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64-277 - 61 & 63 JEFFERSON AVENUE - CONSERVATION COMMISSION
�,�„y — � Ir63/'Sr-��iJ Avg" Co�-f—Z"�7 N . S, A-N^6u�c� �� i y {li I `�'�"W� wry .� ,�w ' - t+ .... 7 - n .� [ }era✓ �'�-;c,�� ��•, ,�h�.-�e.� 'V ` An g� o f f I ' 1 { ge4l"OvA 6f e51D�- � 5 ��a z Lynv\ pc�- hoh �Lrt01 '?�c2 tno�' S ihcre deo �MQS '79 ,'7 /o ,f �ef Ams 71 WAS Swab i r ✓y • h6�� � Illlilllllll1111lIIIIIIIIII Illllllllllfllllll 2014061200110 803334 Pg;301 0611212014',M54 C"PLI Pa. 113 iMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Numboc WPA Form $B — Certificate of Compliance 64-277 ILIMassachusetts Wetlands Protection Act M.G.L. c. 131, §40 Pmv'dedbyoen` A. Project_Information Important: When filling out 1 This Certificate of Compliance is issued_to: forms the computer, RTD No_min_e e Realy,Trust.,Robert Dunham .only the tab,key Name to move your 63 1/2 Jefferson Avenue .cursor-do trot -.— - usethereturn Mailing Addre5s � key. Salem MA 01970 Citylrown .--- : State 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Robert Dunham Name 9/911999 64-277 . DatedDEP File Number ,.. 3. The project site is located at: 63 112 Jefferson Avenue Salem Street Address Cdyrrown 24227 ��------------------ _____ ___ ------------- Assessors h�7apiPlat Numtier Paroe Ji.ai Number the final Order of Condition was recorded at the Registry of Deeds for, Rita Kerr Property Owner(if different). South Essex 15925 448 County Book Page 4. A site inspection was made in the presence of the applicant. or the applicant's agent on: 4/712014 Date 'npafrm6II:doc•.rev,t222fJ3 v7FA Farm G9.C,�ak1•,.Sfo r1 Cnmpuarro•.Fa,u'.C3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands CEP File Nurnbe;: 7 ( WPA Form 8B - Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 64-277 o ted by DEP B. Certification Check all that apply: Complete Certification It hereby certified that the work regulated by the above-referenced,Order of Conditions has been satisfactorily completed. El Partial Certification: It is hereby certified that only the following portions of work regulated by the above-referenred Order of Conditions have been satisfactorily completed.The project areas or work subject to this partial certification that have been completed and are released from this Order are: D Invalid Order of Conditions:It is hereby certified that the work regulated by the above-referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act may commence without filing a new Notice of Intent and receiving a new Order of Conditions Ongoing Conditions:The following conditions of the Order shall continue: (Include any conditions contained to the Final Order, such as maintenance or monitoring; that should continue for a longer period). Condition Numbers: C. Authorization u Issued by: Salem Conservation Commission Date of Issuance This Certificatemust be signed'by a majority of the Conservation Commission and'a copy sent to the applicant and appropriate DEP Regional-Offi See http://www.mass.00v/dep/about/region/findvour.htm). Signatures` wpafdM1BttetlC•rcY,'I212@fJ3 MA Fww 8n•C.MrW!.p1 C.ph.,no P.9t 2913 Massachusetts Department of Environmental Protection I:,, Bureau of Resource Protection Wetlands DEP File Number WPA Form $B - Certificate of Compliance' Massachusetts Wetlands Protection Act M.G.Q. c. 131, 40 sa 277 § Provided,hy DEP IL D. Recording Confirmation The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land'Court for the district to which the land is located- Detach on dotted line and submit to the Conservation Commission. To: - ----- — - -- ---._._._,_. ._.— ------------------ --------------------------------- Please ------- -- - - - —Please be`advisedthat the Certificate of Compliance'for the project at: Protect Location DEP Fite Number Has been recorded at the Registry of Deeds of: County for: PmRenYOmner and has been noted in the chain of title of the affected property on: Date Book 'Page If recorded land,.the instrument numberwhich`identifies this transaction is: If registered land, the document;number which identifies this transaction is: Uocument.Number — -- ------------- Signature -"". -Signatureof Applicant xpa r,9b,Ccc•. ev':71Ta:"J3.' IMA Fwm&a;CemftWo 0 Cwry^,ii —Paan?.c'3 COMMONWEALTH OF MASSACHUSETTS ESSEX REGSS ISTRY OF DEEDS,SO.DIST SALEM.20 S ATRUE COPY OFRECOGGRD: N BOCIC?a,�.T AGE9�_ ATTEST: --9 _ w EGISTER r .. Massachusetts Department of Environmental Protection / DEP File Number: -- Bureau of Resource Protection - Wetlands WPA Form 8A — Request for Certificate of Compliance 64-277 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information Important: 1. This request is being made b When filling out q 9 Y: forms on the RTD Nominee Realty Trust Robert Dunham computer, use Name only the tab key to move 63-1/2 Jefferson Ave your cursor- Mailing Address do not use the Salem MA 01970 return key. City/Town State Zip Code y���p �� 978-744-5050 _t� Phone Number 26 If 2. This request is in reference to work regulated by a final Order of Conditions issued to: 1°r0 Robert Dunham Applicant 09-09-1999 64-277 Dated DEP File Number Upon completion of the work 3. The project site is located at: authorized in 63-1/2 Jefferson Ave Salem an Order of Street Address Cityrrown Conditions,the property owner must request a Assessors Map/Plat Number Paroel/Lol Number Certificate of Compliance 4. The final Order of Conditions was recorded at the Registry of Deeds for: from the issuing Rita Kerr authority stating Property Owner(if different) that the work or Essex 15925 448 portion of the work has been County Book Page satisfactorily Completed. Certificate(if registered land) 5. This request is for certification that(check one): ® the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. ❑ the following portions of the work regulated by the above-referenced Order of Conditions have been satisfactorily completed (use additional paper if necessary). ❑ the above-referenced Order of Conditions has lapsed and is therefore no longer valid, and the work regulated by it was never started. wpoetmad9mbo rereV M=4 Page 1 d2 v Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: ); WPA Form 8A — Request for Certificate of Compliance 64-277 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information (cont.) 6. Did the Order of Conditions for this project, or the portion of the pro tect subject to this request, contain an approval of an plans pp y p a s stamped by a registered professional engineer, architect, landscape architect, or land surveyor? ® Yes If yes, attach a written statement by such a professional certifying substantial compliance with the plans and describing what deviation, if any, exists from the plans approved in the Order. ❑ No B. Submittal Requirements Requests for Certificates of Compliance should be directed to the issuing authority that issued the final Order of Conditions(OOC). If the project received an OOC from the Conservation Commission, submit this request to that Commission. If the project was issued a Superseding Order of Conditions or was the subject of an Adjudicatory Hearing Final Decision, submit this request to the appropriate DEP Regional Office(see http://www.mass.qov/dep/about/reciion/findyour.htm). i wpgfatftfidabe aweJ/18MA4 Page 2 of 2 L LAND COURTSURVEYS SUBDIVISIONS REGISTERED LAND SURVEYOR REGISTERED CIVIL ENGINEER LOTSURVEYS MORTGAGESURVEYS CONSULTING PARSONS AND FAIA, INC. 60 LEWIS STREET LYNN, MASSACHUSETTS 01902 ' , 593-7927 Salem Conservation Commission August 23 , 2013 �, 120 Washington Street u Ft Z";-,;, Salem , Massachusetts 019704L r RE: DEP File number 064-277 63 Jefferson Avenue Salem,Massachusetts Dear Commission Members , I have reviewed the following: 1. Order of Conditions filed in the South Essex Registry of Deeds in book 15925 pages 448-453. 2. The plans that the Order of Conditions refer to dated May 18 , 1998. 3. The Proposed Site Plan dated September 27 , 1999 prepared by this firm which lessen the footprint and enlarge the parking area and expand the vegetated swale area. On August 23 , 2013 , I made a visual inspection of the site and found construction of a building addition had started. It is in my opinion the site was constructed in accordance with the record data with the following exceptions: 1.The proposed 6"curbing was not installed, but was replaced by an earth shoulder. 2.My review found no evidence that items 9 , 10 , and 17 of the Order of Conditions were completed. If you should have any questions ,please contact my office. py%��sr2h in rely , tAb�1H i)r f$q��q r Charles D. Faia P .S. Parsons and Faia hie. T'i^gv;ti"a"p RE-G DRYWALL , I N C . L j ALL•METAL PARTITIONS•INSULATION 4r Jr(M -7 December 28, 1999 SALEM PLANN'1\lu D is Stephen Dibble Conservation Planner City of Salem One Salem Green Salem, MA 01970 Dear Stephen, I would first like to thank you for taking the time to do a progress inspection of my project. During your visit I asked about increasing the paving area by a small amount. The reason for this request is to be able to turn our trucks around in the fenced in yard without leaving the paving. I have enclosed a site plan showing the existing conditions as well as the proposed area. If you could review the drawing and let me know if I can proceed. Thank you for your attention and help in making this a successful project. mcerely, Robert Dunham President 47 Jefferson Ave. Salem, MA 01970 (978) 744-5050 Fax (978) 741-8005 By 15925 PG 452 SALEM CONSERVATION COMMISSION SPECIAL CONDITIONS-DEP FIRE#64-277 ADDRESS: 61-63 Jefferson Ave—N.S.Ambulance 1. All work shall conform to the above-referenced Notice of Intent,site plan and supporting documents and those final specifications which shall be filed with the Commission prior to construction. Any change made or intended to be made to the approved plans shall require the applicant to inquire of the Commission in writing whether the change is substantial enough to require the filing of a new Notice of Intent. 2. Members and agents of the Commission shall have the right to enter and inspect the premises at all reasonable times to evaluate compliance with the conditions in this Order. The Commission may require the applicant to submit additional data or information necessary for the Commission to conduct that evaluation. 3. Upon completion of the project,the applicant shall submit,with the request for a Certification of Compliance,an affidavit,prepared by a professional engineer or land surveyor }. a registered in the Commonwealth of Massachusetts, stating that the site has been developed i accordance with the requirements of this Order of Conditions,the referenced site plan and supporting documents. 4. This Order shall 1 to 0� appy every successor in control or successor in interest of the property described in the Notice of Intent and accompanying v' lens or�thereof. In the event PromB P this land or any part thereof changes.ownership before or during construction,the cement owner shall notify the new owner,by registered mail,of this Order prior to the transfer of ownership and shall forward proof of this notification to the Commission. 5. Prior to commencement of construction activity,a haybale barrier,shall be placed downgradient of construction to prevent siltation of the adjacent wetland. Haybales shall be anchored with stakes and entrenched 4 to 6 inches in depth. Trench material shall be deposited on the upgradient side of the haybale barrier. Haybales shall be inspected daily;those showing signs of deterioration shall be replaced immediately. The haybale barrier shall remain in proper functioning condition until all disturbed areas have been stabilized. 6. Additional erosion and sedimentation control measures deemed necessary by the Commission shall be instituted by the applicant. Any siltation caused onto any wetland or waterway area shall be promptly reported to the Commission. Such area shall be restored to the satisfaction of the Commission. 7. During construction,no debris,fill,or excavated material shall be stockpiled within 100 feet of designated wetlands. Any other stockpile location will be protected sufficient to prevent sediment from surface runoff entering wetlands. 8. 6 Concrete curbing shall be installed from rear of building to side property line across { rear(S.E.)limits of parking lot perimeter to contain and direct the flow of water to catch basins. Gv 15925 PG 0.' ' All catch basins and pipes shall be fitted with oil and gas traps. A regular cleaning and strucnual maintenance schedule for catch basins,manholes,and pipes shall be developed and/ 1 submitted for Conservation Commission approval. 10. *A letter confirming the implememation of the cleaning and maintenance schedule sha be filed wit this Commission on December 15,annually. U- 11. Equipment servicing and overnight equipment storage must be conducted outside the / buffer zone. Equipment must be maintained to prevent leakage or discharge of pollutants. 12. *No spill or discharge of petroleum products or other pollutants will occur within 100 feet of any wetland resource area Washing,maintaining,and cleaning of vehicles shall only be permitted indoors. 13. *Use or storage of rock salt(sodium chloride)or other toxic de-icing chemicals is prohibited within 100 feet of the resource area Any arrangement for snow removal shall stipulate the ban. No storage of snow on site. 14. Notice shall be given this Commission no more than 2 weeks nor less than 2 days prior to the commencement of construction activities. Said notice shall include,in writing,the names(s), address(es),and business and home telephone numbers of the project supervisor(s)responsible for insuring that operations are conducted in compliance with this Order. 15. *Minimal pruning and no removal of any buffer zone or wetland vegetation will occur downgradient of the staked haybale line. 16. *Only organic fertilizers shall be used for landscaping and lawn care and shall contain a low nitrogen content and be used in moderation. Pesticides and herbicides shall not be used within 100 feet of the resource area 17. A plan for landscaping and maintenance of vegetation for the buffer zone shall be developed and submitted for Conservation Commission approval prior to commencement of work. Final site plan to be submitted to and approved by Conservation Commission prior to the commencement of any work. ' 18. The Order of Conditions including these Special Conditions shall be posted on site. *ongoing conditions that do not expire upon completion of the project or issuance of a Certificate of Compliance. i sdlconmmbocwljcffasnms�nbwma w • 310 CMR 10. 99 DEP File No. 64-277 (To be provided by DEP) Form 5 City/Town Salem Applicant N.S. Ambulance . Commonwealth of Massachusetts Order of Conditions Massachuetts Wetlands Protection Act G.L. c. 131, §40 From Salem Conservation Commission Issuing Authority To Northshore Ambulance Rita Kerr (Name of Applicant) (Name of property owner) Address 89 Margin Street, Salem Address 61 Jefferson Avenue This order is issued and delivered as follows: ❑ by hand delivery to applicant or representative on (date) ❑ by certified mail, return receipt requesced on (date). This project is located at. F'3 .Tef1:e,-�nnwenne The property is recorded at the Registry of ,,Essex Book 14558 Page 386 Certificate (if registered) The Notice of Intent for this project was filed on 4/10/y8 (date) The public hearing was closed on May 14, 1998 (date) Findings The Commission has reviewed the above-referenced Notice of Intent gnd plans and has held a public hearing on the project. Based on the information available to the Commission at this time, the Commission has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act (check as appropriate): Public water supply Flood Control Land containing shellfish Private water supply Storm damage prevention Fisheries Ground water supply Prevention of pollution Protection of Wildlife Habitat Total Filing Fee Submitted 525 State Share z50 (1/2 fee in excess of $25) City/Town Share G75 Total Refund Due $ City/Town Portion $ State Portion$ (1/2 total) (1/2 total) Effective 11/10/89 5-1 a Therefore, the commission hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the regulations, tc protect those interests checked above. The Commission orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. General Conditions 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke ,or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3 . This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4 . The work authorized hereunder shallbe completed within three years from the date of this Order unless either of the following apply: (a) the work is a maintenance dredging project as provided for in the Act; or (b) the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing ,authority at least 30 days prior to the expiration date of the Order. 6. Any Till used in connection with this project shall b� clean fill, containing no trash, refuse, rubbish or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts of any of the foregoing. 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department have been completed. 6. No work shall be undertaken until the Final order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land, the Final order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done. The recording informatin shall be submitted to the rnmm; gr;or on the form at the end of this Order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection, File Number . fid-777 10. where the Department of Environmental Protection is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 5-2 11. Upon completion of the work described herein, the applicant phall forthwith request in writing that a Certificate of Compliance be issued stating than the work has been satisfactorily completed. 12. The work shall conform to the following plans and special conditions: Plans: Title Dated Signed and Stamped by: On File with: Site Development Permit 5/18/98 Chrictophar Moil., S.C.0 Plan -6of6 Special Conditions (Use additional paper if necessary) See.-Attached (Leave Space Blank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3A s Issued By Sal Conservation Commission Sig u e (s) XA— This Order must be signed by a majority of the Conservation Commission. On this 14th day. of May 19 qR before me personally appeared the above mentioned to me known to be the person described in and who executed the foregoing instrument and acknowledged that has e cut a same as his/her free act and deed. STEPHEN DIBBLE Notary Public Nty Commission Expires Nov.12,2004 Notary JA is My commission expires The applicant, the owner, any person agrrieved by this Order, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby nctified of their right to request the Department of Environmental Protection to issue a Superseding Order, providing the request is made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form as provided in 310 CMR 10.03(7), 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. Detach on dotted line and submit to the prior to commencement of work. ............................................................................................................ To Issuing Authority Please be advised that the Order of Conditions for the project at File Number has been recorded at the Registry of and has been noted in the chain of title of the affected property in accordance with General Condition a on ,19 If recorded land, the instrument number which identifies this transaction is If registered land, the document number which identifies this transaction is Signature Applicant- 5-4A SALEM CONSERVATION COMMISSION SPECIAL CONDITIONS - DEP FILE#64-277 ADDRESS: 61-63 Jefferson Ave—N.S. Ambulance 1. All work shall conform to the above-referenced Notice of Intent, site plan and supporting documents and those final specifications which shall be filed with the Commission prior to construction. Any change made or intended to be made to the approved plans shall require the applicant to inquire of the Commission in writing whether the change is substantial enough to require the filing of a new Notice of Intent. 2. Members and agents of the Commission shall have the right to enter and inspect the premises at all reasonable times to evaluate compliance with the conditions in this Order. The Commission may require the applicant to submit additional data or information necessary for the Commission to conduct that evaluation. 3. Upon completion of the project, the applicant shall submit, with the request for a Certification of Compliance, an affidavit,prepared by a professional engineer or land surveyor registered in the Commonwealth of Massachusetts, stating that the site has been developed in accordance with the requirements of this Order of Conditions, the referenced site plan and supporting documents. 4. This Order shall apply to every successor in control or successor in interest of the property described in the Notice of Intent and accompanying plans or part thereof. In the event this land or any part thereof changes ownership before or during construction,the current owner shall notify the new owner, by registered mail, of this Order prior to the transfer of ownership and shall forward proof of this notification to the Commission. 5. Prior to commencement of construction activity, a haybale barrier shall be placed downgradient of construction to prevent siltation of the adjacent wetland. Haybales shall be anchored with stakes and entrenched 4 to 6 inches in depth. Trench material shall be deposited on the upgradient side of the haybale barrier. Haybales shall be inspected daily;those showing signs of deterioration shall be replaced immediately. The haybale barrier shall remain in proper functioning condition until all disturbed areas have been stabilized. 6. Additional erosion and sedimentation control measures deemed necessary by the Commission shall be instituted by the applicant. Any siltation caused onto any wetland or waterway area shall be promptly reported to the Commission. Such areas shall be restored to the satisfaction of the Commission. 7. During construction, no debris, fill, or excavated material shall be stockpiled within 100 feet of designated wetlands. Any other stockpile location will be protected sufficient to prevent sediment from surface runoff entering wetlands. 8. 6" Concrete curbing shall be installed from rear of building to side property line across rear(S.E.) limits of parking lot perimeter to contain and direct the flow of water to catch basins. VP 9. All catch basins and pipes shall be fitted with oil and gas traps. A regular cleaning and structural maintenance schedule for catch basins, manholes, and pipes shall be developed and submitted for Conservation Commission approval. 10. *A letter confirming the implementation of the cleaning and maintenance schedule shall be filed wit this Commission on December 15, annually. 11. Equipment servicing and overnight equipment storage must be conducted outside the buffer zone. Equipment must be maintained to prevent leakage or discharge of pollutants. 12. *No spill or discharge of petroleum products or other pollutants will occur within 100 feet of any wetland resource area. Washing, maintaining, and cleaning of vehicles shall only be permitted indoors. 13. *Use or storage of rock salt (sodium chloride) or other toxic de-icing chemicals is prohibited within 100 feet of the resource area. Any arrangement for snow removal shall stipulate the ban. No storage of snow on site. 14. Notice shall be given this Commission no more than 2 weeks nor less than 2 days prior to the commencement of construction activities. Said notice shall include, in writing,the names(s), address(es), and business and home telephone numbers of the project supervisor(s)responsible for insuring that operations are conducted in compliance with this Order. 15. *Minimal pruning and no removal of any buffer zone or wetland vegetation will occur downgradient of the staked haybale line. 16. *Only organic fertilizers shall be used for landscaping and lawn care and shall contain a low nitrogen content and be used in moderation. Pesticides and herbicides shall not be used within 100 feet of the resource area. 17. A plan for landscaping and maintenance of vegetation for the buffer zone shall be developed and submitted for Conservation Commission approval prior to commencement of work. Final site plan to be submitted to and approved by Conservation Commission prior to the commencement of any work. 18. The Order of Conditions including these Special Conditions shall be posted on site. *ongoing conditions that do not expire upon completion of the project or issuance of a Certificate of Compliance. sd\concom\ooc\63je ffemonnsambul=ce t J J .ue � � Q Q DRYWALL , t 1 V C . DRYWALL•METAL PARTITIONS•INSULATION 8/30/13 Salem Conservation Commission 120 Washington Street Salem,MA 01970 RE: DEP File # 064-277 63-1/2 Jefferson Ave Salem,MA 01970 Dear Commission Members, This letter is to confirm the following; In 2012 the vegetated swale,as shown on Proposed Site Plan dated September 27, 1999 was cleared of overgrowth by K&J Landscapers. In 2013 the work is scheduled for to be performed in November. The Catch Basin is routinely inspected by our yard personal and has always remained relatively clean. Thank you, Robert Dunham Trustee RTD Nominee Realty Trust 4 j { t f { 63 1/2 Jefferson Ave.•.Salem, MA 01970•(978)744-5050•Fax(978)741-8005 }. www.emrdrywall.com t Wednesday, August 25, 1999 Salem Conservation Commission One Salem Green Salem, MA 01970 Re: 61-63 Jefferson Ave., Salem, MA Dear Commission, It letter is formal notice of my intent to start construction on a new building located at the referenced site. I have started to install the hay barrier and will be complete by the day's end. If a site meeting would be helpful to the success of this project I encourage it. Since y, k� Robert Dunham Trustee Property Owner: R.T.D. Nominee Realty Trust 7 Riverside Drive Marblehead, MA 01945 (781) 639-3750 Project Supervisor: Robert Dunham E.M.R. Drywall, Inc. 47 Jefferson Ave. Salem, MA 01970 (978) 744-5050 ✓ z 28�jgol band L'�IJpooy �130a @bap h& Professional Land Surveyors Et Civil Engineers ESSEX SURVEY SERVICE 1958 - 1986 OSBORN PALMER 1911 - 1970 BRADFORD & WEED' 1885 - 1972 May 18, 1998 Mr. Mark George, Chairman Salem Conservation Commission City Hall Jept. One Salem Green Salem, Massachusetts 01970 RFS: F 10426 Northshore Ambulance Jefferson Avenue Salem, MA DEP File #64-277 Dear Mr. George: As per our agreement regarding the issuance of an Order of Conditions for the above referenced project, please find enclosed two (2) sets of the Plans revised to show the following; 1. Relocated refuse container. 2. Three (3) new parallel parking spaces on the southerly face of the building. 3. Four (4) spaces at the southerly most end of the park- ing lot have been eliminated. 4. The vertical concrete curb has been called for from the southeasterly corner of the building to the easterly boundary line of Glickman. Thank you in advance for your cooperation in this matter. Sincerely, Christopher R. Mello P.L.S. President CRM/tlm cc: David Tuxbury [letter only] Atty. Joseph Correnti [letter only] Joseph Orzel [letter only] 104 LOWELL STREET PEABODY, MASS. 01960 (978) 531-8121 FAX:(978) 531-5920 Citp of 6alem, 0a.5garbU5tttg Department of Public *erbiceg c Otte 6alem Oreen '�biMpyE We (508) 745-9595 Cxt. 321 STANLEY I.BORNSTEIN,P.E. City Engineer faX: (508) 745-5877 Director of Public Services May 14, 1998 Mark George, Chairman Salem Con Com One Salem Green Salem, MA 01970 RE: North Shore Ambulance Dear Mark: I have reviewed the plans submitted for the new facility on Jefferson Avenue. In general, I found them to be adequate in terms of drainage and flood storage. I would like to suggest that a portion of the detention area be made deeper, by six inches or so, to promote ground water recharge. I would not recommend making the whole area deeper nor would I recommend going deeper than six inches below the outlet pipes invert. The reason for this is that I question the permeability of the existing ground and would not want a large amount of water to remain in the pond for long periods of time(a la Salem Hospital). My only other concern is that adequate provisions be made to prevent erosion in the event of overtopping. This could simply be rip-rap and filter fabric in one area that is designed to take the overflow. Call me with any questions. Sincerely, Mike Collins, Assistant City Engineer �n��OP�il bn0d ��pDO� ���0Q�n40�3� �..1WV0 Professional Land Surveyors 8 Civil Engineers ESSEX SURVEY SERVICE, 1958 - 1986 OSBORN PALMER 1911 - 1970 BRADFORD & WEED 1885 - 1972 May 14, 1998 Mr. Mark George, Chairman Salem Conservation Commission City Hall One Salem Green Salem, Massachusetts 01970 RE: F 10426 Northshore Ambulance Jefferson Avenue Salem, MA Dear Mr. George: Based upon our discussion at the site meeting on May 7, 1998 we have amended the Plan for Northshore Ambulance as follows: 1. The volume of the vegetated swale has been increased by approximately 530 cubic feet by deepening the Swale by one foot.. 2. A detail showing stone riprap on the sides of the swale and the existing bank has been added. The accompanying calculation indicates that the swale will now store approximately 1.5 inches of runoff. In a one hour rainfall event the capacity of the swale with only the underdrains dis- charging (i.e. no overflow) would be equivalent to three inches of runoff. This runoff volume would be associated with a two year frequency storm. Any questions regarding this matter may be directed to the under- signed. Very truly yours, H . Oblek0ai-tO Jags H. MacDowell aw tlm Enclosures cc: David Tuxbury [letter only] Attorney Joseph Correnti [letter only] 104 LOWELL STREET PEABODY, MASS.01960 (978) 531-8121 FAX:(978)531-5920 > .roe �. n2�u Sdo2E � mbV t EASTERN LAND SURVEY ASSOCIATES, INC. SHEET ND'_ 1 OF 1 Christopher R. Mello PLS 104 Lowell Street CALCULATED BY ilm DATE PEABODY, MA 01960 (508) 531.8121 CHECKED BY DATE 1 SCALE �' — \7..x'1 • . TS9 Z•E�+ oVRC, CFLCULAI\Os1 ez4W lu� _ 1.00 k .10 l0°IQ.. "Is S_ IZ mOrN1v5_ -LSS 0• (-'l5 C. 1�7�Hi �Uof 1 r ACE'. C) G`1 S k o..-10 'LO to ...........Cg4.Cul.A"l�ol... �-• V.f.C�blq�'164 �W.4C.F ;_ ...... ,3 ad .tEV. ;.......hO \ SF 3(no ' •2.5 1 15 A-L . CF tAR� AR.k W.� 34.0 r--. _ furs CF 2 Swc)CF Wit ! l0�p of 1Sz tNua o'r- Zua off. . ISW9lE. W.1l S"lORt 1 .5 %QcC C i Ofd Hou2 �opaclT�'. 0 nr-�C` •J — 2 TYxt-wru Lc e O, Z,S c1 s eve Z cam, Z S x G o x (�0 = 00 cf; �g--)S Cr 15300 C t C).-24'1 -Z wntroi yrt srn rroi�rmn®°a.um.um alai maa xo-a iai rut room® DEP File No. (To be provided by DEP) Form 3 City/Town Salem Applicant Northshore Ambulance Commonwealth Department of of Massachusetts Defense United States Notice of Intent of America Under the Massachusetts Wetlands Protection Act, G.L. c. 131, §40 and Application for a Department of the Army Permit Part I: General Information ff 1. Location: Street Address 9 Jefferson Avenue Lot Number 4 2. Project Type Commercial Description Construction of Ambulance Facility, parking area stormwater management facilities and eradine ;n the buffer zone. 3. Registry: County Essex Current Book 14558 & Page 386 Certificate (if Registered Land) 4. Applicant Northshore Ambulance. Tnc. Tel. (978)744-1349 Address 89 Margin Street Salem, MA 01970 5. Property Owner Rita Kerr Tel. Address 61 Jefferson Avenue Salem. MA 01970 6. Representative Attorney Joseph Correnti Tel. -(978)744-0212 Address 63 Federal Street Salem, MA 01970 7. a. Have the Conservation Commission and the Department's Regional Office each been sent, by certified mail or hand deliver, 2 copies of completed Notice of Intent, with supporting plans and documents? Yes M No 0 b. Has the fee been submitted? Yes 13 No ❑ c. Total Filing Fee Submitted 525.00 d. City/Town Share of Filing Fee 275.00 State Share of Filing Fee 250.00 (Seat to City/rown) - ('h of fee in excess of 525,seat to DEP) e. Is a brief statement attached indicating how the applicant calculated the fee? Yes IN No 0 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 10.99: continued 8. Have all obtainable permits, variances and approvals required by local by-law been obtained? Yes ❑ No 13 obtained Applied for. Not Applied For: Variance Site Plan Approval Building Permit 9. Is any portion of the site subject to a Wetlands Restriction Order pursuant to G.I.. c. 131, §40A or G.L.. c. 130, §105? Yes ❑ No ❑ 10. List all plans and supporting documents submitted with this Notice of Intent. Identifying Number/Letter Title, Date A Locus Map B Site Development Permit Plan C Envirormterttal Impact Statement D Letter from Gulf of Maine Research Center, dated April 7, 1998 E Stormwater Management Plan 11. Check those resource areas within which work is proposed.. (a) El Buffer Zone (b) Inland ❑ BankLand Subject to Flooding ❑ Bordering Vegetated Wetland' 13.Bordering ❑ Land Under Water Body & Waterway' ❑ Isolated (c) Coastal ❑ Land Under the Ocean ❑ Designated Port Area ❑ Coastal Beach' ❑ Coastal Dune ❑ Barrier Beach' ❑ Coastal Bank ❑ Rocky Intertidal Shore ❑ Salt Marsh' ❑ Land Under Salt Pond' ❑ Land Containing Shellfish' ❑ Fish Run Q Riverfront Area Likely to involve U.S. Army Corps of Engineers concurrent jurisdiction. See General Instructions for Completing Notice of Intent. 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 10.99: continued 12. Is the project-within estimated habitat which is indicated on the most recent Estimated Habitat Map of State-Listed Rare Wetlands Wildlife(if any)published by the Natural Heritage and Endangered Species Program? YES [ 1 NO [ X 1 Date printed on the Estimated Habitat Map NO MAP AVAILABLE [ ] (if any) 1997 - 1998 Atlas If yes, have you sent a copy of the Notice of Intent to the Natural Heritage and Endangered Species Program via the U.S. Postal Service by certified or priority mail (or otherwise sent it in a manner that guarantees delivery within two days) no later than the date of the filing of this Notice of Intent with the conservation commission and the DEP regional office? YES [ 1 NO [ 1 If You Pkase attach evidence of timely mailing or other delivery to the Natural Heritage and Endangered Species Program Part IL Site Description Indicate which of the following information has been provided (on a plan, in narrative description or calculations) to clearly and accurately describe existing site conditions. Identifying Numb=a,cttcr (of plan, narrative or calculations) C Natural Features Soils RIC Vegetation B Topography - i t Open water bodies (mcluding ponds and lakes) — flowing water bodies (including screams and rivers) . NONE Public and private surface water and ground water supplies _ on or within 100 feet of site Maidmum annual ground water elevations with dates and location of test R Boundaries of resource areas checked under Pan I, Item 11 _ above Other Man-made Features: R-C' Structures (such as buildings, piers, towers and headwalls) B•C Drainage and flood control facilities at the site and immediately off the site,including culverts and open channels (with inverts),dams and dikes Subsurface sewage disposal systems — B,C Underground utilities 4/1/94 310 CMR - 413 10.99: continued B Roadways and parking areas B Property boundaries, easements and rights-of-way Other Part III: Work Description Indicate which of the following information has been provided (on a plan, in narrative description or calculations) to clearly, completely and accurately describe work proposed within each of the resource area checked in Part I, item II above. Identifying Number/Lenelr (of plan, narrative. or calculations) Planview and Cross Section of: B Structures (such as buildings, piers; towers and headwalls) B,C,D,E Drainage and flood control facilities, including culverts and open channels (with inverts), dams and dikes B Subsurface sewage disposal systems & underground utilities B Filling, dredging and excavating, indicating volume and _ composition of material Compensatory storage areas, where required in accordance with Part III, 10.57(4) of the regulations. Wildlife habitat restoration or replication areas Other Point Source Discharge B,C ,DE Description of characteristics of discharge from point source (both closed and open channel), when point of discharge falls within resource area checked-udder Part I, Item II above,as supported by standard engineering calculations, data and plans, including but not limited to the following: 1. Delineation of the drainage area contributing to the point of discharge; 2. Pre-and Post-development peak runoff from the drainage area.at the point of discharge,for at least the 10-year and 100-year frequency storm; 3. Pre-and post-development rate of infiltration contributing to the resource area checked under Part L item 11 above; 4. Estimated water quality characteristics or pre-and post-development run-off at the point of discharge. 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECI'ION 10.99: continued Part IV: Mitigating Measures 1. Clearly, completely and accurately describe, with reference to supporting plans and calculations where necessary: (a) All measures and designs proposed to meet the performance standards set forth under each resource area specified in Part II or Part III of the regulations; or (b) why the presumptions set forth under each resource area specified in Part II or Part III of the regulations do not apply. ® Coastal Resource Area Type: Identifying number or ❑ Inland letter of support Riverfron documents The site is previously degraded. Stormwater Management B.M.P.'s are proposed to control discharges to the wetland. B,C,D,E ❑ Coastal Resource Area Type: Identifying number or. ❑ Inland Not Applicable letter of,support documents 10.99: continued ❑ Coastal Resource Area.Type: Identifying number or ❑ Inland letter of support Not Applicable documents 2. Clearly, completely and accurately describe, with reference to supporting plans and calculations where necessary: (a) all measures and designs to regulate work within the Buffer Zone so as to ensure that said work does not alter an area specified in Part I, Section 10.02(1)(a) of these regulations; or (b) ' if work in the Buffer Zone will alter such an area, all measures and designs proposed to meet the performance standards establishes for the adjacent resource area, specified in Part II or Part III of these regulations. ❑ Coastal Resource Area Type Bordered Identifying number or ID Inland By 100-Feet Discretionary Zone: letter of support Bordering Vegetated Wetland documents Erosion control shall be practiced as shown on the Site Plan until all disturbed areas are stabilized. Stormwater Management is proposed. B, C 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 10.99: continued — - Part V: Additional Information for a Department of the Army Permit 1. COE Application No. (to be provided by COE) 2. (Name of Waterway) 3. Names and addresses of property owners adjoining your property: 4. Document other project alternatives (ie. other locations and/or construction methods, particularly those that would eliminate the discharge of dredged or fill material into waters or wetlands). 5. Sid" z 11" drawings in planview and cross-section, showing the resource area and the _ proposed activity within the resource area Drawings must be to scale and should clear enough for photocopying. Certification is required from the Division of Water Pollution Control before the Federal Permit can be issued, Certification may be obtained by contacting the Division of Water Pollution Control, 1 Winter Street,Boston,Massachusetts,02108. Where the activity will take place within the area under the Massachusetts approved Coastal Zone Management Program, the applicant certifies that his proposed activity complies with and will be conducted in a manner that is consistent with the approved program Information provided will be used in evaluating the application for a permit and is made a matter of public record through issuance of a public notice. Disclosure of this information is voluntary; however, if necessary information is not provided,the application cannot be processed nor can a permit be issued I hereby certify dcr the pains and penalties of perjury that the foregoing Notice of Intent and accomp yin tins,documents upporang data are true and complete,to the best of my knowledge Signa of App cant Dau ZE) cure g es Applicant's Reprentative Date Form "Exception to ENG Form 4345 approved by HOUSACE.6 May 1982" 100 (Test) I MAY S2 'Ibis document contains a joint DeparorlOW of the Army and stare of Massachusens application for a permit to obtain permission to perform activities in the United State narers. The Office of Management and Budget(OMB)bas approved those questions required by the US Almy Corps of Engineers. OMB Number 072-0036 and expiration date of 30 September 1983 applies'. This statement will be set in 6 point type. 4/1/94 310 CMR - 417 N=CE OF INTENT FEE TMSMrri%AL FOR4 DEPATUMENT OF.'ENVIRONMERM PR7IDCTION DIVISION OF WETLANDS AND MM:5WS NOTICE OF INTENT (NOI) APPUCANT: PFUPkM OWNER: Name Northshore Ambulance me Name Rita Kerr Street 89 Margin Street Street 61 Jefferson Avenue City/Town Salem City/Town Salem State MA Zip code 01970 State MA Zip Code 01970 Phone Number (978)744-1349 Project Location: Street/lot Number Lot 4 Jefferson Avenue City/Town Salem DEP FILE NUCM (if available) N0� IKLING FFA DISPUTED FFA Total NOI Filing Fee: $ 525.00 Total Disputed Fee: $ (as determined in Notice of State Share of Filing Fee: $ 250.00 Insufficient Fee letter from (1/2 of fee in excess of $25.00) conservation commission) Ci ty/Town Share of State Share of Fee: $ Filing Fee: $ 275.00 (1/2 of total disputed fee) City/Tom Share of Fee: $ (1/2 of total disputed fee) INSTRUCTIONS 1. Send this Fee Transmittal form with a check or money order, payable to the Commnwealth of Massachusetts, to the DER Lock Box at: Department of Environmental Protection Box 4062 Boston, MA 02211 2. Attach a conn of this form to the Notice of Intent submitted to the local Conservation Commission. 3. Attach a of this form and a of the DER check to each of the Notice of Intent forms submitted to the DER regional office. 11/10/89 II NG FEE CALCULATION WORKSHEET plants, roadwaye/driveways NOT subject to 310 CHR 10.53(3e) SHALL NOT BE SUBJECT TO ADDITIONAL FEES ATEGORY 1 $55 PER ACTIVITYS No. if said activities are reviewed under a SINGLE N0l • Existing House/residential lot (addition, deck, C. Construction of EACH ROADWAY/DRIVEWAY within the _ — garage,pool, shed,or DRIVEWAY) — Buffer zone or Coastal Floodzone NOT reviewable under 310 CHR 10.53 (3e) and NOT associated with a SFH • Site Preparation (removal of vegetation, exca- D. HAZARDOUS WASTE CLEANUP (except as noted in vatlon grading where hone construction Isn't category 4) proposed under this NOI) . Control of nuisance vegetation by removal, herb- TOTAL CATEGORY 3 ACTIVITIES 52 1 icides, etc. within a Resource-Area PER LOT pursuant to 310 CHR 10.53(4) CATEGORY 4 $725 PER ACTIVITY • Resource Area Improvement pursuant to 310 CMR A. EACH WETLAND FILLING/CROSSING LIMITED PROJECT _ 10.53 (4) other then 1C above ACCESS ROADNAY/ORIVEWAY under 310 CMR 10.53 (3e) . SEPTIC SYSTEMS or any pert thereof/repairs, associated with COMMERCIAL, INDUSTRIAL, INSTITU- replacement, UPGRADING — TIONAL DEVELOPMENT OR RESIDENTIAL SUBDIVISION CONSTRUCTION. (*see category 2g for SFH driveways-) • Monitoring Wella/well _— B. Flood Control-Structures (construction, REPAIR, - OTAL CATEGORY 1 ACTIVITIES and/or modification) — C..LANDFILLS-public 6 private _ ATEGORY 2 $250 PER ACTIVITY 0. SAND d GRAVEL OPERATIONS _ . EACH NEN single family house (SFH) INCLUDING E. NEW railroad linea or EXTENSIONS of EXISTING site preparation, retention/detention basins, lines — utilities, SEPTIC SYSTEM, roadway/driveway other then those pursuant to 310 CHR 10.53(3e) F. Control of NUISANCE VEGETATION under 310CHR If reviewed under a SINGLE NOI 10.53(4) other then on a SFM lot - — . Parking lot/ ANY size _ G. BRIDGES (eonatructlon, reconstruction, expansion,_ — . Beach Nourishment maintenance) ASSOCIATED with a SFH lot . Coastal Activities pursuant to 310 CHR 10.24 H. Raising or lowering WATER LEVELS — Oe-c) including 7a-Electric Generation Facilities, I. ALTERATION Or RESOURCE AREA h diversion of water 7b-Public Utilities, 7c-Coestel Limited Projects associated with HAZARDOUS WASTE CLEANUP, nerf including REPAIR/MAINTENANCE of EXISTING piers, mosquito control projects, or for ANY OTHER PURPOSEbuildings culverts, etc. NOT EXPRESSLY IDENTIFIED ELSEWHERE IN THIS FEE SCHEDULE LIMITED PROJECT ACTIVITIES pursuant to 310 CHR J. DREDGING ACTIVITIES not associated with a NEW _ 10.53 (a-d) AND 310 CHR 10.53 (f-1) per footprint dock, pier or other structure described In category 5 NEW agriculture L/aquacultural projects — TOTAL CATEGORY 4 ACTIVITIES EACH WETLAND DRIVEWAY CROSSINGassociated with _ a SFH pursuant to 310 CMR 10.53(3e) - CATEGORY 5 $2 PER LINEAR FOOT; TOTAL FEET NOT TO BE LESS ANY point source discharge THAN $50 NOR MORE THAN $1000 A. Construction, reconstruction, REPAIR, or replace- _ ANY OTHER ACTIVITY not described in categories _ ment of DOCKS, PIERS, REVETMENTS, DIKES, or other 1,3,4 6 5 engineering structures on COASTAL or INLAND RESOURCE DIAL CATEGORY 2 ACTIVITIES AREAS including the placement of RIP-RAP or other materiel on coastal or inland resource areas ;TEGORY 3 $525 PER ACTIVITY TOTAL CATEGORY 5 ACTIVITIES SITE PREPARATION for ANY development other than TOTAL FILING FEE CALCULATED $525.00 for a SFH INCLUDING removal of vegetation, excavation d grading when actual cone Cruction is PERSON CALCULATING FEC SCHEDUEL (Print Name) NOT-proposed under this NOT James H. MacDowell Eastern Land Survey Assoc Inc. CONSTRUCTION OF EACH BUILDING within commercial, 525 1 ADDRESS 104 Lowell Street Peabody, MA 01960 industrial, institutional; or apartment/condo/ TELEPROkF NUH8[R -978)531-8121 townhouse type of development, ANY PART of which is in a BUFFER ZONE or RESOURCE AREA. Aaeociated SIGNATU E ` '^- - i DATE activities: site preparation retention/detention bsain construction,septic eystems, parking lots, utilities, point source discharges, sewerage treatment \ ti tt� �� I �,,. _ a l !K, L-� 'c�_ fi (1 J,i>G. `//�.y/ b /l 1 � hlr`� ..eE1�{ •,, . R r l rbs \ 1"N.V.'n'Lr5 ore \ � �I �� r Pa. j ar h .l, .Tuck e \ Lobster 7utk ye b r0 _ ` k Rocks P ♦ R Y rz Bf,V L' ,x ZW tw Qr.�. � HARBOR fa ��x /1�. ,�i ,lnr0 �dn '♦ tJx or, ;� I .� [�•�nrvo " 111 eenit 1 � i� -`.3 • '.- 8�',y. � 6 ,\`. rK � 'f © 1., e .i A 6� � • I+ Aa ,fT t1-. \ \ � l��si(��k `t`� I .,� '� • se �lie� � so ,� 1 rrFE D / a°' Z ._ .� ., r�Po t Ler V �.��1.�l.,� \�,� fr "tea n ,•I. ..�.'i' �' � °r`."fMit�eY��-�i .ff4t Srn j/ it .. 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J `pt 0.4 _ aSF" nLJI �I `lJ'I�I.Q��Y���O � i"4 e ) ��7_��� J' �. ✓glO�l \� �\�V � ln�, � _ � � } '� A �V6 I fJn✓'��r�l�f ,�� `�M�Ilo l\.�,��� '.. .1� \\ ` \ ...5.. ...1 Notice of Intent Supplemental Form for Riverfront Area The Notice of Intent Supplemental Form for Riverfront Area is recommended for use with the Notice of Intent (Form 3) in the wetland regulations (3 10 CMR 10.99). This form should be used for activities that are located in the Riverfront Area. See instructions for information about completing this form. Applicants also may rotor to the "Checklist for Review of Activities in the Riverfront Area'issued by the Department of Environmental Protection in November 1996. The checklist should nQ(be submitted with the form;it is included to indicate how a conservation commission may evaluate application information. Attach the completed supplemental form to the Notice of Intent, including any appropriate documentation as needed. Use additional pages if necessary. 1. Mean annual high-water line determined by: ❑ Changes in soil, vegetation; water marks; scouring ❑ Top of bank (inland rivers) ❑ First observable break in slope ❑ Mean annual Flood level 13 Mean high water(for coastal rivers only) (Identify the mean annual high-water line on the Notice of Intent plans.) 2. Width of Riverfront Area: U 200 feet ❑ 25 feet (Identify the Inner and Outer Riparian Tones on the Notice of Intent plans.) 3. Activity is not subject to Rivers Protection Act because: ❑ Expansion of publicly owned structures,airports, marine cargo terminals begun before November 1, 1996 ❑ Draft EIR filed on project before November I, 1996 ❑ Building permit filed before October 1, 1996 and granted before April 1, 1997 ❑ Roads, utilities, drainage structures under a definitive plan approved or endorsed on or before August 1, 1996 pursuant to the subdivision control law(MGL c.41 §81 U) ❑ Subject to Chapter 91 waterways license or permit ❑ Other - describe: 4. Project type: ❑ Single family home ❑ Residential subdivision IM Commercial development ❑ Industrial development ❑ Transportation ❑ Other - describe: 5. Amount of alteration in Riverfront Area: a. If Riverfront Area is 200 feet wide,identify amount of alteration: 14,800 square feet of Inner Riparian Zone (0-100 feet from river) , 13,500 square feet of Outer Riparian Zone (100-200 feet from river) (previoulsy degraded site) b. If Riverfront Area is 25 feet wide, identify amount of alteration: square feet of Inner Riparian Zone (0-15 feet from river) ///96 (over) 6. Describe why the proposed project needs to be located in the Riverfront Area. Address the following questions in your answer: • Can the project be moved out of the Riverfront Area? Can the project be located further away from the river or stream?If not,why? • How do costs and logistical constraints(e.g.,physical site conditions,local zoning requirements) limit the alternatives? • What alternatives were considered? The shape of the site presents constraints which do not permit greater building development outside of the Riverfront Area. (parking and access interfered with). The proposed use is for essential service which requires a central location in the conmtttnity. Thus limiting the availability of alternate sites. (Use additional pages if necessary) 7. Does the proposed project meet the criteria for no significant adverse impacts? a.Check criteria that apply: ® meets performance standards for all other wetland resource areas ❑ undisturbed vegetation in the 100-foot Inner Riparian Zone(15 feet in 25-foot Riverfront Area) ❑ alteration in the 100-foot Outer Riparian Zone limited to 5,000 square feet or 20%of zone,whichever is greater' El meets performance standards for stormwater management" •This performance standard is waived for the 10-foot latter Riparian Zone when the Riverfront Area is 25 feet. ** Stormwater management is not required for single family houses and small subdivision projects as described in the Department's Stormwater Management Policy. - - b. Is the project site located in estimated rare species habitat or in a certified vernal pool as noted on the Massachusetts Natural Heritage Atlas? _yes -Lno If yes,has a copy of the Notice of Intent and this form been sent to the Natural Heritage and Endangered Species Program according to Notice instructions? _yes _no If any of the criteria listed in (a.)above are not met,describe why the project will have no significant adverse impacts on the Riverfront Area. (Note:for single family house projects on lots recorded as of August 1, 1996 which cannot meet the performance standards, describe how the project minimizes all impacts.) Site is previously degraded. The proposed redevelopment and use will result in improvements to the area. (Use additional pages if necessary.) r ENVIRONMENTAL IMPACT STATEMENT FOR NORTHSHORE AMBULANCE, INC. JEFFERSON AVENUE SALEM, MASSACHUSETTS MARCH, 1998 INTRODUCTION The following document has been prepared to supplement the filing of a Site Plan for a new ambulance facility adjacent to No. 61 Jefferson Avenue in Salem, Massachusetts. The document provides a narrative discussion as to relevant sections in Appendix A, "Requirements for Environmental Impact Statement" in the Salem Subdivision Regulation. It should be noted that Northshore Ambulance, Inc. is presently located approximately 0.4 miles north of the proposed site and has provided an essential service to the City for fifteen years. In that the company is not expanding as a result of the proposed relocation, no impact upon traffic characteristics in the project area is anticipated and thus a traffic analysis has not been accomplished. The proposed facility is to be a 15,155 square foot building together with some 37 parking spaces located on a 47,612 square foot parcel of land on the easterly side of Jefferson Avenue between Kerr Leathers and Titus Furniture. Approximately 7,070 square feet of the building will be devoted to storage and maintenance of ambulances. The front portion of the building will be utilized for office space, conference room, storage space and crew quarters. OPERATIONS AND MAINTENANCE PLAN WATER QUALITY SWALE Water quality swale shall be inspected at least semi-annually, and maintenance and repairs made as necessary. Additional in- spections should be scheduled during the fist few months to make sure the vegetation becomes adequately established. Repairs and reseeding shall be done as required. Swales should be mowed at least once per year. Grass clippings should be removed. The grass mus be cut too often or shorter than four inches, in order to mai ain the effectiveness of the swale. Sediment and debris shall be removed manually, at least once per year, before the vegetation is adversely impacted. DEEP SUMP CATCH BASINS 6 Catch basins shall be cleaned a minimum of two times per year and inspected monthly. All sediments and hydrocarbons should be properly handled and disposed, in accordance with local; state and federal guidelines and regulations. NATURAL ENVIRONMENT The proposed facility is to be heated by natural gas and no incineration will be utilized on site. Minimal potential for the generation or release of smoke, odors and dust will exist. The site is located in an industrial/commercial area. The site is flat with elevations ranging from 2 to 11 feet above mean sea level. The parcel is, in part, paved and, in part, a gravel surface and has been utilized for parking in conjunction with the existing building to its north, from which it was re- cently subdivided. The total parcel area is some 47,612 square feet. Proposed coverage characteristics are shown on the site plan and are summarized as follows: Building 32% Parking and Walks 48% Landscaped 20% No percolation tests were conducted on site as it is served by municipal sewer. Site grading patterns will generally follow those which exist presently. The front 20 percent of the site will be directed overland to an existing catch basin on Jefferson Avenue near the southwest property corner. The remaining portion of the site will be graded toward the wetland resource area to the rear of the property. Proposed grading characteristics are designed to prevent the discharge of increased runoff onto properties either north or south of the site. A wetland resource area has been identified and delineated by Gulf of Maine Research Center. The resource area is located to the rear of the parcel and is depicted on the Site Plan. Prior use of the site has occurred virtually up to the boundary of the resource area. Several aspects of the proposed project are designed to mitigate potential impacts of development upon the adjacent resource area. Prior to commencement of construction activities a silt barrier is to be constructed upgradient of the resource area, as depicted on the Site Plan. The silt fence will be maintained in place until all disturbed areas on site have been stabilized. Surface runoff from the front (20 percent) of the site will continue to flow overland into the Jefferson Avenue drainage system as it does presently. Runoff from the remainder of the parking lot will be collected into two, new, deep sump catch basins and then directed to a vegetated swale prior to discharge into the wetland The estimated site construction schedule is eight to ten weeks. Existing pavement on site will be reclaimed and utilized as new pavement basin. Loam for planting areas will not be brought on site until those area are ready for grading and planting. Proposed site activities will result in an increased quality of runoff leaving the site. No change in runoff volumes will occur as a result of the proposed sitework given the existing impervi- ous nature of the site. Electric energy will be required for lighting and power needs within the building. That service together with telecommunica- tions will be brought in from the existing overhead lines on Jefferson avenue. Gas service will be utilized for heating the proposed building. Noise associated with the construction of the proposed building will increase during the daytime for a period of 8 to 12 weeks. The site is located in a commercial area and no sensitive recep- tors will be impacted. MAN MADE ENVIRONMENT The project is located in a commercial/industrial area and will provide a site for a privately-owned essential service provider, Northshore Ambulance, Inc. A variance has been granted by the Salem Zoning Board of Appeals as to the proposed use in the R-C portion of the site and as to dimensional setback matters. A furniture store is located south of the site, a leather company to the north and MBTA trackage to the east. No existing or proposed public or common recreational areas are located on site. The site does provide an ideal central location for the provision of ambulance services to the City. The proposed building is to be a pre-engineered metal building of one story in height. A trash receptacle is to be located to the rear of the site. Landscaping is proposed along the front of the site as depicted on the Site Plan. PUBLIC FACILITIES Water supply will be provided to the site from the existing water main on Jefferson Avenue. A daily consumptive demand of 900 - 1000 gallons is anticipated for the proposed building, based upon use at the existing facility. Sanitary sewage will be discharged by means of a gravity connec- tion to the existing 15 inch sewer on Jefferson Avenue. An MDC trap will collect water from floor drains in the garage portion of the building. The anticipated daily sewage flow from the facility is 900 - 1000 gallons. The front portion of the site (approximately 20 percent) will drain overland toward Jefferson Avenue and be directed to the existing catch basin in front of the site. Runoff from the remainder of the site will be directed into two proposed catch basins and a vegetated Swale prior to discharge into the wetland resource area adjacent to the site. No change in runoff quantity will result from the proposed site changes. The site is currently 60 percent paved and 30 percent gravel parking surface. In the proposed condition 20 percent of the site will be landscaped and the remainder will be impervious. The quality of the runoff from the site will improve as a result of the proposed Best Management Practices (i.e. deep sump catch basins and the vegetated swale), described in detail elsewhere in the document. Refuse from the site will be collected by a private contractor. The proposed dumpster location is shown on the Site Plan. COMMUNITY SERVICES The proposed use of the site is as an Ambulance Facility and general offices of Northshore Ambulance. The proposed activity will have no impact on schools, recreation, fire andPo lice protection or public works maintenance responsibilities. The proposed building is to be of metal construction and one story in height. A fire hydrant is located immediately adjacent to the site on Jefferson Avenue. The building will be sprinkled. HUMAN CONSIDERATIONS The site of the proposed Ambulance Facility is vacant and has served as a parking area for the building to its immediate north for several years. The proposed building will be of scale and type compatible with existing commercial buildings in the immedi- ate area. The project will eliminate a vacant parking area which is in a partially degraded state. Visual appearance of the site will improve with implementation of the proposed project. The proposed facility will not impact existing or potential parks, recreation areas, open space or any other public use. No changes in water quality, air quality or noise levels will result from the proposed use of the site. GULF OF MAINE RESEARCH CENTER INC. ENVIRONMENTAL CONSULTING SERVICES 204LAFAYETTE STREET SALEM.MA 01970 April 7, 1998 (978)745-6618 FAX(978)741.8848 James R MacDowell Eastern Land Survey Associates, Inc. 104 Lowell Street Peabody, MA 01960 RE: Lot 4,Jefferson Avenue - Vegetated Swale Planting Specification Dear Mr. MacDowell: At your request, Gulf of Maine Research Center,Inc. (GMRC) has prepared this planting specification for the proposed vegetated swale storm water management facility at rhe above referenced property. The vegetation proposed for this storm water management swale is a grass mix recommended by the USDA Natural Resources Conservation Service(Soil Conservation Service) for grassed waterways or vegetated spillways which will be mowed. In addition, the proposed grass mix is recommended for a wide range of soil moisture conditions,ranging from well drained to very poorly drained sites. The proposed grass mix consists of reed canary grass (Phalaris arundinacea), seeded at a rate of 0.6 lb../1000 sf.; and redtop (Agrosrts alba), seeded at a rate of 0.05 Ib.4000 s£. This grass mix should produce a dense and uniform vegetative cover capable of tolerating frequent inundation and mowing. Mowing heights should not be lower than 4 inches,however, in order to maintain the storm water treatment effectiveness of the swale. GMRC also recommends that the Swale be constructed with a minimum surface layer of 12 inches of sandy loam soils. This soil should contain a minimum of 10% organic matter, and not greater than 20% clay or 20% organic matter,which should provide both adequate soil organic matter and a suitable infiltration rate for the proposed vegetated swale. Should you have any questions regarding this specification, or require further information, please contact me at (978)745-6618. SityCefelY Jv J eph H. drzcl Senior Wetland Scientist Stormwater Management Form This form is intended to ensure that proposed stormwater control designs meetthe stormwater management standards described in the Department of Environmental Protection's Stormwater Management Policy(November 1996). The Depart- ment of Environmental Protection (DEP) recommends that applicants submit this form with the Notice of Intent, as well as supporting documentation and plans, to provide stormwater information for conservation commission review. If a particu- lar stormwater management standard cannot be met, information should be provided to demonstrate how adequate water quality and water quantity protection will be provided by the project. DEP encourages engineers to use this form to certify that the project meets the stormwater management standards as well as acceptable engineering standards. This form should be completed by checking the appropriate bases for each standard and by signing and stamping the back of this form Project Location:_ Lot 4 Jefferson Avenue, Salem, Massachusetts ® The proposed projecito is not(circle one)exempt from one or more of the stormwater management standards. If project is exempt,explain why: Project is a redevelopment of a previouslV degraded site. Stormwater runoff volumes to be treated for water quality are based on the following calculations: (check one that applies) •12 1 inch of runoff x total impervious area of post-development site for critical areas(e.g.Outstanding Resource Waters and shellfish growing areas) ❑ 0.5 inches of runoff x total impervious area of post-development site for other resource areas Standard#1: Untreated stormwater (See plan B-E ® The project is designed so that new stormwater conveyances (outfalWdischarges)do not discharge untreated stormwater into,or cause erosion to,wetlands or waters. Standard#2: Post-development peak discharge rates (See plan ❑ Post-development peak discharge rates do not exceed pre-development rates on the site either at the point of discharge or downgradient property boundary. ® N/A:project site contains waters subject to tidal action,so standard is not applicable. ❑ Stormwater controls have been designed for the 2-year and 10-year,24-hour storms. ❑ The project's stormwater design will not increase flooding impacts offsite from the 100-year,24-hour storm. Standard#3: Recharge to groundwater (See plan 13 The annual groundwater recharge for the post-development site approximates annual recharge from existing siteconditions. (i.e. no recharge) ❑ Soil types have been identified according to either the U.S.Natural Resources Conservation Service(NRCS)County Soils Survey or onsite soil evaluation.Calculations on stormwater flow are based on a soil hydrologic group of ,and total impervious area of (square feet). ❑ Soil types at each planned point of stormwater runoff infiltration include: ❑ Infiltration Best Management Practices(BMPs)used for this project include: Standard#4: 80% TSS removal (See plan _) ® The proposed stormwater management systems will remove 80% of the post-development site's average annual load of Total Suspended Solids(TSS). ® The BMPs selected for this project include (list BMPs with TSS removal rates): Deep sump catch basins 25% Vegetated swale 70% Sweeping _ 10% (11196) Standard #5: Higher potential pollutant loads (See plan ) ® The project site does oes not circle one)contain Land Uses with Higher Potential Pollutant Loads. If site contains such�lan ses, describe: ❑ If applicable, BMPs selected for controlling stormwater in these areas are designed to prevent infiltration of untreated stormwater and include: Standard #6: Protection of critical areas (See plan ® The project site does XiiiRxcircle one)contain critical areas with sensitive resources. If site contains critical areas, describe: ❑ If applicable, BMPs selected for stormwater discharges.in these areas include: Standard #7: Redevelopment projects (See plan IN The proposed activit is is not(circle one)a redevelopment project. Note: Components of redevelopment projects which plan to develop previously undeveloped sites do not fall under the scope of Standard 7. ❑ If the project is a redevelopment project,the following stormwater management standards have been met: BMP's are provided for new discharges to resource area at rear of site. ❑ The standards which have not been met include: No infiltration (none exists) 13 The proposed project will reduce the annual pollutant load on the site with new or expanded stormwater controls. Standard#8: Erosion/sediment control (See plan ® Erosion and sediment controls are incorporated into the project design to prevent erosion,control sediment movement, and stabilize exposed soils. Standard #9: Operation/maintenance plan (See plan 13 An operation and maintenance plan for both construction and post-development stormwater controls has been developed. The plan includes BMP owner(s);parties responsible for operation and maintenance:schedule for inspection and maintenance; routine and non-routine maintenance tasks and provision for appropriate access and maintenance easements surrounding control(s)and extending to public right-of-way. I attest under the penalties of perjury that I have personally examined and am familiar with the information contained in this submittal,including any and all documents,accompanying this certification statement;and that I sat"aA am fully authorized to make this attestation on behalf of the project applicant. cI Y`orri 0 v 6 IL �O 2 srta \�� Clayton A. Morin, PE 30969 4-7-98 oNAL�NA� Print Name Date (Sea nature) JOB s1 nanu StlortE b ml�uw yet EASTERN LAND SURVEY ASSOCIATES, INC. SHEET NO. DE 1 Christopher R. Mello PLS 104 Lowell Street CALCULATED By DATE 4— od- PEABODY, MA 01960 cNECKEOev 1�. `7'!-'% i (508) 531-8121 DATE SCALE ^� —c SS 12 T-- ovRt. CRL4zULVi1\osA _ LM. ... 00/0 lzErno�N1US -S' o G- S_k o.-) a = g1z5 ....... `t50°�a 12 ,oJn. , U Ow?Mc. CAt- -u— -I 3 0 moo© SF tuc-v. �(o4u,-,roc. = izoo +Sock X I .S = 13Y2 Cr_ 1-4_T3u-tla(Zv` Yr-2.K.w PRS = \7 �0G 9:0..c - _ . .. 12`1S -c cZ S_wo"c-, w 11 lJo p 11,Jua OF- on=' fon=. PRMWT2 if&NNSAce MI$ P1 djQd ®In[,GfOIMWs01411.To Ordef PHONE NELENEE 1800225 POW STORMWATER MANAGEMENT PLAN LOT 4 JEFFERSON AVENUE SALEM, MASSACHUSETTS NORTHSHORE AMBULANCE, INC. The runoff from the rear paved portion of the site is to be directed into two (2) hooded, deep sump, catch basins which will discharge into a vegetated swale. When coupled with a parking lot sweeping program, a removal rate of 80% of the total annual suspended solids load will occur. The water quality swale is designed to have an effective volume equivalent to 1 inch of runoff from the tributary paved area. Calculations demonstrating the foregoing follow. RECEIVED #63 JEFFERSON AVENUE Fl° ICU -7 Ail 9: 32 SALEM, MASSACHUSETTS SALEM HYDRAULIC REPORT PLANNING DEPT. Prepared by: PARSONS & FAIA Lynn,Massachusetts September 27, 1999 'NAA_A� N OFR U cr J. c +. IR , 1R. vIL ` .e 9 No. 30571 O i°-"j 90 �WSTEa��`�j' L rin f n I. PROJECT DESCRIPTION This report represents a hydraulic study of the proposed site development of a single commercial building at Lot#63 on Jefferson Avenue in Salem, Massachusetts. The proposed development will consist of a 9500 square foot building with parking spaces. The parking lot will be paved and partially landscaped after construction. This report addresses the revision to the reduction of the original building size and the increase to the parking area. The purpose of this hydraulic study is to insure that the proposed revision to this development of meets the requirements of Standard#2, POST-DEVELOPMENT PEAK DISCHARGE RATES, of the Massachusetts Storm Water Management Policy.This report does not reflect any future proposed drainage system outside of the site limits. If. HYDRAULIC DATA The methodology used in this report is based on the Rational Method that assumes a constant uniform rainfall intensity during the stone interval. A hydrological modeling was performed to determine the existing and future proposed run off peak discharges for the immediate subcatchment areas. The peak design frequencies for the 10 Year. 25 Year and the 100-Year Events were used Jo evaluate the proposed changes. The methodology used in developing the model was the Rational Method. The Rational Method is based upon the assumption that the peak rainfall runoff becomes constsnt after it reaches its time of concentration (Tc) and remains constant during the storm duration. Due to this assumption of having a homogeneity of rainfall and equilibrium condition at the time of peak flow, the Rational Method tends to be over conservative when predicting peaks discharges. In addition,the Rational Method also assumes that all catchment areas will experience the same loss irrespective of the total rainfall volume since the runoff coefficient ("C")Is based on land use only as oppose to soil characteristic. III. HYDRAULIC ANALYSIS EXISTING The existing drainage area for this lot was divided into one area. It has an area of approximately 1.543 acres on a slope of 1 percent. The area has a runoff coefficient of 0.44 and a time of concentration of Tc= 5 Minutes. Based on these design parameters, the peak discharge for this area were 3.3 cfs for the 10 Year, 3.5 cfs for the 25 Year and 4.4 cfs for the 100-Year Events as shown in Table 1. PROPOSED The drainage area and flow pattern would remain the same as the pre-development and as originally proposed. However,the original detention basin has been increased in size to accommodate the runoff volume and peak discharges. The outlet control structure concept has remain the same so that the total peak discharge rates for the building and paved area are less than the pre-development rate as shown in Table 1. Table 1 SUMMARY DESCRIPTION PRE—POST CONDITION POST CONDITION DRAINAGE AREA AC 1.543 1.543 COIFFECEINT "C" 0.44 0.86 TIME OF CONCENTRATION 0.10 HRS 0.10]FIRS PEAK DISCHARGE 10 YEAR 3.3 CFS 2.28CFS PEAK DISCHARGE 25 YEAR 3.5 2.36 PEAK DISCHARGE 100 YEAR 4.4 2.62 PEAK DISCHARGE CALCULATIONS -5Gi(C � /1z/i7 arc - Oc- vc- /opi�cn � Core fiord Co 7/ 000 a , q5 2 /lc x 0, yO 7 `7radE/ /• 01I / x O. Z5 - 0. 772 / 54/3 $ 0 . 679 C = o. V7nf� / 5V3 O. ,Iq L/�e rirr/F a/ O/1C <� nrra � vr! ]� 366 /2 F a ev ✓r = 2• �S �d�c n/?cn3fC y /'7 Durafivn = Tc 1�c/rc�ir�n _ LQ m,n L/oma-.: L/, C�' ��//I✓. �/U �. � in//7 r C 25 5. Z 9. 9 rrai, � o� Q25 c1 q ( L. 5) C l 5 q 3 00 �rG7McgF /'/YPR �i 5y3 �C Cnc- Aei c ,cnl evl Rol ?Z e4c navcmvl � cr701_ CnPF 5 /c,ne O•D7 x Q. /D = O• CJp7 � _ /. 5 y3 � _ /• 33 3 C = �• 66 y /s t• C = 6. PC. CIsF T- = 51--77-7 . /�� ,,a = c�, � .� x y, � Y i• syV3 /. 5y ,3 - 8, (o chis DETENTION BASIN DESIGN CALCULATIONS Detention Basin Detention Basin Sizing Stage - Storage Calculation Outlet Control Calculations # # # # # # # # # # # # # #### #### #### # #### #### #### # # # # # # # # # # # # * * * * * BY JOHN SWANSON * * * PENN STATE UNIV. * * * DEPT. OF CIVIL ENGR. * * * UNIVERSITY PARK, PA. * * * 1984 * * ************************ * * * * MODIFIED RATIONAL SOLUTION Yr REL. RATE _ . 001 cfs AREA. 1 .543 acres SIXTY MIN. INT. = 1 iph STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS ------------------------------------------------------------------------------- 5 1586 0 1585 5 .28 10 2512 0 2511 4 .18 20 3534 1 3532 2 .94 30 4076 2 4073 2 . 26 60 4778 3 4774 1 .32 90 5041 5 5036 '.933 180 5278 11 5267 .488 360 5328 21 5306 .246 720 5272 43 5229 . 122 1440 5163 86 5076 5 .97 TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ .86 REL. RATE = 1 .33 cfs AREA= 1 .543 acres SIXTY MIN. INT. = 1 iph STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS ------------------------------------------------------------------------------- 5 1586 697 888 5 .28 10 2512 1070 1441 4 .18 20 3534 1814 1719 2 .94 30 4076 2558 1517 2 .26 60 4778 4778 0 1 .32 90 5041 5041 0 .933 180 5278 5278 0 .488 360 5328 5328 0 .246 720 5272 5272 0 .122 1440 5163 5163 0 5 .97 TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ .86 REL. RATE = 2 . 67 .cfs AREA= 1 .543 acres SIXTY MIN. INT. = 1 iph STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS -------------------------------------------------------------------------------- 5 1586 1197 388 5 .28 10 2512 1892 619 4 .18 20 3534, 32.78 2,5.5 2 ..94 30 4076 4076 0. 2 .26 60 4778 4778 0 1 .32 90 5041 5041 0 .933 180 5278 5278 6 .488 360 5328 5328 0 .246 720 5272 5272 0 . 122 1440 5163 5163 0 5 .97 xs=ccscxIIas==x==xxII=x=cxs=xxasxx==xxx=asxax.=sv=m==xssaaa=IIsxcaa=cxaa=acc=x=s=x TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ .86 REL. RATE = 4 cfs AREA= 1 . 543 acres SIXTY MIN. INT. x 1 iph xxcx=xx=sax-==x=x.x-xc=s-=xaaxama====�coaxaac=II=x-aaaosaxaxcas=x=x=xa_ax=xx=xs=x STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CES ---------------------------------------------------------------------- 5 1586 1492 94 5 .28 10 2512 2453 58 4 .18 20 3534 3534 0 2 .94 30 4076 4076 0 2 .26 60 4778 4778 0 1. 32 90 5041 5041 0 933 180 5278 5278 0 .488 360 5328 5328 0 .246 720 5272 5272 0 . 122 1440 5163 5163 0 5 . 97 xII=x=x=sa=aaacacacaasxxaacaaccxxasca=xxsaxssxx=x==xs=x sa c=x==axxac=xxxx=x=xxacs TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ . 86 * * * * END OF BASIN DESIGN # # # # # # # # # # # # # #### #### #### # #### #### #### # # # # # # # # # # # # ************************ * * * * * BY JOHN SWANSON * * * PENN STATE UNIV. * * * DEPT. OF CIVIL ENGR. * * * UNIVERSITY PARK, PA. * * * 1984 * * ************************ * * * * MODIFIED RATIONAL SOLUTION * * * * 216 Yr. REL. RATE m .001 cfs AREA* 1 .543 acres SIXTY MIN. TNT. = 1 .8 iph / STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS -------------------------------------------------------- 5 2351 0 2351 7 . 83 10 3848 0 3847 6 .41 20 5688 1 5686 4 . 74 30 6807 2 6805 3 .78 60 8601 3 8597 2 .38 90 9534 5 9528 1 . 76 180 10930 11 10918 1 .01 360 12143 21 12121 .562 720 13262 43 13219 . 307 1440 14356 86 14269 . 166 s.=xamxx==a=mx��m=xax�smmxxx==aaxca�xx=x=��mmmxm=_xxacaaasx==axxxasxax=.m=x=.s x TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ . 86 REL. RATE = 1 .33 cfs AREA= 1 .543 acres SIXTY MIN. INT. = 1 . 8 iph ==x.m�a=xax�xcxo.o=amm_x�=x..maa a.x xxxsaxaaaaxaaea�a..m=m==aac�=xxxxaaxax caxxxx STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS -- - ----------------------------------------------------------- 5 2351 730 1621 7 .83 10 3848 1114 2734 6 .41 20 5688 1883 3805 4 .74, 30 6807 2652 4154 3 .78 60 8601 4964 3636 2 . 38 90 9534 7280 2253 1 .76 180 10930 10930 0 1 . 01 360 12143 12143 0 .562 720 13262 13262 0 .307 1440 14356 14356 0 .166 TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ . 86 REL. RATE = 2 . 67 cfs AREA= 1 .543 acres SIXTY MIN. INT. = 1 . 8 iph STORM DURATION STORM RUNOFF RELEASE FLOW- REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS --------- ----- �------------------------------- 9 5 2351 132 1022 7 .83 10 3848 2069 1779 6 .41 20 5688 3553 2134 4 .74 30 6807 5041 1765 3 .78 60 8601 8601 0 2 .38 90 9534 9534 0 1 . 76 180 10930 10930 0 1 .01 360 12143 12143 0 .562 720 13262 13262 0 .307 1440 14356 14356 0 .166 ==.ssxs===x�ss_x=s=x..sx=xcs=.x.s-xx====xa�aaxa=s=�=c.�sxssx===xsx.=s=saxxxs-sx=a TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ .86 REL. RATE = 4 cfs AREA= 1. 543 acres SIXTY MIN. INT. 1 .8 iph STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS -------------------------------------------------------------------------------- 5 2351 1787 564 7 . 83 10 3848 2851 997 6 .41 20 5688 4987 701 4 .74 30 6807 6807 0 3 .78 60 8601 8601 0 2 . 38 90 9534 9534 0 1 . 76 180 10930 10930 0 1 .01 360 12143 12143 0 .562 720 13262 13262 0 .307 1440 14356 14356 0 .166 TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ . 86 * * * * END OF BASIN DESIGN # # # # # # # # # # # # # # # # # # # # # # # # * * * * * BY JOHN SWANSON * * * PENN STATE UNIV. * * * DEPT. OF CIVIL ENGR. * * * UNIVERSITY PARK, PA. * * * 1984 * * ************************ * * * * MODIFIED RATIONAL SOLUTION REL. RATE _ .001 cfs AREA= 1 .543 acres SIXTY MIN. INT. = 2 .2 iph 9 voa.xssxx-xxssaaxx=xsax-vasxx=xxsxxa¢vxx=xxssxv=axxxaav=xxaxsx=aaxx¢sa=xxx=ass ^STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS ------------------------------------------------------------------------------- 5 2692 0 2692 8 .97 10 4455 0 4454 7 .42 20 6695 1 6694 5 . 57 30 8112 2 8110 4 . 50 60 10512 3 10508 2 .92 90 11847 5 11842 2 .19 180 14004 11 13993 1 .29 360 16069 21 16047 .743 720 18144 43 18100 .420 1440 20313 86 20227 .235 xxss¢s=a=xxxsxv=xxxx=ax==x=xxx==¢¢=axxxxx x¢¢caaaaxxxxsxvaaarxx¢sv=xxx=s¢=axxaxx TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ . 86 REL. RATE = 1 .33 cfs AREA= 1 .543 acres SIXTY MIN. INT. = 2 .2 iph xsr=xxxxaxxxx=x==cxaxxsax xxxxx xx¢==vxxxxxaxxxxsxa a=axxxxxassaaaxax xsayssxxx=xas STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS - ---------------------------------- 5 2692 738 1954 8 . 97 10 4455 1125 3330 7 .42 20 6695 1899 4795 5 .57 30 8112 2675 5437 4 .,50 60 10512 5005 5507 2 .92 90 11847 7339 4508 2 . 19 180 14004 14004 0 1.29 360 16069 16069 0 .743 720 18144 18144 0 .420 1440 20313 20313 0 .235 ----- - ------- ---- ---------- ------------ TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ . 86 REL. RATE = 2 . 67 cfs AREA= 1 .543 acres SIXTY MIN. INT. = 2 .2 iph STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME CUFT VOLUME CUFT VOLUME CUFT RATE CFS ------------------------------------------------------------------------------- 5 2692 1363 1329 8 .97 10 4455 2115 2340 7 .42 20 6695 3621 3073 5 .57 30 8112 5132 2980 4 . 50 60 10512 9680 831 2 . 92 90 11847 11847 0 2 . 19 180 14004 14004 0 1 .29 360 16069 16069 0 . 743 720 18144 18144 0 .420 1440 20313 50313 0 .235 =axxxxax=xcox===a==cax==cxx=cox=xx¢x¢=xcaxxx=xccxx=x== ---x ¢- ==aax=xcaxxx TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ ..86 REL. RATE = 4 cfs AREA= 1 .543 acres SIXTY MIN. INT. x 2 .2 iph =xax-xcxa==x¢xx==ax===oxx=xox=xx=xxax c¢=x===s¢xxxxs¢¢axcax¢==xscx==x=xx===xx=x= STORM DURATION STORM RUNOFF RELEASE FLOW REQUIRED STORAGE MAX.RUNOFF MINUTES VOLUME 'CUFT VOLUME CUFT VOLUME CUFT RATE CFS --------------------------------------------------------------- -------------- 5 2692 1865 827 8 .97 10 4455 2953 1502 7 .42 20 6695 5139 1555 5 .57 30 8112 7334 777 4 . 50 60 10512 10512 0 2 . 42 90 11847 11847 0 2 . 19 180 14004 14004 0 1 .29 360 16069 16069 0 .743 720 18144 18144 0 .420 1440 20313 20313 0 .235 TIME TO CONCENTRATION = 5 min. RATIONAL COEF. _ .86 * * * * END OF BASIN DESIGN i I LOT 63 JEFFERSON AVENUE SALEM, MA. STAGE - VOLUME CALCULATIONS Detention Area ELEVATION AREA AVG DEPT VOLUME ACCUM. ACCUM. AREA VOLUME VOLUME ( FT) (SOFT) (SOFT) ( FT) (CUFT) (CU FT) (AC-FT) 8.3 6380 0 0 0 6380 1 7.3 6380 6380 8380 0.1484646465 6380 1 1 8.3 8380 6380 12760 0.29292929 TOTAL 12760 0.292929293 DRAIN VOLUMEJEFFERSONSALEM /e��rG >lrtJr� o w Q o C ti Va/= /5/7 � N /r7 Yr. � '� v V 0 N 1 `/n/ _ //Sy o /onIL Yr. (' ilk ,1 „ 1 � � K Q � n o o n /Fn/!0/7 C r u,4 _ 4.. �Er/. p✓C. L ,CJr^a a Z Q22 ( 2 ) 726r 3. Cep 3,30 247 1 / C: K . QTr<-/r�c � V 33 A 1�'Iay � / • r !. c' rJ.-,� f/'% - 2- & 7 Lk5e / 20 /=1. ^/� AX. vF 4 �c D 3C r�Grgf xi'urn �tii �ry�ir� psi✓� c f a 7-6 GHarf� n, /`5 f ! 33 - 2. 2 n f°s �s - / 03 ' A 33 Y IC97-Moo. 190 -I�JO 190G o 1 s 'COJ.�'lCY .40,: YSJS EY J.7c %t/OJ O' 10.0 _J1 _i C--'—=— — Ci:T,? y��USS, �i%SR GU;JO L —' — � I 6.0 a.o �:'� - �'� 2.0 I \\v ji 1! I : \• I i o.G r- I 0.2 i—LLLI r 1_I I—L—I—I ' - 5 10 1 r•, 2G �'s e.0 40 Pia GJ 2 s 4 5 G 10 941 { . i•C.J i.VJ.•J ENVIRONMENTAL IMPACT STATEMENT FOR NORTHSHORE AMBULANCE, INC. JEFFERSON AVENUE SALEM, MASSACHUSETTS MARCH, 1998 INTRODUCTION The following document has been prepared to supplement the filing of a Site Plan for a new ambulance facility adjacent to No. 61 Jefferson Avenue in Salem, Massachusetts. The document provides a narrative discussion as to relevant sections in Appendix A. "Requirements for Environmental Impact Statement" in the Salem Subdivision Regulation. It should be noted that Northshore Ambulance, Inc. is presently located approximately 0..4 miles north of the proposed site and has provided an essential service to the City for fifteen years. In that the company is not expanding as a result of the proposed relocation, no impact upon traffic characteristics in the project area is anticipated and thus a traffic analysis has not been accomplished. The proposed facility is to be a 15,155 square foot building together with some 37 parking spaces located on a 47,612 square foot parcel of land on the easterly side of Jefferson Avenue between Kerr Leathers and Titus Furniture. Approximately 7,070 square feet of the building will be devoted to storage and maintenance of ambulances. The front portion of the building will be utilized for office space, conference room, storage space and crew quarters. NATURAL ENVIRON�M The proposed facility is to be heated by natural gas and no incineration will be utilized on site. Minimal potential for the generation or release of smoke, odors and dust will exist. The site is located in an industrial/commercial area. The site is flat with elevations ranging from 2 to 11 feet above mean sea level. The parcel is, in part, paved and, in part, a gravel surface and has been utilized for parking in conjunction with the existing building to its north,; from which it was re- cently subdivided. The total parcel area is some 47,612 square feet. Proposed coverage characteristics are shown on the site plan and are summarized as follows: Building 32% Parking and Walks 48% Landscaped 20% No percolation tests were conducted on site as it is served by municipal sewer. Site grading patterns will generally follow those which exist presently. The front 20 percent of the site will be directed overland to an existing catch basin on Jefferson Avenue .near the southwest property corner. The remaining portion of the site will be graded toward the wetland resource area to the rear of the property. Proposed grading characteristics are designed to prevent the discharge of increased runoff onto properties either north or south of the site. A wetland resource area has been identified and delineated by Gulf of Maine Research Center. The resource area is located to the rear of the parcel and is depicted on the Site Plan. Prior use of the site has occurred virtually up to the boundary of the resource area. Several aspects of the proposed project are designed to mitigate potential impacts of development upon the adjacent resource area. Prior to commencement of construction activities a silt barrier is to be constructed upgradient of the resource area, as depicted on the Site Plan. The silt fence will be maintained in place until all disturbed areas on site have been stabilized. Surface runoff from the front (20 percent) of the site will continue to flow overland into the Jefferson Avenue drainage system as it does presently. Runoff from the remainder of the parking lot will be collected into two, new, deep sump catch basins and then directed to a vegetated swale prior to discharge into the wetland. The estimated site construction schedule is eight to ten weeks. Existing pavement on site will be reclaimed and utilized as new pavement basin. Loam for planting areas will not be brought on site until those area are ready for grading and planting. Proposed site activities will result in an increased quality of runoff leaving the site. No change in runoff volumes. will occur - as a result of the proposed sitework given the existing impervi- ous nature of the site. Electric energy will be required for lighting and power needs within the building. That service together with telecommunica- tions will be brought in from the existing overhead lines on Jefferson avenue. Gas service will be utilized for heating the proposed building. Noise associated with the construction of the proposed building will increase during the daytime for a period of 8 to 12 weeks. The site is located in a commercial area and no sensitive recep- tors will be impacted. MAN MADE ENVIRONMENT The project. is located in a commercial/industrial area and will provide a site for a privately-owned essential service provider, Northshore Ambulance, Inc. A variance has been granted by the Salem Zoning Board of Appeals as to the proposed use in the R-C portion of the site and as to dimensional setback matters. A furniture store is located south of the site, a leather company to the north and MBTA trackage to the east. No existing or proposed public or common recreational areas are located on site. The site does provide an ideal central location for the provision of ambulance services to the City. The proposed building is to be a -pre-engineered metal building of one story in height. A trash receptacle is to be located to the rear of the site. Landscaping is proposed along the front of the site as depicted on the Site Plan. PUBLIC FACILITIES Water supply will be provided to the site from the existing water main on Jefferson Avenue. A daily consumptive demand of 900 - 1000 gallons is anticipated for the proposed building, based upon use at the existing facility. Sanitary sewage will be discharged by means of a gravity connec- tion to the existing 15 inch sewer on Jefferson Avenue. An NDC trap will collect water from floor drains, in the garage portion of the building. The anticipated daily sewage flow from the facility is 900 - 1000 gallons. The front portion of the site (approximately 20 percent) will drain overland toward Jefferson Avenue and be directed to the existing catch basin in front of the site. Runoff from the remainder of the site will be directed into two proposed catch basins and a vegetated swale prior to discharge into the wetland resource area adjacent to the site. No change in runoff quantity will result from the proposed site changes. The site is currently 60 percent paved and 30 percent gravel parking surface. In the proposed condition 20 percent of the site will be landscaped and the remainder will be impervious. The quality of the runoff from the site will improve as a result of the proposed Best Management.Practices (i.e. deep sump catch basins and the vegetated Swale)_, described in detail elsewhere in the document. Refuse from. the site will be collected by a private contractor. The proposed dumpster location is shown on the Site Plan. COMMUNITY SERVICES The proposed use of the site is as an Ambulance Facility and general offices of Northshore Ambulance. The proposed activity will have no impact on schools, recreation, fire and police protection or public works maintenance responsibilities. The proposed building is to be of metal construction and one story in height. A fixe hydrant is located immediately adjacent to the site on Jefferson Avenue. The building will be sprinkled. HUMAN CONSIDERATIONS The site of the proposed Ambulance Facility is vacant and has served as a parking area for the building to its immediate north for several years. The proposed building will be of scale and type compatible with existing .commercial buildings in the immedi- ate area. ' The project will eliminate a vacant parking area which is in a partially degraded state. Visual appearance of the site will improve with implementation of the proposed project. The proposed facility will not impact existing or potential parks, recreation areas, open space or any other public use. No changes in water quality, air quality or noise levels will result from the proposed use of the site. )L(jQ CC7r\wMiSfoV CA- 63 %a J �Sw Ao (� b�, �,� w. .v. �.�a o� 4' s�Mp• �- SERAFINI, SERAFINI, DARLING & COR&—pNEIlvdarp ATTORNEYS AT LAW 63 FEDERAL STREET fira � j� � ' 2 SALEM, MASSACHUSETTS 01970 SALEM JOHN R. SERAFINI. SR. PLANNING DEPT , TELEPHONE JOHN R. SERAFINI. JR. 978-744-0212 JOHN E. DARLING 781-581-2743 JOSEPH O_ CORRENTI TELECOPIER 978-741-4683 September 2 , 1999 VIA HAND DELIVERY Mark George, Chairman Conservation Commission One Salem Green, 2nd Floor Salem, Massachusetts 01970 Re: 63 Jefferson Avenue Dear Mr. George: This office represents Robert T. Dunham, Trustee of RTD Nominee Realty Trust, the new owner of 63 Jefferson Avenue. On May 14, 1998 , Order of Conditions Number 64-277 was issued for the property to the prior applicant, Northshore Ambulance, Inc. The ambulance company proposed a new building on this vacant site of approximately 15, 000 square feet, as shown on the plans submitted with the Notice of Intent. Construction of that building never commenced. The new owner is proposing a very similar building for the site, but smaller, containing approximately 8,725 square feet. The improvement to the resource area is that the ambulance building was some seven (7) feet from the resource area, while the new building, which is a truncated version of the prior approved drawing, is more than one hundred (100) feet from the resource area. Pursuant to "Condition 1" of the Special Conditions of the Order the new owner hereby makes written inquiry of the Commission for a determination of whether the change in plans is substantial enough to require the filing of a new Notice of Intent. Detailed site drawings of the revised building will be made available to the Commission at the Commission's meeting, and the applicant and his representative will be available to answer any questions the Commission may have. I have enclosed a copy of the existing Order of Conditions for your convenience. Mark George, Chairman Conservation Commission September 2 , 1999 Page Two Thank you for your consideration. Sincerely, Robert T. Dunham, Trustee of RTD Nominee Realty Trurst By is AttLLor�� e 714 J eP rrrren�ti JCC:dd Enclosures cc: Mr. Robert T. Dunham COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION M�ET/RF��gOPPOLITAN BOSTON -NORTHEAST REGIONAL OFFICE vARGEO PAUL CELLUCC '" lady Govemor77 TRUDY COXE Secremry Fa t— t DAVID B. STRUHS Commissioner DEP File # 64-277 _ RE : NOTIFICATION OF WETLANDS PROTECTION ACT FILE NUMBER Salem DATE : April 22 , 1998 (city/town) The Department of Environmental Protection has received a Notice of Intent filed in accordance with the Wetlands Protection Act (M.G.L. c . 131, §40) : Applicant :Northshore Ambulance Inc . Owner: Rita Kerr Address : 89 Margin Street Address : 61 Jefferson Avenue Salem, MA 01970 Salem, MA 01970 Project Location : Jefferson Ave . Lot 4 IF CHECKED, THE FOLLOWING ITEM(S) APPLY TO THIS NOTICE OF INTENT: A. W This project has been assigned the following file # : 64-277 Although a file # is being issued, please note the following: Pond has riverfront areas? Subject to tidal action? ISSUANCE OF A FILE NUMBER INDICATES ONLY COMPLETENESS OF SUBMITTAL, NOT APPROVAL OF APPLICATION No File # will be assigned to this project until the following missing information is sent to this office, to meet the minimum submittal requirements in accordance with the Wetlands Protection Regulations at 310 CMR 10 . 00 : 1 . ( ) copy (s) of a completed Notice of Intent (Form 3 or Form 4 of Sect . 10 . 99, whichever is applicable) and a copy of the Fee Transmittal Form, with a copy of the check for the State' s share of the Notice of Intent filing fee . 2 • ( ) _ copy (s) of plans, calculations, and other documentation necessary to completely describe the proposed work and mitigating measures to protect resource areas . 3 • ( ) _ copy (s) of an 8%" X 1111 , section, of the USGS map of the area. 4 . ( ) _ copy (s) of plans showing, compliahce with Title 5 of the State Environmental Code, 310 CMR 15 . 00 . 5 . ( ) Proof that a copy of your Notice of Intent has been mailed or hand delivered to the Natural Heritage and Endangered Species Program. COMMENTS : _ , (see page 2 for additional information) 10 Commerce Way 0 Woburn, Massachusetts 01801 0 FAX (781) 932-7615 0 Telephone (781) 932-7600 0 TDD#(617)932-7679 C : Other Regulatory Jurisd cti,. 1 . ( ) Application has been forwarded to Waterways Regulatory Program to determine if a Chapter 91 License is required. 2 . ( ) Applicant is advised to forward a copy of the Notice of Intent to the Corps of Engineers for review (call 1-800-362-4367 for information) . D. 401 Water Quality Certification The project described in your Notice of Intent requires a 401 Water Quality Certification from the Department of Environmental Protection and may require submittal of a 401 application form. See below for further details : 1 . ( ) Based upon the information submitted in and with your Notice of . Intent a separate 401 Water Quality Certification application form is not required. The Department of Environmental Protection has .reviewed the plans submitted by the applicant and finds that there is reasonable assurance that the project or activity will be conducted in a manner that will not violate the Massachusetts Surface Water Quality Standards, provided that : a) the applicant receives and complies with a Final Order of Conditions from the local conservation commission or the Department; b) the Order of Conditions does not cause the loss of more than 5 , 000 sq. ft . of bordering vegetated wetlands and land under water and/or the dredging of more than 100 cubic yards of land under water; c) any loss of vegetated wetlands has been mitigated with a minimum replication of 1 : 1 ; and d) the project is not exempt from the M.G.L. c . 131, §40 - the Wetlands Protection Act; is not part of a subdivision; does not cause the loss of any wetlands designated as Outstanding Resource Waters; and does not cause the loss of any salt marsh. Therefore, provided that the above conditions are satisfied, the Final Order of Conditions will serve as the Water Quality Certification for this project . This does not relieve the applicant of the duty to comply with any other statutes or regulations . 2 . ( ) Before the activity described in the Notice of Intent can commence, you must obtain a Water Quality Certification from this Regional Office . Please complete the enclosed 401 Water Quality Certification application form and file it with this Regional Office for review. 3 . ( ) Your project involves dredging of greater than 100 cubic yards of 'material or requires a permit --f-rom the Federal Energy Regulatory Commission for work in "waters of the Commonwealth. " Therefore, your proposed project is subject to 314 CMR 9 . 00 and requires a Water Quality .Certification. Please complete the enclosed 401 Water Quality _Certification application form and file it with the , -Department of Environmental Protection, Waterways Program, One Winter Street, Boston, MA 02108 . Contact the Division of Waterways Program at 617-292-5655 if you have any questions . For more information please contact :Ralnh Perkins at (617) 932-7600 . CC : Conservation Commission ( ) U. S . Army Corps of Engineers ( ) -Owner ( ) Coastal Zone Management ( ) DEP - Water Pollution Control (X) Representative :Atty. Joseph Correnti ( ) DEP - Waterways 63 Federal St . ( ) Other: Salem, MA 01970 2 %ON Cp� t' Conservation Commission `I Salem. Massachusetts 01970 arnssnr`�� PUBLIC HEARING CONTINUANCE 2 98 Date I J�S��H GoR r 1 hereby grant permission to the Conservation (app4Gai+t ,'ner/Reegm T,.mv� � I�� SAM�()!�At4G� Commission to continue the public hearing on the /`/ / A VC- (application) C(application) Said public hearing shall be continued to (date) p icant/owner signature) sd\condom\or i s c\p u b I i cae