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HomeMy WebLinkAbout1991-06-04 Application for Activities Conservation BASIC APPLICATION FORM (FORM 1) APPLICATION FOR ACTIVITIES SUBJECT TO THE JURISDICTION OF THE MA. DEPARTMENT OF ENVIRONMENTAL PROTECTION, WATERWAYS REGULATION PROGRAM _P�LEASFANSWER ALL QUESTIONS ON THE BASIC APPLICATION FORM., IF A QUESTION DOES NOT APPLY TO YOUR PROJECT, WRITE NOT APPLICABLE (N/A) IN THAT BLOCK. PLEASE PRINT OR TYPE. USE BLACK- ILIK (BLUE INN OR PENCIL ARE NOT EASILY REPRODUCIBLE; THEREFORE, NEITHER WILL BE ACCEPTED) . If additional space is needed, attach extra 8-1/211 x 1111 sheets of paper. ----------------------------------------------------------------------------- 1. Applicant's name and complete address ( include zip code and county) : Town of North Andover C/O Conservation Office 120 Main Street North Andover, Massachusetts 01.845 Essex County , ,plephone number: Home (A/C Work (A/C 508) 685 4775 ---------------------------------------------------------------------------- 2 . Authorized agent's name and complete address : Kiiiiball Chase Company Inc. 261 Essex Street Lawrence, Massachusetts 01840 Telephone number: (A/C 508 ) 687 - 7701 Contact person' s name: Mark S. Gross, Project Manager ------------------------------------------------------------------------------ 3 . Property owner's name: Same (and address if not the same as item 1. ) Legal description of property: Lot No(s)_Map Block Subdivision Location (street address) : Munici'Pality: North Andover County: Essex --------------------------------------------------------------------- 4 .' ' Name* of the water body at the project location: Merxjmack_Jdy_ar__ a tributary to - - - - - - ---------------------------------------------------------------------------- 5. The water body at the project site is : (check one or more of both A & B) 'A. [ ] Tidal Filled Tidelands Great Pond [xx] River/Stream Uncertain B. [xyj Natural Man-Made Uncertain ---------------------------------------------------------------------------- 6. Project description: Construction of a boat launching facility into the Merrimack River for the Town of North Andover Fire Departiiient. --------------------------------------------------------------------------- FOR OFFICE USE ONLY Date Stamp Application No. W Wetlands No. EOEA No. ACOE No. ------------------------------------------------------------------------------ WRP Form 1 , Eff . 10/4/90 14 BASIC APPLICATION FORM (Continued) ----------------------------------------------------------------------------- 7 , Proposed use (check one or more of both A and B) : A. [ ] Private [ ] Commercial [ ] Industrial [ ] Government [ ] Facility of private tenancy Gcx] Other (explain below) Boat Launching Ramp Facility B. [xXJ Water-dependent 1XX1 Accessory [ J Nonwater-dependent 8. Description of existing and proposed use (s) : The existing site is wooded with a steep embankment along the Merrimac:k' aiver boundary. A boat launching ramp with accessory parking and site driveways is proposed to be constructed, 9 . Will any public benefit be derived from the project? [X] Yes [ ] No [ ] Uncertain If answer is "Yes" , explain below. Access to the river for recreational boating and fishing will be provided where none presently exists. 9A. For nonwater-dependent projects attach a sheet to application that contains a statement as to how the project is consistent with the policies of the Coastal Zone Management Program and how it serves a proper public purpose and provides greater benefit than detriment to the public' s rights in tidelands and great ponds . 1.0. Will there rbe-any discharge (either direct or indirect) of waste material or waste water into State waters from the construction or operation of the project? [ ) Yes [XX) No 1.1 Have you previously applied to, or obtained a permit or other authorization from, any agency (Interstate, Federal, State, or Local) for any portion of the project described in this application? [ ] Yes [ ] No [ ] Uncertain If your answer is "Yes" , provide the following information: (attach seperate sheet for chapter 91 licenses for the property; list license numbers, dates issued and recorded, book -and page) . . Issuing or Type of Action ID No. Application Action Denying Agency Date Date Mass. DEP Approval 242--540 11/30/90 12/26/90 North Andover Approval 242-540 11/30/90 12/26/90 Conservation Commission Army Corps of Pending - -- - - - - - - - Engineers Water Quality Pending - - - - - - - - - Certification North Andover Site Plan Review - - - - - - - - - Planning Board Eff. 10/4/90 15 BASIC APPLICATION FORM (Continued) r 12 Has-any -work _commenced-or has any portion of the project for which you .� are now seeking approval been completed? [ ] Yes [Xx] No If your answer is "Yes" , give details below. State when the work was completed and who performed the work. Please clearly differentiate on your application drawings that portion of the work which has been completed from that which is proposed . 12A. Is this application for an Interim Approval? [ ] Yes [x4 No If "yes" , submit plans prepared in accordance with Appendix A. -------------------_------ 13 . Approximately how long will it take to complete the project after all required permits have been issued? 3 - 4 months 14 . wApproximate total cost of the project ( including materials and labor) : $ 80,000.00 15 . Is the project site located within one or more of the following: [ ] Area of Critical Environmental Concern [ ] ocean Sanctuary [ ] Designated Port Area N/A [ ] Uncertain 16 . -Is- the- project site ina municipality with a state approved Harbor Plan? [ 3 Yes [ ] Plan Under Review [XX] No [ ] Uncertain If yes, is this proposal consistent with the plan? [ ] Yes [ ] No 17 .WAll-licenses issued by the Department will contain a condition stating the term for which the license is in effect. If an extended term is desired, attach appropriate documentation as required by 310 CMR 9 . 15 (1) (b) - (d) and check here. [xx) (Not applicable to water-dependent amnesty projects) --------T------------------------------------------------------------------- 18 . List the name and complete mailing address of each abutter (see definition on page 13) See Attached ---------------------------------------------------------------------------- 19 . If the project consists of the maintenance or addition of ten or more berths, indicate the number of: N/A WET- STORAGE DRY STORAGE A. existing slips . . . . . . . . . . . . . . . . . . . . . . B. proposed or . . . . . . . . . . . . . . . . . . . . . . additional slips : ---------------------------------------------------------------------------- 20 . Will petroleum products or other hazardous materials be stored or handled at the docking facility? N/A [ ] Yes [ 3 No If "yes" , note on the application plans and describe on a seperate sheet any method(s) that will be used to prevent possible spills, fires, explosions, etc. ---------------------------------------------------------------------------- 21. Will the docking facility be equipped to offload sewage from boats? [ ] Yes [ ] No N/A ---------------------------------------------------------------------------- Eff. 10/4/90 16 j BASIC APPLICATION FORM (Continued) ---------------------------------------------------------------------------- ALL APPLICANTS AND PROPERTY OWNERS MUST SIGN THIS PAGE. If the Certification of Authorization below is completed and returned with this application all future application correspondence may be signed by the duly authorized agent. I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal. Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection. I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge. . . . 9PQgary. .4,. . . . 19 91 . . . . DATE Mark . Go $�. . � 5�� ,� $�.�0.•r .�N�•. . . . . .S, APPLICANT'S SIGNATURE APPLICANT'S NAME (PRINTED/TYPED) Richard Doucette s. . . . . . . . .1. . . , . . . . . . . ,VA Tom of.No�r0 .Andgygr . . . . . . . . . . . . . . PROPFR`l'Y WNER'S SIGNATURE PROPERY OWNER' S NAME (PRINTED/TYPED) (if other than applicant) ---------------------------------------------------------------------------- CERTIFICATION OF AUTHORIZATION (Only agents need complete this section) I hereby certify that I am designated and authorized by Town of North Andover (APPLICANT'S NAME] . . . . . . . . . . . . . . . . . . to act on their behalf as agent and take all actions necessary to the processing, issuance, acceptance, and implementation of this permit or license. Mask S. .Gross: KIMB44D. �H4-JE. �Q%,. JN�- AGENT'S SIGNATURE AGENT' S NAME (PRINTED/TYPED) Eff. 10/4/90 17 f DEPARTMENT OF E17VTRONMENTAL PROTECTION DIVISION OF WETLANDS AND WATERWAYS REGULATION WATERWAYS REGULATION PROGRAM MUNICIPAL ZONING CERTIFICATION p,pp L CATION F0RN._ 3 WATERWAYS FILE NO. NAME OF APPLICANT Town of North PROJECT STREET ADDRESS CITY/TOWN WATERWAY MRiver DESCRIPTION OF PROPOSED USE OR CHANGE IN USE construction of a boat launching facility into the Merrimack River (to be completed by Municipal Clerk or Appropriate Municipal ,Official) I HEREBY CERTIFY THAT THE PROJECT DESCRIBED ABOVE AND MORE FULLY DETAILEQ IN THE APPLICANT' S WATERWAYS LICENSE APPLICATION AND PLANS IS NOT IN VIOLATION OF LOCAL ZONING ORDINANCES AND BYLAWS.M— L T SIGNATURE OF MUNICIPAL OFFICIAL t � TITLE Conservation Administrator & Town Planner =Y/TOWN OF NORTH ANDOVER, MASSACHUSETTS DATE January 21, 1991 PLEASE TYPE OR CLEARLY PRINT ALL INFORMATIO'lt' 'Etr 10/4/90 -19- DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF WETLANDS AND WATERWAYS REGULATION WATERWAYS REGULATION PROGRAM MUNICIPAL PLANNING BOARD NOTIFICATION APPLICATION FORM_ 4- WATERWAYS FILE NO. NAME OF APPLICANT TOWN Off' NORTH ANDOVER PROJECT STREET ADDRESS Riverview Street CITY/TOWN North Andover, Massachusetts WATERWAY Merrimack River (to be completed by Municipal Clerk or Appropriate Municipal official) I HEREBY CERTIFY THAT A COPY OF THE COMPLETED WATERWAYS LICENSE APPLICATION AND PLANS DESCRIBED ABOVE WAS SUBMITTED BY THE APPLICANT TO THE MUNICIPAL PLANNING BOARD ON _ Jan. 29, -1991 D TE SIGNATURE OF MUNICIPAL OFFICIAL - - TITLE - Town Planner CITY/TOWN OF North Andover DATE January 29 1991 PLEASE TYPE OR CLEARLY PRINT ALL INFORMATION NOTICE TO APPLICANT: THIS FORM MUST BE SUBMITTED ALONG WITH THE ORIGINAL APPLICATION MATERIALS. IF THE FORM CANNOT BE EXECUTED BY THE APPROPRIATE MUNICIPAL OFFICIAL AT THE TIME OF DELIVERY , THE APPLICANT SHOULD WAIT UNTIL HE RECEIVES THE EXECUTED FORM BEFORE SUBMITTING THE COMPLETED APPLICATION PACKAGE TO DEP. Eff 10/4/90 -20- GE µ0 l!ii KAKEN H.P. NELSON Town Of 120 Main Street, 01845 U„�lrr�r NORTH ANDOVER (508) 682-6483 . : BUILDING ',' '� CONSI�RVATION DIVISION OF PLANNING PLANNING & COMMUNITY DEVELOPMENT January 22 , 1991 Mr. Don George, Executive Director Greater Lawrence Sanitary District Charles Street North Andover MA 01845 Dear Mr. George: As you know, we have spoken and corresponded on matters relating to the proposed boat ramp on Town property on Riverview St. in North Andover. Enclosed is a Plan showing a proposed subdivision of GLSD property for the purposes of granting this parcel to the Town of North Andover. We would like to use this conceptual plan to formalize discussions with your Board. If your Board is in favor of the proposal our Engineers will then prepare a formal subdivision submittal for the Planning Board. Once again, the Town will agree to install an appropriate fence along this new lot line to prohibit access to the remaining GLSD property. Please contact my office after reviewing this plan. I look forward to speaking with you. Sincerely, Richard P. Doucette Conservation Administrator CC Karen-,HP,-Nel6on', ' Division Director Mark Gross, Kimball Chase Jim Gordon, Town Manager Attorney John Ford