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3
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
1 WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
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A. General Information
From:
North Andover
Conservation Commission
To: Applicant
North Andover Realty Trust
Name
495 East Broadway
Mailing Address
Haverhill MA. 01830
Cityfrown State Zip Code
Property Owner (if different from applicant):
Name
Mailing Address
City/Town State Zip Code
Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
Site Plan
Title
Title
Title
2. Date Request Filed:
1/14/05
B. Determination
! 6 Af hs/0
ate
Date
Date
Pursuant to the authority of M.G.L. c. 131, § 40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the following
Determination.
Project Description (if applicable):
The construction of a driveway and grading associated with the installation of a subsurface sewage
disposal system within the Buffer Zone to an Isolated Vegetated Wetland.
Project Location:
Lot 2 Summer Street
Street Address
Map 65
Assessors Map/Plat Number
North Andover
City/Town
Parcelq! Lot 2
Parcel/Lot f4umber
wpaform2.doc • rev. 10/6/04 Page 1 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
The following Determination (s) is/are applicable to. the proposed site and/or project relative to the
Wetlands Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of
Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) has been
received from the issuing authority (i.e., Conservation Commission or the Department of
Environmental Protection).
❑ 1. The area described on the referenced plan(s) is an area subject to protection under the Act.
Removing, filling, dredging, or altering of the area requires the filing of a Notice of Intent.
❑ 2a. The boundary delineations of the following resource areas described on the referenced
plan(s) are confirmed as accurate. Therefore, the resource area boundaries confirmed in this
Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its
regulations regarding such boundaries for as long as this Determination is valid.
❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination,
regardless of whether such boundaries are contained on the plans attached to this Determination or
to the Request for Determination.
❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to
protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will
alter an Area subject to protection under the Act. Therefore, said work requires the filing of a
Notice of Intent.
❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review
and approval by:
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
Name
Ordinance or Bylaw Citation
wpaform2.doc • rev. 10/6/04 Page 2 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not
subject to the Massachusetts Wetlands Protection Act:
❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s)
and document(s), which includes all or part of the work described in the Request, the applicant
must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more
information about the scope of alternatives requirements):
❑ Alternatives limited to the lot on which the project is located.
❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any
adjacent lots formerly or presently owned by the same owner.
❑ Alternatives limited to the original parcel on which the project is located, the subdivided
parcels, any adjacent parcels, and any other land which can reasonably be obtained within
the municipality.
❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate
region of the state.
Negative Determination
Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the
Department is requested to issue a Superseding Determination of Applicability, work may not proceed
on this project unless the Department fails to act on such request within 35 days of the date the
request is post -marked for certified mail or hand delivered to the Department. Work may then proceed
at the owner's risk only upon notice to the Department and to the Conservation Commission.
Requirements for requests for Superseding Determinations are listed at the end of this document.
❑ 1. The area described in the Request is not an area subject to protection under the Act or the
Buffer Zone.
❑ 2. The work described in the Request is within an area subject to protection under the Act, but will
not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent.
Z 3. The work described in the Request is within the Buffer. Zone, as defined in the regulations, but
will not alter an Area subject to protection under the Act. Therefore, said work. does not require
the filing of a Notice of Intent, subject to the following conditions (if any).
See attached condition
❑ 4. The work described in the Request is not within an Area subject to protection under the Act
(including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent,
unless and until said work alters an Area subject to protection under the Act.
wpaform2.doc • rev. 10/6/04 Page 3 of 5
Negative Determination of Applicability
Lot 2 Summer Street
Conservation Conditions
Record Documents: Request for Determination of Applicability, received dated January
14, 2004; Plan entitled "Site Plan for Lot 2 Summer St North Andover, MASS.",
prepared for North Andover Realty Corp., prepared by Christiansen & Sergi, dated
January 6, 2005, Revised 1/25/05. Plans stamped & signed by Philip G. Christiansen,
P.E. '
Pre -Construction
➢ Prior to the commencement of any work activities on site, the applicant shall install
erosion controls in accordance with the approved plan referenced herein
➢ Prior to the commencement of any work activities on site, the applicant shall
permanently mark the 25 -foot No -Disturbance Zone of the BVW (which also
closely mimics the 50 -foot No -Disturbance Zone of the Vernal Pool) to the rear of
the property (just beyond the existing fieldstone wall) with six (6) signs or
markers spaced evenly every 25 feet incorporating the following text: "Protected
Wetland Resource Area". This will designate their sensitivity and assure no
inadvertent encroachment into the wetland or the vernal pool. These permanent
markers are available at the Conservation Office for $2 apiece and 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
Immediately following completion of the above, the applicant shall contact the
Conservation Department, at least 72 hours in advance, to schedule an on-site pre -
construction meeting.
During Construction
➢ Stockpiling of soils and storage of construction equipment shall not extend beyond
the rear 100 -foot buffer zone boundary. If any work, including but not limited to
said activities, occurs directly adjacent to and/or beyond the rear 100 -foot buffer
zone, the applicant shall immediately notify the Conservation Department so that
erosion controls can be installed along said limit of work as necessary. Any changes
to the approved record plan referenced herein shall be subject to review and
approval by the Conservation Administrator.
Post Construction
➢ Upon completion of construction activities, the Conservation Department shall be
notified to conduct a final compliance inspection.
➢ Upon completion of construction activities, the applicant shall submit an As -built
plan to the Conservation Department for review.
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 5. The area described in the Request is subject to protection under the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act and
the regulations, no Notice of Intent is required:
Exempt Activity (site applicable statuatory/regulatory provisions)
❑ 6. The area and/or work described in the Request is not subject to review and approval by:
Name of Municipality
Pursuant to a municipal wetlands ordinance or bylaw.
Name
C. Authorization
Ordinance or Bylaw Citation
This Determination is issued to the applicant and delivered as follows:
❑ by hand delivery on dby certified mail, return receipt requested on
Date
Date
This Determination is valid for three years from the date of issuance (except Determinations for
Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not
relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances,
bylaws, or regulations.
This Determination must be signed by a majority of the Conservation Commission. A copy must be sent
to the appropriate DEP Regional Office (see Attachment) and the property owner (if different from the
applicant). ;
/a3/o5
Date
wpaform2.doc • rev. 10/6/04 Page 4 of 5
Massachusetts Department of Environmental Protection
1 Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, 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 Department of Environmental
Protection Regional Office (see Attachment) to issue a Superseding Determination of Applicability. The
request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee
and Fee Transmittal Form (see 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 Determination. A copy of the
request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission
and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the
objections to the Determination which is being appealed. To the extent that the Determination is based on
a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the
Department of Environmental Protection has no appellate jurisdiction.
wpaform2.doc • rev. 10/6/04 Page 5 of 5
DEP Central Region
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP Regional Addresses
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Charlton
Hopkinton
Mail transmittal forms and DEP payments, payable to:
Rutland
Uxbridge
627 Main Street
Commonwealth of Massachusetts
Clinton
Hubbardston
Millville
Department of Environmental Protection
Warren
Ashby
Box 4062
Hudson
New Braintree
Shrewsbury
Boston, MA 02211
Worcester, MA 01608
Athol
Dudley
DEP Western Region Adams Colrain Hampden
Monroe
Pittsfield
Tyringham
436 Dwight Street Agawam Conway . Hancock
Montague
Plainfield
Wales
g 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 Bernardslon Egremont Holyoke
New Marlborough
Sheffield
Westhampton
Blandford Erving Huntington
New Salem
Shelburne
West Springfield
Brimfield Florida Lanesborough
North Adams
Shutesbury
West Stockbridge
Buckland Gill Lee
Northampton
Southampton
Whately
Charlemont Goshen Lenox
Northfield
South Hadley
Wilbraham
Cheshire Granby Leverett
Orange
Southwick
Williamsburg
Chester Granville Leyden
Otis
Springfield
Williamstown
Chesterfield Great Barrington Longmeadow
Palmer
Stockbridge
Windsor
Chicopee Greenfield Ludlow
Pelham
Sunderland
Worthington
Clarksburg Hadley Middlefield
Peru
Tolland
DEP Central Region
Acton
Charlton
Hopkinton
Millbury
Rutland
Uxbridge
627 Main Street
Ashbumham
Clinton
Hubbardston
Millville
Shirley
Warren
Ashby
Douglas
Hudson
New Braintree
Shrewsbury
Webster
Worcester, MA 01608
Athol
Dudley
Holliston
Northborough
Southborough
Westborough
Phone: 508-792-7650
Auburn
Dunstable
Lancaster
Northbridge
Southbridge
West Boylston
Fax: 508-792-7621
Ayer
East Brookfield
Leicester
North Brookfield
Spencer
West Brookfield
Barre
Fitchburg
Leominster
Oakham
Sterling
Westford
TDD: 508-767-2788
Bellingham
Gardner
Littleton
Oxford
Stow
Westminster
Berlin
Grafton
Lunenburg
Paxton
Sturbridge
Winchendon
Blackstone
Groton
Marlborough
Pepperell
Sutton
Worcester
Bolton
Harvard
Maynard
Petersham
Templeton
Weymouth
Boxborough
Hardwick
Medway
Phillipston
Townsend
Wilmington
Boylston
Holden
Mendon
Princeton
Tyngsborough
Winchester
Brookfield
Hopedale
Milford
Royalston
Upton
Winthrop
DEP Southeast Region
Abington
Dartmouth
Freetown
Mattapoisett
Provincetown
Tisbury
20 Riverside Drive
Acushnet
Dennis
Gay Head
Middleborough
Raynham
Truro
Attleboro
Dighton
Gosnold
Nantucket
Rehoboth
Wareham
Lakeville, MA 02347
Avon
Duxbury
Halifax
New Bedford
Rochester
Wellfleet
Phone: 508-946-2700
Barnstable
Eastham
Hanover
North Attleborough
Rockland
West Bridgewater
Fax: 508-947-6557
Berkley
East Bridgewater
Hanson
Norton
Sandwich
Westport
Bourne
Easton
Harwich
Norwell
Scituate
West Tisbury
TDD: 508-946-2795
Brewster
Edgartown
Kingston
Oak Bluffs
Seekonk
Whitman
Bridgewater
Fairhaven
Lakeville
Orleans
Sharon
Wrentham
Brockton
Fall River
Mansfield
Pembroke
Somerset
Yarmouth
Carver
Falmouth
Marion
Plainville
Stoughton
Weymouth
Chatham
Foxborough
Marshfield
Plymouth
Swansea
Wilmington
Chilmark
Franklin
Mashpee
- Plympton
Taunton
Winchester
DEP Northeast Region
Amesbury
Chelmsford
Hingham
Merrimac
Quincy
Wakefield
1 Winter Street
Andover
Chelsea
Holbrook
Methuen
Randolph
Walpole
Arlington
Cohasset
Hull
Middleton
Reading
Waltham
Boston, MA 02108
Ashland
Concord
Ipswich
Millis
Revere
Watertown
Phone: 617-654-6500
Bedford
Danvers
Lawrence
Milton
Rockport
Wayland
Fax: 617-556-1049
Belmont
Dedham
Lexington
Nahant
Rowley
Wellesley
Beverly
Dover
Lincoln
Natick
Salem
Wenham
TDD: 617-574-6868
Billerica
Dracut
Lowell
Needham
Salisbury
West Newbury
Boston
Essex
Lynn
Newbury
Saugus
Weston
Boxford
Everett
Lynnfield
Newburyport
Sherborn
Westwood
Braintree
Framingham
Malden
Newton
Somerville
Weymouth
Brookline
Georgetown
Manchester -By -The -Sea
Norfolk
Stoneham
Wilmington
Burlington
Gloucester
Marblehead
North Andover
Sudbury
Winchester
Cambridge
Groveland
Medfield
North Reading
Swampscott
Winthrop
Canton
Hamilton
Medford
Norwood
Tewksbury
Woburn
Carlisle
Haverhill
Melrose
Peabody
Topsfield
Wpaform2.doc • DEP Addresses • rev. 10/6/04 Page 1of 1
Important:
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key to move
your cursor -
do not use the
return key.
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VAI
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
1. Person or party making request (if appropriate, name the citizen group's representative):
Name
Mailing Address
City/Town
Phone Number
Project Location
Mailing Address
State
Fax Number (if applicable)
Zip Code
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
CityTrown
Phone Number
3. DEP File Number:
B. Instructions
State
Fax Number (if applicable)
Z -1P %.vuc
1. When the Departmental action request is for (check one):
❑ Superseding Order of Conditions ($100 for individual single family homes with associated
structures; $200 for all other projects)
❑ Superseding Determination of Applicability ($100)
❑ Superseding Order of Resource Area Delineation ($100)
Send this form and check or money order for the appropriate amount, payable to the Commonwealth of
Massachusetts to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpaform2.doc • Request for Departmental Action Fee Transmittal Form • rev. 10/6/04 Page 1 of 2
Massachusetts Department of Environmental Protection
LiBureau 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
Attachment A).
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant.
wpaform2.doc • Request for Departmental Action Fee Transmittal Form • rev. 10/6/04 Page 2 of 2