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64-94 64-95 - 15 Linden Avenue, 17 Linden Avenue - CONSERVATION COMMISSION 4 RECEIPT FOR CERTIFIED MAIL-30� (plus postage) SENT TO POSTMARK Mr. Albert A. Tremblay OR DATE STREET AND NO. C� 31 Wilson Street CCd P.O., STATE AAD ZIP CODE S alem, MA. 01970 OPTIONAL SERVICES FOR ADDITIONAL FEES �a RETURN t. Snows to whom and date delivered ...........: 150 RECEIPT With delivery to addressee only...'.'.'.-.'.'.'.. 65! 2. Shows to whom,date and where delivered.. 350 SERVICES With delivery to addressee only............85! DELIVER TO ADDRESSEE ONLY ..............:....................................... SO!SPECIAL DELIVERY (eztro fee required) ................................... z PS form 3800 NO INSURANCE COVERAGE PROVIDED— (See other aide) Apr. 1971 NOT FOR INTERNATIONAL MAIL A CPO:fell 0-551-45C STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail),' CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED-OPTIONAL SERVICES.(see fron0 1. If you want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached,and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date. detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified-mail number and your name and address on a return receipt card, Form 3811, and attach it to the back of the article by means of the gummed ends. Endorse front of article RETURN RECEIPT REQUESTED. 4. if you want the article delivered only to the addressee, endorse it on the front DELIVER TO ADDRESSEE ONLY. Place the same endorsement in line 2 of the return receipt card if that service is requested. 5. Save this receipt and present it if you make inquiry. . . Form . . - DEOE File No. 64-94 tTo be provided by DEOE) i( Commonwealth ciyRo,.,,, Salem, MA. of Massachusetts Applicant Albert Tremblay - Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131, §40 Fro Salem Conservation Commission - Mr. Albert A. Tremblay - Paul E. Tremblay Construction To (Name of Applicant) (Name of property owner) Address 31 Wilson Street Address 31 wil-son Street Salem, MA. - Salem, MA. ' This Order is issued and delivered as follows: ❑ !by hand delivery to applicant or representative on (date) x® by certified mail,return receipt requested on August 2. 1983 (date) This project is located at IS i i ndan Ave*nrn Ga 1 am MA The property is recorded at the Registry of Essex South Boot_ 6865 Page 695 Certificate(if registered) The Notice of intent for this project was filed on -July 5, 1983 (date) The public hearing was closed on IT11 1., ?A ! GF-1 (date) Findings The Salem Conservation Commission has review ed the above-referenced Notice of Intent and plans and has held a public hearing on the project.Based on the information available to the sQW;Aj- 4Q;J at this time,the Comm iccinn has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): ❑ Public water supply ❑ Storm damage prevention ❑ Private water supply ❑ Prevention of pollution ❑ Ground water supply ❑ Land containing shellfish C d Flood control ❑ Fisheries 5-1 I Therefore,the Salem Conservation Commission hereby finds that the following conditions are necessary,in accordance with the Performance Standards set forth in the regulations,to protect those inter- ests checked above.The nterestscheckedabove.The Conservation Commission orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above.To the extent that the foi- lowing conditions modify or differ from the plans,specifications or other proposals submitted with the Notice of Intent,the conditions shall control. General Conditions 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory meas- ures,shall be deemed cause to revoke or modify this Order. 2. This 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 alt other applicable federal,state or local statutes,ordinances,by-laws 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 and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order maybe extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill,containing no trash,refuse,rubbish or de- tins,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. 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or,it such an appeal has been filed,until all proceedings before the Department have been completed. S. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of registered land,the Final Order shall also be noted on the Land Court.Certificate of Title of the owner of the land upon which the proposed work is to be done.The recording information shall be submitted to the Cons. commission on the form at the end of this Order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words,"Massachusetts Department of Environmental Quality Engineering, File Number 64-94 10.Where the Department of Environmental Quality Engineering is requested to make a determination and to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 11 Upon completion of the work described herein,the applicant shall forthwith request in writing that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 12.The work shall conform to the following plans and special conditions., 52 I _ Plans: Title Dated Signed ed and Stamp ed by: On File with: Plan of Proposed Single-Family P 4 ily Dwellings on s anTlTLinden - Avenue - - - July, 1983 A.F. Sharry, III, R.P.E. Conservation Commission Special Conditions(Use additional paper if necessary) �- r) a. All work shall conform to above-named plans b. Staked haybales shall be placed along the bank of the pond and maintained until permanent vegetative cover has established. c. As-built drawings stampled by a Registered Professional Engineer shall be submitted to the Conservation Commission prior to, the issuance of a Certificate of;Compliance. ...... ........................... .................................................•-- -..._..._ - (leave Space Blank) 5-3A SALEM - Issued By Conservation Commission Signature C This ldeY musicbe signed by a majority of the Conservation Commission. 'on h. .. day of July tg '83 before me per$MRIN appeared tome known to bathe person described in and who executed the foregoing Instrument and acknowledged that he/she executed the same his/herolfree7actd�deed. X�J ' 9-9-88 Notary Public /1 mycommission expires The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land upon which the proposed work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Ouality Engineering to Issue a Superseding Order,providing the request is made by certified mad or hand delivery to the Department within ten 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 the applicant. Detach on doffed line and submit to the prior tocommencementofvok. To 'Issuing Authority Please be advised that the Order of Conditions for the project at - - File Number has been recorded at the Registry of _ and has been noted in the chain of title of the affected property in accordance with General Condition 8 on It recorded land,the instrument number which identifies this transaction is . If registered land,the document number which identifies this transaction is �. Signature - APplw-, 5-4A l- RECEIPT FOR CERTIFIED MAIL-300 (plus postage) SENT TO POSTMARK Mr. Roger P. Boucher, OR DATE STREET AND NO. crd 15 Willow Avenue P.O., STATE AAD ZIP CODE d Salem PIA. 01970 OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN 1. Shows to wham and date delivered ...........: 150 RECEIPTWith delivery to addressee only............65t 2. Showa to whom,date and where delivered.. 354 SERVICES With delivery to addressee only:...........854 e DELIVER TO ADDRESSEE ONLY .................................I.................... out __— � SPECIAL DELIVERY (extra fee required)�•••... ......................... Z PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side) Apr. 1971 NOT FOR INTERNATIONAL MAIL aCPO:ta'/f 0-551-15Y STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail), CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED-OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article,leaving the receipt attached,and present the article at a post office service -window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date. detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified-mail number and your name and address on a return receipt card, Form 3811, and attach it to the back of the article by means of the gummed ends. Endorse front of article RETURN RECEIPT REQUESTED. 4. If you want the article delivered only to the addressee, endorse it on the front DELIVER TO ADDRESSEE ONLY. Place the same endorsement in line 2 of the return receipt card if that service is requested. ,5. Save this receipt and present it if�ou make inquiry. it cl Form 5 . . DEOEFileNo. '64-95 (Tobepgovidedby DECE) _ - Commonwealth Cryliown Salem of Massachusetts Roger P. Boucher applicant Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131, §40 From Salem Conservation Commission TO Mr- Roger P. Boucher - same (Name of Applicant) (Name of property owner) Address 15 Willow Avenue Address same Salem, MA. This Order is issued and delivered as follows: ❑ by hand delivery to,applicant or representative on (date) a by certified mail,return receipt requested on August 2. 1983 (date) CThis project is located at 17 Linden Avenue, Salem The property is recorded at the Registry of Essex South Book 7045 Page 089 Certificate(it registered) The Notice of Intent for this project was filed on 'July 5, 1983 (date) The public hearing was closed on July 28, 1983 (date) Findings The Salem Conservation Commission has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project.Based on the information available to the Conservation Commission at this time,the comm,ssi on has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): ❑ Public water supply ❑ Storm damage prevention ❑ Private water supply ❑ Prevention of pollution ❑ Groundwater supply ❑ Land containing shellfish C Flood control ❑ Fisheries 5-1 Therefore,the Salpm rongenration commias9on hereby finds that the following conditions are necessary,in accordance with the Performance Standards set forth in the regulations,to protect those inter- ests checked above.The Conservation Commission orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above.To the extent that the fol- lowing conditions modify or differ from the plans,specifications or other proposals submitted with the Notice of Intent,the conditions shall control. General Conditions 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory meas- ures,shall be deemed cause to revoke or modify this Order. 2. This 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,by-laws 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 and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill,containing no trash,refuse,rubbish or de- bris,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. 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or,if " such an appeal has been filed,until all proceedings before the Department have been completed. . 8. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which.the land is located,within the chain of title of the affected property.In the . case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of registered land,the Final Order shall also be noted on the land Court Certificate of Title of the owner of the land upon which the proposed work is to be done.The recording information shall be submitted to the Cons. Commission on the format the end of this Order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Quality Engineering, File Number 64-95 10.Where the Department of Environmental Quality Engineering is requested to make a determination and to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before the Department_ 11. Upon completion of the work described herein,the applicant shall forthwith request in writing that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 12.The work shall conform to the following plans and special conditions: 5-2 Plans: Title Dated Signed and Stamped by: On File with: Plan of Proposed Single-Family Dwel Ings on o s an�ITZinden Avenue - July, 1983 A.F. Sharry, III, R.P.E. Conservation Commission Special Conditions(Use additional paper if necessary) �f r a. All work shall conform to above-named plans b. Staked haybales shall be placed along the bank of the pond and maintained until permanent vegetative cover has established. c. As-built drawings stampled by a Registered Professional Engineer shall be submitted to the Conservation Commission prior to the issuance of a Certificate of Compliance. a . . .. ........................................... ..............................--_-_--.--..-.---_----___--_----' (leave Space Blank) C _ 5-3A SALEM Issued BConservation Commission y Signature This Ider mustlb§signed by a majority of the Conservation Commission. Onthra t �1?�$day of July 19 83 before me, perSgpPlh appeared to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same his/her free act rid deed. 9-9-88 Notary Public My commission expires - The applicant,the owner,any person aggrieved by this Order,any owner of land abutting the land upon which the proposed work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order,providing the request is madeby certified mail or hand delivery to _. the Department within ten days from the dale of issuance of this Order.Acopy of the request shall at the same time be sent by certified '- mail or hand delivery to the Conservation Commission and the applicant T. Detach on dotted line and submit to the - - - - prior to commencement of work_ To _. `Issuing Authority . Please be advised that the Order of Conditions for the project at File Number has been recorded at the Registry of _ Wd has been noted in the chain of title of the affected property in accordance with General Condition 8 on 19,.- It recorded land,the instrument number which identifies this transaction is _._. 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AfY�l,/,4 N /l��1ZCU5 TRENC PG d N 600K BG - PG4N 72 PL 94 AI 0f" L 94No. Z OWN . , - `'moo o>. ` L /N .,, o o-•�• � x ti , ti R /LES/oENT/AL - ONS' fi1A/iLY �2EP. 1Zf 0 f02 n,o Nt0'td.IO ��oe �� � ' ° 5 '1Jd ,� T 2. 482 �G1. d PP,¢OV,4 L t/NOt r2 Ts'/f SURD/✓/J/ON O 0 �� tl'/e• '�: ,� cowT,eoL eiv wor ,efy�ui�fo. ,�• w/� s���• Q bh • .L "� p6L� "� ty�J ! �� 9 r 5• • Q1 o SCdL f 1 .50 SEPT. !� lfte� w x: VV y .�ZO INC./ 4Nc, i 85 14 PL E STI2 �T ,a4NfnM /a Nt0o Air i Ge TE 7 . • . •. 4 Tl11'DE L O a NUTL� s o couwr.¢y cc ue o 5 �'"O,Z R� I3T.2y USE } , . ' T�/J PL d N #aQ . df�N CO,t/O/L �d • '/�"RO.CI ' I � . _ _ 4 _ , ' � -- � •�� �5T/QL �/CLO .11JkVrEY Al N40 ' PLeWJ .aNd C � D a P4 R y O+ECOJ ORFC0 20 0 S0 /00 I'3'D t00 i . ' LOT ,VU.I'B Ek5 QS i4s5E�ssD,e,s s�/.erzcr Va( Ov s Ce.Crlk rr//S RZOA/ G-ON,cOe s TO orsSE Jez// -C, dios. T5 SSA• X979 I r UNITED STATES POSTAL SERVICE ttf OFFICIAL BUSINESS i SENDER INSTRUCTIONS PENALTY FOR PRIVATE i USE TO AVOID PAYMENT Print your name,address,and ZIP CODE in the space below. OF POSTAGE,$300 Complete items 1,2,and 3 on the reverse. ItiS.MAIL] •Mistengummed edsandattach to front of article if space E ermits.Otherwise affix to hack of article. •Endorse article Pat Receipt Requested" adjacent to -ntlm9er. tt ETU TO S- CD !EM PLANNINGDEPT. , 1 El of EW Q W iI'19FR- ti� ®�Yit1v °t C SALE M JV1ASS.e001970 (City, State, and ZIP Code) j • SENDER'.Complete items 1,2,and 3. Add your address in the "RETURN TO space on 3 reverse. 1. The following service is requested(check one). 321 Show to whom and date delivered.. ❑ Show to whom,date,and address of delivery-6 ❑ RESTRICTED DELIVERY Show to whom and date delivered.... . . .. . .. ❑ RESTRICTED DELIVERY n Showtowhom,date,and address rn.Qel�very.$ m C (CONSULT POSTMASTER FOR FEES) Z 2, ARTICLE ADDRESSED TO: _T Mr. Albert A. Tremblay IT 31 Wilson Street Salem MA. 01970 3. ARTICLE DESCRIPTION: m REGISTERED NO. CERTIFIED NO. INSURED NO. 0 947697 (Always obtain signature of addressee or agent)r m o I have received the article described above. Z SIGNATURE ❑ Addressee ❑ Authorized agent U r M m 4. Q DATE OF DELIVEPQ y D / m 5. ADDRESS(co plate only it requested) 3rlv, - ZGJ IT 6. UNABLE TO DELIVER BECAUSE: 3 INITIALS D r *GPO'.1977-0-249595 I CITY OF SALEM, MASSACHUSETTS APPLICATION SPECIAL PERMIT WETLANDS AND FLOOD HAZARD DISTRICTS Applicant: bLt� T l fL�rlPiL��/ Address: �! �y`��� r. IJ�V�I� ' �� City Clerk Stamp �7�Y�- GJ�CO Telephone: V RECEIVED Owner: Plkl4l, �. rZi;r'1P�I�dY GOs-lhT2UG j�vo� q y '83 JUL —5 P 2 :17 Address FICE Location of Property: v/ L 1► (D�b-1 Project Description: BILI OCZ e9t,t - Q_V ftS.NILY V\VjF_�L1_o— C:) I. It has been determined by the Building Inspector that the above property { lies in the following area(s) : A. Wetlands District ` Wetlands ( ) Buffer Zone (x) B. Flood Hazard District Zone A ( ) Zone A3 ( ) Zone V3 ( ) II. Information required includes this application and the following additional information (file one copy of everything with the City Clerk and five copies with the Planning Board ; all copies must be stamped by the City Clerk) : A. A site plan .at a scale of 1" equals 20' prepared by a registered land surveyor or registered professional engineer and showing at least the following: 1. Lot lines 'within which the development is proposed and the tie- in to the nearest road intersection; 2. The location, boundaries, and dimensions of each lot in question; 3. Two-foot contours of the existing; and proposed land surface; 4. Location of existing and proposed structures, water-courses, drainage and drainage easements, means of access, utilities, and sewer disposal facilities including leaching fields, if any. Proposed elevations should be noted. 5. Boundaries of all districts, areas and zones as noted in Section I. } -----------�� 7 -2- B. In the Wetlands District, a determination by a qualified engineer of the seasonal high water table, performed during the last two weeks of March or the first three weeks of April. A minimum of two percolation tests for each leaching area shall be performed. C. In cases of flood-proofing or pile construction, certification by a registered professional engineer or architect as to the elevation of flood-proofing measures and as to compliance with the applicable sections of the Massachusetts State Building Code concerned with flood depths, pressures, velocities, impact and uplift forces, and other factors associated with the base flood. Where specific methods or techniques have been previously certi- fied, the Planning Board may waive this requirement. D, A list of Federal, State, and other local permits required by the applicant. E. Descriptions relative to all conditions applicable in Section III below. -III. Conditions (Complete those sections indicated (x) by the Building Inspector) In the Wetlands and Flood Hazard Districts no structure or building, including pipes and wells, shall be erected, constructed, substantially improved, enlarged, or otherwise created or moved; no area shall be paved; no earth or other material shall be stored, dumped, used as fill, excavated, or transferred; and no sediment shall be caused to .be discharged from or onto a wetland, unless all the following condi- tions are found to exist as part of the granting of a Special Permit by the Planning Board (Use additional pages if necessary) : A. All Districts: W 1. The proposed use will comply in all respects to the uses and provisions of the underlying District in which the land is located. Yes No W 2. Theri is adequate convenience and safety of vehicular and pedes- trian. movement within the site, and in relation to adjacent streets and property, particularly in the event of flooding of the lot(s) 'or adjacent lot(s) caused by either overspill from water bodies or high runoff. YI�O�_Ar) WO EZU"(Vr"F ::CC' FOPE.i. 2 \VIT:L40 V2 V7 R-LWT["CA LA44r) EV-7E,;e , -3- (X) 3. Utilities, including gas, electrictity, fuel, water, and 1 sewage disposal, -shall be located and constructed so as to J protect against breaking, leaking, shortcircuiting, grounding or igniting or any other damage due to flooding. (Provide details) ��yV 4�,E -Pt,bM P ��Tlkfi oc._iy/at�Ll� �� LQG'4rT'�i� -�►--oO17, bl-l. 1J•'j'VLI`('6�� \dotkU� #�jE ����-rE� L(-L EGDQJ7A - T44 �-�r� k 1 (LGrL co17�s (R) 4. The cumulative effect of the proposed development or use, when combined with all other existing and anticipated development and uses will not obstruct or divert flood flow; substantially reduce natural flood=water storage capacity in the local drainage area; destroy valuable habitat for wildlife including fisheries or shellfisheries; adversely affect groundwater resources or increase storm water run—off velocity so that water levels on other. land are substantially raised or the danger from flooding increased. -r9j;5 4 rw YO "&f0- _-c.�.r'�� �t-a� b�� -roP d� �r,��1G��owa� r�e.tit►�j \�loikl-� -('taEtZf; ofz� E Urt�T�t7 io �uPFE2 B. Wetlands District: ( ) 1. The proposed development or use shall not include the storage of salt, chemicals, petroleum products or. other conta urinating substances or discharge of any polluting liquids or materials into streams, brooks or wetlands. . (The polluting effects of substances on the Wetlands are to be gauged by the "Rules and Regulations for the Establishment of Minimum Water Quality Standards and for the Protection of the Quality and Value of Water Resources" of the Commonwealth of Massachusetts.) I 1 I J -4- ( ) 2. The floor level of areas to be occupied by human beings as living or work space shall be four (4) feet or more above the seasonal high water table. ( ) 3. If the basement floor level is below the seasonal high water table and affords the possibility of human occupancy at some future date, although not originally intended, adequate perimeter drainage and foundation shall be installed to with- stand the effect of pressure and seepage. Furnace and utilities are to be protected from the effects of leaching. (Provide details) Applies ( ) Does not Apply ( ) ( ) 4. If the lot is to be served by an on lot septic system, the leaching area designed for use, as well as a reserved area for future expansion or total future use, shall be plotted with dimensions on the site plan, and the leaching,areas shall not be constructed where the seasonal high water table is less than 4 feet below the bottom of the leaching areas. ) Applies ( ) See site plan Does not apply ( ) C. Flood Hazard District (all zones) : ( ) 1. The floor of the basement, or if none, the lowest floor of new construction or substantial improvement of structures for residential uses shall be at or above .the 100 year flood level. ( ) 2. The floor of the basement, or if none, the lowest floor of new construction or substantial improvement of structures for non- residential uses shall be at or above the 100 year flood level or the structures shall be flood-proofed to that level in compliance with the applicable requirements of the Massachusetts State Building Code. Flood-proofing measures shall insure that the structure is watertight and that structural components have the capability of resisting hydrostatic and hydrodynamic loads and the effects of bouyancy. l4 -5- ' D. Flood Hazard District, Coastal High Hazard Area (Zone V3) : ( ) 1. New structures or substantial improvements shall be located landward of the reach of Mean High Tide. ( ) 2. New structures or substantial improvements shall be elevated on adequately anchored pilings or columns, and securely anchored to such pilings or columns so that the lowest portion of the structural members of the lowest floor (ex- cluding the pilings or columns) is elevated to or above the 100 year flood level. Space below the lowest floor shall be free of fixed obstruction. (Provide details) ( ) 3. The support of new structures or substantial improvements shall not be, in whole or in part, by the use of fill. (Provide details) IV. Procedure The Planning Board shall, within 7 days after the filing of this application, transmit one copy of said application, plans and all other submitted information to the Inspector of Buildings, City Engineer, Board of Health and Conservation Commission who may, at their discretion, investigate the application and report in writing their recommendation to the Planning Board. The Planning Board shall not take final action on such application until it has received a report thereon from the Inspector of Buildings, City Engineer, Board of Health and Conservation Commission or until thirty-five (35) days have elapsed after dis- tribution of such application without a submission of a report. The Planning Board Shall hold a Public Hearing on said application as soon as possible after receiving the above reports, in accordance with Chapter 40A of the Massachusetts General Laws. The Planning Board shall notify the applicant in writing of its decision on the special permit. The decision shall document the proposed development or use and the grounds for granting or refusing the special permit. The I f -6- Planning Board may, as a condition of approval, require that the appli- cant give effective notice to prospective purchasers, by signs or by recording the special permit at the Registry of Deeds, of the wet- 1 land or flood hazard conditions associated with said premises and the steps undertaken by the petitioner or his successor in title to alleviate the effects of same. Signed TH Of Mq I � Ss+ o� A. SHARAV III a N Titleq l qlec ,e O rn FCISTEP��Q Date F'r3jONA LENG�NF. 30 �3 r2,01 Lv (2 4; C2 Ck_;�42_H T� 1 . l.I7t4G, P�2rt � 2 , oC,0 ......... i CITY OF SALEM, MASSACHUSETTS l APPLICATION, SPECIAL PERMIT WETLANDS AND FLOOD HAZARD DISTRICTS Applicant: c��� Address: �� �Y ��L��V h�Yi. ��5 � i tp, City ,Clerk Stamp ��F- ��o�o RECEIVE D Telephone: nn ^^// Owner: 1�L�7�i� Pr �JD��b1 (Z Address Ir-';1 WlucVV Aye" ��.'�r'✓� i �H .�l_` 4 S FD (' . E Location of Property: �} 'F�. Project Description: P� ��✓ ��/'1� ��b�- L� /a-� i ��—Y �C=\��µ,� I. It has been determined by the Building Inspector that the above property lies in the following area(s) : A. Wetlands District 1 Wetlands ( ) Buffer Zone (X) J B. Flood Hazard District Zone A ( ) Zone A3 ( ) Zone V3 ( ) II. Information required includes this application and the following additional information (file one copy of everything with the City Clerk and five copies with the Planning Board ; all copies must be stamped by the City Clerk) : A. A site plan at a scale of 1" equals 20' prepared by a registered land surveyor or registered professional engineer and showing at least the following: 1. Lot lines 'within which the development is proposed and the tie— in to the nearest road intersection; 2. The location, boundaries, and dimensions of each lot in question; 3. Two—foot contours of the existing: and proposed land surface; 4. Location of existing and proposed structures, water—courses, drainage and drainage easements, means of access, utilities, and sewer disposal facilities including leaching fields, if any. Proposed elevations should be noted. 5. Boundaries of all districts, areas and zones as noted in Section I. '�t.,�. i '} �'q'M�t�'xs AE.� ,['. ..Fa L.+.o2^'A �' �„ "' �, .a r> •c •?sr:AcVAY k2 -_♦ r na�.t`^N':LaiLt''`".-:.r;':_:' z -2- B. In the Wetlands District, adetermination by a qualified engineer . of the seasonal high water table, performed during the last two weeks of March or the first three weeks of April. A minimum of two percolation tests for each leaching area shall be performed. C. In cases of flood-proofing or pile construction, certification by a registered professional engineer or architect as to the elevation of flood-proofing measures and as: to compliance with the applicable sections of the Massachusetts State Building Code concerned with flood depths, pressures, velocities, impact and uplift forces, and other factors associated with the base flood. Where specific methods or techniques have been previously certi- fied, the Planning Board may waive this requirement. D. A list 'of Federal, State, and other local permits required by the applicant. E. Descriptions relative to all conditions applicable in Section III below. -III. Conditions (Complete those sections indicated (x) by the Building Inspector) In the Wetlands and Flood Hazard Districts no structure or building, including pipesand wells, shall be erected, constructed, substantially improved, enlarged, or otherwise created or moved; no area shall be paved; no earth or other material shall be stored, dumped, used as fill, excavated, or transferred; and no sediment shall be caused to be discharged from or onto a wetland, unless all the following condi- tions are found to exist as part of the granting of a Special Permit by the Planning Board (Use additional pages if necessary) : A. All Districts (X) 1. The proposed use will comply in all respects to the uses and provisions of the underlying District°in which the land is located. Yes _ _ No (X) 2. There is adequate convenience and safety,`of vehicular and pedes- -trian movement within' the site,, and in=relatioia==to adjacent streets and property,:_particularly- in the event of flooding of fhe lots) or adjacent lot(s)' 'cauaed'by"either overspill from water bodies or high runoff. �IZoP��h i2�.G�lz�n��� ®� ���r`j �.►�J�G�k r'o Pot lr� WV oto 4 G1ii��� lti G ► ��a 1'�vi 9_t,�P j�tiLG Lb ► l C7 (:bGi� . . C�o� -3- W 3. Utilities, including gas, electrictity, fuel, water, and sewage disposal, shall be located and constructed so as to protect against breaking, leaking, shortcircuiting, grounding or igniting or any other damage due to flooding. (Provide details) ��l�l�rl%i -Plbl'{ P GJ",�'1�T10fi.-1 V/OI,kLl7 �j� LOCi�'r�17 V2Ab ieH0"-( -7F�1-Voa \SOL Lr) �5 r-- b.?;;r1(Ir',I LOC) 11,F fz t A<G A2x Aw-,e NV►T'4 =k-%- pxkL cor>as (X) 4. The cumulative effect of the proposed development or use, when combined with all other existing and anticipated development and uses will not obstruct or divert flood flow; substantially reduce natural flood=water storage capacity in the local drainage area; destroy valuable habitat for wildlife including fisheries or shellfisheries; adversely affect groundwater resources or increase storm water run-off velocity so that water levels on other, land are substantially raised or the danger from flooding increased. T'jk � f7W f7 1ieA? \doDL? 4--tJ5-gf:Z &U- Dr- -T r- fr-f.Pj'�i d tZ��tZ�X7 a�-1 Ca F-d VA-R- {��t�-t i� rlotX L1-J '�.4,-4�5� �!-d�ii✓ 6f(' -f'�P O� -�N.G�owp.L i�d.�►�j \�lotkLl'� -('t1C12 o1 lz IAHrreD to i3UFFE!�2 B. Wetlands District: { O ���f✓ ����' ( ) 1. The proposed development or.use .shall not include the storage of salt, chemicals,. petroleum products or. other contaadnating substances:or discharge of.any polluting liquids or materials into streams, brooks or. wetlands. . (The polluting effects of substances on the Wetlands are to be gauged by the "Rules and Regulations for the Establishment of Minimum Water Quality Standards and for the Protection of the Quality and Value of Water Resources" of the Commonwealth of Massachusetts.) -4- ( ) 2. The floor level of areas to be occupied by human beings as l living or work space shall be four (4) feet or more above J the seasonal high water table. ( ) 3. If the basement floor level is below the seasonal high water table and affords the possibility of human occupancy at some future date, although not originally intended, adequate perimeter drainage and foundation shall be installed to with- stand the effect of pressure and seepage. Furnace and utilities ,are to be protected from the effects of leaching. (Provide details) Applies ( ) Does not Apply ( ) ( ) 4. If the lot is to be served by an on lot septic system, the leaching area designed for use, as well as a reserved area for future expansion or total future use, shall be plotted with dimensions on the site plan, and the leaching areas shall not be constructed where the seasonal high water table is less than 4 feet below the bottom of the leaching areas. Applies ( ) See site plan Does not apply ( ) C. Flood Hazard District (all zones) :_ ( ) 1. The floor of the basement, or if none, the lowest floor of new construction or substantial improvement of structures for residential uses .shall be at or above the 100 year flood level. ( ) 2. The floor of the basement, or if none, the lowest floor of new construction or substantial improvement of structures for non- residential uses shall be at or above the 100 year flood level or the structures shall be flood-proofed to that level in compliance with the applicable requirements of the Massachusetts State Building Code. Flood-proofing measures shall insure that the structure is watertight and that structural components have the capability of resisting hydrostatic and hydrodynamic loads and the effects of bouyancy. 1 J 1,75K 10 F-.I 'I. -5- �t4'aT 46, CAr r2 D. Flood Hazard District,-Coastal High Hazard Area (Zone V3): 1. New structures or substantial improvements shall be located landward of the reach of Mean High Tide. 2. New structures or substantial improvements shall be elevated on adequately anchored pilings or columns, and securely anchored to such pilings or columns so that the lowest portion of the structural members of the lowest floor (ex- cluding the pilings or columns) is elevated to or above the 100 year flood level. Space below'the lowest floor shall be free of fixed obstruction. (Provide details) 3. The support of new structures or substantial improvements shall not be, in whole or in part, by the use of fill. (Provide details) IV. Procedure The Planning Board shall, within 7 days after the filing of this application, transmit one copy,.of said application, plans and all other submitted information to the Inspector of Buildings, City Engineer, Board of Health and Conservation Commission who may, at their discretion, : investigate the.application.and,report In writing their recommendation to the Planning Board. The Planning-Board shall not take fin.al action on such application,-.tmtil,it:,has-:received:a report. thereon from ;the Inspector of Buildings,: City Engineer, Board of Health and Conservation Commission or until thirty-five (35) days have elapsed after dis- . ' tribution of such application without a submission of a report. The, Planning Board Shall hold a Public Hearing on said application as soon as possible after receiving the above reports, in accordance with Chapter 40A of the Massachusetts General Laws. The Planning Board shall notify the applicant in writing of its decision on the special permit. The decision shall document the proposed development or use and the grounds for granting or refusing the special permit. The �6.. r: M1 ay.• .3.'.t tea- L ( . v.j>wi _ -6- Planning Board may, as a condition of approval, require that -the appli- cant give effective notice to prospective purchasers, by signs or by recording the special permit at the Registry of Deeds, of the wet- 1 land or flood hazard conditions associated with said premises and the steps undertaken by the petitioner or his successor in title to alleviate the effects of same. SignediVkOF ss A.F. 4n ? SHARRY III c Title o C;wL /STm ( - ~ EP EQ Date �v �/vl Fss/0 �tk-2 L1 c a- l 2 . ct7-r7e�e_ fir% 6o" r2G�1c,O�rz-Qx)i®,.4 CoH t Nz Conservation Commission r Salem. Massachusetts 01970 CITY OF. SALEM CONSERVATION COMMISSION WETLANDS HEARING The Salem Conservation Commission will hold a public hearing at the request of Mr. Roger Boucher, 15 Willow Avenue , Salem, MA. , and Mr. Al Tremblay, 4 Willow Avenue , Salem, MA . The purpose of the hearing is to explore the effects of the construction of two single-family dwellings on Lots 1 and 2, Linden Avenue Extension. The hearing will be held on Thursday, July 14, 1983 , at 8.00 p.m. , One Salem Green, second floor conference room. Philip D. Moran Chairman July 8 Tin C("1ONWF-kLTN OF MASSACHUSF,TTS DEP AAMWr Oy rWIROVIEA'('AL QU.ILYTY EWTN[ERINC `. MrMFOLITAN ROS70N -NOB171FAS7 IIHCLo4q 13 Now Boston Streit, Woburn, MA Ol&Ol Talephooia Na. 933-2160 �Y DATE: July 12, 1983 Tri;`l Salem dy. T'1 t, Pb 64-95 The Division of Wetlands is in receipt nr npl ; f, .i;_ 1„n ! lied wuJrr G . i•. Chapter 131, Section 40, the application Is it 'r,. APPLICANTt Roger P. Boucher 15 Willow Avenue Salem, MA 01970 -- - --- n>a� Same as above PRAY” 1 T 17 Linden Ave. Extension - Lot 2 PR(MUT_RLyIEW The app O the ked below t is initted to No File )lumber will bc• easigned until ca[arial ehaelud Debar is submitted to this office : O Notice of Intent aad Lnvir,,nmontal Dnr , m ( ) Plans ( ) Locus ( ) PzoJect may require a Clog W41ERWAIS RCV71u l � PxQJae Chapter 91 r 11 Lc been rc,ferred to b'_ . *-d�sa not require a Chap[rr 91 Lfccnw, Isauaaes of a Pun Number indicates r, approval of the aP UCatfon. cr•,f,ior n. .o ( rhe 1.1y6fn411e1Q3xw(tted , nit CRP/mes •, ili � ,,c• J . t . re , P . p CC: I , r,n.l :,;ro-iri.rr-raritni ,r r c DrFART)C?;T Oy LN\'1R0' '[,ll, ,iU.1LTTT ZW;THYL'RIN;: : . . MrMFOLIYAN rr�S;glu.,wriru6.lsl Q¢c1gN 2J NOV Boston Street , lbburn, MA 01.1101 Yalepho:u tae. 935-2160 �Y DAT$: July 12, 1983 Ti,�,T Salem :.. }-!LF'. No. 64-94 The DSvipion of Wetlands Sa in receipt nl Chapter 131, Section 40, the application to tr rh . nar,efa flied under APPLICAN[t Albert A. Tremblay 31 Wilson Street Salem, MA 01970 - t+W& J= Wo. Paul E. Tremblay Construction — - 31 Wilson Street PACJLCT Ia ypu, `--,,, . 15 Linden Ave. Extension - Lot 1 Tho application is inittedete. ohN,. File N„n.t,rr _) ; l 'n. aaaldned eatvrlal Chocked below to submitted to tis offire until ( ) Notice of Intent and Lnvit"nr� nt�: n . r , Plana Locus Pro'ect yp' requlr• a Clan , uA1L'r.Wr\1F HIV1 .. C ) prQJac* tea• 1 tar 41 Llc01 P t require a Chapter 91 1, i r- ' .1` �. l ! ,"� bren r% f Qr;Cd 'nwc Issuance of a Pile Pumber indicate, F, �,.., approval of the appLicatlon. —1OFr rt,r L itt,:d . nL CRP/mes CC: r , � .. � . Form 3 - DEQERIetJo. Cfro be provided by DEQE) - -` Commonwealth " cihrrsaww �- of Massachusetts Appliemt Notice of Intent Under the Massachusetts Wetlands Protection Act, G.L.c. 131, §40 and Application for a Department of the Army.Permit , Part I:General Information 1. Location:Street Add re s Vl L'►1�(17�i► p` ' i riD—��I c Lot Number I Of-lt% ��jc�� �1O (Z!� t•G� 1� O , LO'{' 0022 2. Project:Type Description h i ti1CaL� �A 1 I Lam( >7\VLLt D440PP�t2T �la►.�G A R � t'rz�P��►� o►� i�D.IZLt%iL t'LLQL.1► 21 I—�Gi �� Ll— . 3. Registry:_County ��� � ` ' Current Book - &Page Certificate If Registered OCTASP1.� G4pJL� Com° � ' e9 1 '� fZEa�t�iLl� -744-r,3&r2 4. Applicant -1-LP2642 ► Tel. Address l ti� IhS�c-1 h T �bLG F`l , 1 �: , ©{ Z O • r. 5. Property Owner" �L L. T(1 �M P7LIL� GOF1y f2t�Gj Tel. ,�y�' Address 6. Representative "µCCC-rn e'U214L1 �G'� � �' Tei- Address f2 r2fl 7. Have the Conservation Commission and the DEQE Regional Office each been sent,by certified mail or hand delivery, 2 copies of completed Notice of Intent,with supporting plans and documents? C Yes No ❑ RECEIVED 3-1 J, L 5 1983 -Z 70^.: . SALEM PLANNING DEPT. r . 1 8. Have all obtainable permits,variances and approvals required by local by-law been obtained? Yes ❑ No T91 Obtained: Applied For: Not Applied For hP�GtbI- ����LAi-1 t7 S ti �.00 n �A.�Cklz►� 17t��fztG7'� 9. Is any portion of the site subject to a Wetlands Restriction Order pursuant to G.L.c.131, §40A or G.L. c. 130,§105? Yes ❑ No 10. List all plans and supporting documents submitted with this Notice of Intent. Identifying Number/Letter Title,Date Nom, l��✓ l __ fL,&44 OM-060/ 9?1► ) ht t-4 C-1 � ��n ►L.� t��Y� t,L(+`.� G-, �►-� Loi ( I _ --- �i�--( ,►--�, Pio��rzry �� C e �►��rZ'T 11.Check those resource areas within which work is proposed: (aj� Buffer Zone (b)Inland: ❑ Bank' Land Subject to Flooding, ❑ BorderingVegetated-Wetland' ❑ Bordering ❑ Land Under Water Body&Waterway' ❑ Isolated (c)Coastal: ❑ Land Under the Ocean ❑ 1 Designated Port Area' ❑ Coastal Beach* ❑ Coastal Dune ❑ Barrier Beach ❑ Coastal Bank ❑ Rocky Intertidal Shore' ❑ Salt Marsh' ❑ Land Under Salt Pond' ❑ Land Containing Shellfish' ❑ Fish Run' Likely to involve U.S:Army Corps of Engineers concurrent jurisdiction.See General Instructions for Completing Notice of Intent. 3-2 r . Part It:Site Description Indicate which of the following information has been provided (on a plan.In narrative description or calcula-tions)to clearly,completely and accurately describe existing site conditions: Identifying Number/Letter �O ( j (of pian,narrative or calculations) Natural Features: Soils �— Vegetation Topography I Open water bodies(including ponds and lakes) Flowing water bodies(including streams and rivers) Public and private surface water and ground water supplies on or within 100 feet of site Maximum annual ground water elevations with dates and location of test Boundaries of resource areas checked under Part 1,item 11 above Other Man-made Features: Structures(such as buildings,piers,towers and headwalls)- Drainage and flood control facilities at the site and immediately off the site,including culverts and open channels (with inverts),dams and dikes Subsurface sewage disposal systems Underground utilities Roadways and parking areas Property boundaries,easements and rights-of-way Other Part Ilk Work Description - Indicatewhich of the following information has been provided(on a plan,in narrative description or calcula- tions)to clearly,completely and accurately describe work proposed within each of the resource areas checked in Part 1,item 11 above. Identifying Number/Letter t '^ 1J (of plan;narrative ► �7..(irj� v / or calculations) , Planview and Cross Section of: Structures(such as buildings,piers,towers and headwalls) Drainage and flood control facilities,including culverts and open channels(with inverts), dams and dikes Subsurface sewage disposal systems&underground utilities Filling, dredging and excavating,indicating volume and composition of material Compensatory storage areas,where required in accordance with Part ill,Section 10:57 (4)of the regulations Other Point Source Discharge ` Description of characteristics of discharge from point source(both closed and open channel),when point of discharge falls within resource area checked under Part I,item. 11 above,as supported by standard engineering calculations,data and plans,including but not limited to the following: 3-3 1. Delineation of the drainage area contributing to the point of discharge; 2. Pre-and post-development peak run-off from the drainage area,at the point of discharge,for at least the 10-year and 100-year frequency storm; 3. Pre-and post-development rate of infiltration contributing to the resource area checked under Part 1,item 11 above; 4. Estimated water quality characteristics of pre-and post-development run-off at the point of discharge. Part IV:Mitigating Measures 1. Clearly,completely and accurately describe,with reference to supporting plants and calculations where necessary: (a) All measures and designs proposed to meet the performance standards set forth under each re- source area specified in Part II or Part III of the regulations;or (b) why the presumptions set forth under each resource area specified in Part II or Part III of the regula- tions do not apply. ❑ Coastal Resource Area Type: .. Identifying number or letter ❑ Inland - - of support documents ❑ Coastal Resource Area Type: Identifying number or letter ❑ Inland of support documents. . i 3.4.. Ei r ❑ ❑ Coastal Resource Area Type: Identifying number or letter Inland - - of support documents 2. Clearly,completely and accurately describe,with reference to supporting plans and calculations where necessary: (a) all measures and designs to regulate work within the Buffer Zone so as to insure that said work does not alter an area specified in Part I,Section 10.02(1)(a)of these regulations;or - (b) if work In the Buffer Zone will alter such an area,all measures and designs proposed to meet the performance standards established for the adjacent resource area specified in Part II or Part III of these regulations. ® ❑ Coastal I Resource Area Type Bordered By 100•Foot Discretionary Zone: Identifying number or letter III 9InIarM - Off' .'PGy.-1 .�. f: of support documents Ca ) larLL �`l�7{ i WOLAX2 tel; FOO V-fk:2 - X1-7 J�'C�Orz-OA-"C'OE W l T44 1-40111 Ca-1 ►71 T�06..15 ��T �o�T� I, 3-5 l Part V.Additional Information for a Department of the Army Permit 1. COE Application No. 2. (to be provided by COE) (Name of waterway) 3. Names and addresses of property owners adjoining your property: ument other project alternatives i.e. other locations and/or construction meth . 4. Doc pr j ( ods. particularly those that would eliminate the discharge of dredged or fill material into waters or wetlands). 5. 8'/2" x 11" drawings in planview and cross-section,showing the resource area and the proposed activ- ity within the resource area.Drawings must be to scale and should be clear enough for photocopying. Certification is required from the Division of Water Pollution ConW before the Federal permit can be issued_ Certfication may be obtained by contacting the Division of Water Pollution Control, t Wnter Street Boston, Massacnusetts 02108. Ask Where the activity will take place within the area under the Massachusetts approved Coastal Zone Management Program.the applicant certifies that hs proposed activity complies with and wilibe conducted in a manner that is consistent with the approved program. Information provided will be used in evaluating the application for a permit and is made a matter of public record through issuance of a public notice. Dscbsure of this information is voluntary hovvever k necessary information is not provided, the application cannot be processed nor can a permit be issued. 1 hereby certify under the pains and penalties of perjury that the foregoing Notice of Intent and accompanying plans,documents and supportincr data are true and complete,to the best of my knowledge. 3l Signature of pl' ant Date Signature of pp cant's 19presentative Date FORM "Exception to ENG Form 4346 approved by HQUSACE, 6 May 1982". NED p2 100 (TEST) Massachusetts1 MAY This document contains • joint Department of the Army and State o/ Massachusettsapplication 8 for a permit to obtain permission to perform activities in United Stales waters.The Office of Management and Budget (OMB) hes approved those questions required by the US Army Corps of Engineers. OMB Number 0702-0036 and expiration date of 30 September 1983 applies".This statement will be set in 6 point type. 3-8 .. ... _fie_ tj ? �+.�[ � . . • far, 4. A Com. ERRS- .J rA7 -A .41 ` :'" ��fMUMNZSW MIA o�kw,t_ lzj TZ lirMIR � �� 09 !�'f► Iry MCA �- � . , . P . h �. . �„ . 1 x .lig , 1 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS PENALTY FOR PRIVATE USE TO AVOID PAYMENT Print your name,items 1 and ZIP CODE in the space below. OF POSTAGE,$300 Complete items 7,2,and 3 on the reverse !t=1MA1L] •Moisten gummed ends and attach article front of article if space permits.Otherwise affix to back of article. • ndotse article "Return Receipi Requested" adjacent to umber R ETI ami T� I Lir 92 z � D DEPT. Li qq ,tt e t 1 P 7D (City, State, and ZIP Code) EhIQE Compiete items 1,2,and 3. g y Add your address in the "RETURN TO space on a reverse. m 1. The following service is requested(check one). en XX $how to whom and date delivered...... .. P, Show to whom,date,and address of delivery. ._¢ t l RESTRICTED DELIVERY Show to whom and date delivered... . ... .... 6 CTED DELIVERY S� ShowR,yyrr,,����l whonn da e,and address of delivery.$— m (CO�,SULT POSTMASTER FOR FEES) Z .RT144 ADDRESSED TO: Mme'{.: R ger P. Boucher mm 11S Willow Avenue St v Salem, MA. 01970 3. TlICLE DESCRIPTION: IT ISFE NO. CERTIFIED NO. INSURED NO. On E 947696 (ways btain signature of addressee or agent) u ed the article described above. Z SI NATU E re ee Authorized agent C C m 4. DATE OF DELIVERY /,POSTMARK D Z m 5. ADDRESS(Complete only it requested) DO T p 6. UNABLE TO DELIVER BECAUSE: -CLE ECAUSE: �r -CLERK'S, 7 jlNIT=ALS D r {TG P 0:1977-0-249-595 N ' Form 3 DEOE Flo Nm `-� - (To be provided by DEOE) Commonwealth of Massachusetts., AcoIM* Notice of Intent Under the Massachusetts Wetlands Protection Act, G.L c. 131, §40 and Application for a Department of the Army Permit Part k General Information t. i.a:ation:street Address 17 Lk-- r F-1 1 �l�i, �CTF I� 1¢�►–� Lot Number 2 2. Project TYPO t. Description, p-+r;y k r ptA 12 f Et-►tit- 1�7z Peo P��r7 0,- � �l�(l�iEl� CL��IIZt'►,.6C�I �P�ft-F�G6��L� �iLl- 3. Registry:Can Vhf 1701 -1� 'tyrant o01�—� � a D�� ty Certtfkate(If Registered land) a. APIf 12pG�+�i�, 1� PMOL �Gt%►2 Tel '�o Address- 5. ddress 5. Property Owner �� PJOI�G Tel.� � Address { �2 WtLLoW 6. RepresentativesP CXll �� �� ��OGr + w-46; , Tei• —1��-30ri0 Address 8% kj,&,f1r0 SA4-1Xiu7 + (1S O %9S 7. Have the Conservation Commission and the DEQE Regional Office each been sent,by certified mail or hand delivery, 2 copies of completed Notice of Intent,with supporting plans and documents? \, Yes 13k No 0 a. Have an obtainable permits.variances and approvals required by local by-law been obtained'! Yes . O No Obtained: Applied For. Not Applied For. Ld�i•-j �►,cb � k1-/a�a1217 9. Is any portion of the site subject to a Wetlands Restriction Order pursuant to G.L.c. 131,540A orG.L c.130. §1051 Yes ❑ No 10.List all pians and supporting documents submitted with this Notice of Intent. Identifying NumbeNLetter OF: Title,Date 1 l0. r2e1 1 O� R-GZ'a►�lZ � �OUGI��IZ 11.Check those resource areas within which work is proposed: (aj d Buffer Zone (b)Inland:. ❑ Bank* Land Subject to Flooding, ❑ Bordering Vegetated Wetland' ❑ Bordering ❑ Land Under Water Body S Waterway* ❑ isolated (c)Coastal: ❑ Land Under the Ocean' ❑ Designated PortArea' ❑ Coastal Beach* ❑ Coastal Dune ❑ Barrier Beach ❑ Coastal Bank ❑ Rocky Intertidal Shore' ❑ SaR Marsh ❑ Land Under Salt Pond' ❑ Land Containing Sheltlish° ❑ Fish Run' Likely to Involve U.S.Army Corps of Engineers concurrent jurisdiction.See General Instructions for Completing Notice of Intent. 3-2 Part It:Site Description Indicate which of the following information has been provided (on a plan.In narrative descriptlon or caleula. ,l ,Ions)to dearly.completely and accurately describe exbfing site conditions. Identifying Number/Letter "62 (of plan6 _. orcakwlations) Natural Features: Solis Vegetation Topography Open water bodies(Inckidlog ponds and lakes) . T Flowing water bodies OvAx Ing streams and rivers)' Public and private MA1110e water and ground water supplies an orwft in 100 test of eke !/ Mandnam annual ground water elevations with datesand location of teat ZBoundarles of resource areas checked under Part 41tem 11 above Other Marn-made Feahres: Structures(such as bWdings,piers,towers and headwalls). . r Drainage and flood control facilities at the site and Immediately off the site,kx*xling culverts and open channels (wNh lrwerta).dame and uiilkes Subsurface sewage disposal systems Underground utl6ties Roadways and parking areas Property boundariem easements and rtphts-of-way Owner Part Ilk Work Description W1101119 wtich of the folowbg Information has been provided(on a plan,in narrative description orcaicula- tions)to dearly.completely and accurately describe work proposed within each of the resource areas checked In Part 1,Item 11 above. kfentNying Number/Letter (of plan.nerraNve "e2 • I l ej I ( V/ orcek:uletiorns) . Ptarwiew and Cross Section of: Structures(such as buildings.piers,towers and headwags) u� Oratnag -, and flood control facilities inchxiinp j�and open channels(with inverts). dams and dukes Subsurface sewage disposal systems a underground utilities Filing,dredging and excavating,indicating volume and composition of material Compensatory storage areas,where required in accordance with Part Ill,Section 10:57 (4)of the regulations Other A Point Source Discharge Ft ' Description of characteristics of discharge from g point source(both closed and open \� channel),when point of discharge fans within resource area checked under Part I,item 11 above,as supported by standard engineering calculations,data and plans,Including but not limited to the following: 3.3 1. Delineation of the drainage area contributing to the point of discharge; 2. Pre-and post-development peak run-off from the drainage area,at the point of discharge.for at least the 1 D-year and 100-year frequency storm; 3. Pre-and post-development rate of infiltration contributing to the resource area checked under Part k Nem 11 above; 4. Estimated water quality characteristics of pre-and post-development runoff at the point of discharge. Part IV:Mitigating Measures 1. Cleary,completely and accurately describe,with reference to supporting plans and calculations where necessary: . (a) AN measures and designs proposed to meet the performance standards set forth under each re- source area specified in Part N or Partlll of the regulations:or (b) why Uro pnmxnpHons set forth under each resource area specified in Part Nor PartJU of the.regula. tions do not apply. O ConW Re8M=6Ar"TYW- _ k.ntllykgi..nDerorkltar tr,tnr.a. a w pportdommard. 0 Cont R"wc.Ar"Type: ldenaryY mxnbwcrfettw O WWW of K"Ort domments 34 ff� f 5 � Ong10 1 � = It R i a Part V:Additional Information for a Department of the Army Permit 1. COE Appricatki n No. 2 (to be provided by COE) (Name of waterway) 3. Names and addresses of property owners adjoining your property: 4. Document other project alternatives(Le.,other locations and/or construction methods.perricilFerfy those. that would eliminate the dirge of dredged or fill matertal k)to waters orweftxb), 6. 8W,xJ%!'.._drawhgs in plarwiew and cross-section,showing the resource area and the proposed actlw ftywithin thesesouceareaDrawings.must beto"and shot bedearla a forphotocopyk>fl. Cerdicatm is mctiaed flan the Ewisicn d Water Pd bon Contrd before the Fedeat pewit can be meed Certflcacor,may be darned b/mvictiig the Divscri of water Penia;far*d 1 writer Streec6oston. Massaw"tts 02108. Wtrere-ttre xbAvviriNlake pboe vAhin the area under.tha Massa&&wM.app%edd-CoastalZme IV)ariag merl ftgraril the MPP= t Wffies't1at tis pad*=rider eh aridwilbe eambcts f n a rnar w that is cxdmrtWh the apposed pcgrarn klomnation pacW%vO be used in erAiatrig the appkzbon.for a p rfr it and is suede a ratter d pibic record through issuance d a pubic notice. Disdoexe d fhj5 k4wrration isvoAirtary. hoAelew i necessary reformation •s not pwided the amication cannot be pooessed nor can a permit be blared 1 hereby certify under the pains and penalties of perjury that the foregoing Notice of intent and accompanying documer7 data are true and complete,to the best of my knowledge. Signature of Appi Date Signatu e f Apple is Representative Date f RM Law lt{o to LNC ►era 434$ app....J y HQUSACL• B Me, 1982-, HED UU 100 (TEST) T\b Jeue.rut reabin.,s jeinl Depsrtuol of the Army saJ Sola H NsosrMuttr yplio tfw 1 MAY 82 to, . .,.it t..\ilia p.rwioira N Iolera, srtbitio I. Unit.& Soto sbn. 7\. Offiw -of Noa&�9.sot .ad Bdpt (0)AB)►ss ypro.r4 tb...pollens r.pird►r/lu US Army Corp 1 of Ln2iwnrs. OMB N.m\.r 0702-0039 w4 npirsti.. data of 30 Srltu►o 1993 splice:TM N.1r�ral r.{II br sal Ie f pint type. 3-6 lis WI-MMIT I ��._iYh� IIlf�. � r ��• V0/�� � In IN w ^� � �� ,�,�+.r�, � •, ` , .. �c . fir. ' �'C �� IA \ ns�