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295 DERBY STREET - CONSERVATION COMMISSION 295 Derby St. = s0 Form 2 DEME Fee No. ` (To ce provided by DEQE) � Salem Commonwealth c'h?eNO of MassachusettsAPP licant Albert Costa c_ i s Determination'of Applicability Massachusetts Wetlands Protection Act, G.L c. 131, §40 From Salem Conservation Commission Issuing Authority To Albert Costarihh nil rnmp,", (Name of person making request) (Name of property owner) Address �3 Street Address McCel t an Hi ghcuav Waltham, MA Revere, MA This determination is issued and delivered as follows: ❑ by hand delivery to person making request on ldate) by certified mail,return receipt requested on February 27 1987 (date) Pursuant to the authority of G.L c. 131, §40,the has considered your request for a Determination of Applicability and its supporting documentation,and has made the following deteMination(check whichever is applicable): This Determination is positive: 1; ❑ The area described below,which includes all/part 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 all/part of the work described in your request, is within an Area Subject to Protection Under the Act and will remove, fill,dredge or alter that area.There- fore, said work requires the filing of a Notice of Intent. 2-1 Si 3. ❑ The w desc^bed below,which includes alUpart of the wor lrt described in you request, is within the Buffer Zone as defined in the regulations, and will alter an Area Sub;ect to Protection Under the Act. Therefore, said work requires the filing of a Notice of Intent, 4 This Determination is negative: 1. ❑ The area described in your request is not an Area Subject to Protection Under the Act. 2. ❑ The work described in your 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 fling of a Notice of Intent. 3. )0 The work described in your request is within the Buffer Zone, as defined in the regulations, but will not after 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 ( Salem Conservation Commission Conservation Commission . This Determinatiorymust be signed by aZrity of the Conservation Commission. v _ On this 26 day of February _19 87 before me personally appeared M Allprt rnptn , to me known to be the person described in, and who executed, the foregoing instrument,and acknowledged that he/she executed the sameashis/her free act and deed. ' Notary Public My commission expires This Determination does not relieve the applicant from complying with all other applicable federal,state or local statutes,ordinances, by-laws or regulations.This Determination shall be valid for three years form the date of issuance. 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 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 Duality Engineering to issue a Superseding Determination of Applicability,providing the request is made by certified mail or hand delivery to the Department within ten(lays 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 the applicant. i 2.2A ,%ON COtf z C �,1 Commissim Salem. Massachusetts 01970 E1 0� ''VASSnCN� - At a regualar meeting of the Conservation Commission to be held on Thursday, February 26, 1987, the Commission will determine the applicability of the Wetlands Protection Act, Mass, G,L, Chap. 131, Scetion 40, ,on the. Application of Albert Costa to renovate the Gibbs gas station on Derby Street. This meeting will be held at 7:30 PM. , One Salem Green, Second floor conference room. Philip D, Moran Chairman z � �V-PQM �� to 80 Form 2 DECE Elle No. (To be provided by OECE) 1 - \ Salem ( Jum Commonwealth city/Townof Massachusetts Applicant Albert Costa Determinationof Applicability Massachusetts Wetlands Protection Act, G.L. c. 131, §40 Fro Salem Conservation Commission Issuing Authority I T Albert Costa r •hl,c n•i rmm�an.. (Name of person making request) (Name of property owner) Address U2 �treet Address MrrP-1 Ian u;ghwa . Waltham, MA Revere, MA a This determination is issued and delivered as follows: p by hand delivery to person making requrst on (date) by certified mail,return receipt requested on February 27 1987 (date) Pursuant to the authority of G.L c. 131, §40, the r *' supportng s yen x 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; 0 The area described below, which includes all/part of the area described in your request,is an Area Subject to Protc,;tion Under the Act.Therefore, any removing,filling, dredging or altering of that area requires the filing of a Notice of Intent. f 2. 13 The work described below, which includes al.Vpart of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill,dredge or alter that area.There- fore, said work requires the filing of a Notice of Intent. 2.1 S1 3. ❑ The work described telow, which irctudes all!part of the work descrbed in your request, is within the Buffer Zone as defined in the regulations, and will alter an Area Sub;ect to Protection Under the Act.Therefore, said work requires the filing of a Notice of Intent. This Determination is negative: 1. 0 The area described in your request is not an Area Subject to Protection Under the Act. 2. 0 The work described in your request is within an Area Subject to Protection Under the Act, but win not remove, fill,dredge,or alter that area.Therefore, said work does not require the filing of a Notice of Intent. 3. )0 The work described in your request is within the Buffer Zone,as defined in the regulations, but win not alter an Area Subject to Protection Under the Act Therefore,said work does not require the filing of a Notice of Intent 4. 0 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 exempbon,as specified in the Act and the regulations, no Notice of Intent is required: Issued by Salem Conservation Commission Conservation Commission . Signature(s) ' This Det I inatlon must be signed bym-yon'ty of the Conservation Commission. On this 26 day of February t 9--.87— before me . personally appeared M A 1 h r r r n to me known to be the person described in, and who executed, the foregoing instrument, and acknowledged that helshe executed the same as his/her free act and deed. T ' NotaryPb lice My commission expires x, This Determination does not relieve the applicant from complying with all other applicable federal.state or local statutes,ordinances, by-laws or regulations.This Determination snail be valid for three years form the date of issuance. 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 ten residents of the city or:cwn in which such land is located.are hereby notified of their right to request the Department of Environmental Duality Engineering to issue a Superseding Determination of Applicability,providing the request is made by certified mail or hand delivery to the Department within ten Cays from the date of issuance of this Determination.A copy of the request shall at the same time be sent by certified mail cr hand delivery to the Conservation Commission and the applicant. i 2.2A 80 Form 2 OECE Fie No. (To be provided by OECE) \ City/To" Salem f ��n Commonwealth of MassachusettsAppliearrt Albert Costa Determination*of Applicability Massachusetts Wetlands Protection Act, G.L c. 131, §40 Fro Salem Conservation Commission Issuing Authority Ta Albert Costa �_ r ;t t n•t en,,,lana3, (Name of person making request) (Name of property owner) Address aa z M A Street Address MrCpl t nn tt;gl, ,a . Waltham, MA Revere, MA This determination is issued and delivered as follows: ❑ by hand delivery to person making request on 'date) by certified mail,return receipt requested on February 27 1987 (date) Pursuant to the authority of G.L c. 131, §40,the r s-mm r s;en has considered your request for a Determination of ApplicabTty and its supporting documentation, and has made the following deteXmination(check whichever is applicable): This Determination is positive: 1: D The area described below,which includes ail/part 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 alVpart of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill,dredge or alter that area.There fore,said work requires the filing of a Notice of Intent. 2.1 S1 3. ❑ The worst described below,which includes alllpart of the wo k,described In your request; is within the Buffer Zone as defined in the regulations, and will alter an Area Sub;ect to Protection Under the Act.Therefore, said work requires the filing of a Notice of Intent. This Determination is negative: 1. ❑ The area described in your request is not an Area Subject to Protection Under the Act. 2. ❑ The work described in your 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 fling of a Notice of Intent. 3. )0 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 Salem Conservation Commission Conservation Commission . i This 0ete�rimina'flo144n ust be signed by m-yon'ty of the Conservation Commission. ' On this 26 day of February _19 87 before me . personally appeared Mr Allr rnqfn to me known to be the person described in, and who executed, the foregoing instrument,and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My commission expires This Oetermination does not relieve the applicant from complying with all other applicable federal,state or local statutes,ordinances, by-laws or regulations.This Determination shall be valid for three years forth the date of issuance. The applicant.the owner,any person aggrieved by this Determination,any owner of tend 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 Iodated,are hereby notified of their right to request the Department of Environmental(Duality Engineering to issue a Superseding Determination of Applicability,providing the request is made by certified mail or hand delivery to the Oecartment w,mm ten 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 the applicant. 2.2A 8o Farm 2 CEDE File No. (To be provided by CEGEi , ` \ C;ry�Town Salem Commonwealth 1 of Massachusetts Applicant Albert Costa } Determination of Applicability Massachusetts Wetlands Protection Act, G.L c. 131, §40 Fro Salem Conservation Commission Issuing Authority TO Albert Costa Cil)hq nil (Name of person making request) (Name of property owner) Address 3' M a Street Address MrCP11nn x;gb..,a3. Waltham,'MA Revere, MA x This determination is issued and delivered as follows: ❑ by hand delivery to person making request on (date) by certified mail,return receipt requested on February 27 1987 (date) Pursuant to the authority of G.L c. 131, §40,the n r uur;s s'ee 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: O The area described below,which includes all/part 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 all/part of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill, dredge or after that area.There- fore,said work requires the filing of a Notice of Intent. 2-1 ai ,i. ❑ The won,described below,which includes al!,'part of the wGr'G dc°c."t-ed In your request, is V.,:thin the Buffer Zone as defined in the regulations, and will alter an Area Sub;ect to Protection Under the Act.Therefore, said work requires the filing of a Notice of Intent. This Determination is negative: 1. ❑ The area described in your request is not an Area Subject to Protection Under the Act. 2. ❑ The work described in your request is within an Area Subject to Protection Under the Act, but will not remove, fill, dredge,or atter that area.Therefore, said work does not require the fling of a Notice of Intent. 3. )0 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 Salem Conservation Commission Conservation Commission . I_ I Signa4.ue(s)�'� IT This Det Vm inatlory�s�a signed by mty of the Conservation Commission. On this 26 day of February _19 87 before me personalty appeared *r e i h t rnct n to me known to be the person described in, and who executed, the foregoing instrument,and acknowledged that he/she executed the same as his/her free act and deed. ' Notary Public My commission expires This Determination does not relieve the applicant from complying with all cther applicable federal.state or local statutes,ordinances. by-laws or regulations.This Determination shall be valid for three years form the date of issuance. r 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 ten residents of the city or;own in which such land is located,are hereby notified of their right to request the Department of Environmental quality Engmeenng to issue a Superseding Determination of Applicability,providing the request is made by certified mail or hand delivery to the oepariment within ten days from the date of issuance of this Determination.A copy of the request r shall at the same time be sent by certified mail or hand celivery to the Conservation Commission and the applicant. i 2.2A 80 Form 2 DEOE Re No. (To oe provided by DEQE) Commonwealth DltyRown Salem of MassachusettsApplioarrt Albert Costa Determination'of Applicability Massachusetts Wetlands Protection Act, G.L c. 131, §40 Fro Salem Conservation Commission Issuing Authority T Albert Costa r;ht n'i (Name of person making request) (Name of property owner) Mc-CP119n Hi hnav Address 1Z2 M a. Street Address € Waltham, MA Revere, MA This determination is issued and delivered as follows: O by hand delivery to person making request on (date) by certified mail,return receipt requested on February 27 1987 (date) Pursuant to the authority of G.L c. 131, §40,the r � • comm;e e en has considered your request for a Determination of Applicability and its supporting documentation, and has made the following detelrmination(check whichever is applicable): This Determination is positive: 1; ❑ The area described below, which includes alVpart of the area described in your request,e 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 al-Vpart of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill,dredge or alter that area.There fore, said work requires the filing of a Notice of Intent. 2.1 S1 .j, Cl The wCri;deSCriCEd bolo ,V,"Ch includes all/part of the wc�'[descrit-ed In your r=;,-,est, I_w::hin the Buffer Zone as defined in the regulations, and will alter an Area Suc,ect to Protection Under the Act.Therefore, said work requires the filing of a Notice of Intent. This Determination is negative: 1. ❑ The area described in your request is not an Area Subject to Protection Under the Act. 2. ❑ The work described in your 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 fling of a Notice of Intent. 3. 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 Wing 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 exempbon,as specified in the Act and the regulations, no Notice of Intent is required: Issued by Salem Conservation Commission Conservation Commission . Signature(s)` � J 11 This Determinatioryfrlust a signed by majority of the Conservation Commission. On this 26l day of February _19 87 before me personally appeared r+ e-11,orr r`„cr p to me known to be the person described in, and who executed, the foregoing instrument,and acknowledged that he/she executed the same as his/her free act and deed. Notary Public My commission expires This Determination does not relieve the applicant from complying with all other applicable federal,state or local statutes,ordinances. by-laws or regulations.This Determination shall be valid for three years form the date of issuance. The applicant,the owner,any person aggrieved by m:s 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:ownin which such land is located,are hereby notified of their right to request the Department of Environmental Quality Engineering to 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 mail or hand celivery to the Conservation Commission and the applicant. 2-2A 310 CMR: DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING / 10.99: continued Form 1: continued 4. The owners)of the area,if not the person making this request,has been given written notification of this request on 'date) The name(s)and address(es)of the owners): v t C SLC—A r1 �1 G—t- W A y -v EI&j MASSA. C V4--VtSE77-75 5. 1 have filed a complete copy of this request with the appropriate re conal office of the Massachusetts Department of Environmental Oualiy,Engineering on ' date) Northeast Sout0east _ 323 New Boston Street W,twiTe Hospital Woburn,MA 01801 LakeviDe,MA 02346 -. .. Central western (( 75 Grove Street Public Health Center \\— Worcester,MA 01605 University of Massachusetts Amherst.MA 01003 e. I understand that notification of this request will be placed in a local newspaper at my expense in actor- . dance with Section 10.05(3)(b), of the regulations by the Conservation Commission and that I will be billed accordingly. Signetuue / .y, Nems Adreea (1.(,onp 1 r Tal , 2 6/30/83 Vol. 12 - 222.2 r - 310 CMR: DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINCERING \ \•� 10.99: Forms _ Form 1 Form 1 DEOE Fie He. (+ (To be pwb.a W DECE) Commonwealth of Massachusetts Aoowm ssrr Request for a Determination of Applicability Massachusetts Wetlands Protection Act, G.L c.131, §40 1. I,Me undersigned.hereby request that the �i ! C oS71� - Conservatlon-Commission make a determination aslo whether the area,described below,or work to be perforned on said area,also desoibed below,is subject to the jurisdiction of the Wetlands Protection Act,CL c.131,§40. Z. The area is descibed as follows.(Use maps or plarrs,H necessary,to pro.ide a description and the bration of the area subject to this request.) 5 S/,C4 AIL P 3 3. The work in said area is described below.(Use additional paper,if necessary,to describe the - proposed work) SKI S T)" CG- STA7t o rJ Tb V3 E/V*vD A'Cl=—D To Sal, S GII LcC w ►- 2 Ne, j �ISptrrstN3 VNLTS . pJ o GH•vnr�E -(-v � S?7 nf�c 43 u l L� t N� pL/Sry , t•1 6/30/63 Vol. 12 - 222.1 80 Form 2 DEQE Re No. Jo���be--provided by DEGEi Commonwealth City/Town Salem of MassachusettsAppliC2nt Albert Costa Determination*of Applicability Massachusetts Wetlands Protection Act, G.L c. 131, §40 Fro Salem Conservation Commission Issuing Authority T Albert Costa r •hbc nil r'mp 3 (Name of person making request) (Name of property owner) Address2�z *r a Street Address MrCelInn u;ohwa3 [Taltham, MA Revere, MA This determination is issued and delivered as follows: ❑ by hand delivery to person making requrst on (date) by certified mail,return receipt requested on February 27 1987 (date) Pursuant to the authority of G.l..c. 131, §40,the has considered your request for a Determination of Applicability and its supporting documentation,and has maize the following deteUnination(checkwhichever is applicable): This Determination is positive: 1; ❑ The area described below, which includes all/part of the area described in your request, is an Area Subject to Protc%;tion 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 all/part of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill, dredge or alter that area.There fore,said work requires the filing of a Notice of Intent. 2.1 Si 3. ❑ The v.erk described below,which includes all;part of the work.desc,ibed in your request, is w.i hin the Buffer Zone as defined in the regulations, and will alter an.Area Subiect to Protection Under the Act.Therefore, said work requires the filing of a Notice of Intent. This Determination is negative: 1. ❑ The area described in your request is not an Area Subject to Protection Under the Act 2. ❑ The work described in your 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 fling of a Notice of Intent. 3. )0 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 Salem Conservation Commission Conservation Commission . Signature(s) ' t. This Oett- minatioust be signed bymajority of the Conservation Commission. On this 26 day of February 19 87 before me personally appeared M Alkr rnctn , to me known to be the person described in, and who executed, the foregoing instrument,and acknowledged that he/she executed the same as his/her free deed. ee actand Notary Public My commission expires This Determination does not relieve the applicant from complying with all other applicable lederal,state or local statutes,ordinances, by-laws or regulations.This Determination shall be valid for three years form the date of issuance. 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 ten residents of the city or:own in which such land is located,are hereby notified of their right to request the Department of Environmental Oualiy,Engineering to 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 mail or hand delivery to the Conservation Commission and the applicant. 2.2A A ��fs1TE FIDE NA4'-yF4A� � j, WIT tz ®LLIMh 13 GI4 P-A ,WVV1•JohWw f APF'R b it hN�ILLq N �� � s - e-FKAfl.�' �u4 5 15 �c LLEv AVO>VP EAG . �r1A z6" PEz�atfG P1`�Et4` E(z H hLJ R��,IoN g �Tf~M GEN' �� - Y o� t'F 1 ' F✓ 1 HF 5F- • yE Vi~ Ih;A4Jl��5 E.�,+I I�LAf�b A :' PI51�EN ���j . NczzLE � Fff; � IhJf�KG.^N' � � ,,, � ZGI�'El7 I�IIRFt�'R5 wHEt?E R�ul�Et�. T� o� E 517 M 5�4 �� (G) 3• INTE��oM �1'�KF-�y AT �A�N wLUMN \�11N MASTER �u' NfRol- A ( cEr114�AL �xN F,n�o'-of,i) '�� •��L}F� Idt±R; U THE 4'P= blK I: , 3�',- 1 o� yl.oP� ---- G�v15 �Miz�P� 5 ml•cUF'I' 't�?F- �f ��}�. :• , 'YAWA, rt-A G ����L APFsI_ -- -- ------ c�L7N51icLINIi �% j i Gdutld / �1[otY — vFr�N��r� -Irz� NE�' E5>IaN f31�11�I , - 5 �� GNLMIGAL G LjNV�1�5 A� � �Q JIR�17 MANL Esc L � �tz o� Na14;�v �y ( � FItzE ( Y `( T �ToP Olc hLG 'E / I It - L �l. Olc �W NjtR r ti r E </IG N �'r ' /L �v`T'�4 Irij ALVITL"1j cF tQl . l� Z` GcLLECi4 I hU�f� g l 'rw \vl'r}{ pE�r-FEN � G L� l �� ► �'TI?'GNC. qac dd( P G` yV4 rEN It.E �tANUA4. 2 Y6N �. •�19. P�sl I� - r.>..�,•u:- �RPa�E � � �•D�42H�Av FIDE <�Llf�k=E�l%ICN' ? i�'IN� 'AL4A ECS F�F �uT - -- - q Ayalll+4: / 1.1M1 P �' ,' 1�t T� �L�1 ✓N. 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