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17 LINDEN AVENUE - CONSERVATION COMMISSION 17 Linden Avenue i �B7D fk�r.� �` ii I (' i i J �I i �e� �� �\ , � � �.� � p Q C7`�i� � ��`' �` r �� � �� Form 2 DEQEr-ileNo. i - _ (robeDro%idedby DEQEt H - Commonwealth citytrown Salem of Massachusetts Appricanl Roger P. Boucher . Determination of Applicability Massachusetts Wetlands Protection Act,.G.L.c_131, §40 Frog+ SALEM CONSERVATION COMMISSION - _ Issuing Authority To Roger P. Boucher - Roger P. Boucher - (Name of person making request) (Name of property owner) Address 17 Linden Avenue Address 17 Linden Avenue This determination is issued and delivered as follows: ❑ by hand delivery to person making request on (date} IRr by certified mail,return receipt requested on Marchg 1gan (date) Pursuant to the authority of G.L.e. 131, §4O,the Salem Conservation Commissioti. \ � ..1.1.1, 1 ,' has considered your request for a Determination of Applicability and its supporting documen )at�mn,and has made the following determination(check whichever is applicable): - r This Determination is positive: o' 1. ❑ The area described below,which includes all/part of the area described in yoyr request i,'31n Brea Subject to Protection Under the Act.Therefore,any removing,filling,dredging dbet,{efigg:of'that area requires the filing of a Notice of Intent. 2. ❑ The work described below,which includes all/part of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill,dredge oralter that area-There- fore,said work requires the filing of a Notice of Intent. C 21 i 3- ❑ The work described below,which includes ail/partof the work described in your request,is within the Buffer Zone as defined in the regulations,and will alter an Area Subject to Protection Under the Act.Therefore,said work requires the filing of a Notice of Intent- This Determination is negative: 1. x87 The area described in your request is not an Area Subject to Protection Under the Act. Size is proposed dock is restricted to 8' is 121 . - 2. ❑ The work described in your 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 your request is within the Buffer Zone,as defined in the regulations,but wilt not alter an Area Subject to Protection Under the Act.Therefore,said work does not require the filing of a Notice of Intent. 4. ❑ The area described in your request is Subject to Protection Under the Act,but 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: Issued by SALEM ConservatiortCamm'tssiort Signature(s) OW - ;�,, ,,, - �� .l This Determination must be signed by a majority of the Conservation Commission. On this 23rd day of February 19 84 before me personally appeared the above-named to me known to be the person described in,and who executed,the foregoing instrument,and acknowledged that he/she executed the same his/ er free ac and deed. l i Cf X9-9-88 Notary Public My commission expires This Determination does not relieve the applicant from complying with all other applicable federal,state or local statutes,ordinances, bylaws or regulations.This Determination shall be valid for three years form the date of issuance. - The applicant,the owner,any person aggrieved by this Determination•any owner of fend abutting the land upon which the proposed work is to be done,or any ten residents of t;ie city or town in which such land is located•are hereby notified of their right to request the Department of Environmental 0ualily Engineering to issue a Superseding Determination of Applicability,providing the request is made by certified mail or hand delivery to the Department within ten days from the date of issuance of this Determination-A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation commission and the applicant- 2-2A 4. The owner(s)of the area,if not the person making this request,has been given written notification of this request on (date) The name(s)and address(es)of the owner(s): i I ! I j 5. 1 have filed a complete copy of this request with the appropriate regional office of the Massachusetts Department of Environmental Quality Engineering on (date) j ' Northeast Southeast 323 New Boston Street Lakeville Hospital Woburn,MA 01801 Lakeville,MA 02346 Central Western ' 75 Grove Street Public Health Center Worcester, MA 01605 University of Massachusetts Amherst,MA 01003 6. 1 understand that notification of this request will be placed in a local newspaper at my expense in accor- dance with Section 10.05(3)(b) i of the regulations by the Conservation Commission and that 1 will be billed accordingly. Signaturetf 7, Name �0�8� UUCry£N` v 1 V �y� Address_ I7 �/� ���11/ �l/� Tel. ;Y'1—;7466 . C 12 Form 1 DEDEFile No. (To be provided by DEQE) cityfrown Commonwealth of Massachusetts Applicant Request for a Determination of Applicability Massachusetts Wetlands Pr tection Act, G.L. c. 131, §40 1. 1,the undersigned,hereby request that th Conservation Commission make a determination as to whether the area,described below,or work to be performed on said area,also described below,is subject to the jurisdiction of the Wetlands Protection Act,G.L. c. 131, §40. 2. The area is described as follows. (Use maps or plans,if necessary,to provide a description and the location of the area subject to this request.) 3. The work in said area is described below. (Use additional paper,if necessary,to describe the proposed work.) i f () STY Q6 F0orn rL0A-GwC DON w r 7h 37,l2o F,,, FlvUs� tiJ l UR cSTaJ�/oKa� T ay w ffH E/xy"' Pvs �pr1� f l x/z l RECEIPT FOR CERTIFIED MAIL PO SENT TO ORR DATE DATE Mr. Ro I P. Boucher ® STREET AND NO. m 17 .T j nden—A-venu LO P.O., STATE AND yZ I�IPP CODE OPTI- R FOR T IAL FEES RETURN 1. Shewa to who and date deliveredX ..... �. With restricted delivery _- .. - i RECEIPT S, Shows to whom,dale and where delivered g SERVICES With restricted delivery S RESTRICTED DELIVERY- SPECIAL DELIVERY (extra fee required) PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other aide) Jen.1978 NOT FOR INTERNATIONAL MAIL {r GM:1975—O I-452 STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail), CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) I. If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached,and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified-mail number and your name and address on a return receipt card, Form 3811, and attach it to the back of the article by means of the gummed ends. Endorse front of article RETURN RECEIPT REOUESTED. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. Check the appropriate blocks in Item 1 of the return receipt card. 5. Save this receipt and present it if you make inquiry. E r" 0 SENDER:Complete items 1,2,and 3. Add your address in the "RETURN TO space on 3 reverse. 1. The following service is requested(check one). XX Show to whom and date delivered ❑ Show to whom,date,and address of delivery.. 2 El RESTRICTED DELIVERY Show to whom and date delivered... q ❑ RESTRICTED DELIVERY p Showto whom,date,and address of delivery.$ m -+ (CONSULT POSTMASTER FOR FEES) C Z 2. ARTICLE ADDRESSED TO: x Mr. Roger Boucher m m 17 Linden Avenue .,6 Salem MA. 01970 3. ARTICLE DESCRIPTION: M REGISTERED NO. CERTIFIED NO. INSURED NO. S7 422550 (Always obtain signature of addressee or agent) m o I have received the article described above. Z SIGNATURE _ ElAddressee ❑ Authorized agent (n / C y m 4. Q DA DEQ POSTMARK p ^,r 0 5. ADDRESS(Complete on y it reque#ed) '0 m y _T m 6. UNABLE TO DELIVER BECAUSE: CLERK'S � INITIALS D r *GPO:1977-0-249 595 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS PENALTY FOR PRIVATE r USE TO AVOID PAYMENT Print Dur name,atltlress,antl ZIP CODE in the space helow. OF POSTAGE,$300 Complete items and 3 on the reverse � •Moisten gummetl sntls and attach to front of article if space U.SMAIL ppermit s.Otherwise affix to hack of article. •EptlOBa ar ole "Return Receipt Requested" adjacent to numher. RETURN TO E PLA, DEP" ia9 NdG Ya ,. m7 1 it � � (Street or P.O. Box) aA}ei�� l 97n ( UY,, ai,, Ihd O jo CO,t�d 2 ' �= Conservation Commission Salem. Massachusetts 01970 AS CITY OF SALEM CONSERVATION COMMISSION At a regular meeting of the Salem Conservation Commission to be held on Thursday, February 23, 1984, at 8:00 p.m. , One Salem Green, a Determination of the significance of constructing a free-floating dock on a wetland area located at 17 Linden Avenue, Salem, MA. shall be made. Such Determination shall be made in accordance with the Wetlands Protection Act, Mass. G. L. chap. 131, Section 40. Philip D. Moran Chairman Feb. 15 INK 582� pf 19x6) s op R 2 � m \ r y, roo b. 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