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55 HIGHLAND AVENUE - CONSERVATION COMMISSION §-c W,8 k u,..,l A-p-- - (k 1A Request for Determination of Applicability Wetlands Protection Act and Salem Wetlands By-law North Shore Medical Center- Salem Hospital 55 Highland Avenue Salem, MA August 2013 Wetlands & Land Management, Inc. 100 Conifer Hill Drive — Suite 516 Danvers, MA 01923 ISENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION .!DELIVERY I ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. 0 Agent ■ Print your name and address on the reverse X A/�"' - 0 Addressee so that we can return the card to you. B. Received by( nnted Name) Ct ■ Attach this card to the back of the mailpiece, �q1 or on the front if space permits. D. Is delivery address different from Rem 17 0 Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No VVv yAA �c%v%V46 ,, . 3. Service Type L7¢ertlfled Mal 0 Egress Mall 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number —---- "- (iiansfer from service label) ,' 7012 3050 0001 2959 0079 PS Form 3811, February 2004 Domestic Return Recelpt 102595-02-M-1540;' UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Pald USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box I 5210 Conservation COmmiSSIon i 120 Washington Street,3rd fl Salem,MA 01970 I I I Wetlands & Land Management, Inc. 100 Conifer Hill Drive-#516 Danvers,MA 01923 978-777-0004 Telephone 978-539-0005 FAX August 27, 2013 Tom Devine Salem Conservation Commission 120 Washington Street Salem, MA 01970 RE: Request for Determination of Applicability for Salem Hospital 55 Highland Avenue Request Negative Determination regarding cleaning and maintenance of a created stormwater detention basin Dear Mr. Devine and Conservation Commission Members: The applicant and property owner, Salem Hospital is requesting a negative determination concerning a constructed detention basin on the property. The basin was constructed for the purpose of stormwater management and should not be characterized as a wetland resource area. The applicant seeks a formal determination to that effect that there is no Conservation Commission jurisdiction over the detention basin. The ultimate goal is to clean the basin of accumulated sediment and overgrown vegetation so that the basin functions as it was originally intended. This should alleviate a ponding problem in the adjacent parking lot as well. l Site Conditions and Use The property collectively known as North Shore Medical Center—Salem Hospital is developed with the hospital building including the adjacent medical offices at 55 Highland Avenue, associated circulatory roads and parking. Specifically, the area at 55 Highland Avenue is developed with medical offices formerly known as Highland Hall, an entrance road off Highland Avenue and paved parking. A stormwater detention basin is located at the lower end of the site adjacent to Highland Avenue and Powder House Lane. Aerial photos dating back to 1995 show this basin and the surrounding area on site have remained relatively unchanged. The basin was constructed prior to 1995. Overland stormwater flow enters the basin either by shedding off the parking lots at various locations or entering the basin via a created swale between the parking lot entrance and another section of paved parking. Description of the Detention Basin The detention basin is an excavated basin with moderately steep sides rising to the elevation of the adjacent parking lots and the street. The limits of the basin are easily . defined in the field owing to the steep transition between the basin side slopes and the adjacent land. The upper end of the basin is a constructed swale that collects surface water off the adjacent parking lots. Presently,this swale is choked with a thick stand of an alien and invasive plant—phragmites, or the common reed. The bottom of the interior of the basin is choked with cattail, purple loosestrife, phragmites,jewelweed and other opportunistic plants. There is a steel grate catch basin outlet structure on the downstream end of the basin, near the intersection of Highland Avenue and Powder House Lane. The basin appears to be a catch basin with sump and a PVC outlet tee although the basin is full of sediment directly to the top of this structure,thus short circuiting any intended function of additional sediment collection. From here, stormwater flows out of the basin and is directed to the municipal drainage system in Highland Avenue. The basin obviously receives sediment washed off the adjacent lots. The bottom of the interior of the basin is an irregular surface owing to the accumulation of sand and dirt washed from the parking lots—no doubt as a result of winter sanding operations. It appears that accumulated sediment will collect in a particular location, which then will force the flow of incoming stormwater in a different direction where the process begins again. a Presently,the basin on the subject property is overgrown with vegetation from lack of maintenance. The side slopes of the basin are moderately vegetated with opportunistic shrubs which are encroaching on the basin. Detention basins are designed to accept stormwater during storm events and release the stormwater at a controlled rate. The basin stores excess stormwater during storm events and then typically empties after each storm event. When basins are neglected, the storage capacity is compromised and overtopping may occur. This is happening within the adjacent parking lots where water ponds in the adjunct lots and creates mud, flooding and icing hazards. No Connection to any Resource Area The land surrounding the basin is developed with commercial uses including other office buildings, Highland Avenue, school building and athletic field In the field, you can walk around the entire basin perimeter to verify there are no surface connections to other wetlands up gradient, nor are there any pipes entering this detention basin from any up gradient wetlands. Using Google Earth,which has a cache of historical photos;photos dating back to 1995 show the basin and the surrounding area have not changed. In certain photos, one can easily see the distinct, angular bends at angle points of the basin and straight, linear edges along the parking lots suggesting this is certainly a created basin and not a natural feature. I have attached historical Google Earth photos dating from 2008, 2005, 2001 and 1995 to illustrate the presence of the basin since that time. 2 Summary and Conclusion Seeking a Negative Determination The detention basin at 55 Highland Avenue is a drainage feature and not a wetland resource area. The basin was constructed well before 1995 and can be clearly identified as a detention basin on historic aerial photos. There is no connection either via overland flow or pipe from any wetland areas on abutting lands. The basin has not been maintained for many years and accordingly has become vegetated with common invasive or opportunistic plants. The plants are only present because of the lack of maintenance on this basin and are not indicative of a natural condition. Based on the foregoing and from on-site evaluation, it is apparent this basin is a stormwater management BMP and is not a wetland resource area under State or Local jurisdiction. The applicant is seeking a negative determination to formalize there is no Conservation Commission authority over this detention basin. A Negative Determination#1 and 46 is appropriate to formalize that the detention basin is not an area subject to jurisdiction under the Wetlands Protection Act or the Salem Wetlands by-law and that subsequent cleaning and maintenance can occur. Respectfully submitted, Wetlands&Land Management, Inc. William J. Manuell Wetland Scientist For North Shore Medical Center—Salem Hospital 3 i Massachusetts Department of Environmental Protection Salem Ufl Bureau of Resource Protection - Wetlands City/rown WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Salem Wetlands By-Law A. General Information ' Important: When filling out 1. Applicant: forms on the North Shore Medical Center—Salem Hospital computer, use Name E-Mail Address(if applicable) only the tab key to move your 81 Highland Avenue cursor-do not Mailing Address use the return Salem MA 01970 key. CityrFown State Zip Code yr--h 978-354-2598 Phone Number Fax Number(H applicable) 2. Representative (if any): _Wetlands& Land Management, Inc. Firm t William Manuell Contact Name E-Mail Address(if applicable) 100 Conifer Hill Drive#516 Mailing Address Danvers MA 01923 City/Town State Zip Code 978-777-0004 978-539-0005 Phone Number - Fax Number(if applicable) B. Determinations 1. 1 request the Salem make the following determination(s). Check any that apply: Conservation Commission ❑ a. 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 plan(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: Salem Name of Municipality ❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). WPA Fo n1 Pagel 04 Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection -Wetlands City/Town WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Salem Wetlands By-Law C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): North Shore Medical Center—55 Highland Ave. Salem Street Address City/Town 24 220-801 Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): This filing is to confirm a stormwater detention basin located at Highland Avenue and Powder House Lane is non jurisdictional and can be cleaned and maintained. The site is currently developed with a Hospital building, paved parking, utilities and landscaping. c. Plan and/or Map Reference(s): Site Plan—Existing Conditions—Salem Hospital 8-27-13 Title Date 2. a. Work Description (use additional paperand/or provide plan(s) of work, if necessary): Determine that the existing stormwater basin is a stormwater management structure and is not regulated under the Wetlands Protection Act and the Salem Wetlands By-law. Conduct maintenance within the basin including removal of years of accumulated sediment, offending vegetation clean and clear the inlet swales and the outlet structure. See attached narrative. 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). WPA Formt Page 2 of 4 Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection - Wetlands c;tyaoWn WPA Form 1- Request for Determination of Applicability Ulf q pP � tY Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Salem Wetlands By-Law C. Project Description (cont.) 3. a. If this application is a Request for Determination 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 8/7/96 ❑ 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.) WPA F0.1 Page 3 of 4 Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection - Wetlands City/rown WPA Form 1- Request for Determination of Applicability Ulf Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Salem Wetlands By-Law 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 Appendix A)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: North Shore Medical Center—Salem Hospital—Shelly Bisegna Name 81 Highland Avenue Mailing Address Salem City/rown MA 01970 State Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in accordance with Section 10.05(3)(b)(1)of the Wetlands Protection Act regulations. Signature of Applicant Date (' i.e�_n ,�, �.-.�.r.c-ill Signa re of Rep entative(if any) Date WPA Formi Page 4 of Locus Map Source: United States Geological Survey r .• r _ _� _ j P Illli '�rrwvood Ramer 'fuck. 00Fn _ ParV 'PDI%It ,yam -tapster !� : z � san !11 '�✓� � L y z � Sh�-- Suhs �� r HalRide _ h Rock '.Sal m Terminal. Park,. / •�' } ® W rf _ h1 1 � y FF( Light Ft S ✓ Sank � Se /1 � " ' :>� +l + = �. �ong G l � � . y; ee V 1 v ortt$fi� vP +� vw ee si ,.Palmer ;t �� -,+ �f 5 �t -1 ren A Pointit � � 3 r may- >�./' Vl� .r'✓t - _ t {-�"l� � rP" A 1 � ce6M � � is \ a �� cW u Picker Point a(m h / 1, �J � .�. en „`\ � }'. / �, / `• I'. SCALE: 1:25,000 a Wetlands & Land Management, Inc. 100 Conifer Hill Drive-#516 Danvers,MA 01923 978-777-0004 f'q x � t+ x 3d pix P � ! � / ��i 4 f Y � p°)R :1 4#"�— • �""�r wraTrOm LL4 t Iv 4 1am1 1 1 � Ire• ` ♦ rz 's�fi� � i-. ( �,.�� \�� ;, moi$ V 1tr 1'� J 1 g f 1 \ a fry , i P 1�r �or w t Picture 2: View of the outlet structure. The basin is at the top of the picture. x ,k 5, fi y � �r ✓ I t I t d al M � r � �" 7.� S �. ' �Y i N 1•} � �}}�5+ .. ? �eytr�- � W` �/�r�r�12i u ��, � I t �. / ` �.1 �1 n��+ >. '`�(,T- yr ,r'q1 r' ♦ a ri,..�l�.ti"I�/ I N r IJ.t1 ';`tl i k r�r �.I i:" ✓ :5 : � R', .�.:�'S4'.! Picture _ 1 "1basin backtowards hospital. City of Salem, MA 8/27/2013 Parcel Map with Aerial Photo m, q1 v t 25 0022. 25 19, _ Wj...(�• v t��. h �� yat {� location of outletj� structure tk \ ,* 0 24;' #.` zs a ds_os Is Kzso �! Q13� _Q01 I • t`' SSS � � � r � � `LOF,p �`s '' g ��TTT �, � `b r t, _ , 4P,i 1 { � y . • „*e �, 24 0210 ��'� ��:� 74_(0}983 p PP y 4 roles N N ' r ', 24 ozzo:. . ) ' a I �ffi � ,� �- . � L...� •� constructed swale to collect parking ap o i66 lot runoff feet 24_000'1 0002 Property Information 0 Water Bodies Property ID — Streams Location 0 Ocean ❑ Town Boundary MAP FOR REFERENCE ONLY ❑ Surrounding Towns NOT A LEGAL DOCUMENT Because of Merent update achedules,current property 55 Highland Avenue ❑' assessmerds may not reflect recent changes to property bounden:Check with the acted of Assessors Detention Basin boundanes used at time of assessment 1J {�• ® fOS 6. /� :.i.,+wtw .sY � �F' S, may. �' My, .'�'°`_ • � t` ears, �. � � ' •1 4" ..`t1��,�• T�r r�r ' �'; > s F .-�'r � .r'a` t;,.t �y �� Lill Ali g 55 Highland Ave„ Salem', MA O1970;;USA �, k ,,:;� - Image Mass�'f5 Go m.onweal4h of Massagha� IISAEOE' .'y �: v " � �• nom:"� � �. 'C�� earl - ! , •:" Iniynw C41h:� r� I nl_ `-1 u`s� _11 lUr a __ r tri; _ I 7e al , - ' 1! .O r ~,• 1 *� A �4 r. � < � �moi+ * '' � �� M �,.• aw: jk Ak- Aw CD •�r s 'e^ Fr Na" yrs *4 �G 1 hxj it ol f � • el 3 L f'Y l� '•• \ r •r y t 2001 image r ' I r yy I p S 4 lll V 9 � I a detention basin _ E # f i or r ti G ` . Y • Y.JIYIJ NAM V Y a4F CCo?J. CQOnI • sr ._� -fy ex __ _ s P �•6 tui'+! . "dt jot _ ®d e . rj µ u ` h s ; m r N cn LU Q to d Ln �. }fir; Y z RDA Status Sheet Address: &J\t,A Application Type: �l Date Submitted: d/�/� Contact Name: ) Gl y�ar�a Phone: q-4 Proposed activity: CLm*, ry drerl �eSf\� Application Complete Correct Fee Received legal Notice Sent 1-1-Confirmed KI.Online ''Added to Agenda C;-Agenda to Applicant Agent Comments to Commission Hearing Opened: q/N/A 3 Continued: Si eAgsft ers o hermit Sent to Applicant and DEP `NaConfirmation of Delivery ql,'Added to database Notes: H:\CON COMMWdministrative\project status sheet\Copy of RDA status sheet 2013 2013-07-15.doc e •v ,K�OflU1T�/,t ,� ?+ CITY OF SALEM CONSERVATION COMMISSION September 13, 2013 Bill Manuell Wetlands & Land Management, Inc. 100 Conifer Hill Drive#516 Danvers, MA 01923 Re: Determination of Applicability—Maintenance of detention basin at Salem Hospital Dear Mr. Manuell: Enclosed, please find the Determination of Applicability for the above-referenced project. This determination permits you to begin this project after the 10-business-day appeal period, as of September 13, 2013. This document is effective for three years from its date of issuance. If you have any further questions please feel free to contact me at 978-619-5685. Sincerely, Tom Devine Conservation Agent/Staff Planner Enclosure CC: DEP Northeast Regional Office North Shore Medical Center 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: When filling out From: forms on the Salem computer, use only the tab Conservation Commission key to move To: Applicant your cursor- Property Owner(if different from applicant): do not use the North Shore Medical Center- Salem Hospital return key. Name Name 81 Highland Avenue 'ed - Mailing Address Mailing Address Salem MA 01970 City/Town State Zip Code Citylrown State Zip Code 1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents: SITE PLAN (by Scott Patrowics) 8/28/2013 Title Date Title Date Title Date 2. Date Request Filed: 8/29/2013 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): Maintenance within basin, including removal of accumulated sediment, overgrown vegetation; clear and clean inlet swales and outlet structure. Project Location: 55 Highland Avenue Salem Street Address Cltyfrown 24 220-801 Assessors Map/Plat Number Parcel/Lot Number wpaformi-Determination of Applicability•rev.08/13 - Page 1 at 5 xr L11Massachusetts 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)or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD) 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 not 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) islwithin 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 or ANRAD Simplified Review (if work is limited to the Buffer Zone). ❑ 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 wpaform2ticc•Determination of Applicability,rev.0&13 Page 2 of 5 LOIMassachusetts 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 not 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. ❑ 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. wpaform2Aoc•Determination of Applicability.rev.08/13 Page 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) t9 6. The area and/or work described in the Request is not subject to review and approval by: _sa(p, Name of Municipality Pursuant t a municipal`wetlands ordinance or bylaw. wt"M n�S oda c��o . a r �onS4 �t�/'on C • �� Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on E04 by certified mail, return receipt requested on l 20 DateDa /� 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 htt ://www.mass. ov/eea/a encies/massde /about/contacts/find-the a d - onal-office-for- our- cit -or-town.html and the property owner(if diffe ent from the appli nt ures: Dat npaform2.dm•Determination of Apolmitilily•rev.08/13 Page 4 of 5 LIMassachusetts 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 httg•//www mass aov/eea/agencies/massdep/about/contacts/find the massdeo-reoional-office-for-your-city-or-town html) 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 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. wpaform2.doo•Determination of Applicability•rev.ON13 Page 5 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information Important: When filling out 1. Person or party making request (if appropriate, name the citizen group's representative): forms on the computer, use Name only the tab key to move your cursor- Mailing Address do not use the return key. City/Town State Zip Code `at Phone Number Fax Number(if applicable) Project Location rnva Mailing Address Clty/Town State Zip Cade 2. Applicant (as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation (Form 4A); or Request for Determination of Applicability(Form 1)): Name Mailing Address Citylrown, State Zip Code Phone Number Fax Number(if applicable) . 3. DEP File Number: B. Instructions 1. When the Departmental action request is for(check one): ❑ Superseding Order of Conditions ($120 for individual single family homes with associated structures; $245 for all other projects) ❑ Superseding Determination of Applicability($120) ❑ Superseding Order of Resource Area Delineation ($120) Send this form and check or money order for the appropriate amount, payable to the Commonwealth of Massachusetts to: Department of Environmental Protection Box 4062 Boston, MA 02211 wpaform2.dm•Request for Departmental Action Fee Transmittal Form•rev.08/13 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Instructions (cont.) 2. On a separate sheet attached to this form, state clearly and concisely the objections to the Determination or Order which is being appealed. To the extent that the Determination or Order is based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. 3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (see http://www.mass.gov/eea/agencies/massdeo/about/contacts/find the massdeo regional office for your-city-or-town.htm l). 4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. wpaform2.dw•Request for Departmental Anion Fee Transmittal Form•rev.08/13 Page 2 of 2 `j City of Salem De partment of Planning & Communit Develo Check/Cash Receipt and Tracking For pment Please complete form and make two copies. m Date Received 01-4 Amount,Received Form of Payment S iE�Check Client Information ❑ Cash CASH PAYMENTS: client initials ❑ Sign Permit Application Fee Paymentreceived for what S 'Conservation Commission Fee service? El Planning Board Fee/ ZBA ❑ SRA/DRB Fee ❑ Copies ❑ Other; Name of staff person receiving payment ?� Additional Notes WETLANDS & LAND MANAGEMENT, INC. - - — 100 CONIFER HILL DRIVE#518 - ExRUNAnoN AMO NT ---"" DANVERS, MA 01929 (978)777-0004 51-7218.2211 4398 PAY `S J V DATE ', TO THE ORDER OF CHECK a 1 HRS GROSS SOC,3EC. MED.. ED.WITH STATE DOLLARS AMOUNT LLI ( , DE RIP'17�N 1eirun Bank '00439811• 1: 221172Iasi: - - - - ---- - ---- 191n• 0035606 boriginai Check and Form: DPCD Finance Client -------_ _-Application File ��CONUI'Jq`�n CITY OF SALEM CONSERVATION COMMISSION k Salem Conservation Commission 978-619-5685 Will hold a public hearing for a Request for Determination of Applicability for North Shore Medical Center (Salem Hospital), 81 Highland Ave, Salem MA. Purpose of hearing is to discuss whether maintenance of a stormwater detention basin at 55 Highland Ave is subject to the Wetlands Protection Act MGL c131§40 and Salem Wetlands Protection& Conservation Ordinance. Hearing will be held 9/12/13 at 6pm in City Hall Annex, Rm 313, 120 Washington St. Please print legal ad on: September 5, 2013 Please invoice: William Manuell Wetlands & Land Management, Inc. 100 Conifer Hill Drive 4516 Danvers, MA 01923 978-777-0004 ID b � r � ho ) . 1 ,� concrete.ys, - �S .p �� a o I 't➢' g Q/ 5° � HIGHLAND HALL �qa � � • rJL � NOTES 9 _ � 9, s'O� 59 i "* SALEM HOSPITAL HIGHLAND HALL .� \ law" 1 4" ° awn 4 I °"" OFFICE CONDOMINIUM #55 " -60- - _ -- - - 151,9 ay ,�• 5 A' =aba, 1. LOCUS IS SHOWN ON SALEM ASSESSORS MAPS AS FOLLOWS: a SALEM HOSPITAL a ' F'FE= 8.27 � ,P ( ) y a _ �g s it si AREA = 288,057 t S.F. LOT 220 \ s (inside on floor) may, HIGHLAND HALL OFFICE CONDOMINIUM #55 HIGHLAND AVENUE, MAP 24, LOT 220. MASTER e°n n •t'• - I MAP INVout-o? as h'a I C O II �w _ - ------- , 6.61 t ACRES 4� ` _ — / I FF'E(inside)=58.26 w DEED REC.BK. 7491, PG. 207, PLAN BK. 189, PLAN 207; (b) MAH CORP. #57 HIGHLAND 5a + ,¢ ij�" ro vV i INvavt=?? . > a on linoleum floor) µ AVENUE, MAP 24, LOT 2. DEED REC.BK. 9623, PG. 539, PLAN BK. 131, PLAN 27; (c) SALEM 5 w 9a a as HOSPITAL #81 HIGHLAND AVENUE, MAP 24, LOT 1. PLAN BK. 148, PLAN 50; d SALEM y % inch a gran. e inch occ¢�e w ^=� ( ( 4 HOSPITAL MEDICAL OFFICE BUILDING CONDOMINIUM #79 HIGHLAND AVENUE, MAP 14, LOT 129, 59 •� _ ��A.+ d F b s p d affr 9:` " �a s' � MASTER DEED REC.BK. 7576, PG. 411, PLAN BK. 192, PLAN 37; (e) SHAUGNESSY-KAPLAN m s :r` concrete sidewalk REHABILITATION HOSPITAL, INC., 1 DOVE AVENUE, MAP 24, LOT 216 dt 218, DEED REC.BK. ` I "",,aa o I I ° r 4 I y c c� da ,,.,a '!`r .'ca wp. . . �' ,,mer asphalt sidewdk s w . f ,se w y+'x°":,rQ'" a'3'''p 'd.v 1 r/ ,pr .S ___-___ -ds of a.• I 58� l I y � I , � d �d� I � 1440 EP47 PLAN BK 312 PAN 98, PARCELS A, B, C do 2 AND OT 2 INCLUDING LCC •`� d 57 taw" - - I - �' w ' _ 1563 PARCEL 2, LCC 1563F PARCEL 3 AND LCC 1563G, LOT 10;L f SALEM HOSPITAL ° / I- - �ss� ` I ° #108 JEFFERSON AVENUE MAP 24, LOT 88, DEED CERTIFICATE 55120, LCC #1563E, LOT 5; �I door ''° n° ��k V / � \ 1� (awn _ '°°w- V town °� ` I 1 A -Ss- - \ \ .w fa�w�,\ i �± (g) SMALL TRIANGLE: PROPERTY OF SALEM HOSPITAL, DEED CERTIFICATE 55120, LCC FFE=56.71 i ' J - (own \ - - - - - - - - - - - - - - T ` ` - - ` �, !bp � / 6C #1563E, LOT 6, (h) CITY OF SALEM #24 OLD ROAD, MAP 24, LOT 221 DEED REC.BK. 1850, I ` •'a (inside on floor) +r a I - �� / `�O ' a +4 PG. 447, PLAN BK. 312, PLAN 98 INCLUDING AN EASEMENT GRANTED TO SALEM HOSPITAL 54 s f $ ss 1 \� / �i �j� REC.BK 10381, PG. 88, PLAN BK. 312, PLAN 98. « Imo' S4 __ -- - �.-._ -__ - -- o•"•b6 - - - ._ -- -__1 ' i 1_ " METAL be ,,. ,. a� bb a� . . =bb o �; ° ti / \ P °„ 2. PROPERTY LINE AND TOPOGRAPHY PER NORTH SHORE SURVEY CORP. (NSSC) ACTUAL a 4° parking ON-THE-GROUND SURVEY COMPLETED NOVEMBER, 2011. BORDERING VEGETATED WETLANDS BLDG . w 53 I - - y - �$ 9 \ �, - ;B �@✓ IDENTIFIED AND FLAGGED BY BILL MANUELL (WETLANDS AND LAND MANAGEMENT, INC) THRU a I � JJ - - - - -' o - s3 ° 9 ale /"� �• MAY, 2010. WETLAND FLAGS SURVEYED BY NSSC. l- •[ '1r I ! s' ` 6 1 CB RIM-55. yN' ro�' fa°' - I y ,aCB RIY=55.55-^-� ° a , _._„r._._._._._._._._._._�• 3 'a � {5's 5'conc.chamb O "'j° w•'° 56 y,+ ?Y ,� a w•�� 52 ° �, eig / .r bb A °(NV t-54.00 LA ' I o w '"•° ;'d' - v INVin(A)=53.19 rp', aI'�'°'d`5�'o0 3. THIS SITE PLAN DOES NOT NECESSARILY REPRESENT COMPLIANCE WITH CITY OF SALEM'S " `• _ _ C :d:} INVin(B)=52.85 O� n " �I7� ZONING BY-LAWS. DEFINITIVE COMPLIANCE SHALL BE DETERMINED BY THE CITY BUILDING V • I to ravel parking •• .$S INVou!(Cr52.29-V. $5 V__4 ,•e7_ - - _ g o++ a // �D �y O ¢ INSPECTOR. BUILDING SETBACKS REQUIRE CONFIRMATION FROM THE BUILDING INSPECTOR N I ' Sy- y r ° s ` ' ° 52 r `t's 0 7¢•7/ I d O ill PRIOR TO ANY DESIGN AND/OR CONSTRUCTION. WAIVERS AND/OR VARIANCES MAY BE O ;T �y , O I �, LP1g REQUIRED (BASED UPON THE OPINION OF THE BUILDING INSPECTOR). Q I '� 5 92p mulch a `� 'Pw •� \\ / /.I 1 i ^' J to I a y g3° _ s eop �" i' l � wp s ° ,rs r ; d °, an eop- ,.' r 4. ELEVATIONS SHOWN ON THIS PLAN ARE BASED ON NGVD OF 1929 (MEAN SEA LEVEL = t'T l - � ;. am . 0.0) DATUM. / p N j �' p _ //y° rih �j a /y �' 5. THIS PLAN DOES NOT SHOW ALL UTILITY LINES (AND/OR UNDERGROUND CONDUITS) t \ o r ,'e� y* I / Q SINCE FIELD SURVEY WAS PERFORMED ON VISIBLE ABOVE-GROUND STRUCTURES ONLY. THE Gi O / ,n` ' :`I + eop I LOCATIONS OF EXISTING UNDERGROUND UTILITY LINES SHOWN ON THIS PLAN ARE Q f ss- ( O �\ 4"' / ° APPROXIMATE BASED ON THE BEST AVAILABLE INFORMATION GIVEN TO PLDE AT THE TIME OF . O m THE PREPARATION OF THIS PLAN. CB 50. 5, II / < O t /NV, 47.72 .y' ' �fo oyb / A ye - --. ':e' I '� ,� Iv+' Ya .s�' 'T'•r a°' rw V� h .4�' �� ,n I I LI� vI i � -- / °¢°P°��$ �� n �, �I � �� , � �� ,; � w� y(�1,,� I Qo _m/s• % Oj SMH RIM-51.08 ,' �p�-/�� " °v '. I "�lNVin--4696 n��j/�Y- I I i Q50/µ •' \ / I.a eOfNYo.d-46.68 ° `\��T „�'•�'q� ccb. 1 , / / ° I Iw n / ; -yi$ LP.I9 a✓ ° I T' le s ccb B /' ¢,aµ lye % GRAPHIC SCALE `71) E a I s I I i / y ! 1 ! •° y4 ® 20 0 10 20 40 so O �°° I 1 I no o1Cbt 76uM '.\\ ' I _ ccb I". i� _ O`I •J /' "p' y,` oyQ" r el fl- LL I II i / \ - - of �'. .° .° sic ` �f �I ,q 3 i• " ',T.' J aa. b '' A, r ( / a �.-,� X50, ccb y a"•+ '� B RIY-53.23 >8 . yC. • eop y I IN FEET O LP \ I s✓ , !! �I- (5's 5'm=.chambwr) P / I 1. inch = 20 ft C �' u b rNVin(A)=49.75 �' y, U I II ' d++aL 'ac)=_: '- , /l B o , MVin(B)=49.68 1 ,end•• �� ri v "/ •e,. I,win(C) 49.48 j --- r 6 . , j \ INVout(DJ=48.93 63° 8 Sa �`. ' .,. :` w4' ,�! '"4 ,:" ,,.• no outlet found - T g2 y° ��./OO '•,lNvaue(s)=4e.ss /' or°y / I NOTE: THIS PLAN ONLY 1 I .w'` � /Q' GJ/- ,+� e ,c¢ /' I SERVES AS A GENERAL GUIDE. TI16 ti1TE CON'LRACTOR MAY NEED I I � � I � � ✓j/ �� ws+ \ ��'', �� ast` � , / � TO ADJUST FINAI. GRADES (only with PLDE mpproval) AS NECESSARY BASED UN F'[ELD I'a \\T\ �° I I I b y/. Cn °Gj,'/ Q , sA' / "° :-",c" ACTUALITIES. APPROVAL (from PLDE) [S REQ UIHED PRIOR '1'O MAKING ADJUSTMENT. 2' 2y i' f 4 r 1\ OTE: THIS IT PLAN IS NOT FOR CONSTRUCTION, ,g+ eop / � � / N SITE O U N, .` concrete bumpers •'t'R�' I 1 / aw ccb s _ :." 49 Sz i s � \ % PERMITTING PURPOSES ONLY. N i T 1 .r' 49 ___s -_- - -..w°}''* 1I i� malt I ) HIS - --------------------------------------- rn ".� .„.•.d° a`° �+°A bottom of slope 1 ° }•" a - yA �C i i - �p`SH CF MgSS 3 1 ° ��$f, / / • B✓ YA 8 RIM-53.60 riPA'oP I a' O AINVti A _ O I a 1 lawn •r' I la.n 4� i mulch , n( )'50.99 p SCOTT IAN SG ! .>.a` DMH RIY=54.6 i :1* ! • // 1 .�' 'r' -- - - w-' Ta' INVin(B)=S1.OI PATROWICZ -a w d ,� /////1// u a eo -�-, I t I '�� a� ,,,� P C I INVout(CJ=50.95 / o CNII '^ s tea+ . I I . 1d V` ,",e �' , ,Ha+c+' y*a l _ N v No.33658 O y ' STORMWATER �� O a a r i'` BASIN F - �°� a ,� s w i gra°el rea / i� / .� 7 e stl e�x��66Y N0. DATE DESCRIPTION I I CD RIY 49.4503 yI LVVin-4819 epi i i i ,,y O I / i la1/n 'y 1 u 54 y� Q a U vv a m / -� 1 I r J eo ii o stone /,� )' '^� c �w P s •° ]fh•�' I .a .r qY e i town SITE PLAN m f slope / / / u 54� ys v� '\ ♦� „ r 30 #r { t — b° -9 � ,� �I �/ � � V Iq , .2s \ tta ° // I - ZL.;.,J I \ q,CB RfY=53.57 N _ ,4; -- � , w�1 s INVmd=5,,5 EXISTING N _ 1 I w S NG - --5° lawn � � I � ,+ ' � ` � I II .;E' R=766.00' = 52 - -- '' 'ji i malc0w mach - ®�Pla -ECY '' - -- -__- I / - $ d al's" f - ° '-_-. - ---_ - - - shrubs/mulch 1 , a'• ' ,�.•, '�• sown g A L-31.69 5 - ' �tl - - ,r•- - _-- tl' �_ _ _,_ _ _ _ �_ __ _ e _ a Q w ACCOMPANY A REQUEST FOR .- - � — �4JS� � = DETERMINATION OF APPLICABILITY + a' ^' a bus stop shelter o ,ay ° "I Q :Y' •w �a of LLN,�'` s 'd F 7,14f_ - -�- - - - - - - - - - - - - - - - - - - - - 1- ae _ - as halt "dewolk ?? -__..-yy.._.. .._..r -= _ fi"Cusp _..DY.4�•Y°Y-S ..-. .A _5"� - fi Gas?-k:'`• of �_ - _ .-..-.. 25 9 - -.y _ _ w. ._'- - -'-'- - a �' v a' aw J p aw _ - F I N3 p 9 ,�.. ._.. w ; for a portion of the .s ,� a « P r +a 7XVin-50.12 RIM-54 98 h _ .._ �. +�.._.. v + w w n .�s+ toted pedestrian crosswalk y w P alt stlawatk '-"-"-"- 3w -8"Cas --- - ••- -•• _z o tet' fn f oA' .s' Tw i` � Ye $' T s � ruvm.r= ,p�' PP P rued to po ♦ �...1�'?._.._.._.._.._.._.. UCB RfMS¢.09 a,. ya ` ------- '- _ -= -- s -�r�--x^ -- ---------------------- -----------amass s=P-------E ------ -- ------------- - ------'�------- -------------- B RIM-53.13 ,,g + flus WA s flush v c eop - 3 1-- v c i v c - .` :'w gdssflus -3 a -'P° 9 6 I 7S"` i'� - '�',�' 9 ,� ,,,. -�� - 1 - - - - --- ---raa) - - ----------- - - - - - -rarlw)- - - - - - ------ L - - -re(iH�a ----L-`-- J �..0-.._.._ - .._.._. _.._.. _.._..-.._..- _.._.._..___ 6..C_.. - - _. -._. _. . _-...-.._.._..- -..1._. �..0-.._.._.... _.._.._..1.._.._.._.._.._..-' 1.� �._..-.._. 1.._ TNII^ Salem a Q _.- -. _. _. - _ \ \� � 3A ii i ♦ ii KOO' a - -E-10..E-.- .10E .X10" .._ - Sa am ' (PUBLIC - 66' WIDE - ECLO ' 946 9) a CB RIM-53,S2 I / y ) c v°° /NVout=50.4:2 � -'T 12'D(m)—__-__-__- � _�__- DYH�er' --__-__ y� I i I >� tea' „,.a " d\ I WO L4 CampusN W P lL �� .) .�� ZO"I(ci)-•-'- ' - - s- '-'�''- � - ' - ' - f— ' -zo••II(c i)- � . -' -•-• - 'I-'. -. - . - . -'-'-' - - - - 'fit-'- 'i- - - - . - . - - - - . - . - - - - - - - 5-4 - - - - es n 0' a lIC o _ \ o f _ - _- _ - , - -o DYy+ , I ' I \ S \ SYN i ---- I Z ��)- -- -•CL _�� - - ° — --- --------- ----,--- Eh�)-- ---- -- -- ------------------------------------- �a)- ------------ ---------- g a venue ___________________ SYX B-S(w) I �) •'`y4 i Q -_ __________-¢___-- �__ _-_-_�______________________ T I YI ` _ _ -_ _ ty)- 6, - dl'yp .y ___________•'#-- -__ __ ^L° _F_;s�-----61y0)___ .. ,•,�' r• •.'e. 9 I "S vc I � s .s - _____. w - CMassachusetts �Y b} - 54 - -, --- '` i - - -�- - #", ,,� „ -�'° i+ 4'e` � w'` IJ �u1.7 a tts ,f Salem, Massac Wykyes -- w r �. --- p - w - �4 �- ' w'�� ---`- - --- - - -,A� - -W� - - yA w - - - - - Date: August 28, 2013 C a J T PLDE#09-25 Scale: 1" = 20' Sheet 1 of 1 2S \ o '/ #104 Prepared for- Shelly Bisegna DMH1 411/ #50 #52 / 7 / MAP 14, North Shore Medical Center, Salem Hospital, �— 40 #40R I / ,' l L❑T 162 #81 Highland Avenue, Salem, MA 01970 �/ PATROWICZ a. I # 42, 44 MAP 25, LOT 16 56 , 58 �, �. MAP 25, MAP 25, 46, 48 MAP 25, '�' �, m LAND DEVELOPMENT ENGINEERING N LOT 20 / LOT 19 / MAP 25, MAP 25, LOT 15 / Q Lj 14 Brown Street, Salem, MA 01970 a) LOT 18 , LOT 17 (978) 836-6400 in I NORTH SHORE SURVEY CORPORATION Brown14 Street, Salem, O / (978) 744-4800 a) E U O U