7 LAURIER ROAD - CONSERVATION COMMISSION 4Lauv icy RA
J
� � o
CITY OF SALEM
q�/MM61R�,
CONSERVATION COMMISSION
December 14, 2011
Mark Tremblay
7 Laurier Road
Salem, MA 01970
Re: Determination of Applicability-7 Laurier Road
Dear Mr. Tremblay:
Enclosed, please find the Determination of Applicability for the above referenced project.
This document is effective for three years from its date of issuance.
If you have any further questions please feel free to contact me at 978-619-5685.
Sincerely,
Tom Devine
Conservation Agent/Staff Planner
Enclosures
CC: DEP Northeast Regional Office
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out From:
forms on the Salem
computer, use Conservation Commission
only the tab
key to move To: Applicant Property Owner (if different from applicant):
your cursor-
do not use the Mark Tremblay
return key. Name Name
7 Laurier Road
rd MailingAddress —_- -
Mailing Address
Salem MA 01970
City/Town State Zip Code Cityrown State Zip_Code
1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
Undated plan submitted with 10/25/11 Request for Determination Undated
Title Date
Title Date
Title Date
2. Date Request Filed:
f
B. Determination
Pursuant to the authority of M.G.L. c. 131, § 40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the following
Determination.
Project Description (if applicable):
Proposed 8' by 12'storage shed with concrete base approximately 50'from wetland resource area
Project Location:
7 Laurier Road _ Salem
Street Address City/Town
23 50
Assessors Map/Plat Number Parcel/Lot Number
wpaform2 Goc•Delermination of Applicability•rev.1016104 Page I of 5
Massachusetts Department of Environmental Protection
��— Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
The following Determination(s)is/are applicable to the proposed site and/or project relative to the Wetlands
Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of
Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of
Resource Area Delineation (issued following submittal of Simplified Review ANRAD) has been received
from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection).
❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act.
Removing, filling,dredging, or altering of the area requires the filing of a Notice of Intent.
❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are
confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are
binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding
such boundaries for as long as this Determination is valid.
❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination,
regardless of whether such boundaries are contained on the plans attached to this Determination or
to the Request for Determination.
❑ 3. The work described on referenced plan(s)and document(s) is within an area subject to
protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
❑ 4. The work described on referenced plan(s)and document(s) is within the Buffer Zone and will
alter an Area subject to protection under the Act. Therefore, said work requires the filing of a
Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone).
❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review
and approval by:
Name of Municipality --
Pursuant to the following municipal wetland ordinance or bylaw:
Name Ordinance or Bylaw Citation
wpaform2Aoc•Determination of Applicability•rev.1016104 Page 2 of 5
Massachusetts Department of Environmental Protection
- Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not
subject to the Massachusetts Wetlands Protection Act:
❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s)
and document(s), which includes all or part of the work described in the Request, the applicant
must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more
information about the scope of alternatives requirements):
❑ Alternatives limited to the lot on which the project is located.
❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any
adjacent lots formerly or presently owned by the same owner.
❑ Alternatives limited to the original parcel on which the project is located, the subdivided
parcels, any adjacent parcels, and any other land which can reasonably be obtained within
the municipality.
❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate
region of the state.
Negative Determination
Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the
Department is requested to issue a Superseding Determination of Applicability, work may not proceed
on this project unless the Department fails to act on such request within 35 days of the date the
request is post-marked for certified mail or hand delivered to the Department. Work may then proceed
at the owner's risk only upon notice to the Department and to the Conservation Commission,
p o mission.
Requirements for requests for Superseding Determinations are listed at the end of this document.
❑ 1. The area described in the Request is not an area subject to protection under the Act or the
Buffer Zone.
2. The work described in the Request is within an area subject to protection under the Act, but will
not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent.
❑ 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but
will not alter an Area subject to protection under the Act. Therefore, said work does not require
the filing of a Notice of Intent, subject to the following conditions (if any).
❑ 4. The work described in the Request is not within an Area subject to protection under the Act
(including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent,
unless and until said work alters an Area subject to protection under the Act.
wpafcrm2.doc•Delerminalion of Applicability•rev.10/6/04 Page 3 of 5
J
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 5. The area described in the Request is subject to protection under the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act and
the regulations, no Notice of Intent is required:
Exempt Activity(site applicable statuatory/regulatory provisions)
6. The area and/or work described in the Request is not subject to review and approval by:
Is;L -n
Name of Municipality ---
Pursuant to a municipal ordinance or bylaw'.
/
Name Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the applicant and delivered as follows:
❑ by hand delivery on Lg by certified mail, return receipt requested on
Date Dale
This Determination is valid for three years from the date of issuance (except Determinations for
Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not
relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances,
bylaws, or regulations.
This Determination must be signed by a majority of the Conservation Commission. A copy must be sent
to the appropriate DEP Regional Office (see http://www.mass.gov/dei2/about/region.findVour.htm)and the
property owne nt from the applicant). /
resp
wpaform2.doc•Determination of Applicability•rev.10/6/04 Page 4 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, or any ten residents of the city or town in which such land is
located, are hereby notified of their right to request the appropriate Department of Environmental
Protection Regional Office (see http://www.mass.govidep/about/region.findyour.htm) to issue a
Superseding Determination of Applicability. The request must be made by certified mail or hand delivery
to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for
Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7)within ten business days
from the date of issuance of this Determination. A copy of the request shall at the same time be sent by
certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the
appellant. The request shall state clearly and concisely the objections to the Determination which is being
appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the
Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has
no appellate jurisdiction.
wpaform2.doc•Determination of Applicability•rev.10/6/04 Page 5 of 5
Massachusetts Department of Environmental Protection
l Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection-Act M.G.L. c. 131, §40
A. Request Information
Important:
When filling out 1. Person or party making request (if appropriate, name the citizen group's representative):
forms on the
computer, use Name
only the tab
key to move
your cursor- Mailing Address
do not use the
return key. Cityrrown State Zip Code
raD Phone Number Fax Number(if applicable)
Project Location
Mailing Address
Cityrrown State Zip Code
2. Applicant (as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation
(Form 4A); or Request for Determination of Applicability(Form 1)):
Name
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
3. DEP File Number:
B. Instructions
1. When the Departmental action request is for(check one):
❑ Superseding Order of Conditions ($100 for individual single family homes with associated
structures; $200 for all other projects)
❑ Superseding Determination of Applicability($100)
❑ Superseding Order of Resource Area Delineation ($100)
Send this form and check or money order for the appropriate amount, payable to the Commonwealth of
Massachusetts to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpalcrm2.tlac-Request for Departmental Action Fee Transmittal Form•rev.10/6104 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding
Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (see
http://www.mass.gov/dep/abouUregion/findvour.htm).
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant.
wpaform2.tloc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 2 of 2
Project Status Sheet
Address: L
Application Type: R�
Contact Name: � ��� Phone: (/7 S—?Q a ��
Date Submitted: /v/� SXV
❑ Application Complete
Correct Fee Received
utters I ist Re ec
I�xkLegal Notice Sent 6,Legal Notice Confirmed
Added to Agenda 8 Agenda to Applicant
Agent Comments to Commission
ents
r
Hearing Opened: C/�-7 Continued: (, 7i Site Visit:
'EFAT rs i�otice Confirmed
L�-Order of Conditions Sent to Applicant and DEP
0-Confn mat-ionof-Delivery
--U-Apptica—nf-Re—c—o—r—d—e—d—O—o—C with Registry
Preconstruction Meeting:
❑ Certificate of Compliance Sent to Applicant and DEP
❑ Confirmation of Delivery
❑ Applicant Recorded CoC with Registry
Notes:
+. NAM
-y
el �
Massachusetts Department of Environmental Protection
- Bureau of Resource Protection - Wetlands Salem
WPA Form 1 - Request for Determination of Applicability City/Town
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out 1. Applicant:
forms on the Mark Tremblay lammark@comcast.net
computer, use Name E-Mail Address
only the tab key
to move your 7 Laurier Road
cursor-do not Mailing Address
use the return Salem MA 01970
key. City/Town State Zip Code
617-590-2833
raa Phone Number Fax Number(if applicable)
2. Representative (if any):
Finn
Contact Name E-Mail Address
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
B. Determinations
1. 1 request the Salem make the following determination(s). Check any that apply:
Conservation Commission
LU ❑ a. whether the area depicted on plan(s) and/or map(s) referenced below is an area subject to
o z jurisdiction of the Wetlands Protection Act.
N
U] C a
N _ ❑ b. whether the boundaries of resource area(s)depicted on plan(s) and/or map(s) referenced
{ Ubelow are accurately delineated.
o
Ui Ud o
L � ® c. whether the work depicted on plan(s)referenced below is subject to the Wetlands Protection Act.
o
U ❑ d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction
of any municipal wetlands ordinance or bylaw of:
Name of Municipality
❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as
depicted on referenced plan(s).
wpaforml ecc Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands Salem
WPA Form 1 - Request for Determination of Applicability City/Town
1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Project Description
1. a. Project Location (use maps and plans to identify the location of the area subject to this request):
7 Laurier Road Salem
Street Address City/Town
23 50
Assessors Map/Plat Number Parcel/Lot Number
b. Area Description (use additional paper, if necessary):
Single family home adjacent to bordering vegetated wetlands, drainage easement and public park.
c. Plan and/or Map Reference(s):
Undated plot plan
Title Date
Title Date
Title Date -
2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary):
Proposed 8' by 12' storage shed with concrete base approximately 50'from wetland resource area.
s
wPaforml.doc Page 2 of 4
1 �
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands Salem
Ll
WPA Form1 - Request for Determination of Applicability city/Town
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Project Description (cont.)
b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant
from having to file a Notice of Intent for all or part of the described work (use additional paper, if
necessary).
3. a. If this application is a Request for Determination of Scope of Alternatives for work in the
Riverfront Area, indicate the one classification below that best describes the project.
❑ Single family house on a lot recorded on or before 8/1/96
❑ Single family house on a lot recorded after 8/1/96
❑ Expansion of an existing structure on a lot recorded after 8/1/96
❑ Project, other than a single family house or public project,where the applicant owned the lot
before 8/7/96
❑ New agriculture or aquaculture project
❑ Public project where funds were appropriated prior to 8/7/96
❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed
restriction limiting total alteration of the Riverfront Area for the entire subdivision
❑ Residential subdivision; institutional, industrial, or commercial project
❑ Municipal project
❑ District, county, state, or federal government project
❑ Project required to evaluate off-site alternatives in more than one municipality in an
Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an
application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality
Certification from the Department of Environmental Protection.
b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification
above (use additional paper and/or attach appropriate documents, if necessary.)
wpaformtdoc Page 3 of 4
Massachusetts Department of Environmental Protection .
Bureau of Resource Protection - Wetlands Salem
WPA Form 1 - Request for Determination of Applicability CityRown
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability
and accompanying plans, documents, and supporting data are true and complete to the best of my
knowledge.
I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional
Office were sent a complete copy of this Request(including all appropriate documentation)
simultaneously with the submittal of this Request to the Conservation Commission.
Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for
Determination of Applicability.
Name and address of the property owner:
Sa 1—
Name
Mailing Address
City/Town
State Zip Code
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
in accordance with Section 10.05(3)(b) 1)of the Wetlands Protection Act regulations.
Lt
Sign ture of Applicant ' Date
Signature of Representative(if any) Date
wpaforml Goc Page 4 of 4
N/F DEMEULE N/F LAURANZANO N/F LAVOIE , n
V ,
ABUTTERS SHED
ENCROACHES OVER YPO POSED
LOT LINE 3'f
S65'21720"E I 56223'28"E
S70'55'47"E 85.00' 60.17'
55.00' a WOOD FENCE ti
N k Z�
M
AREA = 22,333 1 S.F.
e T
13•
pipe
EXISTIN TION \ a3a
N/F
FOUNDA
m a
ST. PIERRE
C6
f to L=195.99 \
R=422.00 0 00
LAURIER ROAD
r
e CITY OF SALEM
CONSERVATION COMMISSION
Salem Conservation Commission
978-619-5685
Will hold a public hearing for a Request for Determination of Applicability under the Wetlands
Protection Act MGL c131§40 and Salem Wetlands Protection and Conservation Ordinance at the
request of Mark Tremblay, 7 Laurier Rd Salem MA. Purpose of hearing is to discuss proposed
construction of a shed within buffer zone to bordering vegetated wetlands at 7 Laurier Rd.Hearing
will be Thursday,November 17,2011 at 6:OOpm in the Salem Five Community Room,210 Essex
St.
Julia Knisel
Chair
Please print legal ad on:
November 10, 2011
Please remit bill to:
Mark Tremblay
7 Laurier Rd.
Salem, MA 01970
617-590-2833
City of Salem, MA 10/24/2011
Interactive Map
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feet
Property Information
Property ID 23_0060_0
Location 30 WILLSON STREET
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Because of different update schedules,current property
assessments may not reflect recent changes to property
boundaries.Check with Ne Board of Assessors to confirm
boundaries used at time of assessment. D
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received
Amount Received a ��
Form of Payment Check ❑ Cash
Client Information
CASH PAYMENTS: client initials
❑ Sign Permit Application Fee
Conservation Commission Fee
Payment received for what ❑ Planning Board Fee / ZBA
service? ❑ SRA/DRB Fee
❑ Copies
❑ Other:
Name of staff person receiving
payment c
Additional Notes
MARGITA L TREMBLAY 33-8691/2113 4024
- - 7 LAURIER RD, /
LEM, MA 01970 Q
DA re
i PAYTOTFI F'
13 ONDEROP $ o
p
DOLLARS 8 yam
se port
" CREDIT UNION
Icy' Salem,MA 01970•x ..se(apo�ftu 0
o MEMO C.t} 0I u"S71/1.
1: 2113955i4i: 0173001i569u'
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2: Application File
I
N/F DEMEULE N/F LAURANZANO
N/F LAVOIE , n
ABUTTERS SHED y
ENCROACHES OVER pyo PosEp
LOT LINE 3't
_ S�
S70'55'47"E S65'2 85.00'00S6223'28"E
'
55.00' ❑ WOOD FENCE 60.17' `
\ I
AREA = 22,333 � S.F.
o `
Al
o
�"s �
�q o" •��.•o .p
A
13.9' \ aeon
EXISTING
N/F FOUNDATION
\
\ as°
ST. PIERRE 113'
L=195.99
R=422.00
00 0
LAURIER
ROAD
40
CITY OF SALEM
CONSERVATION,mg, ON COMMISSION
December 14, 2011
Mark Tremblay
7 Laurier Road
Salem, MA 01970
Re: Determination of Applicability-7 Laurier Road
Dear Mr. Tremblay:
Enclosed, please find the Determination of Applicability for the above referenced project.
This document is effective for three years from its date of issuance.
If you have any further questions please feel free to contact me at 978-619-5685.
Sincerely,
Tom Devine
Conservation Agent/Staff Planner
Enclosures
CC: DEP Northeast Regional Office
Massachusetts Department of Environmental Protection
- Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out From:
forms on the Salem
computer, use Conservation Commission
only the tab
key to move To: Applicant Property Owner (if different from applicant):
your cursor-
do not use the Mark Tremblay
return key. Name Name
7 Laurier Road
rtl Mailing Address Mailing Address
Salem MA 01970
City/Town State Zip Code Cityfrown State Zi_p Code
1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
Undated plan submitted with 10/25/11 Request for Determination Undated
Title Date
Title Date
Title Date
2. Date Request Filed:
B. Determination
Pursuant to the authority of M.G.L. c. 131, § 40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the following
Determination.
Project Description (if applicable):
Proposed 8' by 12' storage shed with concrete base approximately 50' from wetland resource area
Project Location:
7 Laurier Road Salem _
Street Address City/Town
23 _ 50
Assessors Map/Plat Number Parcel/Lot Number
wpafcrm2.doc•Determination of Applicability•rev.10/6104 Page 1 of 5
10
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands
Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of
Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) or Order of
Resource Area Delineation (issued following submittal of Simplified Review ANRAD) has been received
from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection).
❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act.
Removing,filling, dredging, or altering of the area requires the filing of a Notice of Intent.
❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are
confirmed as accurate.Therefore, the resource area boundaries confirmed in this Determination are
binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding
such boundaries for as long as this Determination is valid.
❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination,
regardless of whether such boundaries are contained on the plans attached to this Determination or
to the Request for Determination.
❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to
protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will
alter an Area subject to protection under the Act. Therefore, said work requires the filing of a
Notice of Intent or ANRAD Simplified Review (if work is limited to the Buffer Zone).
❑ 5. The area and/or work described on referenced plan(s)and document(s) is subject to review
and approval by:
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
Name Ordinance or Bylaw Citation
wpaform2Aoc•Delero ion of Applicability•rev.1016104 Page 2 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not
subject to the Massachusetts Wetlands Protection Act:
❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s)
and document(s), which includes all or part of the work described in the Request, the applicant
must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more
information about the scope of alternatives requirements):
❑ Alternatives limited to the lot on which the project is located.
❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any
adjacent lots formerly or presently owned by the same owner.
❑ Alternatives limited to the original parcel on which the project is located, the subdivided
parcels, any adjacent parcels, and any other land which can reasonably be obtained within
the municipality.
❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate
region of the state.
Negative Determination
Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the
Department is requested to issue a Superseding Determination of Applicability, work may not proceed
on this project unless the Department fails to act on such request within 35 days of the date the
request is post-marked for certified mail or hand delivered to the Department. Work may then proceed
at the owner's risk only upon notice to the Department and to the Conservation Commission.
Requirements for requests for Superseding Determinations are listed at the end of this document.
❑ 1. The area described in the Request is not an area subject to protection under the Act or the
Buffer Zone.
2. The work described in the Request is within an area subject to protection under the Act, but will
not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent.
❑ 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but
will not alter an Area subject to protection under the Act. Therefore, said work does not require
the filing of a Notice of Intent, subject to the following conditions (if any).
❑ 4. The work described in the Request is not within an Area subject to protection under the Act
(including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent,
unless and until said work alters an Area subject to protection under the Act.
wpaform doc•Determination of Applicability•rev.10/6/04 Page 3 of 5
J
Massachusetts Department of Environmental Protection
L)X--71Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 5. The area described in the Request is subject to protection under the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act and
the regulations, no Notice of Intent is required:
Exempt Activity(site applicable statuatory/regulatory provisions)
6II. The area and/or work described in the Request is not subject to review and approval by:
10.—�\
Name of Municipality --
Pursuant to a municipal� �w�etlands ordinance or bylaw,. C—
"Q.\\ `&4e, Pro \r��
Name Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the applicant and delivered as follows:
❑ by hand delivery on its
by certified mail, return receipt requested on
Date pate
This Determination is valid for three years from the date of issuance (except Determinations for
Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not
relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances,
bylaws, or regulations.
This Determination must be signed by a majority of the Conservation Commission. A copy must be sent
to the appropriate DEP Regional Office (see http://www.mass,gov/dep/about/re_qion.findVour.htm)and the
property owne nt from the applicant).
res
Date
wpaform2.can•Determination of Applicability•rev.10/6/04 Page 4 of 5
ti
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
L71
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, or any ten residents of the city or town in which such land is
located, are hereby notified of their right to request the appropriate Department of Environmental
Protection Regional Office (see http://www.mass.govldep/about/region.findyour.htm) to issue a
Superseding Determination of Applicability. The request must be made by certified mail or hand delivery
to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for
Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7)within ten business days
from the date of issuance of this Determination. A copy of the request shall at the same time be sent by
certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the
appellant. The request shall state clearly and concisely the objections to the Determination which is being
appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the
Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has
no appellate jurisdiction.
wpaform2.tloc•Determination of Applicability•rev.1016104 Page 5 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Request Information
Important:
When filling out 1. Person or party making request(if appropriate, name the citizen group's representative):
forms on the
computer, use Name
only the tab
key to move
your cursor- Mailing Address
do not use the
return key. City/Town State
Zip Code
Phone Number Fax Number(if applicable)
Project Location
room
Mailing Address
Cityrrown Stale P Code
2. Applicant(as shown on Notice of Intent(Form 3),Abbreviated Notice of Resource Area Delineation
(Form 4A); or Request for Determination of Applicability(Form 1)):
Name
Mailing Address
CityfTown State Zip Code
Phone Number Fax Number(if applicable)
3. DEP File Number:
B. Instructions
1. When the Departmental action request is for (check one):
❑ Superseding Order of Conditions ($100 for individual single family homes with associated
structures; $200 for all other projects)
❑ Superseding Determination of Applicability($100)
❑ Superseding Order of Resource Area Delineation ($100)
Send this form and check or money order for the appropriate amount, payable to the Commonwealth of
Massachusetts to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.1016104 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding
Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (see
http://www.mass.gov/dep/about/region/findVour.htm).
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant.
wpaform2.doc•Request for Departmental Action Fee Transmittat Form•rev.1016104 Page 2 of 2
Project Status Sheet
Address: L ,��� DRP# —
Application Type: (�(�
Contact Name: �,�� ��� Phone: (W7
Date Submitted: /U/� S'/V
❑ Application Complete
Correct Fee Received
❑ e
C�5Legal Notice Sent C�,Legal Notice Confirmed
-Added to Agenda S Agenda to Applicant
'Agent Comments to Commission
ents
Hearing Opened: C/i-7 Continued: (�J Site Visit:
mutt—ers notice Confirmed
L--I-Order of Conditions Sent to Applicant and DEP
D-Confirmation-of-Delivery
_jD-Apptk%n-UR7e-co-r-d-e-d---O-o-t with Registry
Preconstruction Meeting:
❑ Certificate of Compliance Sent to Applicant and DEP
❑ Confirmation of Delivery
❑ Applicant Recorded CoC with Registry
Notes:
'
S
a
. '�; � �.'��• +nom.. j'.."
M
el
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands Salem
WPA Form 1 - Request for Determination of Applicability City/Town
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out 1. Applicant:
forms on the Mark Tremblay lammark@comcast.net
computer, use Name E-Mail Address
only the tab key
to move your 7 Laurier Road
cursor-do not Mailing Address
use the return Salem MA 01970
key. City/Town State Zip Code
617-590-2833
f� Phone Number Fax Number(if applicable)
2. Representative (if any):
reams
Firm
Contact Name E-Mail Address
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
B. Determinations
1. 1 request the Salem make the following determination(s). Check any that apply:
Conservation Commission
LU u ❑ a. whether the area depicted on plan(s) and/or map(s) referenced below is an area subject to
o z jurisdiction of the Wetlands Protection Act.
LU C14 C-1 a C-1 F1b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s)referenced
J below are accurately delineated.
U O
O
w � ®c . whether the work depicted on plan(s)referenced below is subject to the Wetlands Protection Act.
° o
U ❑ d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction
of any municipal wetlands ordinance or bylaw of:
Name of Municipality
❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as
depicted on referenced plan(s).
wiraforml.doc Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands Salem
WPA Form 1 - Request for Determination of Applicability city/Town
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Project Description
1. a. Project Location (use maps and plans to identify the location of the area subject to this request):
7 Laurier Road Salem
Street Address City/Town
23 50
Assessors Map/Plat Number Parcel/Lot Number
b. Area Description (use additional paper, if necessary):
Single family home adjacent to bordering vegetated wetlands, drainage easement and public park.
c. Plan and/or Map Reference(s):
Undated plot plan
Title Date
Title Date f
Title Date
2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary):
Proposed 8' by 12' storage shed with concrete base approximately 50'from wetland resource area.
wpaforml doc Page 2 of 4
Massachusetts Department of Environmental Protection
- Bureau of Resource Protection - Wetlands Salem
WPA Form 1 - Request for Determination of Applicability City/Town
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Project Description (cont.)
b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant
from having to file a Notice of Intent for all or part of the described work (use additional paper, if
necessary).
3. a. If this application is a Request for Determination of Scope of Alternatives for work in the
Riverfront Area, indicate the one classification below that best describes the project.
❑ Single family house on a lot recorded on or before 8/1/96
❑ Single family house on a lot recorded after 8/1/96
❑ Expansion of an existing structure on a lot recorded after 8/1/96
❑ Project, other than a single family house or public project, where the applicant owned the lot
before 8/7/96
❑ New agriculture or aquaculture project
❑ Public project where funds were appropriated prior to 8/7/96
❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed
restriction limiting total alteration of the Riverfront Area for the entire subdivision
❑ Residential subdivision; institutional, industrial, or commercial project
❑ Municipal project
❑ District, county, state, or federal government project
❑ Project required to evaluate off-site alternatives in more than one municipality in an
Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an
application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality
Certification from the Department of Environmental Protection.
b. Provide evidence (e.g., record of date subdivision lot was recorded)supporting the classification
above (use additional paper and/or attach appropriate documents, if necessary.)
w aforml.doc Page 3 of 4
Massachusetts Department of Environmental Protection .
Bureau of Resource Protection - Wetlands Salem
WPA Form 1 - Request for Determination of Applicability City/Town
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability
and accompanying plans, documents, and supporting data are true and complete to the best of my
knowledge.
I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional
Office were sent a complete copy of this Request (including all appropriate documentation)
simultaneously with the submittal of this Request to the Conservation Commission.
Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for
Determination of Applicability.
Name and address of the property owner:
Name
Mailing Address
city/Town
State Zip Code '
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
in accordance with Section 10.05(3)(b)(1 of the Wetlands Protection Act regulations.
KI
SiSndture of Applicant Date
Signature of Representative(if any) Date
wpaforml.doc Page 4 of 4
N/F DEMEULE N/F LAURANZANO N/F LAVOIE
ABUTTERS SHED
ENCROACHES OVER YPDPO56
LOT LINE 3't
S65'21'20"E 562'23'28"E
570'55.47"E 85.00'
_
60.17'
55.00' ❑ WOOD FENCE t I A
M t
AREA = 22,333 S.F.
o \
(J)
'06eEXISTIN TION \ a3o O1
a
FOUNDA \ ° a `
N F 11.3' v.�
i
ST. PIERRE
1' L=195.99to
\
R=422.00 0000
LAURIER ROAD
<§ 1 p CITY OF SALEM
CONSERVATION COMMISSION
Salem Conservation Commission
978-619-5685
Will hold a public hearing for a Request for Determination of Applicability under the Wetlands
Protection Act MGL c 131§40 and Salem Wetlands Protection and Conservation Ordinance at the
request of Mark Tremblay, 7 Laurier Rd Salem MA. Purpose of hearing is to discuss proposed
construction of a shed within buffer zone to bordering vegetated wetlands at 7 Laurier Rd.Hearing
will be Thursday,November 17,2011 at 6:OOpm in the Salem Five Community Room,210 Essex
St.
Julia Knisel
Chair
Please print legal ad on:
November 10, 2011
Please remit bill to:
Mark Tremblay
7 Laurier Rd.
Salem, MA 01970
617-590-2833
City of Salem, MA 10/24/2011
Interactive Map
s k
I• •� �F n�,ry�'. W f �� E
� e K
LAURIER Rp �n . {fir
.<i "`fir T' %"" 'Y ;rF °rT'•fiif '�}+'_
{ I'Z T � ex t fi'X• a
i t N T '
xf
N
62
�. �� '&.{ a L • i.- ki
feet
z � R 0.Y5
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? W S
Property Information
Property ID 23_0060_0
Location 30 WILLSON STREET
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Because of different update schedules,current property
assessments may not reflect recent changes to properly
toundanes.Check with the Board of Assessors to confirm
boundaries used at time of assessment. 13
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received C
Amount Received a ��
Form of Payment Check [] Cash
Client Information
CASH PAYMENTS: client initials
❑ Sign Permit Application Fee
Conservation Commission Fee
Payment received for what ❑ Planning Board Fee / ZBA
service? ❑ SRA/DRB Fee
❑ Copies
❑ Other:
Name of staff person receiving
payment c
Additional Notes
MARGITA L TREMBLAY 53-5551/2113 4024
7 LAURIER RD. /
LEM, MA 01970
DA ME
'rte
i PAYTOTHE
ORDER OF Q• ]I� ���
•V t'�'�e . _ -
S TT
DOLLARS
3 �se port
" CREDIT UNION
�.u• Salem,MAA 01970•www.se�,(rt�y ar /�-/P--. �J///�
MEMO_ A M'rl
I: Z1i3855141: 01730011S6811' 40
i
Original Check and Form: DPCD Finance ---
Copy 1: Client
Copy 2: Application File
N/F DEMEULE N/F LAURANZANO
N/F LAVOIE , ^
ABUTTERS SHED
ENCROACHES OVER p�Q Cp
OSED
LOT LINE 3't iJ
_ SN ED !A
570'55'47"E S65'21'20"E
85.00' 582'23'28"E
55.00 WOOD FEMCE 60'17 4
\ '04I
AREA = 22,333 S.F.
0 Z
07
0b
13.97 /i(\
EXISTING
N/FFOUNDATION
\ a3 0
ST. PIERRE 11.3'
10
6 L=195.99
R=422.00
00 0
LAURIER Q)
ROAD