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.
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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
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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
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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
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4 .' ' Name* of the water body at the project location:
Merxjmack_Jdy_ar__ a tributary to - - - - - -
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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
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6. Project description:
Construction of a boat launching facility into the Merrimack River for the
Town of North Andover Fire Departiiient.
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FOR OFFICE USE ONLY
Date Stamp Application No. W
Wetlands No.
EOEA No.
ACOE No.
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WRP Form 1 , Eff . 10/4/90 14
BASIC APPLICATION FORM (Continued)
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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.
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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)
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18 . List the name and complete mailing address of each abutter (see
definition on page 13)
See Attached
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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 :
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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.
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21. Will the docking facility be equipped to offload sewage from boats?
[ ] Yes [ ] No N/A
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Eff. 10/4/90 16
j BASIC APPLICATION FORM (Continued)
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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)
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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