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HomeMy WebLinkAboutMiscellaneous - 50 JOHNNY CAKE STREET Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 813 — Certificate of Compliance 242-1537 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information Important: When filing out 1. This Certificate of Compliance is issued to: forms an the computer,use John&Julie McElroy only the tab key Name to move your 50 Johnnycake Street cursor-do not Mailing Address use the return MA 01845 key. North Andover hn Slate Zip Cade 2. This r is C Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: John&Julie McElroy �+e Name December 8 2011 242-1537 Dated DEP Fib Number 3. The project site is located at: 50 Johnnycake Street North Andover Street Address Cltyrrnwn Map 107A Parcel 200 Assessors Map/Plat Number Parcemot Number the final Order of Condition was recorded at the Registry of Deeds for. Property Owner(if different) Essex North12870 332 Coup, Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 6/25/13 Date w*-a',-,rev.1301 V.PI,Fa,m BB.CeNfimleIXCwnPllerca•P�z1 N3 / Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number WPA Form 8B — Certificate of Compliance 242-1537 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 PmidedbyDEP 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 ofwork 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 The Order of Conditions has lapsed and is therefore no longer valid.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: 70 C. Authorization Issued by: North Andover 7 / Conservation commission Dat of Issu r. 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 ht4):tAwww.mass.gov/dep/about/region/findvour.htm . Signatures: vgkm9l hro•m.1X13W MAFOMe9,0e'l111e WCmpllerva•PMe2a3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number. WPA Form 8B — Certificate of Compliance 242-1537 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by 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. fix-------- .----- ._.-._._._._._._.__._._._._._.__._. North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: 50 Johnny Cake Street 242-1537 Project Location DEP Fib Number Has been recorded at the Registry of Deeds of: Essex North County for: John&Julie McElroy 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: Document Number Signature of Applicant x mab0c— IMUS NPA Fwm ee.CePlMW 0 Gmplla, Ppe3d3 / Massachusetts Department of Environmental Protection Provided by MEP' Bmeau of Resource Protection-Wetlands MDEP Transaction n2-1537 eDFPTransaction#:436665 0 WPA Form 5-Order of Conditions Cyty/fown:NORTHANDOYER Massachusetts Wetlands Protection Act M.G.L.C. 131,§40 A. General Information 1.Conservation Commission NORTHANDOVER 2.Issuance a E, OOC b.❑ Amended OCC 3.Applicant Details a First Name JOHN b.LaslName MCELROY c.Otganiabon it Mailing Address 50 JOHNNYCAKE STREET e.City/Fovm NORTH ANDOVER f.State MA g.Zip Code 01645 4.Property Owner a First Name JOHN b.Last Name MCELROY C.Organimtion d MaflingAddress 50 JOHNNYCAKE STREET e.City/rown NORTH ANDOVER f.State MA g.Zip Code 01845 5.Project Location &Street Address 50 JOHNNYCAKE STREET b.City/fown NORTH ANDOVER C.Zip Code 01845 d AssessorsMap/Plaf# 107A a ParceVU0 200 f.lam de 42.67587N g.Longitude 71.11003W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c Book d.Page NORTHERN ESSEX 9734 191 7.Dates a DateN01 Filed: 11/22011 b.Daze Public Hearing Closed: 12/72011 c.Date Of Issuance: 12!82011 B.Final Approved Plans and Other Documents a.Plan Title: b.Plan Prepared by: a Plan Signed/Stamped by: d.Revised Flnal Date: e.Scale: SUBSURFACE SEPTICDISPOSAL LRLSblOJNEERWG LUKEJ.ROY,P.E. 11/30/11 P.-W SYSTEM REPLACEMENT B. Findings Page I of 10.ELECTRONIC COPY LOMassachusetts Department of Environmental Protection Provided by MassDEP: Bureau ofResourcerce Protection-Wetlands MassDEeDEPTrPFileionk,1537 WPA Form 5-Order of Conditions eDEP TransecticnM:43666s Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Cay/fown:NORTH ANDOVER 7.r7 Bordering Land Subject To Flooding a square feet b.square feet c.square fat d.square feet Cubic Fed Flood Storage e.cubiclo t f cubic feet g.cubic fat IL cubic fed 8.r Isolated Lam Subject to Flooding a square fed b.square fat Cubic Feet Flood Storage c.cubic fed d.cubic feet c.cubic feet f.cubicfeet 9.r Riverfrom Area a total sqfat b.total sq.feet Sq ftwiffa 100 it c.square feet d square fed c square feet f.square feet Sq it between 100.200 It g square fat hsquarefed i.square fed j.square fat Coastal Resource Area Impacts: Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 10.r Desigrreted PM Areas Indicate sift under Land Under the Ocearr,below 11.r Land Under the Ocean asquarefed Is.square feet c.dy dredged d.e/y dredged 12.r Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Duras below 13.rCoastal Beaches a.squarefed b.square fat c dy nourishment d cynomishment 14.r Coastal Dunes a square feet b.square feet c,dy nonris anent d ely�nmt Id.r Coastal Banks afinearfed b.bnearfed 16.r Rocky hdertidal Shores a square fed b.square feet 17,r Salt Marshes a.square feet b.square fee[ c.square feet d.square feet 18.r Land Under Salt Pan& a,square feet b.square fed c.Gy dredged d.c/y dredged 19.r Land Containing Shellfish Page 3 of 10 s ELECTRONIC COPY 0 Massachusetts Department of Environmental Protection Provided byMassDEP Bureau of Resource:Protection-Wetlands MDEP Transaction WPA Form 5-Order of Conditions eDEP Trsrasctidm#:436665 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Crty/fomaNORTHANDOVER 9. No work shall be undertaken mail use Order has become final and ten has been recorded in the Registry of Deeds ar the land Court for the distrix in which the land is located,within the chain of due ofthe affected property.In the case ofrecurded land, the Final Order shall also be noted in the Registry's Guntur 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 aim be noted on the land Court Certificate of7"Ne of the ownerofte land upon which the proposed work is done.The recording irdormation shall be submitted to the Conservation Commission onthe form at the end of this Order,which form man be stamped by the Registry of Deeds, priorm to cammdncemerd of work.. 10. A sign shall be displayed 9the site not less than two square feet or more firm three square feet in size having the words, Massachusetts Department of Foviroo mental Potation" [or'MassDEP"j File Number:"242-1537" 11. Where the Department of Environmental Protection is requested to issue a Superseding Order,the Conservation Commission shall be aparty to all agency proceedings and hearings before Mass DEP. 12. Upon completion of the work described herein,the applicard shall whom a Request for Certificate of Compliance(WPA From 8A)to the Caoservation Commission. 13. The work shall conform anthe plans and special conditions referenced in tis order. 14. Any change In the plans identified in Condition#13 above shall require the applicant In inquire ofthe Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent 15. The Agent ormembers ofthe Conservation Commission and the Department of Environmental Protection shall have the fight enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated m this Order,and may require to submittal of my data deemed necessary by the Conservation Commission caDepartment for that evaluation 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subjectto this Order and to my contmctororother person perforningwork conditioned by this Order. 17. Prior to to start ofwork,and ifthe 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 aCeitificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good repair urrlil all disturbed meas have been fully stabilized wit vegetationm other means At no time shall sediments be deposited in a wetland or water body.During construction,the applicant orhis'her designee shall inspect the erosion controls on adm1y basis and shall remove accumulated sediments as neerled.The applicant shall immediately comrol any erosion problems then awn athe site and shall also immediately notify the Conn afian Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimemationbarriers shall serve as the limit ofwork unless another limit of work line has been approved by tis Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(te"Project')s(1) r isnot(2)1• subjecttote Massachusetts Stormwater Standards Ifthe work is subject to Stormwater Standards,than the project is subjectm the followtgconditions; a) Allwork,tcludingsinramparuUoglauddisturbance,ommu Uonandredevelopmem,shall beimplementedin accordance wit the conmudionpenodpollutionprevertion and erosion and sedimentation control plan and,ifappliwble,the Stormwater Pollution Prevention Plan required by the National Pollutes Discharge Elimination System Construction General Pemm as required by Stormwater Standard 8.Concoction period erosion,sedimentation and pollution control measures and hear management practices(BMPs)shall remain in Place until the she is fully stabilized. b) No summoner mnoffmay bediscbarged to the post-cansauction strmwaterBMPs unless and until aRegstered Professional Engineer provides a Certification that.i.all commotion period BMPshave been removed or will be removed by a date certain specified in die Certification.For my construction period BMPa intended to be converted In post construction operation for stommwater menuation,recharge,and/ormarment,to conversion b allowed by the NlassDEP Stormwater Handbook BMP spec cations and that to BMP has been properly cleaned or prepared for post construction operation, including removal of all cons nuctionperiod sediment capped in Wet and ouddconlml structures;t,as-builtfinel construction Page 5 of 10'ELECTRONIC COPY Massachusetts Department of Environmental Protection Provldedby M—DEP. Bureau of Fano- Protection-Wetlands MassDEcI)EPTPFileon4.4537 Ul WPA Form 5-Order of Conditions eDEP Ttmsecuo"a:436565 Massachusetts Wetlands Protection Act M.G.L.c.131,§40 City/fown:NORTHANDOVER Special Conditions: SEEATTACHED. Page 7 of 10' ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File 4:242-1537 WPA Form 5-Order of Conditions eDEP Tmnsactlonis:436665 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/fown:NORTH ANDOVER E. Signatures This Orderis valid ford=years from the date of issuance,unless otherwise specified oZ 7 punvantm General Condition X4.Ifdds ism Amended OrderofConditions,the Amended 1.Daze fOrigma]Ord" Order expires on the same data as die original Order of Conditions. Please indicate the number of members who will sign ddsfmm.This Order most be signed by 2 ' a majority of the Conservation Commission. Number of Sigars The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant A copy also most be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office,dart filing electimucelly,and the property owner,if different from applicant Signatures: J ✓ AA r by hand delivery on r✓fy c if tau,ret r eip[requested,on /lI Data Date F. Appeals The applicam,time owner,any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any can 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 most be made by certified mail or hand delivery to the Depanmen,with the appropriate filing fee and a completed Request for Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7)within ten business days from the data of issuance of this Order.A copy of the request shall at the same time be sent by certified mail of hand delivery to the Conservation Commission and to the applicant,ifhe/she is no the appellant Any appellants seeking to appeal the Departments Superseding Order associated with this appeal will be required to demonstrate prior participation in the review ofthis project.Previous participation in the permit proceeding means the submission of written information to the Conservation Commissimprior tothe close of the public hearing requesting a Superseding Order,or providing written information W the Depamnent prim to issuance of Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how de Order does not contribute to the protection ofthe 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 extern it=the Order is based m amunicipal ordinance or bylaw, and tat on the Massachusetts Wetlands Protection Actor regulations,the Department has no appellatejurisdiction. Page 9 of 10•ELECTRONIC COPY LOMassachusetts Department of Environmental Protection Pmvldedby MassDER Bureau ofResomce Protection-Wetlands MMDEPFle8242-1537 WPA Form 5-Order of Conditions eDSPTmnORT#436665 (Sty/Cown:NORTHANDDVER Massachusetts Wetlands Protection Act M.G.L.c.131,¢40 G. Recording Information This Order of Conditions must be recorded In the Registry of Deeds or the Land Corot for the district in which the land is located, within tba drain oftitleoftheaffectedproperty-Inthe case ofrecorded Isod,the Final Order shall also be noted inthe Re&Ws OwntorindexuMathe nmro ofthe owner ofthe lend subjecttothc Order.In the care ofregistered land,this Order shall also be noted on the Land CoudCcrtfic re ofTiteofthe owncrofthe land subjecttothe OrderofConditions.The recordinginformation on flus page sball he submitted m the Conservation Cornsc assion listOd below. NORTH ANDOVER Consenation Canmission Detach on dotted lug havesbmpedbythe Registry of Deeds and submit to the Conservation Commission .......................................................................................................................................................................................................... To: NORTHANDOVER Cwamsvation Commission Please be advised tbat the Order of Conditions for the Project at: 50 JOHNNYCAKE STREET 242-1537 Project Location MmDEPFIeNumber Has been recorded at the Registry of Deeds of County Book Page for property Owner IOHNMCELROY and has been noted ince cbein oftite ofthe affectedpropedy in: Book page In accordance with the Order of Conditions issued on: Date If recorded land,the insfiment number identifying this transaction is: InsownentNumbe, If registered land,the document number identifying this traraacuao he DocannentNumber M.V VNIO SigmtureofAppliwnt Page 10 of 10 ELECTRONIC COPY DEP FILE#242-1537 Therefore,the North Andover Conservation Commission (hereafter the"NACU)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 modem or differ from the plans specifications or other proposals submitted with the Notice of Intent the conditions shall control. GENERAL CONDTPIONS 20.The proposed work includes: the replacement of a failed septic system including the installation of a septic tank and leach field(portions of the grading and construction access will be within 100-feet of Bordering Vegetated Wetland(BV W)). The proposed leach field (40 infiltrator chambers in a 5x8 configuration)is located approximately 100 feet from the wetland resource area. 21.The work shall conform to the following(except as noted in the remainder of this document where revisions may be required): Notice of Intent filed by: Luke J.Roy,P.E. LJR Engineering _ 234 Park Street North Reading,MA 01864 Site Plans prepared by: LJR Engineering 234 Park Street North Reading,MA 01864 Title: Subsurface Septic Disposal system Replacement Prepared for:John&Julie McElroy Dated: 8/26/11 and last revised 11/30/11 (1 sheet) Wetland Delineation by: Norse Environmental Services,Inc. 92 Middlesex Road-Unit 4 Tyngsboro,MA 01879 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 242-1537,507ohmycake Street OOC 1 NACC 12/72011 DEP FILE 11 242-1537 interests of the Act and Town ByLaw as noted above and therein. The applicant has not attempted to overcome the presumption of significance of these resource areas to the identified interests. 33.The NACC agrees with the applicant's delineation of the wetland resource area and the associated buffer zone on the site as shown on the plans dated referenced herein. 34.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. 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. No disturbance of existing grade,soils or vegetation is permitted in the No-Disturbance zone. (See Section 3.4 &Appendix F of the local Regulations). 35.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. 36.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. PRIOR TO CONSTRUCTION 37. 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. 38.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 242-1537,50 Johnnycake Street OOC 3 NACC 12/7/2011 DEP FD E#242-1537 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. 45.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. 46. A check payable to the Town of North Andover shall be provided in the amount of $1,000 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 NACCs review and approval. This condition is issued under the authority of the local ByLaw. 47. 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 emergency at the site, during any 24-hour period,including weekends. Proof of the retained monitor must he submitted to the Conservation Department on letterhead by the retained consulting firm. This person shall be given the authority to stop construction for erosion control purposes and 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. 48. 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, 242-1537,50 Johnnycake Street OOC 5 NACC 17/72011 DEP FILE#242-1537 52.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 53.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 54. Upon beginning work,the applicant shall submit written progress reports weekly(as part of the erosion control monitoring report Condition#48 above) 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. 55. Dewatering activities are not proposed as part of this project. 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. 56.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. 57. All exposed soil finish grade surfaces shall be immediately landscaped and stabilized, or loamed,seeded and mulched,with a layer of mulch hay.All disturbed areas must be graded,loamed and seeded prior to November lal 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. 58.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. 59.There shall be no stockpiling of soil or other materials within fifty(100)feet of any resource area. All stockpiled materials shall be located in the location designated on the approved plans. 242-1537,50 Johnnycake street OOC 7 NACC 17/712011 DEP FD.E(1242- 1537 68.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. 69. 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. 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 he 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 any disturbance of soils or vegetation. ➢ Location of all subsurface utilities entering the property. DEP FILE#242-1537 APPENDIX A-AFFIDAVIT L on oath do hereby depose and state: (authorized agent applicant and/or current owner) (PLEASE CHECK AT LEAST ONE BLOCK) 1._ I sat the of (position with applicant) (applicant name or company name) the applicant upon whom Order of Conditions have been placed upon by (DEPorNACCnamber) the North Andover Conservation Commission. Wor 2._ I 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. I 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_ I inspected said property together with any and all improvements which have been made to the same and hereby certify that each and every condition act forth in Order of Conditions are presently in compliance. (DEP File#) 5. 1 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) 2421117 in 1n6--.L.i,nnn