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4 BLANEY STREET - CONSERVATION COMMISSION RP4- y Brie y Sfrr . n Massachusetts Department of Environmental Protection ILIBureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important When filling out From: forms on the Salem computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Gary Palardy return key. Name Name er Mailing Hull Street Address Mailing Address +' Beverly MA 01915 ® City/Town State Zip Code Cily/rown State Zip Code na 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents: Plan of land in Salem, Me Title Date Title Date Title Date 2. Date Request Filed: B. Determination Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable): Addition to multi-family dwelling at 4 Blaney Street Project Location: 4 Blaney Street Salem Street Address Cityrrown Map 41 Lot 278 Assessors Map/Plat Number Parcel/Lot Number wpafwrnZ x•w.12/15,00 Pepe 7 0!s Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling,dredging, or aftering of the area requires the filing of a Notice of Intent. ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate. Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are no confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s)and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent ❑ 4. The work described on referenced plan(s)and document(s)is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw citation wpd rm2. o •m.1205M Page 2 d5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but no subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request,the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Altematives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant However, if the Department is requested to issue a Superseding Determination of Applicability,work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will 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 the 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, subject to the following conditions(if any). ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpefam2.d=•rev.11HSW Pape 3 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. 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: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on 0 by certified mail, return receipt requested on Date Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see Attachment) and the property owner (if different from the applicant). Signatures• C i Al �i✓ary 9, 2006 Date wpaform2.dm•rev.3/1/05 Page 4 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant,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 tan residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office(see Appendb(A)to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form(see Appendix E: 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 Determination. 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 The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations,the Department of Environmental Protection has no appellate jurisdiction. wpmam2Aee• 12/15= Pepe 5 a 5 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Appendix A — DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments,payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston,MA 02211 DEP Western Region Adeno coffin Hanpdan Monroe Pittsfield TynnW- 436 Dwight Street � H M Hancock Montwxx It chinond were, Suite 402 Amhewl Damn Hawley MMVM—Y Rowe Warwick Springfield,MA 01103 Ashfield oswrrem Heath Monson Ru$WP wad-ow Phone:413.784-1100 Rocket Eawnima°n lamdale Momq Washw4tan Sw diwsm Wardwell Befderimae Ee&Lapnea4w Holland New Ashford Savoy weadlem Fax 413.7841149 Beraddon Eyenaa Hayeke Now Marlborough St~ Weeaanpmn Blamrad Ening Hudkglan New Baler, Shelburne West Spr"agnw sretlem Florida Laneaeaaugh Nerd,Adarre Snuleaosy Went Stockbridge Buddend an Lee Nmmalp0en SouNarpm who" Chademom Goehan Lerox Northfield Soudl Hedley vWsrehern Chashire Grapy Levered OragB Sa Werk watarnsMeg Chaeta Granville Leyden Ode SRVgfiem Wlaarutalw Chasherlreld Great Bardnston Lagmeadaw PeCner stod c De Wnmao Chicopee Grome m Wtltow Panum Sumonlem wadiagton clebawg Hadley Middleaem Pen, Tolled, DEP Central Region Aden Charlton, HoPkirdm Mek,wy RWlrm Wmrkile 627 Main Street As bnman clinical Hubbadsho, Mamie money waren Webster Worcester,MA 01608 AimDudley Holliston Naaraa augh sme mDudleyo gh wesmmmm Phone:508.792-7650 Aubilrn Wad" Lanadw Nwhr+roe SmAlftdpe West Boylston Fax:508-792-7621 Ayer East Brookfield Leicester Nam Brookfield Spencer Wer Brookfield Bene Fldidwg Leamnsler OaMhen Swag Westford TDD:508-767-2766 Baughan Gardner utaemn Octad Stow Wewnirutur Berlin Grafton L--"" Paxton SoaaidSe Wirlo a don Bledutare Grew Madbaagh Pepperell Sudan Wmwsta Balm Harvard Mainland peteehan Templeton Bmbaor,yn Hardwick Medway Phill'prm Townsend Boylston Holder, Mended P1 xxIkX Tyrgebo`oLQh Bre� Hopedale Milled RoyeMm Upton DEP Southeast Region Abington ortnpum Freetown Mwapoiw Prowmahow, Tsory 20 Riverside Drive ACUSNW oasis Gey Heed Miadkbaagln ReyMem Truro Lakeville,MA 02347 Abner Dw Newaearaa RRodvaa weitneet Phone:508.946-2700 BarWeMe Feetham Hanover North ABiebam,ph Roddene Weal Bridgewater Far.50&947-6557 BaurBe" Easton Norwell scikuda west TubLoy TDD:50&946-2795 Brewer Edgertown wrgsmn Oak Skala Seekonk Whban woomabr Fabtaven Letuville, orm" Shan V*Wom Brockton Fell River Manhaki Penbroke sorreraet Yannorah clever Feklnum Marion Pkknille Slo,*aon chamem Faxbor-0 Mrshrukl Pvmuth Swruee chinned, Franklin Mekpq Ptynptm Taunton DEP Northeast Region ArrNw,y clpmvetord Hapten Merbmuc Quit" Wakarem 205 Lowell Street Andover Chelsea Holbrook Merin RWXb" welpde Arlington Cd� Hm Roxanne Wilmington,MA 01887 Ashland co l� Mitre Watertown Phone:978861-7600 Bedford Dowers Lawlerre Midan Rodpmt waylaid Fax: 978-661-7615 Bein1pre Dedham Lexington Nahra Rowley Wei"" TDD:978-661-7679 sale", wenharn Beverly DrLowell eem rSalida" West Newey Saxton Ease, Lynn Newbery sag- Weston Bomad Everett Lrvftm NwAuyyat Sharban Westwood Braintree Franirgtan Malden Newton set ite Weymoum Broomire Geogelown Mlewremnay-Th See Norfolk Star~ Wilmhgton Batagtm Gkarester Marblehead Nam Armover Sum,ry Wwcha Carbidge Grweland Merbm Nam Reeling swarpeoad WM"V caam Hendon MBMond Norwood Tewkedwy Wbbmn cadieb Havedel Melrose Peabody Topsfum Wpatomadoe•Appendix A•rev.11Q2W Page is 1 A Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: From: When filling out forms on the Salem computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Gary Palardy return key. Name Name Hull Street Ma � Mailing Address Mailing Address Beverly MA 01915 City/room State Tap Code Cily/rown State Zip Code 1. rifle and Date(or Revised Date if applicable)of Final Plans and Other Documents: Plan of Land in Salem, Ma rifle Date rale Date Title Date 2. Date Request Filed: B. Determination Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable): Addition to multi-family dwelling at 4 Blaney Street Project Location: 4 Blaney Street Salem Street Address Citylrown Map 41 Lot 278 Assessors Map/Plat Number Parce"Number wpafmm2.doo•rev.ivtsm Paw r or 5 ' Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form — Determinat on of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) The following Determination(s) istare applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling, dredging, or altering of the area requires the filing of a Notice of Intent ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are no confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s)and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s)and document(s)is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpnlwmYAW•rev.12H510p Pope 2 of 6 Massachusetts Department of Environmental Protection tection - Wetlands Ll oWPAFResource — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but no subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request, the applicant must consider the following a@ematives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will 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 the 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, subject to the following conditions(if any). ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act wpafam2.d=•rev.12fISM Pape 3 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) 5. The area described in the Request is subject to protection under the Act. Since the work ❑ q 1 described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on X by certified mail, return receipt requested on Date Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see Attachment) and the property owner(if different from the applicant). Signatures, - cl ��✓a.y 17- 9, .2006 Date w aforrrldx•rev.11/05 Page 4 of 5 :t Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant,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 ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office(see Appends A)to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form(see Appendix E: 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 Determination. 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 The request shall state clearly and concisely the objections to the Determination which is being appealed.To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations,the Department of Environmental Protection has no appellate jurisdiction. wpmamz.dcc•m.12n5im papa s d s L11Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Appendix A — DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments,payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Wester Region Aosta Cotrm Hempen ranee pleaded Tymothem 436 Dwight Street � oler GaHancock Moroevue P49toM woke $aIle 402 Mosel Darton Heated Moreover Richmond were Hawley Monganay Rowe Warawk Spring6ekf,MA 01103 Ashfield Demad Heath Martean Russell Wastlirgbk Phone:413.7641100 eedwt Eadm Vice Heatless Mood warogmn samtefield Wanted Belchertoan Eft Lapnaedow Holland New Ashford Sewy Waemed Fax 413-7841149 Been Eprensd Holyoke New Manemouo, shied Wemnangm Blardbd Erving HwftVtm New Salton Shalbne watsiannoed Bdmftekd Flo ids Lar aborouph North Mann Slwrtea ay West Skddlydpe Bmiderd Gin Lee Northampton Souwmaryb, Wtralaly charismata Go~ Lean Northfield sneak Hedley, mbnthton Craig" Gravy Levered orange Soldwrick wrmbnebrp Cheeler Grenville Leydon One Sp vgmw Wdhwrdt wt Cheuanud Greet Barmgton Lanmeemow Palmer skddeidpe Wmaar Chicopee C#eennald Ludlow Panum Sunderland Worthington Ckanabrp Hedley Motioned Pau Tolland DEP Central Region ASA ch Hopkthdn Mido" Rutland thdafdpa 627 Main Street Aa lOurnh." Clinton Hwmdsmn MilNdk Shirleyshirky Waren Worcester,MA 01608 A hof om�ky Hdlg Nuffborogh wweabwapt Phone:508-792-7650 Awn Dung" teneekr Northbridge wet Boyh on Far.508.792-7621 Ayer Eau Broolfied Leiceekr Norm Brookfield Spenser wet Broddield TDD:506-767-2788 BFitmWB Leaninua Oddh Stalinn Westford nglsn Gardner LAUb oxford stow Waanlutx Ballo Grafton LueMva Paden Serbndpe Wn,d,erdor, Bleckat" Croeon Maborwgh Peppe en Sutton Wacater Bolen Harvard Maynard Petoalm Templeton Bo>maogh Htodwdrk Medway Pallpstm Twvuww BgkEon Holden Manby Pntcolor Tytganotouph Brookfield Hopedale MiBad Royelskn Upton DEP Southeast Region AbinW- Darrow, Freetown Melupoum Prowlaeerow, Teluy 20 Riverside Dare AWUYIet Dennis Gay,Head HeMlddkDaoph Reynnan Toro Wareharn Lakeville,MA 02347 Avon,eboro oru�mronry Newaedfod RRoc ester wekmed Phone:506.9462700 Btorretable East an Hanover Nod,Mmara,vn Rodderd West emoliev aar Fax 508-947-6557 Bmday Eau Bridgewater Hanson Nona, Sandwich Westport TDD:5069462795 Searle err Edaamm aniekr,Easton Harwich Helms sedw INdvewma Faehaven Lslur'nk Od to Sham vwmrdem Brocidon Fal Rha Mansfieldpontroka Soared ymnwum Cents F= Maim pkdmille Stoughton Chatham Fosbarough Marshfield! Plynculn Swansea Cnlrark FrwWm Madpw pNnvw Teuton DEP Northeast Region Amosbuy Chanuord Nekglean Mmirac Glancy waermw 205 Lowell Street ArKlOW Chelsea Hobroolr Mama" Roofing Wapde ewwo Waterton Wilmington,MA 01887 Ashland concord kpewim Md Revere Watertown Phone:978661-7600 Boosted Davars Lawrance Mikan Rodpat Wayland Fax: 978861-7615 Bel""dDedham Ladrgkn Nahan Rowley Wellesley Beverly Dave Lincoln Natick Salem woman TDD:978{61-7679 Bnbim Drama Lowell Needham salietway Wed Nmb y Boum Eaton Lynn Newb-y Saupu Waum Boxford Ever LyrMad Nwturypat Shaean Weamood Brakaee Fttodndem Marlon Heston Somerville Weymouth Brookline Georvelow, Mersteaew-sy-Twsse Norfolk sdroh m wianuptam &Awgbn Gloucester Marblehead Nam Andover S,mdhuy Wffm* r Cambridge Grovebd Medfield Nath Remkp Swtonpswe Winthrop Cana HanlEm Medford Norwood Twksbuy \Nobm CmkN Haemin Mdse Peabody Topdww Wpefam2doc•Appendix A-mv.I lra W Pape tom l l «. CITY OF SALEM CONSERVATION COMMISSION City of Salem Conservation Commission Will hold a public hearing for a Request for Determination of Applicability under the Wetlands Protection Act,Massachusetts General Laws,Chapter 131,Section 40 and Salem's Ordinance Pertaining to General Wetlands at the request of Gary Palardy, 85 Hull Street,Beverly,MA 01915. The purpose of this hearing is for a determination of whether a proposed addition to a multi-family dwelling at 4 Blaney Street is within an area subject to jurisdiction of the Wetlands Protection Act. This hearing will be held on Thursday, February 9,2006 at 6:00 p.m.in City Hall Annex,Room 313, 120 Washington Street. Kevin R Cornacchio �J Conservation Commission Chairman Please print legal ad on: February 2, 2006 Please send bill to: Gary Palardy & Daniel Spencer 85 Hull Street Beverly, MA 01915 978-376-2555 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 .TEL: 978.745.9595 FAx: 978.740.0404 . WWW.SALEM.COM Pictometry EFS $ N E i Vii. Ord •L� ryi t"_Y t rt , IXWA T �(•T y �yli t' 7 w '•a � ,a .�i ,y. r. (c)Copyright 2003,Pictometry International Creation Date:Nov 23,2003 11:27 Modification Date:Dec 15,2003 10:32 Average Scale: 1 inch=59.9 feet Distance between tick marks: 56.45 feet City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received Amount Received Form of Payment Check Cash CHECK PAYMENTS: write check number Z CASH PAYMENTS: write client initials Q Sign Permit Appikatim Fee Conservation Commission Fee Payment received for panning Board Fee what service? Q Old Town Hall Rental Fee Q Other Name staff person Fax r 0 f".a i receiving payment Additional Notes Re� _ • y r JI GARY•H. PALAROY ' t'83 OW2113 DANIEL' SPENCER"SPENCER y ,> "+ �n OWi89188 A mss`' 2;5„ z 85 HULL ST At- BEVERLY MA 019151'445 Z' �4 G / Y 7lilw CO�Sevaa�� Co SaletniP n: 4y 4 210 E;—S-m Salem,MA 01970 41: 2-1 & 3405581: 0960i89i8i3u' 01'25 Original Check and Form: DPM Flnance Copy 1: Client Copy 2: Application File Massachusetts Department of Environmental Protection Sale y . Bureau of Resource Protection -Wetlands c�n-own WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out 1• Applicant: forms on the G aY 'v�Zv 77 _yl(E Y S `aC S�teZT� ® �o�vk� ce4r computer,use Name E-Mail Address only the tab key to move your q 1� V C,�t cursor-do not Mailing Add use the return g�PCU Cly key. City/rows stateZip e On%- `37v- 97$ - 9a_),-aoo5 m Phone Number Fax Number(H applicable) 2. Representative(if any): /VIA Firm Contact Name E-Mail Address Mailing Address Cityrrown State Zip Code Phone Number Fax Number(if applicable) B. Determinations 1. I request the ('"o-S.1 o A m CUrftuus� N make the following determination(s). Check any that apply: Conservation Commission da.whether the area depicted on plan(s)and/or map(s) referenced below is an area subject to jurisdiction of the Wetlands Protection Act. ❑ b.whether the boundaries of resource area(s)depicted on plan(s)and/or map(s)referenced below are accurately delineated. ❑ c.whether the work depicted on pian(s)referenced below is subject to the Wetlands Protection Act ❑ d.whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: Name of Municipality ❑ e.whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). wparormtdoc•m.07114104. Page 1 oro Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability cdy/rom Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ' C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): q CA - S aAew�- street Address Q CRy/r"" Hl .L� kt - 033y + a 'zg Assessors Map/Plat Number Parce"Number b. Area Description (use additional paper, if necessary): C Soya c. Plan and/or Map Reference(s): �f " �/arj fie - B.kIH�41 P, S9 �1�7/9rr TitleP Date c`rt-�� d/ ! — � /-�iSeSsdo• s Nyz ,f'- ��� G17�/o:G 33N � Title Date Title Date Z a. Work Description nn11(u11slI a additional paper and/or provide plan(s)of work, if necessary): N 't, 15 wpalam7Aoc•rev.07H4I04. Pape 2 014 Massachusetts Department of Environmental Protection S a cw„ Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability crtrRom Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description (cont.) b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work(use additional paper, if necessary). 3. a. If this application is a Request for Determination pp eq nation of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project ❑ Single family house on a lot recorded on or before 8/1/96 ❑ Single family house on a lot recorded after 8/1/96 ❑ Expansion of an existing structure on a lot recorded after 8/1/96 ❑ Project, other than a single family house or public project,where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 817/96 ❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverfront Area for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ❑ District, county, state, or federal government project ❑ Project required to evaluate off-site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S.Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence(e.g., record of date subdivision lot was recorded)supporting the classification above(use additional paper and/or attach appropriate documents, if necessary.) wparoimt Goo•m.m114ffik aaae s a a Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability C4/1'own Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Signatures and Submittal Requirements I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional Office(see Attachment)were sent a complete copy of this Request(including all appropriate documentation)simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the property owner. C�zr p / pz,, spe�c�r Name Mailing Address gzscrl� µPQ . olgl� Citylrown Ra. (9c41i State zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense mr lit on 10 05(3, )(b)(1)of the Wetlands Protection Act regulations. lLc` x/10/0 6 g�reol`Applicant " Date Signature of Rdoresentative(H any) Date wpafm I.doe•rev.0711409. Page40f4 SENDER: 1 1N COMPLETE THIS SECTMNON DELIVERY ■ Complete Items 1,2,and 3.Also complete A. Signatufe Item 4 if Restricted Delivery Is desired. ❑Agent X ■ Print your name and address on the reverse M;fAdressee so that we can return the card to you. e. ceiv b (PH Name) 'C. Date Delivery ■ Attach this card to the back of the mailpiece, or on the front If space permits. L AR L6 1. Article Addressed to: D. Is delivery aficress different Am em 1? UYSS If YES,enter delivery address below: ❑No 3. Service Type K Certified Mail ❑Express Mail ❑Registered ❑Return Recelpt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑yes 2. Article Nurt r i i j — - . !t (narrsfer� iI 1. �0o'S��La:2ol 879511292 I PS Forth 3811,February 2004 Domestic Return Recelpt 1025955-02-M-1540 UNITED STATES 'W jy�qR 'X-r,'..`a� ,osta9 e R 'USP • Sender: Please print your name, address, and ZIP+4 in this box Salem Conservation Commission 120 Washington Street,3rd FI Salem,MA 01970 SENDER: DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent X ■ Print your name and address on the reverse v Q/YLQ/Y�' ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Item 17 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No The Commonwealth of MassachtM tsett �- Department of Environmental Protection Northeast Regional Office 3. Service Type 205B Lowell Street I tK r Cerbfied Mail 13 Express Mail Wilmington,M 01887 ❑Registered ❑Return Receipt for Merchandise - x - ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(E#m Fee) ❑Yes 2. Article Numbs- 1i[Lfi 7005 '1820 0�001t6.795112-85, 1 (Transfer fro tr PS Form 3811,February 2004 Domestic Return Receipt 702595-02-M-7540 UNITED STATES POSTAL SERVICE tt i ge USPS • Sender: Please print your name, address, and ZIP+4 in this box I Salem Conservation Commission 120 Washington Street,3rd FI Salem,MA 01970 f4 iil,,,,,,111,1„i,,,i1►,,,,,i1„i,L ,61„ILiI„61.."1,11 n o 41 1%1 .sa J �' �v � g2 49 n95G �anUO g �. ey9h 41 Zs 5 4,1 Q 741606r3957- ' > . S @w�� l 31tl0 g ee 66` 9d 412 9/) 9sg6 00 0 ' A 413277 p 41- IM1°80' 4+ 41 17, -41aQ� :"'a lzsazl4`__ 7 41- 86 eo P � A 411s $ sus > g4159Z78 295-090 k' .�691e-�'� 92 j 41 'o 41i Qa?,P4 4�Q01 so U T NO s ,41" 95a 41 19483 41 Al Y , `.. pNN 5ti sa 9a. , K5Z41700 00 mN 4198 )9 , 41- 9 , `v m ssB" i_ 41 1� 41-3 9 N S �ssQssors KY cdie N 60956'20" W 43.41' N 60°29'30" E 29b2' wood deck s existing stair new bay windows e to grade - (reconstructed) cn � I----I existing wood frame structure (new structure shaded) Ln IO Q� I L - -J open porch E deck - - - -13- - - -° c0 c!J I6'-10° 14'-0° 34'-S" 5 -6° : M M. 1 Lot 5 ` \ , 2pnit7 dig ut ' pOtV7 d s8 r 8 � r m Z cA parking or 8 cars N 31031'00 W Site Flan Scale: 1/6" Note Data obtained from "Plan of Land In Salem, MA. Goldeneye corp. Salem Assessors Map Reference: Map 41 Lot 2-18 Locus Title Reference: Book 14192 Page 59 September 29, 1998" by county Land Surveyors, Inc. Professional Land Surveyore P.O. Sox 543 Gloucester, MA 01931 (9'18)-282-0443