HomeMy WebLinkAboutRequest for Determination of Applicability - Application - 165 FLAGSHIP DRIVE 4/15/2015 Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Wetlands North Andover
City/Town
WPA Form 7- Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L.c.131,§40
A. General Information
Important:
When filling out 1. Applicant:
forms on the Comcast-DaveFlewelling dave_flewelling@cable.comcast.co
computer,use Name m
only the tab key
to move your 12 Washer St.
cursor-do not Mailing Address
use the return Lowell MA 01852
key. Citytrown State Zip Code
617-279-7864
Phone Number Fax Number(if applicable)
2. Representative(if any):
UC Synergetic
Firm
John Morrison jkmorrison@ucseng.com
Contact Name E-Mail Address
21 Oxford Rd. _
Mailing Address
Mansfield MA 02048
Cityrrown State Zip Code
508-337-7616
Phone Number Fax Number(if applicable)
B. Determinations
1. I request the Town of North Andover make the following determination(s).Check any that apply:
Conservation Commission
® a.whether the area depicted on plan(s)and/or map(s)referenced below is an area subject to
jurisdiction of the Wetlands Protection Act.
® b.whether the boundaries of resource area(s)depicted on plan(s)and/or map(s)referenced
below are accurately delineated.
® c.whether the work depicted on plan(s)referenced below is subject to the Wetlands Protection Act.
® d.whether the area and/or work depicted on plan(s)referenced below is subject to the jurisdiction
of any municipal wetlands ordinance or bylaw of:
North Andover,MA
Name of Municipality
❑ e.whether the following scope of alternatives is adequate for work in the Riverfront Area as
depicted on referenced plants).
xryaforml doc Pagel of 4
Massachusetts Department of Environmental Protection
Lr
Bureau of Resource Protection-Wetlands North Andover_Gityfrown WPA Form 1- Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L.c. 131,§40
C. Project Description
1. a. Project Location(use maps and plans to identify the location of the area subject to this request):
165 Flagship Dr. _ North Andover
Street Address citylrown
25 75
Assessors Map/Plat Number Parcel/Lot Number -
b. Area Description(use additional paper,if necessary):
Flagship Dr.from the intersection of Willow St.to#165 Flagship Dr.
c. Plan and/or Map Reference(s):
165 Flagship Dr. _ 04/17/15
Title Date
Date
Title - — - Data
2. a. Work Description(use additional paper and/or provide plan(s)of work,if necessary):
install 1-4"PVC conduit form the existing GAN vault along Flagship Dr.for a distance of 39K
ematormi eoc Page 2 zi'4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Wetlands North Andover
CityfTown
WPA Form 1- Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L.c. 131,§40
G. Project Description(cant.)
b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant
from having to file a Notice of Intent for all or part of the described work(use additional paper,if
necessary).
Project will not directly affect the wetland area.All work will be completed outside of the actual
wetland boundaries.
3. a. If this application is a Request for Determination of Scope of Alternatives for work in the
Riverfront Area,indicate the one classification below that best describes the project.
❑ Single family house on a lot recorded on or before 8/1/96
❑ Single family house on a lot recorded after 811/96
❑ Expansion of an existing structure on a lot recorded after 8/1/96
❑ Project,other than a single family house or public project,where the applicant owned the lot
before 8/7/96
❑ New agriculture or aquaculture project
❑ Public project where funds were appropriated prior to 8/7/96
❑ Project on a lot shown on an approved,definitive subdivision plan where there is a recorded deed
restriction limiting total alteration of the Riverfront Area for the entire subdivision
❑ Residential subdivision;institutional,industrial,or commercial project
❑ Municipal project
❑ District,county,state,or federal government project
❑ Project required to evaluate off-site alternatives in more than one municipality in an
Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an
application for a 404 permit from the U.S.Army Corps of Engineers or 401 Water Quality
Certification from the Department of Environmental Protection.
b. Provide evidence(e.g.,record of date subdivision lot was recorded)supporting the classification
above(use additional paper and/or attach appropriate documents,if necessary.)
w d-1 d- Page 30 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Wetlands North Andover
City/Town
LI WPA Form 1- Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L.c. 131,§40
D.Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability
and accompanying plans,documents,and supporting data are true and complete to the best of my
knowledge.
I further certify that the property owner,if different from the applicant,and the appropriate DEP Regional
Office were sent a complete copy of this Request(including all appropriate documentation)
simultaneously with the submittal of this Request to the Conservation Commission.
Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for
Determination of Applicability.
Name and address of the property owner:
Town of North Andover
Name
120 Main St.
Mailing Address
North Andover
Citytrown
MA 01845
State Zip Code �-
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
in accordance with Section 10.05(3)(b)(1)of the Wetlands Protection Act regulations.
A�o��ppli Date
f_ R #.
Y L
Signature of Representative(if any)` Date
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Scale 1:42,000 North Andover Wetlands Regulations
1 inch =3,500feet Riverfront Area Map
2,000 0 2,000 4,000 North Andover Massachusetts ""PSILON.��.,.,�.
Feet
p1oj-a2/11a1rr_andoverl11480311ivelf=Ll-d 06102103
Abutterlo Abutter( )Building Dept.{X }Conservation(X } Zoning ( X )
Town of North Andover
Abutters Listing �
REQUIREMENT: MGL40A,6CM.11 slatasin part"Padiea"n Interest as usedN Htla chapter shall mean p;e pefilioner,
,buttes,mrom of land dlreeily opposlteon any public orpdvaW%aay;and abutters to abutters Mthln _
Ih..hundred(300)Nor of H:a praperiy 11—fthe national as May aMo.,.the,naat recentappli lea
tax list,adwilloinal ng that0a,land of any suoh ownerla located in anothvdty or town,Ne Ponortg
board of he cY.y or Wwn,and he planning b..alof—,y.bat&1g city ortoWM1"
Subiect Proper(v: _
MAP PARCEL'S Name Address
25 8s&119 United Realty Trust 165 Flagship Drive,North Andover,MA 01934 i
Abutters Proaor0es
Mao Parcel Name Address
25 3 Trustees of Reservations 572 Essex Street,Beverly MA 01915
26 75 VVSF Realty Trust _ i I Bayfietd Drive,North Andover,MA 01845
26 76 Muffin Realty Trust 351 Wllowv Street North Andover,MA 01845
26 78 John C.Bianchi,trustee 7 Danbury Road Nashua,NH 03060
25 80 Channel Building Co. 365 Middlesex Road,Wilmington,MA 01887 _
26 82 Flagship,LLC 150 Flagship Drive North Andover,MA 01845
25 83 Rupp Realty Trust 400 Willow Street North Andover,MA 01846
107.0 83 George L Christo,Trustee 115 Flagship Drive North Andover,MA 01845 -
This Certifies that the names appearing on the
reCDrds of the ss sors ff'a as of
Gertifled by: �' Date,,;;_; 5�
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7014 e120 000s anae 3043 7014 2120 000s eoaa 3029 701* 2120 000s ao*e soos
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Narrative
#165 Flagship Dr. Conservation Plan
Project Plan
Comcast to install 24"PVC conduits from an existing CATV vault at the intersection of
Willow St.and Flagship Drive.To a point southwest to the entrance of 9165 Flagship Dr.
where a 24"06"Quazite vault will be installed.The conduit route is entirely out of the
resource area as well as the 25'no disturb zone,and falls within the 100'buffer zone for
approximately one hundred and seventy five feet.The project will be in the existing
asphalt,and all trench area will be restored to like or better condition when completed.
Soil and Erosion Control
During construction the following erosion and soil control methods will be used.
Contactor to place straw waddles,or"Silt-Soxx"around the resource area per Town of
North Andover requirements.Contractor shall also install filter bags on all storm drains
within the limits of the construction area.All erosion control methods shall be inspected
by an agent of the town of North Andover Conservation Commission prior to the
commencement of any excavation.And once construction is complete all erosion control
methods will be removed and the areas will be returned to like or better condition.
21 Oxford Rd - Mansfield,MA 02048
P:508-337-7600• F:508-337-7797 rrrrwmeseng.com
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