ALMEDA STREET - CONSERVATION COMMISSION _� _
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S Form 2 �
OEQE File No. 64, 134 1
(To be provided by OEQE)
Commonwealth cityrrown
Salem
of Massachusetts David Tremblay
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Applicant _ .
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Determination'of Applicability
Massachusetts Wetlands Protection Act, G.L c. 131; §40
Salem Conservation Commission _
_ From Issuing Authority
To David Tremblay David Trembl-a.:/mt,,,.,,,, M,rAbjt;e
(Name of person making request) `- (Name of property owner)-
Address Almeda Street Address c/o AttornP;. Micheal R uc.I@L&e
85 Nahant Street
This determination is issued and delivered as follows: Lynn; Ma01901
13 by hand delivery to person making request on (date)
® by certified mail,return receipt requested on (date)
Pursuant to the authority of G.L c. 131, §40, the Salem Conservation Commi.csinn
has considered your request for a Determination of Applicability and its supporting documentation,and has
made the following determination(check whichever is applicable):
This Determination is positive:
1: ❑ The area described below, which includes alVpat of the area described in your request, is an Area
Subject to Protection Under the Act.Therefore,any removing,filling, dredging or altering of that
area requires the filing of a Notice of Intent.
2. ❑ The work described below,which includes atVpart of the work described in your request,is within
an Area Subject to Protection Under the Act and will remove,fill, dredge or al'&that area There- \I
fore,said work requires the filing of a Notice of Intent.
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3. ❑ The work described below,which includes all1part of the work described in your request;is within
the Buffer Zone as defined in the regulations,and will alter an Area Subject to Protection Under
the Act.Therefore, said work requires the filing of a Notice of intent.
This Determination is negative:
1. JM The area described in your request is not an Area Subject to Protection Under the Act '
Provided thatt `t ro er > os n co tro on't
2. ❑ The work described in?y81u r�queset Is wI in an area Slubl f t�`# r�st�e oft tPtYtPe�4t���c�`but wii�
not remove, fill,dredge,or alter that area.Therefore,said work does not require the filing of a
Notice of Intent.
3. ❑ The work described in your request is within the Buffer Zone,as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act.Therefore,said work does not require the
filing of a Notice of Intent:
4. ❑ The area described in your request is Subject to Protection Under the Act,but since the work
described therein meets the requirements for the following exemption,as specified in the Act and
the regulations, no Notice of Intent is required:
issued by \ Cons rvation Com ' sion
Signature(s)
This Determination must be signed by a majority f the Conservation Commission.
'On:his d of 19 , before me .
persCnaily appeared Q tome known to be the
person:described in, and who executed, the foregoing instrument,and acknowledged that he/she executed
the s .�as his/her fre actnddeed.
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Notzxry,Public My commission expires
This Determination does not relieve the applicant from complying with all other applicable lederal,state or local statutes,ortlinances,
by-laws or regulations.This Determination shall be valid for three years forth the date of issuance. .t
The applicant,the owner,any person aggrieved by this Determination,any owner of land abutting the land upon which the proposed
work is to be done,or any len residents of the city or town in which such two is located,are hereby notified Of their light to request the
Department of Environmental Quality Engineering io issue a Superseding Determination of Applicability,providing the request is made
by certified mail or hand delivery to the Department within ten days from the date of issuance of this Determination.A copy of the request
shall at the same time be sent by certified mad or hand delivery to the Conservation Commission and the applicant.
cont during construction and b) any excavated m3t?Aial is removed from site.
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310 CMR: DEPARTNIENT OF ENVIRONMENTAL QUALITY ENCINFERING
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I 10.99: Forms -
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Form 1
Form 1
• oeoa r+D ra.��
' �� ITO De po..aee DY pECEI
Commonwealth Ctyrr.
of Massechusettl ncd+eam
Request for a Determination of Applicability
Massachusetts Wetlands Protection Act,G.L C.131, §40
1. I.the undersigned,hereby request that the �'(e.
-Conservation Commisslon make a determination MAO whether the area,described below,crwork to be
performed on sad area.also described below,is subject to the jurisdiction of the Wetlands Protection
Act,G.L c.131,§40.
2 The area is described as follows.(Use maps or plarrs,it necessary•to provide a description and the
location of the area subject to this request.)
WI ST. La-yiS / f, 3 o... .e qVA G
3. The wont in said area is described below.(Use additional paper,if necessary,to describe the
.. a . proposed work) -. -
d_e.rs4 •i-re,-. o7 cf a: � �� n..c/.
•4S P A+lga�. /Aw
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6/30/83 Vol. 12 - 222.1
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310 CMR: DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERIPJG
10.99: continued
Form 1: continued
4. The owner(s)of the area,it not the person making this request,has been given written notification of this
requeston idate)
The name(s)and address(es)of the owner(s): '
4
S. I have filed a complete copy of this request with the appropriate regional office of the Massachusetts
Department of Environmental Quality Engineering cm (date)
Northeast Southeast
323 New Boston Street Lekewlie Hospital -
Woburn,MA 01801 Lakeville,MA 02346
Central Western
75 Grove Street Public Health Center
Worcester,MA 61605 University of Massachusetts Amherst,MA 01003
6. 1 understand that notification of this request will be placed in a local newspaper at my expense in accor-,
dance with Section 10.05(3)(b)1 of the regulations by the Conservation Commission and that I will be
billed accordingly. -
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Signature Mc mg.Ho.v ft Nemo
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. Addreas NH 4n--r s Z_ 1= .Y.r /1tit. Tel_
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6/30/83
Vol. 12 - 222.2
P77/ 74e QEF CES 5 Y PEG. of oeEo)
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