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74 LEAVITT STREET - CONSERVATION COMMISSION (2) p Fiw - ,_ Pale. cue Yeti�- C tu k ��-�� j76' 9�>` Js.�� ,, i i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands i 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 Palmer Cove Yacht Club return key. Name Name Leavitt Street Ma °L Mailing Address Mailing Address Salem MA 01970 City/Town State Zip Code City/Town State Zip Code 1. Title and Date (or Revised Date if applicable)of Final Plans and Other Documents: Palmer Cove Marina Shed Sept. 5 2003 Title Date Exhibit Plan of Land at 74 Leavitt Street June 28,2004 Title Date Title Date 2. Date Request Filed: June 25, 2004 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): Construction of a 12'x 20'wood shed Project Location: 74 Leavitt Street SALEM Street Address City/Town Map 34 Lot 0450 Assessors Map/Plat Number Parcel/Lot Number w afe.2.doc•rev.12/15/00 Page 1 of 5 r� 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)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. ❑ 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 wpafo.2.doc•rev.12/15/00 Page 2 of 5 I 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. wpaform2.dcc•rev.12/15/00 I Page 3 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 5.The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands 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 by certified mail, return receipt requested on � gb9 Date Date 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 D P ice (see A pendix A) and the arty wrier(if diff nt from the applicant). i r :7 10q Date wpaf=2.e •w.12/16= Page 4 d 6 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 Appendix A)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 Appendix E: 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. wpaform2Aoc•rev.12/15/00 Page 5 of 5 City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete form and make two copies. Date Received 2S 0 7 Amount Received 25 ov Form of PaymentCheck Cash CHECK PAYMENTS: write check number �t CASH PAYMENTS: write client initials 0 Sign Permit Application Fee Conservation Commission Fee Payment received for 0 Planning Board Fee what service? 0 Old Town Hall Rental Fee Other Name of staff person receiving payment r' Y) rY T-2c)rm/h2 . Additional Notes IN�. r �t �. ; � � •' ,v t ' hl.�!`iy 'rS:�'y�!)y �^'a: i ki �E`. � jy i r j PALMERS COVE,YACHT`,CLUB, INC 1 I rf:. EASTERN BAN k%T,317 h ' lf74'LEAVITTtSTREETiff-gI �fM�'�" v BEVERLY;MA 01915 �ljSALEM�jMA101970 5548110 'r a:(tr,-� ^1i t,-,4 1 f �s r - � •PH 978744-9722 978741'2566x1. 31! ?-'ji �r B `('�pp (I1T ' �� q �- 1 5 'gall- r f !~ t E PI n tl �5r x.11 �Ei}� �i 0I'�r� +�" 4-r c tC;,. � �"If li F�rT, FI.c X11 yip -�`PAY TO.THE raRoe a;oFr Cliy of 531@mgir N r� x r' s �1 r t but t i1 j '�� TSI` �fr � 1Ffi a TcIY iY �� Aim rtrfi Twenty Fry anld 00/100***++*•** **s+***e+ s►*** *****is*** ►*r*i*s*r*r*+►►�****y+r ** +*r**+Oil D'OLLARS ' z t - I 3 1L�Tj '4:(`:moi z-�' 4 �.� �� LI'F`-hf I i ��- �5�f t� ,. �-1 ��Ct s ^� e ;�-J- i;y --4 J. >•.(, C 4,.Yi '�.J 1} U 1 �' ..! t y7, '+, , � 6 11J II 3y 1 -i If i�v j.=4'(1"i 41'F -� -ulr -.i1j h.i a LT J F j �� 4��- SFt I �i� �IF sr�c.h� {I u1 'fj'�-�-T�'3��11 ii Z.='aL } cu 1 �� yi : r {, .3. 7� F� - [Ci` �, �rh-5:1y-�1 iT U i T'-i`�. �,�--I� :y ?I ,I .: �F5_: I'r+^' -� 'S' }'q-t i tL`t'c t`-f I.-i y r Ctty'Of Salem'. �, i rs �� y 4�1 T Ti j j�t'. ltr4 1 �' Y ;.i `�tf 45 L d d r 9 �_fu 4 �' +< �f!h�f, >: ( 'rc 7�ppp iit��i �' I�� $OStQn MA-02205-5;794.i (� } i I v iFf ft J ti 7 f tit t4 v r y t '1r` I4 w I �`(�ri1F �r t L m TirI' 3 SSI f c MEMO' I� [r _UV1 If sF�' � 1 " Ir`�F 4 v� �J;�i i 1 r d} Application Feer 4' I I ' ' �-�tr - u'1 t�,.-- ii e i s i r t '.�P 'lr F' i F7 y�ni'tt m 't' �I u°D09 7 28iI" 30 i 79a'° 68 '10' 4 , 51I■ ' j �- ! I. .�!R 11��i ".r:{,lF��.."1+.. ' Ai P; � tFA 1•• M1�� rv, { -�. ' t -,. —.----- cr-m°v'rV°nG-prG�rRlGrlcO— ---- - ---- 1PY t Copy 2' Application File CITY OF SALEM n ' CONSERVATION COMMISSION City of Salem Conservation Commission Will hold a public hearing for a Request for a Determination of Applicability under the Wetlands Protection Act, Massachusetts General Laws, Chapter 131, Section 40 and Salem's Ordinance Pertaining to General Wetlands at the request of Palmer Cove Yacht Club, 74 Leavitt Street, Salem, MA. The purpose of this hearing is for a determination of work related to the construction of a 12' x 20' wood shed located within a Buffer Zone to a Coastal Resource Area and land subject to 100-year Flooding at 74 Leavitt Street. This hearing will be held on Thursday, July 8, 2004 at 6:00 p.m. in Room 313, third floor at 120 Washington Street. • C Kevin Comacc io Chairman July 1, 2004 Please send bill to: Palmer Cove Yacht Club C/o Roger Boucher 74 Leavitt Street Salem, MA 01970 (978) 744-9722 120 WASHINGTON STREET, .SALEM, MASSACHUSETTS 01970 TEL: 978.745.9595 FAx: 978.740.0404 WWW.SALEM.COM Massachusetts Department of Environmental Protection ;A LCA Bureau of Resource Protection - Wetlands 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. AppIicy��nt: /� Y forms on the / /r4/r245_�O_ If �_Iyly //Tf�fT CYC Nlr . !V I- I computer, use Name 1� only the tab key 7 ��r E-Mail Address to move your zL��y cursor-do not Mailing Address �} use the return S�-L zm / ✓(� C� 7/� 70 key. City/Town 9 Try _7e�y ._�� sf� 7 Zip Code jjjj 7 Fax r y ' `�y' '� Phone Number Fax Number(if applicable) 2. epresentative (if any): /(al>62_ &5VCff6—_2 6JSTRJ402770f,/ Firm 2Oli � Contact Name E-Mail Address Mailing Address City/Town 9 / —77 -V -76 0-4 T-7 —� / `/ �I 3 o3b C Phone Number Fax Number(if applicable) B. Determinations F 1. I request the SialF w, make the following determination(s). Check any that apply: C qAP-CC-1_ I Conservation Commission rfit-- ' 5 STq ❑ a. whether the area depicted on plan(s)and/or map(s) referenced below is an area subject to tn/(31 jurisdiction of the Wetlands Protection Act. ❑ b. whether the boundaries of resource area(s)depicted on plan(s) and/or map(s) referenced /below are accurately delineated. L� c. whether the work depicted on plan(s)referenced below is subject to the Wetlands Protection Act. ❑ d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: S,ftcM , n-t024 Name of Municipality ❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). wpalorml doo•rev_02M, Pagel of Massachusetts Department of Environmental Protection SALEM Bureau of Resource Protection - Wetlands WPA Form 1 - Request for Determination of Applicability Cityrrown 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): 7Y Lr4J rv� 43- S',4, cc n 1114 Street Address City/Town Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): Cfn" C—P, GF LC)T- c. Plan and/or Map Reference(s): Title Date Title Date Title Dale 2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary): Ii�-/ZC-FTt r f�- /Z z �oco,).S i/Z-ctC'_r, an/ 14/tT�2($-t-- W a 0 a .SffE� 1-':0 2 ,i fad C- OF (f 4 rc- vv A-r C . wpaforml.doc•rev.02/00. Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 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.) wpafo,m1 doc-rev.02100. Page 3 0(4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands � WPA Form 1 - Request for Determination of Applicability Citylrown 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 (see Appendix A)were sent a complete copy of this Request (including all appropriate documentation)simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the prope/rt7y owner: CLUB =AIC Name Mailing Add' e Cityrrown /"1 9/ q7v 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. ro Z. G 4S,g ,, of Applicant Date of Representative(if any) Date wpa(orrel.doc-rev 02100. Page 4 d 4 LIMassachusetts Department of.Environmental Protection Bureau of Resource Protection - Wetlands WPA Appendix A — DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments, payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden Monroe Pitlsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Alford Cummingum Hatfield Monterey Richmond Ware Suite 462 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfeld Deerfield Heath Monson Russell Washington Phone:413-784-1100 Becket Essmampto Hinsdale Mount Sandisfield Wendell Belchertown n Holland Washington Savoy Westfield Fax 413-784-1149 Donaldson East Holyoke New Ashford Sheffield Westhampton Blandford Longmeado Huntington New Marlborough Shelburne West Springfeld Brimfield w Egremonl Lanesborough New Salem Shulesbury West Stockbridge Buckland Erving Lee North Adams Southampton Madly Charlemont Florida Lenox Northampton South Hadley Wilbraham Cheshire Gill Leverett Northfield Southwick Williamsburg Chester Goshen Leyden Orange Springfeld Williamstown Chesterfield Granby Longmeadow Olis Stockbridge Windsor Chicopee Granville Ludlow Palmer Sunderland Worthington Clarksburg Great Middlefield Pelham Tolland Barrington Peru Greenfield Hartley DEP Central Region Acton Charlton Hopkinton Millbury Rullantl Uxbridge 627 Main Street Ashbunrl Clinton Hubbamston Millville Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester,MA 01608 Athol Dudley Holliston Northborough Southborough Westborough Phone:508-792-7650 Auburn Dunstable Lan<ater Northbridge Southbridge West Boylston Fax:508-792-7621 Ayer East Leicester North Brookfield Spencer West Brookfield Barre Brookfield Leominster Oakham Sterling Westford TDD:508-767-2788 Bellingham Fitchburg Littleton Oxford Stow Westminster Berlin Gardner Lunenburg Paxton Sturbridge Winchendon Blackstone Grafton Marlborough Pepperell Sutton Worcester Bolton Groton Maynard Petersham Templeton Boxborough Harvard Medway Phillipslon Townsend Boylston Hardwick Maroon Princeton Tyngsborough Brookfield Holden Milford Royalston Upton Hopetlale DEP Southeast Region Abington Dartmouth Freetown Mattapoiselt Provincetown Tisbury 20 Riverside Drive Acushnet Dennis Gay Heart Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax NewBedford Rochester Welltleet Phone:508-946-2700 Barnstable Eastham Hanover North Rockland West Bridgewater Fax:508-947-6557 Berkley East Hanson Attleborough Sandwich Westport Bourne Bridgewater Harwich Norton Scituate West Tlsbury TDD:508-946-2795 Brewster Easton Kingston Norwell Seekonk Whitman Bridgewater Edgandi Lakeville Oak Bluffs Sharon Wrentham Brockton Fairhaven Mansfield Orleans Somerset Yarmouth Carver Fall River Marian Pembroke Stoughton Chatham Falmouth Marshfield Plainville Swansea Chilmark Foxborough Mashpee Plymouth Taunton Franklin Plymplon "DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Atlingair Cohasset Hull Middleton Reading Waltham Wilmington,MA 01887`, Ashland Concord Ipswich Millis Revere Watertown Phone 978-661-7600 Bedford Danvers Lawrence Millon Rockport Wayland Belmont Dedham Lexington Berard Rowley Wellesley Fax�_978-661-7i Beverly Dover Lincoln Natick Salem Wenham TDD:978-6111-7679 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbury Saugus Weston Boxford Everett Lyonfield Newburyport Sherborn Westwood Braintree Framingham Modern Newton Somerville Weymouth Brookline Georgetown Manchester-By- Norfolk Stoneham Wilmington Burlington Gloucester The-Sea North Andover Sudbury Winchester Cambridge Groveland Marblehead North Reading Swampscott Winthrop Canton Hamilton Medfield Norwood Tewksbury Woburn Carlisle Haverhill Medford Peabody Topsfield Melrose wpaformt.doc•Appendix A•rev.11/22/00 Page 1 of t 4 ' kR9 sg I � �.(r :6, � 3 ¢S. � � � t 'y.!i � 5ry f �ryt kU" •yir d i i5 k r 5M i oRl ik i F r I Vx¢�nnruea fw-..,.+ai: �a [, k� a a �xx a v1¢. 2a V s§ gggyx�p ?` f*" iirrsi s{, V� fg v f�I Lrf� F•.r �- ��'�v � � �#,n ri�r� I'�y�km�'-�� k`� � " x ` ��9 �� aq ,��Js t L .G �i q i �: A ! 1� §v �P a�� 13 •�.. S� 5 f { Itt i Parcel ID 3404500 - I k Address 78 LEAVITT ST { i I Map for Reference Only { c { NOT A LEGAL , DOC�JMNT 3Y Because o di Brent updatexr;a , , l schedules, current property 'assessments may not reflect recent ^ changes to property boundaries. [Check with the Board of Assessors to confirm boundaries used at time of assessment. E i7i t `f i r icn`tR � A � � � i•'„t .�i [,Mn-k; rw S` a M1 I F t 4t , , t• Parcel ID 3404500 r Address 78 LEAVITT ST V t .5 MMap for Reference Only NOT A LEGAL`. DOC�JMONT i I Because o d,Or update (schedules, current property 3 q assessments may not reflect recent iFy1 changes to property boundaries. �� '' ,� Check with the Board of Assessors to confirm boundaries used at time of assessment. I f ttl}$ f pIM� I t k d- � t �Itt ST„ a. t �lj p+PA zs r ht IN t x {{ t t rox,es c � p, rt• �g$�n s t _ 5 h M I e f i N y ' � t• t4-: , KA` t a a{qu , aSl.M1rt,^=I. 14 C� ParcelID.....�...._.�_._.„..._.__.---..��...�—,._•....,,�.� Address � < ! 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Address 78 LEAVITT ST f Map for Reference Only NOT A LEGAL V 'fF { F BecaOusOe oP different update € i schedules, current property assessments may not reflect recent changes to property boundaries. !Check with the Board of Assessors to !confirm boundaries used at time of 5 ` assessment. i A yyyyyy � yi .M 0.yaYWn vA�'. {1440 L i 4 ^a' YY + l• I x� ii < its 9 + t '}t 1 Parcel ID 34_0450 0 Address 78 LEAVITT ST i L 1 E Map for Reference Only . b NOTIfA LEGAL RBecaDus�e of different update Ischedules, current property assessments may not reflect recent I !changes to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of assessment. - f F 1ppy� —� pF 8 ��.f, m—rt r•w' ) ',�`,# $t'p t 0 ( N % Se .xro-row,F ,:.we y ai§gl��s AV ITT,"5T fs :� �xv k2 e Si r'j, A o� S r _ M F £ J A y }y l Y k y y s. r Parcel ID r Address Map for Reference Only # NOT A LEGAL rs . DOCt fMFFNT Because o7 different update schedules, current property .assessments may not reflect recent I E'changes to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of p Vii- i tassessment. j r r # T �kAF ��k � "k I"� w,n '�i I t es .s'mw•,s4n yw ,,,, A*?X ,}If1 ,y:`.5f � 4n f{I .4 � . 4uC•,. -U{e q kt r w1177sfb N aN'Ak +tfW15 n t Y. ;s iEn " ''9 % {ztkt,� sy dk z � � v w u u g J-6, q5 �v �. Ln- 211-1-1. M aJw r Parcel ID 34_0450_0 G Address 78 LEAVITT ST L' I S Map for Reference Only r a NOT A LEGAL ! , pp DOC MFFNT Because oo�dlfferent update schedules, current property `assessments may not reflect recent ,changes to property boundaries., Check with the Board of Assessors to }confirm boundaries used at time of I assessment. f i i J Y yy a u. � x� �1,. G9 � � 1'� Fid FV•�F .�.. .I'k' ,� Ami � y a" AVI�g'�'ayBTy� »w+ti6.XAatf1 a � 7 a t , y r . aa- .Y m�"u..1 vF w M, " i,�" Ft� .a•. ,. Parcel ID 34_0450_0 Address 78 LEAVITT ST i t Map for Reference Only ; F NOT A LEGAL , Because o di NT Brent update 3schedules, current property assessments may not reflect recent lchanges to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of assessment t _ f L I r tt ¢¢ ra a I'Mi t i, •- t y,} v} it Y L4y� k yy V t vn } Y fi J � Wir i r x3 ry 14. Parcel ID Address € Map for Reference Only NOT A LEGAL g i 'J F t _ , Beca�usOe of different update schedules, current property ,assessments may not reflect recent changes to property boundaries. Check with the Board of Assessors to ,confirm boundaries used at time of s assessment. t r 'o p f F. £w p F3 L<YRtllb' sxPi#, ' � �I>�,t� { ^R" i: ' r ! �N ✓" Curr. ,y >-,�.x-s•, i N F� AVI'S`i'S7 I Fu�Tn yTY yt' �{t� i I � E t'f"�k..� S� T va i s m iij £ I • � r G.eF a , I t 3 FE4 s I / ��, ^Ii? .sm L F- "m"' ipw ak' ^' �! t"' s4: ,� A.b7 L•°^`� t5 '� � e�E? ?!�'°a. ' € A� { tri IF r a U � vs �$��y{F ? ��F f�ri�+ ayt}mjni i��rrl � � � �ra. >ja• h � t",i...,. 5 b F �a au E r. 6n F} a c a �JCC a `"' E3d F F' ry re `9 f: Parcel ID 34_0450_0 Address 78 LEAVITT ST Map for Reference Only LEGALNOT A DOC M NTs _ !BecauseoMdltgerentupdate !schedules, current property €assessments may not reflect recent ,changes to property boundaries. ;Check with the Board of Assessors to } confirm boundaries used at time of assessment. • Q r _-"R{'^`� � �� 1 Y�B� � A .4 ^+ � � 1 t{.t t •!k r �,.. E � •4M-.�arxy.7R4Ako-Si F.#REd ��I. + I til M' It 3 fi{; '�ST 'Er: �' :;*ry �, •�.�. ,�i�aro r.aN�,.w i 1" sy:,,ayq+' 3�f: ls: ,•x,s4'm, x. „pJn.: .. � ! {qI. � � FIs �� a%S C •. Y i t't u$n �+ � S I VIT 14 g s q I a � } 1 .w'F i aj v,3 I V ..e ,•l'E II n a^ k Parcel ID 34_0450_0 j C I Address 78 LEAVITT ST p � a Map for Reference Only NOT A LEGAL ° BecaOusse OC different update schedules, current property assessments may not reflect recent changes to property boundaries. c_• , Check with the Board of Assessors to confirm boundaries used at time of assessment s � •4 ' $ 'M`� fi: �F .J t�� t -•+.., w w,! a4r.mk ♦ M s • e• { r q� � lo-jt- •-Yrn t'r,.,� x y ani,.� s.�k'Yero �::f�� iR t st r "� • � ! t "LAV I`6'1'9T i i �1 _ 'a. w "i+ Ib.. •dd Y� 3R4r"�+. t w p e L + r ,+ a 'it• .#kid t ec.ifa� , Ny Y 1 r z Y 1 Y � � x u� Parcel ID �_�..~�• I � —..._�___._ r r Address Map for Reference Onlyr P j NOT A LEGAL R I II �� FF Becauusse b dlfr erentt update schedules, current property 'i< , assessments may not reflect recent changes to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of assessment. � a �^- ' i �iL'� [I E r � jdi " i, ��f ') it a.�wwW..,:�. •w..= y •r; ' �{ ,ft i �`'E i� y�, �, � p} n AMIEAVl 9Y' 15 igv a ➢# tf £4 'ik `2n xipl [ b .q r ti 1 r4 }� C. p Fi .m2: MM�we�f.ffijh ' AW S, > �.I ' tf€ of �i �xN '� .��_,� I Nj4 �• F '. r � f I n a a i 3�i ikx r 7*• arr + � ,[,,„ FF•I �� # w,�f�2 i Fq '�+ kt f�� r,•aM f ,,; r > n } ��.��w_ et i'U � e�� k F 1,aA•F �N'.w• 3t 3 }r. I � '.,i • .i. �. ...,..._ Parcel ID 34 0450 0_..__. .�.,._..n. ___�__ .._._�... .__.. _. ...�,......,..m..M.._ ..,._. _...__..,.».-.._. I i C Address 78 LEAVITT ST + Af. I Map for Reference Only ! a NOT A LEGAL I DO C�)MppNT I ` Because oP dFfferent update schedules, current property ( '� assessments may not reflect recent changes to property boundaries. € i .,• ! >,-z , Check with the Board of Assessors to confirm boundaries used at time of assessment. i r � �, � � i�•, rn y ef��f� �p'4� ^.fi �sti'� � «tN�� + ,... � •Pc^' � t i Ax"�M1w C.. *#'�� + ¢ �� iL��"wtitp tss � .::J I ��/ hri &i'.�,.�ly �� ° •t fiiHYD 4 AVITTST � n 1 S. f 'id n tt C 4ph` fir• ,, p > .�� ; �i z ^ ss, ? L, � n R ti x a IParcel ID 34_0450--0—,— Address 0Address 78 LEAVITT ST { Map for Reference Only i -�� ` NOT A LEGAL II'' FF BecaOusse o�f different update schedules, current property !assessments may not reflect recent :- changes to property boundaries. Check with the Board of Assessors to s r > S confirm boundaries used at time of assessment. t I A ol, S Address Parcel Parcel ID arcE Map for Reference Only NOT A LEGAL Bec D different AuIRCAMWSren update ,scledules, current property assessments may not reflect recent changes to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of assessment. i e.. r �`' .�•'9�c� i r , I�+� v n. �'i'�s qty +nx..+wry-R... a i P A" ;5� h it t mt � � �h%4`~�6..•T•>r' _ n... T (ori( { �s", ,n Rn A k r,d' A 'i dye �'`�{y; i h �•.T a �;a> i ,es 7 � '�' �''{J��p .wa. ., ,y ar { - I it �.,„tiat Sb b f' rc` t t :P `"i 9 � lw +t LF'ii x``§ •oe + �t�, ,,7, x e e�G i t 'i�'��v-r.t A 3 i� ,.ip,: t i y p 2�"Yy + ✓E+r5 - '� �� #�� ^,•i �� + ... fit, ti�fi ... rx � _, &€� a:: '�s :h tF i � T a �ti; � lw �#p�'•i t i gu s,r !! s tl€ •C, vat { [F"" ' .zv; `� +,S ,y t ;* ,, .kr �N »'. p�uYd^4Y��Yti✓+.Y . ��y .f tr§§,M� i:r�� Y// ry i S Parcel ID 34 0450_0 I I x f Address 78 LEAVITT ST � � � F,f j fw``�'Frks. i Map for Reference Only ; NOT A LEGAL DOC�IMNT €Because o di Brent update !! + j: Ischedules, current property f '' t � j Pl assessments may not reflect recent !changes to property boundaries. Check with the Board of Assessors to (confirm boundaries used at time of 3 �`, ^'✓ i assessment. i E r � 5 F y jp El.. 1 •MM'n'+rynµ ti P+1f'd_. • ar,.x � y _ �r FT a e. y.. t ' �7�y,Rg °mss,` � ),.a � `•$ k'''iir il" ,- 4y f y Ad 1 { I 4 )4 I 5 �� P�. • 1 a '� SY.r r � d '•�� e "s by 4 r. Parcel ID 34_0450_0 3 f Address 78 LEAVITT ST I � r f- Map for Reference Only NOT A LEGAL I [Becauuose oYdlfferent update { ' , c ' (schedules, current property t t, 4c 2, assessments may not reflect recent changes to property boundaries. i Check with the Board of Assessors to confirm boundaries used at time ofQ;§rT,/ f assessment. !{ ' J it d »et S e #4V IST I x, tlr; r t t Parcel ID p5 Address I �✓ � � Map for Reference Only NOT A LEGAL f FF ' (Bec DseCoyd Brent update schedules, current property assessments may not reflect recent changes to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of - pw✓ assessment. I y � i t� z la-4 t i (( t � t r + Y H tri r xYk°h�n ,4.t }t" 42f� 4 �; e'C ilk,=?' r yn Y ",pt bz�[} � y I � t kw( i m t. t � •t'4Ny �,{p'i} �pr$��y NSF �! 2 5��{�,,,;,i : "# Parcel ID 34_0450_0 j Address 78 LEAVITT ST Map for Reference Only NOT A LEGAL ! fs DOC'IMFNT .. ' Because oP different update schedules, current property . - !assessments may not reflect recent 'changes to property boundaries. Check with the Board of Assessors to `confirm boundaries used at time of js't 'y assessment. ' y r G ' 4 4t' n It F I a , N { Parcel ID 34_0450_0 t ! Address 78 LEAVITT ST Map for Reference Only NOT A LEGAL { k { DOCNT Because o d, Brent update schedules, current property assessments may not reflect recent `G t i changes to property boundaries. Check with the Board of Assessors to !confirm boundaries used at time of assessment. ! �t''�'i"-` � � rP i• �, {� ry,�, { i k;' fi.''S'I � :-a:,n,.x+++m ve..•.«_�•. n y r 5 0 t ;tI jam. ,; i �i t� { .e{N,vya..r •_- 1 !� u py u { y M1 y ' 3 ulm s. Itsa-' v 44v � k f , 4 } �K t r e .ix j Parcel ID �. Address Map for Reference Only ` I' NOT A LEGAL Because oT different update i Ischedules, current property I �; assessments may not reflect recent fPZ3e '1` � Echanges to property boundaries. I ,, I Check with the Board of Assessors to confirm boundaries used at time of 777 assessment. [ t a.. h Q _t a F 3 Oft .. <� i r w�l tom" x �, [4 T�f•,� � �' $e., r�{"'s�# �� s , �ss,}e "tea ,X F � C {} t» �r«W•r } # ! >F �a a s qq ,^ I Jr - kvI' K. �•� P�[ jk� �r � � �r tc ' t � �k +�',fir .��j: fi M1 .� ar, .i ; ,i ��': k _ ;ix a M t „ Ml s` alii i`itt ' rv,t.Sb� '`y, ,c •-f j M�: e d � rc$fi�t,v�us � I'.�Y-4�t}•firP{`FP�u #lly FH}i. ti 4 ,",:ti ...............m .. .,.m.-...,... n..r...e.e..... ...�«.�..v...........s...e.d-...�.«�..,.._n.�.. ..®.....m......,....e..............w..e.�....>.......».i......,...........r..v...�r..+...-. ! Parcel ID 34_0450_0 ! I � Address 78 LEAVITT ST Map for Reference Only 3 NOT A LEGAL iE pp Because( o different update i 'schedules, current property ;assessments may not reflect recent ' !changes to property boundaries. 'Check with the Board of Assessors to confirm boundaries used at time of ,assessment. , 4 A01 t* W. Parcel ID 34_0450_01 Address 78 LEAVITT ST Map for Reference only NOT A LEGAL I Bec ause bDOC PeNT r Y I ent update ischedules, current property assessments may not reflect recent Ichanges to property boundaries. jCheck with the Board of Assessors to 1confirm boundaries used at time of (assessment. L ------- fi 1 F SST r' �. ty�p i y ,• t { F i' „r,�,rgc,u+Nu�ln.y,M1-f_��,.. �7 , p�1,y F ' ty £ •r #" kJ 'H fli Imo, v...' i 4 31 14* 41 f T T f y W� r � 7 yE„ , tk �b ! i k _ F t j Parcel ID r Address I �' Map for Reference Only NOT A LEGAL j f DocI�M�NT Because o di erent update schedules, current property t assessments may not reflect recent '�x-. changes to property boundaries. Check with the Board of Assessors to ,confirm boundaries used at time of Eassessment. ' 4 { g a t 4 {{ E1VI��` h 1 y,r` ° ' 'CHH� �{" �',�• sirs a�.. r�"—£•.. r€TR4�3�t�:9 ''�' F s �°N�M (FFGea� .H.e st7 UXinl({ 'i•� 4 r�"k' � t �! ' < '` + �' `r{,`s4 €€i'j` �'"'h'` vtk �i ��'�'.�'Z, �' qq i � avn ,�" au ." vgpV^3f;q$kp7$FZ ?.A p '1( ¢ {i �f 3 'F iµ h Nf1 Y.$ t., it ( ' i }}ff � #��` i. r [ a"}• Parcel ID 34_0450 0 Address 78 LEAVITT ST !, ✓ I � Map for Reference Only NOT A LEGAL €l DOCI�M NT Because o di Brent update Itk t t `schedules, current property I A (assessments may not reflect recent changes to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of :assessment. 4 I { -r N+ Sj t ga � r i AUITf STt .� +W#++f�,. .e µMks t,� �## r e t b t i x�, M x € hk'{,., ,p C'%•+�' R+x �� , P vn'�y 'y tie # I t r r•, y Parcel ID 34_0450_0 `r Address 78 LEAVITT ST Map for Reference Only NOT A LEGAL FF t s Becauusse oY different update ;schedules, current property a. assessments may not reflect recent �^�i'.,Vs. -changes to property boundaries. +Check with the Board of Assessors to f confirm boundaries used at time of assessment. ' y t e , a r 3N �fa f'�AVIT'f.CJT' �;•:'[S x:• 'fim, E r> '`� tss 4 9 n 2� �fIle s ------------- Parcel ID Address i L' t � 2 Map for Reference Only a NOT A LEGAL y E DOC�IMNT ` ,Because o di Brent update schedules, current property assessments may not reflect recent changes to property boundaries. Check with the Board of Assessors for^� confirm boundaries used at time of > !assessment. 3 s . • cr CERTIFIED MAILT. RECEIPT t' (Domestic Mail Only;No Insurance Coverage Provided) Ln r OFFICIAL USE . O C3 7Requimd) oste-qa $ Rl C3ed Fee MPostmark Mept Fee Hers quired)rp-1ery Fee-r quired) ru T01"0111 Department of Environmental Protection o antro NERO -Wetlands&Waterways r- taan 50'Floor or Po sox One Winter Street re Boston, MA 02108 Certified Mail Provides: zeal-w-zo-saszol. IN A mailing receipt (e ed)zoo ounr'ooes w+od ed ■ A unique identifier for your mailpiece ■ A record of delivefy kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mail, ■ Certified Mail is not available for any class of international mail. to NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt m%be requested td Provide proof of delivery.To obtain Return Receipt service,please complete antl attach a Retum Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSs postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise me clerk or mark the mallpiece with the endorsement"Restricted Defive ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present It when making an inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. U.S. Postal Service..~' CERTIFIED MAIL,. RECEIPT (Domestic Mail Only,No Insurance Coverage Provided) For delivery information visit our website at www.usps.00rna OFFICIAL USE ru C3 r�erfilfled Fee M Return Redept Fee (Endorsement Required) t PS Form 3900,June 2002 See Reverse for Instructions Certified Mail Proyldes: aest-w-zo-aeszot le A mailing receipt (earenen)zoos aunt"00ee uuod ad IS A unique identifier for your mallpiece ■ A record of delivery kept by the Postal Service for two years Important Rem/ndbrs: ■ Certified Mail may ONLY be combined with First-Class Malls or Priority Mall®. ■ Certified Mall is not available for any class of international mal. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt mar be requested to provlde proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 39111 to the article and add applicable postage to cover the fee.Endorse malplece 'Return Receipt Requested".To receive a fee waiver for a du licate return receipt,a USPS®postmark on your Certified Mail receipt is requ�red. • For mut adtlitional fee, delivery may be restrictetl to the addressee or :or authorized agant.Advise the clerk or mark the mailplece with the endorsement"ResMctenelivery'. ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail recelpt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt andpresent It when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. . I SENDER: ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. 0 Agent ■ Print your name and address on the reverse r'- ressee I so that we can return the card to you. B. Rec�q .PPA'q e,Qrr1� C. Date of elivery ■ Attach this card to the back of the mailpiece, w `C L_1 '1/ or on the front if space permits. 1. Article Addressed to: D. Is elivery a r 1? 0 Ye If ES,enter delivery address belo ❑ No J U L 1 3 2004 � LBoston, nvironmental Protection ds& Waterways II tN 5 4th FI- 3. Service Type,, eet � J,Certified Mail �ITExprea Mail 108 0 Registered 0 RetumSorMe handise 13 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 yes 2. Article Number 7002 2410 0002 0021 5796 (Fransfer from service labefj PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 i I I I UNITED STATES POSTAL SERVICE I First-Class Mail I I Postage&Fees Paid i USPS I Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box I • if a aLrU��'tl� I� Salem Conservation Commission J1 11 l d 2004 120 Washington Street,3rd fl n� Salem,MA 01970 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. I item 4 if Restricted Delivery is desired. 0 Agent ■ Print your name and address on thereverse0 Addressee so that we can return the card to you. B ceive by(Printed Name) C. Date c"" ■ Attach this card to the back of the mailpiece, or on the front if space permits. v�- 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: 0 No Palwlen Cove y,)cgr- CIu, YG/0 "0744 i d')C'A n 3. Service Type Certified Mail ❑ Express Mail %&//n, �J� a!��/'1 Registered 0 Return Receipt for Merchandise 07 f I ( V !v 0 Insured Mail 17 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number i i - - - - - ' ` (rraosfer from service label) 7002 2410 '0002 - 0021 5789 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE h4 ',-ESc� w First--t`Jass,Maih `-f- � Posfa9?.�Eeee-Paid P M • Sender: Please print yoNucn_Vio,Z ddress, anB—ZIP+-4 thlsb& Salem COnservatft Commission ll 'I 1 200 120 Washington Street,3rd FI T�� Salem,MA 01970 rn r�,,;. • `i In't4 6,41 -ya"w nA } Massachusetts Department of Environmental Protection �A LCA Bureau of Resource Protection - Wetlands 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 fillip out 1. Appli,�c t. /' forms on the //fit n�G2 eI (_ c5/v /�feEfT �ZyG/ / CYC /1l rr computer, use Namec� E-Mail Address only the tab key —7[1 1_tW p r l 5.f to move your cursor-do not Mailing Address use the return /� , S�L.G / �C A p o t 9 �7�0 key. Gty sown de 9 7p " 7,Vzl "77,Z St�7 d - 7 q� fz i ip of /`) V`D� Phone Number Fax Number(if applicable) 2. epresentative (if any): Firm O Contact Name E-Mail Address 7 Z/1/ o6-) A ✓�' Matling Address (} 70 CitylFown �' �, -Y -76 St Zip Code 7 � —7 J 7 d' Y 76 �7Y-70- 33b,c Phone Number Fax Number(if applicable) B. Determinations c� 1. I request the SALP-, make the following determination(s). Check any that apply: tl�4FTc'�' I Conservation Commission ❑ a. whether the area depicted on plan(s)and/or map(s) referenced below is an area subject to jurisdiction of the Wetlands Protection Act. ❑ b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced /below are accurately delineated. 1w c. whether the work depicted on plan(s) referenced below is subject to the Wetlands Protection Act. ❑ d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: S'4 t c-sL! f P4 /4 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,doc•rev.02100. Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 54LC1A WPA Form 1 - Request for Determination of Applicability Citylrown 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): Street Address Citylrown Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): CL'1vT-%P, GF LCAT- c. Plan and/or Map Reference(s): Title Date Title Date Title Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): Zf�/RCC-T 4 /Z t X 7-0 r CoA)S i R-tkC 1, 4,1 P- r) v✓AFC . wpatorml.tloc•rev.02100. Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 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.) wpaforml.doc-rev.02100. Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 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 (see Appendix A)were sent a complete copy of this Request (including all appropriate documentation)simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the propert owner: X Name Mailing AddressA _ • � Cityf rown le" 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. z. tS,g ,e Applicant Date �+ Representative(if any) Date wpaformt.doc•rev.D2I00. Page 4 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Appendix A — DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments,payable to: Commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham 436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales Alford Oummington Hatfield Monterey Richmond Ware Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick Springfield, MA 01103 Ashfield Deerfield Heath Monson Russell Washington Phone:413-784-1100 Becket Easthar to Hinsdale Mount Sandlsfield Wendell Belchertown n Holland Washington Savoy Westfield Fax:413-784-1149 Demartlslon East Holyoke New Ashford Sheffield Westhampton Blandford Longmeatlo Huntington New Marlborough Shelburne West Springfield Brimfield w Egremont Lanesborough New Salem Shulesbury West Stockbridge Buckland Erving Lee North Adams Southampton Whately Charlemont Florida Lenox Northampton South Hadley Wilbraham Cheshire Gill Leverett Northfield Southwick Williamsburg Chester Goshen Leyden Orange Springfield Williamstown Chesterfield Granby Longmeadow Otis Stockbridge Windsor Chicopee Granville Ludlow Palmer Sunderland Worthington Clarksburg Great Middlefield Pelham Tolland Barrington Peru Greenfield Hadley DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge 627 Main Street Ashburnham Clinton Hubbardsen Miliville Shirley Warren Ashby Douglas Hudson New Braintree Shrewsbury Webster Worcester, MA 01608 Athol Dudley Holliston Northborough Southborough Westborough Phone:508-792-7650 Auburn Dunstable Lancater Northbridge Southbridge West Boylston Fax:508-792-7621 Ayer East Leicester North Brookfield Spencer West Brookfield Barre Brookfield Leominster Oakham Sterling Westford TDD: 508-767-2788 Bellingham Fitchburg Littleton Oxford Slow Westminster Berlin Gardner Lunenburg Paxton Sturbridge Winchendon Blackstone Grafton Marlborough Pepperell Sutton Worcester Bolton Groton Maynard Petersham Templeton Boxborough Harvard Medway Phillipslon Townsend Boylston Hardwick Mendon Princeton Tyngsborough Brookfield Holden Milford Royalston Upton Hopedale DEP Southeast Region Abington Dartmouth Freetown Matlapoisett Provincelown Tlsbury 20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro Attleboro Dighton Gosnold Nantucket Rehoboth Wareham Lakeville, MA 02347 Avon Duxbury Halifax NewBedford Rochester Welleeet Phone:508-946-2700 Barnstable Eastham Hanover North Rockland West Bridgewater Fax:508-947-6557 Berkley East Hanson Altleborough Sandwich Westport Bourne Bridgewater Harwich Norton Scituate West Hathury TDD:508-946-2795 Brewster Easton Kingston Norwell Seekonk Whitman Bridgewater Edgartowo Lakeville Oak Bluffs Sharon Wrentham Brockton Fairhaven Mansfield Orleans Somerset Yarmouth Carver Fall River Marion Pembroke Stoughton Chatham Falmouth Marshfield Plainville Swansea Chilmark Foxborough Mashpee Plymouth Taunton Franklin Plympton "DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield i' 205 Lowell Street Andover Chelsea Holbrook Methuen Randolph Walpole Arlington Cohasset Hull Middleton Reading Waltham S Wilmington,MA 01887`.. Ashland Concord Ipswich Millis Revere Watertown \. Phone:978-661-7600 Bedford Danvers Lawrence Milton Rockport Wayland `F 78-661-7615 Belmont Dedham Lexington fill Rowley Wellesley Beverly Dover Lincoln Natick Salem Wrentham TDD:978- 9 Billerica Dracut Lowell Needham Salisbury West Newbury Boston Essex Lynn Newbory Saugus Weston Boxford Everett Lyarmad Newburypon Shorthorn Westwood Braintree Framingham Malden Newlon Somerville Weymouth Brookline Georgetown Manchester-By- Norfolk Stoneham Wilmington Burlington Gloucester The-Sea North Andover Sudbury Winchester Cambridge Groveland Marblehead North Reading Swampscott Winthrop Canton Hamilton Medfield Norwood Tewksbury Woburn Carlisle Haverhill Medford Peabody Topsoad Melrose wpaformi doc•Appendix A-rev 11122/00 Page tot 1 Notes: 1. This plan has been compiled from record boundary data and direct field measurements of buildings and other physical features, to facilitate regulatory review by the Salem Conservation Commission. LEA V S 77ej!E7E7— 2. The proposed 12' x 20' shed is presently located elsewhere on the property, outside of the buffer zone. 4ATs G �cFfRin� uNrc FGnJc6 3. Coastal Bank location was determined by field delineation of top of bulkhead and seawall, in accordance with DEP Policy 92-1. uA Nr 4. Flood Insurance Rate map 250102 0005 B indicates y that virtually the entirety of the site lies below 5Jt elevation 11 N.G.V.D. and within zone A4 (Land ET Subject to Coastal Storm Flowage). �O ,61 7-UI41 AJOU S ° C R.4t/c=Z GoNC o \ su/ZrAC�I� Q Gr�bMvB�b�r Sv �cc--� o'� $2r;Ao �� —moo 0 2 C N � PRoiPUs • Z /2•xZry� o S r�Ep I o UGN7- .pocE izxic/.' ltAT� �� S�,ey. wa�o . �GRAvcrc -St�2f.9f� GONG I3LOGlL i _ r � F I o I 10 110, 10 •, \ ' GO i4$n4 C� , ' ,�Gr'vF'F 77H .4I/Ra K. LiNEOF/3flcKF/EA �.JC /SLOG(G �v(-7LM A� /PR�'P EM/.jA/JK • /r� � �,a clue-r�rrF.ro — — — -i ? e` of �I .9 \� Zdx�Ea //Z4Ve�U Gq,�G ung Y L,Fr c�A�wAY Exhibit Plan of Land at 74 Leavitt Street Salem, Massachusetts Prepared for Palmer's Cove Yacht Club, Inc. p�s Scale 1 "=20' 28 June 2004 ��m fir RF° Hancock Associates �;�rsTe �o� N " SURA 185 Centre Street Danvers, Massachusetts 11305a 1Z t� • ti aWIV VcNT z z XN Z3516 3 lrle o ,2 x/a T5 L/iG' /6fi Z �r�4,e-y sys� 6,4f- Moore �� Sv.v �D,2 3/ OC IK' � ��.¢�'a,v�-2S••' �,as -�i'�G/n/GS� Ole CLuA�Ls � 5• cv.v V. • -� 2x6 6/�2= � Vim- Q iz c �o x / a 5we -- i X sSaFGrrf �3cE� 12C/ d GAS�N.G 3..` ��.r�'._�fi �/ V/I 2X/0 /60C �/ r _ P S'— �rP ��__�,�-��!��__�re_._T�•itit5'i�,eT -DOOR . 3 ' o" X 6''• 6,� ANT ?�'7GE - �2. Z/2X/O z uy Fm . ON -70P OF _o G / Zi/ C(3A)�, VENT lZ� i LU LI I Ll Q Al /GST ELE�/s�i i�D/(J ; ! /2,0" 0 0 � � %�.�G/yf r✓"i�' C d tJ � !'YI�/PiN/4 C�i��D 6 O APPROVED BY SCALE: ;/ ^ �} (DRAWN BY DATE: \ /� //,y�''112 Q . 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