HomeMy WebLinkAboutMiscellaneous - 575 OSGOOD STREET 4/30/2018 (6) i OsvoYl Sr7ee 7
Commonwealth of Massachusetts
Division of
. Fisheries & Wildlife
MassWildlife
Jack Buckley,Director
August 24,2016
Bob Coppola
Edgewood Retirement Community
575 Osgood Street
North Andover MA 01845
RE: Project Location: Pond Pasture Lane at Rear of 575 Osgood Street
Project Description: Edgewood Retirement Community Small Home Project
NHESP File No.: 07-21483
Dear Applicant:
Thank you for submitting the MESA Project Review Checklist, site plans (dated August 15, 2016) and
other required materials to the Natural Heritage and Endangered Species Program of the MA Division of
Fisheries & Wildlife (the "Division") for review pursuant to the Massachusetts Endangered Species Act
(MESA) (MGL c.131A)and its implementing regulations (321 CMR 10.00).
Based on a review of the information that was provided and the information that is currently contained in
our database, the Division has determined that this project, as currently proposed, will not result in a
prohibited "take" of state-listed rare species. This determination is a final decision of the Division of
Fisheries &Wildlife pursuant to 321 CMR 10.18. Any changes to the proposed project or any additional
work beyond that shown on the site plans may require an additional filing with the Division pursuant to
the MESA. This project may be subject to further review if no physical work is commenced within five
years from the date of issuance of this determination,or if there is a change to the project.
The Division notes that any future projects or activities proposed on the Property which are (a) located
outside of the approval of the limit of Work shown on the site plan,(b)not exempt from review pursuant
to 321 CMR 10.14, and (c) located within mapped Priority Habitat as indicated in the Massachusetts
Natural Heritage Atlas, will require review by the Division pursuant to MESA. Furthermore, 321 CMR
10.16 provides that projects shall not be segmented or phased to evade or defer the review requirements
under MESA. If the Division determines, based on the considerations provided for in 321 CMR 10.16,
that a future project or activity proposed on the Property is part of a larger common project or scheme,it
may evaluate the cumulative impacts of the existing and proposed segments of the common project when
reviewing the future proposed project or activity pursuant to MESA.
Please note that this determination addresses only the matter of state-listed species and their habitats. If
you have any questions regarding this letter please contact Daisy Medeiros,Endangered Species Review
Assistant,at(508)389-6357.
Sincerely,
www.mass.gov/nhesp
Division of Fisheries and Wildlife
Field Headquarters,One Rabbit Hill Road,Westborough,MA 01581 (508)389-6300 Fax(508)389-7890
An Agency of the Department of Fish and Game
NEESP No.07-21483,page 2 of 2
i
Thomas W.French,Ph.D.
Assistant Director
cc: Kenneth Costello,SMRT Architects&Engineers
Alex Strysky,MEPA
John McMeeking
From: Ken Costello
Sent: Tuesday, August 30, 2016 11:46 AM
To: John McMeeking
Subject: Fwd: EEA 15564- Edgewood Small Home Project, North Andover-WITHDRAWN
Can you forward notification from mepa. I will send original.
Sent from my iPhone
Begin forwarded message:
From: "Strysky,Alexander(ENV)"<alexander.strysky@state.ma.us>
Date:August 30, 2016 at 10:39:20 AM EDT
To: "kcostello@smrtinc.com"<kcostello@smrtinc.com>
Subject: FW: EEA 15564-Edgewood Small Home Project, North Andover-WITHDRAWN
Hi Ken- Please forward this to any municipal agencies(Conservation Commission, Planning Board, Board
of Selectmen, etc)that may have been expecting the project to be reviewed by MEPA. Good luck with
the project.
Alex
Alex Strysky
MEPA Office
100 Cambridge Street, 9th Floor
Boston, MA 02114
ph: (617) 626-1025
fx: (617) 626-1181
From: Strysky, Alexander(EEA)
Sent: Tuesday, August 30, 2016 10:37 AM
To: 'avorceCcbnantucket-ma.gov'; Backman, Andy (DCR); Baker, Nancy (DEP); Barbara Newman; Boeri,
Robert(EEA); Bourre, Richard (EEA); Buckley, Deirdre (EEA); 'bwoods@nmcog.org'; Carr, Jillian (FWE);
Chin, Ken (DEP); Chisholm, Chris (AGR); 'Christopher.Boelke@Noaa.gov'; 'Ciaramella, Pasquale';
'Connolly, Marianne'; 'ddizoglio(&mvpc.org'; 'Dorr Fox (dfox@capecodcommission.org)'; 'Elizabeth Perry';
Engler, Lisa Berry(EEA); 'Eric Arbenne (earbeene@ocperpa.org)'; 'Eric.Hutchins@noaa.gov'; Evans, Tay
(FWE); Feeney, Eileen (FWE); Flaherty, Erin (EEA); Fragata, Carlos (DEP); French,Tom (FWE); Galvin,
Mike (DCR); Glenn, Kathryn (EEA); Hill, David (DEP); Hopson, Barbara (AGR); Huckery, Pat(FWE); Janik,
David (DEP); 'Jill Valdes Horwood'; 'Julie Wormser'; Kerigan, Kathleen (DEP); 'Kilmer, Charles'; Kinahan,
Erin (DOT); Kirby, Christine (DEP); 'Laney, Kristen'; Langhauser, Andrea (DEP); LaRosa,Thomas (DCR);
'Lauren Glorioso'; Lehan, Richard (FWE); 'lindad@frcog.org'; Logan, John (FWE); Lorion, Barry (DOT);
Lucien, Lionel (DOT); Lynch, Ben (DEP); Mahala, Jim (DEP); Marold, Misty-Anne (FWE); Mastone, Victor
(EEA); 'maura.zlody@ci.boston.ma.us'; McKenna, Steve (EEA); 'mpillsbury@mapc.org'; 'Mystic River
Watershed Association'; 'N Karns(&berkshireplan ning.org'; Padula, Michele (AGR); Petitpas, Christian
(FWE); 'pincumbe.david@epa.gov'; 'Pioneer Valley Planning Commission'; Putnam, Nancy(DCR);
Regosin, Jonathan (FWE); 'Reiner.Ed@epamail.epa.gov'; Salomaa, William (DCR); 'Sandy Conaty';
Schluter, Eve (FWE); Simon, Brona (SEC); Singleton, Stolle (EEA); Skiba, Catherine (DEP); Stanley, Laura
(DEP); Strysky, Alexander(EEA); Tamul, Stella (DEP); 'Taylor, Jo-Ann'; 'timmerman.timothy@epa.gov';
Tipton, Nathaniel (DCR); 'Van Deusen, Margaret'; Veinotte, Amanda; Warncke, Tracy (EEA); Washburn,
1
Bradford (EEA); 'Winn, Jane'; Wixon, Josephine (EEA); Worrall, Eric (DEP); Yeo, Jonathan (DCR); Zoto,
George (DEP)
Cc: 'kcostello@smrtinc.com'
Subject: EEA 15564- Edgewood Small Home Project, North Andover-WITHDRAWN
This ENF has been withdrawn at the request of the Proponent.
Alex Strysky
MEPA Office
100 Cambridge Street, 9th Floor
Boston, MA 02114
ph: (617)626-1025
fx: (617) 626-1181
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CONSERVATION DEPARTMENT
Community Development Division
Modification to Order of Conditions
The NORTH AN OVER CO SERVATION COMMISSION agreed to accept
Applicant: cl—dae
-A &JhPLj IAJ
as a Modification to the Order of Conditions issued in File 242-13 fr dated -.j Jj ao,c- and
recorded in Book#111,Pe and page
Issued by the
NORTH ANDOVER CONSERVATION COMMISSION:
On this / ¢T of 6-k5-4'1e before me personally appeared Scott Masse to me
day month/yT
known to be the person described in and who executed the foregoing instrument and
acknowledged that he/she executed the same as his/her free act and deed.
Notary Public isionAires
DONNA M.WEDGE
T77FIR71-5- NOTARY PUBLIC
COt MONWEALTH OF MASSACNaSTTS' M Comm.Expires Aug. 03
Y P 9.
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web www.townofnorthandover.com
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CONSERVATION DEPARTMENT
Community Development Division
MODIFICATION TO ORDER OF CONDITIONS
575 Osgood Street, North Andover
At the November 19, 2008 public hearing the North Andover Conservation Commission
(NACC) voted to issue a minor modification to DEP# 242-1398. The Modification shall
conform to the plans and documents referenced below and shall be subject to the additional
conditions listed in this document.
Applicant: Edgewood Retirement Community, Inc.
575 Osgood Street
North Andover, MA 01845
Record Documents: Modi{cation Request Letter
Prepared by: Christiansen& Sergi, Inc.
Dated: October 28, 2008
Memorandum
Prepared by: Christiansen& Sergi, Inc.
Dated: November 18,2008
RE: Edgewood Retirement Community, OOC Modification
Record Plans: Preliminary Landscape Plan (Sheet 1 of 1 and 3 plan pages)
Prepared by: Wemi nayr Jay Assoc. Inc.
Dated August 1, 2008
j
Erosion Control Plan
Prepared by: Christiansen & Sergi
Date: November 17,2008
Sheet 1 of 1
Utility Relocation Plan
Prepared by: Christiansen& Sergi
Date: November 17, 2008
Sheet 1 of 1
1600 Osgood Street,Building 20,Suite 2-36,North Andover,114assachusetts 01845
Phone 978.688.9530 Fax 978.688.9542
Web:http://www.towtiofnorthandover.com/Pages/N<-�lidoverNLhk—Conservation/index
Sidewalk Relocation Plan
Prepared by: Christiansen & Sergi
Dated: November 17,2008
Sheet 1 of 1
Other Record Documents: Historical Site Photo
Lighting, Stone Wall, 3-Rail Fence and Sign Detail Sheet
Approved Modifications
•;• Construct dry laid field stone wall and horse fencing along Osgood Street and access drive
within the 25-foot No-Disturbance Zone (waiver request attached)
❖ Remove invasive species along stone wall bordering Osgood Street
4- Excavate common reed (Phragmites australis) from existing horse pond
❖ Install landscape plantings along access drive in accordance with approved plan and subject to
approval by the Conservation Administrator (plantings within jurisdiction of the NACC shall be
native species)
❖ Remove portion of existing fire-road and reconfigure parking area (outside 100-foot Buffer
Zone) with associated changes in stormwater management resulting in net decrease in
impervious area
❖ Remove existing utility poles (utilities previously installed underground per plans of record)
❖ Relocate sidewalk in buffer zone to E-series wetland resource area
Pre-Construction
❖ Erosion control barriers will'be properly installed (silt fence trenched 4— 6-inches into the
ground,backed by double-staked hay bales) and located per the approved plans and shall be
inspected and approved by the Conservation Department prior to the commencement of work
on each of the described modifications. These temporary erosion control measures 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 Department or the NACC. .
❖ The applicant shall flag all non-native and invasive species to be removed as described in the
referenced construction sequence. Any other vegetation proposed for removal,including any
dead trees or limbs should also be flagged.
4- The applicant shall submit a list of native plantings proposed for landscaping/revegetadon of
jurisdictional buffer zone areas.
❖ Due to its close proximity to wetland resource areas, the new sidewalk shall be staked and
distances to wetland resource areas confirmed by the site monitor prior to construction.
❖ Immediately following completion of the above-mentioned items, the applicant shall contact the
Conservation Department to schedule an on-site pre-construction meeting. The applicant and
contractor must be present at this meeting. This modification document and all referenced plans
and memos shall be included in all construction contracts, subcontracts, and specifications
dealing with the work proposed and shall supersede any conflicting contract requirements. The
1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542
Web:http://www.townofnorthandover.com/Pages/NAndoverNLk_Consenration/index
applicant shall assure that all contractors, subcontractors and other personnel performing the
permitted work are fully aware of the permit's terms and conditions. A reasonable period of time
shall be provided as notice of the pre-construction meeting (e.g. 48 hours).
During Construction
❖ All non-native and invasive species removed from the property shall be disposed of properly.
Material shall be burned or otherwise destroyed and shall not be composted or stored on site.
Post Construction
❖ Immediately following completion of the work, any disturbed areas shall be permanently
stabilized by seeding or planting as detailed in the record modification documents. If seasonally
inappropriate to stabilize by seeding or replanting, areas shall be mulched with hay or matted
with a site appropriate material to prevent against erosion. Once the modification areas are
adequately stabilized, the Conservation Department shall be contacted to conduct final site
inspections.
I
1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542
Web:http://www.townofnorthandover.com/Pages/NAndoveriIA_Conservation/index
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 4B — Order of Resource Area Delineation 2421444
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. General Information
Important: North Andover
When filling out From: 1.Conservation Commission
forms on the
computer, use 2. This Issuance is for(check one):
only the tab key
to move your
cursor-do not a. ® Order of Resource Area Delineation Only
use the return
key.
b. ❑ Order of Resource Area Delineation Subject to Simplified Review
tab
1. ❑ Not Subject to Stormwater Policy
2. ❑ Subject to Stormwater Policy
C. ❑ Amended Order of Resource Area Delineation
Note:
Before 3. To: Applicant:
completing this
form consult Marlene Rotering Edgewood Retirement Community Inc
your local a.First Name b. Last Name c.Company
Conservation Osgood Street 575 OS
Commission 9
regarding any d.Mailing Address
municipal bylaw North Andover MA 01845
or ordinance. e.Cit /Town
Y f.State g.Zip Code
4. Property Owner(if different from applicant):
a. First Name b. Last Name c.Company
d.Mailing Address
e.City/Town f.State g.Zip Code
5. Project Location:
575 Osgood Street North Andover
a.Street Address b.Cityrrown
Map 36 Parcels 3, 17, 18 and 19
c.Assessors Map/Plat Number d. Parcel/Lot Number
Latitude and Longitude (note: electronic filers
will click for GIS locator): e. Latitude f.Longitude
10/24/08 11/5/08 11/6/08
6. Dates: a. Date Notice of Intent filed b. Date Public Hearing Closed c. Date of Issuance
7. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
Plan of Exisitng Conditions 10/23/08
a.Title b. Date
ANRAD 10/24/08
c.Title d. Date
wpaform4b.doc•rev.01/07 - Page 1 of 7
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection -Wetlands
WPA Form 4B — Order of Resource Area Delineation 2421444
Provided by DEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Order of Delineation
1. The Conservation Commission has determined the following (check whichever is applicable):
a. ® Accurate: The boundaries described on the referenced plan(s) above and in the Abbreviated
Notice of Resource Area Delineation are accurately drawn for the following resource area(s):
1. ® Bordering Vegetated Wetlands
2. ❑ Other Resource Area(s), specifically:
A-1 thru A-16 and F-1 thru F-57, including CC-9 thru CC-1 between F-6 & F-15, as shown on
Plan of Exisitng Conditions dated 10/23/08
b. ❑ Modified: The boundaries described on the plan(s) referenced above, as modified by the
Conservation Commission from the plans contained in the Abbreviated Notice of Resource
Area Delineation, are accurately drawn from the following resource area(s):
i. ❑ Bordering Vegetated Wetlands
2. ❑ Other Resource Area(s), specifically:
c. ❑ Inaccurate: The boundaries described on the referenced plan(s) and in the Abbreviated
Notice of Resource Area Delineation were found to be inaccurate and cannot be confirmed
for the following resource area(s):
1. ❑ Bordering Vegetated Wetlands
2. ❑ Other Resource Area(s), specifically:
s. The boundaries were determined to be inaccurate because:
wpaform4b.doc•rev.01/07 Page 2 of 7
e
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 4B — Order of Resource Area Delineation 2421444
Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Simplified Buffer Zone Review
Work within the Buffer Zone pursuant to the Simplified Review(310 CMR 10.02) requires that you
must comply with the following conditions. If your project does not meet these requirements, you are
required to either file a Determination of Applicability or Notice of Intent or take other corrective
measures as directed by the Conservation Commission.
Simplified Review Conditions:
Work conducted under Simplified Review requires the following:
1. No work of any kind shall occur within any wetland resource areas including Riverfront Area and
Bordering Land Subject to Flooding.
2. The inner 0-to-50-foot wide area from the delineated wetland boundary that has a Buffer Zone
shall not be disturbed by any work associated with this project, including placement of any
stormwater management components.
3. No work shall occur in the Buffer Zone bordering an Outstanding Resource Water(e.g., certified
vernal pool, public water supply reservoir or tributary), as defined in 314 CMR 4.00 or border
coastal resource areas at 310 CMR 10.25-10.35.
4. No work shall occur in the Buffer Zone adjacent to wetland resources with estimated wildlife
habitat(which is identified on the most recent Estimated Habitat Map of State-listed Rare
Wetlands Wildlife).
5. Erosion and Sedimentation controls shall be installed and maintained at the 50-foot Buffer Zone
line or limit of work (whichever is a greater distance from the resource area)to protect resource
areas during�construction.
6. If the project is subject to the Massachusetts Stormwater Policy, all work shall be conducted in
conformance with an approved Stormwater Management Plan.
7. The Buffer Zone does not contain a slope.greater than an average of 15% at its steepest gradient
across the 100-foot Buffer Zone.
8. The amount of new impervious surface, in combination with existing impervious surfaces, shall
not exceed 40%of the Buffer Zone between 50 and 100 feet.
9. No work is allowed, and no additional NOI or RDA shall be filed, for any work within the 0-to-50-
foot Buffer Zone during the three-year term of an Order associated with this application.
10. Prior to any work being undertaken pursuant to this Order, the wetland resource boundary shall
be flagged; all boundary delineation flagging should be maintained for the term of the Order.
11. If stormwater management structures are proposed in the Buffer Zone, the stormwater
management structures shall be maintained as required in the Stormwater Plan. Such
maintenance constitutes an ongoing condition and is not subject to further permitting
requirements.
12. If this ORAD involves work as part of a Simplified Review, the ORAD shall be recorded at the
Registry of Deeds prior to the commencement of work per the requirements of Section F.
13. Prior to proceeding with any work under Simplified Review, applicants are required to provide
written notice to the Commission one week prior to commencing any work.
14. If work authorized under Simplified Review is commenced, no work is allowed, and no additional NO[
or RDA may be filed,for any work within the 0-to-50-foot buffer zone during the term of an ORAD
associated with this application. If work authorized under Simplified Review is not commenced, then
future NOls or RDAs may be filed for work within the 0-to-50-foot portion of the buffer zone.
--End of Conditions—
wpaform4b.doc•rev.01/07
Page 3 of 7
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection -Wetlands
WPA Form 4B — Order of Resource Area Delineation 2421444
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Simplified Buffer Zone Review (cont.)
Stormwater Applicability
1. ❑ The project is not subject to the Stormwater Policy.
2. ❑ The project is subject to the Stormwater Policy and the Stormwater Plan included for the
project complies with all stormwater standards.
Ineligibility Determinations
Site Conditions: The applicant is not eligible for Simplified Buffer Zone review and must file a
_Request for Determination of Applicability or Notice of Intent prior to any work because:
3. ❑ Work is within the Buffer Zone of a Coastal Resource Area as defined at 310 CMR 10.25-
10.85.
4. ❑ The Buffer Zone contains existing slopes greater than an average of 15%.
5. ❑ Buffer Zone contains estimated rare wildlife habitat.'
6. ❑ The site borders an Outstanding Resource Water.2
Stormwater
7. ❑ The project is subject to the Stormwater Policy and the applicant has not submitted sufficient
information to demonstrate compliance with the Stormwater Management Policy. Prior to any
work, the applicant must submit plans showing compliance with the standards in the
P
Stormwater Policy, the location of the work, the amount of impervious surface, and the
location of erosion controls, to the Commission for its concurrence. (See instructions to
ANRAD Form 4A.) The following necessary stormwater information was not submitted by the
applicant:
a.
s. ❑ The project is subject to the Stormwater Policy but the project does not comply with one or
more of the stormwater standards (specify which standard(s) not met).
a.Standard #
b. Standard#
s. ❑ Impervious surface exceeds 40% of the area of the Buffer Zone between 50 and 100 feet
from the resource area.
10. ❑ The applicant did not submit plans depicting adequate erosion and sedimentation controls
located at the limit of work or at least 50 feet from any resource areas, whichever will be greater.
11. ❑ Work is proposed within 50 feet of a resource area.
Notice to Commission
Any applicant proposing to proceed under Simplified Buffer Zone Review, as specified in 310 CMR
10.02, must provide written notice to the Commission one week prior to any work.
' Identified on the most recent Estimated Habitat Map of State-listed Rare Wetlands Wildlife of the Natural Heritage and Endangered
Species Program,
Z Certified Vernal Pools, public water supplies, or inland ACFCs as identified in 314 CMR 4.00.
wpaform4b.doc•rev.01/07 Page 4 of 7
Massachusetts Department of Environmental Protection
DEP File Number.
Bureau of Resource Protection -Wetlands
WPA Form 4B — Order of Resource Area Delineation 2421444
Ll'
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
D. Findings
This Order of Resource Area Delineation determines that the Stormwater Plan, if applicable, and the
boundaries of those resource areas noted above, have been delineated and approved by the Commission
and are binding as to all decisions rendered pursuant to the Massachusetts Wetlands Protection Act
(M.G.L. c.131, §40) and its regulations (310 CMR 10.00). This Order does not, however, determine the
boundaries of any resource area or Buffer Zone to any resource area not specifically noted above,
regardless of whether such boundaries are contained on the plans attached to this Order or to the
Abbreviated Notice of Resource Area Delineation.
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.
If the Abbreviated Notice of Resource Area Delineation was filed as Simplified Review for a Buffer Zone
project, the applicant has certified that any work associated with the proposed project meets all eligibility
requirements for Simplified Review listed in Section C of this Order. Any work that does not comply with
the Simplified Review requirements will require a Notice of Intent or Request for Determination of
Applicability.
The applicant is responsible for promptly requesting a Certificate of Compliance following completion of
any work all pursuant to a Simplified Review or no later than three years from the date of the Order
of Resource Area Delineation unless the Order is extended.
Failure to comply with the conditions of this Order is grounds for the Conservation Commission or the
Department to take enforcement action.
This Order must be signed by a majority of the Conservation Commission. The Order must be sent 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 DEP Regional Office(see
http://www.mass.gov/dep/about/region/findyour.htm).
E. Appeals
The applicant,the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this
Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to
request the appropriate DEP Regional Office to issue a Superseding Order of Resource Area Delineation.When
requested to issue a Superseding Order of Resource Area Delineation,the Department's review is limited to the
objections to the resource area delineation(s)stated in the appeal request.The request must be made by certified
mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for 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 bylaw or ordinance, and not on the Massachusetts Wetlands Protection Act or regulations,the
Department of Environmental Protection has no appellate jurisdiction.
wpaform4b.doc•rev.01107 Page 5 of 7
a
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 4B — Order of Resource Area Delineation 2421444
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
F. Signatures and Notary Acknowledgem t
�S
Please i icate t e number of members who will sign this for
ko
Number of signers
Sign t of Conservation Commission Member Sig ture Conse tision Member
Si nature of Conservation Commission ember,\ Si ature of Cons ation Commission Member
Signature of se iss' Member - gnatu ervation Commission Member
Signa re of Conservat n m is n Member
This Order is valid for three years from the date of issuance.
This Order is issued to the applicant and the property owner(if different) as follows:
❑ by hand delivery on [F(by certified mail, return receipt requested on
Date Date —'—
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this
Day of Month Year
Before me, the undersigned Notary Public, .!�Lo
personally appeared Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
Massachusetts License
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged
to me that he/she signed it voluntarily for its stated purpose.
As member of North Andover Conservation Commission
City/Town
DONNA M.WEDGE
Norazv Pusuc
i 7Ctsr,': co'�t.AONWEALTHOFMASSACHUSETTS i natureofNota Public
j INy Comm.Expires Aug.7,2009
Don,%#- 6�
Printed Na/me of Notary Public
Place notary seal and/or any stamp above Z/ 7/ bad 7
My Comrfiissi&n Expires(Date)
wpaform4b.doc•rev.01/07 Page 6 of 7
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection -Wetlands
WPA Form 4B — Order of Resource Area Delineation 2421444
Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
G. Recording Information
If this Order is issued for purposes of Resource Area Delineation only, this Order should NOT be
recorded.
If this Order of Resource Area Delineation is issued as part of a Simplified Review, this Order must be
recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the
chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in
the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of
registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the
land subject to the Order of Conditions. The recording information on Page 6 of this form shall be
submitted to the Conservation Commission listed below.
North Andover
Conservation Commission
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission.
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To:
i
North Andover
I
Conservation Commission
Please be advised that the Order of Conditions for the Project at:
575 Osgood Street 242-1444
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
i
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
wpaform4b.doc•rev.01/07 Page 7 of 7
Q.
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Request Information
Important:
When filling out 1. Person or party making request(if appropriate, name the citizen group's representative):
forms on the
computer, use Name
only the tab
key to move
your cursor- Mailing Address
do not use the
return key. City/Town State Zip Code
Phone Number Fax Number(if applicable)
Project Location
Mailing Address
Cityrrown State Zip Code
2. Applicant(as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation
(Form 4A); or Request for Determination of Applicability (Form 1)):
Name
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
3. DEP File Number:
B. Instructions
1. When the Departmental action request is for(check one):
❑ Superseding Order of Conditions
❑ Superseding Determination of Applicability
❑ Superseding Order of Resource Area Delineation
Send this form and check or money order for$100.00(single family house projects)or$200(all other projects),
payable to the Commonwealth of Massachusetts to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpaform4b.doc Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding
Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (see
hftp://www.mass.gov/dep/about/region/findvour.htm).
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant.
wpaform4b.doc Page 2 of 2
Massachusetts Department of Environmental Protection
Bureau of.Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
'A. General Information
Important: North Andover
When filling From: t.Conservation Commission
out forms on
the computer, 2. This issuance is for(check one): ® Order of Conditions ❑ Amended Order of Conditions
use only the
tab key to 3. To: Applicant:
move your
cursor-do not Marlene Rotering Edgewood Retirement Community Inc.
use the return a.First Name b. Last Name c. Company
key. 575 Osgood Street
d.Mailing Address
rah North Andover MA. 01845
e.City/Town f.State g.Zip Code
4. Property Owner(if different from applicant):
a. First Name b. Last Name c. Company
d.Mailing Address
e. City/Town f. State g.Zip Code
5. Project Location:
575 Osgood Street and 549 Osgood Street North Andover
a.Street Address b.Cityrrown
Map 36 Parcels 3,17, 18, and 19
c.Assessors Map/Plat Number d. Parcel/Lot Number
Latitude and Longitude, if known (note: 42-70-328 -71-107-270
electronic filers will click for GIS locator): e. Latitude f. Longitude
6. Property recorded at the Registry of Deeds for(attach additional information if more than one parcel):
Essex North
a.County b.Certificate(if registered land)
9223 177
c. Book d. Page
7. Dates: 4/27/07 2/13/08 aliSID
a. Date Notice of Intent Filed b.Date Public Hearing Closed c.Date 6f Iss ante
8. Final Approved Plans and Other Documents (attach additional plan or document references as
needed):
Definitive Site Plan Re::;ocd rf[Iifai�er} 1i ri'ner of c57A ( A,1'K. i 7
a. Plan Title
Christiansen & Sergi Inc. Philip G. Christiansen, P. E4 Michael J. Sergi, P.
b.Prepared By L. S.
2/1/08 1"-40'.
d.Final Revision Date e. Scale
See Attached
f.Additional Plan or Document Title g. Date
9. Total WPA Fee Paid: $16,700 $4,287.50 $12,412.50
a.Total Fee Paid b. State Fee Paid c. City/Town Fee Paid
wpaform5.doc• rev.3/1/05 Page 1 of 9
I
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings
1. Findings pursuant to the Massachusetts Wetlands Protection Act:
Following the review of the above-referenced Notice of Intent and based on the information provided
in this application and presented at the public hearing, this Commission finds that the areas in which
work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that
apply:
a. ® Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollution
d. ® Private Water Supply e. ❑ Fisheries f. ® Protection of Wildlife
Habitat
g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control
2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes)
Approved subject to:
® the following conditions which are necessary in accordance with the performance standards set forth
in the wetlands regulations. This Commission orders that all work shall be performed in accordance
with the Notice of Intent referenced above, the following General Conditions, and any other special
conditions attached to this
Order. To the extent that the following conditions modify or differ from the
plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall
control.
Denied because:
❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland
regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is
submitted which provides measures which are adequate to protect these interests, and a final Order of
Conditions is issued. A description of the performance standards which the proposed work cannot
meet is attached to this Order.
❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect
of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may
not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information
and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions
is issued. A description of the specific information which is lacking and why it is necessary is
attached to this Order as per 310 CMR 10.05(6)(c).
Inland Resource Area Impacts: Check all that apply below. (For Approvals Only)
❑ Buffer Zone Impacts: Shortest distance between limit of project disturbance and
wetland boundary (if available) linear feet
Resource Area Proposed Permitted Proposed Permitted
Alteration Alteration Replacement Replacement
3. ❑ Bank a.linear feet b.linear feet c. linear feet d.linear feet
4. ❑ Bordering Vegetated
Wetland a.square feet b.square feet c.square feet d.square feet
5. ❑ Land Under a.square feet b.square feet c. square feet d.square feet
Waterbodies and
Waterways
e.cu.yd dredged f.cu.yd dredged
wpaform5.doc• rev.3/1/05
Page 2 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings cont.
9 (cont.)
Resource Area Proposed Permitted Proposed Permitted
Alteration Alteration Replacement Replacement
P p
s. ❑ Bordering Land
Subject to Flooding a. square feet b.square feet c.square feet d.square feet
Cubic Feet Flood
Storage e. cubic feet f.cubic feet g.cubic feet h.cubic feet
7. ❑ Isolated Land Subject
to Flooding a. square feet b.square feet
Cubic Feet Flood
fe
Storage c. cubic et d.cubic feet e. cubic feet f. cubic feet
8. ❑ Riverfront area
a.total sq.feet b.total sq.feet
Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet
Sq ft between 100-200 ft e. square feet f.square feet e.square feet f. square feet
Coastal Resource Area Impacts; Check all that apply below. (For Approvals Only)
9. ❑ Designated Port Indicate size under Land Under the Ocean, below
Areas
1o. ❑ Land Under the
Ocean a.square feet b.square feet
c. cu.yd dredged d.cu.yd dredged
11. ❑ Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below
12. ❑ Coastal Beaches a.square feet b.square feet c. c/y nourishmt. d.c/y nourishmt.
13. ❑ Coastal Dunes a.square feet b.square feet c.c/y nourishmt. d. c/y nourishmt
14. ❑ Coastal Banks a. linear feet b.linear feet
15. ❑ Rocky Intertidal
Shores a.square feet b.square feet
16. ❑ Salt Marshes a.square feet b.square feet c. square feet d.square feet
17. ❑ Land Under Salt
Ponds a.square feet b.square feet
c.cu.yd dredged d.cu.yd dredged
18. ❑ Land Containing
Shellfish a.square feet b.square feet c.square feet d. square feet
19. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the
Ocean, and/or inland Land Under Waterbodies and Waterways,
above
a.cu.yd dredged b.cu.yd dredged
20. ❑ Land Subject to
Coastal Storm Flowage a.square feet b.square feet
wpaform5.doc• rev.3/1/05 Page 3 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
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,P u es, 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.
i
9. A sign shall be displayed at the site not less then two square feet or more than three square feet in
size bearing the words,
"Massachusetts Department of Environmental Protection" [or, WA DEP"]
"File Number 242-1398 "
wpaform5.doc• rev.3/1/05 Page 4 of 9
Massachusetts Department of Environmental Protection L7
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. General Conditions Under Massachusetts Wetlands Protection Act
10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the
Conservation Commission shall be a party to all agency proceedings and hearings before DEP.
11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of
Compliance (WPA Form 8A)to the Conservation Commission.
12. The work shall conform to the plans and special conditions referenced in this order.
13. Any change to the plans identified in Condition#12 above shall require the applicant to inquire of the
Conservation Commission in writing whether the change is significant enough to require the filing of a
new Notice of Intent.
i
14. The Agent or members of the Conservation Commission and the Department of Environmental
Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours
to evaluate compliance with the conditions stated in this Order, and may require the submittal of any
data deemed necessary by the Conservation Commission or Department for that evaluation.
15. This Order of Conditions shall apply to any successor in interest or successor in control of the
property subject to this Order and to any contractor or other person performing work conditioned by
this Order.
16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland,
the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden
stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate
of Compliance has been issued by the Conservation Commission.
17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully
stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or
water body. During construction, the applicant or his/her designee shall inspect the erosion controls
on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately
control any erosion problems that occur at the site and shall also immediately notify the Conservation
Commission, which reserves the right to require additional erosion and/or damage prevention controls
it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of
work line has been approved by this Order.
18. All work associated with this Order is required to comply with the Massachusetts Stormwater Policy
Standards.
Special Conditions:
If you need more See attached
space for
additional
conditions,
select box to
attach a text
document
wpaform5.doc- rev.3/1/05 Page 5 of 9
L71Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of.Conditions 242-1398
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Findings Under Municipal Wetlands Bylaw or Ordinance
1. Is a municipal wetlands bylaw or ordinance applicable? ® Yes ❑ No
2. The North Andover hereby finds (check one that applies):
Conservation Commission
3. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
a.Municipal Ordinance or Bylaw b. Citation
Therefore, work on this project may not go forward unless and until a revised Notice of Intent is
submitted which provides measures which are adequate to meet these standards, and a final Order of
Conditions is issued.
4. ® that the following additional conditions are necessary to comply with a municipal ordinance or
bylaw:
North Andover Wetland Protection Bylaw Chapter 178
a.Municipal Ordinance or Bylaw b.Citation
The Commission orders that all work shall be performed in accordance with the following.conditions
and with the Notice of Intent referenced above. To the extent that the following conditions modify or
differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the
conditions shall control.
s you need more c. The special conditions relating to municipal ordinance or law are as follows:
space for P 9 p y
additional See attached
conditions,
select box to
attach a text
document
vvpaform5.doc• rev.3/1/05
Page 6 of 9
DEP FILE #242 -1398
Therefore, the North Andover Conservation Commission (hereafter the "NACU) hereby finds that
the following conditions are necessary, in accordance with the Performance Standards set forth in the
State Regulations, the local ByLaw and Regulations, to protect those interests noted above. The
NACC orders that all work shall be performed in accordance with said conditions and with the
Notice of Intent referenced below. To the extent that the following conditions modify or differ from
the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall
control.
GENERAL CONDITIONS
18. Failure to comply with all conditions stated herein, and with all related statutes and other
regulatory measures, shall be deemed cause to revoke or modify this Order.
19. This Order does not grant any property rights or any exclusive privileges; it does not authorize
any injury to private property or invasion of property rights. However, the NACC, agent of the
NACC or the Department of Environmental Protection (DEP) reserves the right to enter and
inspect the property at all reasonable times until a Certificate of Compliance is issued, to evaluate
compliance with this Order of Conditions, the Act (310 CMR 10.00), the North Andover Wetland
ByLaw and Regulations, and may require any information, measurements, photographs,
observations, and/or materials, or may require the submittal of any data or information deemed
necessary by the NACC for that evaluation. Further, work shall be halted on the site if the NACC,
agent or DEP determines that any of the work is not in compliance with this Order of Conditions.
Work shall not resume until the NACC is satisfied that the work will comply and has so notified
the applicant in writing.
20. This Order does not relieve the permittee or any other person of the necessity of complying with
all other applicable federal, state or local statutes, ordinances,by-laws or regulations.
21. The work authorized hereunder shall be completed within three years from the date of this order.
22. This Order may be extended by the issuing authority for one or more periods of up to one year
each upon application to the issuing authority at least thirty days (30) prior to the expiration date
of the Order (Refer to Section 8.3 (p.37) of the North Andover Wetland Regulations).
23. The NACC reserves the right to amend this Order of Conditions after a legally advertised public
hearing if plans or circumstances are changed or if new conditions or information so warrant.
24. Where the Department of Environmental Protection (DEP) is requested to make a determination
and to issue a Superseding Order, the Conservation Commission shall be a party to all agency
proceedings and hearings before the Department.
25. This Order is issued under File No. 242-1398.
C:\Winword\OOC\242-1398Edgewood.doc 1 NACC 2/15/2008
DEP FILE # 242 -1398
26. The conditions of this decision shall apply to, and be binding upon, the applicant, owner, its
employees and all successors and assigns in interest or control. These obligations shall be
expressed in covenants in all deeds to succeeding owners of portions of the property.
27. The term "Applicant" as used in this Order of Conditions shall refer to the owner, any successor
in interest or successor in control of the property referenced in the Notice of Intent, supporting
documents and this Order of Conditions. The NACC shall be notified in writing within 30 days of
all transfers of title of any portion of property that takes place prior to the issuance of a Certificate
of Compliance.
28. The proposed work includes: Razing of existing structures, the construction of twenty-two (22)
attached and single-family cottage style residential units with attached garages, associated
driveways, decks/porches, the conversion of a structure (Milk Barn) to two residential units,the
I onversion of an existing single family structure (Osgood House) to one residential unit, a
greenhouse, roadway construction and improvements, construction of paved walkways,
installation of utilities, stormwater management structures, associated grading activities and
buffer zone restoration/mitigation activities. Of the twenty-two units proposed, only nine (9)
units are jurisdictional. A facility addition/expansion area and associated parking and grading
are also proposed. However, this work is located outside of the 100-foot buffer zone and
therefore not jurisdictional.
The property is also surrounded by several permanently protected Open Space properties
owned by the Town of North Andover and the Trustees of Reservations (TTOR). All work
regulated under this Order is proposed to be located within the boundaries of the Edgewood
property and is not proposed to extend beyond these limits on any of the protected Open Space
properties. It shall be the responsibility of the applicant to ensure that no work shall occur
within any protected Open Space area maintained by the Town of North Andover or the
Trustees of Reservations during the life of the project and in perpetuity unless otherwise
allowed in the Edgewood Farm Restrictions or otherwise allowed by the Trustees of
Reservations or The Town of North Andover.
29. The work shall conform to the following (except as noted in the remainder of this document
where revisions may be required):
Notice of Intent filed by: Edgewood Retirement Community,Inc.,(Applicant)
C/o Marlene Rotering
575 Osgood Street
North Andover, MA 01845
Dated April 27,2007
Notice of Intent prepared by: Nitsch Engineering (Former Representative)
186 Lincoln Street, Suite 200
Boston, MA 02111
C:\Winword\OOC\242-1398Edgewood.doc 2 NACC 2/15/2008
DEP FILE # 242 -1398
Secondary/Team Representative: Linbeck
One Maquire Road/One Cranberry Hill, Suite 303
Lexington,MA 02421
Site Plans prepared by: Christiansen & Sergi, Inc. (Latter Representative)
160 Summer Street
Haverhill, MA-01830
Entitled "Definitive Site Plan, Edgewood Retirement
Community". Dated November 1, 2007, last revised 2/1/08.
Consisting of Sheets 1 through 19
Stamped & Signed by Philip G. Christiansen,P.E. & Michael J.
Sergi, P.L.S.
Other Record Plans: Notice of Intent Plans by Nitsch Engineering dated 4/27/07 -
includes Existing Conditions Plan by Christiansen & Sergi dated
11/15/06 and Planting Plans by Stephen Stimson Associates dated
4/27/07;
Site Plan Review Drawings by Nitsch Engineering dated 5/5/07
revised on 5/29/07 and 6/18/07. Included in these plans are the
Existing Consditions Plan by Christiansen & Sergi dated 11/15/06
and revised on 5/17/07. Also includes Landscape Plans by
Stephen Stimson Associates dated 6/18/07;
Landscaping Plans entitled "Planting Plan", prepared by Stephen
Stimson Associates Landscape Architects, Inc. consisting of
sheets L2.1 & L2.0, dated December 4, 2007, revised February 1,
2008. Stamped & Signed by Edward Marshall, R.L.A.;
Post & Rail Fence and Wood Guard Rail Detail
Sketches/Drawings (SK-1 & SK-2) dated February 1, 2008.
Stamped & Signed by Edward Marshall,R.L.A.;
Mitigation Plan entitled "Buffer Zone Mitigation Plan" (Sheet
M1.0), dated February 1,2008;
"Pre-Development Conditions Watershed Maps" & "Post-
Development Conditions watershed Maps" prepared by
Christiansen & Sergi, dated December 10,2007.
Other Record Documents: Supplemental Information Report by Nitsch Engineering dated
June 20, 2007-includes Appendix A thru N;
"Mitigative Drainage Analysis" Reports prepared by
Christiansen & Sergi, dated November 1, 2007, revised December
10, 2007 &January 2,2008;
C:\Winword\OOC\242-1398Edgewood.doc 3 NACC 2/15/2008
DEP FILE # 242 -1398
Note: there are two (2) separate record Mitigative Drainage
Analysis documents as some attachments and calculations were
unchanged in the previous submittal and omitted from the final
revised report. This is noted on the report with the revision date
of January 2,2008.
Operation and Maintenance Plan dated February 1,2008;
Waiver Request Form and Associated Attachments (Appendix E),
signed June 12, 2007;
Alternative Analysis (Appendix G) dated June 5,2007;
Alternative Analysis Sketch Plans consisting of 7 sheets (SK 1-A,
SK 1-B, SK 2-A, SK 2-B, SK 3-A, SK 4-A, SK 5-A) dated June 5,
2007;
Planning Board CCRC Special Permit Decision dated January 23,
2008;
Planning Board Site Plan Review Special Permit Decision dated
January 23,2008.
Drainage Reviews: Letter from Lisa Eggleston dated June 27, 2007 RE: Stormwater
Management Review;
Letter from Nitsch Engineering to Lisa Eggleston dated July 5,
2007 RE: response to 6/27 letter;
Letter from Lisa Eggleston dated July 18, 2007 RE: Stormwater
Management Review;
Letter from Nitsch Engineering to Lisa Eggleston dated August
30, 2007 RE: Response to 7/18 letter;
Letter from Margaret Wheeler, Community Conservation
Specialist, The Trustees of Reservations (TTOR), dated July 30,
2007 with attached peer review letter from Horsley Witten Group,
Inc. dated July 24,2007;
Response Memorandum from Stacey Furlong, Linbeck, to
Margaret Wheeler, TTOR, dated August 3,2007;
Nitsch Engineering Stormwater Systems Operation and
Maintence Plan dated September 7,2007;
C:\Winword\OOC\242-1398Edgewood.doc 4 NACC 2/15/2008
DEP FILE #242 -1398
Letter from Horsley Witten Group dated September 10, 2007;
Letter from Lisa Eggleston dated September 11, 2007 RE:
Stormwater Management Review;
Letter from Christiansen & Sergi, Inc. dated November 14,2007;
Letter from Eggleston Environmental dated November 27, 2007;
Response letter from Christiansen & Sergi, Inc. dated December
10,2007;
Letter from Eggleston Environmental dated December 18, 2007;
E-mail correspondence from Ellie Baker, Horsley Witten Group,
Inc., dated January 2, 2008;
E-mail correspondence from Lisa Eggleston, Eggleston
Environmental, dated January 3, 2008;
Letter from Christiansen & Sergi,Inc. dated January'3, 2008;
E-mail correspondence from Lisa Eggleston, Eggleston
Environmental, dated January 8,2008;
Response letter from Christiansen & Sergi, Inc. dated January 9,
2008;
Final letter from Horsley Witten Group, Inc. dated January 9,
2008;
Final review letter from Eggleston Environmental dated January
9, 2008.
Correspondences: Letter from Alison McKay, North Andover Conservation
Administrator, to Sandra Brock P.E., Nitsch Engineering dated
March 12, 2007;
Letter from Nitsch Engineering to Alison McKay5/15/07dated
RE: Rain Garden Information and Consultant Contracts;
Letter from a concerned resident dated August 20,2007;
Letter from Marlene Rotering, Executive Director, Edgewood
Retirement Community, dated August 24,2007;
C:\Winword\OOC\242-1398Edgewood.doc 5 NACC 2/15/2008
DEP FILE # 242 -1398
Letter from North Andover resident, Angelo Giambusso, dated
September 27,2007;
Letter from Christiansen & Sergi. Inc. for the revised project
submission and design changes dated November 1,2007;
Letter from Marlene Rotering, Executive Director, Edgewood
Retirement Community, dated November 2, 2007;
Letter from Devine Millimet dated January 15, 2008 regarding
Confirmation of Paved Parking Area on Town's Portion of Half
Mile Hill.
30. The following wetland resource areas are affected by the proposed work: Buffer Zone to Isolated
Vegetated Wetland (local), Buffer Zone to Bordering Vegetated Wetland (BVW) and Bank
associated with intermittent stream/drainage channels. These resource areas are significant to
the interests of the Act and Town ByLaw as noted above and therein. The applicant has not
attempted to overcome the presumption of significance of these resource areas to the identified
interests.
31. The NACC agrees with the applicant's delineation of the wetland resource areas on the site as
shown on the approved plans referenced herein and as approved under the previously issued
ORAD (242-1375) with exception to the following changes, additions, and/or notations:
• A portion of an additional wetland resource area was reviewed and approved under this
project filing, specifically wetland flags W1 through W8.
• The buffer zones shown to the east of wetland flag series Y & X on the approved plan are
erroneous,wherein this wetland series delineates one side of the boundary only. Therefore,
buffer zones on the eastern side of this wetland resource area delineation should not have
been depicted on the plans referenced herein and are not approved.
• Other buffer zones associated with wetland resource areas not reviewed or approved under
this filing or the ORAD filing were added to the record plans erroneously, specifically at
the lower portion of the site along Osgood Street and along the main entrance drive off of
Osgood Street.
Any wetland resource area and associated buffer zones not noted and approved above under
this Order or previously approved under the issued ORAD is not approved under this filing.
32. The NACC finds that the intensive use of the upland areas and buffer zone proposed on this site
will cause further alteration of the wetland resource areas. In order to prevent any alteration of
wetland resource areas a twenty-five foot (25') No-Disturbance Zone and a fifty-foot (50') No-
Construction Zone shall be established from the edge of the adjacent wetland resource areas
except for the demolition of existing structures; the construction/relocation of "Driveway G",
installation of utilities and grading activities within and associated with the relocation of the
roadway, the construction of additional walkways, and the implementation of the approved
restoration/mitigation areas as approved under this filing. The Conservation Administrator
and/or other agents of the NACC do not have the authority to waive these setbacks as established
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under the local bylaw. No disturbance of existing grade, soils or vegetation is permitted in the
No-Disturbance zone. (See Section 3.4 &Appendix F of the local Regulations).
33. The NACC hereby accepts the alternative analysis and therefore GRANTS-the applicant a
waiver for disturbances within the regulated 25-foot No Disturbance Zone (1,587 s.f.) provided
that mitigation/restoration of these disturbed areas are conducted in accordance with the
approved landscaping and mitigation plans.
34. The NACC finds the applicant's proposal for 7,065 sq. ft. (>2:1 ratio) of buffer zone restoration
consisting primarily of meadow areas to remain consistent with the existing natural landscape
to be adequate. However,the NACC reserves the right to require alternate species should
these species be determined to be more appropriate.
35. Restoration activities shall be conducted in accordance with the approved mitigation and
landscaping plans and shall be constructed immediately upon construction of the work in
"Area H" and "Area G". This sequence shall be reflected in the construction sequence.
36. A qualified wetland scientist shall monitor the restoration areas for TWO consecutive growing
seasons (May and October) following construction of said restoration areas. At the end of each
seasonal inspection, a progress report and photographs shall be prepared and submitted to the
Conservation Department that describes the survivability,health and vigor of the restoration
areas. A total of FOUR separate monitoring reports shall be submitted over a two-year period.
If at the end of the first growing season, overall success of restoration activities is not achieved,
the NACC reserves the rights to require additional mitigation measures.
37. 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,including any formed
Management Company or other assignee designated by Edgewood Retirement Community,
Inc. Thereafter, any and all the above stated parties and the applicant will be held jointly liable
for any violation of this Order resulting from failure to comply with its conditions.
38. The owners of the project and their successors in title, in the event they proceed to alter areas
subject to the Commissions jurisdiction under the order, agree that the Order does not in itself
impose upon the Town any responsibility to maintain the proposed drainage system and that said
Town shall not be liable for any damage in the event of failure. By acceptance of this Order, the
owners agree to indemnify and hold harmless to the Town and its residents for any damage
attributable to alterations undertaken on this property pursuant to the Order. Maintenance of the
drainage system, if accepted by the Town as part of a public way, becomes the responsibility of
the Town.
39. 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.
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DEP FILE # 242 -1398
PRIOR TO CONSTRUCTION
40. 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.
41. 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 thero osed work is to be done. In the case of registered land the Final Order
shall also be
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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.
42. 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 242-1398."
43. Prior to the commencement of any work, the applicant shall submit to the Conservation
Department a co of the roved NPDES S
p copy ea pp form Water Pollution Prevention Plan (SWPPP).
44. Soil and groundwater testing was conducted in several locations on the site in May of 2007
when the original drainage design was proposed. Estimated high ground water elevations
were determined in those locations. Pond designs were based on the groundwater elevation
data collected at that time. Since that time however, the applicant had redesigned the drainage
system. .Therefore, additional confirmatory soil testing shall be conducted prior to construction
and prior to each building permit application in the locations of the approved stormwater
management structures and in the vicinity of each stormtech roof drain infiltration area, to
determine soil suitability and high groundwater elevations. Upon completion of testing
activities, documentation must be submitted to the Conservation Department for verification of
said soil suitability and separation to groundwater.
45. Prior to construction and during a period of low water/flow conditions, the existing detention
basin should be thoroughly cleaned and inspected by a qualified engineer and any necessary
repairs to the basin or the outlet control structure shall be completed. Cleaning and inspection
of the basin shall be ongoing in accordance with the approved Operation & Maintenance Plan
referenced herein.
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DEP FILE # 242 -1398
46. During the project review, the outlet from the wetland to the south of the site driveway
(Wetland flag series D) was observed to be overgrown or otherwise obstructed resulting in
overtopping flows onto the adjacent cart path and onto the Trustees of Reservations property to
the south. The flow from this wetland, as well as the discharge from the culvert from Area H
should drain toward the wet meadow further to the west on the Edgewood property. In order
to preserve the integrity of the cartproperty,P
ath and retain the flow on the Edg ewoodthe
outlet area in this location shall be cleaned and obstructions removed prior to construction
activities.
47. Prior to the construction of units G3, G4, G5, H12, H11, H10, and both units labeled H9, the
foundation corners and corners of associated decks/patios of these units shall be staked in the
field by a Registered Land Surveyor (R.L.S.). Measurements shall be taken and verified by the
I
Conservation Department during the Pre-Construction meeting.
48. Any changes in the submitted plans caused by the applicant, state or federal agency, another
Board's decision or resulting from this Order of Conditions must be submitted to the NACC
for approval prior to implementation. Said revisions shall be submitted as part of the record
filing even if located outside of the buffer zone and therefore outside of the NACC's
jurisdiction. 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.
49. 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.
50. Prior to any work commencing on site,the applicant shall submit to the NACC for approval, a
detailed sequence of construction, including a dated timetable of construction,the construction
of compensation and retention areas, installation of sedimentation/erosion control devices,
roadway infrastructure, phasing associated with the development,the construction of the
associated stormwater management structures, landscaping activities, and required
mitigation/restoration areas. The construction sequence shall specify that the stormwater
management structures will be constructed first, prior to any other site preparation This
timetable must continue to be updated throughout the project.
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51. 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 clean marked with stakes or flags and
shall be
Y g
confirmed b the NACC. Such
markers shall all 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.
52. 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
I
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. Any additional erosion controls necessary shall be discussed in more
detail in the field at the pre-construction meeting. The NACC reserves the right to require the
installation of these additional erosion controls at the pre-construction meeting or at any time
during construction activities. Should such installation be required by the NACC, they shall be
installed within 48 hours of the Commissions request.
53. The applicant shall have on hand at the start of any soil disturbance, removal or stockpiling, a
minimum of 75 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. Said emergency erosion controls shall be on site
prior to the commencement of an work and
shall verified b h
Y y the Conservation Department
during the pre-construction meeting.
54. A check payable to the Town of North Andover shall be provided in the amount of $70,000 (9
Jurisdictional units - 27K; Roadways & Utilities - 5K; Stormwater - 17K; Restorations/Mitigation
- 21K), 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.
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55. The applicant shall be responsible for placing signs designating the applicable unit numbers as
depicted on the plans approved and referenced herein.
56. The applicant shall designate a Qualified Professional 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. Credentials of said
Erosion Control Monitor shall be submitted in writing for review and subsequent approval by
the NACC. 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.
57. The applicant and/or the legal. owner of that portion of land upon which these Orders of
Conditions have beenlaced
shall provide to the NA
p p CC prior to transferring, or assigning any
portion of said land to another party, such as a Management Company, Condominium
Association or individual, subject to said Orders of Conditions, the "Compliance Certification
Form Affidavit attached herein signed
under the pains
( ) g p and penalties of perjury, stating that
said applicant has read these Orders of Conditions and is in compliance with each and every
condition. If portions of said land are transferred to different parties, such as individual unit
owners, each party is subject to this Condition. This document shall apply to each of the
conditions referenced herein and shall berovided to the Conservation Department partment at least five
(5) business days prior to the closing of said land transaction.
5 .
8 Once these above mentionedre-construction requirements P q is are complete, the applicant shall
contact the Conservation anon Office prior to site preparation.or construction and shall arrange an
on-site conference with an NACC representative, the contractor, the engineer, the 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).
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DEP FILE # 242 -1398
STORMWATER MANAGEMENT CONDITIONS
59. All construction and post-construction stormwater management systems shall be constructed in
accordance with the approved construction sequence, supporting documents and plans submitted
with the Notice of Intent, this Order of Conditions, and the approved Operation and Maintenance
Plan attached herein.
60. Construction of the stormwater structures shall be constructed and functioning as part of the
initial project phase, immediately following clearing and rough grading the site to serve as
siltation control during construction. Runoff from the site shall be directed towards these basins.
61. All stormwater best management practices shall be maintained as specified in the Operation
and Maintenance Plan submitted with the Notice of Intent and incorporated in the Order of
Conditions. The approved Operation & Maintenance Plan is fully binding upon the applicant
and/or owners, successors, agents, associations, heirs and assigns and must be adhered to in
perpetuity.
62. Evidence of maintenance of the stormwater management system shall be provided to the
NACC on an annual basis by a Registered Professional Civil Engineer certifying that the drainage
system is working as designed and shall include any maintenance invoices for cleaning and
repairs. The first report shall be submitted to the NACC as soon as the first stormwater structure
goes on-line and reports must continue to be submitted until a Certificate of Compliance is issued.
Compliance with the designed stormwater management system and associated stormwater
management conditions shall be satisfied prior to the issuance of a Certificate of Compliance.
63. Temporary and/or permanent basins being used for sedimentation and dewatering during
construction shall be cleaned of sediment when levels exceed six (6) inches. The basins shall be
cleaned of sediment prior to final grading and construction of permanent stormwater basins.
64.Wetland Ponds are proposed as part of the stormwater management design. Pond plantings
must be conducted in accordance with the approved plans and documents referenced herein. A
qualified wetland specialist must supervise wetland plantings and monitoring must be conducted
in the spring and fall for two (2) consecutive years after the planting date. Reports prepared by a
qualified wetland specialist shall be submitted following each inspection and must document
species survival/distribution, sediment accumulation,water quality and conditions of the pond
outlet.
65. All roof runoff shall be directed to the stormtech roof drain infiltrators to provide groundwater
recharge as shown on the approved plans referenced herein.
66. There shall be no increase in the post development discharges from the storm drainage system or
any other changes in post development conditions that alter the post development watershed
boundaries as currently depicted in the Notice of Intent and approved by this Order of Conditions.
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67. Water quality down gradient of BVW's shall not differ significantly following completion of the
project from the pre-development conditions. There shall be no sedimentation into wetlands or
water bodies from discharge pipes or surface runoff leaving the site.
68. Prior to the issuance of the Certificate of Compliance,the applicant shall be responsible for
cleaning all stormwater structures, in accordance with the approved Operation & Maintenance
Plan attached herein and the associated stormwater management conditions mandated herein.
69. 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
70. IMPORTANT: Immediately upon completion of the dwelling/unit foundations, and prior to
further construction activities associated with the site, the applicant shall complete a plan prepared
by a Registered Professional Land Surveyor of the Commonwealth (R.P.L.S.) which accurately
depicts the foundation location of those units within the buffer zone and it's proximity to wetland
resource areas as approved under this Order of Conditions. Said plan shall be submitted to the
Conservation Administrator for review.
71. ON'EVERY MONDAY of each week,.or otherwise arranged by the NACC, in which active
construction activities occur in the buffer zone or for as long thereafter as the ground remains
unstable, the "Erosion Control Monitor" shall contact the NACC or agent thereof and submit a
written report 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. Considering that
the project proposes phased development and will therefore be under construction for a period of
time, weekly monitoring may be limited for construction activities that are occurring within the
buffer zone only. However, development and construction of portions of the drainage system are
located outside of the buffer zone, but outlet to jurisdictional areas. Therefore, monthly
inspections and reports are required throughout the duration of the project even if construction
activities are not actively being conducted in jurisdictional resource areas. The Conservation
Administrator has the authority to require additional monitoring reports if necessary.
72. Accepted engineering and Best Management Practices (BMPs) for construction standards shall be
followed during construction of all work.
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73. Crushed stone construction entrances shall be designated at each access location as shown on
the approved plans referenced herein to minimize soil/material tracking onto the roadways and
paved surfaces. These entrances shall be reinforced as necessary throughout the duration of
construction.
74. Construction sequencing shall be followed throughout all phases of construction in an
appropriate and logical manner as to minimize site access, thereby minimizing any unnecessary
impacts to the wetland resource areas.
75. The NACC finds that physical barriers are necessary in several locations to prevent future
inadvertent encroachment into the wetland resource areas. Therefore,the installation of a split-
rail fence shall be installed upgradient to and along the 25' No Disturbance Zone in "Area H" and
in "Area G" and the installation of a wood guard rail shall be installed along the edge of a portion
of the newly constructed "Driveway G upon completion of construction and as shown on the
approved plans and details referenced herein.
76. Additional erosion controls consisting of trenched silt fence shall be placed between the
wetland resource areas and the areas to be restored. Erosion controls shall be positioned outside
of said restoration areas and shall be located to minimize disturbance to adjacent jurisdictional
areas. Erosion controls required for the construction of the restoration areas in the vicinity of
wetland series X,Y, G, & H shall be positioned and located at the direction of the NACC agent.
77.The designated wetland scientist/erosion control monitor shall be on site during buffer zone
restoration activities.
78. All existing and proposed catch basins and oil traps on the site or on the streets adjacent to the
� P )
project shall be protected by Silt Sacks to prevent sediment from entering the drainage system.
Silt Sacks shall be maintained and regularly cleaned of sediments until all areas associated with
the work permitted by this Order have beenpermanently stabilized
and the NACC /or
Conservation Department has formally approved their removal.
79. Erosion control devices shall be inspected regularly; any entrapped silt shall be removed to an
area outside of the buffer zone and wetland resource areas; silt fence and hay bales shall be replaced
as necessary. The areas of construction shall remain in stable condition at the close of each
construction day. All erosion controls shall be in place throughout the duration of any
construction on site or unless otherwise authorized by the Conservation Department.
80. Upon beginning gulrung 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.
81. All catch basins shall contain oil/gasoline traps, and it shall be a continuing condition of this
order, even after a Certificate of Compliance is issued, that the oil/gasoline traps in the catch basins
be maintained. All catch basins shall be free of all accumulated silt and debris before Compliance is
issued and the owner or his/her agent shall so specify in the request for Compliance.
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82. The sewer lines on the site, where they cross wetland resource areas, shall be tested for water
tightness in accordance with North Andover DPW standards.
83. The Erosion Control Monitor shall be on site during and/or following a major storm event of 1
inch of rain or greater to ensure that soils remain stable, erosion controls are adequate and secure,
and that all BMP's are adequately functioning.
84. Approved de-watering activities shall be supervised and witnessed by the designated erosion
control monitor. This designee must be on-site at all times while dewatering is occurring De-
watering activities shall be conducted as shown on the approved plans and shall be monitored
daily by the erosion control monitor to ensure that sediment laden water is appropriately settled
prior to discharge toward the wetland resource areas. No discharge of water is allowed directly into
an area subject to jurisdiction of the Wetlands Protection Act and/or the North Andover Wetland
Bylaw. If emergency de-watering requirements arise, the applicant shall submit a contingency
plan to the Commission for approval, which provides for the pumped water to be contained in a
settling basin,to reduce turbidity prior to discharge into a resource area.
85. Associated pavement and roadways.shall be swept at least bi-weekly (twice per month) or as
directed by the Erosion Control monitor, the Site Supervisor, Project Manager,p � ger, or Conservation
staff for as long as the site remains exposed and unstabilized
86. The entrance access road/drive to the Town owned Open Space area known as Half Mile Hill
located off of "Driveway G" on the approved plans shall be constructed and maintained at a
minimum width of 20 feet. Further, the current owner/applicant, Edgewood Retirement
Community, Inc., and/or. any future owner acknowledges said access way and shall not
impede/obstruct access to the Town owned Open Space in perpetuity.
87. The applicant has voluntarily agreed, by letter from its Attorney referenced herein, to improve
the existing parking area and entranceway to Half Mile Hill at it own expense during construction
activities. Improvements shall include, but may not be limited to, access improvements, paving of
the existing parking area, and the installation of signage. The scope of work and project details
shall be provided by the Conservation Commission prior to the commencement of said
improvement activities. As such, the applicant shall notify the Conservation Commission at least
seven (7) days in advance of anticipated activities of this work in order for the Conservation
Commission to prepare and provide the applicant's contractor with the necessary documentation,
and plans to conduct said work. In addition, the Town shall be responsible for obtaining all
necessary permits and approvals prior to said work.
88. After land development construction is complete and the temporary use of the Wet Ponds as
siltation controls are dismantled, the applicant must visually observe and document high
groundwater conditions within the excavated ponds to determine if hydrology is adequate to
support the proposed wetland vegetative communities. Plans shall be submitted for review
depicting proposed pond elevations suitable for sustaining the proposed zoned wetland
communities.
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DEP FILE # 242 -1398
89. 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.
90. All exposed soil finish grade surfaces shall be immediately landscaped and stabilized, or loamed,
seeded and mulched, with a layer of mulch hay. All disturbed areas must be graded, loamed and
seeded prior to November 1St of each year. Outside of the growing season, exposed soil finish grade
surfaces shall be stabilized with a layer of mulch hay until climate conditions allow for seeding. No
exposed area shall remain unfinished for more than thirty (30) days, unless approved by the NACC.
91. 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.
92. Equipment shall not be staged overnight within 100-feet of a wetland resource area, excluding
the construction of "Driveway G". The erosion control monitor shall closely monitor the
construction of "Driveway G" and shall ensure that if equipment is stored overnight for said
construction, it shall be stored in a location as far as practicable from any wetland resource area.
93. There shall be no.stockpiling of soil or other materials within twenty-five (25) feet of any
resource area. Soils shall be stockpiled in those locations as depicted on the approved plan
referenced herein or other suitable locations as determined by the NACC. Further, all soil
stockpile areas shall be adequately protected and surrounded by appropriate erosion controls
measures.
94. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system,
or wetland resource area.
95. 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 SyLaw.
96. 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.
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AFTER CONSTRUCTION
97. 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.
98. 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.
99. No road salt sodium s d um chloride, or ether de-icing chemicals shall be used on paved surfaces in the
buffer zone, and any arrangement for snow removal shall so stipulate due to the importance of the
site and wetlands. The approved O & M plan stipulates snowplowing procedures for the site. In
addition, the NACC finds that as stockpiling of snow is needed, permanent signs designating
"No-Salt Zone" and "No-Snow Stockpiling Zones" shall be displayed in prominent locations as
approved by the Conservation Department.
100. Prior to the issuance of a Certificate of Compliance, the applicant must submit proof of
contract to the Conservation Department in the form of a written and signed document from the
assignee(s) responsible for conducting the perpetual site maintenance in accordance with the
Operation & Maintenance Plan and perpetual conditions mandated in this Order. In addition to
this contract, the applicant shall submit an Affidavit from the assignee (s) acknowledging the
Operation & Maintenance responsibilities of the stormwater management systems in accordance
with the approved Operation & Maintenance Plan and other perpetual conditions mandated in
this Order.
101. Upon completion of work, the applicant shall permanently mark the edge of the "25' No-
Disturbance Zone" either on installed posts, existing trees, or along the approved split rail fence
behind the units in "Area H" and behind the units in "Area G" with twenty-eight (28) signs or
markers spaced evenly every 40 feet incorporating the following text: "Protected Wetland Resource
Area" (available at the Conservation Department). In addition, eleven (11) of the same signs or
markers shall be placed in the same manner along the 25' No Disturbance Zone starting from the
end of the wood guard rail upgradient to wetland flag G5 ending at the 25' No Disturbance Zone
upgradient to wetland flag J5. 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.
102. There shall be no dumping of leaves, grass clippings, brush, or other debris into a wetland
resource area or within 25 feet of a wetland resource area. This condition shall remain in
perpetuity.
C:\Winword\OOC\242-1398Edgewood.doc 17 NACC 2/15/2008.
DEP FILE #242 -1398
103. 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.
104. 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.
105. Upon completion of construction and final site stabilization, 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 individual unit 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 unit.
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 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 detailing any deviations that
exist, and their potential effect on the project. A statement that the work is in
"substantial compliance"with no detailing of the deviations shall not be accepted.
i. An "As-Built" plan prepared and signed and stamped by a Registered Professional Civil
Engineer and Registered Professional Land Surveyor of the Commonwealth. 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 2ny disturbance of soils or vegetation.
➢ Location of all subsurface utilities entering the property.
C:\Winword\OOC\242-1398Edgewood.doc 18 NACC 2/15/2008
DEP FILE # 242 -1398
106. 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 (Condition#32);
➢ Prohibition of any activities on the surrounding protected Open Space properties
unless otherwise allowed by the Trustees of Reservations or The Town of North
Andover (Condition#28);
➢ Prohibition of impediment/obstruction of the access way to the adjacent Town
Open Space property (Condition #86);
➢ Maintenance of all culverts, collections basins, traps, outlet structures, subsurface
storage areas, and other elements of the drainage system, unless put into an
easement to the Town of North Andover, in order to avoid blockages and siltation,
which might cause failure of the system and/or detrimental impacts to on-site or
off-site resource areas (Condition #69);
➢ All catch basins shall contain oil/gasoline traps and shall be maintained (Condition
#81);
➢ Discharge or spillage of pollutants (Condition#96);
➢ Prohibition of underground fuels (Condition#97);
➢ Limitations on the use of fertilizers, herbicides, road salts, de-icing compounds and
pesticides (Conditions #98 & #99);
➢ Prohibition of dumping of leaves, grass clippings, brush, or other debris (Condition
#102);
➢ The approved "Stormwater Operations and Management Plan", including Best
Management Practices. No additional filings will be required to conduct
maintenance of the above referenced system and plan (Condition#61).
C:\Winword\OOC\242-1398Edgewood.doc 19 NACC 2/15/2008
DEP FILE# 242 -1398
APPENDIX A —AFFIDAVIT
I, on oath do hereby depose and state:
(authorized agent of applicant and/ or owner)
PLEASE CHECK AT LEAST ONE BLOCK
1) I am the of
(position with applicant) (applicant's name)
the applicant upon whom the Order of Conditions have been
(DEP or NACC File#)
placed upon by the North Andover Conservation Commission(NACC).
and / or
2) I am the of
(position with owner) (owner)
the owner upon whose land Order of Conditions have been
(DEP or NACC File#) .
placed upon by the NACC.
♦ I hereby affirm and acknowledge that I have received said Order of Conditions and have
read the same and understand each and every condition, which has been set forth in said
Order of Conditions.
♦ I hereby affirm and acknowledge that on this day of
20 I inspected said property together with any and all improvements, which have
been made to the same and hereby certify that each and every condition set forth in the
Order of Conditions are presently in compliance.
♦ I hereby affirm and acknowledge that this document will be relied upon by the NACC, as
well as any potential buyers of said property, which is subject to the Order of Conditions.
Signed under the pain and penalties of perjury this day of 20
(Authorized agent of applicant or owner)
C:\Winword\OOC\242-1398Edgewood.doc 20 NACC 2/15/2008
Mitigative Drainage Analysis
"Edgewood Retirement Community" - North Andover, Mass.
V) Operation and Maintenance Plan February 1, 2008
NOTE: This Operations and Maintenance Plan is to be applied to all structural
best management practices on the properties owned and maintained by RECEIVED
Edgewood Retirement Community, Inc. FSR 012008
J)t)
I. Stormwater Management System Owners: NORTH ANDOVER
CONSERVATION COMMISSION
The owner of the facility; Edgewood Retirement Community, Inc, herein referred
to as the FACILITY OWNER shall be the owner of the associated drainage
structures and maintenance of said structures.
II: Parties Responsible for Operation and Maintenance:
The general contractor of the project shall be responsible for the operation and
maintenance of the stormwater management systems during construction. Upon
completion of the project, the facility owner shall be responsible for the operation
and maintenance of the stormwater management system
II1. Inspection and Maintenance:
a). Erosion Control shall be inspected and maintained/reinforced on a daily
basis during construction.
b) All exposed soil finish surfaces shall be immediate) landscaped ped and
stabilized; or loamed, seeded and mulched with a layer of mulch hay.
Outside of the growing season, surfaces shall be covered with a layer of
mulch hay until climate conditions allow for seeding.
I
C) Immediately upon installation of any catch basin or storm drain, erosion
control devices shall be set and staked around the inlet to prevent
sediment from entering the drainage system prior to paving.
d) All stockpile areas are to be covered, and should have a double row of
haybales staked at the base.
e) During construction, all drainage structures shall be cleaned on an as
needed basis and/or after heavy rainfalls. Prior to the placement of any
impervious materials on site, all drainage structures shall be properly
installed and functional. After construction, the inspection of catch
basins, including the oil and grease traps; shall be performed on a four
times per year basis. The basins are to be cleaned at least once per year
(after spring street sweeping) to prevent blockage. If it is found at the
time of cleaning that the depth of the accumulated sediment is greater
than 50% of the depth of the sump, the maintenance schedule shall be
adjusted to include more frequent cleanings. Disposal of the
accumulated sediment and hydrocarbons must be in accordance with
applicable local, state, and federal guidelines and regulations. Structural
repairs will be performed as needed.
Mitigative Drainage Analysis
"Edgewood Retirement Community" -North Andover, Mass.
f) During construction (after paving) street sweeping shall be performed on
a monthly basis to remove sediment before it enters the catch basins and
drainage swales. After construction, street sweeping shall be performed
with a vacuum type machine on monthly basis during the spring, summer
and fall seasons.
g) StormTech Infiltration Chambers shall be inspected quarterly and
maintained in accordance with the manufacturer's suggested
maintenance schedule.
h) StormCeptor particle separators shall be inspected quarterly and
maintained in accordance with the manufacturer's suggested
maintenance schedule.
i) After construction, the detention areas and sediment forebay shall be
inspected twice annually, in the spring and early fall, for the failure or
erosion of side slope embankments, integrity of the outlet control
structure and for accumulated sediment. Necessary sediment removal,
earth repair, and/or reseeding will be performed immediately upon
identification. Sediment shall be removed from the existing detention
basin and sediment forebay on an annual basis. Disposal of the
accumulated sediment must be in accordance with applicable local, state,
and federal guidelines and regulations.
The grass on the detention area berms and side slopes, as well as in the
drainage channels shall be mowed to a height no less than 4-inches, and
grass clippings, organic matter, and accumulated trash and debris
removed, at least twice during the growing season. Sediment shall be
removed from the detention area when the sediment accumulates to an
average depth of three inches (50% of the basin sump). Removal
procedures shall not take place until the floor of the basin is thoroughly
dry.
j) Upon completion of construction, the pocket wetlands should be cleaned
of sediment that may have accumulated during the construction. The
wetland shall be planted with New England Wetmix (or equivalent) seed
mixture at a rate no less than 1lb./2,500-sf. The stormwater wetland
should be dewatered at least three days prior to planting.
k) Sediment should be removed from the deepwater micropools in the
pocket wetlands annually, in late summer when there is little standing
water in the wetland.
1) The large existing detention basin to the south of the access drive shall
be cleared of sediment below the 12" orifice in the existing outlet control.
structure. This should be done during a dry period when minimal water is
standing in the existing basin, preferably in late summer. Upon removal
of sediment the floor of the basin is to be stabilized with a wet meadow
seed mixture applied at the same rate specified for the proposed
constructed wetlands on the project.
Mitigative Drainage Analysis
"Edgewood Retirement Community" -North Andover, Mass.
m) Snow should be plowed to the vegetated shoulders along all drives where
it can melt over pervious surfaces. Snow shall NEVER be place in
wetlands or storm water treatement areas. Ever effort should be made to
limit the use of de-icing compounds on site.
n) Grass clippings, yard waste, debris and compost material are not to be
disposed of in resource areas and/or their buffer zones. Materials to be
composted should be stored outside jurisdictional buffer zones and
covered. Erosion control should be provided at the downgradient slope of
all compost piles.
IV. Erosion and Sedimentation Control Techniques:
The erosion and sedimentation control measures to be employed on the
project site will include the following:
i
• Silt Fence and Hay Bale Barriers
• Catch Basin Inlet Protection
• Crushed Stone Construction Entrance/Exit
• Vegetative Slope Stabilization
V. Construction Seauencina:
At all areas, erosion control will be put in place before any construction activity occurs.
The utilities and roadways for cottage areas will be done first, with the construction of the
cottages to follow. The sequence of construction for the various components of the
project is planned to be the following:
1. Area G&H (concurrently)
2. Expansion for Social Day Program and Bistro
3. Expansion for Cognitive Impaired Unit
4. Area A cottages
Typical construction sequencing for each phase to be as follows:
1. Install erosion control in accordance with the plans;
2. Inspect erosion control placement with designated monitor ;
3. Clear trees (if necessary) within phase area;
4. Stump and grub tree clearing areas;
5. Install stabilized construction entrances;
6. Cut and grade soil stockpile areas;
7. Begin construction of site driveways and phase utilities;
8. Begin building Pad construction.
Mitigative Drainage Analysis
"Edgewood Retirement Community" - North Andover, Mass.
Dewatering:
Should dewatering be required for construction a temporary settling basin shall be
excavated at the most upgradient point outside of the 50-foot buffer and/or outside the
100-foot buffer if feasible. The temporary settling basin shall be lined with 6-inches of
inch stone. Groundwater shall be pumped uphill to the settling basin. The discharge
from the basin shall be directed to a swale with crushed stone check dams every 15-
feet. The swale shall taper to a level spreader to disperse flow.
i
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
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
condition pursuant to General Conditions#4, from the date of issuance. 1. Date of Issbance
Please indicate the number of members who will sign this form:
This Order must be signed by a majority of the Conservation Commission. 2. Number f 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 Region if not filing electronically, and the property owner, if different
from applicant.
Signatures:
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
On this
Day �f Month Year
Before me, the undersigned Notary Public, JC01+ M"SS'-
personally appeared Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
Massachusetts License
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged to
me that he/she signed it voluntarily for its stated purpose.
As member of North Andover Conservation Commission
City/Town
D=WEDGEECOMMOSETTSSi nature of Nota PublicfNr C2009 9 ry
Printed Name of Notary Public
Place notary seal and/or any stamp above e 7Aa002
My Comeissivfi Expires(Date)
This Order is issued to the applicant as follows:
[(by hand delivery on ❑ by certified mail, return receipt requested, on
5 O
Date A / Date
wpaform5.doc• rev.3/1/05 //_ w 1 rs. (/J� rt Page 7 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
L/ Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
F. Appeals
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject
to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of
their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions.
The request must be made by certified mail or hand delivery to the Department, with the appropriate filing
fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR
10.03(7) within ten business days from the date of issuance of this Order. A copy of the request shall at
the same time be sent by certified mail or hand delivery to the Conservation Commission and to the
applicant, if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding
Order associated with this appeal will be required to demonstrate prior participation in the review of this project.
Previous participation in the permit proceeding means the submission of written information to the
Conservation Commission prior to the close of the public hearing, requesting a Superseding Order or
Determination, or providing written information to the Department prior to issuance of a Superseding Order
or Determination.
The request shall state clearly and concisely the objections to the Order which is being appealed and how
the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands
Protection Act, (M.G.L. c. 131, § 40) and is inconsistent with the wetlands regulations (310 CMR 10.00).
To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts
Wetlands Protection Act or regulations, the Department has no appellate jurisdiction.
Section G, Recording Information is available on the following page.
wpaform5.doc• rev.3/1/05
Page 8 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1398
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
G. Recording Information
This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in
which the land is located, within the chain of, title of the affected property. In the case of recorded land, the
Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land
subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court
Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information
on Page 7 of this form shall be submitted to the Conservation Commission listed below.
North Andover
Conservation Commission
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission.
---------------------------------------------------------------------------------------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Order of Conditions for the Project at:
575 Osgood Street and 549 Osgood Street 242-1398
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex North
County Book Page
i
fo r:
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.3/1/05 - - Page 9 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 4B — Order of Resource Area Delineation 242-1375
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
A. General Information
Important: North Andover
When filling out From. 1.Conservation Commission
forms on the
computer,use 2 This Issuance is for(check one):
only the tab key
to move your
cursor-do not a. ® Order of Resource Area Delineation Only
use the return
key.
b. ❑ Order of Resource Area Delineation Subject to Simplified Review
res
1. ❑ Not Subject to Stormwater Policy
2. ❑ Subject to Stormwater Policy
C. ❑ Amended Order of Resource Area Delineation
Note:
Before 3. To: Applicant:
completing this
form consult Marlene Rotering Edgewood Retirement Community, Inc.
your local a. First Name b.Last Name c.Company
Conservation
Commission 575 Osgood Street
regarding any d.Mailing Address
municipal bylaw North Andover MA. 01845
or ordinance. e.Cit /Town
Y f.State g.Zip Code
4. Property Owner(if different from applicant):
a. First Name b.Last Name c.Company
d.Mailing Address
e.City/Town f.State g.Zip Code
5. Project Location:
575 &549 Osgood Street North Andover
a.Street Address b.City/Town
Map 36 Parcels 3& 17
c.Assessors Map/Plat Number d. Parcel/Lot Number
Latitude and Longitude(note: electronic filers
will click for GIS locator): e.Latitude f.Longitude
6. Dates: 1 A IA11 , Ia11'5/06
ala%Notice of Intent filed b.Date Pul5lic Mearing Closed c. Date of Issuince
7. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents:
Abbreviated Notice of Resource Area Delineation Plan 1 J11JD6
a.Title b. ate
c.Title d. Date
wpaform4b.doc-rev.06/13/05 Page 1 of 7
Massachusetts Department of Environmental Protection
DEP File Number:
ILI Bureau of Resource Protection - Wetlands
WPA Form 4B — Order of Resource Area Delineation 242-1375
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
B. Order of Delineation
1. The Conservation Commission has determined the following (check whichever is applicable):
a. ® Accurate: The boundaries described on the referenced plan(s)above and in the Abbreviated
Notice of Resource Area Delineation are accurately drawn for the following resource area(s):
1. ® Bordering Vegetated Wetlands
2. ® Other Resource Area(s), specifically:
b. ❑ Modified: The boundaries described on the plan(s) referenced above, as modified by the
Conservation Commission from th
eP lans contained in the Abbreviated Notice of Resource
Area Delineation, are accurately drawn from the following resource area(s):
i. ❑ Bordering Vegetated Wetlands
2. ❑ Other Resource Area(s), specifically:
c. ❑ Inaccurate: The boundaries described on the referenced plan(s)and in the Abbreviated
Notice of Resource Area Delineation were found to be inaccurate and cannot be confirmed
for the following resource area(s):
1. ❑ Bordering Vegetated Wetlands
2. ❑ Other Resource Area(s), specifically:
3. The boundaries were determined to be inaccurate because:
wpaform4b.doc-rev.06/13/05 Page 2 of 7
Order of Resource Area Delineation
575 &549 Osgood Street, Map 36 Lot 3 &17
Edgewood Retirement Community, Inc.
DEP File # 242-1375
Facts &Findings:
Jurisdictional wetland resource areas on the subject property include the following:
❖ Bordering Vegetated Wetlands (BVW) associated with intermittent stream/drainage
channels;
❖ Bank associated with intermittent stream/drainage channels;
❖ An Isolated Vegetative Wetland (IVW)jurisdictional under the North Andover Wetlands
Protection Bylaw (greater than 1,000 s.f.) and;
❖ Those associated 25-foot No-Disturbance Zone, 50-foot No-Construction Zone, and 100-
foot Buffer Zone areas as shown on the approved plan referenced herein.
The aforementioned jurisdictional resource areas on the site were thoroughly reviewed by
the Conservation Administrator and Jennifer Vicich of Wetlands Preservation Inc. Plans
were revised based upon field review and were submitted to the North Andover
Conservation Commission (NACC) for review and approval. As such, the NACC formally
approved the boundaries of the cited jurisdictional wetland resource areas at their meeting of
December 13, 2006, accepting the final revised plan.
It is important to note the following additional information however, which was discussed
and understood by the applicant prior to this approval:
i
❖ The off property wetland flags G10, G8, G7, H6 through H10, 1-4 through I-7, and J14
through J30 located on the Family Cooperative Preschool parcel (Map 36 Lot 1) were
neither confirmed nor approved as part of this Order.
j ❖ Additional jurisdictional resource areas may exist and are in fact known to exist off
property on several adjacent parcels.
❖ The approved plan referenced herein may not incorporate all jurisdictional resource areas
on the subject property, as said plan was not inclusive of the subject parcel in its entirety.
The resource areas approved are limited to the limits of said approved plan. Therefore,
additional resource areas not shown and approved under this Order within 100 feet of
any future proposed project filing would be subject to review and approval by the NACC.
Record Documents:
➢ Abbreviated Notice of Resource Area Delineation, dated November 2, 2006;
➢ Plan entitled "Abbreviated Notice of Resource Area Delineation Plan". Prepared by
Chistiansen &Sergi, dated October 10, 2006, revised November 11, 2006. Stamped &
signed by Philip G. Chistiansen, P.E. and Michael Sergi, P.L.S.
y Y
Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 4B — Order of Resource Area Delineation 242-1375
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Simplified Buffer Zone Review
Work within the Buffer Zone pursuant to the Simplified Review(310 CMR 10.02) requires that you
must comply with the following conditions. If your project does not meet these requirements, you are
required to either file a Determination of Applicability or Notice of Intent or take other corrective
measures as directed by the Conservation Commission.
Simplified Review Conditions:
Work conducted under Simplified Review requires the following:
1. No work of any kind shall occur within any wetland resource areas including Riverfront Area and
Bordering Land Subject to Flooding.
2. The inner 0-to-50-foot wide area from the delineated wetland boundary that has a Buffer Zone
shall not be disturbed by any work associated with this project, including placement of any
stormwater management components.
3. No work shall occur in the Buffer Zone bordering an Outstanding Resource Water(e.g., certified
vernal pool, public water supply reservoir or tributary), as defined in 314 CMR 4.00 or border
coastal resource areas at 310 CMR 10.25-10.35.
4. No work shall occur in the Buffer Zone adjacent to wetland resources with estimated wildlife
habitatwhich is identified on the most recent E i -
( s st mated Habitat Map of State listed Rare
Wetlands Wildlife).
5. Erosion and Sedimentation controls shall be installed and maintained at the 50-foot Buffer Zone
line or limit of work(whichever is a greater distance from the resource area)to protect resource
areas during construction.
6. If the project is subject to the Massachusetts Stormwater Policy, all work shall be conducted in
conformance with an approved Stormwater Management Plan.
7. The Buffer Zone does not contain a slope greater than an average of 15% at its steepest gradient
across the 100-foot Buffer Zone.
8. The amount of new impervious surface, in combination with existing impervious surfaces, shall
not exceed 40% of the Buffer Zone between 50 and 100 feet.
9. No work is allowed, and no additional NOI or RDA shall be filed, for any work within the 0-to-50-
foot Buffer Zone during the three-year term of an Order associated with this application.
10. Prior to any work being undertaken pursuant to this Order, the wetland resource boundary shall
be flagged; all boundary delineation flagging should be maintained for the term of the Order.
11. If stormwater management structures are proposed in the Buffer Zone, the stormwater
management structures shall be maintained as required in the Stormwater Plan. Such
maintenance constitutes an ongoing condition and is not subject to further permitting
requirements.
12. If this ORAD involves work as part of a Simplified Review, the ORAD shall be recorded at the
Registry of Deeds prior to the commencement of work per the requirements of Section F.
13. Prior to proceeding with any work under Simplified Review, applicants are required to provide
written notice to the Commission one week prior to commencing any work.
14. If work authorized under Simplified Review is commenced, no work is allowed, and no additional NOI
or RDA may be filed, for any work within the 0-to-50-foot buffer zone during the term of an ORAD
associated with this application. If work authorized under Simplified Review is not commenced,then
future NOls or RDAs may be filed for work within the 0-to-50-foot portion of the buffer zone.
--End of Conditions—
wpaform4b.doc•rev.06/13/05
Page 3 of 7
LlMassachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection -Wetlands
WPA Form 4B — Order of Resource Area Delineation 242-1375
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
C. Simplified Buffer Zone Review (cont.)
Stormwater Applicability
1. ❑ The project is not subject to the Stormwater Policy.
2. ❑ The project is subject to the Stormwater Policy and the Stormwater Plan included for the
project complies with all stormwater standards.
Ineligibility Determinations
Site Conditions: The applicant is not eligible for Simplified Buffer Zone review and must file a
Request for Determination of Applicability or Notice of Intent prior to any work because:
3. ❑ Work is within the Buffer Zone of a Coastal Resource Area as defined at 310 CMR 10.25-
10.35.
4. ❑ The Buffer Zone contains existing slopes greater than an average of 15%.
5. ❑ Buffer Zone contains estimated rare wildlife habitat.'
s. ❑ The site borders an Outstanding Resource Water.2
Stormwater
7. ❑ The project is subject to the Stormwater Policy and the applicant has not submitted sufficient
information to demonstrate compliance with the Stormwater Management Policy. Prior to any
work, the applicant must submit plans showing compliance with the standards in
the
Stormwater Policy, the location of the work, the amount of impervious surface, and the
location of erosion controls, to the Commission for its concurrence. (See instructions to
ANRAD Form 4A.)The following necessary stormwater information was not submitted by the
applicant:
a.
s. ❑ The project is subject to the Stormwater Policy but the project does not comply with one or
more of the stormwater standards (specify which standard(s) not met).
a.Standard#
b.Standard#
s. ❑ Impervious surface exceeds 40% of the area of the Buffer Zone between 50 and 100 feet
from the resource area.
1o. ❑ The applicant did not submit plans depicting adequate erosion and sedimentation controls
located at the limit of work or at least 50 feet from any resource areas,whichever will be greater.
11. ❑ Work is proposed within 50 feet of a resource area.
Notice to Commission
Any applicant proposing to proceed under Simplified Buffer Zone Review, as specified in 310 CMR
10.02, must provide written notice to the Commission one week prior to any work.
' Identified on the most recent Estimated Habitat Map of State-listed Rare Wetlands Wildlife of the Natural Heritage and Endangered
Species Program.
2 Certified Vemal Pools,public water supplies, or inland ACECs as identified in 314 CMR 4.00.
wpaform4b.doc•rev.06/13/05 Page 4 of 7
ILIMassachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 4B — Order of Resource Area Delineation 242-1375
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
D. Findings
This Order of Resource Area Delineation determines that the Stormwater Plan, if applicable, and the
boundaries of those resource areas noted above, have been delineated and approved by the Commission
and are binding as to all decisions rendered pursuant to the Massachusetts Wetlands Protection Act
(M.G.L. c.131, §40)and its regulations (310 CMR 10.00). This Order does not, however, determine the
boundaries of any resource area or Buffer Zone to any resource area not specifically noted above,
regardless of whether such boundaries are contained on the plans attached to this Order or to the
Abbreviated Notice of Resource Area Delineation.
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.
If the Abbreviated Notice of Resource Area Delineation was filed as Simplified Review for a Buffer Zone
project, the applicant has certified that any work associated with the proposed project meets all eligibility
requirements for Simplified Review listed in Section C of this Order. Any work that does not comply with
the Simplified Review requirements will require a Notice of Intent or Request for Determination of
Applicability.
The applicant is responsible for promptly requesting a Certificate of Compliance following completion of
any work allowed pursuant to a Simplified Review or no later than three years from the date of the Order
of Resource Area Delineation unless the Order is extended.
Failure to comply with the conditions of this Order is grounds for the Conservation Commission or the
Department to take enforcement action.
This Order must be signed by a majority of the Conservation Commission. The Order must be sent 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 DEP Regional Office.
E. Appeals
The applicant,the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this
Order, or any ten residents of the city or town in which such land is located,are hereby notified of their right to
request the appropriate DEP Regional Office to issue a Superseding Order of Resource Area Delineation.When
requested to issue a Superseding Order of Resource Area Delineation,the Department's review is limited to the
objections to the resource area delineation(s)stated in the appeal request.The request must be made by certified
mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for 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 bylaw or ordinance,and not on the Massachusetts Wetlands Protection Act or regulations,the
Department of Environmental Protection has no appellate jurisdiction.
wpaform4b.doc•rev.06/13/05 Page 5 of 7
Massachusetts Department of Environmental Protection
DEP File Number:
ILI Bureau of Resource Protection - Wetlands
WPA Form 4B — Order of Resource Area Delineation 242-1375
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
F. Signatures and Notary Acknowledgement
Pleaseindicate th numb of mbers who will sign this form*
1. Number of Signers
Si natu ofFitton
ommission Member Si re rvat' n Commission Member L
AIA
S' nat a of ommission Member Signa re Conservation Commission Member
Signature of Conservation Commission Member Signature of Conservation Commission Member
Signature of Conservation Commission Member
This Order is valid for three years from the date of issuance.
This Order is issued to the applicant and the property owner(if different) as follows:
❑ by hand delivery on [0/by certified mail, return receipt requested on
aal >sla6
Date Date �—
Notary Acknowledgement
Commonwealth of Massachusetts County of Essex North
1 ,3+h �¢-�e.N►b er c100 6
On this Day Of Month Year
Before me, the undersigned Notary Public, C16-ft MOL'<S-
personally appeared Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
Massachusetts License
Description of evidence of identification
to be the person whose name is signed on the preceding or attached document, and acknowledged
to me that he/she signed it voluntarily for its stated purpose.
As member of North Andover Conservation Commission
Cityrrown
DONNA K WEDGE 6� -x
NOTAUBUC
RY MASSA Si nature of Nota Public
COMMOtiWEALTH OF MASSACHUSETTS 9 Notary
My Comm.Expires Aug.7.2009
Printed Name of Notary Public
Place notary seal and/or any stamp aboveP
My Com issi Expires(Date)
This Order is issued to the applicant as follows:
wpaform4b.doc•rev.06/13/05
Page 6 of 7
ILIMassachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 4B — Order of Resource Area Delineation 242-1375
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
G. Recording Information
If this Order is issued for purposes of Resource Area Delineation only, this Order should NOT be
recorded.
If this Order of Resource Area Delineation is issued as part of a Simplified Review, this Order 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 f
9 o the owner of the
land subject to the Order of Conditions. The recordinginformation on Page 6 of this form shall be
9
submitted to the Conservation Commission listed below.
North Andover
Conservation Commission
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission.
---------------------------------------------------------------------------------------------------------------------------
To:
North Andover
Conservation Commission
Please be advised that the Order of Conditions for the Project at:
242-1375
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County Book Page
for:
Property Owner
and has been noted in the chain of title of the affected property in:
Book Page
In accordance with the Order of Conditions issued on:
Date
If recorded land, the instrument number identifying this transaction is:
Instrument Number
If registered land, the document number identifying this transaction is:
Document Number
Signature of Applicant
wpaform4b.doc•rev.06/13/05 Page 7 of 7
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
Alford Cummington Hatfield Monterey Richmond Ware
Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick
Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Washington
Phone:413-784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell
Belchertown East Longmeadow Holland New Ashford Savoy Westfield
Fax:413-784-1149 Bemardston Egremont Holyoke New Marlborough Sheffield Westhampton
Blandford Erving Huntington New Salem Shelburne West Springfield
Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge
Buckland Gill Lee Northampton Southampton Whately
Charlemont Goshen Lenox Northfield South Hadley Wilbraham
Cheshire Granby Levereft Orange Southwick Williamsburg
Chester Granville Leyden Otis Springfield Williamstown
Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor
Chicopee Greenfield Ludlow Pelham Sunderland Worthington
Clarksburg Hadley Middlefield Peru Tolland
DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge
627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren
Ashby Devens Hudson New Braintree Shrewsbury Webster
Worcester,MA 01605 Athol Douglas Holliston Northborough Southborough Westborough
Phone:508-792-7650 Auburn Dudley Lancaster Northbridge Southbridge West Boylston
Fax:508 792-7621 Ayer Dunstable Leicester North Brookfield Spencer West Brookfield
Barre East Brookfield Leominster Oakham Sterling Westford
TDD:508-767-2788 Bellingham Fitchburg Littleton Oxford Stow Westminster
Berlin Gardner Lunenburg Paxton Sturbridge Winchendon
Blackstone Grafton Marlborough Pepperell Sutton Worcester
Bolton Groton Maynard Petersham Templeton
Boxborough Harvard Medway Phillipston Townsend
Boylston Hardwick Mandan Princeton Tyngsborough
Brookfield Holden Milford Royalston Upton
Hopedale
DEP Southeast Region Abington Dartmouth Freetown Mattapoiseft Provincelown Tisbury
20 Riverside Drive Acushnet Dennis Gosnold Middleborough Raynham Truro
Aquinnah Dighton Halifax Nantucket Rehoboth Wareham
Lakeville,MA 02347 Attleboro Duxbury Hanover New Bedford Rochester Wellfleet
Phone:508-946-2700 Avon Eastham Hanson North Attleborough Rockland West Bridgewater
Fax:508-947-6557 Barnstable East Bridgewater Harwich Norton Sandwich Westport
Berkley Easton Kingston Norwell Scituate West Tisbury
TDD: 508-946-2795 Bourne Ed artown
g Lakeville Oak Bluffs Seekonk Whitman
Brewster Fairhaven Mansfield Orleans Sharon Wrentham
Bridgewater Fall River Marion Pembroke Somerset Yarmouth
Brockton Falmouth Marshfield Plainville Stoughton
CarverFoxborough Mashpee Plymouth Swansea
Chatham Franklin Plympton Taunton
Chilmark
DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield
One Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole
Arlington Cohasset Hull Middleton Reading Waltham
Boston,MA 02108 Ashland Concord Ipswich Millis Revere Watertown
Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland
Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rowley Wellesley
Beverly Dover Lincoln Natick Salem Wenham
TDD:617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury
Boston Essex Lynn Newbury Saugus Weston
Boxford Everett Lynnfield Newburyport Sherbom 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
Wpaform4b.doc•rev.11/22/00 Page tof 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
/ Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Request Information
Important:
When filling out 1. Person or party making request(if appropriate, name the citizen group's representative):
forms on the
computer, use Name
only the tab
key to move
your cursor- Mailing Address
do not use the
return key. City/Town State Zip Code
V=V Phone Number Fax Number(if applicable)
Project Location
Mailing Address
City/Town State Zip Code
2. Applicant(as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation
(Form 4A); or Request for Determination of Applicability (Form 1)):
Name
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
3. DEP File Number:
B. Instructions
1. When the Departmental action request is for(check one):
❑ Superseding Order of Conditions
❑ Superseding Determination of Applicability
❑ Superseding Order of Resource Area Delineation
Send this form and check or money order for$100.00(single family house projects)or$200(all other projects),
payable to the Commonwealth of Massachusetts to:
I
Department of Environmental Protection
Box 4062
Boston, MA 02211
Wpaform4b.doc•rev.10/04 Page 1 of 2
.,. 41
ILIMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding
Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office.
4. A cop of the request shall at the same time be sent b certified mail or hand delivery to the
Y q
Y rY
Conservation Commission and to the applicant, if he/she is not the appellant.
Wpaform4b.doc•rev.10/04 Page 2 of 2