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310 CMR: DEPARTMENT OF ENVIRONMIENTAL PROTECTION
10.99: continued #6432-3
DEP File No.
(To be provided by DEP)
Forma
Cityrrown Salem
MA � O �0 ++ Applicant Mr.Joseph Grenier
Commonwealth 1066M
Department of Defense
ojMassachusetts Salem Planning Dept.
I United States of America
2
Notice o ntent
Under the City of Salem Wetlands Protection By-Law,
The Massachusetts Wetlands Protection Act, G.L. C.
131, §4
and
Application for a Department of the Army Permit
Part 1: General Information
1. Location: Street Address A portion of 127 Marlborough Road Salem MA 01970
Lot Number Tax Map 9,a portion of Lot 270(Subdivision Lot 3)
2. Project: Type Residential Description The applicant proposes to construct a single family
home,with associated driveway and grading located partially within buffer zone to bordering vegetated
wetland.
3. Registry: County Essex South Current Book 14446 &Page 346
Certificate(if Registered Land) N/A
4. Applicant Strong Brook Realty Trust Joseph Grenier Trustee Tel. (978)9274878
Address 339 Cabot Street,Beverly MA 01915
5. Property Owner Strong Brook Realty Trust Joseph Grenier Trustee Tel. _(978)9274878
Address 339 Cabot Street,Beverly MA 01915
6. Representative Hancock Environmental Consultants Tel. (978)777-3050
Address _235 Newbury Street Danvers MA 01923
7. a. Have the Conservation Commission and the Department's Regional Office each been sent, by certified mail
or hand fiver, 2 copies of completed Notice of Intent,with supporting plans and documents?
Yes I V1 No
b. Has the fee been submitted? Yes[2' No
c. Total Filing Fee Submitted $250.00
d. City/Town Share of Filing Fee $137.50 State Share of Filing Fee $112.50
(sent to Cityfrown) (1/2 of fee in excess of$25,sent to DEP)
e. Is a brief statement attached indicating how the applicant calculated the fee? Yes No
4/1/94 310 CMR-411
NO/Lot 3
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued #6432-3
S. Have all obtainable rmits,variances and approvals required by local by-law been obtained?
Yes❑ No
Obtained: Applied For: Not Applied For:
City of Salem Wetlands
N/A Protection By-Law N/A
9. Is any portion of the site sub' to a Wetlands Restriction Order pursuant to G.L. c. 131, §40A or G.L. c. 130,
§ 105? Yes❑ No
10. List all plans and supporting documents submitted with this Notice of Intent.
Identifying
Number/Letter
of Exhibit Title,Date
A Plan of Land in Salem,MA,Property of Strong Brook Realty Trust,
March 20,1998
B Locus Map—USGS—Salem quad 7.5x15 minute 1988
C 1-3 Abutter List,Notification and Affidavit of Service
D 1-2 Filing Fee Calculation Sheet and Statement
11. Check those resource areas within which work is proposed:
(a) dBuffer Zone ❑ Riverfront Area
(b) Inland: Land Subject to Flooding
❑ Bank* ❑ Bordering
❑ Bordering Vegetated Wetland* ❑ Isolated
❑ Land Under Water Body&Waterway*
(c) Coastal:
❑ Land Under the Ocean* ❑ Designated Port Area*
❑ Coastal Beach* ❑ Coastal Dune
❑ Barrier Beach* ❑ Coastal Bank
❑ Rocky Intertidal Shore* ❑ Salt Marsh*
❑ Land Under Salt Pond* ❑ Land Containing Shellfish*
❑ Fish Run*
* Likely to involve U.S. Army Corps of Engineers concurrent Jurisdiction. See General Instructions for
Completing Notice of Intent.
4/1/94 310 CMR-412
NO1 Lot 3
r
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued #6432-3
12. Is the project within estimated habitat which is indicated on the most recent Estimated Habitat Map of State-
Listed Rare Wetlands Wildlife(if any)published by the Natural Heritage and Endangered Species Program9
Yes ❑ No [Y Date printed on the Estimated Habitat Map
No Map Available ❑ (if any) Salem quad,1997-98 edition
If yes, have you sent a copy of the Notice of Intent to the Natural Heritage and Endangered Species Program
via the U.S. Postal Service by certified or priority mail (or otherwise sent it in a manner that guarantees
delivery within two days) no later than the date of the filing of this Notice of Intent with the conservation
commission and the DEP regional office?
Yes ❑ No ❑
If yes, please attach evidence of timely mailing or other delivery to the Natural Heritage and Endangered
Species Program.
Part II: Site Description
Indicate which of the following information has been provided(on a plan, in narrative description or calculations)
to clearly,completely and accurately describe existing site conditions.
Identifvina
Number/Letter
of Exhibit Natural Features
Soils
A Vegetation
A,B Topography
B Open water bodies(including ponds and lakes)
A,B Flowing water bodies(including streams and rivers)
Public and private surface water and ground water supplies on or within 100 feet of site
Maximum annual ground water elevations with dates and location of test
A Boundaries of resource areas checked under Part 1, item 11 above
Other Title:
Man-made Features
A,B Structures(such as buildings,piers, towers and headwalls)
Drainage and flood control facilities at the site and immediately off the site, including
culverts and open channels(with inverts),dams and dikes
Subsurface sewage disposal systems
Underground utilities
4/1/94 310 CMR-413
A'O/Lot 3
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued #6432-3
A,B Roadways and parking areas
A Property boundaries,easements and rights-of-way
Other Title:
Part III:Work Description
Indicate which of the following information has been provided(on a plan, in narrative description or calculations)
to clearly, completely and accurately describe work proposed within each of the resource areas checked in Part I,
item 11 above.
Identifying
Number/Lefter
of Exhibit Planview and Cross Section of:
A Structures(such as buildings,piers,towers and headwalls)
Drainage and flood control facilities, including culverts and open channels(with inverts),
dams and dikes
Subsurface sewage disposal systems and underground utilities
Filling,dredging and excavating, indicating volume and composition of material
Compensatory storage areas,where required in accordance with Part III, Section 10.57(4)
of the regulations
Wildlife habitat restoration or replication areas
Other Title:
Point Source Discharge
Description of characteristics of discharge from point source (both closed and open
channel)when point of discharge falls within resource area checked under Part I, item I I
above, as supported by standard engineering calculations, data and plans, including but
not limited to the following:
1. Delineation of the drainage area contributing to the point of discharge;
2. Pre-and post-development peak runoff from the drainage area, at the point of discharge, for at least the 10-
year and 100-year frequency storm;
3. Pre- and post-development rate of infiltration contributing to the resource area checked under Part I, item I I
above;
4. Estimated water quality characteristics of pre-and post-development runoff at the point of discharge.
4/1/94 310 CMR-414
NO!Lot 3
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued #6432-3
Part IV: Mitigating Measures
1. Clearly, completely and accurately describe, with reference to supporting plans and calculations where
necessary:
(a) All measures and designs proposed to meet the performance standards set forth under each resource area
specified in Part II or Part III of the regulations;or
(b) Why the presumptions set forth under each resource area specified in Part II or Part III of the regulations
do not apply.
LJCoastal Resource Area Type: Identifying
❑ Inland Number/Letter
N/A of Exhibit
LlCoastal Resource Area Type: Identifying
❑ Inland Number/Letter
N/A of Exhibit
4/1/94
310 CMR-41 5
NOI Lot 3
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued #6432-3
Ll Coastal Resource Area Type: Identifying
❑ Inland Number/Letter
N/A of Exhibit
2. Clearly, completely and accurately describe„with reference to supporting plans and calculations where _
necessary:
(a) All measures and designs to regulate work within the Buffer Zone so as to ensure that said work does not
alter an area specified in Part I, Section 10.02(1)(a)of these regulations;or
(b) if work in the Buffer Zone will alter such an area, all measures and designs proposed to meet the
performance standards established for the adjacent resource area, specified in Part II or Part III of these
regulations.
Coastal Resource Area Type Bordered Identifying
By 100-Feet Discretionary Zone: Number/Letter
LM Inland Bordering Vegetated Wetland of Exhibit
A staked hay bale siltation barrier will be erected and maintained between the A
limit of work and the resource areas as shown on the permit site plan. The
erosion control barriers shall remain in place and proper function until all
exposed finish grade surfaces within the buffer zone are adequately stabilized by
vegetation. They shall define the limit of work within the buffer zone.
All exposed-soil finish grade surfaces within the buffer zone shall be
immediately landscaped, or seeded and mulched with a layer of mulch hay, or
covered with mulch until climate conditions allow for seeding.
4/1/94 310 CMR-416
N0/Lot 3
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued 96432-3
Part V: Additional Information for a Department of the Army Permit
1. COE Application No.
(to be provided by COE)
2.
(Name of Waterway)
3. Names and Addresses of property owners adjoining your property: See
4. Document other project alternatives (i.e., other locations and/or construction methods, particularly those that
would eliminate the discharge of dredged or fill material into waters or wetlands).
5. 81/2"x 11"drawings in planview and cross-section, showing the resource area and the proposed activity within
the resource area. Drawings must be to scale and should be clear enough for photocopying.
Certification is required from the Division of Water Pollution Control before the Federal permit can be issued.
Certification may be obtained by contacting the Division of Water Pollution Control, 1 Winter Street, Boston,
Massachusetts 02108.
Where the activity will take place within the area under the Massachusetts approved Coastal Zone Management
Program, the applicant certifies that his proposed activity complies with and will be conducted in a manner that is
consistent with the approved program.
Information provided will be used in evaluating the application for a permit and is made a matter of public record
througif issuance of a public notice. Disclosure of this information is voluntary; however, if necessary information
is not provided,the application cannot be processed nor can a permit be issued.
I hereby certify under the pains and penalties of perjury that the foregoing Notice of Intent and accompanying
plans,documents and supporting data are true and complete,to the best of my knowledge.
Signs of Iicant Date
7
Signature of li nt's epresentative Date
"Exception to ENG Form 4345 approved by HQUSACE,6 May 1982"
"This document contains a joint Department of the Army and State of
Massachusetts application for a permit to obtain permission to perform
activities in United States Waters. The Office of Management and
Budget(OMB) has approved those questions required by the US Army
Corps of Engineers. OMB Number 0702-0036 and expiration date of 30
September 1983 applies." This statement will be set in 6 point type.
4/1/94 310 CMR-417
NOI Lot 3
#6432-3 Exhibit B
Locus Map
127 Marlborough Road, Salem MA
Source: USGS — 7.5x15 minute
PP n9 -n .`.•c;.:' ! Hi r/ ` _ - Golf Course
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SCALE: I i25,000 N
NOI Lot 3
N6432-3 Exhibit C-1
Abutter List
Map a Lot s 4 Name ' b. y �'' ,Address: 4, Town ''
9 9 zMAUREEN OUELLETTE 163 MARLBOROUGH RD SALEM MA 01970
9 10 JOHN&GLADYS BROUGHTON 5 HOME ST SALEM MA �01970
'9 11 'HAROLD&PAULA ROBERTS 7 HOME ST SALEM MA i 01970
9 12 DIBIASE CORPORATION 10 LOOKOUT TERRACE LYNNFIELD MA'01940 `.
9 18 STEPHEN&ELEANOR CAPELLOS .156 MARLBOROUGH RD I SALEM MA 01970 '
9 19 FELICIA WEAVER :150 MARLBOROUGH RD SALEM MA 01970
_. ..
CITY OF SALEM 93 WASHING_TON ST SALEM MA 0
_.
----
9 41 `FELICIA WEAVER AS HEREIN
9 272 'D._OUELLETTE&B.LABONTE ._ �' ..
,163 MARLBOROUGH RD ;SALEM MA ,0.1970
9 20-201 ,JOHN JERMYN 146 MARLBOROUGH RD :'SALEM MA ;01970
JERMYN REALTY TRUST
9 148 JOSEPH FRATANGELO 144 MARLBOROUGH RD SALEM MA 019-70
9 23 ROCCO&JUNE SOLIMENO 138 MARLBOROUGH RD SALEM MA 01970
9 i 24 EDWARD BOBREK 134 MARLBOROUGH RD SALEM MA 01970
__ ---
.9 25 ',PATRICK KING 18 MASON ST BEVERLY MA 01915 ;
9 26 :PETER&MARY SMITH 124 MARLBOROUGH RD SALEM MA 01970
9 27 MARYANN TERRY 108 MARLBOROUGH RD SALEM MA 01970
120 MARLBOROUGH RD TRUST
9 128 MARK AND MARYANN TERRY 108 MARLBOROUGH RD SALEM MA 01970 +.
9 273 ANTHONY&KARLYNE FURNARI l25 MARLBOROUGH RD SALEM MA ;0I970
9 274 JOSEPH&MARIANNE FURNARI 123 MARLBOROUGH RD SALEM MA '01970 j
NOI Lot 3
#6432-3 Exhibit C-2
Notification to Abutters Under the Massachusetts Wetlands Protection Act
In accordance with the second paragraph of the Massachusetts General Laws Chapter 131, Section 40, you are
hereby notified of the following.
A. The name of the applicant is Strong Brook Realty Trust,Joseph Grenier Trustee
B. The applicant has filed a Notice of Intent with the Conservation Commission for the Municipality of
Salem seeking to remove,fill,dredge or alter an Area Subject to Protection Under
the Wetlands Protection Act(General Laws Chapter 131, Section 40).
Activities Proposed: The applicant proposes to construct a single family home with associated driveway and
grading located partially within buffer zone to bordering vegetated wettand.
C. The Address of the Lot where the activity is proposed is A portion of 127 Marlborough Road Salem MA 01970
Tax Map 9,a portion of Lot 270(Subdivision Lot 3)
D. Copies of the Notice of Intent may be examined at Hancock Environmental Consultants
between the hours of 9 AM and 4 PM on the following days of the week: M—F
For more information,call: 978 777-3050
Check one: This is the applicant representative 9 other ❑(specify):
Name of Representative: Hancock Environmental Consultants
E. Copies of the Notice of Intent y be obtained for a fee from either(check one)the applicant El, or the
applicant's representative by calling this telephone number (978)-777-3050
between the hours of 9 AM and 4 PM on the following days of the week: M—F
F. Information regarding the date,time,and place of the public hearing may be obtained from:
Salem Conservation Commission
by calling this telephone number (978)745-9595 between the hours of 8AM and 4PM
on the following days of the week: M-W, 8AM-7PM H. and AM-lPM F
Check one: This is the applicant ❑,representative ,or other kZ(specify):
Salem Conservation Commission
NOTE:Notice of the public hearing, including its date,time and place,will be published at least five
(5)days in advance in the Salem Evening News
(name of newspaper)
NOTE: Notice of the public hearing, including its date, time and place, will be posted in the City or Town Hall not
less than forty-eight(48)hours in advance.
NOTE: You also may contact your local Conservation Commission or the nearest Department of Environmental
Protection Regional Office for more information about this application or the Wetlands Protection Act.
To contact DEP.call
Central Region: 508-792-7650 Northeast Region: 781-932-7600
Southeast Region: 508-946-2800 Western Region: 413-784-1100
NOI Lot 3
#6432-3 Exhibit C-3
Affidavit of Service
Under the Massachusetts Wetlands Protection Act
(to be submitted to the Massachusetts Department of
Environmental Protection and the Conservation Commission
when filing a Notice of Intent)
1, Kim Curtis hereby certify under the pains and penalties of perjury that on
March 20, 1998 1 I gave notification to abutters in compliance with the second
paragraph of Massachusetts General Laws Chapter 131, Section 40, and the DEP Guide to
Abutter Notification dated April 8, 1994, in connection with the following matter:
A Notice of Intent filed under the Massachusetts Wetlands Protection
Act by Joseph Grenier, Strong Brook Realty Trs with the Salem Conservation
Commission on March 20, 1998 for property located at
A portion of 127 Marlborough Road Salem,MA,01970
Tax Map 9,a portion of Lot 270(Subdivision Lot 3)
The form of the notification, and a list of the abutters to whom it was given and their
addresses, are attached to s Affidavit of Service.
3 -20-`1 i
Name Date
NOI Lot 3
#6432-3 Exhibit D-1
Wetlands Filing Fee Calculation Worksheet
For Notices of Intent Filed under the Massachusetts Wetlands Protection Act (G.L. Ch. 131, Sec. 40)"
Category 1 $55 Per Activity $ # b. Construction of Each Building within Commercial,
Industrial, Institutional, or Apartment/Condo/Townhouse
a. Existing HouseJResidettial Lot(addition,deck,garage,pool, Development (including: site preparation, retention/deter-
shed or driveway) lion basins, septic systems, parking lots, utilities, point
source discharges, package sewage treatment plants, mad-
b. Site Preparation (each Single Family House (SFH) lot; ways/drivcwayscxcept under 10.53(3e)if under single NOl)
mad-
removal o of veggetation, expiration grading where house
construction is not proposed under same NOD) c. Each Roadway/Dtiveway Crossing(if not reviewable under
c. Control of Nuisance Vegetation (removal, herbicides, cc.; 10.53(3e)or associated with SFH)
per lot under 10.53(4)) d. Hazardous Waste Cleanup(except as in Cat.4)
d. Resource Area Improvement (under 10.53(4); other than TOTAL CATEGORY 3 ACTIVITIES
removal of aquatic nuisance vegetation)
e. Septic System (or any part thereof, construction, replace- Category 4 $725 Per Activity
meat,upgrade) _
a. Each Roadway/Driveway Crossing (under 10.53(3e)
f. Monitoring Wells(installation activities except access road) associated with commercial, industrial, institutional
g New Agricultural w Aquacuhural Projects development or residential subdivision construction)
TOTAL CATEGORY I ACTIVITIES b. Flood Control Structures(construction,repair,maintenance)
c. Landfills(public&private);creation,maintenance,operation)
Category_ 2 $250 Per Activity
d. Sand and Gravel Operations (creation, maintenance,
a. Construction of Each New SFH(including site preparation, operation)
rotation/detention basins,utilities,septic systems,roadway/ $250.00 1
driveway except under 10.53(3e);under single NOD) e. Railroad Lines(new or extensions of existing)
b. Parking Lot(any size) f. Bridges(construction,recroslruction,expansion,maintenance,
aBeach Nourishment(placement of sand) except for a SFH Lot)
d Coastal Activities ursuant to I0.2 lac g Alteration of Resource Area to Divert Water(associated with
(P 4( ) (including hazardous waste cleanup, nonexempt mosquito control
electric generating facilities,public utilities,limited projects projects, other purpose not identified elsewhere in this
e.g.: repair/ maintenance of existing piers, buildings, schedule)
culverts))
e. Limited Project Activities(in 10.53(d and f-1);per footprint) h. Dredging Activities in Water Bodies(except associated with
coup new dock,pier or other structure)
f. Each Driveway Crossing(associated with a SFH pursuant to i. Package Sewage Treatment Plant (construction; discharge
I0.53(3e)) fiom)
g Any Point Source Discharge TOTAL CATEGORY 4 ACTIVITIES
h. Control of Nuisance Vegetation(under 10.53(4);except on a
SFH IrA) Category 5 $2flinear it.($50min.,$1000maa)
i. Raising or Lowering Surface Water Levels a. Docks, Piers, Revetments, Dikes or Other Engineering
An Other Activity not described in Cat 1,3,4 and 5 Structures (constriction, reconstruction, repair, or
j Y Y replacement;coastal or inland;indudingplacement of rip-rap
or other material)
TOTAL CATEGORY 2 ACTIVITIES $250.00
TOTAL CATEGORY 5 ACTIVITIES
Category 3 S525 Per Activity
TOTAL FILING FEE $250.00
a. Site Preparation for Development (except SFH; including
removal of vegetation, excavation & grading when actual person Calculating Fee Schedule Kim Curtis
construction not proposed under same NOD)
Address 235 Newbury Street,Danvers,MA 01923
Telephone 978 777-3050
Signature Date ':;�-20-`I$
NO[Lot 3
Categories as in 310 CMR 10.03(7)(c);Fees as in 801 CMR 4.02
#16432-3 Exhibit D-2
Filing Fee Statement
The applicant proposes to construct a single family dwelling with associated driveway and grading
within buffer zone to bordering vegetated wetland. These activities fall under category 2a of the
Wetlands Protection Act fee schedule. Total fees equal $250 ($137.50 to the City and $112.50 to
the State).
NOI Lot 3
#6432-3
NOTICE OF INTENT FEE TRANSMITTAL FORM
DEPARTMENT OF ENVIRONMENTAL PROTECTION
DIVISION OF WETLANDS AND WATERWAYS
Notice of Intent(NOI)Applicant Property Owner
Name Strong Brook Realty Trust Name Strong Brook Realty Trust
Joseph Grenier,Trustee Joseph Grenier,Trustee
Street 339 Cabot Street Street 339 Cabot Street
City/Town Beverly City/town Beverly
State MA Zip Code 01915 State MA Zip Code 01915
Phone Number (978)9274878
Project Location: Street/Lot Number A Portion of 127 Marlborough Road
Tax Map 9,a portion of Lot 270
(Subdivision Lot 3)
City/town Salem
DEP File Number(if available)
NOI Filine Fee Disputed Fee
Total NOI Filing Fee $250.00 Total Disputed Fee
(as determined in Notice of Insufficient Fee letter
from conservation commission)
State Share of Filing Fee $112.50
(1/2 of fee in excess of$25.00)
City/Town Share of Filing Fee $137.50 State Share of Filing Fee
(1/2 of total disputed fee)
City/Town Share of Filing Fee
(1/2 of total disputed fee)
Instructions
1. Send this Fee Transmittal Form with a check or money order,payable to the Commonwealth of Massachusetts,
to the DEP Lock Box at:
Department of Environmental Protection
Box 4062
Boston, MA 02211
2. Attach a copy of this form to the Notice of Intent submitted to the local Conservation Commission.
3. Attach a copy of this form and a copy of the DEP check to each of the Notice of Intent forms submitted to the
DEP regional office.
12/10/89 NOI Lot 3
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