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64-595 - 24 WINTER ISLAND ROAD - CONSERVATION COMMISSION a� v�^a,.�j.�„�. ��. �� e -s�S �s 1�11VERS�� UNV-12913 MADE IN USA � /fI15USTAINABLE MIN.FECYQID � <�JFORESTRY ��M�O% 1 INITIATIVE �TLONSUMFJ2 CeN(ed Liba�Sourcinp wwws�ipmq�amo�0 SFIOIIW T�� ` �� SpIIIEISISEx �295 Bk;34188 Pg;483 � 0312212016 12:53 COMPLI P9 1!2 — . Massachusetts Department of Environmental Protection � Bureau of Resource Protection - Wetlands oeP F;,e r,�mbe�: ' 1IVPA Foretl 8B — Certifica#e of Compliance �4 �95 Massachusetts Wetlands Protection Act M:G.L. c. 131, §40 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the � . computer, use Douglas and Jean Karam only the tab key Name �o move your 25 Winter Island Road cursor-do not Mailing Address � use the return � - � key. Salem � MA 01970 � City/Town � State Zip Code � 2. This Certificate of Compliance is issued for work regulated by a final Order of � Conditions issued ta Douglas and Jean Karam �`^'" Name � 6/7/2015 64-595 Dated � DEP File Number 3. The project site is located at: 24 Winter Island Road Salem Street Address City/Town � 44 32 Assessors Map/Plat Number � ParceULot Number the final Order of Condition was recorded at the Registry of Deeds for: � � Property Owner(if diBerenp � SoUth Essex 3�4196 376 County Book Page . Certificate � 4. A site inspection was made in the presence of the applicant, or the applicanYs agent, on: 3/9/2016 Date wpafrmeb.tlac•ray.5291t4 WPA Farm 88,Cetlilcete of Canpliance�Page 1 o(3 Oxlc Consrdtiug Group March 10, 2016 Project]2046 Salem Conservation Commission City Hall Annex 120 Washington Street, 3`d Floor Salem, Massachusetts 01970 RE: Request for Certificate of Compliance 24 Winter Island Road Salem, Massachusetts MA DEP File No. 64-595 Dear Commissioners: We regreY that schedule conflicts for both Oak Consulting Group, LLC (OCG) and the Applicant have prevented us from attending the Conservation Commission meeting scheduled for this evening and most likely for the next meeting schedule For April 14,2016. Based on a recent site visit,Tom Devine has raised a question regarding the use of pervious paving materials. Since we will not be able to attend a Conservation Commission meeting until, May, Mr. Devine suggested that we submit this letter as an alternative approach to addressing that topic. As shown on the As-Built Plan submitted with the Request for Certificate of Compliance, an area of granite block pavers was installed between the new shed building and Winter Island Road. The plan submitted with the Norice of Intent was not spec�c with respect to paving and indicated that the d�ive material was"to be determined." Order of Conditions Additional Condition No. 43 states that only pervious paving material may be used. It is our opinion that the granite block pavers meet this requirement as a result of the permeable stone dust material between the blocks. It should also be noted that that the granite pavers are pitched to drain towazd Winter Island Road and away from the Bordering Vegetated Wetland at the reaz of the site. A trench drain connected to the storm drain in Winter Island Road has been installed to collect runoff which may not infiltrate through the granite blocks. For these reasons, we believe the as-built conditions are in substantial compliance with the Order of Conditions and adequately protective of the adjacent wetland resource azea. If you have further questions or concems, we would respectfully request that discussion be continued to a ' future meeting when we would have the opportunity to attend and discuss it further. Sincerely, OAK CONS G GROUP, LLC aul F. Aver , P.E. President cc: Douglas and Jean Karam Y.O. t�ox I i23 � Ncwburyport, M19A OI950 973.3123L20 � `, �� OtJUITS i �/ �'�` = ��;j CITY OF SALEM � ��'' CONSERVATION COMMISSION ; <. , �- March 11, 2016 Douglas and Jean Karam 25 Winter Island Road Salem, MA 01970 Re: Certificate of Compliance for 24 Winter Island Road—DEP #64-595 Deaz Mr. and Mrs. Karam: Enclosed, please find the certificate of compliance for the above-referenced project. This document must be recorded at the South Essex County Registry of Deeds. Please fill out and return the Recording Information on page 3 of the certificate, which will indicate to the Salem Conservation Commission that the document has been recorded. If you have any further questions please feel free to contact me at 978-619-5685. Sincerel � Devine Conservation Agent Enclosure CC: DEP Northeast Regional Office � ` Massachusetts Department of Environmental Protection � Bureau of Resource Protection - Wetlands DEP File Number: ' WPA Form 8B — Certificate of Compliance 64-595 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 provided by DEP A. Project Information Important: When filling out 1. ThiS Certificate of Compliance is issued to: forms on the computer, use Douglas and Jean Karam only the tab key Name to move your 25 Winter Island Road cursor-donot MailingAddress use the retum key. Salem MA 01970 � Citylfown Stale Zip Code � 2. This Certificate of Compliance is issued for work regulated by a final Order of � Conditions issued to: Douglas and Jean Karam 'B""' Name 6/7/2015 64-595 Dated DEP File Number 3. The project site is located at: 24 Winter Island Road Salem Street Address City/Town 44 32 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Property Owner(if different) South Essex 64196 376 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicanYs agent, on: 3/9/2016 Date wpafrm8b.doc•rev.5/29/14 WPA Form BB,Cetl�cate of Campliance•Paga 1 of 3 � 1 Massachusetts Department of Environmental Protection � Bureau of Resource Protection - Wetlands DEP File Number: ' WPA Form 8B — Certificate of Compliance 64-595 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 provided byDEP 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: C. Authorization Issued by: Salem l /� Conservation Commission ate o suance This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the applicant and appropriate DEP Regional Offic See http://www.mass.pov/eea/aaencies/massdep/aboubcontacts/ . J, . Si ture� � � wpafrmBb.doc•rev.5/29/14 WPA Farm BB,Certi(rate of Compliance•Page 2 of 3 , Massachusetts Department of Environmental Protection � � Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 64-595 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 p�ovided 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. To: -- - - - -�-- ------------ ------ ------- - --- --- --- -- ----- --------- -----�- -- Conservation Commission Please be advised that the Certificate of Compliance for the project at: Projed Location DEP File Number Has been recorded at the Registry of Deeds of: County for: 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: DocumentNumber Signature of Applicant wpafrmeb.tloc•rev.529114 VJPA fortn BB,Cetlifiwle of Compliance•Page 3 of 3 /:��,l��"�T�� SPv- "^' ��,',�.\\ ''`�' �� CITY OF SALEM �3 , _`: I � ��;,�e��` CONSERVATION COMMISSION SITE VISIT FORM PRO]ECT LOCATION: a � DATE OF SITE VISIT•, ,�� PRO]ECT PROPONENT: �T_ / tT ��- � DEP FILE NUMBER:�� — PROPOSED WORK: Min i IN ATTENDANCE: Commission Members/Agent Abutters: ' Applicant/Property Owner/Represen[a[ive: �p, �IC �,�p9 �\ • ` SiTE VISIT.PURPOSE:�(J�_wY� - - - SITE VISIT DOCUMENTATION: ❑Pho[os ❑ Site Map ❑Other: OBSERVATIONS: Take into account relevan[ aspects or features such as: natural or piped drainage or obvious pollution; topography; existing vegetation; possible altemative sites; signs of wildlife, possible vemal pools, rare species habitat; landmarks; recent or historical dismrbances; proximity to other water bodies or drainage areas; ' adjacent land uses. - �/� r1�,.��C s�,,,l� - o-c ��f--P RECOMMENQATIONS: _ Q,� \ 1l I� \ ., l�, • �"�,Q`��J, caAA.t'�,�w.� _ W iG�'"�---��L.. r. .��C_^ �,— 6✓ r 1 1 �, o -n SL^ yl�k/ c un 7x� �1--nJ� K/ C�� -6 S� w�7�� i � ' � � OCG Oal:Consulting Group February 25,2016 Project 12046 Salem Conservation Commission City Hall Annex 120 Washington Street,3`d Floor Salem,Massachusetts 01970 RE: Request for Certificate of Compliance 24 Winter Island Road Salem,Massachusetts MA DEP File No. 64-595 Deaz Commissioners: On behalf of Douglas and Jean Kazam(Applicant), Oak Consulting Group,LLC is submitting the following Request for CeRificate of Compliance with the Order of Conditions issued for the above- referenced project. A completed Massachusetts Department of Envuonmental Protection(MA DEP) WPA Form 8A,Request for Certif'icate of Compliance is enclosed as Attaclunent A and a certificarion statement is enclosed as Attachment B. Also enclosed is As-Built Plan AB-1 dated February 24, 2016. As depicted on the As-Built Plan,the project has been constructed in substantial compliance with the Order of Conditions as approved by the Salem Conservation Commission. Variations from tlie plans accompanying the Notice of Intent are limited to: • Additional area of granite pavers on the north side of the building; • Installation of a trench drain along the northem edge of the new pavers with piped dischazged to the adjacent ca[ch basin in Winter Island Road; • Gutter do�mspout piping also dischazging to the catch basin in Winter Island Road; and • Adjustments to the conf'iguration of new utility services. None of these changes are noteworthy with respect to the wetland resource azea subject to protection on the south side of the site. As noted in the Order of Conditions,the project is not subject to Massachusetts Stormwater Standazds. A site visit can be scheduled up on request. Please contact me if questious or comments regazding this request. Otherwise,we will be waiting to hear from you for a hearing date with the Conservation Commission. ' Sincerely, OAK CONS L G GROUP,LLC aul F. Ave ,P.E. President cc: Douglas and Jean Karazn P.O. Box uss • �ewbnryporr, Md o�sao � 5oa ehm-a&oo � LEGEND W\ �� _ / ---e--- EXISTING CONTOUR H'�- - - -- - — +e.as E%ISTING SPOT GRADE S �• \ S W W __ �' - 1� � � 5 � S -- 5 -- 5 - PROPERTY LINE � 5 �- 5 S __ _ �5 — 5 -- 5 �_�� W —�- W � W — W — W — W — W — — . . — APPRO%IMATE EDGE OF WETLAND TRENCH DRAIN ` � G NEW WATER . ` '� � SERhCE — D — DR41N LWE -�p� � O � _ �-� D � G �_ Ga_- __ � �- G -- g -- G — 5 — SEWER LINE �� - D -� _ �-�� S _ -- � -Ri��_-� �/.� � --- D �_ — yy — WATER LME I S `_ ---- - - - — G — GPS LWE ��H�� ODRAIN mOM DowN5PWT5 OD DRAIN MANHOLE PAVERS . � f AND TRENCH URAW O SEWER MANHOLE NEW GA$ $ERNCE 1� "`" S`�R �R"" � . " � AS-BUILTNOTES " NEW ..:� 'Q . GAMGEISHEO I � DowNSPouT � � ' I 1. AS-BUILT PLAN &4SED ON PLAN PREPARED BY OAK (TtP.) .. . .. I PLnuTNG BEDS CONSULTING GROUP SUBMITTED WITH PROJECT NOTICE I /��-c2� � • I OF INTENT AS MODIFlED BASE� ON FIELD � o OBSERVATIONS AND LIMIITED MEASUREMENTS OF „ / ��' . . /�� I � � AS-BUILT CONDITIONS ON FEBRUARY 4, 2016. �-�-�--� - - -- _ ' - _ . __ \\ . ._r__ � l z�9oo' .'-- i- �E.i_' '�c f..', f �'�J 5a5'o8'a0"E - _ .... . ... . . . � --_ . . �a3_-_-_ APPROXINQE EDGE OF � � WETLRND AS OBiA1NED FROM � � ' �� ' ' � � � ' � �_ CITY Of SALEN GIS � . �� SM°F Wy� c V, a' � . . � ' F A L G A Y I H�' � o s Z"�o`�'��° zo SCALE in FEET 1"=10' O�� aoe�.nz3 51e DouglasJ.andJeanO.Karem o'�e: F��arrz�,zois Hn.ro��vn�n,mn o�ssu qS-BUILT PLAN 24 Wnter Island Road AB-1 Fh.9]fl3123120 %�ep: 1A45 o�co,�we�,ca,� Salem,Massachusetts ATTACHMENT A WPA Form 8A Request for Certificate of Compliance 24 Winter Island Road Salem,Massachusetts Oak Consulting Group,LLC Project 12046 Massachusetts Department of Environmental Protection � Bureau of Resource Protection -Wetlands DEP File Number: ` WPA Form 8A — Request for Certificate of Compliance 64-595 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided byDEP A. Project Information Important: When filling out 1. This request is being made by: forms on the Douglas and Jean Karam computer, use Name only the tab key to move 25 Winter Island Road your cursor- Mailing Address do not use the Salem MA 01970 return key. Ciryliown State ZipCode � 978 741-2179 � Phone Number � 2. This request is in reference to work regulated by a final Order of Conditions issued to: ""°" Douglas and Jean Karam ApplicaM June 7 2015 64-595 Datetl DEP File Number Upon completion 3. The ro ect site is located at: of the work P 1 � authorized in 24 Winter Island Road Salem � an Ordef of Street Address Cityffown Conditions, the 44 32 property owner must fequest a Assessors Map/Plat Number - ParceVLot Number Certifcate of 4. The final Order of Conditions was recorded at the Re istr of Deeds for: Compliance 9 y from the issuing authority stffiing Property Ovmer(if differeM) that the work or Essex 34196 376 partion of the work has been County Book Page satisfactorily � Completed. Certificate(if registered land) 5. This request is for certification that(check one): � the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. , ❑ the following portions of the work regulated by the above-referenced Order of Conditions have been satisfactorily completed (use additional paper if necessary). ❑ the above-referenced Order of Conditions has lapsed and is therefore no longer valid, and the work regulated by it was never started. wpaform8a.tloc^rev.1/13/04 Page 1 of 2 Massachusetts Department of E�vironmental Protection � Bureau of Resource Protection -Wetlands DEP File Number: 1 ` WPA Form 8A — Request for Certificate of Compliance 64-595 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information (cont.) 6. Did the Order of Conditions for this project, or the portion of the project subject to this request, contain an approval of any plans stamped by a registered professional engineer, architect, landscape architect, or land surveyor? � Yes If yes, attach a written statement by such a professional certifying substantial compliance with the plans and describing what deviation, if any, exists from the plans approved in the Order. ❑ No B. Submittal Requirements Requests for Certificates of Compliance should be directed to the issuing authority that issued the final Order of Conditions(OOC). If the project received an OOC from the Conservation Commission, submit this request to that Commission. If the project was issued a Superseding Order of Conditions or was the subject of an Adjudicatory Hearing Final Decision, submit this request to the appropriate DEP Regional Office(see http://www.mass.qovldep/abouUreqion/findvour.htm). wpafirm8a tloc••rev.�/13/04 Page 2 of 2 ATTACHMENT B Engineers Certification ' Request for Certificate of Compliance , ' 24 Winter Island Road I Salem,Massachusetts � Oak Consulting Group,LLC Project 12046 ENGINEER'S CERTIFICATION REQUEST FOR CERTIFICATE OF COMPLIANCE TO: Salem Conservarion Commission: , RE: Shed Construcrion Project II 24 Winter Island Road Salem, Massachusetts , MA DEP File No: 64-595 I I cercify that to the best of my knowledge, information and belief,the Shed Construction Project �' located at 24 Winter Island Road in Salem,Massachusetts has been constnacted in substantial I compliance with the Order of Conditions as approved by the Salem Conservation Commission. Paul F.Avery, P.E #34975 �� Professional Engineer-Mass. Reg.No. ..��pti}H OF Mqss c`r � o y � Oak Consulrin Group, LLC , �g PAUL F �, •o AVERV,III �` Company j" CNIL y► �do.9ae� l P.O. Box 1123 Newburyport,MA 01950 q9vF`c�/ PF'��QE Address Fss � `E�G�@ r�1 978-312-3120 :�,� Phone ��2slzo�� Date CON�1T' � ;'� ��;; CITY OF SALEM � ��9j CONSERVATION COMMISSION ,�,; June 17, 2015 Douglas and Jean Kazam 25 Winter Island Road Salem, MA 01970 Re: Ordet of Conditions—DEP#64-595-24 Winter Island Road Deaz Mr. and Mrs. Karam: Enclosed, please find the Order of Conditions for the above-referenced project. Following the 10-business-day appeal period, this document and the attached Special Conditions must be recorded at the Essex County Registry of Deeds (Shetland Park 45 Congess Street, Suite 4100 Salem, Massachusetts). Once recorded, please return a copy of Page 12 of the Order, which will indicate to the Commission that the document has been recorded. As indicated in the Order, prior to any work commencing: L this Order must be recorded, 2. contact me at least 48 hours prior to any activity to schedule a pre-construction meeting to review the Order with your hired contractor. If you have any further questions, please feel free to contact me at 978-619-5685. Sincerely, om Devine Conservation Agent Enclosures CC: Paul Avery DEP Northeast Regional Office Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands 64-595 � MassDEP File# � WPA Form 5 — Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransadion# Salem City/Town A. General Information Please note: Sa�em tnis form nas 1. From: Conservation Commission been modiLed with added Z, This issuance is for space to a.�Order of Conditions b. ❑Amended Order of Conditions accommodate (check one): _ the RegisVy oroeeds 3. T0: AppliCant: Requirements Douglas and Jean Karam a. First Name b. Last Name Important: W hen f I ling out forms on c.Organization me 25 Winter Island Road computer, d.Mailing Address use only the �abkeyto Salem MA 01970 move your e.City(fown f.State g.Zip Code cursor-do noc use cne 4, Property Owner(if different from applicant): retum key. ' IL� a. First Name b. Last Name c.Organizalion mnan d.Mailing Address e. City(fown f.State g.Zip Code s. Project Location: 24 Winter Island Road Salem a. Street Address b.City/Town 44 32 c.Assessors Map/Plat Number d. Parcel/Lot Number Latitude and Longitude, if known: d m s d m s d. Latitude e.Longitude wpaform5.tloc• rev.6/162015 Page 1 of 12 l Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands 64-595 � MassDEP File# � WPA Form 5 — Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransaction# Salem Cirylfown A. General Information (cont.) s. Propehy recorded at the Registry of Deeds for(attach additional information if more than one arcel : P ) South Essex a.County b.Certificate Number(if registered land) 23597 239 c. Book d.Page 5/18/2015 6/11/2015 6/17/2015 7. D2tB5: a.Date Notice of Inient Filed b. Date Public Hearing Closed c.Date of Issuance s. Final Approved Plans and Other pocuments (attach additional plan or document references as needed): See attached a. Plan Title b. Prepared By c.Signed and Stamped by d. Final Revision Date e. Scale f.Additional Plan or powment Title - g.Date B. Findings . i. 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: a. � Public Water Supply b. � Land Containing Shellfish `' � Prevention of Pollution d. � Private Water Supply e. � Fisheries f. � Protection of Wildlife Habitat g. � Groundwater Supply n. � Storm Damage Prevention �. � Flood Control z. 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 pertormed 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. wpaform5.tloc• rev.&16/2015 Page 2 of 72 f Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands 64-595 � MassDEP File# � WPA Form 5 — Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransadion# Salem ciry/Town 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 pertormance 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 AcYs 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 370 CMR 10.05�6)(c). s. ❑ Buffer Zone Impacts: Shortest distance between limit of project disturbance and the wetland resource area specified in 310 CMR 10.02(1)(a) a. iinearfeec 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.linearieet b. linearfeet c.linearfeet d.linearfeet s. ❑ Bordering Vegetated Wetland a.square feet b.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 Watenvays e.Gy dredged f.Gy dredged �. ❑ 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 h.cubic teet 8. ❑ Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage �,�ubic feet d.cubic feet e.cubic feet f.cubic feet s. ❑ Riverfront Area . a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100- 200 ft g.square feet h.square feet i.square feet j.square feet wpaform5.doc• rev.6/16/2015 Page 3 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 64-595 � � MassDEP File# � WPA Form 5 — Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTrensadion# Salem I City/Town B. Findings (cont.) Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only) Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement io. ❑ Designated Port Indicate size under Land Under the Ocean, below Areas ii. ❑ Land Underthe OCean a.square feet b.square feet c.Gy dredged d.Wy dredged �z. ❑ Barrier Beaches �ndicate size under Coastal Beaches and/or Coastal Dunes below is. ❑ Coastal Beaches cu yd cu yd a.square feet b.square feel c. nourishment d.nourishment ❑ Coastal Dunes cu yd cu yd �4� a.square feel b.square feet c.nourishment d.nourishment �s. ❑ Coastal Banks a. linearfeet b. linearfeet �s. ❑ Rocky Intertidal ShOf@5 a.square feet b.square feet 17. ❑ Salt Marshes a.square feet b.square feet c.square feet d.square feet �s. ❑ Land Under Salt Ponds a.square feet b.square feet c.dy dredged d.Gy dredged �s. ❑ Land Containing SheIIflSh a.square feet b.square feet c.square feet d.square feet zo. ❑ Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above - a.dy dredged b.Gy dredged z�. � Land Subject to 1400 1400 - Coastal Stofm a.square feet b.square feet Flowage zz. ❑ Riverfront Area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet i.square feet Sq ft between 100- 200 ft g,square feet h.square feet i,square feet j.square feet wpatarm5doc• rev.6H6@015 Pege4of12 Massachusetts Department of Environmental Protection Provided by MassDEP: � Bureau of Resource Protection - Wetlands 64-5s5 MassDEP File# � WPA Form 5 — Order of Conditions 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransaction# Salem Citylfown B. Findings (cont.) •#23.If the 23. ❑ Restoration/Enhancement*: project is for the purpose ot restoring or a.square feet of BVW - � b.square feet of salt marsh enhancing a wetland 24 � Stf08f1'1 �.fOSSlfI S resource area 9� �� in addition to the square footage lhat a.number of new stream crossings b.number of replacement stream crossings has been C. General Conditions Under Massachusetts Wetlands Protection Act entered in Section 8.5.c �avw>or The following conditions are only applicable to Approved projects. B.17.c(Salt Marsn�above, 1. Failure to comply with all conditions stated herein, and with all related statutes and other piease enter re ulato measures, shall be deemed cause to revoke or modif this Order. the additional 9 ry y amounc nere. 2. 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. c. If the work is for a Test Project, this Order of Conditions shall be valid for no more than one year. 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. An Order of Conditions for a Test Project may be extended for one additional year only upon written application by the applicant, subject to the provisions of 310 CMR 10.05(11)(�. 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 6/17/2015 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. wpaform5.tloc• rev.6H62015 Page 5 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 64-595 � WPA Form 5 - Order of Conditions MassDEPFile# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransaction# Salem City(fown C. General Conditions Under Massachusetts Wetlands Protection Act 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. 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 Title 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"] "File Number 64-595 " 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 Certifcate 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 pertorming work conditioned by this Order. wpafarm5.doc• rev.6/16/2015 Page fi of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: ' � Bureau of Resource Protection - Wetlands 64-595 MassDEP File# , WPA Form 5 - Order of Conditions 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransadion# Salem City/Town C. General Conditions Under Massachusetts Wetlands Protection Act (cont.) 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. 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. 19. The work associated with this Order(the"ProjecY') (1) ❑ is subject to the Massachusetts Stormwater Standards (2) � is NOT subject to the Massachusetts Stormwater Standards If the work is subject to the Stormwater Standards,then 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 controi 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 Stormwater Standard 10; wpaform5.doc• ray.6/i6/2015 Page 7 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 64-595 � MassDEP File# � WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransaction# Salem City/Town C. General Conditions Under Massachusetts Wetlands Protection Act (cont.) � iv. all post-construction stormwater BMPs are installed in accordance with the plans (including ail 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. 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 impiemented upon receipt of the Certificate of Compliance, and ii.) 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 applicabie, the Stormwater Pollution Prevention Plan required by � the National Pollution Discharge Elimination System Multi-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(�through 18(k)with respect to that BMP. Any failure of the proposed responsible party to implement the requirements of Conditions 18(� 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. f) 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. wpatorm5.tloc• rev.6I162015 Page 8 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: � Bureau of Resource Protection -Wetlands 64-595 WPA Form 5 - Order of Conditions MassDEPFile# 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTrensaction# Salem City/Town C. General Conditions Under Massachusetts Wetlands Protection Act (cont.) g) The responsible party shail: 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. I) 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): 20. For Test Projects subject to 310 CMR 10.05(11), the applicant shall also implement the monitoring plan and the restoration plan submitted with the Notice of Intent. If the conservation commission or Department determines that the Test Project threatens the public health, safety or the environment, the applicant shall implement the removal plan submitted with the Notice of Intent or modify the project as directed by the conservation commission or the Department. wpaform5.doc• rev.6/i6/2015 Paga 9 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: � Bureau of Resource Protection - Wetlands 64-595 MassDEP File# � WPA Form 5 - Order of Conditions 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransaction# Salem City/Town D. Findings Under Municipal Wetlands Bylaw or Ordinance �. Is a municipal wetlands bylaw or ordinance applicable? � Yes ❑ No z. The Salem 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. � that the following additional conditions are necessary to comply with a municipal ordinance or bylaw: Wetlands Protection & Conservation Ordinance c. 50 1. Municipal Ordinance or Bylaw 2.Citation s. The Commission orders that all work shall be pertormed 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 text document): The attached conditions are issued under the Wetlands Protection Act and are sufficient for compliance with the local ordinance wpafarm5 doc• rev.6/162075 Page 10 ot 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands 6`�- J�J ' � MassDEP File# � WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 e�P�Transaction# IA-..� City/Town E. Signatures Important:When This Order is valid for three years, unless othenvise specified as a special � �''�� fiuing out forms condition pursuant to General Conditions#4,from the date of issuance. �. ate o ssuance on the computer, � use only the tab Please indicate the number of inembers who will sign this form. key to move your This Order must be signed by a majority of the Conservation Commission. 2. Number of Signers cursor-do not use the return The Order must be mailed by certified mail (return receipt re e ted) h d d i red to keY the applicant. A copy must be mailed, hand delivered or file el ctr ic at same time � with the app opriate MassDEP Regional Office. � � Signatur : � r � ❑ by hand delivery on � by certified mail, return receipt requested, on ��/�c � Date Da 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 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 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 DepartmenYs 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. wpa5sigs.0oc• rev.02/25I2070 Page 1 af�� Massachusetts Department of Environmental Protection Provided by MassDEP: � Bureau of Resource Protection - Wetlands 64-595 MassDEP File# � WPA Form 5 - Order of Conditions 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransaction# Salem Citylfown 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. Conservation Commission � Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. To: Conservation Commission Please be advised that the Order of Conditions for the Project at: Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County Book Page fOf: 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 wpaPormS.tloc• rev.6A62015 Page 12 of 72 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: � Request for Departmental Action Fee � Transmittal Form ProvidedbyDEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information 1. Location of Project a.Street Address b.Citylfown,Zip c Check number d. Fee amount Important: z person or ah makin re uest if a ro riate, name the citizen rou 's re resentative : When filling P y 9 4 � PP P 9 P P ) out farms on the computer, Name use only the tab key to Mailing Address move your CufSOf-d0 Citylfown State Zip Code not use the fBtUff1 k2y. phone Number Fax Number(if applicable) r� 3. Applicant(as shown on Determination of Applicability (Form 2), Order of Resource Area Delineation � (Form 4B), Order of Conditions (Form 5), Restoration Order of Conditions(Form 5A), or Notice of Non-Significance (Form 6)): an.n Name Mailing Address CitylTown State Zip Code Phone Number � Fax Number(if applicable) 4. DEP Fife Number: B. Instructions 1. When the Departmental action request is for(check one): ❑ Superseding Order of Conditions—Fee: $120.00(single family house projects) or$245 (all other projects) ❑ Superseding Determination of Applicability—Fee: $120 ❑ Superseding Order of Resource Area Delineation—Fee: $120 wpaform5.tloc• rev.4222015 Page 1 0l2 Massachusetts Department of Environmental Protection � Bureau of Resource Protection - Wetlands DEP File Number: ' Request for Departmental Action Fee � Transmittal Form ProvidedbyDEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Instructions (cont.) Send this form and check or money order, payable to the Commonwealth of Massachusetts, to: Department of Environmental Protection Box 4062 Boston, MA 02211 2. On a separate sheet attached to this form, state clearly and concisely the objections to the Determination or Order which is being appealed. To the extent that the Determination or Order is based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. 3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office(see http://www.mass.qov/eea/aqencies/massdep/about/contacts/). 4. 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. wpafarm5 tloc� rev.422/2015 Page 2 of 2 i y°�'�a: Attachment to Ordex of Condidons # 64-595 " ��` Page 1 of 5 SALEM CONSERVATION COMMISSION DEP FILE #64-595 24 Winter Island Road Ciry of Salem,Massachusetts ADDITIONAL FINDINGS Based on the Estimated Habitats of Rare Wildlife and Certified Vernal Pools Map (online, 6/4/2015) from Natural Heritage & Endangered Species Program (NIIESP) of the Massachusetts Division of Fisheries and Wildlife, it has been determined that this project does not occur near any habitat of state-listed rare wildlife species nor contain any vernal pools. The Order permits the construction of an accessory garage/shed structure and appurtenances per approved plans and these conditions. GENERAL CONDITIONS L This Order of Conditions must be recorded in its entirety(including a115 pages of this attachment) at the Essex County Registry of Deeds or the Land Court for the district in which the land is located, afrer the expuation of the 10-day appeal period and within 30 days of the issuance. A copy of t6e rewrding information must be submitted to the Salem Conservation Commission before any work approved in this Order commences. 2. Approval of this application does not constitute compliance with any law or regulation other than M.G.L Chapter 131, Section 40, Wetlands Regulations 310 CMR 10.00 and the City of Salem Wetlands Protection Ordinance, Salem Code Chapter 50. 3. All work shall be performed in accordance with this Order of Conditions and approved site plan(s). No alteration of wetland resource areas or associated buffer zones, other than that approved in this Order, shall occur on this property without prior approval from the Commission. 4. Prior to any work commencing on site, a DEP Sign showing DEP File#64-595 must be installed at the entrance to the site and seen from the public way, but not placed on a living tree. 5. No work approved in this Order may commence until the ten(10)day appeal period has lapsed from the date of the issuance of this Order. 6. With respect to this Order,the Commission designates the Conservation Agent as its agent with powers to act on its behalf in administering and enforcing this Order. 7. The Commission or its Agent, officers,or employees shall have the right to enter and inspect the property at any time for compliance with the conditions of this Order,the Wetlands Protection Act MGL Chapter 131, Section 40,the Wetlands Regulations 310 CMR 10.00, and shall have the right to requue any data or documentation that it deems necessary for that evaluation. 8. The term "ApplicanY'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 '"""';; Attachment to Oxder of Conditions # 64-595 �`�F' Page 2 of 5 ' ��;, '�;;� and this Order of Conditions. The Commission shall be notified in writing within 30 days of all transfers of titie of any portion of the property that takes place prior to issuance of the Certificate of Compliance. 9. It is the responsibility of the applicant to procure all other applicable federal, state and local permits and approvals associated with this project. These permits may include but are not necessarily limited to the following: (1) Section 404 ofthe Federal Water Pollution Control Act(P.L. 92-500, 86 stat. 816),U.S. Army Corps of Engineers. (2) Water Quality Certification in accordance with the Federal Water Pollution Control under authority of sec. 27(5)of Chapter 21 of the Massachusetts General Laws as codified in 314 CMR 9.00. (3) Sewer Extension Permit from the DEP Division of Water Pollution Control under G.L. Ch. 21A ss7 and 314 CMR 7.00. Any Board of Health permit for septic system design for any poRion of the septic sysYem within 100 feet of wetlands shall be submitted to the Commission prior to construction initiation. (4) Design Requirements for Construction in Floodplains under the State Building Code(780 CMR 744.). 10. If there are conflicting conditions within this Order,the stricter condition(s) shall rule. 11. Al] work shall be performed so as to ensure that there will be no sedimentation into wetlands and surface waters during construction or afrer completion of the project. 12. The Commission or its Agent shall have the discretion to modify the erosion/siltation control methods and boundary during construction if necessary. 13. The Commission reserves the right to impose additional conditions on portions of this project or this site to mitigate any actual or potential impacts resulting from the work herein permitted. 14. The work shall conform to the following attached plans and special conditions: Final Approved Plans SITE PLAN TO ACCOMPANY NOTICE OF INTENT (Title) 5/15/2015 *revised plan to be submitted* (Dated) Paul F. Avery III (Signed and Stamped by) City of Salem Conservation Commission (On file with) 15. Any proposed changes in the approved plan(s)or any deviation in conshvction from the approved plan(s)shall require the applicant to file a Notice of Project Chan�e with the Commission. The Notice shall be accompanied by a written inquiry prior to their implementation in the field, as to whether the change(s) is substantial enough to require filing a new Notice of Intent or a request to correct or amend this Order of Conditions. A copy of such request shall at the same time be sent to the Department of Environmental Protection. �"��, Attachment to Oxder of Conditions # 64-595 " ��` Page 3 of 5 16. In conjunction with the sale of this property or any portion thereof before a Certificate of Compliance has been issued,the applicant or current landowner shall submit to the Commission a statement signed by the buyer that he/she is awaze of an outstanding Order of Conditions on the property and has received a copy of the Order of Conditions. 1 Z [Reserved]. PRIOR TO CONSTRUCTION 18. Prior to the commencement of any activity on this site other than activities listed above,there must be a Pre-Construction Meeting on site between the project supervisor,the contractor responsible for the work, and the Conservation Agent and/or a member of the Conservation Commission to ensure that the requirements of the Order of Conditions aze understood. The staked erosion control line shall be adjusted, if necessary, during the pre-construction meeting. Please contact the Conservation Agent at (978) 619-5685 at least forty-eight(48) hours prior to construction to arrange for the Pre- Construction Meeting. l9. Prior to the pre-construction meeting and commencement of any activity on this site, sedimentarion and erosion control barriers shall be installed as shown on the approval plan(s)and detail drawings. The Commission and/or its Agent shall inspect and approve such installa6on at the pre-construction meefing. 20. No cleazing of vegetation, including trees, or disturbance of soil shall occur prior to the pre-construction meeting. Minimal disturbance of shrubs and herbaceous plants shall be allowed prior to the pre- construction meeting if absolutely necessary in order to place erosion control stakes where required. 21. There shall be adequate additional erosion and sediment controls stored onsite for emergency purposes. EROSION CONTROL 22. Appropriate erosion control devices shall be in place prior to the beginning of any phase of construction, and shall be maintained during construction in any wetland resource azea and/or buffer zones. The erosion control measures shown on the approval plan(s)and provisions in the Order will be the minimum standards for this project;the Commission or its Agent may require additional measures. 23. All debris, fill and excavated material shall be stockpiled a location faz enough away from the wetland resource areas to prevent sediment from entering wetland resource areas. 24. Erosion and sedimentation control devices shall be inspected after each storm event and repaired or replaced as necessary. Any accumulated silt adjacent to the barriers shall be removed. 25. The area of construction shall remain in a stable condition at the close of each construction day. 26. Any de-watering of trenches or other excavation required during construction shall be conducted so as to prevent siltation of wetland resource azeas. All discharge from de-watering activities shall be filtered through straw bale sediment traps, silt filter bags or other means approved by the Commission or its Administrator. 27. Within thirty(30)days of completion of construction on any given portion of the project, all disturbed azeas in the completed portion of the site shall be permanently stabilized with rapidly growing vegetative cover, using sufficient top soil to assure long-term stabilization of disturbed areas. �w^t�^,, Attachment to Oxdex of Conditions # 64595 ��' Page 4 of 5 ' "�o>�� 28. If soils aze to be disturbed for longer than two (2)months, a temporary cover of rye or other grass should be established to prevent erosion and sedimentation. If the season is not appropriate for plant . growth, exposed surface shall be stabilized by other appropriate erosio�control measures,firmly anchored,to prevent soils from being washed by rain or flooding. DURING CONSTRUCTION 29. A copy of this Order of Conditions and the plan(s)approved in this Order shall be available on site at all times when work is in progress. 30. No alteration or activity shall occur beyond the limit of work as defined by the siltarion barriers shown on the approved plan(s). 31. All waste products,grubbed stumps,slash; construction materials, etc. shall be deposited at least 100 feet from wetland resource azeas and 200 feet from river. 32. Cement trucks shall not be washed out in any wetland resource or buffer zone area,nor into any drainage system. Any deposit of cement or concrete products into a buffer zone or wetland resource azea shall be immediately removed. 33. All exposed sub-soils shall be wvered by a minimum of three(3)inches of quality screened loam topsoil prior to seeding and fmal stabilization. 34. Immediately following drainage structure installation all inlets shall be protected by silt fence,strawbale barriers and/or silt bags to filter silt from stormwater before it enters the drainage system. 3 5. There shall be no pumping of water from wetland resource azeas. 36. All equipment shall be inspected regulazly for leaks. Any leaking hydraulic lines,cylinders or any other components shall be fixed immediately. 37. During construction,all drainage structures shall be inspected regulazly and cleaned as necessary. 38. The applicant is herby notified that failure to comply with all requuements herein may result in the issuance of enforcement actions by the Conservation Commission including,but not limited to,civil administrative penalties under M.G.L Chapter 21A, section 16. AFTER CONSTRUCTION 39. Upon completion of construction and final soil stabilization,the applicant shall submit the following to the Conservation Commission to request a Certificate of Compliance(COC): (1) A Completed Request for a Certificate of Compliance form(WPA Form 8A or other form if required by the Conservation Commission at the time of request). (2) A letter from a Registered Professional Engineer certifying compliance of the property with this Order of Conditions. (3) An"As-BuilY'plan signed and stamped by a Registered Professional Engineer or Land Surveyor showing post-construction conditions within all areas under the jurisdiction of the Massachusetts Wetlands Protection Act. This plan shall include at a minimum: (a) All wetland resource area boundazies with associated buffer zones and regulatory setback areas taken from the plan(s)approved in this Order of Conditions; �"'"�'i�, Attachment to Oxder of Co�dirions # 64-595 �s��r�' Page 5 of 5 �� (b) Locations and elevations of all stormwater management conveyances, structures and best management designs, including foundation drains,constructed under this Order within any wetland resource azea or buffer zone; (c) Distances from any structures conshucted under this Order to wetland resource areas- "structures"include,but are not limited to,all buildings, septic system components,wells, utility lines,fences,retaining walls,and roads/driveways; (d) A line delineating the limit of work-"work"includes any filling,excavating and/or disturbance of soils or vegetation approved under this Order; 40. When issued,the Certificate of Compliance must be recorded at the Essex County Registry of Deeds and a copy of the recording submitted to the Salem Conservation Commission. 41. If the completed work differs from that in the original plans and conditions,the report must specify how the work differs; at which time the applicant shall first request a modification to the Order. Only upon review and approval by the Commission, may the applicant request in writing a Certificate of Compliance as described above. 42. Erosion control devices shall remain in place and properly functioning until all exposed soils have been stabilized with final vegetative cover and the Conservation Commission and/or its Agent has authorized their removal. ADDITIONAL CONDITIONS 43. Only pervious paving materials may be used. 44. Prior to the start of construction, a revised plan shall be submitted that includes corrected grades and, if feasible, erosion and sediment controls relocated to the upland side of the e�cisting fence. PERPETUAL CONDTTIONS 45. [Reserved] , • . ._ � .• . - . � • �.� � � "° �f��s'6� i�'��,�.'�'�'s.' `.�` �� ' � � � *w��qt`i' . .�+�,W ��'�3 ;,�ta r k�pe xo ��,e �� ,e'4� C s+ "� i,g•x �� q�i„R,�.�','`�*�' f� `F.� �v�` f � gr �� $� ti, c ad4 i, h- f. ,�y'i` 1 � r .�q�'�ti v 4Yi` � .TdFsl sr "*�. 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OCG Oak Consulting Group May 18,2015 Project 12046 Salem Conservation Commission City Hall Annex 120 Washington Street,3`�Floor Salem, Massachusetts 01970 RE: Notice of Intent 24 Winter Island Road Salem, Massachusetts Deaz Commissioners: On behalf of Douglas and Jean Kazam (Applicant), Oak Consulting Group, LLC is submitting eight(8) copies of the following Notice of[ntent(NO[)to construct an accessory garage/shed structure at 24 Winter[sland Road,a lot historically held in common ownership with 25 Winter Island Road. Enclosed are the following attachments: Attachment A: WPA Form 3 —Notice of Intent and NOI Fee Transmittal Form; Attachment B: Site Location Map and drawing Sheet C-1; Attachment C: Letter of Consent from Pummer Home for Boys; and Attachment D: Abutter Notification Documentation. Also enclosed is a check in the amount of$67.50 for the local share of the state filing fee. Since the project is an accessory structure for a single-family residence, it is not subject to the provisions of the Massachusetts Department of Environmental Protection (MA DEP) Stormwater Management Standazds and a stormwater report has not been prepared. EXISTING CONDITIONS The subject property is Iocated at 24 Winter[sland Road. This lot is held in common ownership with the primary house lot located at 25 Winter lsland Road. Both parcels have historically been held together with one deed. The subject lot is currently vacant and surfaced with crushed stone and miscellaneous vegetation. Beyond the southern property line,there is a chain link fence. Further beyond,there is a small embankment and a Bordering Vegetated Wetland(BVW)as shown on Sheet GL The BVW is depicted based on information obtained from the City of Salem Geographic Information System(GIS). PROJECT DESCRIPTION The project proposes to construct an approximately 573 square-foot(s�accessory garage/shed structure as shown on drawing G I. The structure will provide garage and shed functions and will be constructed with a concrete foundation and wood frame with a concrete slab-on-grade. The structure will be located within approximately 1 foot of the rear(southern) Iot line. The required dimensional zoning relief was provided in a decision from the City of Salem Board of Appeals on February 4,2015. P.O. lins Ii93 • Ne�cLui'Y�nrt. MA OIJvO p;Y..91o.gIYO Salem Conservation Commission City Hall Annex Utility services may include electriciry, water,sewer and gas. A sedimentation bazrier will be installed and maintained at the toe of the embankment on the Plummer Home for Boys(Plummer)property as shown on Sheet C-l. The contractor will install the barrier prior to starting construction and maintain it until construction is complete and the site is stabilized. A letter of consent from Plummer allowing access and permitting this work on their property is enclosed as Attachment C. ACTIVITIES SUBJECT TO REGULATION Resource areas at the site are limited to Land Subject to Coastal Storm Flowage(LSCSF). Other areas subject to regulation include the Buffer Zone to BV W. Land Subject to Coastal Storm Flowaee FEMA flood insurance rate map(FIRM)Map Number 25009C0436G effective July 16, 2014 shows the site being part of an AE14 flood zone. Since this flood zone is contiguous with Salem Harbor it is interpreted[o be LCSF. There are no performance standards for work within LSCSF under the Massachusetts Wetlands Protection Act. Buffer Zone to BV W The entire project site is presumed to be located within the buffer zone to a BV W located on the Plummer property to the south. The BV W has not been delineated and is shown on C-3 based on information obtained from the City of Salem GIS. Visual observations confirm that there appears to be a BV W beyond the toe of the embankment south of the chain link fence. The subject site itself and proposed area of work are clearly located beyond any BV W resource area as the site is located at the top of the embankment and occupied with crushed stone. However,the associated buffer zone is presumed to e#end across the entire parcel. We look forward to meeting with the Conservation Commission on June 1 l,2015 to discuss the project in greater detaiL Should you have any immediate comments or concems,please contact me at(508)284- 4800. Sincerely, OAK CONSULTING GROUP, LLC � Paul F. Avery P.E. President OCG Project 12046 Page 2 May 18,2015 ATTACHMENT A WPA Form 3—Notice of Intent and NO[ Fee Transmittal Form Notice of Intent 24 Winter Island Road Salem, Massachusetts Oak Consulting Group,LLC Project 12046 Massachusetts Department of Environmental Protection ProvidedbyMassDEP� � Bureau of Resource Protection - Wetlands ��' " � �" MassDEP File Number ' WPA Form 3 - Notice of Intent � � � � �� Document Transaction Number Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Salem ciry/Town '"'P°`�"`: A. General Information When flling out forms on the compuier,�se �. Project Location (Note: electronic filers will click on button to locate project site): only the tab key to move your z4 Winter Island Road Salem 01970 cursor-do not a.Street Adtlress b.CitylTown c.Zip Code use the reWrn key. Latitude and Longitude: 42 deq 31' -51"N 70 deg 52'OS" � d.Latitude e.Longitude m 44 32 � f.Assessors MaP/Plat Number g.Parcel/Lot Number „�,,,,, 2. Applicant: Douglas and Jean Karam a.First Name b.Last Name Note: Before c.Organization completing this 25 Winter Island Road fortn consult your local tl.Street Address Conservation Salem MA 01970 Commission e.City/Town t.State g.Zip Code regarding any municipal bylaw 978 741-2179 karamfour@gmail.com or ordinance. h. Phone Number i.Fax Number j.Email Atltlress 3. Property owner(required if different from applicant): ❑ Check if more than one owner a. FirslName b. LastName c.Organization d.Street Address e.CitylTown f.State g.Zip Code h. Phone Number i.Fax Number j.Email address 4. Representative (if any): Paul Avery a.first Name b.Last Name Oak Consulting Group, LLC c.Company P.O. Box 1123 d.Street Address Newburyport MA 01950 e.City/Town f.State g.Zip Code 978.312.3120 pavery.ocg@gmail.com h.Phone Number i. Fax Number j.Email address 5. Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form): $110.00 $42.50 $67.50 a.Total Fee Paitl b.State Fee Paitl c.City/Town Fee Paid wpaform3.doc•rev. 1/3/2013 Page 1 of 8 Massachusetts Department of Environmental Protection Provided by MasaDEP.� � Bureau of Resource Protection -Wetlands MassDEP File Number „� � ' WPA FOr'm 3 - Notice of Intent h �Document Transaction Number'�' Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Salem ciry/7own A. General Information (continued) 6. General Project Description: Construct+/-573 sf accessory structure on single family home land. 7a. Project Type Checklist: 1. � Single Family Home 2. ❑ Residential Subdivision 3. ❑ Limited Project Driveway Crossing 4. ❑ Commercial/Industrial 5. ❑ Dock/Pier 6. ❑ Utilities 7. ❑ Coastal Engineering Structure 8. ❑ Agriculture (e.g., cranberries, forestry) 9. ❑ Transportation 10. ❑ Other 7b. Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 1024 (coastal)or 310 CMR 10.53(inland)? t. ❑ Yes � No If yes, describe which limited project applies to this project: 2.Limited Project 8. Property recorded at the Registry of Deeds for: Essex a. County b.Certificate#(if registeretl lantl) 23597 239 c.Book d. Page Number B. Buffer Zone & Resource Area Impacts (temporary & permanent) 1. � Buffer Zone Only—Check if the project is located only in the Buffer Zone of a Bordering Vegetated Wetland, Inland Bank, or Coastal Resource Area. 2. ❑ Inland Resource Areas (see 310 CMR 10.54-10.58; if not applicable, go to Section B.3, Coastal Resource Areas). Check all that apply below. Attach narrative and any suppoRing documentation describing how the project will meet all performance standards for each of the resource areas altered, including standards requiring consideration of alternative project design or location. Resource Area Size of Pr000sed Alteration Pr000sed Reolacement(if anv) For all projects affecting other ResourceAreas, a. ❑ Bank 1.linearfeet 2.linearfeet piease anacn a b. ❑ Bordering Vegetated narrative explaining how �Netland 1.square feet 2,square feet the resource area was c. ❑ Land Under �.square feet 2.square feet deiineaced. Waterbodies and Waterways 3.cubic yards tlredgetl wpaform3.doc•rev. 1/3/2013 Page 2 of 8 Pr-___�_ _ _ ov�ded b 'MassDEP: Massachusetts De artment of Environmental Protection Y P • � � Bureau of Resource Protection -Wetlands 3 �� MassDEP File Number � � � WPA FOr'n1 3 - Notice of Intent � � �� Document Transaction Numberj Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 saiem ciry�rown B. Buffer Zone & Resource Area ImpaCts (temporary & permanent) (conYd) Resource Area Size of Pr000sed Alteration Pr000sed Reolacement(if anvl d. ❑ Bordering Land SubjeCt to FloOding 1.square feet 2.square feet 3.cubic feel of Flood storage lost 4.cubic feet replaced e. ❑ Isolated Land Subject to Flooding 7.square feet 2.cubic feet of flood storage lost 3.cubic feet replaced f. ❑ Riverfront Area �, Name of Waterway(if available) z. Width of RiverFront Area (check one): ❑ 25 ft. - Designated Densely Developed Areas only ❑ 100 ft. - New agricultural projects only ❑ 200 ft. -All other projects 3. Total area of Riverfront Area on the site of the proposed project: square feet a. Proposed alteration of the Riverfront Area: a.total square feet b.square feet within 100 ft. c.square feet between 100 ft.and 200 ft. s. Has an alternatives analysis been done and is it attached to this NOI? ❑ Yes❑ No s. Was the lot where the activity is proposed created prior to August 1, 1996? ❑ Yes❑ No 3. � Coastal Resource Areas: (See 310 CMR 10.25-10.35) Check all that apply below. Attach narrative and supporting documentation describing how the project will meet all performance standards for each of the resource areas altered, including standards requiring consideration of alternative project design or location. Online Users: Inclutle your Resource Area Size of Pr000sed Alteration Proposed Reolacement(if anv) document transaction a. ❑ Designated Port Areas Indicate size under Land Under the Ocean, below number (provitled on your receipl page) b. ❑ Land Under the Ocean �,square feet with all � supplementary information you 2.cubic yartls tlredged submit to the oepartment. c. ❑ Barrier Beach Indicate size under Coastal Beaches and/or Coastal Dunes below d. ❑ Coastal Beaches �.square feet 2.cubic yards beach nourishment e. ❑ Coastal Dunes �,square feet 2.cubic yartls dune nourishment wpaform3.doc•rev. 1/3/2013 Page 3 of 8 � Massachusetts Department of Environmental Protection Provided by MassDEP: t; * c -a� .�.� .w, �e"u Bureau of Resource Protection - Wetlands �� "' � � MassDEP File Number WPA Form 3 - Notice of Intent i�= � � Massachusetts Wetlands Protection Act M.G.L. c. 131, §4O Y' DocumentTransactionNumber Salem ciry/rown B. Buffer Zone & Resource Area ImpaCts (temporary & permanent) (conYd) Size of Pro�osed Alteration Proposed Reqlacement (if anv) f. ❑ Coastal Banks 1,linearfeet g. ❑ Rocky Intertidal Sho�eS i.squareteet h.❑ Salt M8fSh8S 1,square feet 2.sq ft restoration,rehab.,creation i. ❑ Land Under Salt Ponds i.square feet 2.cubic yards tlretlged �. ❑ Land Containing Shellfish 7.square feet k. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above 1.cubic yartls tlredged i. � Land Subject to +/-1,400 Coastal Stortn Flowage i.square feet 4. ❑ Restoration/Enhancement If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section 62.b or 6.3.h above, please enter the additional amount here. a.square feet of BWJ b.square feet of Salt Marsh 5. ❑ Project Involves Stream Crossings a. number of new slream crossings b.number of replacement stream crossings C. Other Applicable Standards and Requirements Streamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review 1. Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recent Estimated Habitat Map of State-Listed Rare Wetland Wildlife published by the Natural Heritage and Endangered Species Program (NHESP)?To view habitat maps, see the Massachusetts Natural Heritage Atlas or go to http://www.mass.aov/dfwele/dfw/nheso/requlatorV review/prioritv habitat/online viewer htm. a. ❑ Yes � No If yes, include proof of mailing or hand delivery of NOI to: Natural Heritage and Endangered Species Program Division of Fisheries and Wildlife 2008 100 Hartwell Street,Suite 230 b. Date of map West Boylston,MA 01583 wpaform3.doc•rev. 1/3/2013 Pa9e 4 of S I Massachusetts Department of Environmental Protection ��ovided by MassDEP ,�Y � � Bureau of Resource Protection -Wetlands MassDEP File Number I ' WPA Form 3 - Notice of intent �� Document Transachon Number� Massachusetts Wetlands Protection Act M.G.L. c. 131, �40 Salem Ciry/rown C. Other Applicable Standards and Requirements (cont�d) If yes, the project is also subject to Massachusetts Endangered Species Act(MESA) review(321 CMR 10.18). To qualify for a streamlined, 30-day, MESA/Wetlands Protection Act review, please complete Section C.1.C, and include requested materials with this Notice of Intent(NOI); OR complete Section C.1.d, if applicable. If MESA supplemental infoimation is not included with the NOI, by completing Section 1 of this form, the NHESP will require a separate MESA filing which may take up to 90 days to review(unless noted exceptions in Section 2 apply, see below). 1. c. Submit Supplemental Information for Endangered Species Review` 1. ❑ Percentage/acreage of property to be altered: (a)within wetland Resource Area percenta9eiacreage (b)outside Resource Area percentage/acreage z. ❑ Assessor's Map or right-of-way plan of site s. ❑ Project plans for entire project site, including wetland resource areas and areas outside of wetlands jurisdiction, showing existing and proposed conditions, existing and proposed tree/vegetation clearing line, and clearly demarcated limits of work**" (a)❑ Project description (including description of impacts outside of wetland resource area & buffer zone) �b> ❑ Photographs representative of the site (c)❑ MESA filing fee (fee information available at: �://www.mass.c7ov/dTwele/dfw/nheso/requlatory review/mesa/mesa fee schedule htm). Make check payable to"Commonwealth of Massachusetts-NHESP" and mail to NHESP at above address Projects altering 10 or more acres of land, a/so submit: (d)❑ Vegetation cover type map of site �e>❑ Project plans showing Priority& Estimated Habitat boundaries d. OR Check One of the Following t ❑ Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14, http://www.mass.qov/dfwele/dfwlnheso/requlatory review/mesalmesa exemotions.htm; the NOI must still be sent to NHESP if the project is within estimated habitat pursuant to 310 CMR 10.37 and 10.59.) 2. ❑ Separate MESA review ongoing. a.NHESP Tracking# b. Date submittetl to NHESP � Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review(see http://www.mass.aov/diwele/dfw/nheso/nhesp.htm, regulatory review tab). Priority Habitat includes habitat for state-listed plants and strictly upland species not protected by the Wetlands Protection Act. " MESA projects may not be segmented(321 CMR 10.16). The applicant must disclose full development plans even if such plans are not required as part of the Notice of Intent process. wpaform3.doc•rev. 1/3/2013 Page 5 of 8 Massachusetts Department of Environmental Protection P�o��aea ny Ma�oea:J, ,y�. ,t; Bureau of Resource Protection -Wetlands _,� � MassDEP File Number �s ' WPA Form 3 - Notice of Intent ` Massachusetts Wetlands Protection Act M.G.L. c. 131, §4O DocumentTransactionNumber' Salem City/Town C. Other Applicable Standards and Requirements (cont�d) s.❑ Separate MESA review completed. Include copy of NHESP"no Take" determination or valid Conservation 8 Management Permit with approved plan. 2. For coastal projects only, is any portion of the proposed project located below the mean high water line or in a fish run? a. ❑ Not applicable—project is in inland resource area only b.❑ Yes � No If yes, include proof of mailing or hand delivery of NOI to either: South Shore-Cohasset to Rhode North Shore-Hull to New Hampshire: Island, and the Cape&Islands: Division of Marine Fisheries- Division of Marine Fisheries- Southeast Marine Fisheries Station North Shore Office Attn: Environmental Reviewer Attn: Environmental Reviewer 1213 Purchase Street-3rd Floor 30 Emerson Avenue New Bedford, MA 02740-6694 Gloucester, MA 01930 Also if yes, the project may require a Chapter 91 license. For coastal towns in the Northeast Region, please contact MassDEP's Boston Office. For coastal towns in the Southeast Region, please contact MassDEP's Southeast Regional Office. 3. Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)? oniine users: a. ❑ Yes � No If yes, provide name of ACEC (see instructions to WPA Form 3 or MassDEP incwde your Website for ACEC locations). Note: electronic filers click on Website. document transaction 6.ACEC number (proviaea on your 4. Is any portion of the proposed project within an area designated as an Outstanding Resource Water receipt page) (ORW)as designated in the Massachusetts Surface Water Quality Standards, 314 CMR 4.00? with all supplementary a. ❑ Y8S � NO information you submit�o the 5. Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands oepartment. Restriction Act(M.G.L. c. 131, §40A) or the Coastal Wetlands Restriction Act(M.G.L. c. 130, § 105)? a. ❑ Yes � No 6. Is this project subject to provisions of the MassDEP Stormwater Management Standards? a. ❑ Yes. Attach a copy of the Stormwater Report as required by the Stormwater Management Standards per 310 CMR 10.05(6)(k)-(q) and check if: �.❑ Applying for Low Impact Development (LID) site design credits(as described in Stormwater Management Handbook Vol. 2, Chapter 3) z.❑ A portion of the site constitutes redevelopment s. ❑ Proprietary BMPs are included in the Stormwater Management System. b.� No. Check why the project is exempt: i.� Single-family house wpaform3.doc•rev. 1I3I2013 Page 6 of 8 Massachusetts Department of Environmental Protection Provitletl by MassDEP.�F� � Bureau of Resource Protection - Wetlands � � �~� �� '� � ` , MassDEP File Number , � ' WPA FOrm 3 - Notice of Intent ` + � Document Trensaction Numbe, Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Saiem City/Town C. Other Applicable Standards and Requirements (cont'd) z.❑ Emergency road repair s.❑ Small Residential Subdivision (less than or equal to 4 single-family houses or less than or equal to 4 units in multi-family housing project)with no discharge to Critical Areas. D. Additional Information Applicants must include the following with this Notice of Intent(NOI). See instructions for details. Online Users:Attach the document transaction number(provided on your receipt page)for any of the following information you submit to the Department. i. � USGS or other map of the area(along with a narrative description, if necessary) containing sufficient information for the Conservation Commission and the Department to locate the site. (Electronic filers may omit this item.) z. � Plans identifying the location of proposed activities(including activities proposed to serve as a Bordering Vegetated Wetland [BVW] replication area or other mitigating measure) relative to the boundaries of each affected resource area. a. ❑ Identify the method for BVW and other resource area boundary delineations (MassDEP BVW Field Data Form(s), Determination of Applicability, Order of Resource Area Delineation, etc.), and attach documentation of the methodology. a. � List the titles and dates for all plans and other materials submitted with this NOI. C-1 Site Plan a.Plan Title Oak Consulting Group, LLC Paul F.Avery, P.E. b. Prepared By c.Signetl and Stamped by May 15, 2015 As Noted d.Final Revision Date e.Scale f.Additional Plan or pocument Title g. Date a. ❑ If there is more than one property owner, please attach a list of these property owners not listed on this form. s.❑ Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. �. ❑ Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. a. � Attach NOI Wetland Fee Transmittal Form s. ❑ Attach Stormwater Report, if needed. wpaform3.doc•rev. 1/3/2013 Page 7 of 8 - Massachusetts Department of Environmental Protection Provided by MassDEP: - r Bureau of Resource Protection -Wetlands � MassDEP File Number "- / "� � WPA FOrm 3 — Notice of Intent - � ' \ Document�Transaclion Number Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Salem city�rown E. Fees �. ❑ Fee Exempt: No filing fee shall be assessed for projects of any city, town, county, or district of the Commonwealth, federally recognized Indian tribe housing authority, municipal housing authority, or the Massachusetts Bay Transportation Authority. Applicants must submit the following information (in addition to pages 1 and 2 of the NOI Wetland Fee Transmittal Form)to confirm fee payment: 5�'7U S �9 �iS 2. Municip Checrk 7Number 3.Check date � / � S' �� ' �.S 4.State Check Number 5.Check tlale �2Q.r� !'fC�f'�1 6. Payor name on check:First Name 7.Payor name on check: Last Name F. Signatures and Submittal Requirements I hereby certify under the 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. I understand that the Conservation Commission will place notification of this Notice in a local newspaper at the expense of the applicant in accordance with the wetlands regulations, 310 CMR 10.05(5)(a). I further certify under penalties of peryury that all abutters were notified of this application, pursuant to the requirements of M.G.L. c. 131, §40. Notice must be made by Certificate of Mailing or in writing by hand delivery or certified mail(return receipt requested) to all abutters within 100 feet of the property line of the project location. /�^ �/�//J� 1.Signature of A licant � 2.Date 3.Signalure of Property Ovmer(if different) 4. Date � 5.Signature of Representative(if any) 6. Date For Conservation Commission: Two copies of the completed Notice of Intent(Form 3), including supporting plans and documents, two copies of the NOI Wetland Fee Transmittal Form, and the city/town fee payment, to the Conservation Commission by certified mail or hand delivery. For MassDEP: One copy of the completed Notice of Intent(Form 3), including supporting plans and documents, one copy of the NOI Wetland Fee Transmittal Form, and a copy of the state fee payment to the MassDEP Regional Office(see Instructions) by certified mail or hand delivery. Other: If the applicant has checked the"yes" box in any part of Section C, Item 3, above, refer to that section and the Instructions for additional submittal requirements. The original and copies must be sent simultaneously. Failure by the applicant to send copies in a timely manner may result in dismissal of the Notice of Intent. wpaform3.doc•rev. 1/3/2013 Page 8 of S � Massachusetts Department of Environmental Protection � Bureau of Resource Protection -Wetlands ' NOI Wetland Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 � Important:When A. Applicant Information filling out fortns on me computer, �. Location of Project: use only the tab key to move your 24 Winter Island Road Salem cursor-do not a.Sireet Address b.City/Town use lhe return key. '1�11 c.Check number d.Fee amount `� 2. Applicant Mailing Address: Douglas and Jean Karam � a. First Name b.Last Name c.Organization 25 Winter Island Road d.Mailing Address Salem MA 01970 e.City/7own f.Stale g.Zip Code 978 741-2179 karamfour@gmail.com h.Phone Number i. Fax Number j.Email Address 3. Property Owner(if different): � a. First Name b.Last Name c.Organization � d. Mailing Address � e.City/Town f.State g.Zip Cotle h. Phone Number i.Fax Number j.Email Atldress To calculate B. Fees , flin fees refer 9 , to tne category Fee should be calculated usin the followin rocess 8 worksheet. Please see Insfructions before fee iist and 9 9 P examples in the filling out woiksheet. instructions for flling out WPA Step 1/Type of Activity: Describe each type of activity that will occur in wetland resource area and buffer zone. Form 3(Notice of Intent). Step 2/Number of Activities: Identify the number of each type of activity. Step 311ndividual Activity Fee:Identify each activity fee from the six project categories listed in the instructions. Step 4/Subtotal Activity Fee: Multiply the number of activities(identifed in Step 2)times the fee per category (identifed in Step 3)to reach a subtotal fee amount. Note: If any of these activities are in a Riverfront Area in addition to another Resource Area or the Buffer Zone,the fee per activity should be multiplied by 1.5 and then added to the subtotal amount. Step 5/Tota1 Project Fee: Determine the total project fee by adding the subtotal amounts from Step 4. ' Step 6/Fee Payments:To calculate the state share of the fee, divide the total fee in half and subtract$12.50. To � calculate the city/town share of the fee,divide the total fee in half and add$12.50. noifeeKtloc•Wetlantl Fee Trensmittal Farm•ray.10/17/i t Page 1 af 2 � Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands ' NOI Wetland Fee Transmittal Form �1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Fees (continued) Step 1/Type of Activity Step 2lNumber Step Step 41Subtotal Activity of Activities 3/Individual Fee Activity Fee Category 1: Work on single-family 1 $110 $110 lot; addition, pool, etc. Step 5/Total Project Fee: $110 Step 6/Fee Payments: Total Project Fee: $�� a.Total Fee trom Step 5 State share of filing Fee: �2.50 b. 1/2 Total Fee less$12.50 City/Town share of filling Fee: $67.50 c.1/2 Total Fee plus$12.50 C. Submittal Requirements a.) Complete pages 1 and 2 and send with a check or money order for the state share of the fee, payable to the Commonwealth of Massachusetts. Department of Environmental Protection Box 4062 Boston, MA 02211 b.) To the Conservation Commission: Send the Notice of Intent or Abbreviated Notice of Intent; a copy of this form; and the city/town fee payment. To MassDEP Regional Office(see Instructions): Send a copy of the Notice of Intent or Abbreviated Notice of Intent; a copy of this form; and a copy of the state fee payment. (E-filers of Notices of Intent may submit these electronically.) naifeetf Ooc•WeUanG Fee Transmltlal Foim•rev.101171i i Page 2 of 2 ATTACHMENT B Site Location Map and Drawing Sheet C-1 Notice of Intent 24 Winter Island Road Salem, Massachusetts Oak Consulting Group,LLC Project 12046 1 ✓,q�'9qsT� N� �hJ � O O � �, 1 � � B�S�N��. p� y a � �O ` � 'III � \ \�!.-Z+ � � � m ��1I'� �V.C� 127 U� Central �' /� a z ~� Cem I O �� v; �PatCh ( � 3 -+ l O �Endicott � g2 � . Beach�„ \ Comm`un t' ' � � ^ ' �� m[Y, ' �,�e IV1� eoa�R sr�. ; �r.Be erl y_�� College � '. ". � �� ^+:��•��n ` OU2 � ; � �. "i '"".•' BE �M6ckereP osp�tal'Pqint''� ' ''"'"'' Curtis Black ock iv ' � � : ;, - � ',Cque; ��1��1�} Poini °"''"� ,. Hospita�l �Hospital Poi t Range ,� �,•.�.- �:'.Roint ,. :a:%L'ight � L•ig�i��ouse � � r' Dane Street Beach Woodbury Beuerly Channel Point orter Rock Monument Bar Haste Shoal Rams Horn Old Hospit I ' Rock Point � �-' �. Hospital Poi�nt �rt-� er�Beac �'��` Litt/e H Iste �Salem ;'; • G��:� � ��G�v+,;7uliperPoint GreatHastelsland; Haste �� . ��O ,,. Juniper Site o � �' p `Goue"�" '`; ' Salem � Abboi Rock �Neck '�'''�� ; �� " Middle Grou d � _' ,Wiriter Island - o - :'�; � °'� Little � ' ' eat--:�, � o = z�= � Aquavitae Couer So�h�Channel A9uavita;e"' Triangle ,., �,,...,, Sto e Rock Rocks Halftide Salem Caswell Rock Rock Endeavors Harbor F_nde.avnr.s Qute.r, IN/l.v_�..�J_�J�.... OCG SITE LOCATION MAP � 25 Winter Island Road Oak Consid[ing Croup ��>��r,��.9 Salem, MA NewburyparqMA u��ao �h-,oa°d�•a� Figure 1 �_ N 24VNNTERISL4ND ROAD SALEM,MASSACHUSETTS ` xr noAuarc v:�o� W\ � �_ _ . uwu � � . 5 ��' �' " _ _ — ..o..r: N�' W 1 � � s \g _'� W�,\ � 5- 5--5 - DOUGUSJ.ANDJEANO.KAWIM 5 ___5 � G 5-f-_5 0� S �`5-- 5 `—W--`W W—W—WI_._q— W— �-,� �iy � � nu ulo uun*�w uia 25lMNTER ISIAND ROAD ```, �N� �° �N��o�� SALEM,MASSACHUSETTS �\��iWNEC➢MS iflRS Q gyppp� Ctl \ V��p---�_GO�- ---_� I� �. -G--'_G---'p� " --_.,Z �is�O•�o��4�ce' - �et'a�- � i=--� D __ i'� as, � f � �� LEGEND ^I � ��R�� u�mau ro� A f i r + 10. o[mmnm -6--- IXISIING COMOUR � �� ,�I �yy I j *B,ls IXISTNC SPOT GPPDE ' E I p^yIP � I f l.TH � GfAMXS OOIAFNCOY 1�II'' ID�i WJS ry� j e — I'+ . II I LOf W39 —.. PROPEftII' LINE 4•j��- o � l u.v« ��P k . � �un� � ae= p �n8� � � � — nvaeoxiun� cnceorwe�urvo �ul _ �.esa rr.,as I I o-- oRniry urvE � ! 1y � I � ifl1B ��oro"EB�s I�„I IIIIIIII�I�III — 5 SEWER LINE . � ' � �� I N pPp1ECI WYN / g \ B � __ __ NIfF i ....� \� . . '-1\.ti� i�`/ _�y_ WAtER LINE � E' I � � � B� � . _ � 319M' _ _ -G- G0.5 L1NE � If.. ` � � q _ � � /� � . - � � �� S960B'60'F II i . _ O OFNN M4NXOLE � uvnom�amcEar •s.aa -:�� xia tva .�. � ' ��uxo i.s m*uran mw � � • � , � • , •� ¢� � ' n�c ' ' — • • � OS SEWER MANHOLE .._...__ qlY Ci SNF1I 45� m¢5 � y WA.VL MD Y4NiMH PROPOSE� SFDIMENTAIICN 9ARRIER M/f �wYpIT/.TpI9NRpi � ' ' � PWMMER FIRY SCMAL p qxsmurnm - pROPOSED WAIER LINE MW N -�—�—� IDi 00]B -n—n—n- PROPOSED SEWER pNf —w—w— PROPOSED GAS 11NE SITE PLAN NORTH ELEVATION ,•_,o• ,i.._,. {v'"°`w°,,c GENERAL NOTES � . I. IXISTNG GONOI110N5 &Sm ON PLdT PI.W OF Wi0 PREPAREO BY NOFM SHORE SURJEY CORPOMTON WlEO �� STN¢ON JANUPRY 10, ]013. TOPOCMPNIC WTR 09�NNm BY FlELD SUPYEI'PERf'ORMm BY OGT SVFVEY. INC ON 1MY], tC ux[A� 3015. um�eM1vx OuIE ZOIIXNE.N.VIEA 9F! 9AONC l lT/T 2. EIEVATI0N5 PRE B/SED ON N4TONAL GEOOcTC VQRICAL OANM OF 19T9 (N4YD29) ��µ y�� ef�n ro a[mmi[ci[o }, SRE IS LOGIED N11HIN IAND SUBJECf TO CO0.STAL S�ORM FLOWACE &SED ON ZONE AE 1�(IUVD98)AS w��W� MPPPm ON FpIA ROW INSUMNCE RRIE WW (FlRMJ MPP NUNBEA 25009C04]fiG EGFECINE JULY 16. ]014. � � 4. UNOQiCROUN� UP1I116 NAVE NOT BEEN SURVEtID. LOCAPONS SHOWN ON 1H15 PUN AHE CPPROXIMATE 90.5m O /� /� c � ON LOCAiION OF SUFVEYm SUFFRCE FFANRES MID INFORMATON aHfNNE➢ FROM TIE CIIY OF 54£M GIS. / '/ ' �K'w� p ��P�� BEFIXtE IXGVATING, BACKFlWNC, GRPDING OR OTHER CONSIRUC110N, ALL UI�IIIY COMPrWIES MIIS�BE NOIIFlFD \ l T g�� INCLUOINC T105E IN CONIHOL OF UIILf11E5 NOT SHOWN ON 1HI5 PVN. 1HE CONIHACfOR SMNJ.GLLL bIG 51fE' \/ V NT 1-988-JK-)2J3. NQIHER RIE OWNQt NOR lHE THE ENGINEEF ASSUNE 0.ESPoNSIBIIPY FOR DAN4GE5 2'%T.�H y7�E INCU0.FED AS N F6ULT OF llIRl116 UMIREO OF INACCUMTELY SHOWN. �ak(;Otlsu�hn�(�i�UUP �q�qpq g�ry�q 5. SIZE IN� CONVICUMTON OF WAIER PNO SENQi SERJICES TO BE OEIERMINm DUPoNC CONSrtiUGTION NID SHWL �o.so:nxs 9� � (�y-�g�1yp�cW ��_�. BE COOPOINAiED WfIH 1HE CRY OF SOlEM. El£CfRIC ANO Gl5 SRMCES SH4LL BE COOFDINATEp M�H THE pn,wese+soo�� MII1Y COMPANIES. /3�A LO�PROlFC1E� xaa urzA 8. 1HE COMMCTOR SNN1 NOIIFY iNE ENGINEQt OF MT DISCREPANQES BEIWEQi 1HE PIANS OND FlEID CONDITONS ENCOUNIERED OURINC CONSrtVUGTION. SITE PLAN TO �� l. MOOIiIGTIONS TO TME MPftOVE� PIFN WILL REOUIRE MPRQJPL FROM me su.w wnscrrvnnoH cau�eission. ACCOMPANY � NOTICE OF INTENT SAYFNi�[OIYYlIT01 1. NL YAIFAK RI YFEi fIL116A�:.WEOFlCATRIS m� 2 R1S1�1'ICCO@OSf/SW/lip}t/4tDfILLlON2T.VHIGTpl1EW4WLFN3 �. u�w e.ax axorzrnw m a'mrsna•(e��q wxxwuwrW on's�nu axw'(er ras � wvaauv1.0 snnas)aa eww i s�rzmn sxu�ee wswm wacr'ac�vn m ra a�u10 rm uuar�c�uwn's mmuuoio�nas v wsm m a eusmn um mwm.wmvnn s rw i.rs i/a nui rc vnomir. a w�m srz rs suau�.arws u�man m ff ummsn w sa�s x�mnran er a wmEcr wsnr u�m,ui aws.u�ehxrs.irtnun um uwrt�u�s xcouiun. war¢w. ' a. wn,ui w�r vxortrna euava a ru Evrnxc um mao.v�n uia a.�vis wmx uw wm�r.mr oovx srau1 ar�xv ff xvac No. Revlaion/Issu OaG or��r,: a�r ar INLET PROTECTION BARRIER SEDIMENTATION BARRIER °F" 5PM �� NOT TO SCALE NOT TO SCRLE p�p ^eM 14046 MAY 15. 2015 � C-1 ATTACHMENT C Consent Letter from Plummer Home for Boys Notice of Intent 24 Winter Island Road Salem, Massachusetts Oak Consulting Group, LLC Project 12046 . '� "� tr I'� The ' �' Piurr� rner Home for Boys May 19, 2015 Douglass and Jean Karam 25 Winter Island Road Salem, MA 01970 Mr. and Mrs. Karam- The Plummer Home permits the use of Plummer Home Property(37 Winter Island Road) for a silt fence 'I as it is required by the City of Salem for the construction of the proposed garage. I would be happy to answer any other questions you may have. I can be reached at 978.744.1099 extension 113 or jlister[wplummerhome.org Reg r J Lister Ex cutive Director Nurtur6rsg Adolescents�� Building Community�.� Transforming Lives 37 Winter Island Road � Salem, MA 01970 � (978) 744 1099 I Fax (978) 744-9772 � PlummerHome.org ATTACHMENT D Abutter Notification Documentation Notice of Intent 24 Winter Island Road Salem,Massachusetts Oak Consulting Group, LLC Project 12046 Affidavit of Service Under The Massachusetts Wetlands Protection Act I, Douglas Karam hereby certify under the pains and penalties of perjury that on � /S , 1 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 Inte t filed under the Massachusetts Wetland Protection Act by Douglas and Jean Karem on�for property located at 24 Winter Island Road in Salem, Massachusetts. j The form of notification, and a list of the abutters to whom it was given and their addresses are II attached to this Affidavit of Service. ! Signature: � DATE: y/ /S II Notification to Abutters Under The Massachusetts Wetland Protection Act In accordance with the second paragraph of Massachusetts General Laws Chapter 131,Section 40,you are hereby notified of the following: 1. The name of the applicant is: Douglas and Jean Karam. 2. The applicant has filed a Notice of Intent(N01)with the Salem Conservation Commission for the proposed construction of an accessory building 24 Winter Island Road in Salem, Massachusetts. ' Activities are proposed within Land Subject to Coastal Storm Flowage and the buffer zone to a Bordering Vegetated Wetland and are subject to review by the Salem Conservation Commission under the Massachusetts Wetland Protection Act. 3. The address of the lot(s)where activities are proposed is 24 Winter Island Road,Salem, Massachusetts. 4. Copies of the N01 and site plans may be examined or obtained for a fee from either the: • Salem Conservation Commission,93 Washington Street, Salem, MA 01970,(978)619- 5685 between the hours of 8:00 a.m. and 4:00 p.m. Monday through Wednesday, Thursday 8:00 a.m.to 7:00 p.m. and Friday 8:00 a.m.to 12:00 p.m. Please call the Conservation Commission beforehand to verify arrangements; or • (Copies)from Oak Consulting Group, LLC, P.O. Box 1123, Newburyport, MA 01950, (978) 312-3120. 5. Information regarding the date,time and place of the public hearing may be obtained from the Salem Conservation Commission by calling(978)619-5685 between the hours of 8:00 a.m. and 4:00 p.m. Monday through Wednesday,Thursday 8:00 a.m.to 7:00 p.m.and Friday 8:00 a.m.to 12:00 p.m. A public hearing is tentatively scheduled for June 11,2015 at 6 pm. Please call the Conservation Commission to confirm the hearing date,time, and location. 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 News. NOTE: Notice of the public hearing, including its date,time and place,will be posted in City Hall at least forty-eight (48) hours in advance. NOTE: You also may contact the Conservation Commission or the Northeast Regional Department of Environmental Protection for more information about this application or the Wetlands Protection Act. To contact the Northeast Regional Department of Environmental Protection Office, call (978) 694-3200. _ � � , .. � s, 0 � � � � � � , �