HomeMy WebLinkAboutMiscellaneous - 1525 FOREST STREET EXT Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number
:
WPA Form 8B — Certificate of Compliance 242-1472
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 pmvktadby DEP
A. Project Information
Important:
When filling out 1. This Certificate of Compliance is issued to:
forms on the ,John Dick
computer,use
only the tab key Name
to move your 185 Centre Street
cursor-do not Mailing Address
use the return
key. Danvers MA 01923
Cityrrom state zip Code
2. This Certificate of Compliance is issued for work regulated by a final Order of
Conditions issued to:
Frances Beekley
Name
May 7 2010 242-1472
Dated DEP File Number
3. The project site is located at:
1525 Forest Street Extension North Andover
Street Address Cgyrrom
Map 105B Parcel 2
Assessors Map/Plat Number ParcellLot Number
the final Order of Condition was recorded at the Registry of Deeds for:
Property Omer(if dMerem)
Essex North 12036 323
County Book Page
Certificate
4. A site inspection was made in the presence of the applicant, or the applicant's agent,
on:
7/18/12
Date
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number
WPA Form 8B — Certificate of Compliance 242-1472
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 provided by DEP
B. Certification
Check all that apply:
® Complete Certification: It is hereby certified that the work regulated by the
above-referenced Order of Conditions has been satisfactorily completed.
❑ Partial Certification: It is hereby certified that only the following portions of work
regulated by the above-referenced Order of Conditions have been satisfactorily
completed.The project areas or work subject to this partial certification that have
been completed and are released from this Order are:
❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the
above-referenced Order of Conditions never commenced.The Order of
Conditions has lapsed and is therefore no longer valid. No future work subject to
regulation under the Wetlands Protection Act may commence without filing a new
Notice of Intent and receiving a new Order of Conditions.
® ongoing Conditions: The following conditions of the Order shall continue:
(Include any conditions contained in the Final Order, such as maintenance or
monitoring, that should continue for a longer period).
Condition Numbers:
75
C. Authorization
Issued by:
North Andover
Conservation Commission of Issuance
This Certificate must be signed by a majority of the Conservation Commission and a
copy sent to the applicant and appropriate DEP Regional Office(See
into ftwww.maw.nov/deplaboutiregion/findvour.htm).
Signatures
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands DEP File Number
WPA Form 8B — Certificate of Compliance 242-1472
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 pmWEetlby DEP
D. Recording Confirmation
The applicant is responsible for ensuring that this Certificate of Compliance is recorded in
the Registry of Deeds or the Land Court for the district in which the land is located.
Detach on dotted line and submit to the Conservation Commission.
To:--------.-.--- --------------- ----- ---.-.- -----------.-.---------------.-----.-.-._---.-.-_
North Andover
Conservation Commission
Please be advised that the Certificate of Compliance for the project at:
1525 Forest Street Extension 242-1472
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
Essex North
County
for
Frances Beekley
Property owner
and has been noted in the chain of title of the affected property on:
Date Book Page
If recorded land, the instrument number which identifies this transaction is:
If registered land,the document number which identifies this transaction is:
Dowment Number
Signature of ApplMant
�,12QWS WPP Fo,m 9B,Cenificne 0l Compliance•Pace 3 W 3
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau F Resource Protection -Wetlands 242-1472
WPA Form 5 - Order of Conditions Mas-DEP File#
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 isiDEP Transaction%
North Andover
Ckyrrmn
A. General Information
Important: North Andover
When filling 1.From: Conservation Commission
out fortes
on the 2.This issuance is for a.®Order of Conditons It.[]Amended Order of Conditions
computer, (check one):
use only the
tab key to 3.To: Applicant:
move your Beetle
cursor-do Frances y
not use the a.First Name b.Last Name
return key.
C.Organization
r 1525 Stonecleave Road
cl ord Address
Boxford
Boxford MA
921
e.CiryRg.Zip f.Stale g.Zip Code
4. Property Owner(if different from applicant):
Same
a.First Name b.Laat Name
c.Organization
d.Mailing Address
e.CityrF.n t state 9.Zip Code
5. Project Location:
1525 Forest Street Extension North Andover
a.Street Address It.Ckyrroarn
Map 105B Parcel 2
c.Assessors Map/Plat Number d.ParcegLot Number
Latitude and Longitude, if known: 42d39m17s 071d01m50s
d.Latitude e.Longitude
,uo-5 d=- rev.031=010 F 1d12
Massachusetts Department of Environmental Protection Pfovlded by MassDEP.
Bureau Resource Protection -Wetlands 242-1472
F
WPA Form 5 - Order of Conditions MessDEP File 7k
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransacticn If
North Andover
City/Tmn
A. General information (cont.)
s. Property recorded at the Registry of Deeds for(attach additional information if more than
one parcel):
Essex North
a.County b.Certificate Number(if registered lane)
11414 269
c.Book d.Page
4/1/10 4128/10 5/7/10
7. Dates: a.Date Notice of Intent Filed b.Date Public Hearing Closed c.Date of Issuance
s. Final Approved Plans and Other Documents (attach additional plan or document references
as needed):
Permit Site Plan (PS1)and Rear Landscape Plan(L-1)
a.Plan Title
Hancock Associates&James K. John Gilbert Dick, P. L. S, and James K.
Emmanuel Associates Emmanuel Landscape Architect
4/27/10 and 2115/10 V. =20', 1" = 10'
d.Final Revision Date e.scale
f Additional Plan or Document Title g.Date
B. Findings
f. Findings pursuant to the Massachusetts Wetlands Protection Act:
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(the Act). Check all that apply:
® Public Water Supply b. ❑ Land Containing Shellfish ` ® Prevention of
a. Pollution
® Protection of
a. ® Private Water Supply e. ® Fisheries f. 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:
a. ® 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.
wyalarmSEx rev.0.Y3(Nt0 Peva 20 11
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection -Wetlands 242-1472
WPA Form 5 - Order of Conditions MaBSDEP File#
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTrensaction#
North Andover
cdyrrown
B. Findings (cont.)
Denied because:
b. ❑ 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 the interests of the Act, 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.
c. ❑ 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 10.06(1
3, Z Buffer Zone Impacts: Shortest distance between limit of project 50
disturbance and the wetland resource area specified in 310 CMR 10.02(1)(a) a.linear feet
Inland Resource Area Impacts: Check all that apply below. (For Approvals Only)
Resource Area Proposed Permitted Proposed Permitted
Alteration Alteration Replacement Replacement
4. ❑ Bank a.linea (feet b.linearfeet c.linear(feet d.linear feet
5. ❑ Bordering
Vegetated Wetland a.square feet It.square feet c.square feet d.square feet
s. ❑ Land Under
Waterbodies and a.square feet b.square feet c.square feet d.square feet
Waterways
e.cry dredged f.off,dredged
7. ❑ Bordering Land
Subject to Flooding a.square feet b.square feet c.square feet d.square feet
Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet K.cubic feet
a. ❑ Isolated Land
Subject to Flooding a.square feet b.square fast
Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet
9. ❑ Rivertront Area b,total sq.feet
Sq ft within 100 it
d.square fast f.square feet
Sq it between 100-
200 If �r h.square feet j.square feet
WMo.S.G r- rev.03 010 Page 2d it
Massachusetts Department of Environmental Protection Provided by ManDEP:
Bureau of Resource Protection -Wetlands za
MessDEP sDEP File#
WPA Form 5 - Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ZEPTmnsaction#
North Andover
01
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B. Findings (cont.)
Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only)
Proposed Permitted Proposed Permitted
Alteration Alteration Replacement Replacement
1o. ❑ Designated Port Indicate size under Land Under the Ocean, below
Areas
11. ❑ Land Under the
Ocean a,square feet b.square feel
c.cN dredged d.r/y dredged
12. ❑ Bander Beaches Indicate size under Coastal Beaches and/or Coastal Dunes
below
yd
13. ❑ Coastal Beaches yd cu
a.square Leet b.square feet a nourishment tl.nourishment
au yd
14. ❑ Coastal Dunes n w
a.square feet b.square feet c.reudshmeM d.nourishment
15. ❑ Coastal Banks a.linear feet b.linear feet
16. ❑ Rocky Intertidal
Shores a.square leet b.square feet
n. ❑ Salt Marshes a.squaw feel b.square feet c.square feet d.square feat
1e. ❑ Land Under Salt
Ponds a.square feet b.square feet
c.cty dredged d.Uy dredged
19. ❑ Land Containing
Shellfish a.square feet b.square feet c.square feet d.square feet
20. ❑ Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under
the Ocean, and/or inland Land Under Waterbodies and
Waterways, above
a.cN dredged b.G/dredged
21. ❑ Land Subject to
Coastal Storm a.square feet b.square feet
Flowage
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Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau F Resource Protection -Wetlands 24
WPA Form 5 - Order of Conditions MassDEP ssDEP File#
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 el Transaction#
LO I North Andover
Ciry/rown
B. Findings (cont.)
•#zz.If the zz ❑ Restoration/Enhancement•:
project is for
the purpose of
restoringor
enhancing a a.square feet of BVW b.square feet of salt marsh
enha
wetland 23. ❑ Stream Crossing(s):
s
resource area 9(
in addition to
the square
!Dotage that a.number of new stream crossings In.number of replacement stream crossings
has been C. General Conditions Under Massachusetts Wetlands Protection Act
entered in
Section S.5.c
(BVNq or The following conditions are only applicable to Approved projects.
B.17.c(Salt
Marsh)above, 1. Failure to comply with all conditions stated herein, and with all related statutes and other
please anter regulatory measures, shall be deemed cause to revoke or modify this Order.
the additional enter 9 ry fY
amount here. 1 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. If this Order constitutes an Amended Order of Conditions, this Amended Order of
Conditions does not extend the issuance date of the original Final Order of Conditions and
the Order will expire on unless extended in writing by the Department.
7. 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.
8. 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.
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Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau F Resource Protection -Wetlands 72
MassDE
WPA Form 5 - Order of Conditions ManDEP File#
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ZEPTransacllon#
North Andover
Ckyrro"
C. General Conditions Under Massachusetts Wetlands Protection Act(cont.)
9. 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 Tire of the owner of the land upon
which the proposed work is done. The recording information shall be submitted to the
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.
10. 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, "MassDEP"j
"File Number 242-1472
11. 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 MassDEP.
12. Upon completion of the work described herein, the applicant shall submit a Request for
Certificate of Compliance(WPA Form 8A)to the Conservation Commission.
13. The work shall conform to the plans and special conditions referenced in this order.
14. Any change to the plans identified in Condition#13 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.
15. 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.
16. 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.
17. 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.
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Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau F Resource Protection -Wetlands za
2-1472
WPA Form 5 - Order of Conditions MassDEPnDEP
File#
LO
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ;DEP Transaction#
North Andover
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C. General Conditions Under Massachusetts Wetlands Protection Act (cont.)
18. 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.
NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS
19. The work associated with this Order(the"Project") Is (t)❑is not(z)®subject to the
Massachusetts Stormwater Standards. H the work is subject to the Stormwater
Standards,than the project Is subject to the following conditions:
a) All work, including site preparation, land disturbance, construction and redevelopment,
shall be implemented in accordance with the construction period pollution prevention and
erosion and sedimentation control plan and, if applicable, the Stormwater Pollution
Prevention Plan required by the National Pollution Discharge Elimination System
Construction General Permit as required by Stormwater Condition 8. Construction period
erosion, sedimentation and pollution control measures and best management practices
(BMPs)shall remain in place until the site is fully stabilized.
b) No stormwater runoff may be discharged to the post-construction stormwater BMPs
unless and until a Registered Professional Engineer provides a Certification that:
i. all construction period BMPs have been removed or will be removed by a date certain
specified in the Certification. For any construction period BMPs intended to be converted
to post construction operation for stormwater attenuation, recharge, and/or treatment, the
conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that
the BMP has been properly cleaned or prepared for post construction operation, including
removal of all construction period sediment trapped in inlet and outlet control structures;
ii. as-built final construction BMP plans are included, signed and stamped by a Registered
Professional Engineer, certifying the site is fully stabilized;
iii. any illicit discharges to the stormwater management system have been removed, as per
the requirements of Stormweer Standard 10;
iv. all post-construction stormwater BMPs are installed in accordance with the plans
(including all planting plans) approved by the issuing authority, and have been inspected to
ensure that they are not damaged and that they are in proper working condition;
v. any vegetation associated with post-construction BMPs is suitably established to
withstand erosion.
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Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection -Wetlands 242-1412
F
WPA Form 5 - Order of Conditions MassDEP File!
Massachusetts Wetlands Protection Act M.G.L. C. 131, §40 emEP ramadioni
North Andover
Cityrro
C. General Conditions Under Massachusetts Wetlands Protection Act (cont.)
c) The landowner is responsible for BMP maintenance until the issuing authority is
notified that another party has legally assumed responsibility for BMP maintenance. Prior
to requesting a Certificate of Compliance, or Partial Certificate of Compliance, the
responsible party(defined in General Condition 18(e)) shall execute and submit to the
issuing authority an Operation and Maintenance Compliance Statement("O&M Statement)
for the Stormwater BMPs identifying the party responsible for implementing the stormwater
BMP Operation and Maintenance Plan ("O&M Plan") and certifying the following: i.)the
O&M Plan is complete and will be implemented upon receipt of the Certificate of
Compliance, and fl.)the future responsible parties shall be notified in writing of their
ongoing legal responsibility to operate and maintain the stormwater management BMPs
and implement the Stormwater Pollution Prevention Plan.
d) Post-construction pollution prevention and source control shall be implemented in
accordance with the long-term pollution prevention plan section of the approved
Stormwater Report and, if applicable, the Stormwater Pollution Prevention Plan required by
the National Pollution Discharge Elimination System Mufti-Sector General Permit.
e) Unless and until another party accepts responsibility, the landowner, or owner of any
drainage easement, assumes responsibility for maintaining each BMP. To overcome this
presumption, the landowner of the property must submit to the issuing authority a legally
binding agreement of record, acceptable to the issuing authority, evidencing that another
entity has accepted responsibility for maintaining the BMP, and that the proposed
responsible party shall be treated as a permittee for purposes of implementing the
requirements of Conditions 18(f)through 18(k)with respect to that BMP. Any failure of the
proposed responsible party to implement the requirements of Conditions 18(f)through
18(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate
of Compliance. In the case of stormwater BMPs that are serving more than one lot, the
legally binding agreement shall also identify the lots that will be serviced by the stormwater
BMPs. A plan and easement deed that grants the responsible party access to perform the
required operation and maintenance must be submitted along with the legally binding
agreement.
0 The responsible party shall operate and maintain all Stormwater BMPs in accordance
with the design plans, the O&M Plan, and the requirements of the Massachusetts
Stormwater Handbook.
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Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection -Wetlands 242-1472
#
WPA Form 5 - Order of Conditions MassDEP File
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaclion9
North Andover
city/ro.
C. General Conditions Under Massachusetts Wetlands Protection Act(cont.)
g) The responsible party shall:
1. Maintain an operation and maintenance log for the last three(3)consecutive
calendar years of inspections, repairs, maintenance and/or replacement of the
stormwater management system or any part thereof, and disposal (for disposal the
log shall indicate the type of material and the disposal location);
2. Make the maintenance log available to MassDEP and the Conservation
Commission ("Commission")upon request; and
3. Allow members and agents of the MassDEP and the Commission to enter and
inspect the site to evaluate and ensure that the responsible party is in compliance
with the requirements for each BMP established in the O&M Plan approved by the
issuing authority.
h) All sediment or other contaminants removed from stormwater BMPs shall be disposed
of in accordance with all applicable federal, state, and local laws and regulations.
i) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04
are prohibited.
j) The stormwater management system approved in the Order of Conditions shall not be
changed without the prior written approval of the issuing authority.
k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site
Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3, Chapter 1,
Low Impact Development Site Design Credits)shall not be altered without the prior written
approval of the issuing authority.
1) Access for maintenance, repair, and/or replacement of BMPs shall not be withheld.
Any fencing constructed around stormwater BMPs shall include access gates and shall be
at least six inches above grade to allow for wildlife passage.
Special Conditions(if you need more space for additional conditions, please attach a text
document):
See Attached
wpalo,ms eoo rer.oYvmlo Pa,sm 12
Massachusetts Department of Environmental Protection provided by MassDEP:
Bureau of Resource Protection -Wetlands 242-1472
WPA Form 5 — Order of Conditions MassDEP File#
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction#
North Andover
Ckyrrown
D. Findings Under Municipal Wetlands Bylaw or Ordinance
1. Is a municipal wetlands bylaw or ordinance applicable? ® Yes ❑ No
2. The North Andover hereby finds(check one that applies):
Conservation Commission
a. ❑that the proposed work cannot be conditioned to meet the standards set forth in a
municipal ordinance or bylaw, specifically:
1.Municipal Ordinance or Bylaw 2.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.
b. M that the following additional conditions are necessary to comply with a municipal
ordinance or bylaw:
North Andover Wetlands Protection Bylaw Chapter 178
1.Municipal ordinance or Bylaw 2.CRation
3. 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.
The special conditions relating to municipal ordinance or bylaw are as follows (if you need
more space for additional conditions,attach a tela document):
See Attached
xyNMl,fi.tl%. m.omm'. Peg.loa 12
DEP FILE#242 - 1472
Therefore, the North Andover Conservation Commission(hereafter the "NACC") 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
20.The proposed work includes: The construction of an in-ground pool and cartridge style
filter with associated decking, patio and landscaping with appurtenant site work and
grading portions of which are within 100 feet of a Bordering Vegetated Wetland and
Inland Bank of a Pond.
21. The work shall conform to the following:
Applicant: Frances Beekley
1525 Stonecleave Road
Boxford, MA 01921
Property Owner: Same
Notice of Intent Prepared by: John Dick
Hancock Associates
185 Centre Street
Danvers, MA
Dated: 3/17/10
Site Plans prepared by: John Gilbert Dick
Hancock Associates
185 Centre Street
Titled: Permit Site Plan for 1525 Forest Street Ext. (PSI)
Prepared for Frances Beekley
Dated: 3/23/10
Revised: 4/27/10
James K. Emmanuel Associates
22 Carlton Rd.
Marblehead,MA 01945
Titled: Rear Landscape Plan (L-1)
Dated: February 15,2010
Other Record Documents: Letter from Division of Fisheries&Wildlife
242-1472,1525 Forest St Ext OOC.doc I NACC 5/7/2010
DEP FILE#242 - 1472
NHESP Tracking No.: 10-27950
Dated: April 27, 2010
22. 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.
23. 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.
24. 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.
25.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.
26. 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.
27.The work authorized hereunder shall be completed within three year from the date of
this order.
28. This Order may be extended by the issuing authority for one but not more than two
periods of up to one year each upon application to the issuing authority at least tkty
days (30) prior to the expiration date of the Order (Refer to Section 8.3 (p.37) of the North
Andover Wetland Regulations).
29. 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.
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DEP FILE#242 - 1472
30. 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.
31. This Order of Conditions is issued in addition to that issued under File No. 242-1210. A
Certificate of Compliance was issued on 9/15/05.
32. Any future project which proposes a wetland crossing in order to access certain portions
of the property will not be qualified as a limited project roadway under 310 CMR 10.53(e).
33. The following wetland resource areas are affected by the proposed work: Buffer Zone to
Bordering Vegetated Wetland (BVW) and Inland Bank. This resource area is 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 this resource area to the
identified interests.
34.The NACC inspected and confirmed wetland flags WFA5-WFA33 (flags in North
Andover and on the subject property) as shown on the revised plan dated and referenced
herein.
35. 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 as depicted on the record plan referenced herein. 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.
36. 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.
37. The owners of the project and their successors in title 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.
242-1472,1525 Forest St Ext OOC.doc 3 NACC 5/72010
DEP FILE#242 - 1472
PRIOR TO CONSTRUCTION
38. 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.
39.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
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.
40. 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 242-1472"
41. 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. No work shall begin on a project until written approval has been
granted by the NACC.
42. 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.
43. Prior to any work commencing on-site,the applicant shall submit to the NACC for
approval, a dated and detailed sequence of construction, including the construction of
restoration areas,installation of sedimentation/erosion control devices and re-vegetation
to be completed before other work begins on-site. Approval of the phasing plan is
required prior to construction.
44. 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
242-1472,1525 Forest St Ext OOC.doc 4 NACC 5/7/1010
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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 erosion
controls or temporary fencing and shall be confirmed by the NACC. Such barriers 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.
45.Siltation fence shall be placed between all construction/landscaping areas and wetlands
(at fence line). 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 or its agent 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 or its agent. 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 8 hay bales and sufficient stakes for staking these bales(or an
equivalent amount of silt fence,1 hay bale to equal 3 feet of 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$1,500
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 (or other environmental professional as
approved by the NACC or its agent) 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
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emergency at the site, during any 24-hour period,including weekends. The
Environmental Professional will immediately notify the Conservation agent of any matter
that requires attention by the Commission or the agent. 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 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. The Erosion
Control Monitor shall be on site during and/or following a major storm event of 1" inch
of rain or greater (24 hour event) to ensure that soils remain stable, and erosion controls
are adequate and secure.
49. Prior to construction, the applicant shall permanently mark (or replace missing markers)
the edge of the "25-foot No-Disturbance Zone" with wetland markers spaced evenly
every 25 feet incorporating the following text: "Protected Wetland Resource Area". This
will designate their sensitivity and assure 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.
The markers shall remain posted and be replaced as necessary in perpetuity. Markers
may be obtained from the North Andover Conservation Department.
50. Prior to the commencement of any work on site, the applicant shall provide the
Conservation Department with a letter from NHESP confirming that the project may
proceed as proposed.
51. 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 prior to the closing of said
land transaction.
52.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,wetland
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DEP FILE#242- 1472
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
53. 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.
54. Water quality in down gradient BV W's 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.
DURING CONSTRUCTION
55. Upon beginning work,the applicant shall submit written monthly progress 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.
56. Accepted engineering and construction standards and procedures shall be followed in
the completion of the project.
57. 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.
58. The existing driveway shall serve as the construction access for the project and shall be
swept daily to remove sediment deposited by construction vehicles accessing the site.
59. Erosion control devices shall be inspected regularly; any entrapped silt shall be
removed to an area outside of the buffer zone and wetland resource areas; silt fence
and hay bales shall be replaced as necessary. The areas of construction shall remain in
stable condition at the close of each construction day. All erosion controls shall be in
242-1472,1525 Foreri St Ext OOC.doc 7 NACC 5/72010
DEP FILE #242- 1472
place throughout the duration of any construction on site or unless authorized by the
Conservation personnel.
60. Dewatering is not proposed during construction. 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 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.
61. 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.
62. All exposed soil finish grade surfaces shall be immediately landscaped and stabilized,
or learned, seeded and mulched,with a layer of mulch hay. All disturbed areas must
be graded,loamed and seeded prior to November 15t of each year. Outside of the
growing season,exposed soil finish grade surfaces shall be stabilized with a layer of
mulch hay until climate conditions allow for seeding. During construction,any area of
exposed soils that will be left idle for more than 30 days shall be stabilized with a layer
of mulch hay or other means approved by the NACC.
63. 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.
64. Construction equipment/vehicles shall not be staged overnight within 100 feet of a
wetland resource area.
65. There shall be no stockpiling of soil or other materials within 100 feet of any resource
area. Soils or other materials shall be stockpiled in locations approved by this
department or within the designated areas as shown on the approved plan referenced
herein. Erosion controls shall be placed between resource areas and the stockpile.
66. Washings from concrete trucks, or surplus concrete, shall not be directed to, any
drainage system, or wetland resource area.
67. All waste generated by, or associated with,the construction activity shall be contained
within the limit of work,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.
242-1472,u25Eo.�stExt ooc.d« a NACCsnaoio
DEP FILE#242 - 1472
68. 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
69. 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 Towns Wetland protection ByLaw.
70. 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 Towns Wetland Protection ByLaw and
shall remain in perpetuity.
71. No backwashing is associated with the installed cartridge filtration. Draining of pool
water is not permitted directly into an area subject to jurisdiction of the Wetlands
Protection Act and/or the North Andover Wetland Bylaw. Pool water shall be
pumped into a tanker should there be a need to drain the system as proposed in the
Notice of Intent. This condition shall survive the issuance of a Certificate of
Compliance.
72. Upon completion of construction and grading,all disturbed areas located outside
resource areas shall be stabilized permanently against erosion. This shall be done by
loaming and seeding according to NRCS standards. Stabilization will be considered
complete once full vegetative cover has been achieved.
73. 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.
74. 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.
242-1472,1525 Fomes St Ext OOC.doc 9 NACC 5/7/2010
DEP FILE#242 - 1472
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. 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 my disturbance of soils or vegetation.
➢ Location of all subsurface utilities entering the property.
75. 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 DEP# 242-1472. Future work within 100' of
existing wetland resource areas will require a separate filing with the NACC
(refer to Section 3.4 (page 15) of the Regulations for performance standards
within these zones) 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;
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DEP FILE 4 242 - 1472
➢ Resource Area Markers (Condition #49);
➢ Discharge or spillage of pollutants(Condition#68);
➢ Prohibition of underground fuels(Condition#69);
➢ Limitations on the use of fertilizers,herbicides, and pesticides (Conditions
#70).
➢ Cartridge filtration required/no backwashing or pumping to resource areas
(Condition#71)
242-1472,1525 Forest St Ext OOC.doc 11 NACC 5/7/2010
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau F Resource Protection - Wetlands 242-1472
WPA Form 5 — Order of Conditions MassDEP
File#
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransadion#
North Andover
Cityrrown
E. Signatures r
This Order is valid for three years, unless otherwise specified as a special 5
condition pursuant to General Conditions#4,from the date of issuance. 1.D to Issuance
Please indicate the number of members who will sign this form, H
This Order must be signed by a majority of the Conservation Commission. 2.Number or 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 Regional Office,if not filing electronically,and the property owner,if different
from applicant.
Signatures:
❑ by hand delivery on ❑ by certified mail, return receipt
requested, on
Data Date
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 MassDEP 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 riling 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.
Any appellants seeking to appeal the Department's Superseding Order associated with this appeal
will be required to demonstrate prior participation in the review of this project. Previous participation
in the permit proceeding means the submission of written information to the Conservation
Commission prior to the close of the public hearing, requesting a Superseding Order, or
providing written information to the Department prior to issuance of a Superseding Order.
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.
.mer«,.sea. m Dlo P,se>>mri
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau F Resource Protection -Wetlands 242-1472
WPA Form 5 - Order of Conditions MassDEPssDEP File#
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTramaotion#
North Andover
Cityrrown
G. Recording Information
Prior to commencement of work,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 this page
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:
1525 Forest Street Extension 242-1472
Project Location MassDEP File Number
Has been recorded at the Registry of Deeds of.
Essex North
County Bods Page
for: Property Owner
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
xnewms.ex• ,...aamsmo Pa UaU
r DEP FILE#242 - 1472
APPENDIX A -AFFIDAVIT
1, on oath do hereby depose and state:
(authorized agent applicant and/or current owner)
(PLEASE CHECK AT LEAST ONE BLOCK)
1._ I am the of
(position with applicant) (applicant name or company name)
the applicant upon whom Order of Conditions
have been placed upon by (DEP or NACC mrmber)
the North Andover Conservation Commission.
WOr
1 1 am the of
(position with owner) (owner name)
the owner upon whose land Order of Conditions
have been placed up by (DEP or NACC number)
the North Andover Conservation Commission.
3. 1 hereby affirm and acknowledge that I have received said Order of Conditions
and have read the same and understand each
(DEP File#) and every condition which has been set forth
in said Order of Conditions.
4. I hereby affirm and acknowledge that on this day of 19--
1
9_1 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 Order of Conditions me presently in compliance.
(DEP File#)
5. I hereby affirm and acknowledge that this document will be relied upon by the
North Andover Conservation Commission as well as any potential buyers of
said property which is subject to said Order of Conditions
(DEP File#)
Signed under the pains and penalties of perjury this day of 19_.
(Signature-authorized agent of applicant or owner)
242-1472,1525 Forest St Ext OOC.doc 12 NACC 5/7/2010