HomeMy WebLinkAboutMiscellaneous - 139 OLYMPIC LANE 4/30/2018 (3) l �
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BUTTERWORTH & O'TOOLE, INC.
P.O.BOX 8294
SALEM,MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE(978)741-5731 FAX(978)740-9109
February 22 , 2006
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City/Town Hall City/Town Hall
ADDRESSES
North Andover, MA 01845 North Andover, MA 01845
RE: Insured: Frank Decaro, Jr. and Angela Decaro
Address : 139 Olympic m is Lane
North Andover, MA 01845
Policy No. : D0466803
Loss of : 2/17/06
File or Claim No. : 060-0273
Claim has been made involving loss, damage or destruction of the above
captioned property, which may either exceed $1, 000 . 00 or cause Mass. Gen. Laws,
Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws,
Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the writer
and include a reference to the captioned insured, location, policy number, date
of loss and claim or file number.
If no reply is received from your office within ten days, we will assume
you have no liens of any type against this property and we will recommend to the
insuring company that this claim is paid.
Paul Dionne
Adjuster
Member of
National Association of Independent Insurance Adjusters
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Wetlands DEP File Number:
11 PA Form 5 - order of Conditions 242-1209
Provided by DEP
LA Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling From:
out forms on North Andover
the computer, Conservation Commission
use only the
tab key to This issuance if for(check one):
move your
cursor-do Order of Conditions
not Use the
return key. ❑ Amended Order of Conditions
Q To:Applicant: Property Owner(if different from applicant):
Phil Ferraguto SAME
»un Name Name
139 Olympic Lane
Mailing Address Mailing Address
North Andover MA 01845
CitytTown State Zip Code City/Town State Zip Code
1. Project Location:
139 Olympic Lane North Andover
Street Address City/Town
1066 134
Assessors Map/Plat Number Parcel/Lot Number
2. Property recorded at the Registry of Deeds for:
Essen North 1515 271
County Book Page
Certificate(if registered land)
3. Dates:
June 26, 2003 _ 7/30/03 7/31/03
Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance
4. Final Approved Plans and Other Documents (attach additional plan references as needed):
Notice of intent 6/26/03
Title
Date
Proposed Subsurface Sewage Disposal Plan 6/24/03
Title
Date
Title
Date
5. Final Plans and Documents Signed and Stamped by:
Richard C. Tangard
Name
6. Total Fee:
$55
(from Appendix B:Wetland Fee Transmittal Form)
Wpaform5.doc•rev.712810.3 Pagel of 7
r
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
1 WPA Form 5 - Order of Conditions 242-1209
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 Frank DeCarro
use the return a. First Name b.Last Name c.Company
key. 139 Olympic Lane
d.Mailing Address
North Andover MA. 01845
e.City/Town f.State g.Zip Code
4. Property Owner(if different from applicant):
a.First Name b. Last Name c.Company
d.Mailing Address
e.Cityfrown f.State g.Zip Code
5. Project Location:
139 Olympic Lane North Andover
a.Street Address b.City/Town
Map 106B Parcel 134
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)
1515 271
c.Book d. Page
7/7/04 8/25/04 9/8/04
7. Dates: a. Date Notice of Intent Filed b. Date Public Hearing Closed c.Date of Issuance
8. Final Approved Plans and Other Documents (attach additional plan or document references as
needed):
Proposed Subsurface Sewage Disposal System
a.Plan Title
New England Engineering Services, Inc. Benjamin C. Osgood, Jr.
b. Prepared By c.Signed and Stamped by
8/17/04 V = 20'
d.Final Revision Date e.Scale
f.Additional Plan or Document Title g. Date
9. Total WPA Fee Paid: a.Total Fee Paid b.State Fee Paid c.City/Town Fee Paid
wpaform5.doc• rev.918104 Page 1 of 8
L11Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1209
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 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 special
ecial
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 whichrovides measures which are e rote adequate to
q protect these interests and a final Order of
Conditions is issued.d A description of the performance
p p 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 t ed in the Wetlands Protection Act. Therefore, work on this project may
noto forward unless and
g until a revised Notice of Intent is submitted which provides sufficient information
and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions
is issued. A description of the specific information which is lacking and why it is necessary is
attached to this
Order as per 310 CMR 10.05(6)(c).
Inland Resource Area Impacts: Check all that apply below. (For Approvals Only)
Resource Area Proposed Permitted Proposed Permitted
Alteration Alteration Replacement Replacement
3. ❑ Bank
a. linear feet b. linear feet c.linear feet d. linear feet
4. ❑ Bordering Vegetated
Wetland a.square feet b.square feet c.square feet d.square feet
5. ❑ Land Under
Waterbodies and a. square feet b.square feet c.square feet d.square feet
Waterways
e.cu.yd dredged f.cu.yd dredged
w of
p orrn5.doc• rev.8/4/04
Page 2 of 8
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
1 WPA Form 5 - Order of Conditions 242-1209
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. ❑ Riverfront area a.total sq.feet b.total sq.feet
Sq ft within 100 ft c.square feet d.square feet
Sq ft between 100-200 ft e.square feet f.square feet
Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only)
g. ❑ Designated Port Indicate size under Land Under the Ocean, below
Areas
1o. ❑ 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
1g. ❑ 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.8/4/04 Page 3 of 8
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1209
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. General Conditions Under Massachusetts Wetlands Protection Act
(only applicable to approved projects)
1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory
measures, shall be deemed cause to revoke or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any
injury to private property or invasion of private rights.
3. This Order does not relieve the permittee or any other person of the necessity of complying with all
other applicable federal, state, or local statutes, ordinances, bylaws, or regulations.
4. The work authorized hereunder shall be completed within three years from the date of this Order
unless either of the following apply:
a. the work is a maintenance dredging project as provided for in the Act; or
b. the time for completion has been extended to a specified date more than three years, but less
than five years, from the date of issuance. If this Order is intended to be valid for more than three
years, the extension date and the special circumstances warranting the extended time period are
set forth as a special condition in this Order.
5. This Order may be extended by the issuing authority for one or more periods of up to three years each
upon application to the issuing authority at least 30 days prior to the expiration date of the Order.
6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse,
rubbish, or debris, including but not limited to lumber, bricks, 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 242-1209
wpaform5.doc• rev.814/04 Page 4 of 8
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
1 WPA Form 5 - Order of Conditions 242-1209
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. General Conditions Under Massachusetts Wetlands Protection Act
10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the
Conservation Commission shall be a party to all agency proceedings and hearings before DEP.
11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of
Compliance (WPA Form 8A) to the Conservation Commission.
12. The work shall conform to the plans and special conditions referenced in this order.
13. Any change to the plans identified in Condition#12 above shall require the applicant to inquire of the
Conservation Commission in writing whether the change is significant enough to require the filing of a
new Notice of Intent.
14. The Agent or members of the Conservation Commission and the Department of Environmental
Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours
to evaluate compliance with the conditions stated in this Order, and may require the submittal of any
data deemed necessary by the Conservation Commission or Department for that evaluation.
15. This Order of Conditions shall apply to any successor in interest or successor in control of the
property subject to this Order and to any contractor or other person performing work conditioned by
this Order.
16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland,
the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden
stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate
of Compliance has been issued by the Conservation Commission.
17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully
stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or
water body. During construction, the applicant or his/her designee shall inspect the erosion controls
on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately
control any erosion problems that occur at the site and shall also immediately notify the Conservation
Commission, which reserves the right to require additional erosion and/or damage prevention controls
it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of
work line has been approved by this Order.
Special Conditions:
If you need more See attached
space for
additional
conditions,
select box to
attach a text
document
wpaform5.doc• rev.8/4/04 Page 5 of 8
AMENDED ORDER CONDITIONS-139 Olympic Lane-242-1209
The Order of Conditions was issued to Phil Ferraguto on 7/31/03 for the installation of a
replacement subsurface sewage disposal system in Riverfront and within buffer zone to a bordering
vegetated wetland. The Order was recorded on 11/19/03, instrument#066121.
Condition#28 of the Order of Conditions shall be amended to read: "The proposed work includes:
The replacement of a subsurface sewage disposal system and the installation of an in ground pool
with a deck, associated grading activities, relocation of an existing shed, and implementation
of a vegetative barrier along the 25 foot No-Disturbance Zone within the buffer zone to a
bordering vegetated wetland and within riverfront of Boston Brook".
Condition#29 of the Order of Conditions shall be amended to include the revised record plan with a
final revision date of 8/17/04.
The following additional conditions shall be incorporated into the Order of Conditions as part of
this amendment:
PRE-CONSTRUCTION
1. Prior to the commencement of any pool construction activities, the shed shall be relocated
from the 25-foot No-Disturbance Zone.
2. Prior to the commencement of any pool construction activities the proposed Evergreen
barrier along the 25-foot No-Disturbance Zone shall be planted as depicted on the revised
plan.
3. Prior to the commencement of any pool construction activities, the erosion controls shall be
properly installed in the new locations as depicted on the revised plan.
4. Prior to the commencement of any pool construction activities, the applicant shall have on
hand a minimum of 10 additional haybales and an equivalent amount of stakes for staking
these bales for emergency sedimentation/erosion control purposes.
5. Prior to the commencement of any pool construction activities, a Professional Land
Surveyor shall stake the pool deck corners.
6. The applicant shall designate a Wetland Scientist as an"Erosion Control Monitor" to
oversee pool construction activities and submit weekly monitoring reports pursuant to
condition 47 of the Order of Conditions.
7. 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 pursuant to condition 50 of the Order of Conditions. A reasonable
period of time shall be'provided as notice of the pre-construction meeting (e.g. 72
hours).
DURING CONSTRUCTION
1. Pool water shall not be discharged towards the wetland resource area. Pool water shall be
filtered using a cartridge filter system to be reviewed and approved by the Conservation
Administrator. If necessary, pool waters shall be discharged into a dry well. This condition
shall remain in perpetuity and shall survive the issuance of a Certificate of
Compliance.
Massachusetts Department of Environmental Protection
I
Bureau of Resource Protection -Wetlands DEP File Number:
WPA Form 5 . Order of Conditions 242-1209
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Findings Under Municipal Wetlands Bylaw or Ordinance
1. Furthermore, the North Andover hereby finds (check one that applies):
Conservation Commission
2. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
a. Municipal Ordinance or Bylaw b.Citation
Therefore, work on this project may not go forward unless and until a revised Notice of Intent is
submitted which provides measures which are adequate to meet these standards, and a final Order of
Conditions is issued.
3. ® that the following additional conditions are necessary to comply with a municipal ordinance or
bylaw:
North Andover Wetland Protection Bylaw Chapter 178
a. Municipal Ordinance or Bylaw b.Citation
The Commission orders that all work shall be performed in accordance with the following conditions
and with the Notice of Intent referenced above. To the extent that the following conditions modify or
differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the
conditions shall control.
If you need more c. The special conditions relating to municipal ordinance or bylaw are as follows:
space for
additional See attached
conditions,
select box to
attach a text
document
E. Issuance
This Order is valid for three years, unless otherwise specified as a special condition pursuant to General
Conditions f4jrom the date of issuance.
980
1. Dat of issuance
Please indicate the number of members who will sign this form: S
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, if not filing electronically (see Appen and the property
owner, if different from applicant.
Signa res I
J.
L- l
n
waform5.doc- rev.8/4/04 Page 6 of 8
P 9
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1209
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
E. Issuance (cont.)
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this of
Day Month Year
Before me, the undersigned Notary Public, personally appeared
Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged to
me that he/she signed it voluntarily for its stated purpose.
As member of North Andover Conservation Commission
Cityrrown
5 nature of Notary Public
Printed Name of Notary Public
DONNA M.WEDGE
lit NoraKr I�uauc
tris
Place notary seal and/or any stamp above My Commiss (q,�kgamnExpMesAu8.7,2009
This Order is issued to the applicant as follows:
❑ by hand delivery on ❑ by certified mail, return receipt requested, on
Date Date
F. Appeals
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject
to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of
their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions.
The request must be made by certified mail or hand delivery to the Department, with the appropriate filing
fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in
310 CMR 10.03(7)within ten business days from the date of issuance of this Order. A copy of the request
shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to
the applicant, if he/she is not the appellant.
The request shall state clearly and concisely the objections to the Order which is being appealed and how
the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands
Protection Act, (M.G.L. c. 131, §40) and is inconsistent with the wetlands regulations (310 CMR 10.00).
To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts
Wetlands Protection Act or regulations, the Department has no appellate jurisdiction.
wpaform5.doc• rev.814104 Page 7 of 8
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
11DEP File Number:
WPA Form 5 - Order of Conditions 242-1209
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
G. Recording Information
This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in
which the land is located, within the chain of title of the affected property. In the case of recorded land, the
Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land
subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court
Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information
on Page 7 of this form shall be submitted to the Conservation Commission listed below.
North Andover
Conservation Commission
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission.
------------------------------------- -------------------------------------------------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Order of Conditions for the Project at:
242-1209
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County Book Page
for:
Property Owner
and has been noted in the chain of title of the affected property in:
Book Page
In accordance with the Order of Conditions issued on:
Date
If recorded land, the instrument number identifying this transaction is:
Instrument Number
If registered land, the document number identifying this transaction is:
Document Number
Signature of Applicant
wpaform5.doc• rev.8/4/04 Page 8 of 8
t „-ice
ILAMassachusetts Department of Environmental protection DEP File Number
Bureau of Resource Protection-Wetlands
WPA Form 5 - Order of Conditions 242-1209
� Massachusetts Wetlands Protection Act M.G.L. c. 139, §40 Provided by DEP
A. General Information
Important: From:
When filling
out forms on North Andover
the computer, Conservation Commission
use only the
tab key to This issuance if for(check one):
move your
cursor-do Order of conditions
not use the
return key. ❑ Amended Omer of Conditions
To: Applicant: Property Owner(if different from applicant):
IL 0 Phil Ferraguto SAME
Name Name
139 Olympic Lane
Mailing Address Mailing Address
North Andover MA 01845
City/Town State Zip Code Cityrrown State Zip Code
1. Project Location:
139 Olympic Lane North Andover
Street Address ,..., Cityrrown
106B 134
Assessors Map/Plat Number Parcel/Lot Number
2. Property recorded at the Registry of Deeds for:
Essen North 1515 271
County Book Page
Certificate(if registered land)
3. Dates:
June 26, 2003 7/30/03 7/31/03
Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance
4. Final Approved Pians and Other Documents(attach additional plan references as needed):
Notice of Intent 6/26/03
Title Date
Proposed Subsurface Sewage Disposal Plan 6/24/03
Title Date
Title Date
5. Final Plans and Documents Signed and Stamped by:
Richard C. Tangard
Name
6. Total Fee:
$55
(from Appendix B:Wetland Fee Transmittal Form)
Wpafo[m&doc•rev-028103 Pagel of i
r
Massachusetts Department of Environmental Protection
DEP File Numbe
Bureau of Resource Protection -Wetlands
Ll WPA Form 5 - Order of Conditions 242-1209
Provided by DEF
Massachusetts Wetlands Protection Act.M.G.L. c. 131, §40
B. Findings
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
proposed is significant to the following interests of the Wetlands Protection Act.Check all that apply:
® Public Water Supply ❑ Land Containing Shellfish ® Prevention of Pollution
Private Water Supply ❑ Fisheries ® Protection of Wildlife Habit
Z Groundwater Supply ® Storm Damage Prevention ® Flood Control
Furthermore,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 for
in the wetlands regulations,to protect those interests checked above.This Commission orders that
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 wit
the Notice of tntefit,These conditions shall control.
Denied because:
❑ the proposed worts cannot be conditioned to meet the performance standards set forth in the wetlari
regulations to protect.those interests checked above.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.
❑ the information submitted by the applicant is not sufficient to describe the site,the work, or the elle
of the work on the interests identified in the Wetlands Protection Act.Therefore,work on this projec
may not go forward unless and until a revised Notice of Intent is submitted which provides suffrcien
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 h
necessary is attached to this Order as per 310 CMR 10.05(6)(c).
General Conditions (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.
Wpafortn5.doc•rev.728103 Page 2 d
Massachusetts Department of Environmental Protection
SEP File Number.
Bureau of Resource Protection -Wetlands
WPA Form 5 - Order of Conditions 2 2 �°9oEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
EP
B. Findings (cont.)
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 011ier 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 Omer 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 into
be done. In the ccose,of the registered land,the Final Order shall also be noted on the Land Court
Certificate of T'dld 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'for, `MA DEP']
"File Number242-1209
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 Omer 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.
Wpaform&doc-rev.7/31/03 Page 3 of 7
e
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection -Wetlands
LLI I WPA Form 5 — Order of Conditions Pro
Provided '
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings (cont.)
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.
Findings as to municipal bylaw or ordinance
Furthermore,the North Andover hereby finds(check one that applies):
Conservation Commission
❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
Municipal Ordinance or Bylaw 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.
that the following additional conditions are necessary to comply with a municipal ordinance or bylaw,
specifically:
Chapter 178 of the Code of North Andover
Municipal Ordinance or Bylaw Citation
The Commission orders that all work shall be performed in accordance with the said additional
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.
Wpaform&doc•rev.728703 Page 4 of 7
m ,
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number
WPA Form 5 - Order of Conditions 242-1209
1
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Findings (cont.)
Additional conditions relating to municipal ordinance or bylaw:
See attached Conditions
This Order is valid for three years, unless otherwise specified as a special condition pursuant to General
Conditions#4, f the oate of issuance.
� d3
Date
This Omer must be signed.by a majority of the Conservation Commission.The Order must be mailed by
certified mail(return receipt r ) or hand delivered to the applicant.A copy also must be mailed or
hand delivered at the same ' e t the appropriate Department of Environmental Protection Regional
Office(see Appendix - roperty owner(if different from applicant).
Signatures:44/T/
C
on Of
Day MorAh a6d Year
before me personally appeared
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.
0;2 -- . �-- 7 �
No ary Public My Com issio6lExpires
This Omer is issued to the applicant as follows:
dby hand delivery on U by certified mail, return receipt requested,on
Date Date
Wpaform5.doc fev.7128103 Page 5 of 7
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection -Wetlands
WPA Form 5 - Order of Conditions 242=1209
1
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Appeals
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject
to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of
their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions.
The request must be made by certified mail or hand delivery to the Department,with the appropriate filing
fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in
310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request
shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to
the applicant, if he/she is not the appellant.
The request shall state clearly and concisely the objections to the Order which is being appealed and how
the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands
Protection Act, (M.G.L. c. 131, §40) and is inconsistent with the wetlands regulations(310 CMR 10.00).
To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts
Wetlands Protection Act or regulations,the Department has no appellate jurisdiction.
D. 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.'Jp ttte 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 Form 5 shall be submitted to the Conservation Commission listed below.
North Andover
Conservation Commission
WNpaform54oc-rev.7/28103 Page 6 of 7
DEP FILE #242- 1209
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 following conditions modify or differ from the
plans, specifications or other proposals submitted with the Notice of Intent, the
conditions shall control.
GENERAL CONDITIONS
18. Failure to comply with all conditions stated herein,and with all related statutes and
other regulatory measures, shall be deemed cause to revoke or modify this Order.
19.This Order does not grant any property rights or any exclusive privileges; it does
not authorize any injury to private property or invasion of property rights.
However,the NACC, agent of the NACC or the Department of Environmental
Protection(DEP)reserves the right to enter and inspect the property at all
reasonable times until a Certificate of Compliance is issued, to evaluate compliance
with this Order of Conditions, the Act(310 CMR 10.00), the North Andover Wetland
ByLaw and Regulations,and may require any information, measurements,
photographs, observations, and/or materials, or may require the submittal of any
data or information deemed necessary by the NACC for that evaluation. Further,
work shall be halted on the site if the NACC,agent or DEP determines that any of
the work is not in compliance with this Order of Conditions. Work shall not resume
until the NACC is satisfied that the work will comply and has so notified the
applicant in writing.
20.This Order does not relieve the permittee or any other person of the necessity of
complying with all other applicable federal, state or local statutes, ordinances, by-
laws or regulations.
21. The work authorized hereunder shall be completed within three years from the date
of this order.
22. This Order may be extended by the issuing authority for one or more periods of up
to one year each upon application to the issuing authority at least thirty days (30)
prior to.the expiration date of the Order (Refer to Section VIII (B)(p.33) 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 pians or circumstances are changed or if new conditions
or information so warrant
CAWimQrd100C1242-1209.d«c 1 NACC 7/28/03
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DEP FILE#242- 1209
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 More the Department.
25. This Order of Conditions is issued under File No. 242-1209.
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 replacement of a subsurface sewage disposal
system in Riverfront and buffer zone to Bordering Vegetated Wetland.
29. The work shall conform to the following (except as noted in the remainder of this
document where revs6ns may be required):
Notice of Intent filed by: Philip Ferraguto
139 Olympic Lane
North Andover,MA 01845
Dated June 26,2003
Site Plans prepared by: New England Engineering Service, Inc.
-130 Olympic Lane
North Andover,MA 01845
Entitled Proposed Subsurface Sewage Disposal System,139
Olympic Lane,North Andover,MA,prepared for
Philip Ferraguto,139 Olympic Lane,North Andover,
MA 01845,dated June 24,2003
30.The following wetland resource areas are affected by the proposed work: Bordering
Vegetated Shetland(BVW) &Riverfront Area. These resource areas are significant
to the interests of the Act and Town ByLaw as noted above and therein. The
applicant has not attempted to overcome the presumption of significance of these
resource areas to the identified interests.
CAWinword\00C\242-1209.doc 2 NACC 7/28/03
DEP FILE#242- 1209
31. The NACC agrees with the applicants delineation of the wetland resource areas on
the site as shown on the plans dated referenced herein.
32. The NACC finds that the intensive use of the upland areas and buffer zone
proposed on this site will cause further alteration of the wetland resource areas. In
order to prevent any alteration of wetland resource areas a twenty five foot(25')
No-Disturbance Zone (except in areas previously disturbed) 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 IIID) &Appendix G of the local Regulations).
33.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.
.34. 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 cher 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.
35. 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. 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 wafter damage.
Maintenance of the drainage system, if accepted by the Town as part of a public
way, becomes the responsibility of the Town.
36. 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.
CAWinword\000242-1209.doc 3 NACC 7/28/03
a
DEP FILE #242- 1209
PRIOR TO CONSTRUCTION
37. 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.
38. 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.
39. A sign shall be displayed.at the site not less than two square feet or more than three
square feet in size b6fifig the words"Massachusetts DEP,File Number 242-1209."
40.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.
41. 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
C Winword\OOC\242-1209.doc 4 NACC 7/28/03
DEP FII.E#242- 1209
42. 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.
43.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
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.
44. 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."r ion. 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.
45. 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.
46.A check payable.to the Town of North Andover shall be provided in the amount of
$1500,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
C:\Winword\00C\242-1209.doc 5 NACC 7/28/03
t
DEP FUX#242- 1209
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.
47.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 NACC or its Administrator will
provide a list of approved consultants, of which one of the firms, will be required to
provided the monitoring services. 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. This person shall be given the authority to stop construction for
erosion control purposes. The erosion control monitor will be required to inspect
all such devices and oversee cleaning and the proper disposal of waste products.
Cleaning shall include removal of any entrapped silt At least once during each
week in which construction activities occurs on-site and for as long thereafter as
ground remains unstabilized, the applicant shall submit a written report from the
"Erosion Control Monitor' to the NACC certifying that, to the best of his/her
knowledge and belief based on a careful site inspection, all work is being performed
in compliance with this Order of Conditions and that approved setbacks are being
adhered to. The erosion>control monitor must visually inspect all
sedimentation/erosion control measures and assume responsibility for their
maintenance on a weekly basis and that they are functioning as intended. In
addition, all wetland resource areas must be visually inspected for siltation,
turbidity, and/or other water quality impacts.
48. Prior to construction, the applicant shall permanently mark the edge of the "25'
No-Disturbance Zone"with signs or markers spaced evenly every 25 feet
incorporating the following text: "Protected Wetland Resource Area".
Considering the 25'No-Disturbance is not fully being maintained,the markers
should be placed at the existing tree line. 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
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
CAWinword\00C\242-1209.doc 6 NACC 7/28/03
DEP FILE#242 - 1209
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 prior 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).
DURING CONSTRUCTION
51. Upon beginning work, the applicant shall submit written progress reports every
one (1)week 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.
52. De-watering activities anticipated shall be supervised and witnessed by the
designated erosion control monitor. This designee must be on-site while work
specific to de-watering activities are occurring and until complete. If de-watering
becomes necessary,activities shall be conducted in accordance with a de-
watering plan to be submitted and approved by the Conservation Department.
Activities 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.
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DEP FILE#242 - 1209
53. 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.
54. No exposed area shall remain unfinished for more than thirty(30)days, unless
approved by the NACC.
55. 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.
56. There shall be no stockpiling of soil or other materials within twenty-five (25)feet of
any resource area and shall occur at the locations designated on the site plan.
57,Washings from concrete trucks,or surplus concrete, shall not be directed to, any
drainage system, or wetland resource area.
58. 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 force.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.
59. Accepted engineering and construction standards and procedures shall be followed
in the completion of the project.
60. 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
61. 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.
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62. 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.
63. No road salt,sodium chloride,or other de-icing chemicals shall be used on paved
surfaces, and any arrangement for snow removal shall so stipulate due to the
importance of the site and wetlands.
64. 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.
65. Upon complete stabilization of the site, all erosion controls must be removed and
disposed of properly and unvegetated areas must be seeded immediately.
66. Upon completion of the project the applicant shall submit the following to the
P P g
Conservation Comm*''sivn 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
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DEP FILE#242- 1209
resource area. NOTE: If portions of the stormwater systems exist
partially within the Buffer Zone than the entire structure must be
depicted to accurately verify compliance.
➢ "As-Buil' post-development elevations and grades of all filled or
altered wetland resource areas including the encompassing buffer
zone which is regulated as a resource area under the local Wetland
Protection Bylaw.
➢ Distances from structures to wetland resource areas. Structures
include (but are not limited to) septic systems, additions, fences,
sheds,,stone walls, pools, retaining walls, subsurface utilities and
decks.
➢ A line showing the limit of work and the extent of existing erosion
control devices. "Work" includes as disturbance of soils or
vegetation.
➢ Location of all subsurface utilities entering the property.
67. The following special conditions shall survive the issuance of a Certificate of
Compliance.(COC) for this project:
➢ 25' No-Disturbance Zone and a 50' No-Construction Zone shall be
established from the edge of adjacent wetland resource areas except in
those locations approved under this filing. Future work within 100' of
existing wetland resource areas will require a separate filing with the
NACC(refer to Section XI(page 18) of the Regulations for
performance standards within these zones) The Conservation
Administrator and/or other agents of the NACC do not have the
authority to waive these setbacks as established under the local
ByLaw;
➢ Discharge or spillage of pollutants (Condition # 60);
➢ Prohibition of underground fuels (Condition#61);
➢ Limitations on the use of fertilizers, herbicides, road salts, de-icing
compounds and pesticides (Conditions #62&63).
CAWinword\000242-1209.doc 10 NACC 7128/03
a
DEP FILE#242- 1209
APPENDIX A-AFFIDAVIT
L on oath do hereby depose and state:
(authorized agent applicant and/or current owner)
(PLEASE CBECKAT LEAST ONE BLOCK)
1. I am the of
(position with applicant) (applicant name or company name)
the applicant upon whom Order of Conditions
have been placed upon by (DEP or NACC number)
the North Andover Conservation Commission.
&/or
2. I am the of
(position with owner) (owner name)
the owner upon whose land Order of Conditions
have been placed up by (DEP or NACC number)
the North Andover Conservation Commission.
3. I hereby affirm.*.arknowledge that I have received said Order of Conditions
and have read the same and understand each
(DEP File#) and every condition which has been set forth
di
in said Order of Conditions.
4. .1 hereby affirm and acknowledge that on this day of 19
1 inspectedected said property together with anYand allimprovementswhich have
been made to the same and hereby certify that each and every condition set
forth in Order of Conditions are presently in compliance.
(DEP File#)
5. I hereby affirm and acknowledge that.this document will be relied upon by the
North Andover Conservation Commission as well as any potential buyers of
said property which is subject to said Order of Conditions
(DEP File#)
Signed under the pains and penalties of perjury this day of 19
(gignatare-authorized agent of applicant or owner)
C:\Winword\00C\242-1209.doc 11 NACC 7/28/03
Massachusetts Department of Environmental Protection
DEP File Number
Bureau of Resource Protection -Wetlands
NAPA Form 5 - Order of Conditions P 2-1 b9DEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Recording Information (cont.)
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 DEP File Number
Has been recorded at the Registry of Deeds of:
County Book Page
for:
Property Owner
S�
and has been noted in the chain of title of the affected property in:
Book Page
In accordance with the Order of Conditions issued on:
Date
If recorded land,the instrument number identifying this transaction is:
Instrument Number
If registered land,the document number identifying this transaction is:
Document Number
Signature of Applicant
Wpaform5.doc-rev.7/28/03 Page 7 of 7
A
LIMassachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Appendix E Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Request Information
Important: 1. Person or party making request(if appropriate, name the citizen group's representative).
When filling
out forms on
the computer, Name
use only the
tab key to Mailing Address
move your
cursor-do City/Town state Zip Code
not use the
return key. Phone Number Fax Number(if applicable)
Project Location
Mailing Address
rater
Cityrrown state Zip Code
2. Applicant(as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation
(Form 4A); or Request for Determination of Applicability(Form 1)):
Name
Mailing Address
Cityrrown State Zip Code
Phone Number Fax Number(if applicable)
3. DEP File Number:
B. Instructions
1. When the Departmental action request is for(check one):
❑ Superseding Order of Conditions
❑ Superseding Determination of Applicability
❑ Superseding Order of Resource Area Delineation
Send this form and check or money order for$50.00, payable to the Commonwealth of Massachusetts to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpaforrn5.doc-Aprendbc E-rev.7/28103 Page 1 of 2
„ s
Massachusetts Department of Environmental Protection
Bureau of Resource Protection.-Wetlands
WPA Appendix E — Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a Supersedin
Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (se
Appendix A).
4. 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 theappellant.
I
wpaform5.doc•Appendb(E-.rev.7/28/03 Page 2 of:
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1209
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the Frank DeCarro _
computer, use Name
only the tab
key to move 139 Olympic Lane
your cursor- Mailing Address
do not use the North Andover MA. 01845
return key. City/Town State Zip Code
Q2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to:
Frank DeCarro
Name
9/8/04 242-1209
Dated DEP File Number
3. The project site is located at:
139 Olympic Lane North Andover
Street Address City/Town
Map 106B Parcel 134
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 1515 271
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent, on:
7/21/06
Date
B. Certification
Check all that apply:
® Complete Certification: It is hereby certified that the work regulated by the above-referenced
Order of Conditions has been satisfactorily completed.
❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the
above-referenced Order of Conditions have been satisfactorily completed.The project areas or work
subject to this partial certification that have been completed and are released from this Order are:
wpaform 8b.doc•rev.7/13/04 Page 1 of 4
f'
Massachusetts Department of Environmental Protection
�-- Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
1 242-1209
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Certification (cont.)
❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above-referenced
Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no
longer valid. No future work subject to regulation under the Wetlands Protection Act may
commence without filing a new Notice of Intent and receiving a new Order of Conditions.
® Ongoing Conditions: The following conditions of the Order shall continue: (Include any
conditions contained in the Final Order, such as maintenance or monitoring, that should continue
for a longer period).
Condition Numbers:
67
C. Authorization
Issued by:
North Andover 7 2
Conservation Commission Date of Issu nce
This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the
applicant and appropriate DEP Regional Office (See Attachment).
Signatures:
/Z15.
wpaform Bb.doc•rev.7/13/04 Page 2 of 4
Massachusetts Department of Environmental Protection
��— Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
1 242-1209
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
Day Month Year
before me, the undersigned Notary Public, 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
ignature of Notary Public
9NSSSSSSSa �fJN7/� �� ����CT�
DONNA M.WEDGE Printed Name of Notary Public
{;' f NOTARY PUBLIC
{'!A 1r,'.ONWEALTH OF MASSACHUSETTS
amu`, y Comm.Expires Aug.7,2009
9
My Co V sion xpires(Date)
Z-Z;) ,
Place notary seal and/or any stamp above
Signature of Notary Public If
wpaform 8b.doc•rev.7/13/04 Page 3 of 4
1 ,
Massachusetts Department Environmental
e of
p Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance
242-1209
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:
242-1209
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County
for:
Property Owner
and has been noted in the chain of title of the affected property on:
Date Book Page
If recorded land, the instrument number which identifies this transaction is:
If registered land, the document number which identifies this transaction is:
Document Number
Signature of Applicant
wpaform 8b.doc•rev.7/13/04 Page 4 of 4
rt
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
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 Marlborough 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 Mendon Princeton Tyngsborough
Brookfield Hopedale Milfurd 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
1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole
Arlington Cohasset Hull Middleton Reading Waltham
Boston, MA 02108 Ashland Concord Ipswich Millis Revere Watertown
Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland
Fax: 617-556-1049 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 Hamilton Medford Norwood Tewksbury Woburn
Carlisle Haverhill Melrose Peabody Topsfield
wpaform8b.doc•DEP Addresses•rev.7/20/06 Page 1 of 1