64-164 - 441 LAFAYETTE STREET - CONSERVATION COMMISSION zlt
OX00' 907PG1 f` VIP
Form 8
r r R g� ,t'� t y p/ ED
DEOE File No. 64-164
V L &. �s ! �,] 1�' (To be provided by DERE)
Commonwealth MARK 7 9 E89 City/Town Cif�r .,f Rnlom
('I of Massachusetts Lawrence J. Green
Applicant
z g4gil p', 1 DEPT.
Certificate of Compliance
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
From SALEM CONSERVATION COMMTSSTON Issuing Authority
To Lawrence J. Green 441 Lafayette Street
(Name) (Address)
February 23, 1989
Date of Issuance
-n
m
This Certificate is issued for work regulated by an Order of Conditions issued t Lawrence J. Green ca
dated June 7 128 ?a em onservationU ommissldn
and issued by the 4
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1. It is hereby certified that the work regulated by the above-referenced Order of Conditions has _
been satisfactorily completed. W
2. ❑ It is hereby certified that only the following portions of the work regulated by the above-refer-
enced Order of Conditions have been satisfactorily completed: (If the Certificate of Compliance
does not include the entire project,specify what portions are included.)
O
3. ElIt is hereby certified that the work regulated by the above-referenced Order of Conditions was o
tV
never commenced.The Order of Conditions has lapsed and is therefore no longer valid. No future
work subject to regulation under the Act may be commenced without filing a new Notice of Intent o
and receiving a new Order of Conditions.
.............................................................................................................................................................................
(Leave Space Blank)
8.1
Effective 11/1/87
BK0O9'9O7PG(1 $
4. IR This certificate shall be recorded in the Registry of Deeds or the Land Court for the district in
June,.? 1988
which the land is located.The Order was originally recorded on (date)
at the Registryof Deeds, Essex County Book; ,9.55:0': 'V page;,.575
5. ❑ The following conditions of the Order shall continue: (Set,forth arty U Conditions contained in the
i: ' . I i) . i.., ,
Final Order, such as maintenance or monitoring,which are to contlnue,for a 1pnger period.)
Salem Conservation Commission
ssued by
� Signature(s)
0
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,a • When issued by the Cgnservation Commisio�Certi i e must be signed by a majority of is members.
ca o On this y day of 7ylN 19 ,�,before me
m E personally appeared ;�-Q�-e to me known to be the
N N
o � m person described in and who executed the foregoing instrument and acknowledged that he/she executed
e m the•sam'e aa;'hiS,hrer free act and deed:
Cd G aa)
5 NotaryPybltsc t �, r, y commission ez Ires
a
OG Detitc 'on• afl¢Q Gina,10ii submit to the
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u �
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c4 rn a To Issuing Authority
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o G q Please be advised that the Certificate of Compliance for the project at
G
•'I fN
0 3 �. File Number has been recorded at the Registry of
u G
� ,a N and has been noted in the Chain of tide of the affected property on -. 19
G N r-I
N x P, If recorded land,the instrument number which identifies this transaction is
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If registered land.the document number which identifies this transaction is
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N Signature Applicant
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RECEIVED
AUG 2 d 11968 441 Lafayette Street
Salem, MA 701970
SALEM PLANNING DEPT.
August 18 , V988
Conservation Commission
City of Salem
Salem City Hall
Salem, MA 013970
'
Gent]-- men :
This is to advise you that work has been completed
at 4411 Lafayette Street.
In compliance with item #11 "General Conditions" I am
requesting that a Certificate '-Of Compliance be issued.
Thank you for your cooperation.
COPY:
Very truly yours ,
I
C
Philip Moran, Chairman J
32 Lynde Street ✓� /
Salem, MA 01970 Lawrence J. Green
�<Q wvr /C h as -bee., -ca Kc�p�e "6e� -Per
3�O�pro✓ed �Jarf r. - �,�3aary
JH OF 44f \
_moo RALPH ,��„_•
WILLIAM "•
REID ~I '
Na 2942 �•�➢
'AF
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0 SOA�4 °'
T
RECEIVED
Form 5 oEo Faefyo. 64-16 y
J U L 1 ITo be Oro iced by OEOE)
Salem
Commonwealth rel[Y
of Massachusetts tIIfLLA1 MKIM
Applicant
Order of Conditions
Massachusetts Wetlands Protection Act
G.L. c. 131, §40
From Salem Conservation Commission
To Mr. Larry Green cam -
(Name of Applicant) (Name of property owner)
Address 441 Lafayette Street Address- -
This
ddress This Order is issued and delivered as follows: `—
c
❑ by hand delivery to applicant or representative on (date)
❑ by certified mail,return receipt requested on (date)
This project is located at 441 Lafayette Street v
w
The property is recorded at the Registry of Essex - 00
Boob 9057 Page 302
Certificate(if registered)
The Notice of Intent for this proiect was filed on 4/4/88 (date) o
O
The public hearing was closed on April 14, 1988 (date) o
w
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Findings
The Commission has reviewed the above-referenced Notice of
Intent and plans and has held a public hearing on the project. Based on the information available to the
Commission at this time,the Commisgion 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
❑
Groundwater supply ® Prevention of pollution ❑ Protection of wildlife habitat
5.1
Effective 11/1/87
9550PL571
Therefore, the Commssidn • s hereby finds that the following conditions are
necessary,in accordance with the Performance Standards set forth in the regulations, to protect those inter-
ests 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 fol-
lowin conditions modi i i `' ro u., e s
g ty or differ+from the-pl`arts, 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 meas-
ures,shall be deemed cause to revoke or modify this Order.
2. This 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 shall be 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 fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or de-
bris, 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.
8. 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 information shall be submitted to the Commission
on the forth 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 Quality Engineering,
File Number 64-1(oy
10. Where the Department of Environmental Quality Engineering 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.
11 . Upon completion of the work described herein, the applicant shall forthwith request in writing that a
Certificate of Compliance be issued stating that the work has been satisfactorily completed.
12. The work shall conform to the following plans and special conditions:
5-2
L ,
•' s�oa 9550PG572
Plans:
Title Dated Signed and Stamped by: On File with:
'Plan of Land`.in Salem, YA 3/12/88 Reid Land Surveyors Conservation Commission
a p William ei
rT—
'Proposed Deck and Docking Plan and Elevation' 2/7/88 Turner Design Conservation
Commission
Special Conditions(Use additional paper if necessary)
1. All work shall conform to the above referenced plans,
2. All work shall take place from the landward side.
3. No filling shall take place to accomaodate this project.
.......................................................................................................................................................................................
(Leave Space 8lank)
5.3A
eao� 9550PG573 t _ ` . ,
Plans:
Title Dated Signed and Stamped by: On File with:
Special Conditions(use additional paper if necessary)
...............................................................................................................................................
................:.......................
(leave Space Blankl
5-3B
BOOS 9550FG574
Issued By SaIeT Conservation Commission
Signature s"
�j
f
This Order must be signed by a majority of a Conservation Commission.
On this '7 day of June 19 88 before me
personally appeared above ngmed to me known to be the
person described in and who executed the foregoing instrument and acknowledged that he/she executed
the same as his/her free act and deed.
;�ga�r��,v:•.
tary,`@iyblic i^�� My commission expires
le s6„M§A�wn@rr..gng perebn aggnevea by mis order.any owner of lend atwttlng the lana upon whk:h the Ixoposed work is to
S9}pr any to mo-dente'of Me City
or town in which aueh lentl fa bcatetl are hereby noMletl of their right to reQueat the Deperonent
vifr lentel lati@1jN 0Ineenng to issue a Su
Order.providlrg the request is made by certified mall a hentl delivery M
thg,QeBvror�ect,�ritlti�l tett days from the date of Isauanee of thfa Older.A copy of me request shell et the same tlme be 9ert1 by cerlftietl
mad o`'r hagf�Eelivery'to
the Conservation Commission arM the applkent.
Detach on dotted line and submit to the prior to commencement of work.
TO Issuing Authonty
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 8 on . 19—
If recorded land, the instrument number which identifies this transaction is
If registered land, the document number which identities this transaction is
Applicant
pplicant
5.4A
BOOK 9550PG575 "�;'"
Issued by the Department of Environmental Quality Engineering.
Signature
On this day of 19 before me
personally appeared to me known to be the person
described in and who executed the foregoing instrument and acknowledged that he/she executed the same
as his/her free act and deed.
Notary Public My commission expires
The applicant.the owner,any person aggrieved by this Superseding Order,any owner of land abutting the land upon which the pro-
posed work is to be done or any ten persons pursuant to G.L.c.30A,§10A,are hereby notified of their right to request an adjudicatory
hearing pursuant to G.L 30A.§10,providing the requusl is made by ca.-Ified mail or hand delivery to the Department within ten days
from the date of issuance of the Superseding Order,and is addressed to: Docket Clerk.Office of General Counsel.Department of
Environmental Quality Engineering,One Winter Street,Boston.MA 02108.A copy of the request shall at the same time be sent by
certified mall or hand delivery to the conservation commission,the applicant,and any other party.
A Notice of Claim for an Adjudicatory Nearing shall comply with the Department's Rules for Adjudicatory Proceedings.310 CMR
1.01(8).and shall contain the following information:
(al the DEOE Wetlands File Number,name of the applicant and address of the project: ,.
(b) the complete name,address and telephone number of the parry filing the request.and,if represented by counsel.the name and.
address of the attorney;
(c) the names and addresses of all other parties,if known;
(d) a clear and concise statement of(1)the facts which are grounds for the proceeding,(2)the objections to this Superseding Order,..
including specifically the manner in which it is alleged to be inconsistent with the Department's Wetlands Regutations(310 CMR
10.00)and does not contribute to the protection of the interests identified in the Act,and(3)the relief sought through thi
dicatory hearing,including specifically the changes desired in the Superseding Order:
(a) a statement that a copy of the request has been sent to the applicant.the conservation commission and each other party or rep•
resentative of such party,if known.
Failure to submit all necessary information may result in a dismissal by the Department of the Notice of Claim for an Adjudicatory Hearing:-
� s
Detach on dotted line and submit to the prior to commencement of work.
......................._....._...._.........__......_...».................................»................_...........................................................................................
4n
To Issuing.Authonty v
b r
Please be advised that the Order of Conditions for the project at Q
File Number has been recorded at the Registry of and 9
V7
has been noted in the chain of title of the affected property in accordance with General Condition 8 on , 19
If recorded land, the instrument number which identifies this transaction is
It registered land, the document number which identifies this transaction is CI v
SignatureApplicant O ✓�
5.4B
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+ Office of the (fitV ((council
0tg all
�Wpy M
LEONARD F.O'LEARY WARD COUNCILLORS
1987
COUNCILLORS-AT-LARGE PRESIDENT
GEORGE A.NOWAK
1987
ROBERT E.GAUTHIER JOSEPHINE R. FUSCO KEVIN R.HARVEY
FRANCES J.GRACE CITY CLERK VINCENT J.FURFARO
LEONARD F.O'LEARY
NEIL J.HARRINGTON
JEAN-GUY J.MARTINEAU
RICHARD E.SWINIUCH
GEORGE P.McCABE
April 14 , 1988 JOHN R.NUTTING
Mr. Philip Moran, Chairman
Conservation Commission
City of Salem
Salem, MA 01970
Dear Mr. Moran :
This correspondence is to make you aware of my concerns pertaining
to a boat dock application submitted by Lawrence Green of 441 Lafayette
Street . As always, my City Council meeting conflicts with your Conservation
Commission meeting schedule.
I am concerned about Mr. Green ' s proposed decks and dock and would
hope that the following questions would be answered during your public
hearing.
1. Why does the project run parallel to Lafayette Street .
All the other docks in the area go straight out toward the
harbor entrance in what is considered deeper water. Also
who owns the mud flats that the float will cover? Is it
Boston & Maine? Did Mr. Green ' s engineer take into consider-
ation the Northeast storms ths.t whip into this particular
area.
2. What harm, if any, will this structure cause to the wetland
vegetation near the sea wall?
3. Can Mr. Green explain the structual support (wood, cement ,
or any fill) that may be used now or in the future for
his project .
4. The expansion from the gazebo to the end of the float is
close to 90 ft . Will this have an adverse effect on other
boats and water skiers that utilize this area?
There are many residents from Mr. Green ' s area of Lafayette Street
that have concerns about this project . I hope these questions can be
addressed to relieve the residents of their concerns.
Finally, I hope the Conservation Commission will do an on-site visit
at the proposed location. I request that the above concerns be discussed
and documented into the minutes of your April 14 , 1988 meeting.
Yours truly,
Mark E. Blair
Councillor Ward Seven
MEB/cmp
CITY OF SALEM
CONSERVATION COMMISSION
Will give a public hearing under the Wetlands Protection Act, Mass. G.L. Chap.
131, sEction 40, at the request of Larry Green, Salem, MA. The applicant propose
to construct a float and dock at 441 Lafayette St. This hearing will
be held on Thursday, April 14, 1988, at 7:30 p.m., One Salem Green, Second Floor
Conference Room.
John Doyle
Vice-Chairman
April 8, 1988
M35W
S. RUSSELL SYLVA 5 7�anzix2aizurealfli actneizue vv0
Commissioner G� i, ��.creacu.�.ue.eCCa, 080),
935-2160 DATE:
TOWN:
ASSIGNED FILE NO: C -
The Division of Wetlands is in receipt of' an application filed under M.G.L.
Chapter 131, Section 40, The plication is in the name of:
�G�CJV�GtC�� �/v��k'r�
APPLICANT: / �✓�ll)V,S�i ' �3,x �C c,-`{Oh'NER OF LAND:
PROJECT LOCATION: LOT:
PROJECT REVIEW
( ) The application is incomplete. No file number will be assigned until material
checked below is submitted to this Office:
( ) Notice of Intent ( ) Plans
( ) Project requires the filing of a
Form 3 (Notice of Intent) rather than
Form 4 (Abbreviated Notice of Intent) ( ) Lacus
WATERWAYS REVIEW
(V(�oject may require a Chapter 91 License-Project has been referred to
Waterways.
( ) Preliminary review indicates that the project does not require a Chapter 91
License. However, should further review indicate that the project may require
a Chapter 91 License, the Department reserves the right to refer the project
to Waterways at that time.
ISSUANCE OF A FILE NUMBER INDICATES ONLY COMPLETENESS OF FILING SUBMITTED, NOT
APPROVAL OF THE APPLICATION.
Very truly yourip,
,$&/VA^
Sabin M. Lord, Jr. ,
Deputy Regional Environmental Engineer
cc: Conservation Commission, �^ n{ v
M70
' S6
Form 3 - DEQE File No.
(To be provltletl by DEQE)
^ — Commonwealth GtyRown
of Massachusetts Apart
Notice of Intent
Under the
Massachusetts Wetlands Protection Act, G.L c. 131, §40
— - and
Application for a Department of the Army Permit
Part 1:General Information s;Wirer SWMI 1W G�y7o
1. location:Street Address
Lot Number
S
2. Project Type Description
_. .
l4Cd/
3. Registry:County e55 PX Current Book !O5 8 Page 3,2 a
Certificate(if Registered Land) �. �yf.spa
✓ _ �,Q!'[°/1/ , t?usre� .` rye
¢. Appli�cant_s1�9R ..fY'fY°Ac'-r 7�y1S,1 Tge�l.7r)0 59 Y 9d
Address 0// Z'�
5. Property Owner $9A(P 45 -,9,6 a r/( Tel.
Address
6. Representative G{/S Fj9UGST/GGI y o T�• 9c►'/zd98,3
Address-
7.
ddress IY
Rt 7. Have the Conservation Commission and the DEOE Regional Office each been sent,by certified mail or
hand delivery. 2 copies of completed Notice of Intent,with supporting plans and documents?
i. Yes 07ivNo ❑
31
t
� S7
Q
a. Have all obtainable permits,variances and approvals required by local by-law been obtained?
Yes ❑ No ,❑
Obtained: - Applied For. Not Applied For.
9. Is any portion of the site subject to a Wetlands Restriction Order pursuant to G.L C. 131,§40A or G.I_
c. 130, §1057 Yes ❑ No JM-
10.List all plans and supporting documents submitted with this Notice of InterrL
Identifying Titre,Date
Number/Letter
R'A,t/ o/N 34CPM, Mgss_ RN1R• G,Pt� Up , �/
tr .
} 11.Check those resource areas within which work is proposed:
_ (a)❑ BufterZone
(b)Inland:. ,
_._ ❑ Bank' .- Land Subject to Flooding.
❑ Bordering Vegetated Wetland* ❑ Bordering
❑ 1 land Under Water Body&Waterway• ❑ Isolated
(c)Coastal - -
0 land Under the Ocean* ❑ Designated Port Area*
❑ Coastal,Beach• ❑ Coastal Dune
O 'Barrier Beach Coastal Bank
,,t Rocky Intertidal Shore ❑ Salt Marsh'
=❑ Land Under Salt Pond' = ❑ -LandContaining Shellfish•
13 -,Fish
sh Run• ' ,„
r
•Likely to involve U.S.Army Corps of Eng:^Pers concurrent jurisdiction.See General Instructions for
Completing Notice of Intent.
3-2
Y
'i
i
SS
Part II:Site Description
Indicate which of the following information has been provided (on a plan,In narrative description or calcula-
tions)to clearly,completely and accurately describe existing site conditions.
Identifying
Number/Letter
(of plan:narrative
or calculations)
Natural Features:
Soils .
Vegetation
A Topography
Open water bodies(including ponds and takes)
Flowing water bodies rincludIng streams and rivers -
Public and private surface water and ground water supplies on or within 100 feet of site
Maximum annual ground water elevations with dates and location of test
•
A Boundaries of resource areas checked under Part I,Rem 11 above
Other.. _
- Man-made Features:
* $ Structures(such as buildings.piers,towers and headwalls) _-
Drainage and flood control facilities at the site and immediately off the site,including
culverts and open channels (with inverts),dams and dikes
Substufacesewage'disposalsystems=+ - ac
Underground utilities
Roadways and parking areas
Property boundaries,easements and rights-of•way
Other
Part lit:Work Deseriptton
Indicate which of the following information has been provided(on a plan,in narrative description or calcula-
tions)to dearly,completely and accurately describe work proposed within each of the resource areas
checked in Part 1,Rem 11 above.
Identifying
Number/Letter"-'—
(of pian,narrative
or calculations)
._ -
- Planviedr and Cross Section of:'
Structures(such as buildings,Piers,towers and headwalls)
Drainage and flood control facilities,Including culverts and open channels(with inverts),
dams and dikes
r Subsurface sewage disposal systems&underground utilities
Filling,dredging and excavating,indicating volume and composition of material
Compensatory storage areas,where required in accordance with Part III,Section 10:57
(4)of the regulations
_ Other — - - -
i Point Source Discharge
Description of characteristics of discharge from point source(both dosed and open
channel),when point of discharge falls within resource area checked under Part I,item
11 above,as supported by standard engineering calculations.data and plans,including
but not limited to the following:
33
89
1. Delineation of the drainage area contributing to the point of discharge;
2. Pre-and post-development peak run-off 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 I,iten
11 above;
4. Estimated water quality characteristics of pre-and post-development run-off at the point of discharge.
Part IV:Mitigating Measures
1. Clearly,completely and accurately describe,with reference to supporting plans and calculations where
necessary-
(a)
ecessary(a) Ali measures and designs proposed to meet the performance standards set forth under each re-
source area speed In Part II or Part III of the regulations;or -
(b) why the presumptions set forth under each resource area specified in Part If or Part III of the regula-
tons do not apply.
kl
Coastal Resource Area Type. Identifying numb"or letter
❑ Inland of support documents
�h Fw/c t' d e Sst°�f�IPD aseullme-f -
ivo 6eoogh� A/j 54"( AO 19GUM/Jill"
2AM/
7hP a DfGKS watt he 04157,eUClYj
acv
_ ❑ Coastal Resource Area Type: WanWying number or Neer
❑ Inland of support doaments
3.4
90
1 •
T '
❑ Coastal Resource Area TYPO: - identifying number or letter
❑ Wand .. of auoPPrl documents
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2. Clearly,completely and accurately describe,with reference to supporting plans and calculations where
t necessary.
w (a) all measures and designs to regulate work within the Buffer Zone so as to insure that said work does
not alter an area speed in Part I,Section 10.02(1)(a)of these regulations;or .
(b) If work In the Buffer Zone will after such an area,all measures and designs proposed to meet
ti the performance standards estabrished for the adjacent resource area specified in Part It or
Part III of these regulations.
❑ Coastal) Resource Area Type 9adered Sy.100-Foot Discmtbrrery Zonr. identiying number or lemer
.', ; ❑ HmnO - of suoWn documents
F
t 35
- i
91
Part V:Additional Information for a Department of the Army Permit
1. COE Application No. 2. (Name of waterway)
(to be provided by COE)
3. Names and addresses of property owners adjoining your property:
ve Ar�i9GfteO c✓S r
ey
ethods,particularly those
4. Document other project alternatives(i.e..other locations and/or construction m
that would eliminate the discharge of dredged or of material into waters CW wetlands).
_.
5. 8'/:` x 11' drawirigs+n p7anview and cross-section,showing the resource area-and the proposed aetiv
fly within the resource area:Drawings must be to scale and should be dear enough for photocopying.
Dernficatgn is regaled flan the D 4ecn of Water Pokrton Corlyd before thca
e Federat PWM n be ssued
Certification may be obtained b/ wltacmi9 the Dies at of Water Fb�Oon Cormd 1 Wrlier Street Bcston.
MassarnusettsA2'�8. ,;t -.-� .
Y Zone
Where the activity will place witin the area under the MassachLt---M s appy Coast
certifies
that his proposed acllvity C=Oes with and will be oar itzled
i ManagenlIaTl o9ram the aFF
' in a manner haat is cWM1e nt with fie appraed Pro9rarTL
� m blit
I for a pein-4 and 's made rt�Re
I Inbrnmitim prvrdedwiltbe used n evahuating the app6caoon r of W
rernrd duotlgh ssuance of a pubje,notice Dscbsure of this informaWn s vOk nta+Y ho+�e+er I necessary
vtforrrl�oaq 6 not prw tied thea ca�a� caronat be processed nor can a pelmir be issued.
1 hereby certify under the pains and penalties cf perjury that the foregoing Notice of Intent and accompanying
»
plans documents and supporting data are tine and complete,to the best of my knowledge.
Tum
Signature of Applicant
Date _
Signature of Applicant's Representative -
''Date
e
i FORfJI -u••a+°• to CNG Fern 4348 •VPT'e••d by NGVBACL 6'slPs 1882'.
NED =100 -(TEST) - :. - -
p^ - •Thu so at caste+ee-a 1•:et D-P•t%.. of the Ares:end Buae d]lueeehaeetu ePPlfeetiea
MAY 82 e ter • Permit to e.w.ibtaM . a i.e+en to vw. m eCli.Ime, to Oa+ud Bntee •sten. The Orrice
t ese required by the of Meaegenent end Budget (OMB/ bee "Preyed those yaeet+
i of Lngineen. GMB ::umber 0702.0038 end aop+rettea date of 30 5epumber +8833 aPPlin". This
Arms corps
• uetement mill be set in 8 paint is P"
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ABUTTERS TO 441 LAFAYETTE STREET SALEM, MA
I.;
f.
II'
Bronislawa W. Moore 437 Lafayette Street fi
Welch Family Trust 436 Lafayette Street
Harold W. Scully, Trustee
15 Front Street
Salem, MA
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Marblehead, . MA 01945
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