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Home My WebLink AboutMiscellaneous - 350 WINTHROP AVENUE 4/30/2018 (14)J� Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. KrI LIQ. Massachusetts Department of f_nvironmental Protection Bureau of Resource Protection — Drinking Water Program Form WS1 Notice of Plumbing Inspector Approval to Seal Floor Dra �i<�. "CEIVED NOV 12 2008 ^F NORTH ANDOVER. (i DEPARTMENT Note: This Notice is not applicable to any facility where the floor drain is connected to a Municipal Sewer System. Facility Information: (3YXo,J t-AoStL_ Cs�.2f Company Name '35n w i NTt1 tzo P Street Address "SS 01845 State Zip Code LX?400 6A08i, . comp Facility Owner Name UIC ID # Gas ST7a11b9�At)T'o#A6' %W I( ePAUP- Nature of Business P. ANoo-JU—Q- City/Town 978 - 3 7z - i? 2ig Phone Number Request to Seal: 2— number of floor drains Any additions or alterations to the system are not permissible without the approval of the local plumbing inspector. All seals must be in compliance with 248 CMR. This form must show the signature of both the Facility Owner and the Local Plumbing Inspector before a copy may be filed with MassDEP. Upon approval by the Local Plumbing Inspector, a completed copy of this notice shall be filed immediately with the MassDEP Underground Injection Control (UIC) Program at the address below. In addition, upon completion of all necessary work, the applicant shall file a completed MassDEP UIC Notification Fo th sa a address. Notification AYc. S ! aci' Owner ign Date ' `� 1913 � 11�71og Appr a Si ature of Local PlumbingInspector Date Plumbing Permit # Plumbing Inspector for the City/Town of: N • 14NoJgn2- City/Town Name The Facility Owner shall send the completed forms to the appropriate MassDEP Regional Office (see http://www. mass.gov/dep/about/region/findyour.htm). For questions and/or additional information, please call the UIC Program Coordinator: MassDEP Boston Office, 617-348-4014. Or the appropriate Regional MassDEP Office Western 413-784-1100 ext. 214 Central 508-792-7683 Northeast 978-694-3200 Southeast 508-946-2714 S.endIMp iczWTopies-o#this-form-t I ocal-Board of Health wsl.doc • rev. 07/07 Notice of Plumbing Inspector Approval to Seal Floor Drain • Page 1 of 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locatioo Y®PG ; ` iyD�►�1 1 ll��D/t� l d� Date ��" %o d� Owners Name D Permit # 9� 3 �p Type of Occupancy Amount— New rl Renovation Replacement' M Plans Submitted yes No ❑ FTYT'TTU m�e �• (Print or type) � � I Check one: \ Certificate Installing. Company Name -y ❑ AddressCorp. rp. 6 Partner. usmess Telephone t�fC)IK Lt ----�--� � Fum/Co. Name of Licensed Plumber. ) / O(Y-A5 Ct2.fi�, Insurance Coverage: Indicate the type of insurance coverage by CAecking the appropriate box: Liability insurance policy Other type of indemnity, ❑ Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and install ns performed. under Penni is s for this application will be in compliance with all pertinent h provisions of the Massach tate Pl Q _ o Co d to 142 of the General Laws. By: rgn or.�cens um er Title T P�nmbing License CityfFown icense urnoer APPROVED (OFFICE USE ONLY Master Journeyman LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance 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. rah A. Project Information 1. This Certificate of Compliance is issued to: Exxon/Mobil Enviromental Services -Elizabeth Zinkevicz Name 647 US Route 1 #14 PMB#253 DEP File Number: ')A7 1AA7 Mailing Address York ME 03909 City/Town State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Elizabeth Zinkevicz Name October 17, 2008 Dated 3. The project site is located at: 350 Winthron Avenue Street Address Man 26 Assessors Map/Plat Number 242-1442 DEP File Number North Andover City/Town Parcel 0007 Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for.- 242-1442 or: Hropeny Uwner (it different) Essex North County Loenmcate 01047 Book 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 7/20/09 Date B. Certification 0285 Page 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 Bb.doc • rev. 7/13/04 Page 1 of 4 Massachusetts Department of Environmental Protection L i Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131 40 24vb Provided 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: 71 C. Authorization Issued by: North Andover Conservation Commission % 0/ 9' Date of Issuance 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). Sig wpaform 8b.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 242-1442 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 3o+11 Of .i u On this � - Day Month Year before me, the undersigned Notary Public, personally appeared John Mabon, 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 DONNA M. WEDGE �^ NOTARY PUBLIC COMMONWEALTH OF MASSACHUSETTS My Comm. Expiry Aug. 7, 2009 North Andover City/Town Place notary seal and/or any stamp above Conservation Commission Signature of Notary Public P01 -1 rintName of Notary Public r% 02 o My iss' n Expires (Date) Signature of Notary Public wpaform Bb.doc • rev. 7/13/04 Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP Fife Number: WPA Form 8B — Certificate of Compliance 242-1442 Ll 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: 350 Winthrop Avenue 242-1442 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex North County for: Exxon/Mobil Oil Corporation Property Owner and has been noted in the chain of title of the affected property on: uate 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.dcc • rev. 7/13/04 Page 4 of 4 LlMassachusetts 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 Suite 402 Alford Cumminglon Hatfield Monterey Richmond Ware 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 Fax: 413-784-1149 Belchertown East Longmeadow Holland New Ashford Savoy Westfield Bemardston Egremont Holyoke New Marlborough Sheffield Westhampton Blandford Erving Huntington New Salem Shelburne West Springfield Brimfield Flonda 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 Chariton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbard ston Millville Shirley Warren Worcester, MA 01608 Ashby - Douglas Hudson New Braintree Shrewsbury Webster 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 TDD: 508-767-2788 Barre Bellingham Fitchburg Gardner Leominster Littleton Oakham Sterling Westford Berlin Grafton Lunenburg Oxford Paxton Stow Sturbridge Westminster Winchendon Blackstone Groton Marlborough Pepperell Sutton Worcester Bolton Harvard Maynard Petersham Templeton Boxborough Hardwick Medway Phillipsion Townsend Boylston Holden Mendon Princeton Tyngsborough Brookfield Hopedale Milford Royalston Upton DEP Southeast Region Abington Dartmouth Freetown Mattapoieett Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Lakeville, MA 02347 Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Avon Duxbury Halifax New Bedford Rochester Wall Phone: 508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater Fax: 508-947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport TDD: 508-946-2795 Bourne Easton Harwich Norwell Scituate West Tisbury 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 Boston, MA 02108 Arlington Cohasset Hull Middleton Reading Waltham Ashland Concord Ipswich Millis Revere Watertown Phone: 617-654-650D Bedford Danvers Lawrence Milton Rockport Wayland Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rowley Wellesley TDD: 617-574-6868 Beverly Billerica Dover Dracut Lincoln Lowell Natick Salem _ Wenham 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 wpaformBb.doc • DEP Addresses • rev. 7/14/09 Page 1 of 1 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 4:1 mmnn Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information 1. From: North Andover Conservation Commission 2. This issuance is for (check one): a. ® Order of Conditions 3. To: Applicant: Elizabeth a. First Name ExxonMobil Environmental Services a urgamzation 647 US Routel #14, PMB #253 d. Mailing Address York e. City/Town 4. Property Owner (if different from applicant): a. First Name ExxonMobil Oil Corporation c. Organization P. O. Box 4973 d. Mailing Address Houston e. City/Town 5. Project Location: 350 Winthrop Avenue a. Street Address Map 26 c. Assessors Map/Plat Number TX f. State Zinkevicz b. Last Name ME f. State b. Last Name MassDEP File Number: 242-1442 b. ❑ Amended Order of Conditions North Andover b. City[Town Parcel 0007 d. Parcel/Lot Number Latitude and Longitude, if known: 4727958 324803 e. Latitude f. Longitude 6. Property recorded at the Registry of Deeds for (attach additional information if more than one parcel): Essex North 03909 g. Zip Code 771210-4973 g. Zip Code a. County b. Certificate Number (if registered land) 01047 0285 c. Book d. Page 9/12/08 10/8/08 10/17/08 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): Plan of Site Locus, Plan of Site Map a. Plan Title -"-- Groundwater & Environmental Services, Inc. John D. Bremser, R. P. L. S. b. Prepared By c. Signed and Stamped by September 10, 2008 1" =30' d. Final Revision Date e. Scale f. Additional Plan or Document Title g. Date wpaform5.doc • rev. 2/27/08 Page 1 of 10 U Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order'of Conditions L) I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 MassDEP File Number: 242-1442 B. Findings t 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: a. ® 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. ❑ 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. ❑ 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. ❑ Buffer Zone Impacts: Shortest distance between limit of project disturbance and wpaform5.doc • rev. 2127/08 Page 2 of 10 wetland boundary (if available) a. linear feet Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. ❑ Bank a. linear feet b. linear feet c. linear feet d. linear feet 5. ❑ Bordering Vegetated Wetland a. square feet b. square feet c. square feet d. square feet 6. ❑ Land Under Waterbodies a. square feet b. square feet c. square feet d. square feet and Waterways e. cly dredged f. Gy dredged wpaform5.doc • rev. 2127/08 Page 2 of 10 t LAMassachusetts 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: 242-1442 B. Findings (cont.) ❑ Barrier Beaches 13. Resource Area Proposed Permitted Proposed Coastal Dunes Alteration Alteration Replacement 7. ❑ Bordering Land ❑ Rocky Intertidal Shores 17. Subject to Flooding a. square feet b. square feet c. square feet Cubic Feet Flood Storage e. cubic feet f. cubic feet g. cubic feet s. ❑ Isolated Land Subject to Flooding a. square feet b. square feet Cubic Feet Flood Storage c, cubic feet d. cubic feet e. cubic feet 9. ❑ Riverfront area a. total sq. feet. b. total sq. feet Sq ft within 100 ft c. square feet d. square feet e. square feet Sq ft between 100-200 ft g. square feet h. square feet i. square feet Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only) 10-0 ❑ Designated Port Areas Indicate size under Land Under the Ocean, below 11. ❑ Land Under the Ocean 12. ❑ Barrier Beaches 13. ❑ Coastal Beaches 14. ❑ Coastal Dunes 15. ❑ Coastal Banks 16. ❑ Rocky Intertidal Shores 17. ❑ Salt Marshes 18. ❑ Land Under Salt Ponds 19. ❑ Land Containing Shellfish 20. ❑ Fish Runs 21. ❑ Land Subject to Coastal Storm Flowage Permitted Replacement d. square feet h. cubic feet f. cubic feet f. square feet j, square feet c. c/y dredged d. c/y dredged Indicate size under Coastal Beaches and/or Coastal Dunes below a. square feet b. square feet c. c/y nourishmtd. c/y nourishmt. a. square feet b. square feet c. c/y nourishmt. d. c/y nourishmt a. linear feet b. linear feet a. square feet b. square feet a. square feet b. square feet c. square feet d. square feet a. square feet b. square feet c. c/y dredged d. c/y dredged Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above a. square feet b. square feet wpaform5.dcc • rev. 2/27/08 Page 3 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: 242-1442 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" j "File Number 242-1442 wpaform5.doc • rev. 2/27/08 Page 4 of 10 ILI'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: 242-1442 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 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) ® is not (2) ❑ 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 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands MassDEP File Number: WPA Form 5 - Order of Conditions 242-1442 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. General 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 BMPs 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 BMP 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. 2/27108 Page 6 of 10 L1Massachusetts 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: 242-1442 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 BMPs shall not be obstructed or blocked. Any fencing constructed around stormwater BMPs 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? ® Yes ❑ No 2. The North Andover hereby finds (check one that applies): Conservation Commission a. ❑ 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. ® 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 s. 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 -1442 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. The proposed work includes: Limited soil excavation to address residual petroleum impacts and removal of waste water holding underground storage tank. 19. 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: Groundwater & Environmental Services, Inc. 364 Littleton Road, Suite 4 Westford, MA 01886 Site Plans prepared by: Groundwater & Environmental Services, Inc. 364 Littleton Road, Suite 4 Westford, MA 01886 Figures 2, 4, 5 and dated 9/10 & 9/11/08 Wetlands Location Plan Prepared by: Hancock Associates 315 Elm Street Marlborough, MA 01752 Dated 9/2/08 Report prepared by: Groundwater & Environmental Services, Inc. 364 Littleton Road, Suite 4 Westford, MA 01886 Operation & Maintenance Plan: Maintenance Schedule Per DEP File #242-578 20. 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. CAWinword\000\boi1cr1.doc 1 NACC 10/9/2008 DEP FILE # 242 -1442 21. 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. 22. 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. 23. 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. 24. This Order does not relieve the permittee or any other person of the necessity of complying with allother applicable federal, state or local statutes, ordinances, by-laws or regulations. 25. The work authorized hereunder shall be completed within three years from the date of this order. 26. This Order may be extended by the issuing authority for one but not more than two periods of up to one year each upon application to the issuing authority at least thi days (30) prior to the expiration date of the Order (Refer to Section VIII (B)(p.33) of the North Andover Wetland Regulations). 27. 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 28. 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 29. This Order of Conditions is issued in addition to those issued under File No. 242-578. 30. Any future project which proposes a wetland crossing in order to access certain portions of the property will not be qualified as a limited project roadway under 310 CMR 10.53(e). CAWinword100Ciboiterl.doc 2 NACC 10/9/2008 DEP FILE # 242 -1442 31. The following wetland resource areas are affected by the proposed work: Buffer Zone to Bank and 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. 32. The NACC agrees with the applicants delineation of the wetland resource areas on the site as shown on the plans dated referenced herein 33. 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 (5(') 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). 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 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. 35. The owners of the project and their successors in title 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 water 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. =PRIOR;�TCO 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. C:1Winwwd\00C1boi1er1.doc 3 NACC 10/9/2008 DEP FILE # 242 -1442 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 bearing the words "Massachusetts DEP, File Number 242-1442." 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. 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. 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 erosion controls or temporary fencing and shall be confirmed by the NACC. Such barriers 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. CAWinwordA00C1boi1er1.doc 4 NACC 10/9/2008 DEP FILE # 242 -1442 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 or its agent prior to the start of construction and shall remain intact until all disturbed areas have been permanently stabilized to prevent erosion. Silt sacks shall be placed in all catch basins to prevent erosion into the stormwater system. All erosion prevention and sedimentation protection measures found necessary during construction shall be implemented at the direction of the NACC or its agent 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 wager 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 15 hay bales and sufficient stakes for staking these bales. 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 $2,000 which shall be in all respects satisfactory to Town Counsel, Town Treasurer, and the NACC, and shall be posted with the North Andover Town Treasurer through the NACC before commencement of work. Said deposit of money shall be conditioned on the completion of all conditions hereof, shall be signed by a party or parties satisfactory to the NACC, and Town Counsel, and shall be released after completion of the project, provided that provisions, satisfactory to the NACC, have been made for performance of any conditions which are of continuing nature. The applicant may propose a monetary release schedule keyed to completion of specific portions of the project for the NACCs review and approval. This condition is issued under the authority of the local ByLaw. 47. The applicant shall be responsible for placing signs on each parcel, where there is more than one (1) lot, designating the applicable lot number as depicted on the plans approved and referenced herein. 48. The applicant shall designate a Wetland Scientist (or other environmental professional as approved by the NACC or its agent) 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 CAWinword10001boilerl.doc 5 NACC 10/9/2008 DEP FILE # 242 -1442 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. 49. Prior to construction, the applicant shall permanently mark the edge of the "25' No - Disturbance Zone" with seven (6) signs or markers spaced evenly every 30 feet incorporating the following text: "Protected Wetland Resource Area". This will designate their sensitivity and assure no further inadvertent encroachment into the wetland. These permanent markers are subject to review and approval by the NACC. The applicant shall instruct all agents to explain these markers to buyers/lessees/landscapers and all persons taking over the property from the applicant. These markers shall remain posted and be replaced as necessary in perpetuity. 50. The applicant and/or the legal owner of that portion of land upon which these Orders of Conditions have been placed shall provide to the NACC prior to transferring, or assigning any portion of said land to another party, subject to said Orders of Conditions, the "Compliance Certification Form Affidavit' attached via "Appendix A" signed under the pains and penalties of perjury, stating that said applicant and/or owner has read these Orders of Conditions and is in compliance with each and every condition. This document shall apply to each of the conditions referenced herein and shall be provided to the Conservation Department at least five (5) business days prior to the closing of said land transaction. 51. 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 workproposed 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 permits 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). CAWinword10001boilerl.doc 6 NACC 10/9/2008 DEP FILE # 242 -1442 STORMWATER MANAGEMENT CONDITIONS 52. All stormwater best management practices shall be maintained as specified in the Maintenance Schedule submitted with DEP File #242-578 and incorporated in the Order of Conditions. Evidence of maintenance of the stormwater management system shall be provided to the NACC on an annual basis by a Registered Professional Civil Engineer. Maintenance bills submitted by cleaning contractors (catch basins, stormcepters, etc.) shall be submitted with annual engineering reports. 53. Water quality in down gradient BVW's shall not differ significantly following completion of the project from the pre -development conditions. There shall be no sedimentation into wetlands or water bodies from discharge pipes or surface runoff leaving the. 54. The applicants, owners, and their successors and assignees, shall maintain all culverts, collections basins, traps, outlet structures, subsurface storage areas, and other elements of the drainage system, unless put into an easement to the Town of North Andover, in order to avoid blockages and siltation which might cause failure of the system and/or detrimental impacts to on-site or off-site resource areas, and shall maintain the integrity of vegetative cover on the site. DURING CONSTRUCTION 55. Upon beginning work, the applicant shall submit written progress reports every 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. 56. It shall be a continuing condition of this order, even after a Certificate of Compliance is issued, that the oil/gasoline traps in the catch basins be maintained. All catch basins shall be free of all accumulated silt and debris before a Compliance is issued and the owner or his/her agent shall so specify in the request for Compliance. 57. Approved 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 dewatering in the excavation trench is occurring and until this work is complete. De- watering activities shall be conducted as detailed in section 6.3 of the submitted Notice of Intent and shall be monitored daily by the erosion control monitor. No water associated with de -watering activities is to be discharged on site. All water associated with de- watering activities is to be disposed of at an appropriately licensed disposal facility. 58. 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. CAwinWor&ooCXboilerl.doc 7 NACC 10/9/2008 DEP FILE # 242 -1442 59. No exposed area shall remain unfinished for more than thirty (30) days, unless approved by the NACC. 60. 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. 61. Contaminated soil shall be stockpiled in the area, depicted on the approved plans. Stockpiled soils are to be removed to a licensed disposal facility and shall not remain on site for more than 48 hours. Stockpiled; soils shall be covered and secured as detailed in the Notice of Intent 62. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system, or wetland resource area. 63. All waste generated by, or associated with, the construction activity shall be contained within the limit of work, 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. 64. Accepted engineering and construction', standards and procedures shall be followed in the completion of the project 65. 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. �AFTERONSTRUCTION 66. 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. 67. 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. Permanent signs (two of each) designating "No -Salt Zone" and CAWinword\000lboi1erLdw 8 NACC 10/9/2008 DEP FILE # 242 -1442 "No -Snow Stockpiling Zones" shall be displayed on the fence located between the Shawsheen River and the developed portion of the site. 68. Upon completion of construction and grading, all disturbed areas located outside resource areas shall be stabilized permanently against erosion. This shall be done by loaming and seeding according to NRCS standards. Stabilization will be considered complete once full vegetative cover has been achieved. 69. Upon approved site stabilization by Conservation staff, the erosion controls shall be removed and properly disposed of and all exposed unvegetated areas shall be seeded. 70. 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. L The street address and assessor's map/parcel number for the project. g. The DEP file number. h. A written statement from a Registered Professional Civil Engineer (and/or Registered Professional Land Surveyor) of the Commonwealth certifying that the work has been conducted as shown on the plan(s) and documents referenced above, and as conditioned by the Commission. i. An "As -Built" plan prepared and signed and stamped by a Registered Professional Civil Engineer (and/or Registered Professional Land Surveyor) of the Commonwealth, for the public record. This plan will include: ➢ "As -Built" post -development elevations of all drainage & stormwater management structures constructed within 100 feet of any wetland resource 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. CAWinword\000\boilerl.doc 9 NACC 10/9/2008 DEP FILE # 242 -1442 ➢ A line showing the limit of work and the extent of existing erosion control devices. "Work" includes Apy disturbance of soils or vegetation. ➢ Location of all subsurface utilities entering the property. 71. The following special conditions shall survive the issuance of a Certificate of Compliance (COC) for this project ➢ 25' No -Disturbance Zone and a 50' No -Construction Zone shall be established from the edge of adjacent wetland resource areas except in those locations approved under DEP # 242-1442. 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; Resource Area Markers (Condition #49); ➢ Maintenance of catch basins (Condition #56); ➢ Discharge or spillage of pollutants (Condition # 65); ➢ Limitations on the use of fertilizers, herbicides, road salts, de-icing compounds and pesticides (Conditions #66 & 67). ➢ The "Maintenance Schedule" is attached. No additional filings will be required to conduct maintenance of the catch basins and drainage structures. CAWinword\OOC\boiler1.doc 10 NACC 10/9/2008 MAINTENANCE SCHEDULE Upon completion of all site work, Mobil Oil Corporation shall be responsible for cleaning all catch basins and other drainage structures, including the gasoline/oil separator, located on-site. The work shall be accomplished with the use of a claw bucket or suction hose. The structure's covers will be removed prior to cleaning and will . be replaced immediately afterward. The material which is removed from the structures is to be disposed of by the contractor hired to do the cleaning. The structures, exclusive of the gasoline/oil separator, shall be cleaned semi- annually on approximately the first Monday in November and the first Monday in April. Immediately after cleaning, the gasoline/oil separator shall be' filled with clean water. The separator shall be inspected semi-annually on approximately, the first Monday in November and the first Monday in April. When the depth of gasoline/oil in the `separator is equal to or greater than seventeen (17) inches (which is equal to one-third of, the design storage depth), the gasoline/oil layer shall be pumped and disposed of by a llcenseb hazardous wast, haulL'L. — Ll'Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands MassDEP File Number: WPA Form 5 - Order of Conditions 242-1442 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 E. Issuance This Order is valid for three years, unless otherwise specified as a special /!_' 0,P condition pursuant to General Conditions #4, from the date of issuance. 1. Date of Issu nce Please indicate the number of members who will sign this form: 14 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 applicant. Sig Notary Acknowledgement Commonwealth of Massachusetts County of i� On this Day of Before me, the undersigned Notary Public; . personally appeared Essex North Vi ,o- 4,,,-&, c CII Month Year -- 1-W, 12244dAY Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License uescnption of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of North Andover DONNA M. WEDGE '`` Cow11A0NNl TN MASWrAW USACHusETTS My comm EON Aug. 7, 2009 City/Town Place notary seal and/or any stamp above This Order is issued to the applicant as follows: [✓]000' by >hand delivery on Dat��r.' Conservation Commission 67� -1777, 4��, - ignature of Notary Public 6 _ Printed Name of Notary Public f,7l_�0c�y My Commi6sion Upires (Date) ❑ by certified mail, return receipt requested, on Date wpaform5.doc • rev. 2/27/08 Page 8 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 F. Appeals MassDEP File Number: 242-1442 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 CMR 10.03(7) within ten business days from the date of issuance of this Order. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order or Determination, or providing written information to the Department prior to issuance of a Superseding Order or Determination. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act (M.G.L. c. 131, § 40), and,is inconsistent with the wetlands regulations (310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. Section G, Recording Information is available on the following page. wpaform5.doc • rev. 2/27/08 Page 9 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 G. Recording Information MassDEP File Number: 242-1442 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 Conservation Commission Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. --------------------------- To: North Andover Commission Please be advised that the Order of Conditions for the Project at: 350 Winthrop Avenue Project Location Has been recorded at the Registry of Deeds of: Essex North County for: Property Owner 242-1442 MassDEP File Number Book and has been noted in the chain of title of the affected property in: Book In accordance with the Order of Conditions issued on: Date Page If recorded land, the instrument number identifying this transaction is: Instrument Number If registered land, the document number identifying this transaction is: Document Number Signature of Applicant Page wpaform5.doc • rev. 2/27/08 Page 10 of 10 DEP FILE # 242 -1442 APPENDIX A - AFFIDAVIT 11 on oath do hereby depose and state: (authorized agent applicant and/or current owner) (PLEASE CHECK AT LEAST ONE BLOCK) 1. I am the of ( position with applicant) (applicant name or company name) the applicant upon whom Order of Conditions have been placed upon by (DEP or NACC number) the North Andover Conservation Commission. 2. I am the &/or Of (position with.owner) (owner name) the owner upon whose land Order of Conditions have been placed up by (DEP or NACC number) the North Andover Conservation Commission. 3. I hereby affirm and acknowledge that I have received said Order of Conditions and have read the same and understand each (DEP File #) and every condition which has been set forth in said Order of Conditions. 4. I hereby affirm and acknowledge that on this day of 19_ I inspected said property together with any and all improvements which have been made to the same and hereby certify that each and every condition set forth in Order of Conditions are presently in compliance. (DEP File #) 5. I hereby affirm and acknowledge that this document will be relied upon by the North Andover Conservation Commission as well as any potential buyers of said property which is subject to said Order of Conditions (DEP File #) Signed under the pains and penalties of perjury this day of 19 (Signature - authorized agent of applicant or owner) C:1Winwordl00Clboi1er1.doc 11 NACC 10/9/2008 AYOUB ENGINEERING, INC. ENGINEERING AND ARCHITECTURAL CONSULTANTS EMAIL: info@ayoubengineering.com CORPORATE OFFICE: 414 BENEFIT STREET PAWTUCKET, RHODE ISLAND 02861 401-728-5533/FAX 401-724-1110 Mr. Gerald Brown Town of North Andover Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 RE: ExxonMobil North Andover, MA 350 Winthrop Avenue AEI Project No. 3462.107 Dear Mr. Brown, NEW HAMPSHIRE OFFICE: 254-B NO. BROADWAY, STE. 206B SALEM, NEW HAMPSHIRE D3079 603-894-4828/FAX 6D3-894-4827 September 16, 2008 On April 7, 2008, the town of North Andover issued a Building Permit for the Mobil station at the subject location. The Building Permit (#571) was issued to allow for the painting of the canopy and the tank top and piping modifications. 1. These permits will expire in October and we would like to request an extension of the permits because work has not yet begun. ExxonMobil Corporation expects to begin work on this location in early November 2008. We appreciate your assistance in this matter and if you have any questions or comments,,please do not hesitate to call. Very truly yours, Alan J. Micale, P.E. Vice President REGISTERED: MASSACHUSETTS RHODE ISLAND CONNECTICUT NEW HAMPSHIRE NEW YORK MAINE VERMONT FLORIDA NEW JERSEY MARYLAND PENNSYLVANIA WWW.AYOUBENGINEERING.COM Page 1 of 2 Hughes, Jennifer From: Courtney Ley [CLey@gesonline.com] Sent: Thursday, July 10, 2008 3:51 PM To: Hughes, Jennifer Cc: Ryan F. Carroll Subject: RE: North Andover Mobil Excavation Plan Hi Jennifer, I just went over the work scope with the project manager, Ryan Carroll, (cc'ed in this correspondence). The distance from the edge of the planned excavation to the outfall on the Shawsheen River is 90 feet. We are planning to utilize trench boxes for digging. The trench box size is 20 feet long and 8 feet in depth. This will prevent sidewall cave-ins and control any erosion due to soil removal. It is our procedure to use erosion control for any digging beyond 4 feet deep. With an 8 foot deep trench box, our maximum depth would be 12 feet. Our planned area includes two trench boxes and will, at a maximum, be 20 feet by 20 feet by 12 feet in depth. During these projects, it is part of our scope to protect catch basins with hay bales and landscape tarp to prevent any saturated soils from entering the storm water system. Is it also our procedure to backfill any excavation prior to leaving the site at the end of the day that is more than 4 feet deep. Once we dig out the first trench box, we will be backfilling the hole the same day. This would leave an open hole for approximately 6 hours during the work day. We are anticipating the active digging portion of our job to last two to three days. With this scope, please let me know of a Notice of Intent is needed, and of course do not hesitate to contact me with further questions. Thank you, Courtney From: Hughes, Jennifer [mailto:jhughes@townofnorthandover.com] Sent: Monday, June 23, 2008 2:52 PM To: Courtney Ley Subject: RE: North Andover Mobil Site Map Courtney, I visited the site today. MWA is approximately 100' from the River. The plan I printed is not to scale. Would you be able to give me an exact distance? How long would the hole be open? What is your erosion control plan? There is a catch basin at the westerly entrance in a low spot. This would need to be protected as well. Jennifer A. Hughes Conservation Administrator Town of North Andover 1600 Osgood Street North Andover, MA 01845 From: Courtney Ley [mailto:CLey@gesonline.com] Sent: Monday, June 16, 2008 2:41 PM To: Hughes, Jennifer Subject: North Andover Mobil Site Map 7/11/2008 Page 2 of 2 Hi Jennifer, I thought I'd attach our site map and highlight the location of the planned excavation for assistance during your field site visit. Basically, it's going to be around the vicinity of monitoring well MW -1. Thanks, Courtney Courtney A. Ley Associate Environmental Scientist Groundwater & Environmental Services 364 Littleton Road Suite 4 Westford, MA 01886 (800) 221-6119 ext. 3247 (978) 392-8583 (fax) cley@gesonline.com Confidentiality Notice: This transmission (including any attachments) may contain confidential information belonging to Groundwater & Environmental Services, Inc. and is intended only for the use of the party or entity to which it is addressed. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, retention or the taking of action in reliance on the contents of this transmission is strictly prohibited. If you have received this transmission in error, please immediately notify the sender and erase all information and attachments. Thank You. Confidentiality Notice: This transmission (including any attachments) may contain confidential information belonging to Groundwater & Environmental Services, Inc. and is intended only for the use of the party or entity to which it is addressed. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, retention or the taking of action in reliance on the contents of this transmission is strictly prohibited. If you have received this transmission in error, please immediately notify the sender and erase all information and attachments. Thank You. 7/11/2008 n � Wedge, Donna xt From: Courtney Ley [CLey@gesonline.com] Sent: Tuesday, June 03, 2008 2:40 PM To: Wedge, Donna Subject: Notice of Intent Question Good afternoon, Page 1 of 1 I work for Groundwater & Environmental Services, an environmental consulting company located in Westford, MA. One of our sites is the Mobil Station on 360 Winthrop Avenue in North Andover. We are planning a small remedial excavation on the property, which is abutted by the Shawsheen River. The area of the excavation is approximately 120 feet from the outfall to the river. I'm wondering if a Notice of Intent is required. Please email or call (800) 221-6119 ext. 3247 for any additional information you need from me about the project. Thank you, Courtney Courtney A. Ley Associate Environmental Scientist Groundwater & Environmental Services 364 Littleton Road Suite 4 Westford, MA 01886 (800) 221-6119 ext. 3247 (978) 392-8583 (fax) cley@gesonline.com Confidentiality Notice: This transmission (including any attachments) may contain confidential information belonging to Groundwater & Environmental Services, Inc. and is intended only for the use of the party or entity to which it is addressed. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, retention or the taking of action in reliance on the contents of this transmission is strictly prohibited. If you have received this transmission in error, please immediately notify the sender and erase all information and attachments. Thank You. 6/4/2008 02/24/2004 15:41 9783928583 GES PAGE 01 i a- * Groundwater b hAl & Fa-Wro mentWf FACSIMIILE TRANSMITTAL FORM FAX: (978) 392-9583 TELEPHONE: (978) 392-0090 PLEASE DELIVER TO: C( I 1 +50 o PHONE: FAX.- (9 it) 10 DATE:' 0 t4 ?W' Number of -Pages (including cover.piage); FROM: PHONE: (978) 392-0090 EXTENSION: „n (-k I�-.,telf" A; (L U «p� al m A- AN- 0 A Q 7' L 02/24/2004 15:41 9783928563 GES PAGE 03 - ll� al of A I=— X— SERVICE r BUILDI q, MW2, DING I i SIIJ -j jK PITS lgmws L lws J 1101% MCI 31 11 PLA7A 114 PARKING AREA yl TANK FIELD f&A . 14 MW7 IT LE-GEND SITE me FORMER 550 GAL. FUEL OIL UST 12 FORMER 550 GAL. WASTE OIL LIST MOBIL SERVICE STATION #11689 (01 -PTA FORMER DRY WELL 350 VMMOP ADEM DOSTING 1.000 GAL. 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PUMP ISLAND. FUEL OIL TANK, kAM OIL TANK ARE APPROKlMATE. i