HomeMy WebLinkAboutMiscellaneous - Willow StreetL1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
1 WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Important:
When filling
out forms on
the computer,
use only the
tab key to
move your
cursor - do not
use the return
key.
rerun
A. General Information
From: North Andover
1. Conservation Commission
2. This issuance is for (check one)
3. To: Applicant:
Sudarshan
a. First Name
55 South Bradford Street
d. Mailing Address
North Andover_
DEP File Number:
242-1279
® Order of Conditions ❑ Amended Order of Conditions
Chatterjee
b. Last Name c. Company
MA.
01845
e. City/Town
f. State
g. Zip Code
4. Property Owner (if different from applicant):
Leonard Annaloro
Holbrook Realty Trust
a. First Name b. Last Name
c. Company
79 Salem Street
d. Mailing Address
North Andover
MA.
01845
e. City/Town
f. State
g. Zip Code
5. Project Location:
Willow Street
North Andover
a. Street Address
b. City/Town
Map 25
Parcel 4
c. Assessors Map/Plat Number
d. Parcel/Lot Number
Latitude and Longitude, if known (note:
electronic filers will click for GIS locator):
e. Latitude
f. Longitude
6. Property recorded at the Registry of Deeds for (attach additional information if more than one parcel):
Essex North
a. County b. Certificate (if registered land)
3911 183
c. Book d. Page
7. Dates: 9/28/04 Y113hS S yr
a. Date Notice of Intent Filed b. Datef Pubic Hearing Closed c. Dak of ssuance
8. Final Approved Plans and Other Documents (attach additional plan or document references as
needed):
Site Development Plans
a. Plan Title
CAQ Engineering Associates, Inc. Carlos A. Quintal, P. E.
b. Prepared By c. Signed and Stamped by
9/24/04, revised 3LAI /O5 1" = 20'
d. Final Revision Date I Ie. Scale
f. Additional Plan or Document Title
9. Total WPA Fee Paid: $1,582.50
a. Total Fee Paid
b. State Fee Paid
g. Date
c. City/Town Fee Paid
wpaform5.doc • rev. 12/1/04 Page 1 of 9
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings
1. Findings pursuant to the Massachusetts Wetlands Protection Act:
DEP File Number:
242-1279
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)
Resource Area
Proposed
Alteration
3. ❑
Bank
a. linear feet
4. ❑
Bordering Vegetated
Wetland
a. square feet
5. ❑
Land Under
a. square feet
Waterbodies and
Waterways
e. cu.yd dredged
Permitted Proposed Permitted
Alteration Replacement Replacement
U. Illleal Wel G. ❑veal reel U. Ilrlear reel
b. square feet c. square feet d. square feet
b. square feet c. square feet d. square feet
1. w.yu uicuycu
wpaform5.doc - rev. 12/1/04 Page 2 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
242-1279
B. Findings (cont.)
❑
Barrier Beaches
Indicate size under Coastal Beaches and/or Coastal Dunes below
12.
Resource Area
Proposed
Permitted
Proposed
Permitted
Alteration
Alteration
Replacement
Replacement
6. ❑ Bordering Land
Coastal Dunes
t
Subject to Flooding
a. square feet
b. square feet
c. square feet
d. square feet
Cubic Feet Flood
Coastal Banks
Storage
e. cubic feet
f. cubic feet
g. cubic feet
h. cubic feet
7. ❑ Isolated Land Subject
Rocky Intertidal
to Flooding
a. square feet
b. square feet
b. square feet
16.
Cubic Feet Flood
Salt Marshes
Storage
c. cubic feet
d. cubic feet
e. cubic feet
f. cubic feet
8. ❑ Riverfront area
Land Under Salt
a. total sq. feet
b. total sq. feet
b. square feet
Sq ft within 100 ft
c. cu.yd dredged
d. cu.yd dredged
18.
❑
c. square feet
d. square feet
Sq ft between 100-200 ft
Shellfish
a. square feet
b. square feet c. square feet d. square feet
19.
❑
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
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. 12/1/04 Page 3 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1279
L11
9
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. General Conditions Under Massachusetts Wetlands Protection Act
(only applicable to approved projects)
1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory
measures, shall be deemed cause to revoke or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any
injury to private property or invasion of private rights.
3. This Order does not relieve the permittee or any other person of the necessity of complying with all
other applicable federal, state, or local statutes, ordinances, bylaws, or regulations.
4. The work authorized hereunder shall be completed within three years from the date of this Order
unless either of the following apply:
a. the work is a maintenance dredging project as provided for in the Act; or
b. the time for completion has been extended to a specified date more than three years, but less
than five years, from the date of issuance. If this Order is intended to be valid for more than three
years, the extension date and the special circumstances warranting the extended time period are
set forth as a special condition in this Order.
5. This Order may be extended by the issuing authority for one or more periods of up to three years each
upon application to the issuing authority at least 30 days prior to the expiration date of the Order.
6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse,
rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard,
pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing.
7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such
an appeal has been taken, until all proceedings before the Department have been completed.
8. No work shall be undertaken until the Order has become final and then has been recorded in the
Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title
of the affected property. In the case of recorded land, the Final Order shall also be noted in the
Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to
be done. In the case of the registered land, the Final Order shall also be noted on the Land Court
Certificate of Title of the owner of the land upon which the proposed work is done. The recording
information shall be submitted to this Conservation Commission on the form at the end of this Order,
which form must be stamped by the Registry of Deeds, prior to the commencement of work.
9. A sign shall be displayed at the site not less then two square feet or more than three square feet in
size bearing the words,
"Massachusetts Department of Environmental Protection" [or, "MA DEP"]
"File Number 242-1279
wpaform5.doc • rev. 12/1/04 Page 4 of 9
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
1 WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
If you need more
space for
additional
conditions,
select box to
attach a text
document
DEP File Number:
242-1279
C. General Conditions Under Massachusetts Wetlands Protection Act
10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the
Conservation Commission shall be a party to all agency proceedings and hearings before DEP.
11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of
Compliance (WPA Form 8A) to the Conservation Commission.
12. The work shall conform to the plans and special conditions referenced in this order.
13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the
Conservation Commission in writing whether the change is significant enough to require the filing of a
new Notice of Intent.
14. The Agent or members of the Conservation Commission and the Department of Environmental
Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours
to evaluate compliance with the conditions stated in this Order, and may require the submittal of any
data deemed necessary by the Conservation Commission or Department for that evaluation.
15. This Order of Conditions shall apply to any successor in interest or successor in control of the
property subject to this Order and to any contractor or other person performing work conditioned by
this Order.
16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland,
the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden
stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate
of Compliance has been issued by the Conservation Commission.
17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully
stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or
water body. During construction, the applicant or his/her designee shall inspect the erosion controls
on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately
control any erosion problems that occur at the site and shall also immediately notify the Conservation
Commission, which reserves the right to require additional erosion and/or damage prevention controls
it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of
work line has been approved by this Order.
Special Conditions:
See attached
wpaform5.doc • rev. 12/1/04 Page 5 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 5 - Order of Conditions
1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
242-1279
D. Findings Under Municipal Wetlands Bylaw or Ordinance
1. Furthermore, the North Andover hereby finds (check one that applies):
Conservation Commission
2. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
a. Municipal Ordinance or Bylaw b. Citation
Therefore, work on this project may not go forward unless and until a revised Notice of Intent is
submitted which provides measures which are adequate to meet these standards, and a final Order of
Conditions is issued.
s. ® that the following additional conditions are necessary to comply with a municipal ordinance or
bylaw:
North Andover Wetland Protection Bylaw Chapter 178
a. Municipal Ordinance or Bylaw b. Citation
The Commission orders that all work shall be performed in accordance with the following conditions
and with the Notice of Intent referenced above. To the extent that the following conditions modify or
differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the
conditions shall control.
If you need more c. The special conditions relating to municipal ordinance or bylaw are as follows:
space for
additional See Attached
conditions,
select box to
attach a text
document
wpaform5.doc • rev. 12/1/04 Page 6 of 9
DEP FILE # 242 -1279
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.
C:\Winword\OOC\WillowSt.doc I NACC 5/3/05
DEP FILE # 242 -1279
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 of Conditions is issued under File No. 242-1279.
26. The conditions of this decision shall apply to, and be binding upon, the applicant, owner,
its employees and all successors and assigns in interest or control. These obligations shall
be expressed in covenants in all deeds to succeeding owners of portions of the property.
27. The term "Applicant" as used in this Order of Conditions shall refer to the owner, any
successor in interest or successor in control of the property referenced in the Notice of
Intent, supporting documents and this Order of Conditions. The NACC shall be notified
in writing within 30 days of all transfers of title of any portion of property that takes place
prior to the issuance of a Certificate of Compliance.
28. The proposed work includes: The construction of a 7,200 s.f two story commercial office
building with associated grading, parking, utilities and stormwater management
systems within a bordering vegetated wetland (for access purposes) and associated
buffer zones. Proposed work also includes a 609-s.f-wetland replication area (2:1
mitigation as required in the Wetlands Bylaw regulations).
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: Dr. Sudarshan Chatterjee (Applicant)
55 South Bradford Street
North Andover, MA 01845
Entitled "Technical Supplement - Site Plan Application -
Notice of Intent"
Dated 9/27/04, Revised 1/27/05
Site Plans and NOI
Prepared by: CAQ Engineering Associates, Inc.
236 Pleasant Street, Suite 22
Methuen, MA 01844
Plans Entitled: "Site Development Plans for Willow Street - Map 25 Parcel 4
North Andover, Massachusetts". Dated September 24, 2004;
Revised 11/8/08,1/27/05, 2/15/05, & 3/21/05. Signed &
Stamped by Carlos A. Quintal, P.E.
Wetland Replication
Report Prepared by: Basbanes Associates
Wetlands Consulting
39 Hardy Street
Dunstable, MA 01827
CAWinword\OOC\WillowSt.doc 2 NACC 5/3/05
DEP FILE # 242 -1279
Operation & Maintenance
Plan Prepared by:
Entitled "Wetland Replication Plan" dated November 16,
2004, revised 2/18/05.
CAQ Engineering Associates, Inc.
236 Pleasant Street, Suite 22
Methuen, MA 01844, Received date 3/23/05
Other Record Documents: Technical Review Letter prepared by Eggleston
Environmental, dated December 21, 2004,
Response Letter prepared by CAQ Engineering Associates,
Inc., dated January 27, 2005;
Technical Review Letter prepared by Eggleston
Environmental, dated February 9, 2005;
Response Letter prepared by CAQ Engineering Associates,
Inc., dated February 22, 2005;
Technical Review Letter prepared by Eggleston
Environmental, dated March 9,2005;
Response Letter prepared by CAQ Engineering Associates,
Inc., dated March 21, 2005;
Technical Review Letter prepared by Eggleston
Environmental, dated April 12, 2005.
30. The following wetland resource areas are affected by the proposed work: Buffer Zone to
Bordering Vegetated Wetland (BVW) and Bordering Vegetated Wetland (Limited
Project - 239 s.f. of disturbance). 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 plans dated referenced herein. The delineation was approved under
an ORAD (242-1235) issued on 1/29/04.
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 area except in those locations as shown on the approved plan
referenced herein for the access drive and culvert crossing. The Conservation
Administrator and/or other agents of the NACC do not have the authority to waive these
CAWinword\OOC\WillowSt.doc 3 NACC 5/3/05
DEP FILE # 242 -1279
setbacks as established under the local bylaw. No disturbance of existing grade, soils or
vegetation is permitted in the No -Disturbance zone. (See Section 3.4 & Appendix F of the
local Regulations).
33. This document shall be included in all construction contracts, subcontracts, and
specifications dealing with the work proposed and shall supersede any conflicting
contract requirements. The applicant shall assure that all contractors, subcontractors, and
other personnel performing the permitting work are fully aware of the permits terms and
conditions. Thereafter, the contractor will be held jointly liable for any violation of this
Order resulting from failure to comply with its conditions.
34. The owners of the project and their successors in title, in the event they proceed to alter
areas subject to the Commission's jurisdiction under the order, agree that the Order does
not in itself impose upon the Town any responsibility to maintain the proposed drainage
system and that said Town shall not be liable for any damage in the event of failure. By
acceptance of this Order, the owners agree to indemnify and hold harmless to the Town
and its residents for any damage attributable to alterations undertaken on this property
pursuant to the Order. Issuance of these Conditions does not in any way imply or certify
that the site or downstream areas will not be subject to flooding, storm damage or any
other form of water damage. Maintenance of the drainage system, if accepted by the
Town as part of a public way, becomes the responsibility of the Town.
35. The NACC finds the applicant's proposal for 609 sq. ft. of wetland replication to be
adequate. The replication areas shall be constructed prior to other construction activity
on site and this sequence shall be reflected in the construction sequence. (Refer to Section
8.3 (p.37) of the local Regulations for performance standards). The replication area shall be
planted in accordance with the Wetland Replication Plan referenced herein by a
qualified wetland specialist. Construction activities shall not occur on the site until the
NACC has reviewed and approved the completed wetland replication area.
36. Issuance of these Conditions does not in any way imply or certify that the site or
downstream areas will not be subject to flooding, storm damage or any other form of
water damage.
PRIOR TO CONSTRUCTION
37. No work shall be undertaken until all administrative appeal periods from this Order have
elapsed or, if such an appeal has been filed, until all proceedings before the Department
or Court have been completed.
38. This Order shall be recorded by the applicant at the Registry of Deeds immediately after
the expiration of all appeal periods. No work shall be undertaken until the Final Order
has been recorded in the Registry of Deeds or the Land Court for the district in which the
land is located, within the chain of title of the affected property. In the case of recorded
C:\Winword\OOC\WillowSt.doc 4 NACC 5/3/05
DEP FILE # 242 -1279
land, the Final Order shall also be noted in the Registry's Grantor Index under the name
of the owner of the land upon which the proposed work is to be done. In the case of
registered land, the Final Order shall also be noted on the Land Court Certificate of Title
of the owner of the land upon which the proposed work is to be done. The recording
information shall be submitted to the North Andover Conservation Commission on the
form at the end of this Order prior to commencement of the work. Any Order not
recorded by the applicant before work commences may be recorded by the NACC at
the applicant's expense.
39. A sign shall be displayed at the site not less than two square feet or more than three
square feet in size bearing the words "Massachusetts DEP, File Number 242-1279."
40. Any changes in the submitted plans caused by the applicant, another Board's decision or
resulting from this Order of Conditions must be submitted to the NACC for approval
prior to implementation. If the NACC finds said changes to be significant, the NACC will
call for another public hearing (at the expense of the applicant). Within 21 days of the
close of said public hearing the NACC will issue an amended or new Order of Conditions.
Any errors found in the plans or information submitted by the applicant shall be
considered as changes. The proposed project may be still under review by other local or
state boards or agencies. This may result in changes to the project plans or wetland
impacts. If any such changes occur a revised plan and an explanation of the revisions shall
be submitted to the NACC for review and approval prior to the start of construction. No
work shall begin on a project until written approval has been granted by the NACC.
41. It is the responsibility of the applicant, owner, and/or successor(s) to ensure that all
conditions of this Order of Conditions are complied with. The project engineer and
contractors are to be provided with a copy of this Order of Conditions and referenced
documents before commencement of construction.
42. IMPORTANT - Prior to any work commencing on-site, the applicant shall submit to
the NACC for approval, a detailed sequence of construction, including the construction
of compensation and retention areas, installation of sedimentation/erosion control
devices and re -vegetation to be completed before other work begins on-site.
43. Wetland flagging shall be checked prior to start of construction and shall be re-established
where missing. All wetland flagging shall remain visible and enumerated per the
approved plan(s) throughout the life of the project and until a Certificate of Compliance is
issued so that erosion control measures can be properly placed and wetland impacts can
be monitored. The proposed limit of work shall be shall be clearly marked with stakes or
flags and shall be confirmed by the NACC. Such markers shall be checked and replaced
as necessary and shall be maintained until all construction is complete. Workers should
be informed that no use of machinery, storage of machinery or materials, stockpiling of
soil, or construction activity is to occur beyond this line at any time. All flags used for the
above purposes shall be of a color different from other flagging used on the site.
C:\Winword\OOC\WillowSt.doc 5 NACC 5/3/05
DEP FILE # 242 -1279
44. Prior to the commencement of any work on site, a Registered Land Surveyor (R.L.S.)
shall stake the foundation corners of the proposed building to verify that the 50 -foot
No -Build setback will be adhered to. The Conservation agent shall verify these
measurements during the pre -construction meeting.
45. A row of staked hay bales backed by trenched siltation fence shall be placed between all
construction areas and wetlands. The erosion control barrier will be properly installed
and placed as shown on the plans approved and referenced herein and shall be inspected
and approved by the NACC prior to the start of construction and shall remain intact until
all disturbed areas have been permanently stabilized to prevent erosion. All erosion
prevention and sedimentation protection measures found necessary during construction
shall be implemented at the direction of the NACC. The NACC reserves the right to
impose additional conditions on portions of this project to mitigate any impacts which
could result from site erosion, or any noticeable degradation of surface water quality
discharging from the site. For example, installation of erosion control measures may be
required in areas not shown on the plan(s) referenced in this Order of Conditions. Should
such installation be required by the NACC, they shall be installed within 48 hours of the
Commissions request.
46. The applicant shall have on hand at the start of any soil disturbance, removal or
stockpiling, a minimum of 50 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.
47. A check payable to the Town of North Andover shall be provided in the amount of
$10,000, which shall be in all respects satisfactory to Town Counsel, Town Treasurer, and
the NACC, and shall be posted with the North Andover Town Treasurer through the
NACC before commencement of work. Said deposit of money shall be conditioned on the
completion of all conditions hereof, shall be signed by a party or parties satisfactory to the
NACC, and Town Counsel, and shall be released after completion of the project, provided
that provisions, satisfactory to the NACC, have been made for performance of any
conditions which are of continuing nature. The applicant may propose a monetary
release schedule keyed to completion of specific portions of the project for the NACC's
review and approval. This condition is issued under the authority of the local Bylaw.
48. The applicant shall designate a Wetland Scientist as an "Erosion Control Monitor" to
oversee any emergency placement of controls and regular inspection or replacement of
sedimentation control devices. The name and phone number of the erosion control
monitor must be provided to the NACC in the event that this person has to be contacted,
due to an emergency at the site, during any 24-hour period, including weekends. Proof
of the retained monitor must be submitted to the Conservation Department on
letterhead by the retained consulting firm. This person shall be given the authority to
stop construction for erosion control purposes. The erosion control monitor will be
required to inspect all such devices and oversee cleaning and the proper disposal of waste
products. Cleaning shall include removal of any entrapped silt. At least once during
C:\Winword\OOC\WillowSt.doc 6 NACC 5/3/05
DEP FILE # 242 -1279
each week in which construction activities occurs on-site and for as long thereafter as
ground remains unstabilized, the applicant shall submit a written report from the
"Erosion Control Monitor" to the NACC certifying that, to the best of his/her knowledge
and belief based on a careful site inspection, all work is being performed in compliance
with this Order of Conditions and that approved setbacks are being adhered to. The
erosion control monitor must visually inspect all sedimentation/erosion control
measures and assume responsibility for their maintenance on a weekly basis and that they
are functioning as intended. In addition, all wetland resource areas must be visually
inspected for siltation, turbidity, and/or other water quality impacts.
49. The project is subject to NPDES permit compliance and will require a Construction
Stormwater Pollution Prevention Plan (SWPPP). A final copy of this SWPPP shall be
submitted to the Conservation Department for review prior to construction activities.
50. The applicant and/or the legal owner of that portion of land upon which these Orders of
Conditions have been placed shall provide to the NACC prior to transferring, or
assigning any portion of said land to another party, subject to said Orders of
Conditions, the "Compliance Certification Form Affidavit" attached via "Appendix A"
signed under the pains and penalties of perjury, stating that said applicant and/or
owner has read these Orders of Conditions and is in compliance with each and every
condition. This document shall apply to each of the conditions referenced herein and
shall be provided to the Conservation Department at least five (5) business days after to
the closing of said land transaction.
51. Once these above mentioned pre -construction requirements are complete, the applicant
shall contact the Conservation Office prior to site preparation or construction and shall
arrange an on-site conference with an NACC representative, the contractor, the
engineer, wetland scientist and the applicant to ensure that all of the Conditions of this
Order are understood. This Order shall be included in all construction contracts,
subcontracts, and specifications dealing with the 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).
STORMWATER MANAGEMENT CONDITIONS
52. All construction and post -construction stormwater management shall be conducted in
accordance with supporting documents and plans submitted with the Notice of Intent, the
C:\Winword\OOC\WillowSt.doc 7 NACC 5/3/05
DEP FILE # 242 -1279
Department of Environmental Protection Stormwater Management Policy and as approved
by the NACC in this Order of Conditions.
53. 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. Evidence of maintenance of the stormwater management system
shall be provided to the NACC on an annual basis by a Registered Professional Civil
Engineer. The first report shall be submitted to the NACC one year after the first
stormwater structure goes on-line and annual reports must continue to be submitted until
the issuance of a Certificate of Compliance. Compliance of the system with the design
basis and the Order of Conditions shall be certified by a Registered Professional Engineer
to the Conservation Commission or its Agent prior to the issuance of a Certificate of
Compliance.
54. There shall be no increase in the post development discharges from the storm drainage
system or any other changes in post development conditions that alter the post development
watershed boundaries as currently depicted in the Notice of Intent and approved by this
Order of Conditions, unless specifically approved in writing by the Commission.
55. Water quality down gradient of BVWs 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.
56. 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.
57. Immediately upon the installation of the catch basin(s), silt sacks or equivalent to, shall
be installed under the grates to prevent/ restrict sediment from entering the drainage
system or adjacent wetlands. Silt sacks shall be cleaned after any rainfall event of 1" or
greater or as directed by the Erosion Control Monitor, Site Supervisor, Project Manager, or
Conservation staff.
DURING CONSTRUCTION
58. IMPORTANT: Immediately upon completion of the dwelling foundation, 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 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 approval.
CAWinword\OOC\WillowSt.doc 8 NACC 5/3/05
DEP FILE # 242 -1279
59. The contractor will take all steps necessary to control dust onsite so that adverse effects on
adjacent resource areas and / or habitat do not occur.
60. Upon beginning work, the applicant shall submit written progress reports every month
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.
61. The Erosion Control Monitor shall be on site at all times during the wetland crossing
for the construction of the access drive and installation of the box culvert. Erosion controls
shall be installed and/or reinforced in this location on a daily basis to prevent sediment
migration to the adjacent resource area or to the nearby inlet structures (catch basins).
62. 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.
63. A crushed stone construction entrance shall be installed to minimize soil / material
tracking onto Willow Street. This entrance shall be reinforced as necessary.
64. Willow Street shall be swept at least once per week or as directed by the Erosion
Control monitor, the Site Supervisor, Project Manager, or the Conservation staff for as
long as the site remains exposed and unstable.
65. At the end of each growing season, a progress report of the relative success or failure of
the replication effort shall be conducted by a biologist, botanist, or wetlands specialist and
submitted to the Department of Environmental Protection (DEP) and the North Andover
Conservation Commission for review and approval. If at the end of the second growing
season, compliance with 310 CMR 10.55 (4)(b)(6) is not achieved, the NACC maintains the
right to require additional mitigative measures.
66. 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.
67. 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.
68. Approved de -watering activities anticipated shall be supervised and witnessed by the
designated erosion control monitor. This designee must be on-site 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
C:\Winword\OOC\WillowSt.doc 9 NACC 5/3/05
DEP FILE # 242 -1279
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.
69. 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.
70. No exposed area shall remain unfinished for more than thirty (30) days, unless approved
by the NACC.
71. 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.
72. There shall be no stockpiling of soil or other materials within twenty-five (25) feet of any
resource area.
73. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage
system, or wetland resource area.
74. All waste generated by, or associated with, the construction activity shall be contained
within the construction area, and away from any wetland resource area. There shall be no
burying of spent construction, materials or disposal of waste on the site by any other means.
The applicant shall maintain dumpsters (or other suitable means) at the site for the storage
and removal of such spent construction materials off-site. However, no trash dumpsters will
be allowed within 50' of areas subject to protection under the Act or local Bylaw.
75. Accepted engineering and construction standards and procedures shall be followed in the
completion of the project.
76. During and after work on this project, there shall be no discharge or spillage of fuel, or
other pollutants into any wetland resource area. If there is a spill or discharge of any
pollutant during any phase of construction the NACC shall be notified by the applicant
within one (1) business day. No construction vehicles are to be stored within 100 feet of
wetland resource areas, and no vehicle refueling, equipment lubrication, or maintenance is to
be done within 100 feet of a resource area.
AFTER CONSTRUCTION
77. 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.
CAWinword\00C\Wi11owSt.doc 10 NACC 5/3/05
DEP FILE # 242 -1279
78. 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.
79. No road salt, sodium chloride, or other de-icing chemicals shall be used on paved
surfaces, and all snow shall be removed from site in perpetuity as referenced in the
Operation & Maintenance Plan attached herein. Permanent signs designating "No -Salt
Zone" and "No -Snow Stockpiling" shall be displayed in prominent locations throughout
the site.
80. Prior to the issuance of a certificate of compliance, the applicant or legally transferred
property owner, shall submit a final snow removal plan and contractual snow removal
agreement to the Conservation Department for review and approval. This agreement shall
also specify the procedures for perpetual snow removal on the site should ownership
and/or the designated contracts change.
81. Prior to the issuance of a certificate of compliance, the applicant or legally transferred
property owner, shall provide written documentation to the Conservation Department and
the Department of Public Works (DPW) indicating that a deed restriction will be placed on
the property relative to the proposed box culvert to state that any and all future
maintenance and/or repairs to the culvert be the responsibility of the property owner(s) in
perpetuity.
82. Upon completion of work, the applicant shall permanently mark the edge of wetland
resource areas and the "No -Disturbance Zone" with twelve (12) signs or markers spaced
evenly every 50 feet designating their sensitivity. This will ensure 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.
83. 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.
84. The 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.
The North Andover Conservation Commission must be notified upon creation of
associations or agencies responsible for the perpetual implementation of the Operation &
Maintenance Plan.
85. 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.
C:\Winword\OOC\WillowSt.doc 11 NACC 5/3/05
DEP FILE # 242 -1279
86. Upon completion of the project the applicant shall submit the following to the
Conservation Commission as part of a request for a Certificate of Compliance:
a. WPA Form 8A - "Request for a Certificate of Compliance."
b. A letter from the applicant requesting a Certificate of Compliance.
c. The name and address of the current landowner.
d. Signed statements from the individual property owners shall be submitted with
the request for a Certificate of Compliance indicating that they read and
understood the recorded Order of Conditions prior to purchasing their property.
e. The name and address of the individual/ trust or corporation to whom the
compliance is to be granted.
f. The street address and assessor's map/ parcel number for the project.
g. The DEP file number.
h. A written statement from a Registered Professional Civil Engineer (and/or
Registered Professional Land Surveyor) of the Commonwealth certifying that the
work has been conducted as shown on the plan(s) and documents referenced
above, and as conditioned by the Commission.
i. A written statement from a Professional Wetland Scientist certifying that the
wetland replication areas are functioning as intended by this Order of Conditions
and in compliance with the local wetland protection bylaw and regulations for at
least two full growing seasons.
j. An "As -Built" plan prepared and signed and stamped by a Registered Professional
Civil Engineer (and/or Registered Professional Land Surveyor) of the
Commonwealth, for the public record. This plan will include:
➢ "As -Built" post -development elevations of all drainage & stormwater
management structures constructed within 100 feet of any wetland resource
area. NOTE: If portions of the stormwater systems exist partially within the
Buffer Zone than the entire structure must be depicted to accurately verify
compliance.
➢ "As -Built" post -development elevations and grades of all filled or altered
wetland resource areas including the encompassing buffer zone, which is
regulated as a resource area under the local Wetland Protection Bylaw.
➢ Distances from structures to wetland resource areas. Structures include (but
are not limited to) septic systems, additions, fences, sheds, stone walls,
pools, retaining walls, subsurface utilities and decks.
➢ A line showing the limit of work and the extent of existing erosion control
devices. "Work" includes as disturbance of soils or vegetation.
➢ Location of all subsurface utilities entering the property.
C:\Winword\00C\Wi11owSt.doc 12 NACC 5/3/05
DEP FILE # 242 -1279
87. 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);
Y Maintenance of catch basins (Condition #66);
➢ Discharge or spillage of pollutants (Condition #76);
➢ Prohibition of underground fuels (Condition #77);
➢ Limitations on the use of fertilizers, herbicides, road salts, de-icing
compounds and pesticides (Conditions #78 & #79);
➢ Prohibition of snow stockpiling/ Snow Removal (Conditions #79 & #80);
➢ Maintenance/ Repairs to culvert (Condition #81);
➢ The attached "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
#84).
CAWinword\OOC\WillowSt.doc 13 NACC 5/3/05
DEP FILE # 242 -1279
I,
APPENDIX A — AFFIDAVIT
(authorized agent of applicant and / or owner)
1) I am the
on oath do hereby depose and state:
(PLEASE CHECK AT LEAST ONE BLOCK)
(position with applicant)
of
the applicant upon whom the Order of Conditions
(applicant's name)
(DEP or NACC File #)
have been
placed upon by the North Andover Conservation Commission (NACC).
2) I am the
(position with owner)
and / or
of
(owner)
the owner upon whose land Order of Conditions
(DEP or NACC File #)
placed upon by the NACC.
have been
♦ 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)
CAWinword\OOC\WillowSt.doc 14 NACC 5/3/05
Operation & Maintenance Plan
1.0 Introduction
RECEIVED
MAR 2 3 2005
NORTH ANDOVER
CONSERVATION COMMISSION
The Stormwater management program for parcel 4 Willow Street, North Andover,
MA has been designed to mitigate potential impacts to the quality and quantity of
stormwater flowing from the site. In order to ensure that the stormwater management
facility performs adequately, a regular schedule of maintenance is required. The
following is an overview of the Stormwater Management Facility design followed by
the recommended maintenance schedule.
1.1 -Maintenance Schedule
Annual maintenance
1. Inspect all structures. Remove any debris.
2. Remove excessive debris from stormwater detention facilities.
Monthly maintenance
1. Ensure inlet and outlet structures are free of debris.
2. Remove any large debris from stormwater detention facility.
Semi-annual maintenance
1. Sweep parking lot, with once occurring atter last Winter sanding.
2. Inspect the leaching trench at manhole and clean any debris
3. Clean sump at entrance catch basin.
4. Remove debris on rip rap apron.
5. Inspect the leaching trench manhole base, for sediment.
Performance-based maintenance
1. Remove sediment/debris from stormwater detention facility when the depth
exceeds three inches.
2. Remove debris from Stonmceptor in March & May, each year to remove excess
sand.
3. Inspect the leaching trench manhole, following every large storm (>2 inches).
1.2 — Snow Removal: snow shall be removed from the site, in perpetuity.
1.3 - Owner of Record — Holbrook Realty Trust
Developer — Dr. Sudarshan Chattedee
L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
1 WPA Form 5 - Order of Conditions 242-1279
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 S tV5
condition pursuant to General Conditions #4, from the date of issuance. 1. Date of iss ance
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 of signers
The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A
copy also must be mailed or hand delivered at the same time to the appropriate Department of
Environmental Protection Region Ice; if not filing electronically, and the property owner, if different
from applicant. ,.'A
Signatures:
Notary Acknowledgement
Commonwealth of Massachusetts County of
On this
a'7 ,-h
Day
Before me, the undersigned Notary Public,
personally appeared
Essex North
of r _ aoa5
MontA Year
S1 / LL� M.4 f f
Name of Document Signer
proved to me through satisfactory evidence of identification, which was/were
laSSac6,5'—f+S Li c.cl -Se_
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.
KInrth Anrinvcr
As member of CityfTown
DONNA K W!
EDGE
0F �ctruSEM
My Comm. Eon Aug. 7, 2009
Place notary seal and/or any stamp above
This Order is issued to the applicant as follows:
❑ by hand delivery on
Date
Conservation Commission
0
Signature of Notary Public
Printed Name of Notary Public
My Commissidn Expi(es (Date)
2by certified mail, return receipt requested, on
s/y ID -6 -
Date
wpaform5.doc • rev. 12/1/04 Page 7 of 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
L11
WPA Form 5 - Order of Conditions 242-1279
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.
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. 12/1/04 Page 8 of 9
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
I WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
G. Recording Information
DEP File Number:
242-1279
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:
Project Location
Has been recorded at the Registry of Deeds of:
County
for:
Property Owner
242-1279
DEP File Number
Book Page
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. 12/1/04 Page 9 of 9