditions is issued. A description of the performance standards which the proposed work cannot meet is attached to this Order. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). Inland Resource Area Impacts: Check all that apply below. (For Approvals Only) ❑ 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 a. E] Bordering Vegetated Wetland a. square feet b. square feet c. square feet d. square feet 5. ❑ Land Under Waterbodies and a. square feet b. square feet C. square feet d. square feet Waterways e. cu.yd dredged f. cu.yd dredged wpaform5.doc • rev. 3/1/05 Page 2 of 9 ' r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 DEP File Number: 242-1337 B. Findings (cont.) ❑ Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 12. Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 6. E] Bordering Land a. square feet b. square feet c. c/y nourishmt. d. c/y nourishmt Subject to Flooding a. square feet b. square feet c. square feet d. square feet Cubic Feet Flood a. linear feet b. linear feet 15. ❑ Storage e. cubic feet f. cubic feet g. cubic feet h. cubic feet 7. ❑ Isolated Land Subject 16. ❑ Salt Marshes to Flooding a. square feet b. square feet a. square feet b. square feet c. square feet d. square feet 17. Cubic Feet Flood Land Under Salt Storage c. cubic feet d. cubic feet e. cubic feet f. cubic feet a. ❑ Riverfront area -- F-1 Land Containing a. total sq. feet b. total sq. feet a. square feet b. square feet c. square feet d. square feet 19. Sq ft within 100 ft Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the 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 Areas Indicate size under Land Under the Ocean, below 1o. ❑ Land Under the Ocean a. square feet h gmmrre faaf 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. F-1 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. F-1 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 20. ❑ Land Subject to V 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 WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 DEP File Number: 242-1337 C. General Conditions Under Massachusetts Wetlands Protection Act (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, 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, "MA DEP"] "File Number 242-1337 " wpaform5.doc • rev. 3/1/05 Page 4 of 9 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 DEP File Number: 242-1337 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 wpaform5.doc • rev. 3/1/05 Page 5 of 9 r Massachusetts Department of Environmental Protection IL7il,—Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 DEP File Number: 242-1337 D. Findings Under Municipal Wetlands Bylaw or Ordinance 1. 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 a. Municipal Ordinance or Bylaw Chapter 178 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 space for c. The special conditions relating to municipal ordinance or bylaw are as follows: additional conditions, see attached select box to attach a text document wpaform5.doc • rev. 3/1/05 Page 6 of 9 DEP FILE # 242 -1337 Therefore, the North Andover Conservation Commission (hereafter the "NACU) hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the State Regulations, the local Bylaw and Regulations, to protect those interests noted above. The NACC orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced below. To the extent that the follow;,, �..--' 0"« 1111 a If or otrier proposals conditions shall control. GENERAL CONDITIONS 18. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 19. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of property rights. However, the NACC, agent of the NACC or the Department of Environmental Protection (DEP) reserves the right to enter and inspect the property at all reasonable times until a Certificate of Compliance is issued, to evaluate compliance with this Order of Conditions, the Act (310 CMR 10.00), the North Andover Wetland Bylaw and Regulations, and may require any information, measurements, photographs, observations, and/or materials, or may require the submittal of any data or information deemed necessary by the NACC for that evaluation. Further., work shall be halted on the site if the NACC, agent or DEP determines that any of the work is not in compliance with this Order of Conditions. Work shall not resume until the NACC is satisfied that the work will comply and has so notified the applicant in writing. 20. This Order does not relieve the permittee or any other person of the necessity 'by- laws 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 u to one year each upon'application to the issuing authority at least thirty days (30) P prior to the expiration date of the Order (Refer to Section 8.3 (p.37) of the Nortli Andover Wetland Regulations). C:\ Winword\OOC\OldSalemV i NACC 1/ 1 W2000 DEP FILE # 242 -1337 23. The NACC reserves the right to amend this Order of Conditions after a legally advertised public hearing if plans or circumstances are changed or if new conditions or information so warrant. 24. Where the Department of Environmental Protection (DEP) is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 25. This Order of Conditions is issued under File No. 242-1337. 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 thirty-seven (37) multi -family and single-family townhouses W; h asS^c.ated roadways, driveways, „til�tj� installation (including an off-site sewer line along Route 114 designated to service the development), grading and stormwater management structures within the buffer zone to several Bordering Vegetated Wetlands and a local jurisdictional Isolated Vegetated Wetland. Of the thirty-seven units, twenty-six (26) are jurisdictional (units 1,2, 4, 7, 8, 9, 10, 11, 12, 13, 14, 18, 19, 24, 25, 26, 27, 28, 29, 30, 31, 32, 34, 35, 36, & 37). 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: Key -Lime, Inc. (Applicant) 60 Beachwood Drive North Andover, MA 01845 Dated September 2005 Site Plans prepared by: Hayes Engineering, Inc. 603 Salem Street Wakefield, MA 01880 Entitled "Old Salem Village" dated 10/4/04, revised through 12,/21/05, consisting of sheets 1-22. Stamped & Signed by Peter Ogren, P.L.S. CAWinword\00C\old Salem V i I lage.doc 2 NACC 1/18/2006 DEP FILE # 242 - 1.337 Drainage Report prepared by: Operation & Maintenance Plan prepared by: Other Record Plans & Documents: Hayes Engineering, Inc. 603 Salem Street Wakefield, MA 01880 Entitled "Drainage Study" Revised June 6, 2005. dated August 27,2004; Hayes Engineering, Inc. (included in the NOI) dated August 27, 2004, Revised September 1, 2005. Letter from New England Engineering dated October 6, 2005; Stromwater Management Review Letter prepared by Eggleston Environmental dated October 12, 2005; Stormwater Management Review Response Letter prepared by Hayes Engineering, Inc. dated November 10, 2005; Proposed Watershed Plan prepared by hayes Engineering, Inc. dated July 6, 2004; revised June 7, 2005; Existing Watershed Plan prepared by Hayes Engineering, Inc. dated July 6, 2004; revised November 7,2005; Stromwater Management Review Letter prepared by Eggleston Environmental dated November 16, 2005; Stormwater Management Review Response Letter prepared by Hayes Engineering, Inc. dated November 16, 2005; Stromwater Management Review Letter prepared by Eggleston Environmental dated December 13, 2005. 30. The following wetland resource areas are affected by the proposed work: Buffer Zone to Bordering Vegetated Wetlands (BVW's) and an Isolated Vegetated Wetland (IVW). These resource areas are significant to the interests of the Act and C:\W inword\OOC\OldSalcm V i I lage.doc NACC 1/18/2006 DEP FILE # 242 - 1337 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. An additional IVW of less than 1,000 s.f. (approx. 641 s.f.) was identified on the site and is noted on the approved plan referenced herein, but was confirmed to be a non -jurisdictional wetland resource area and is therefore not subject to protection under the Act or the North Andover Wetlands Protection Bylaw. It is also important to note that a small area of BLSF (elevation unknown) is shown on the approved plan referenced herein, but is limited to within the BVW boundary at the western/southwestern corner of the site and has no impact on the approved project. 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 except for wetland flags WG -11 & 12, WG -25 through WG -43, WF #EP1-1 through WF #EP1-22 (to the southwest of the site and parallel and down gradient to that section of Turnpike Street), WF #EPI -1 & WF #EP1-2 (to the south/southeast of the site and parallel and down gradient to Turnpike Street), WF #EP1-36 through WF #EP1-39 (to the northeast of the site and parallel and down gradient to Towne Street). Excluded wetland flags were noted in this manner as two of the same wetland series were identified on the final approved plan. 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 -,A,etland resource area except in those locations as depicted on the approved plan referenced herein. 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 Hie 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 C:\Winword\ooc\oldSalemViI lage.doc 4 NACC 1/18/2006 DEP FILE # 242 - 1337 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. PRIOR TO 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. 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 242-1337." 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 C:\Winword\OOC\OldSalemVillage.doc 5 NACC 1/18/2006 DEP FILE # 242 - 1337 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 construction sequence, including a dated timetable of construction, the construction of compensation and retention areas, installation of sedimentation/erosion control devices, roadway infrastructure, phasing associated with the development and the construction of the associated stormwater management structures. This timetable must continue to be updated throughout the project. 42. Prior to any work commencing on site, a revised O & M plan shall be submitted to the Conservation Department for review and approval. The revised O & M plan shall adequately address and incorporate items #7,8, & 9 as referenced in the Eggleston Environmental drainage review letter dated November 16, 2005. Upon review and approval of this O & M plan, the revised document shall be recorded at the registry of deeds with the Order of Conditions. Proof of recording _�U 6 submitted to the Conservation Department. 43. Prior to the work associated with each jurisdictional unit, a 20' scale plan shall be submitted to the Conservation Department for review. The 20' scale plan can be submitted during the pre -construction meeting for that unit. 44. Prior to the work associated with the installation of the sewer line, the applicant shall submit in writing to the Conservation Department specifications on the amount of trench that will be open at any one time (i.e - during each day) for review and approval. Upon receipt and review of this document, the Conservation Department shall determine if the specified amount of open trench allowable at one time is acceptable and reserves the right to limit the specified amount of open trench. 45. Wetland flagging shall'be checked prior to start of construction and shall be re- established where missing. All wetland flagging shall remain visible and enumerated per the approved plan(s) throughout the life of the project and until a Certificate of Compliance is issued so that erosion control measures can be properly placed and wetland impacts can be monitored. The proposed limit of work shall be shall be clearly marked with stakes or flags and shall be confirmed 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 C:\Winrord\O0001 SalemViIfage.doc 6 NACC I/18/2006 DEP FILE # 242 -1337 machinery, storage of machinery or materials, stockpiling of soil, or construction activity is to occur beyond this line at any time. All flags used for the above purposes shall be of a color different from other flagging used on the site. 46. 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 theNACC 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 Commissions request. 47. The applicant shall have on hand at the start of any soil disturbance, removal or stockpiling, a minimum of 50 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. 48. A check payable to the Town of North Andover shall be provided in the amount of $55,000, 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. 49. Prior to the commencement of any work on lots at units 7, 8, 10, 11, 12, 13, 19, 29, 30, 31, 32, 35, 36, the corners of the dwelling foundations (and decks on units 10, 11, 12, 29, 30, 31, 32, & 36) shall be staked in the field by a Registered Land Surveyor (R.L.S.). Measurements shall be taken and verified by the Conservation Department during the Pre -Construction meeting. C:\Wimword\OOC\OldSalemViIlage.doc 7 NACC 1/18/2006 DEP FILE # 242 -1337 50. The applicant shall be responsible for placing signs on each jurisdictional unit designating the applicable unit number as depicted on the plans approved and referenced herein. 51. The applicant shall designate a Wetland Scientist as an "Erosion Control Monitor" to oversee any emergency placement of controls and regular inspection or replacement of sedimentation control devices. The name and phone number of the erosion control monitor must be provided to the NACC in the event that this person has to be contacted, due to an emergency at the site, during any 24-hour period, including weekends. Proof of the retained monitor must be submitted to the Conservation Department on letterhead by the retained consulting firm. This person shall be given the authority to stop construction for erosion control purposes. The erosion control monitor will be required to inspect all such devices and oversee cleaning and the proper disposal of waste products. Cleaning shall include removal of any entrapped silt. 52. ON EVERY MONDAY of each week, or otherwise arranged by the NACC, in which construction activities occurs on-site and for as long thereafter as ground remains unstable, it is the applicant's responsibility that the Environmental/ Erosion Control Monitor (EMC) monitor the site and submit written reports to the NACC. The EMC shall certify 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 EMC 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. The reports shall also include current condition of erosion and sedimentation controls; describe any erosion or sedimentation repair and / or replacement; and describe any erosion or sedimentation problems and mitigation measures implemented. Such reports shall continue until the applicant requests a less frequent reporting schedule or an end to reports. This request must be submitted in writing and is subject to approval by the Conservation Administrator. 53. The applicant and/or the legal owner of that portion of land upon which these Orders of Conditions have been placed shall provide to the NACC prior to transferring, or assigning any portion of said land to another party, subject to said Orders of Conditions, the "Compliance Certification Form Affidavit" attached via "Appendix A" signed under the pains and penalties of perjury, stating that said applicant and/or owner has read these Orders of Conditions and is in compliance with each and every condition. This document shall apply to each of the conditions referenced herein and shall be provided to the Conservation Department at least five (5) business days after to the closing of said land transaction. CAW invord\OOC\OldSalernViIlage.doc g NACC 1/18/2006 DEP FILE # 242 - 1337 54. Once these above mentioned pre -construction requirements are complete, the applicant shall contact the Conservation Office prior to site preparation or construction and shall arrange an on-site conference with an NACC representative, the contractor, the engineer, wetland scientist and the applicant for each jurisdictional unit as referenced herein and the associated sewer line installation (a separate pre -construction meeting shall be held for every jurisdictional unit and for the sewer work) 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 for each pre -construction meeting (e.g. 72 hours). 11STORMWATER MANAGEMENT CONDITIONS 55. All construction and post -construction stormwater management shall be conducted in accordance with supporting documents and pians submitted with the Notice of Intent, the Department of Environmental Protection Stormwater Management Policy and as approved by the NACC in this Order of Conditions. 56. Evidence of maintenance of the stormwater management system shall be provided to the NACC on an annual basis by a Registered Professional Civil Engineer. The first report shall be submitted to the NACC one year after the first stormwater structure goes on-line and annual reports must continue to be submitted until a Certificate of Compliance is issued. Compliance with the designed stormwater management system and associated stormwater management conditions shall be satisfied prior to the issuance of a Certificate of Compliance. 57. All drainage structures shall be properly installed and functional. During construction, all drainage structures shall be maintained, as outlined in the approved Operation and Maintenance Plan. 58. Construction of the stormwater structures shall be constructed and functioning as part of the initial project phase, immediately following clearing and rough grading of the site to serve as siltation control during construction. Runoff from the site shall be directed towards the basin. C:1Wimfiord\000\Old SalemViIIage.doc q NACC 1/18/2006 DEP FILE # 242 - 1337 59. The approved stormwater structures shall be designed & constructed in accordance with the approved plans referenced herein. 60. Temporary and/or permanent basins being used for sedimentation and dewatering during construction shall be cleaned of sediment when levels exceed six (6) inches. The basins shall be cleaned of sediment prior to final grading and construction of permanent stormwater basins. 61. 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. 62. Water quality down gradient of BVW's shall not differ significantly following completion of the project from the pre -development conditions. There shall be no sedimentation into wetlands or water bodies from discharge pipes or surface runoff leaving the site. 63. Stormwater runoff shall be directed to the cultec infiltrators to provide groundwater recharge, as shown on the approved plans referenced herein. 64. Prior to the issuance of the Certificate of Compliance, the applicant shall be responsible for cleaning all stormwater structures, in accordance with the approved Operation & Maintenance Procedures Plan and the associated stormwater management conditions referenced herein. 65. The applicants, owners, and their successors and assignees, shall maintain all culverts, collections basins, traps, outlet structures, subsurface storage areas, and other elements of the drainage system, unless put into an easement to the Town of North Andover, in order to avoid blockages and siltation which might cause failure of the system and/or detrimental impacts to on-site or off-site resource areas, and shall maintain the integrity of vegetative cover on the site. SUBDIVISION LOT DEVELOPMENT 66. The NACC shall be notified in writing of any lot line or unit number changes with a copy of a plan showing these changes prior to any work on these lots/ units. DURING CONSTRUCTION C:\Winword\oOC\oldSalemVillage.doc 10 NnCC 1/18/2006 DEP FILE # 242 - 1337 67. Accepted engineering and Best Management Practices (BMPs) for construction standards shall be followed in the conduct of all work. 68. A crushed stone construction entrance shall be designated at the entrance drive (Old Salem Village Drive) to minimize soil/material tracking in accordance with the approved standards and specifications. This entrance shall be maintained and reinforced as necessary. 69. Prior to the construction and installation of the proposed Cultec infiltration units, soil testing shall be conducted in these locations to ensure and verify infiltration capacity and to ensure that the fill material used will have similar or better infiltration capacity. Results of the soil testing and supporting verification for each unit shall be submitted to the Conservation Department for review and approval. 70. 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. 71. IMPORTANT: Immediately upon completion of the dwelling foundations for each jurisdictional unit as refereneerl herein and prior to further construction activities associated with the site, the applicant shall complete a plan prepared by a Registered Professional Land Surveyor of the Commonwealth (R.P.L.S.) which accurately depicts the foundation location and it's proximity to wetland resource areas as approved under this Order of Conditions. Said plan shall be submitted to the Conservation Administrator for approval. 72. During construction of the forebay and the pocket wetland, field verification of the available storage capacity (i.e. verification of groundwater elevations) shall be documented and confirmed by the erosion control monitor and submitted to the Conservation Department in writing for review. 73. 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. 74. All catch basins shall contain oil/ gasoline traps, and it shall be a continuing condition of this order, even after a Certificate of Compliance is issued, that the oil/ gasoline traps in the catch basins be maintained. All catch basins shall be free of all accumulated silt and debris before Compliance is issued and the owner or his/her agent shall so specify in the request for Compliance. CAW inaord\00C\UldSaletnViIlage•doc I I NACC 1/18/2006 DEP FILE # 242 - 1337 75. The sewer lines on the site, where they cross wetland resource areas, shall be tested for water tightness in accordance with North Andover DPW standards. 76. Silt sacs/filter fabric or other siltation/sedimentation protection methods shall be installed at any catch basins within 100 feet of the work specific to the off-site sewer installation. f � inch or ) pLIZe.��sa. r J 77. The Erosion of Monitor shall be on site during and/or following a major storm event of ch f rain or greater to ensure that soils remain stable, erosion controls are adequate and secure, and that all BMP's are adequately functioning. 78.Approved de -watering activities anticipated shall be supervised and witnessed by the designated erosion control monitor. This designee must be on-site while dewatering is occurring. De -watering activities shall be conducted as shown on the approved plans and shall be monitored, daily by the erosion control monitor 'to ensure that sediment laden water is appropriately settled prior to discharge toward the wetland resource areas. No discharge of water is allowed directly into an area subject to jurisdiction of the Wetlands Protection Act and/or the North Andover Wetland Bylaw. If emergency de -watering requirements arise, the applicant shall submit a contingency plan to the Commission for approval, which provides for the pumped water to be contained in a settling basin, to reduce turbidity prior to discharge into a resource area. 79. The roadways shall be swept at least once per week or as directed by the Erosion Control monitor, the Site Supervisor, Project Manager, or the Conservation staff for as long as the site remains exposed and unstabilized. 80. The permanent fieldstone/barrier walls and fencing shall be constructed/installed „ upslope of the 25' No Disturbance Zone as shown on the approved plan referenced herein. 81. 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. 82. All exposed soil finish grade surfaces shall be immediately landscaped and stabilized, or loamed, seeded and mulched, with a layer of mulch hay. All disturbed areas must be graded, loamed and seeded prior to November 1St of each year. Outside of the growing season, exposed soil finish grade surfaces shall be stabilized with a layer of mulch hay until climate conditions allow for seeding. During construction, any area of exposed soils that will be left idle for more than 30 days shall be stabilized with a layer of mulch hay or other means approved by the NACC. CAW inword\00C\oldSalemViIIage.doc 12 NACC 1/18/2006 DEP FILE # 242 - 1337 83. No re -grading in the buffer zone shall have a slope steeper than 2:1 (horizontal: vertical). Slopes of steeper grade shall be rip -rapped to provide permanent stabilization. 84. Equipment shall not be staged overnight within 50 -feet of a wetland resource area. 85. There shall be no stockpiling of soil or other materials within twenty-five (25) feet of any resource area. 86. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system, or wetland resource area. 87. 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. 88. 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 89. No underground storage of fuel oils shall be allowed on any lot within one hundred (100) feet of any wetland resource area. This condition shall survive this Order of Conditions and shall run with the title of the property. This condition is issued under the authority of the Town's Wetland protection Bylaw. 90. Fertilizers utilized for landscaping and lawn care shall be slow release, low -nitrogen types (< 5%), and shall not be used within 25 feet of a resource area. Pesticides and herbicides shall not be used within 100 feet of a wetland resource area. This condition shall survive this Order of Conditions and shall run with the title of the property. This condition is issued under the authority of the Town's Wetland Protection Bylaw and shall remain in perpetuity. CAWinvord\OOC\OldSalemV illage.doc 13 NnCC 1/18/2000 DEP FILE # 242 -1337 91. The approved Operation & Maintenance Plan is fully binding upon the applicant, and or owners, successors, agents, associations, heirs and assigns and must be adhered to in perpetuity. The North Andover Conservation Commission must be notified in writing upon the creation of an Association or any other assignee responsible for the perpetual implementation of the Operation & Maintenance Plan. 92. Prior to the issuance of the Certificate of Compliance, the applicant shall submit to the Conservation Department an Affidavit from the Homeowners Association or other assignee (if applicable) acknowledging the Operation & Maintenance responsibilities of the stormwater management systems in accordance with the approved Operation & Maintenance Plan referenced and attached herein. 93. No road salt, sodium chloride, or other de-icing chemicals shall be used on paved surfaces within the buffer zone, and any arrangement for snow removal shall so stipulate due to the importance of the site and wetlands. Permanent signs designating "No -Salt Zone" and "No -Snow Stockpiling Zones shall be displayed in prominent locations as depicted on the approved plan referenced herein. Additional signs may be assigned in other locations as directed by the Conservation Administrator if necessary. The location and placement of these signs are subject to review and subsequent approval by the NACC or Agent thereof. Signs are available for purchase at the Conservation Department for a fee. Additional snow management procedures and snow storage/removal operations shall be addressed in the approved Operation & Maintenance Plan. 94. After completion of work, the applicant shall permanently mark the edge of the "25' No -Disturbance Zone" with forty-eight (48) signs or markers spaced evenly every 40 feet incorporating the following text: "Protected Wetland Resource Area". This will designate their sensitivity and assure no further inadvertent encroachment into the wetland. These permanent markers are subject to review and approval by the NACC. The applicant shall instruct all agents to explain these markers to buyers/lessees/landscapers and all persons taking over the property from the applicant. 95. Upon completion of construction and grading, all disturbed areas located outside resource areas shall be stabilized permanently against erosion. This shall be done either by loaming and seeding according to SCS standards. If the latter course is chosen, stabilization will be considered complete once vegetative cover has been achieved. 96. Upon approved site stabilization by Conservation staff, the erosion controls shall be removed and properly disposed of and all exposed unvegetated areas shall be seeded. 97. 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: CAW inaord\00001dSalemViIlage.doc 14 NACC 1/18/2006 DEP FILE # 242 - 1337 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: r "As -Built" post -development elevations of all drainage ar stormwater management structures constructed within 100 feet of any wetland resource area. NOTE: If portions of the stormwater systems exist partially within the Buffer Zone than the entire structure must be depicted to accurately verify compliance. 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. y Distances from structures to wetland resource areas. Structures include (but are not limited to) septic systems, additions, fences, sheds, stone walls, pools, retaining walls, subsurface utilities and decks. y 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. CAWinword\oOC\oldSalemVillage.doc 15 NACC 1/18/2006 DEP FILE # 242 - 1337 98. The 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 wetland resource areas will require a separate filing with the NACC. The, Conservation Administrator and/or other agents of the NACC do not have the authority to waive these setbacks as established under the local Bylaw (Condition #32); i- Discharge or spillage of pollutants (Condition #88); Y Maintenance of catch basins (Condition #74); �- Maintenance of all culverts, collections basins, traps, outlet structures, subsurface storage areas, and other elements of the drainage system, unless put into an easement to the Town of North Andover, in order to avoid blockages and siltation, which might cause failure of the system and/or detrimental impacts to on-site or off-site resource areas (Condition #65); Prohibition_ of underground fuels (Condition #kRA); Y Limitations on the use of fertilizers, herbicides, road salts, de-icing compounds and pesticides (Conditions #90 & #93). y The attached "Stormwater Operations and Management Plan", including Best Management Practices. No additional filings will be required to conduct maintenance of the above referenced system and plan. CAW inword\000\OldSalemViIlage.doc 16 NACC 1/18/2006 DEP FILE # 242 - 1337 I, 1) APPENDIX A - AFFIDAVIT on oath do hereby depose and state: (authorized agent of applicant and / or owner) (PLEASE CHECK AT LEAST ONE BLOCK) 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). 2) I am the and / or (position with owner) of (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) CAW inword\ooC\OldSalemViIlage.doc 17 NACC 1/18/2006 L11Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 E. Issuance DEP File Number: 242-1337 This Order is valid for three years, unless otherwise specified as a special j Q condition pursuant to General Conditions #4, from the date of issuance. 1. Date of Issu nce Please indicate the number of members who will sign this form: This Order must be signed by a majority of the Conservation Commission. 2. Number of signers The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office, 'f not filing electronically, and the property owner, if different from applicant. � Signatures: >' r f., Notary Acknowledgement Commonwealth of Massachusetts County of 1 l l_ . On thisI t Day Before me, the undersigned Notary Public, personally appeared Essex North Jai:.; Of Month Year Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License uescnption 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 City/Town F ONNAIAWEDGE Wrmf PLGW NwE�uTN OF 1YIMHU8ETT8 omm. Expbea Aug. 7, 2009 Place notary seal and/or any stamp above This Order is issued to the applicant as follows: by hand delivery on IIiyk's Date Conservation Commission Pnae of Notary Public _ Prin'ied Name of Notary Public My Comm6sior>/Expires ([late) ❑ by certified mail, return receipt requested, on uate wpaform5.doc • rev. 3/1105 Page 7 of 9 Massachusetts Department of Environmental Protection j Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 F. Appeals DEP File Number: 242-1337 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. wpaform5.doc • rev. 3/1/05 Page 8 of 9 L1Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 1 WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 G. Recording Information DEP File Number: 242-1337 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: Project Location Has been recorded at the Registry of Deeds of: for: County Property Owner 242-1337 DEP File Number Book Page 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: Uocument Number Signature of Applicant wpaform5.doc • rev. 3/1/05 Page 9 of 9 .o -z - -.oI-r-Z"-L .9 -ZZ . 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CFO a .4 0089`- a ma f4 a mg �a uCE o �s C mm- 7 �^ C �dSj E I X� Z — AD17 L K S I I I L I I I � d Y I � L- } J Q LL L y I I c a 1 C. I C I I LL 0 U cI P mm NUR i 2oo N �•In �mm0 Uus mm ' "O O OR 31 as U_ N o d E d 4 �3 g a. 0 9 m w N 89, m o 0 17 pp n ii N K ,om� o w 8m �$ a a@ 00 Q�g,�aQO£ �W o'rq f'N 916 W 333' g a3 q 2. CFO a .4 0089`- a ma f4 a f. Board of Building Regulations and Standards Construction Supervisor License Aly ..;� *cense \C$ 75302 Birthda't���y 2/4/1941 OoMition 12/,412008 Tr# 6950 �testr�ction �0 BENJAMIN'C.OSGOOD 69 OLD VILLAGE LANE., MA 01845 C ininissioner NO ANDOVER, o DEC -05-2007 08:31 AM LARRY OGDEN December 5, 2007 Mr. Benjamin Osgood Key Lime Inc. 1538 Turnpike Street North Andover, MA, 01845 978 352 2858 P.01 LAWRENCE H. OGDEN, P.E. 198 EAST MAW STREET GEORGETOWN$ MA 01833 978-352-8318 fax 978 -352-2858 pager 978-502-5921 fax to 978-685-1099 RE: Unit "E', Lot 18 Old Salem Village, North Andover Dear Mr. Osgood /0J 8 ,<-AOI' t4vsj? ftibo ee,v,sot) -r, -�FvL(Jow As you requested I visited the above project to review the Engineered Lumber used in the framing as shown on plans prepared by O'Sullivan Architects 11-30-06. and certified by me . The Engineered lumber is installed as shown on the drawings and field modification sketches as prepared by me. I therefore certify that the use and installation is acceptable and will support the loads as required by the Massachusetts State Building Code 6h Edition. Should you have any questions please call. Yours truly T,rence H. Ogden P.E. 10 007 41N The Commonwealth of Massachusetts 4. I am a general contractor and I Department of Industrial Accidents have hired the sub -contractors Office of Investigations listed on the attached sheet. $ 600 Washington Street These sub -contractors have Boston, MA 02111 i www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Kw- Y h�! I" MC Address: /V 14C fob cyd `De:V, —_ City/State/Zip: P. "Vet , W1 i4 Phone #: (Dl Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. $ ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp, insurance required.] Typeof ro'ect (required): 6. New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box # I must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ,` G+ r/ Policy # or Self -ins. Lic. #:�}t,{�G. 7®/3 �TTyi ©O`% Expiration Date: !•d✓6G Job Site Address: ®16 S4,4(r! �/Zip:�f7' B/iS�y Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct. Sil?nature. `C. o�►�r� Date ee //,�/mi- Phone #: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliancewith the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials s Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia O z rn uCf)- o wo cin o C w° ao' v U w o ao' w a w ~ F w ono oo' `� ' cn co w x dv to 7 C4 C w z w w M z cn v Q i o cn ui am o � _O C V Ci :•n� . ao ev = o co o co Ea m •: m o n v;fC ,o CD cr :o mC mmCL. - 0 ' 3 Ca .7 cm O • y o N •E cD • Kam o m m y _ a C co O V co V CO ` O a CDL. H C = O nEC LL •e O r •ntcc_ c LU .E C=.1 •p coD •N V O 0C3 CD Vi CL O O fl = W � CD N = F— t S 0. 4.. m o w ca m 12 CD C m P-4 p.Iw.%o L2 CO x Q u C/) Q O Q L O v Z d O y o c CD vs CO3 o O � — 0 CD CL ~ Q .Q �3 .0 O �CL) CD Q L _O O d �Q r ycc o � v tZ O �? COD Z � U CO) Q C — C C c CO) f WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual Insurance Company Burlington, Massachusetts (800) 876-2765 NCCI NO 26158 POLICY NO. AWC 7013446012007 PRIOR NO. AWC 7013446012006 ITEM 1. The Insured Keylime Inc Mailing Address: 10 Hepatica Drive North Andover MA 01845 (No. Street Town or City County State Zip Code ❑ Individual ❑ Partnership ® Corporation ❑ Other FEIN 04-3311218 Other workplaces not shown above: 2. The policy period is from09/15/2007 to 09/15/2008 12:01 a.m. standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here; MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury byDisease $ 1,000,000 policylimit Bodily Injury byDisease $ 1,000,000 eachemployee C. Other States Insurance: Coverage Replaced By Endorsement WC 20 03 06A D. This policy includes these endorsements and schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per $100 Estimated SAFETY GROUP Total Annual of Annual No. Remuneration Remuneration Premium INTRA 285896 SEE EXT NSION OF INFORI 1ATION PAGE Minimum premium $ 500.00 Total Estimated Annual Premium $ 2,439.00 As indicated, interim adjustments of premium shall be made: Deposit Premium $ 2,551.00 ® Annually ❑ Semi Annually ❑ Quarterty ❑ Monthly MA Assessment Chg. $2,033.95 x 5.5000% $112.00 This policy, including all endorsements, is hereby countersigned by &W, 08/16/2007 Authorized Signature Date GOV GOV STATE CLASSAUDIT KIND PLACING OFFICE 1705 CLAIM OFFICE NAME CHECK SAFETY GROUP MA 5645 2 WC 00 00 01 A (11-88) Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. M P Roberts Insurance Agency Inc 1060 Osgood Street North Andover, MA 01845 MAR -29-2008 01:48 PM LARRY-OGDEN 978 352 2858 P.02 ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) A0 PB Applicam Name: �'� -- Site Address: - r Town: Applicant Phone: 'Cl 79-M3o8 �8 � ...,.��3..._ -fid Applicant ion 1 �- Date of Application: 6 X90WIy: choose ONE of the following two o1►tiong 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA, FOR NEW ONE- AND TWO•FAMILX BUILDINGS Fenestration L;eurng or exposed Wall Floor $ Slab Perimeter Wactor floors R -Value R Value ir R -Value R -Value and th .35 R-38 R-19 R-19 /R•10 R-10 4 ft., ARM I HS" I SEER Cousemian Act (N'ABCA) d 1987 ea 4mm6d, minimums or Note: This form is not regtdred if you choose either of the two versions of REScheck as listed below. ❑ 0 'on 2: REScheck Version 4. 1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) �l REScheck-Web which can be accessed athttr�://wuvw ever c es v/ check/ AODITIONS OR ALTERATIONS TO EXISTING BUILRINGS OVER 5 YEARS OLD* *Buildings under 5 years old must use option #1 or #2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b + a) SF . 100 x _ + _ % of glazing (b) Glazing area equals SF b a If &1@4ng is:5 40% use the an below. If, aziA is > 40 U. reareed to "SUNROOM" section 780 CMR TABLE 6101,3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIM M ❑ Fenestration Ceiling and Wall Floor basement Wall U factor Exposed floors Slab Perimeter R -Value It -Value R -value R Value R -Value and DeDth .39 R-37 a R-13 R-19 R-10 R-10 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R -value over the entire ceiling area (im, not com reseed over exterior walls, and includingan access op enin SUNROOM - An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. 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