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Home My WebLink AboutUntitled (10) ,;(24;7;,-/ F Q • ... _s • SACHJ INTEROFFICE MEMORANDUM DATE: October 28, 2013 TO: Joyce Bradshaw FROM: Gene Willis CC: Lillian Webster, Judy Tymon, Tim Willett RE: 0 Dale St athletic field Planning Bd. Notice of Decision Joyce Find recorded decision. Others Find enclosed the front page of decision recorded at the Registry on Oct. 28, 2013 - Book 13681 and page 147 s n( , 8k 13681 F's 147 =3112- 1U-23-21)13 a n1 = 451=0 f oosrp q ° st-`° " Town of North Andover L. t L.% i . '� Office of the Planning Department { * I . * Community Development and Services Division �, °"^T.°^''t45 1600 Osgood Street 'sACHust o _North Andover,Massachusetts 01845 NOTICE OF DECISION This is to certify that twenty(20)days have elapsed from date of decision,filed il: without filing of an a peal Any appeal shall be filed Date c 3� i� Joyce A.Brads within(20) days after the Town Clerk is date of filing this notice in } the office of the Town Clerk. Date: February 15,2011 1 Date of Hearings: January 4,2011, February 15,2011 Date of Decision: February 15,2011 I Petition of: Town of North Andover,120 Main Street,North Andover,MA 01845— Thomas Zahoruiko,Fields Committee Premises Affected: 0 Dale Street,North Andover, Massachusetts,01845,Assessor's Map 64, Parcel 18 and located in the Residential 1 Zoning District. Referring to the above petition for a Watershed Special Permit from the requirements of the North Andover Zoning Bylaw, Section 4.136. So as to allow the installation of natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District. After a public hearing given on the above date, the Planning Board voted to APPROVE a Watershed Special Permit for the Watershed Protection District,based upon the following conditions: nning Board "772"..-1-1 John Simons,Chairman Richard Rowen Timothy Seibert Michael Colantoni Courtney LaVolpicelo ATTEST: A True Copy Town Clerk I Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit E February 15,2011 k The public hearing on the above referenced application was opened on January 4, 2011 and closed by the f; North Andover Planning Board on February 15,2011. On February 15,2011 upon a motion made by Richard Rowen and seconded by Timothy Seibert to GRANT a Watershed Special Permit to allow the installation of a natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District, under the requirements of Section 4.136 & 10.3 of the North Andover Zoning Bylaw. This Special Permit was requested by the Town of North f. Andover, Thomas Zahoruiko, Fields Committee, 120 Main Street, North Andover, MA 01845 on December 2, 2011. The applicant submitted a complete application, which was noticed and reviewed in accordance with Section 10.52 of the Town of North Andover Zoning Bylaw and MGL Chapter 40A, Section 9. The motion to approve was subject to the FINDINGS OF FACTS and SPECIAL `` CONDITIONS set forth in Appendix A to this decision. The Planning Board vote was unanimous. A special permit issued by the special permit granting authority requires a vote of at least four members of a five-member board. The applicant is hereby notified that should the applicant disagree with this decision, the applicant has the t right, under MGL Chapter 40A, Section 17, to appeal to this decision within twenty days after the date this L decision has been filed with the Town Clerk. In accordance with 4.136 the Planning Board makes the fmding that the intent of the Bylaw, as well as its specific criteria is met. This decision specifically stated by the Planning Board makes the following 3 FINDINGS OF FACT: i' 1) That as a result of the proposed construction in conjunction with other uses nearby,there will not be any significant degradation of the quality or quantity of water in or entering Lake Cochichewick. The Planning Board bases this fmding on the following facts: t f i 1) The construction has been reviewed by Town Staff, including Gene Willis,the Town Engineer and Judy Tymon, the Town Planner. With the application of the erosion control measures and modifications to the drainage and stormwater management design, there will not be significant t degradation to the quality or quantity of water in or entering Lake Cochichewick. The site drainage system and storm water management design are designed in accordance with the Town Bylaw requirements and Best Engineering and Management Practices, and has been reviewed by town staff, as noted above. Adequate safeguards have been provided to mitigate pollutants from entering Lake Cochichewick through the installation/implementation of the following Best Management Practices : 1 G': i) To control runoff from the field and parking area,a drainage system has been designed with a combination of open swales on the northern side as well as the eastern side of the field and a closed drainage system consisting of two catch basins and a wet detention pond. An emergency overflow has also been designed with a level spreader. ii) The detention pond has been designed to collect runoff and direct it into a controlled outlet before discharge, thus mitigating the increase in the peak rate of runoff as well as providing recharge to the groundwater. The drainage system has been designed to regulate discharge from the 1,2, 10,25 and 100-year storm events. iii) The applicant has provided a "Statement of Water Quality Impact" from a Professional Engineer, stating that the project will not adversely impact the quality of surface and I, i 2 t a- t Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 groundwater adjacent to the Lake and that there will be no increase in concentrations of nitrogen,phosphorous or other dissolved inorganic chemicals. 2) The project is located within an extremely environmental sensitive area and in proximity to Lake Cochichewick and in close proximity to a wetland area that drains to the Lake. The fmal design reflects extensive discussions between the Town and the applicant to ensure the continued protection of Lake Cochichewick and the safety and welfare of the residents of North Andover. The new field will be located within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection Overlay District. In addition, all drainage systems and parking will be located within the Non-Disturbance and Non-Discharge Zones. 3) The applicant has agreed to use organic and low nitrogen fertilizers and to curtail the use of pesticides so as to reduce the potential of chemical loading to adjacent wetlands. 2) There is no reasonable alternative location outside the General, Non-Disturbance, and the Discharge Zones for any discharge,structure or activity. In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following FINDINGS OF FACT: 1) The specific site is an appropriate location for the proposed use as all feasible stormwater and erosion controls have been placed on the site; 2) The use will not adversely affect the neighborhood as evidenced by the Findings stated in the previous section of this document; 3) There will be no nuisance or serious hazard to vehicles or pedestrians; 4) Adequate and appropriate facilities are provided for the proper operation of the proposed use; 5) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings,the Planning Board approves this Special Permit based upon the following SPECIAL CONDmONS: 1)Permit Defmitions: a) The"Locus"refers to the parcel of land with frontage on Dale Street as shown on Assessors Map 64,Parcel 18,and also known as 0 Dale Street,North Andover,Massachusetts,01845. b) The"Plans"refer to the plans prepared by New England Engineering Services,Inc., dated September 25,2008 and revised January 15,2011 entitled"Proposed Site Plan Town Farm Dale Street North Andover,MA" c) The"Project"or"The Dale Street Athletic Field"refers to the installation of natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District. d) The"Applicant"refers to The Town of North Andover,the applicant for the Special Permit. 3 Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 e) The"Project Owner"refers to the person or entity holding the fee interest to the title to the Locus from time to time,which can include but is not limited to the applicant,developer,and owner. 2) Prior to the start of construction: a) All erosion control measures as shown on the plan must be in place and reviewed by the Town Planner and Conservation Department,prior to any work being done at the site. 4) Prior to the actual use of the fields, the Planning Board and/or its agent shall review the project for compliance with the approved set of"Plans". This may require a site visit and/or a meeting with the Planning Board. Any changes deemed substantial by the Town Planner would require a public hearing and modification by the Planning Board. 5) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 6) The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation. 7) The provisions of this conditional approval shall apply to and be binding upon the applicant, it's employees and all successors and assigns in interest or control. 8) This Special Permit approval shall be deemed to have lapsed February 15, 2013 (two years from the date of issuance) exclusive of the time required to pursue or await determination of any appeals, unless substantial use or construction has commenced within said two-year period. Substantial use or construction will be determined by a majority vote of the Planning Board. 9) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: a) Plan titled: "Proposed Site plan Town Farm Dale Street,North Andover,Ma" 0 Dale Street,North Andover,Mass. Prepared for: Town of North Andover 0 Dale Street North Andover,MA 01845 Prepared by: New England Engineering Services,Inc. 1600 Osgood Street Building 20, Suite 2-64 North Andover,Ma 01845 Scale: 1"=40' Date: September 25,2008 and revised January 15,2011 Sheets: Site Plan cc: Director of Public Works Building Inspector Town Manager Conservation Administrator Drainage Consultant 4 . ( � t � ( Dale Street Athletic Fi d¢Map 64,Lot 18 Watershed Special P rmi! . { February !%2R Planning Board Police Chief Fire Chief Applicant Engineer { F!\ { ( 5 Bradshaw, Joyce is From: Willis, Gene Sent: Wednesday, September 18, 2013 2:18 PM To: Bradshaw, Joyce Subject: RE: Dale St. Athletic Field Thanks I'll check From: Bradshaw, Joyce Sent: Wednesday, September 18, 2013 2:15 PM To: Willis, Gene Cc: Thibodeau, Bruce Subject: RE: Dale St. Athletic Field Also,Are you certain it wasn't already recorded. I have copy that was signed off March 22, 2011. Tom Zahoruiko may have done it for the Fields Committee. Let me know. { 3i Joyce A. Bradshaw,CMMC Town Clerk Town of North Andover 120 Main Street North Andover,MA 01845 Phone 978.688.9502 Fax 978.688.9557 Email jbradshaw @townofnorthandover.com Web www.TownofNorthAndover.com F � ss 1•- .%J.0 From: Willis, Gene Sent: Wednesday, September 18, 2013 1:49 PM To: Bradshaw, Joyce Cc: Thibodeau, Bruce Subject: Dale St. Athletic Field Joyce Do you have the true and attest copy of the Notice of Decision for the Dale St. Athletic Field Watershed Special Permit that was issued by the Planning Board Feb 15, 2011 that I can record? Eugene P.Willis P.E. Director of Engineering Town of North Andover 384 Osgood St. North Andover,MA 01845 1 Phone 978.685.0950 ext.44021 Fax 978.688.9573 mailto:gwillis @townofnorthandover.com www.townofnorthandover.com • i5 • ,at f.Fi`e.?rat tt' ......®«.<.�.......,.m«.....:�.........o�v...�«_......�.. .,..«.....n-�. _...�.w.�.� .e....,.«..............,.,.,�, ,,.�.a»�..�...o,« �.,�.n.�.��.>....��.....,».a.,.> ,.» ...»...,.....�m«... ....�.�.-�r,..�.�......+�w+.,....:».«..,.. �......� ....<,.,...._.9..�,. r. Please note the Massachusetts Secretary of Slate's office has determined that most erna is to and from municipal offices and officials are public records I or more information please refer to,http://www.sec.state.ma.us/pre/Dreidx.htm Please consider the environment before printing this email gg4' 7:. t tt 2 ($ORT Va * is CONSERVATION DEPARTMENT Community Development Division NEGATIVE DETERMINATION OF APPLICABILITY SPECIAL CONDITIONS 0 Dale Street, North Andover At the December 1, 2010 public hearing, the North Andover Conservation Commission (NACC) voted to e. issue a Negative Determination of Applicability for construction of an athletic field with associated grading and stormwater management outside the 100-foot Buffer Zone to Bordering Vegetated Wetland (BVW). ry The closest point of work to the BVW is approximately 100 feet. Erosion control will be installed at the 100-foot Buffer Zone to BVW at its closest point. No work is expected to occur outside of the limits shown on the plan referenced below. Applicant: Town of North Andover 120 Main Street North Andover, MA 01845 Record Documents: Request for Determination of Applicability 0 Dale Street (Town Farm) North Andover,Massachusetts 01845 Received on November 19, 2010 Prepared by: Tom Zohoruiko North Andover, MA Record Plans: Proposed Site Plan,Town Farm Dale Street,North Andover,MA Date: October 14, 2010 Prepared by Benjamin C. Osgood,Jr.,P.E. New England Engineering Services, Inc. North Andover, MA 01845 SPECIAL CONDITIONS: • A pre-construction inspection shall be conducted to ensure the proper placement and installation of erosion controls. 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web:http://www.townofnorthandover.com/Pages/NAndoverMA_Conservation/index i • If construction falls within Priority and Estimated Habitats of Rare Species, the applicant shall submit the appropriate filing materials to the Natural Heritage and Endangered Species Program for Review x (maps provided show property partially within Priority and Estimated Habitats). Information can be found at: http://www.mass.gov/dfwele/dfw/nhesp/regulatory review/pdf/mesa proj review check elect.pdf ❖ Any jurisdictional changes in the submitted plans caused by the applicant or another Board's decision must be submitted to the NACC for approval prior to implementation. • All construction debris and waste shall be properly disposed of off site and stockpiled material shall be '' stored within the erosion controls. • Construction equipment/vehicles shall not be staged overnight within 100 feet of a wetland resource area. Post Construction + Upon completion of construction and permanent stabilization of all disturbed soils, the Conservation 1 Department shall be contacted to conduct a final site inspection. ❖ The NACC shall be provided with a copy of the as-built plan for the property if prepared and provided to another town department,board or commission. F 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web:http://www.townofnorthandover.com/Pages/NAndoverMA_Conservation/index i Massachusetts Department of Environmental Protection ,,,,,,,:''''''''''' Bureau of Resource Protection - Wetlands Li, -0-1 WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out From: forms on the North Andover computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Town of North Andover return key. Name Name 120 Main Street I ) Mailing Address Mailing Address North Andover MA 01845 �: City/Town State Zip Code City/Town State Zip Code �/♦ 1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents: Proposed Site Plan Town Farm 9/25/2008 Title Date Title Date Title Date 2. Date Request Filed: 11/19/10 B. Determination 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): Construction of a athletic field and associated grading and drainage approximately 100-feet from Bordering Vegetated Wetland. Delineation confirmed. Project Location: 0 Dale Street North Andover Street Address City/Town Map 64 Parcel 18 Assessors Map/Plat Number Parcel/Lot Number wpaform2.doc•Determination of Applicability•rev.10/6/04 Page 1 of 5 • LMassachusetts 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 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)or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD) 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. B1-B9 connected to C-14-C3 ❑ 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 or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 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•Determination of Applicability•rev.10/6/04 Page 2 of 5 t LMassachusetts 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 B. Determination (cont.) t ❑ 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: t ❑ 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 y' must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more 1` information about the scope of alternatives requirements): t ❑ 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. ti ❑ 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 conditions. ❑ 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. wpaforrn2.doc•Determination of Applicability•rev.10/6/04 Page 3 of 5 i Massachusetts Department of Environmental Protection LBureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) f. ❑ 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: it Exempt Activity(site applicable statuatory/regulatory provisions) jzf 6. The area and/or wor descri ed in the equest is not subject to review and appr val by: .17J--2,),7 al ei 14 oK" -- (see aAVL.a ee)naiibw,cif. Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. North Andover Wetlands Protection Bylaw Chapter 178 Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on El by certified mail, return receipt requested on /4reg o +'five A14i L 1/511 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 http://www.mass.gov/dep/about/region.findyour.htm)and the property owner(if different from the applicant). { i /S V Date wpaform2.doc•Determination of Applicability•rev.10/6/04 Page 4 of 5 'r i 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 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 http://www.mass.aov/dep/about/region.findyour.htm)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 t 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 t. 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. , t; j': , wpaform2.doc•Determination of Applicability•rev.10/6/04 Page 5 of 5 3 r 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 Important: When filling out 1. Person or party making request(if appropriate, name the citizen group's representative): Xi forms on the computer, use Name only the tab key to move your cursor- Mailing Address do not use the return key. City/Town State Zip Code Phone Number Fax Number Of applicable) Project Location Mailing Address 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 City/Town State Zip Code Phone Number Fax Number(if applicable) 3. DEP File Number: B. Instructions 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) El 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 c,, Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands j'` f Request for Departmental Action Fee Transmittal Form L 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 f 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 http://www.mass.aovidep/about/repion/findvour.htm). 4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the t Conservation Commission and to the applicant, if he/she is not the appellant. { t s': wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 2 of 2 t ` 4 E OORTH q rr, C. %., "* MO DEC _ A 1 '" • k,�, 4,9ss�c►+us�4� L PLANNING DEPARTMENT 1:021-:-I i, Community Development Division f{t.5S ISpecial Permit— Watershed Permit Application i Please type or print clearly. (� nn 1. Petitioner: To�,� 04 ' \"s out,v' Petitioner's Address: s to Ma%c.SA..)) C) A .\v jl fue t M A o )sy S Telephone number: 4-71- 65Fta-9S0 , 2.Owners of the Land: -TV w n a PtP Address: MO �„� *. 1Vee`'V\ r, M)J l) 1 N S' 4 Number of years of ownership: F 3.Year lot was created: p c 1{/Jew 0 ' 4. Is the lot currently on septic or sewer? N O If on sewer, please provide date the sewer connection was completed: 5. Description of Proposed Project: ,. ■ - 1 • ) .„ ■ , 1 ►. • 1 - O ! lb 0/ bu 1" to 13VW i 6. Description of Premises: A. A p C 4, pARo'L 1 , 7.Address of Property Being Affected: 0 ,1 le S4teet' ('rower TF1iRM. Zoning District: RI Assessors Map: M A p G y Lot#: PA f 1. Registry of Deeds: Book#: Page#: 8. Existing Lot: x Lot Area(Sq. Ft): 1.C. 6S K. Building Height: N'.ht Street Frontage: X 12 00* Side Setbacks: Front Setback: ►sJ Lo Rear Setback: 3 Floor Area Ratio: N)A Lot Coverage: rJ 9.Proposed Lot(if applicable): t,) I Lot Area(Sq. Ft): Building Height: Street Frontage: Side Setbacks: Page 1 of 2 1600 Osgood Street,North Andover,BIdg.20,Suite 2-36 Planning Dept.,Massachusetts 01845 Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthandover.com Edited 8/6/07 t t 1. i • Front Setback: Rear Setback: Floor Area Ratio: Lot Coverage: 10. Required Lot(as required by Zoning Bylaw): N/A Lot Area(Sq. Ft): Building Height: Street Frontage: Side Setbacks: Front Setback: Rear Setback: Floor Area Ratio: Lot Coverage: 11. Existing Building (if applicable): N 1A. Ground Floor(Sq. Ft.): #of Floors: Total Sq. Ft.: Height: Use: Type of Construction: 12. Proposed Building: N IA Ground Floor(Sq. Ft.): #of Floors: Total Sq. Ft. Height: rt' Use: Type of Construction: 13. Has there been a previous application for a Special Permit from the Planning Board on these premises? tv 0 If so,when and for what type of construction? 14.Section of Zoning Bylaw that Special Permit Is Being Requested 1-1 .13( 15. Petitioner and Landowner signature(s): Every application for a Special Permit shall be made on this form, which is the official form of the Planning Board. Every application shall be filed with the Town Clerk's office. It shall be the responsibility of the petitioner to furnish all supporting documentation with this application. The dated copy of this application received by the Town Clerk or Planning Office does not absolve the applicant from this responsibility. The petitioner shall be responsible for all expenses for filing and legal notification. Failure to comply with application requirements, as cited herein and in the Planning Board Rules and Regulations -1 result in a dismissal by the Planning Board of this application as incomplete. Petitioner's Signature: Print or type name here: -r ,_ • . 4 a laS Ca■►t1e Owner's Signature: �� v Print or type name here: ,,,s D. 2�., ern i fin. (&n- f iA1ds Cavx,nlee) 16. Please list title of plans and documents you will be attaching to this application. Pr-vposeD s4e, plc")1-oc;,,NTArtn,Shale S4 Nom,-Rv461:va .A r LecC ski 1 C ikltMS flu x1 ,1)1),6 c M, Dale Shfteft 1V e r11n AlAdotie Page 2 of 2 1600 Osgood Street,North Andover,BIdg.20,Suite 2-36 Planning Dept.,Massachusetts 01845 Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthandover.com Edited 8/6/07 Thomas D. Zahoruiko 115 Carter Field Road North Andover,MA 01845 978-687-2635 November 30, 2010 Judy Tymon,Town Planner 1600 Osgood Street North Andover, MA 01845 RE: Dale Street(Town Farm) Athletic Fields Watershed Special Permit Dear Judy, This correspondence is to fulfill the "Written Documentation" section of the Watershed Special Permit Application, which I am submitting on behalf of the Fields Committee for the Town This parcel is currently owned and protected by the Town of North Andover, and has been held for purposes of open space and recreation. As such,the intended use of this small portion of the parcel as an athletic field is in keeping with the intended and most appropriate use of this land. Similarly,this use k' prevents overcrowding since there will be no commercial or residential development of this land. The proposed improvements will enhance the value through the investment made, and enhance the communities' use and value with needed facilities for the expanding programs in Town. Traffic will naturally increase at scheduled times at the parcel,but that impact will be mitigated through the provision of sufficient parking on site, which will also tend to alleviate the current lack of sufficient parking at the co-located facilities across Dale Street, known as Gallagher Field. The proposed improvements will in no way affect the concentration of population, will improve the adequacy of light and air through clearing of recent brush and young tree growth, and will reduce the hazards from fire and other danger by the removal of potential fuel in the form of brush and young tree growth which will be replaced by the maintained surface of natural grass. The proposed improvements will assist in the economical provision of needed public facilities, specifically athletic fields. These improvements will not alter the use of water bodies or drainage patters, and will sufficiently protect the Watershed through the site erosion controls and other BMP's provided for through this review and permit process. Likewise,the project will assure that flood hazards will not increase in that drainage and runoff will not be increased post-improvements. 1 Finally, the proposed improvements will increase the amenities of the Town, while also preserving the vast majority of the site in it' current natural condition. fi Please let me know of any I estions or concerns, or if you require anything additional. Sincerely, T as D. Zahoruiko I it i e Abutter to Abutter( ) Building Dept. ( ) Conservation ( ) Zoning ( ) 1 REQUIREMENT: MGL 40A,Section 11 states in part'Parties in Interest as used in this chapter shall mean the petitioner, abutters,owners of land directly oppositeon any public or private way,and abutters to abutters within =.. three hundred(300)feet of the properly line of the petitioner as they appear on the most recent applicable tax list,not withstanding that the land of any such owner is located in another city or town,the planning x. board of the city or town,and the planning board of every abutting city or town.' Subject Property: MAP PARCEL Name Address 64 18 Town of North Andover 120 Main Street North Andover,MA 01845 Abutters Properties Map Parcel Name Address 64 9 Town of North Andover 120 Main Street North Andover,MA 01845 64 10 Antonio Camelo 510 Dale Street North Andover,MA 01845 64 11 Dennis Crowley 490 Dale Street North Andover,MA 01845 64 20 Town of North Andover 120 Main Street North Andover,MA 01845 64 24 Frederick McCarthy 357 Dale Street North Andover,MA 01845 64 26 ECW Trust 54 Chandler Ledges Rd Milan,NH 03588 64 34 Rita Danahy 39 Blueberry Lane Methuen,MA 01844 64 64 Town of North Andover 120 Main Street North Andover,MA 01845 6 ii 4 138 Grace Torrisi 9 Coventry Lane North Andover,MA 01845 64 139 Gina Daley 21 Coventry Lane North Andover,MA 01845 64 145 Duncan Mackay 24 Coventry Lane North Andover,MA 01845 64 146 John Obert 10 Coventry Lane North Andover,MA 01845 64 147 Victor Hatem 859 Turnpike Street North Andover,MA 01845 64 149 Frank Woulfe 520 Dale Street North Andover,MA 01845 104.0 145 David Sikora 521 Dale Street North Andover,MA 01845 This certifies that the names appearing on the records of the Assessors Office as of /"o / // / Certified by: .4. P.'� Date if 22 o Date 11/22/2010 Page 1 of 1 2 0) 111111 - 0fiNtlAc'- Wt-k u,,tioru►kc haAAS (or,µ,* 0-0e -f-bWrN of M-P Date: February 16, 2011 Dear: Thomas Zahoruiko As you know,the Planning Board issued a decision for the following permit: Town of North Andover Name of Applicant 120 Main Street Location of Premises North Andover, Ma 01845 Your 20-day appeal period will have passed at midnight on the following date: March 8,2011 ******************** 1. Once the appeal period has passed, please pick up your Town Clerk-certified copy of the Planning Board's decision from the Town Clerk's office located at 120 Main Street, North Andover, MA 01845(phone:978-688-9501). 2. Please make a paper copy of the Planning Board signed Mylar. 3. Please bring the Town Clerk-certified copy of the decision&the signed Mylar(if required to be recorded)to the North Essex Registry of Deeds, 354 Merrimack Street,3rd floor,entrance C, Lawrence, Ma 01843(phone 978-683-2745),as the decision and Mylar must be filed at the Registry of Deeds as soon as possible. 4. Once this is completed please bring:a)copy of the certified decision; b)three(3)paper copies of the signed Mylar plans;c)the Registry of Deeds receipt to the Planning Department which is located at Town of North Andover, 1600 Osgood Street, Bldg.20,Suite 2-36,North Andover, MA 01845. Failure to file the decision and Mylar with the Registry of Deeds will result in your inability to exercise your special permit and/or definitive subdivision approval and your inability to obtain a building permit with the Building department. A Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced or an extension has been granted by the Planning Board. If you have any questions, please feel free to call (978-688-9535)or fax(978-688-9542), Monday through Friday,8:30 AM to 4:30 PM. Notice of Decision Appeal Letter for 0 Dale Street(Athletic Field) (je) • 1NORTF�q 2011FE316 J'„i1i• v'4 ° ° Town of North Andover F ,b Office of the Planning Department t 4, * Community Development and Services Division Ss 1600 Osgood Street ACHUO North Andover,Massachusetts 01845 NOTICE OF DECISION Any appeal shall be filed within (20)days after the date of filing this notice in the office of the Town Clerk. Date: February 15,2011 Date'of Hearings: January 4,2011, February 15,2011 Date of Decision: February 15,2011 Petition of: Town of North Andover,120 Main Street,North Andover,MA 01845— Thomas Zahoruiko,Fields Committee Premises Affected: 0 Dale Street,North Andover, Massachusetts,01845,Assessor's Map 64, Parcel 18 and located in the Residential 1 Zoning District. Referring to the above petition for a Watershed Special Permit from the requirements of the North Andover Zoning Bylaw,Section 4.136. So as to allow the installation of natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District. After a public hearing given on the above date, the Planning Board voted to APPROVE a Watershed Special Permit for the Watershed Protection District,based upon the following conditions: } AoarF' d John Simons,Chairman Richard Rowen Timothy Seibert Michael Colantoni Courtney LaVolpicelo 4. • ' Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 groundwater adjacent to the Lake and that there will be no increase in concentrations of nitrogen,phosphorous or other dissolved inorganic chemicals. 2) The project is located within an extremely environmental sensitive area and in proximity to Lake Cochichewick and in close proximity to a wetland area that drains to the Lake. The final design reflects extensive discussions between the Town and the applicant to ensure the continued protection of Lake Cochichewick and the safety and welfare of the residents of North Andover. The new field will be located within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection Overlay District. In addition, all drainage systems and parking will be located within the Non-Disturbance and Non-Discharge Zones. 3) The applicant has agreed to use organic and low nitrogen fertilizers and to curtail the use of pesticides so as to reduce the potential of chemical loading to adjacent wetlands. 2) There is no reasonable alternative location outside the General, Non-Disturbance, and the Discharge Zones for any discharge,structure or activity. In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following FINDINGS OF FACT: 1) The specific site is an appropriate location for the proposed use as all feasible stormwater and erosion controls have been placed on the site; 2) The use will not adversely affect the neighborhood as evidenced by the Findings stated in the previous section of this document; 3) There will be no nuisance or serious hazard to vehicles or pedestrians; 4) Adequate and appropriate facilities are provided for the proper operation of the proposed use; 5) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings,the Planning Board approves this Special Permit based upon the following SPECIAL CONDITIONS: 1)Permit Definitions: a) The"Locus"refers to the parcel of land with frontage on Dale Street as shown on Assessors Map 64,Parcel 18,and also known as 0 Dale Street,North Andover,Massachusetts, 01845. b) The"Plans"refer to the plans prepared by New England Engineering Services,Inc., dated September 25,2008 and revised January 15,2011 entitled"Proposed Site Plan Town Farm Dale Street North Andover, MA" c) The"Project"or"The Dale Street Athletic Field"refers to the installation of natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District. d) The"Applicant"refers to The Town of North Andover,the applicant for the Special Permit. 3 c • Dace Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 Planning Board Police Chief Fire Chief Applicant r` Engineer File r. f • NORTp 1 11.017-•e"oo Town of North Andover I �� Office of the Planning Department C 4 . * Community Development and Services Division 4115�A_ns �y 1600 Osgood Street i SwcHUS North Andover,Massachusetts 01845 NOTICE OF DECISION This is to certify that twenty(20)days have elapsed from date of decision,filed without filing of an appeal. Any appeal shall be filed Date c 3 (4ca Joyce A.Brads aw within (20) days after the Town Clerk date of filing this notice in the office of the Town Clerk. Date: February 15,2011 Date of Hearings: January 4,2011, February 15,2011 Date of Decision: February 15,2011 Petition of: Town of North Andover,120 Main Street,North Andover,MA 01845-- Thomas Zahoruiko,Fields Committee Premises Affected: 0 Dale Street,North Andover, Massachusetts,01845,Assessor's Map 64, Parcel 18 and located in the Residential 1 Zoning District. Referring to the above petition for a Watershed Special Permit from the requirements of the North Andover Zoning Bylaw, Section 4.136. So as to allow the installation of natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District. After a public hearing given on the above date, the Planning Board voted to APPROVE a Watershed Special Permit for the Watershed Protection District,based upon the following conditions: riA4eX arming Board John Simons,Chairman Richard Rowen Timothy Seibert Michael Colantoni Courtney LaVolpicelo Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 The public hearing on the above referenced application was opened on January 4, 2011 and closed by the North Andover Planning Board on February 15, 2011. On February 15,2011 upon a motion made by Richard Rowen and seconded by Timothy Seibert to GRANT a Watershed Special Permit to allow the installation of a natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District, under the requirements of Section 4.136 & 10.3 of the North Andover Zoning Bylaw. This Special Permit was requested by the Town of North Andover, Thomas Zahoruiko, Fields Committee, 120 Main Street, North Andover, MA 01845 on December 2, 2011. The applicant submitted a complete application, which was noticed and reviewed in accordance with Section 10.52 of the Town of North Andover Zoning Bylaw and MGL Chapter 40A, Section 9. The motion to approve was subject to the FINDINGS OF FACTS and SPECIAL CONDITIONS set forth in Appendix A to this decision. The Planning Board vote was unanimous. A special permit issued by the special permit granting authority requires a vote of at least four members of a five-member board. The applicant is hereby notified that should the applicant disagree with this decision, the applicant has the right, under MGL Chapter 40A, Section 17, to appeal to this decision within twenty days after the date this decision has been filed with the Town Clerk. In accordance with 4.136 the Planning Board makes the finding that the intent of the Bylaw, as well as its specific criteria is met. This decision specifically stated by the Planning Board makes the following FINDINGS OF FACT: 1) That as a result of the proposed construction in conjunction with other uses nearby,there will not be any significant degradation of the quality or quantity of water in or entering Lake Cochichewick. The Planning Board bases this finding on the following facts: 1) The construction has been reviewed by Town Staff, including Gene Willis, the Town Engineer and Judy Tymon, the Town Planner. With the application of the erosion control measures and modifications to the drainage and stormwater management design, there will not be significant degradation to the quality or quantity of water in or entering Lake Cochichewick. The site drainage system and storm water management design are designed in accordance with the Town Bylaw requirements and Best Engineering and Management Practices, and has been reviewed by town staff, as noted above. Adequate safeguards have been provided to mitigate pollutants from entering Lake Cochichewick through the installation/implementation of the following Best Management Practices : i) To control runoff from the field and parking area, a drainage system has been designed with a combination of open swales on the northern side as well as the eastern side of the field and a closed drainage system consisting of two catch basins and a wet detention pond. An emergency overflow has also been designed with a level spreader. ii) The detention pond has been designed to collect runoff and direct it into a controlled outlet before discharge, thus mitigating the increase in the peak rate of runoff as well as providing recharge to the groundwater. The drainage system has been designed to regulate discharge from the 1, 2, 10,25 and 100-year storm events. iii) The applicant has provided a "Statement of Water Quality Impact" from a Professional Engineer, stating that the project will not adversely impact the quality of surface and 2 z Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 z groundwater adjacent to the Lake and that there will be no increase in concentrations of nitrogen,phosphorous or other dissolved inorganic chemicals. 2) The project is located within an extremely environmental sensitive area and in proximity to Lake Cochichewick and in close proximity to a wetland area that drains to the Lake. The final design reflects extensive discussions between the Town and the applicant to ensure the continued protection of Lake Cochichewick and the safety and welfare of the residents of North Andover. The new field will be located within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection Overlay District. In addition, all drainage systems and parking will be located within the Non-Disturbance and Non-Discharge Zones. 3) The applicant has agreed to use organic and low nitrogen fertilizers and to curtail the use of pesticides so as to reduce the potential of chemical loading to adjacent wetlands. 2) There is no reasonable alternative location outside the General, Non-Disturbance, and the Discharge Zones for any discharge,structure or activity. In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following FINDINGS OF FACT: 1) The specific site is an appropriate location for the proposed use as all feasible stormwater and erosion controls have been placed on the site; I 2) The use will not adversely affect the neighborhood as evidenced by the Findings stated in the previous section of this document; 3) There will be no nuisance or serious hazard to vehicles or pedestrians; 4) Adequate and appropriate facilities are provided for the proper operation of the proposed use; : 5) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. 4 Upon reaching the above findings,the Planning Board approves this Special Permit based upon the following SPECIAL CONDITIONS: 1)Permit Definitions: a) The"Locus"refers to the parcel of land with frontage on Dale Street as shown on Assessors Map 64,Parcel 18,and also known as 0 Dale Street,North Andover, Massachusetts, 01845. b) The"Plans"refer to the plans prepared by New England Engineering Services, Inc.,dated September 25,2008 and revised January 15,2011 entitled"Proposed Site Plan Town Farm Dale Street North Andover, MA" ; c) The"Project" or"The Dale Street Athletic Field"refers to the installation of natural grass athletic playing field, including the installation of a drainage system, a gravel parking area, within the Non-Disturbance and Non-Discharge Zones of the Watershed Protection District. d) The"Applicant"refers to The Town of North Andover,the applicant for the Special Permit. 1 1 3 Z Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 e) The"Project Owner"refers to the person or entity holding the fee interest to the title to the Locus from time to time,which can include but is not limited to the applicant, developer,and owner. 2) Prior to the start of construction: a) All erosion control measures as shown on the plan must be in place and reviewed by the Town Planner and Conservation Department,prior to any work being done at the site. 4) Prior to the actual use of the fields, the Planning Board and/or its agent shall review the project for compliance with the approved set of"Plans". This may require a site visit and/or a meeting with the Planning Board. Any changes deemed substantial by the Town Planner would require a public hearing and modification by the Planning Board. 5) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 6) The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation. 7) The provisions of this conditional approval shall apply to and be binding upon the applicant, it's employees and all successors and assigns in interest or control. 8) This Special Permit approval shall be deemed to have lapsed February 15, 2013 (two years from the date of issuance) exclusive of the time required to pursue or await determination of any appeals, unless substantial use or construction has commenced within said two-year period. Substantial use or construction will be determined by a majority vote of the Planning Board. 9) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: a) Plan titled: "Proposed Site plan Town Farm Dale Street,North Andover,Ma" 0 Dale Street,North Andover,Mass. Prepared for: Town of North Andover 0 Dale Street North Andover,MA 01845 Prepared by: New England Engineering Services, Inc. 1600 Osgood Street Building 20, Suite 2-64 North Andover,Ma 01845 Scale: 1"=40' Date: September 25,2008 and revised January 15, 2011 Sheets: Site Plan cc: Director of Public Works Building Inspector Town Manager Conservation Administrator Drainage Consultant 4 • Dale Street Athletic Field,Map 64,Lot 18 Watershed Special Permit February 15,2011 Planning Board Police Chief Fire Chief Applicant Engineer File 5 n 0611 02:41 p Tom 978-689-2310 p.1 /1.:.;:.,:::.R:',!no,r, Is(-- 2011 JAN -7 E E. 23•Ssac►+us'� ! ..,__ a L.� .'!a11.1,.� : `:fl:.IC:L t ni _ 1:::Pt :;1 ; s: ,,;(:;:s 1)::1k:o' 4 I C . Nti:II ....iii>rtr. r-'i.acI;tl.�_I.ts 0:;'45" TO : 1 (y IiW7 FAX: FROM: can Enright, Planning J gh , ann g FAX: 978-688-9542 PHONE: 978-688-9535 Please sign your name and fill in address of premises affected, fill in current date, return same to fax 978-688-9542. Thank you. Special Permit "REQUEST FOR A CONTINUANCE" NAME:rte, ff __ J f� 0‘kiX.sComehk4ic r` ADDRESS OF PREMISES AFFECT D: 7UuAn cret r,Nei -)4k ‘1t PHONE NUMBER: / , AREA CODE: ( 9' is- ) 6 x 7-'7_4 7 S "I WISH TO REQUEST A CONTINUANCE UNTIL Z / 1 / I / , THEREFORE WAIVE THE TIME CONSTRAWTS FOR ISSUING OF k` ANY AND/ALL DECISIONS RELATIVE TO /AND ALL PE tt ITS OF THE PLANNING BOARD FOR THE TOW1 i OF NORTH Al�):I VER, MA." SIGNED BY PETITIONER OR REPRESENTA • II/14 (SIGNATURE) DATE: / I (FILL IN •URRENT DATE) k i HOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 H } f NORTh O •o °�q•G s ±r I .r r L)l I JAN I I r C- 27 0.70 .t Town of North Andover ss"`Hust Office of the Planning Department Community Development and Services Divisiop- P(978)688-9535 1600 Osgood Street r ' - F(978)688-9542 Building 20,Suite 2-36 """` ` North Andover, Massachusetts 01845 TO: Jody ' 'r(M FA � � FAX: FROM: Jean Enright, Planning Assistant FAX: 978-688-9542 PHONE: 978-688-9535 Please sign your name and fill in address of premises affected, fill in current date, return same to fax 978-688-9542. Thank you. Special Permit "REQUEST FOR A CONTINUANCE" NAME: ADDRESS OF PREMISES AFFECTED: PHONE NUMBER: AREA CODE: (9? g ) 48 -2_62S`- "I WISH TO REQUEST A CONTINUANCE UNTIL 2 / / i 1 , THEREFORE WAIVE THE TIME CONSTRAINTS FOR ISSUING F ANY AND/ALL DECISIONS RELATIVE TO ANY/AND ALL PE r TS OF THE PLANNING BOARD FOR THE TOWN OF NORTH A■ 1 i VER, MA." SIGNED BY PETITIONER OR REP' NTATIVE: Tk.istaS.l)• Zd, , 6 0 (SIGNATURE) DATE: 171°1Z11 (FILL IN C RENT DATE) BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535