HomeMy WebLinkAboutMiscellaneous - 281 BLUE RIDGE ROAD 4/30/2018 (2)('
c�
a
i
4. IS 6 FP -E; I 2-F IT- 4: 1 CH $E3. 7 11
Y,3 55 2 --- 0:1 CJ 2. qlz�� U�-
Massachusetts Department of Environmental Protection
ILIBureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate of Compliance 242-1423
I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 d by DEP
3. The project site is located at:
281 Blue Ridge Road North Andover
Street Address Cityrrown
Map 65 Parcel 189
Parcel/Lot Number
Assessors Map/Plat Number
the final Order of Condition was recorded at the Registry of Deeds for:
_�roperty owner (if different)
Essex North
County
11153 2
Book Page
Certificate presence of the a plicant, or the applicant's agent,
4. -- A -site inspection was made in the
on:
4/27/11
Date
wpafrm8b.doe - rev. 12123/09
WPA Form 8B, Certificate of Compliance - Page 1 of 3
A. Project Information
Important:
1 This Certificate of Compliance is issued to:
When filling out
.
forms on the
Chris Skowronek
computer, use
only the tab key
Name
to move your
281 Blue Ridge Road
cursor - do not
use the return
—M—air—ing Address
MA 01845
key.
North Andover
-§t—ate Code
cityrrown
Compliance is issued for work regulated by a final Order of
2. This Certificate of
Conditions issued to:
Chris Skowronek
Name
242-1423
April 10, 2008
DEP File Number
Dated
3. The project site is located at:
281 Blue Ridge Road North Andover
Street Address Cityrrown
Map 65 Parcel 189
Parcel/Lot Number
Assessors Map/Plat Number
the final Order of Condition was recorded at the Registry of Deeds for:
_�roperty owner (if different)
Essex North
County
11153 2
Book Page
Certificate presence of the a plicant, or the applicant's agent,
4. -- A -site inspection was made in the
on:
4/27/11
Date
wpafrm8b.doe - rev. 12123/09
WPA Form 8B, Certificate of Compliance - Page 1 of 3
ILIMassachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 8B — Certificate of Compliance 242-1423
I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided -by DEP
B. Certification
Check all that apply:
Z 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:
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:
65
C. Authorization
issued by:
North Andover
Conservation commission
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
hftp://www.mass.gov/dep/abo t/region/findyour.htm).
WPA Form 8B, Certificate of Compliance - Page 2 of 3
wpafrm8b.doc - rev. 12123109
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 8B — Certificate Of Compliance 242-1423
Massachusetts Wetlands Protection Ac . t 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.
t6-: ----------------------------------------------------------------------------------------------------
North Andover
uonservation L;ommission
Please be advised that the Certificate of Compliance for the project at:
281 Blue Ridge Road 242-1423
Project Location DEP File Number
Has been recorded at the Registry of Deeds of.
Essex North
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 Iand-,thedocument numbe'r-w-hich idm-ti-fiest-his transaction is: ---
Document Number
Signature of Applicant
wpafrm8b.doc - rev. 12/23109 WPA Form 8B, Certificate of Compliance - Page 3 of 3
Ll'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
Important:
When filling
out forms on
the computer,
use only the
tab key to
move your
cursor - do not
use the return
key.
A. General Information
1. F rom:
North Andover
MassDEP File Number:
242-1423
Uonservation Commission
2. This issuance is for (check one): a. Z Order of Conditions b. [I Amended Order of Conditions
3. To: Applicant:
Chris
a. First Name
c. Organization
281 Blueridge Road
d. Mailing Address
North Andover
e. City/Town
4. Property Owner (if different from applicant):
Same
Skowronek
b. Last Name
MA
f. State
01845
g. Zip Code
a. First Name
b. Last Name
c. Organization
d. Mailing Address
e. City/Town f. State
g. Zip Code
5. Project Location:
281 Blueridge Road
North Andover
a. Street Address
b. City/Town
Map 65
Parcel 189
c. Assessors Map/Plat Number
d. Parcel/Lot Number
Latitude and Longitude, if known:
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 Number (if registered land)
c.Book
d.Page
7. Dates: 2/29/08
a. Date Notice o�lntent 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 Pool PLan
a. Plan Title
New England Engineering Sevices, Inc.
Benjamin C. Osgood, Jr., P. E.
b. Prepared By
c. Signed and Stamped by
2/28/08, revised 3/17/08
111 = 20'
d. Final Revision Date
e. Scale
f. Additional Plan or Document Title
g. Date
wpaform5.doc - rev. 2/27/08 Page I of 10
f I
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands MassDEP File Number:
WPA Form 5 - Order of Conditions 242-1423
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. 0 Public Water Supply b. [I Land Containing Shellfish c. M Prevention of Pollution
d.
Private Water Supply
e. El Fisheries
Protection of Wildlife
Resource Area
Proposed
Permitted
Proposed
Habitat
g.
Groundwater Supply
h. N Storm Damage Prevention i.
Z
Flood Control
2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes)
Approved subject to:
a. 0 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:
b. El 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.
c. El 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)
3. 0 Buffer Zone Impacts: Shortest distance between limit of project disturbance and
wetland boundary (if available)
a. linear feet
Resource Area
Proposed
Permitted
Proposed
Permitted
Alteration
Alteration
Replacement
Replacement
4. F-1
Bank
a. linear feet
b. linear feet
c. linear feet
d. linear feet
5. 0
Bordering Vegetated
Wetland
a. square feet
b. square feet
c. square feet
d. square feet
6. E�
Land Under Waterbodies
a. square feet
b. square feet
c. square feet
d. square feet
and Waterways
e. c/y dredged
f. c/y dredged
wpaform5.doc - rev. 2/27/08
Page 2 of 10
� I I
Ll'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
MassDEP File Number:
242-1423
B. Findings (cont.)
0
BarrierBeaches
Indicate size under Coastal Beaches and/or Coastal Dunes below
13.
Resource Area
Proposed
Permitted
Proposed
Permitted
Alteration
Alteration
Replacement
Replacement
7. El Bordering Land
Coastal Dunes
Subject to Flooding
a. square feet
b. square feet
c. square feet
d. square feet
Cubic Feet Flood Storage
Coastal Banks
e. cubic feet
f. cubic feet
g. cubic feet
h. cubic feet
8. FJ Isolated Land Subject
Rocky Intertidal Shores
to Flooding
a. square feet
square feet
b. square feet
17.
Cubic Feet Flood Storage
Salt Marshes
-feet
c. cubic Jeet
cubic
e. cubic feet
f. cubic feet
9. El Riverfront area
Land Under Salt Ponds
-feet
-
a. total sq. feet
total sq
b. square feet
Sq ft within 100 ft
c. square feet
square feet
e. square feet
f. square feet
Sq ft between 100-200 ft
g. square feet
square feet
i. square feet
j. square feet
Coastal Resource Area Impacts:
Check all that apply
below. (For Approvals Only)
10. Designated Port Areas
Indicate size under Land Under the Ocean, below
ii. Land Under the Ocean
a. square feet
b. square feet
12.
0
BarrierBeaches
Indicate size under Coastal Beaches and/or Coastal Dunes below
13.
El
Coastal Beaches
a. square feet
b. square feet c. c/y nourishrnt. d. c/y nourishrnt.
14.
0
Coastal Dunes
a. square feet
b. square feet c. c/y nourishmt. d. c/y nourishrnt.
15.
El
Coastal Banks
a. linear feet
b. linear feet
16.
El
Rocky Intertidal Shores
a. square feet
b. square feet
17.
El
Salt Marshes
a. square feet
b. square feet c. square feet d. square feet
18.
El
Land Under Salt Ponds
-
a. square feet
b. square feet
19. El Land Containing
Shellfish a. square feet b. square feet c. square feet d. square feet
20. F-1 Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the
Ocean, and/or inland Land Under Waterbodies and Waterways,
above
�21. E] Land Subject to Coastal
Storm Flowage a. square feet b. square feet
wpaform5.doc - rev. 2/27/08 Page 3 of 10
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands MassDEP File Number:
WPA Form 5 - Order of Conditions 242-1423
L( i 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, "MassDEP]
"File Number 242-1423
wpaform5.doc - rev. 2127/08 Page 4 of 10
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
MassDEP File Number:
242-1423
G. 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 MassDEP.
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. The work associated with this Order is (1) Z is not (2) 0 subject to the Massachusetts
Stormwater Policy Standards. If the work is subject to the Stormwater Policy, the following
conditions apply to this work and are incorporated into this Order:
a) No work, including site preparation, land disturbance, construction and redevelopment, shall
commence unless and until the construction period pollution prevention and erosion and
sedimentation control plan required by Stormwater Standard 8 is approved in writing by the issuing
authority. Until the site is fully stabilized, construction period erosion, sedimentation and pollution
control measures and best management practices (BMPs) shall be implemented in accordance with
the construction period pollution prevention and erosion and sedimentation control plan, and if
applicable, the Stormwater Pollution Plan required by the National Discharge Elimination System
Construction General Permit.
wpaform5.doc - rev. 2/27/08 Page 5 of 10
ILIMassachusetts 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
MassDEP File Number:
242-1423
L;. Ueneral Conditions Under Massachusetts Wetlands Protection Act (cont.)
b) No stormwater runoff may be discharged to the post -construction stormwater BMPs until written
approval is received from the issuing authority. To request written approval, the following must be
submitted: illicit discharge compliance statement required by Stormwater Standard 10 and as -built
plans signed and stamped by a registered professional engineer certifying the site is fully stabilized;
all construction period stormwater BMPs and any illicit discharges to the stormwater management
system have been removed; and all post -construction stormwater l3MPs were installed in accordance
with the plans (including all planting plans) approved by the issuing authority, and have been
inspected to ensure they are not damaged and will function properly.
c) Prior to requesting a Certificate of Compliance, the responsible party (defined in General
Condition 18(e)) shall submit to the issuing authority an Operation and Maintenance (0 & M)
Compliance Statement for the Stormwater BMPs. This Statement shall identify the responsible party
for implementing the Operation and Maintenance Plan and also state that: 1. "Future responsible
parties shall be notified in writing of their continuing legal responsibility to operate and maintain the
stormwater management BMPs and implement the Pollution Prevention Plan; and 2. The Operation
and Maintenance Plan for the stormwater BMPs is complete and will be implemented upon receipt of
the Certificate."
d) Post -construction pollution prevention and source control shall be implemented in accordance
with the long-term pollution prevention plan section of the approved Stormwater Report and, if
applicable, the Stormwater Pollution Prevention Plan required by the National Discharge Elimination
System Multi -Sector General Permit.
e) Unless and until another party accepts responsibility, the issuing authority shall presume that the
responsible party for maintaining each BMP is the landowner of the property on which the 6MP is
located. To overcome this presumption, the landowner of the property must submit to the issuing
authority a legally binding agreement acceptable to the issuing -authority evidencing that another entity
has accepted responsibility for maintaining the BMP, and that the proposed responsible party shall be
treated as a permittee for purposes of implementing the requirements of Conditions 18(f) through
18(k) with respect to that BMP. Any failure of the proposed responsible party to implement the
requirements of Conditions 18(f) through 18(k) with respect to that BMP shall be a violation of the
Order of Conditions or Certificate of Compliance. In the case of stormwater BMPs that are serving
more than one lot, the legally binding agreement shall also identify the lots that will be serviced by the
stormwater BMPs. A plan and easement deed that grants the responsible party access to perform the
required operation and maintenance must be submitted along with the legally binding agreement.
f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the
design plans, the Operation and Maintenance Plan section of the approved Stormwater Report, and
the Massachusetts Stormwater Handbook.
g) The responsible party shall:
1 . Maintain an operation and maintenance log for the last three years including inspections,
repairs, replacement and disposal (for disposal the log shall indicate the type of material and
the disposal location);
2. Make this log available to MassDEP and the Conservation Commission upon request; and
3. Allow members and agents of the MassDEP and the Conservation Commission to enter and
inspect the premises to evaluate and ensure that the responsible party complies with the
Operation and Maintenance requirements for each BMP set forth in the Operations and
Maintenance Plan approved by the issuing authority.
h) All sediments or other contaminants removed from stormwater BMPs shall be disposed of in
accordance with all applicable federal, state, and local laws and regulations.
i) Illicit discharges to the stormwater management system as defined in.310 CMR 10.04 are
prohibited.
wpaform5.doc - rev. 2/27/08 Page 6 of 10
Ll'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
MassDEP File Number:
242-1423
C. General Conditions Under Massachusetts Wetlands Protection Act (cont.)
j) The stormwater management system approved in the Final Order of Conditions shall not be
changed without the prior written approval of the issuing authority. Areas designated as qualifying
pervious areas for purpose of the Low Impact Site Design Credit shall not be altered without the prior
written approval of the issuing authority.
k) Access for maintenance of stormwater BIVIPs shall not be obstructed or blocked. Any fencing
constructed around stormwater BIVIPs shall include access gates. Fence(s) shall be at least six inches
above grade to allow for wildlife passage.
Special Conditions (if you need more space for additional conditions, please attach a text document):
D. Findings Under Municipal Wetlands Bylaw or Ordinance
1. Is a municipal wetlands bylaw or ordinance applicable? Z Yes F� No
2. The North Andover
Conservation Commission
hereby finds (check one that applies):
0 that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
1. Municipal Ordinance or Bylaw
2. 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.
b. 0 that the following additional conditions are necessary to comply with a municipal ordinance or
bylaw:
North Andover Wetland Protection Bylaw Chapter 178
1. Municipal Ordinance or Bylaw 2. 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.
The special conditions relating to municipal ordinance or bylaw are as follows (if you need more space
for additional conditions, attach a text document):
See attached
wpaform5.doc - rev. 2/27/08 Page 7 of 10
DEP FILE # 242 - 1423
Therefore, the North Andover Conservation Commission (hereafter the
"NACC") hereby finds that the following conditions are necessary, in accordance
with the Performance Standards set forth in the State Regulations, the local
ByLaw and Regulations, to protect those interests noted above. The NACC
orders that all work shall be performed in accordance with said conditions and
with the Notice of Intent referenced below. To the extent that the following
conditions modify or differ from the plans, specifications or other proposals
submitted with the Notice of Intent, the conditions shall control.
GENERAL CONDITIONS
18. Failure to comply with all conditions stated herein, and with all related
statutes and other regulatory measures, shall be deemed cause to revoke or
modify this Order.
19. This Order does not grant any property rights or any exclusive privileges; it
does not authorize any injury to private property or invasion of property
rights. However, the NACC, agent of the NACC or the Department of
Environmental Protection (DEP) reserves the right to enter and inspect the
property at all reasonable times until a Certificate of Compliance is issued, to
evaluate compliance with this Order of Conditions, the Act (310 CMR 10.00),
the North Andover Wetland ByLaw and Regulations, and may require any
information, measurements, photographs, observations, and/or materials, or
may require the submittal of any data or information deemed necessary by
the NACC for that evaluation. Further, work shall be halted on the site if the
NACC, agent or DEP determines that any of the work is not in compliance
with this Order of Conditions. Work shall not resume until the NACC is
satisfied that the work will comply and has so notified the applicant in
writing.
20. This Order does not relieve the permittee or any other person of the necessity
of complying with all other applicable federal, state or local statutes,
ordinances, by-laws or regulations,
21. The work authorized hereunder shall be completed within three years from
the date of this order.
22. This Order may be extended by the issuing authority for one or more periods
of up to one year each upon application to the issuing authority at least thirty
days (30) prior to the expiration date of the Order (Refer to Section 8.3 of the
North Andover Wetland Regulations).
\\Bluebird\c\West Environmental All Documents\WEI ProJect Files\2008\08-012NH\242-1423 OOC.doc I NACC 4/9/200
DEP FILE # 242 - 1423
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. 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.
26. 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. -
27. The proposed work includes: Construction of an inground pool and patio
within the buffer zone to a bordering vegetated wetland.
28. 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: Chris Skowronek
281 Blue Ridge Road
North Andover, MA 01845
Site Plans prepared by: New England Engineering Services, Inc.
,1600 Osgood Street Suite 2-64
North Andover, MA 01845
Entitled: Proposed Pool Plan
281 Blue Ridge Road
North Andover, MA
Revised 3-17-08
\\Bluebird\c\West Environmental All Documents\WEI ProJect Files\2008\08-012NH\242-1423 OOC.doc 2 NACC 4/9/20C
DEP FILE # 242 - 1423
29. The following wetland resource areas are affected by the proposed work:
Buffer Zone to Bordering Vegetated Wetland. 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.
30. The NACC agrees with the applicant's delineation of the wetland resource
areas on the site as shown on the plans dated referenced herein.
31. The NACC finds that the intensive use of the upland areas and buffer zone
proposed on this site will cause further alteration of the wetland resource
areas. In order to prevent any alteration of wetland resource areas a twenty
five foot (25") No -Disturbance Zone and a fifty foot (50') No -Construction
Zone shall be established from the edge of the adjacent wetland resource
area. The Conservation Administrator and/or other agents of the NACC do
not have the authority to waive these setbacks as established under the local
bylaw. No disturbance of existing grade, soils or vegetation is permitted in
the No -Disturbance zone. (See Section 3.4 & Appendix F of the local Regulations).
32. This document shall beincluded 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.
33. 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 harn-dess 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 water damage. Maintenance
of the drainage system, if accepted by the Town as part of a public way,
becomes the responsibility of the Town.
34. 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.
�\Bluebird\c\West Environmental All Documents\WEI Project Files\2008\08-012NH\242-1423 OOC.doc I
NACC 4/9/20C
DEP FILE # 242 - 1423
PRIOR TO CONSTRUCTION
35. 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.
36. 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.
37. 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 242-1423.
38. 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.
39. 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
\\Bluebird\c\West Environmental All Documents\WEI Project Files\2008\08-012NH\242-1423 OOC.doc 4 NACC 4/9/200
DEP FILE # 242 - 1423
engineer and contractors are to be provided with a copy of this Order of
Conditions and referenced documents before commencement of construction.
40. 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. �
41. 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.
42. A row of staked hay bales backed by trenched siltation fence shall be placed
between all construction areas and wetlands. The erosion control barrier will
be properly installed and placed as shown on the plans approved and
referenced herein and shall be inspected and approved by the NACC prior to
the start of construction and shall remain intact until all disturbed areas have
been permanently stabilized to prevent erosion. All erosion prevention and
sedimentation protection measures found necessary during construction shall
be implemented at the direction of the NACC. The NACC reserves the right
to impose additional conditions on portions of this project to mitigate any
impacts which could result from site erosion, or any noticeable degradation
of surface water quality discharging from the site. For example, installation
of erosion control measures may be required in areas not shown on the
plan(s) referenced in this Order of Conditions. Should such installation be
required by the NACC, they shall be installed within 48 hours of the
Commission's request.
43. 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.
\\Bluebird\c\West Environmental All Docurnents\WEI 11roJect Files\2008\08-012NH\242-1423 OOC.doc 5 NACC 4/9/200
DEP FILE # 242 - 1423
44. 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 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.
45. 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. 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.
46. 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
\\Bluebird\c\West Environmental All Docurnents\WEI Proliect 1--iles\2008\08-012NH\242-1423 OOC.doc 6 NACC 4/9/200
DEP FILE # 242 - 1423
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
prior to the closing of said land transaction.
47. 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).
I =DURING CONSTRUCTION
48. Upon beginning work, the applicant shall submit written progress reports
every other 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.
49. Any de -watering activities anticipated for the pool excavation shall be
supervised and witnessed by the designated erosion control monitor. This
designee must be on-site while work specific to dewatering is complete. De-
watering 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.
�\Bluebjrd\c\West Environmental All Docurnents\WEI Project Files\2008\08-012NH\242-142
3 OOC.doc 7 NACC 4/9/20C
DEP FILE # 242 - 1423
50. 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.
51. No exposed area shall remain unfinished for more than thirty (30) days,
unless approved by the NACC.
52. 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.
53. There shall be no stockpiling of soil or other materials within twenty-five (25)
feet of any resource area.
54. Washings from concrete trucks, or surplus concrete, shall not be directed to,
any drainage system, or wetland resource area.
55. Pool water shall not be discharged towards wetland resource areas. If
discharging is necessary, the applicant must install a drywell greater than
50 feet from the wetland resource area to handle the discharged waters.
56. 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.
57. Accepted engineering and construction standards and procedures shall be
followed in the completion of the project.
58. 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.
\\Bluebird\c\West Environmental All Documents\WEJ Project Files\2008\08-012NH\242-1423 OOC.doc 8 NACC 4/9/200
DEP FILE # 242 - 1423
AFTER CONSTRUCTION
59. 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.
60. 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.
61. 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.
62. Upon complete stabilization of the site, erosion controls shall be removed and
disposed off properly. All unstabilized areas under the erosion controls shall
be seeded immediately.
63. Upon completion of the project the applicant shall submit the following to the
Conservation Commission as part of a request for a Certificate of Compliance:
a. WPA Form 8A - "Request for a Certificate of Compliance."
b. A letter from the applicant requesting a Certificate of Compliance.
c. The name and address of the current landowner.
d. Signed statements from the individual property owners shall be
submitted with the request for a Certificate of Compliance indicating
that they read and understood the recorded Order of Conditions prior
to purchasing their property.
e. The name and address of the individual/ trust or corporation to whom
the compliance is to be granted.
f. The street address and assessor's map/parcel number for the project.
g. The DEP file number.
h. A written statement from a Registered Professional Civil Engineer
(and/or Registered Professional Land Surveyor) of the
Commonwealth certifying that the work has been conducted as shown
\\Bluebird\c\West Environmental All Documents\WEI ProJect Files\2008\08-012NH\242-1423 OOC.doc 9 NACC 4/9/20C
DEP FILE # 242 - 1423
on the plan(s) and documents referenced above, and as conditioned by
the Commission.
An "As -Built" plan prepared and signed and stamped by a Registered
Professional Civil Engineer (and/or Registered Professional Land
Surveyor) of the Commonwealth, for the public record. This plan will
include:
"As -Built" post -development elevations of all drainage &
stormwater management structures constructed within 100 feet
of any wetland resource area. NOTE: If portions of the
stormwater systems exist partially within the Buffer Zone than
the entire structure must be depicted to accurately verify
compliance.
"As -Built" post -development elevations and grades of all filled
or altered wetland resource areas including the encompassing
buffer zone which is regulated as a resource area under the local
Wetland Protection Bylaw.
Distances from structures to wetland resource areas. Structures
include (but are not limited to) septic systems, additions, fences,
sheds, stone walls, pools, retaining walls, subsurface utilities
and decks.
A line showing the limit of work and the extent of existing
erosion control devices. "Work" includes �IU disturbance of
soils or vegetation.
65. 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. 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 #59);
ffl1uebird\c\West Environmental All Documents\WE�l ProJect Files\2008\08-012NH\242-1423 OOC.doc 10 NACC 4/9/200
DEP FILE # 242 - 1423
Prohibition of underground fuels (Condition #60);
Limitations on the use of fertilizers, herbicides and pesticides
(Conditions #61).
\\Bluebird\c\West Environmental All Documents\Wl--.1 Project Files\2008\08-012NH\242-1423 OOC.doc I I NACC 4/9/20C-
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands MassDEP File Number:
WPA Form 5 - Order of Conditions 242-1423
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
F. Appeals
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject
to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of
their right to request the appropriate MassDEP 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 CIVIR 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. 2/27/08
Page 9 of 10
LI)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
E. Issuance
MassDEP File Number:
242-1423
This Order is valid for three years, unless otherwise specified as a special 4141b?
condition pursuant to General Conditions #4, from the date of issuance. 1. Date 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, and the property owner, if different
from aimlicant.
Signatures:
010
Notary Acknowledgement
Commonwealth of Massachusetts County of
n +k; ? 4h
H a
Day
Before me, the undersigned Notary Public,
personally appeared
Essex North
of AMA
m6nth Year
S
Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
Massachusetts License
ipuun or eviaence Or laentitication
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.
A North Andover
s , , ic, , ber o,
DONNA M. WEPG,-jE
NOTARY PUD,10
COMMONWEALTH OF MASSACHUSETTS
MY COMrrL Expires Aug. 7,2009
City/Town
Place notary seal and/or any stamp above
This Order is issued to the applicant as follows:
EJ by hand delivery on
Date
Conservation Commission
Si6nature of Notary Public
-- DD0,112 a 4 '
Printed Name of Notary Public
P) 7/ ?&-1
My Comffiissfon Expires (Date)
El by certified mail, return receipt requested, on
Date
wpaform5.doc - rev. 2/27108
Page 8 of 10
0
Massachusetts Department of Environmental Protection
L77 Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
U. Kecording Information
MassDEP File Number:
242-1423
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
this page shall be submitted to the Conservation Commission listed below.
North Andover
,,uribervavon 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:
281 Blueridge Road
Project Location
242-1423
MassDEP File Number
Has been recorded at the Registry of Deeds of:
Essex North
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. 2127/08
Page 10 of 10
DEP FILE # 242 - 1423
APPENDIX A - AFFIDAVIT
1, on oath do hereby depose and state:
(authorized agent applicant and/or current owner)
(PLEASE CHECK AT LEAST ONE BLOCK)
1.— 1 am the
(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.— 1 am the
of
(position with owner) (owner name)
the owner upon whose land Order of Conditions
have been placed up by WEP or NACC number)
the North Andover Conservation Commission.
M
I hereby affirm and acknowledge that I have received said Order of Conditions
and have read the same and understand each
(DEP File #) and every condition which has been set forth
in said Order of Conditions.
01
4. 1 hereby affirm and acknowledge that on this day of — 19 –
I inspected said property together with any and all improvements which have
been made to the same and hereby certify that each and every condition set
forth in Order of Conditions — are presently in compliance.
(DEP File #)
5. 1 hereby affirm and acknowledge that this document will be relied upon by the
North Andover Conservation Commission as well as any potential buyers of
said property which is subject to said Order of Conditions
(DEP File #)
Signed under the pains and penalties of perjury this day of _ 19
(Signature - authorized agent of applicant or owner)
\\Bluebird\c\West Environmental All Documents\WE�l ProJect Files\2008\08-012NH\242-1423 OOC.doc 12 NACC 4/9/200