64-298 - 155 MARLBOROUGH ROAD - CONSERVATION COMMISSION Qui} - 155 t�'�ar��ro�� 'Q-d ;��`�'29$
J � � _ _ . � _ � -- _
COMMONWEALTH OF MA5L,SACHUSETTS
EXECUTIVE OnW&Cor'-Er ONMENTAL AFFAIRS
DEPARTMENT OF OI1T11,qNTAL PROTECTION
enn
Metropolitan Boston-Northeast Regional Office
y P >�
SALEM
ARGEO PAUL CELLUCCI pLAANiNG DEPT,
Governor BOB DURAND
Secretary
JANE SWIFT LAUREN LISS
Lieutenant Governor
Commissioner
DEP File# 64-298
RE: NOTIFrIC QtN�ff WETLANDS PROTECTION ACT FILE NUMBER Salem
DATE: O G 1 I J J (city/town)
The Department of Environmental Protection has received a Notice of Intent filed in accordance
with the Wetlands Protection Act (M.G.L. c. 131, §40):
Applicant: Denise Gafanhao Owner:
Address: 155 Marlborough Rd. i Address:
Salem, MA 01970
Project Location: 155 Marlborough Road
IF CHECKED,THE FOLLOWING ITEM(S)APPLY TO THIS NOTICE OF INTENT:
A.-fflThis project has been assigned the following file# : 64-298
Although a file#is being issued, please note the following: Alternatives Analysis should be
performed if filling in ORZ (outer riparian zone).
ISSUANCE OF A FILE NUMBER INDICATES ONLY COMPLETENESS OF
SUBMITTAL,NOTE APPROVAL OF APPLICATION
B.( )No file#will be assigned to this project until the following missing information is sent to
this office, to meet the minimum submittal requirements in accordance with the Wetlands
Protection Regulations at 310 CMR 10.00:
1. ( )_copy(s) of a completed Notice of Intent (Form 3 or Form 4 of Sect. 10.99,
whichever is applicable) and a cIM of the Fee Transmittal Form, with a copy of the
check for the State's share of the Notice of Intent filing fee.
2. O_copy(s) of plans, calculations, and other documentation necessary to completely
describe the proposed work and mitigation measures to protect resource areas.
3. ( )_copy(s) of an 8.5"X 11" section of the GS map of the area.
4. ( ) COAV(s) of plans showing compliance with Title 5 of the State Environmental
Code, 310 CMR 15.00.
5. ( )Proof that a copy of your Notice of Intent has been mailed or hand delivered to the
Natural Heritage and Endangered Species Program.
(see page 2 for additional information)
This information is available In alternate format by calling our ADA Coordinator at(617)570-6M
.205a Lowell St. Wilmington,MA 01887•Phone (978)661-7600 e Fax (978)661-7615•TDD#(978)661-7679
Pnrned on Recycled Paper
C. Other Regulatory Jurisdiction
1. O Application has been forwarded to Waterways Regulatory Program to determine if
a Chapter 91 License is required.
2. L-) Applicant is advised to forward a copy of the Notice of Intent to the Corps of
Engineers for review (call 1-800-362-4367 for information).
D. 401 Water Quality Certification
The project described in your Notice of Intent requires a 401 Water Quality
Certification from the Department of Environmental Protection and may require submittal
of a 401 application form. See below for further details:
1. ( )Based upon the information submitted in and with your Notice of Intent a
separate 401 Water Quality Certification application form is not required. The
Department has reviewed the plans submitted by the applicant and finds that there is
reasonable assurance that the project or activity will be conducted in a manner that will.
not violate the Massachusetts Surface Water Quality Standards, provided that:
a) the applicant receives and complies with a Final Order of Conditions from the local
conservation commission or the Department;
b) The Order of Conditions does not cause the loss of more than 5,000sq.ft. of bordering
vegetated wetlands and land under water and/or the dredging of more than 100 cubic
yards of land under water;
c) any loss of vegetated wetlands has been mitigated with a minimumreplication of 1:1;
and is not part of a subdivision; does not cause the loss of any Wetlands designated as
d) The project is not exempt from the M.G.L. c. 131, §40-the Wetlands Protection Act;
Outstanding Resource Waters; and does not cause the loss of any salt marsh.
Therefore, provided that the above conditions are satisfied,the Final Order of Conditions will
serve as the Water Quality Certification.for this project. This does not relieve the applicant of
the duty to comply with any other statutes or regulations.
Before the activity described in the Notice of Intent can commence, you must
obtain a Water Quality Certification form from this Regional Office. Please complete
the enclosed 401 Water Quality Certification application form and file it with this
Regional Office for review.
3. O Your project involves dredging of greater than 100 cubic yards of material or
requires a permit from the Federal Energy Regulatory Commission for work in "waters of
the Commonwealth." Therefore, your proposed project is subject to 314 CMR 9.00 and
requires a Water Quality Certification. Please complete the enclosed 401 Water
Quality Certification application form and file it with the Department of
Environmental Protection,Waterways Program,and One Winter Street,Boston,
MA 02108. Contact the Division of Waterways program at 617-292-5655 if you have
and questions. .
For more information please contact: Jill Provencal at 978-661-7600.
Cc: Conservation Commission O U.S. Army Corps of Engineers
O Owner O Coastal Zone Management
( )DEP-Water Pollution Control ( ) Representative:.
10/01/99 10:36 FAX Q01
HANCOCK
Environmental Consultants
FACSIMILE LETTER RECEIVED 235 Newbury St., Danvers, MA 01923
DATE: I eq G 9 9 ._PR CT,NQ., 79 9 8
ATTENTION: 5- Dt66LCE-
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COMPANY: Fi ANINJINIQ or:PT
FAX NUMBER: 7y S 9 8
FROM: J.171 ctx- 21-z-
SUBJECT:
SUBJECT: /S5 A-��1*
TOTAL PAGES INCLUDING THIS COVER: Z
DISPOSITION / REQUESTED ACTION:
O Original to follow by mail ❑ As requested ❑ For your use
® Please review/ comment O Please call me
MESSAGE:
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COPY TO:
Please call us if this .fax is not clear and complete:
Voice (978) 777 3050, Fax (978) 774 7816
The information contained In this communication Is confidential and Is Intended only for the use of the addressee.
Unauthorized use, disclosure or copying is strictly prohibited. 1115
10/01/99 10:36 FAX J05 aA-�A � H4/finn C5 �J 0002
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NANCOCK SURVEY ASSOCIATES, INC. �
235 Newbury Street, Route 1 North SHEET NO I OF
DANVERS. MASSACHUSETTS 01923 �97 �j 9
(508) 777-3050 (617) 662-9659 CALCULATED 9r DATE
(508) 352-7590 (508) 283-2200 CHECKED BYn-_-. DATE
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09/30/99 13:25 FAX la01
HANCOCK -
FACSIMILE LETTER Environmental Consultants
235 Newbury St„ Danvers, MA 01923
DATE: 30 56-' 9 9 PROJECT NO
ATTENTION: . Jr. al345LA. —'
COMPANY: '9ALAt C�� COt(�•I .
FAX NUMBER:
FROM:
SUBJECT: P55
TOTAL PAGES INCLUDING THIS COVER:
DISPOSITION / REQUESTED ACTION:
❑ Original to follow by mail O As requested ❑ For your use
6 Please review/ comment 0 Please call me
MESSAGE:
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ATTACHMENTS:
COPY TO.
Please call us if this .fax is not clear and complete:
Voice (978) 777 3050, Fax (978) 774 7816
The information contained In this communication Is confidential and Is Intended only for the use of the addressee. _
Unauthorized use, disclosure or copying Is strictly prohibited. 1/g
09/90/99 13:25 FAX 202
I- Location of existing dwelling, existing grades, and limit of existing lawn by field
OOK reconnaissance September 14, 1999.
2. Proposed grades shown with reference to landscaping proposal provided by owner:
3. This plan has been prepared to accompany a Notice of Intent to change existing lawn
grades within the Outer Riparian Zone of Strongwater Brook. No work is proposed
h h within any other resource area or buffer zone. Total area of disturbance is 750±
�\/„' square feet, (all consisting of existing lawn).
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LOT 4
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0.8730 fAc. _ � S
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62 0.6381- - Ac. ^ �!
Ux 8' CNA/NUNK
i -- — — / .gk e r�' FENCE l
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y 7�xo,S 74N 2254'14” E
72
42'14'16-
42'14'16" E _ ^ 1 Q Q
25.00 i Ineh \ U
5.00 1 �W 1�5a� 781 � I
LQ
Field Sketch of Land of
s I � � GAFANHAO
(Showing topography and resource area limits
compiled from a Topographic Plan
�frFI'vE BpU "�VV(J prepared for R. J. Kelly Company
i2N N �� 260. by Eastern Land Survey
78— — dated Febr_ 21, 1995 and revised through May 24, 1996)
Scale: I"= 40' September 15, 1995
\ Hancock Environmental Consultants
235 Newbury Street, Danvers, MA 01923
APPLICATION FOR PEP14IT
DRAINAGE ALTERATION
DATE: /8-25 - 99 PERMIT NO. 3S
RECEIPT NO.
TO: Director of Public Services
SALEM, MASSACHUSETTS
NAME AND ADDRESS PC-'7 /3e
s-5-
TELEPHONE NO. 7W 5-- y 6 L(6'
LOCATION (Where work will be performed) /5-S / �la��bwo aq� lei
DESCRIPTION OF WORK 4%OF
h^
PLAN SUBMITTED YES x NO
Note: A-plan must be submitted as a part of the applica:tion. showing the location where
the work will be performed, property lines, existing and proposed topography,
wetlands within 100 feet of site, and houses within 100 feet of site.' The plan
must be stamped by a Registered Land Surveyor or Registered Professional Engineer.
® Application Approved
Application Denied: Reason(s)
Director of Public Services
SPECIAL CONDITIONS
310 CMR 10. 99 DEP File No.
(To be provided by DEP)
Form 5
City/Town
Applicant
Commonwealth '
of Massachusetts
Order of Conditions
Massachuetts Wetlands Protection Act
G.L. c. 131, §40
From Issuing Authority
To
(Name of Applicant) (Name of property owner)
Address Address
This Order is issued and delivered as follows:
❑ by hand delivery to applicant or representative on (date)
❑ by certified mail, return receipt requested on (date).
This project is located -at
The property is recorded at the Registry of
Book Page
Certificate (if registered)
The Notice of Intent for this project was filed on (date)
The public hearing was closed on (date)
Findings
The has reviewed the above-referenced Notice of Intent and plans and has
held a public hearing on the project. Based on the information available to the at this
time, the has determined that the area on which the proposed work is to be done is
significant to the following interests in accordance with the Presumptions of Significance set forth in the
regulations for each Area Subject to Protection Under the Act (check as appropriate):
Public water supply Flood ControlLand containing shellfish
Private water supply Storm damage prevention Fisheries
Ground water supply Prevention of pollution Protection of Wildlife Habitat
Total Filing Fee Submitted State Share
(1/2 fee in excess of $25)
City/Town Share
Total Refund Due E City/Town Portion E State Portion$
(1/2 total) (1/2 total)
Effective 11/10/89 5-1
M
Therefore, the hereby finds that the following conditions
are necessary, in accordance with the Performance Standards set forth in the
regulations, to protect those interests checked above. The
orders that all work shall be performed in accordance with said conditions and
with the Notice of In referenced above. To the extent that the following
conditions modify or differ from the plans, specifications or other proposals
submitted with the Notice of Intent, the conditions shall control.
General Conditions
1. Failure to comply with all conditions stated herein, and with all related
statutes and other regulatory measures, shall be deemed cause to revoke
or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges;
it does not authorize any injury to private property or invasion of
private rights.
3 . This Order does not relieve the permittee or any other person of the
necessity of complying with all other applicable federal, state or local
statutes, ordinances, by-laws or regulations.
4. The work authorized hereunder shall be completed within three years from
the date of this Order unless either of the following apply:
(a) the work is a maintenance dredging project as provided for in the
Act; or
(b) the time for completion has been extended to a specified date more
than three years, but less than five years, from the date of issuance
and both that date and the special circumstances warranting the
extended time period are set forth in this Order.
5. This Order may be extended by the issuing authority for one or more
periods of up to three years each upon application to the issuing
authority at least 30 days prior to the expiration date of the Order.
6 . Any Till used in connection with this project shall be clean fill,
containing no trash, refuse, rubbish or debris, including but not limited
to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires,
ashes, refrigerators, motor vehicles or parts of any of the foregoing.
7. No work shall be undertaken until all administrativeappealperiods from
this order have elapsed or, if such an appeal has been filed, until all
proceedings before the Department have been completed.
8 . No work shall be undertaken until the Final order has been recorded
in the Registry of Deeds or the Land Court for the district in which
the land is located, within the chain of title of the affected
property. In the case of recorded land, the Final Order shall also
be noted in the Registry' s Grantor Index under the name of the owner
of the land upon which the proposed work is to be done. In the case
of registered land, the Final order shall also be noted on the Land
Court Certificate of Title of the owner of the land upon which the
proposed work is to be done. The recording informatin shall be
submitted to the on the form at the end of this Order
prior to commencement of the work.
9. A sign shall be displayed at the site not less than two square feet or
more than three square feet in size bearing the words,
"Massachusetts Department of Environmental Protection,
File Number "
10. where the Department of Environmental Protection is requested to make a
determination and to issue a Superseding Order, the Conservation
commission shall be a party to all agency proceedings and hearings before
the Department.
5-2
{F
L
11. Upon completion of the work described herein, the applicant shall
forthwith request in writing that a Certificate of Compliance be issued
stating that the work has been satisfactorily completed.
12 . The work shall conform to the following plans and special conditions:
Plans:
Title Dated Signed and Stamped by: On File with:
Special Conditions (Use additional paper if necessary)
(Leave Space Blank) .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-3A
•
Issued By Conservation Commission
si n ure(s)
19M6 Z22 44-4.4 !
This Order must be signed by a majority of the Conservation Commission.
On this day. of 19 before me
II' personally appeared to me known to be the
person described in and who executed the foregoing instrument and acknowledged
that he/she executed the same as his/her free act and deed.
Notary Public My commission expires
The applicant, the owner, any person agrrieved by this Order, any owner of land abutting the land upon which
the proposed work is to be done, or any ten residents of the city or town in which such land is located, are
hereby notified of their right to request the Department of Environmental Protection to issue a Superseding
Order, providing the request is made by certified mail or hand delivery to the Department, with the
appropriate filing fee and Fee Transmittal Form as provided in 310 CMR 10.03(7), within ten days from the
date of issuance of this determination. A copy of the request shall at the same time be sent by certified
mail or hand delivery to the Conservation Commission and the applicant. _
Detach on dotted lire and submit to the prior to commencement of work.
............................................................................................................
To Issuing Authority
Please be advised that the Order of Conditions for the project at
File Number has been recorded at the Registry of and
has been noted in the chain of title of the affected property in accordance with General Condition B on
,19
If recorded land, the instrument number which identifies this transaction is
If registered land, the document number which identifies this transaction is
Signature Applicant
5-4A
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection- Wetlands DEP File Number
WPA Form 3 - Notice of Intent I
\
Far use only
Massachusetts Wet/ands Protection Act M.G.L. c.FA-C�- L-�
Please type or
print clearly all Genera/Information 'r. '} GCT -6 Al il: 56
information 3. Property Owner(if different from applicant):
requested on this 1. Applicant:
form. ��pp�� l
5C CAF-A/-Hr40 6� PT
Nam
15 57 M44 L S0VC0C,7qH �17. MailingAdOiess
MalliigAdNeu
Ciy/Fown
Ciy?own
1-44 t 9 / Stale Zip code
Slate Zip Code
(q -79)
Pto Nu tbe' 4. Summary of Project Impacts:
fax Numbe-(dapplkable) a. Is any work being proposed in the Buffer Zone?
r No ❑ Yes
£-Mail 10m(in applicable)
If yes,how many sq.ft.?
2. Representative(if any):
SpiertFeet
Firm
b.List the impacts of proposed activities on each wetland
comarlNaM resource area(temporary and permanent impacts,prior to
restoration or mitigation):
MailirgAddmss Resource Area Size of Impact(e.g.,sq.ft.)
cry?own
O�T�YL 2tPt�.(llAiv zon�c'
Slate Zip Code
'7 50 sy.
Pbme Nunber
Far Number((applicable)
f-M#Addre (/applicable)
Project Description
1.Project Location: 2. Registry of Deeds:
S/4 M es56C S0u7H Z7157?2Ic7 "
Qy/rown Count
155 �o(xi
0/WLa tJ f�aA/) 3� CS
SoWAOPm Link
9 5 (P�en,>� 4-7
Azes Map/Plats Parcel/Lott Page
Cerci(rale fffti51e2dLand)
Massachusetts Department ofEnvironmental Protection
Bureau of Resource Protection- Wetlands
WPA Form 3 - Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 731, §40
H Project Description (cont.)
3. Project Description: 4.Plan and/or map references(list title and date):
141&A.5esb F-1��DSFr{r7`GH
e9?Cr5T7AJ4- GiA1-�A&JffAO . . . s�Pr iS/949
&A/4.Z- ar CJ4-
�/flyt/Io�y�lEwTfjC
/,(J OVTfsIL /�r�/�/Lt/�N ZO>UfT Gan�st2Tgr�rS
Activities Subject to Regulation
Land Under Water Bodies:
1. a. If Buffer Zones to resource areas are to be impacted, in
whole or in part,check the applicable resource areas:
SgwmFed to be alVed
Inland Resource Areas Coastal Resource Areas
Cubic Yards lobe dredged
❑Inland Bank ❑Coastal Beach
Land Subject to Flooding:
❑Bordering Vegetated Wetland ❑Barrier Beach
-Bordering:
❑Rocky Intertidal Share
❑Coastal Dune SiWMFret1obe31&ed
❑Coastal Bank Cubic Yardsb7kdadisplxed
❑Salt Marsh -Isolated:
b. Proposed activities located, in whole or in part,in
Wetland Resource Area(s) (Complete all that apply): Sgwrefedlobea&ted
Inland Resource Areas Cubic Yaruslilkdordisp/xed
Bank:
Coastal Resource Areas
Lirearftotealtercd Salt Marsh:
Bordering Vegetated Wetlands: Sq mFedtobed&,6d
SquvrFeet robeadered Coastal Dune:
Spare fae(lo beaNered
Square Fret to be malicated w resbM
Cubic YarbVVolurre to be remow7
Massadwsetts Department ofinvironnrenta/Protection
Bureau of Resource Protection- Wetlands
WPA Form 3 - Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Activities Subject to Regulation (cont.)
Land Under Ocean:
ii.Width of Riverfront Area(check one):
Sgremred tobea/temd ❑25 feet-Designated Densely Developed Areas only
❑ 100 feet-New agricultural projects only
Cubic Y&VS to bedmlged ®200 feet -all other projects
iii.Mean annual high-water line determined by:
Beach: (check all that apply)
❑Changes in soil;vegetation;water marks;scouring
sgwoFeet tobeaimrzd 0 Top of bank(inland rivers)
❑First observable break in slope
Rocky Intertidal Shore: ❑Mean annual flood level
❑Mean high tide(for coastal rivers only)
sgwmred tobeal&ed - iv.Distance of proposed activity closest to the mean annual
high-water line:
Land Under Salt Pond: 175 FST
Fret
Sgiam fay totea&W v.Total area(square feet)of Riverfront Area on the site of
the proposed project:
Cubic Yadsro be Om7r�d
---1 150 000 t SQ.FT:'
Coastal Bank: SgwmFeet
vi.Proposed alteration of Riverfront Area:
Linearfrettobealtere0 7 5 p f, C/. �'T—
TolatSqureFeei �Y
Designated Port Area: z4cle 0
Sque Fer wit/an 700 B.from bank
Sgiam Feet to beatteW SgWMFmf&-N ai MadMfl..6ombanl
75ca t 54.F'T-
Land Containing Shellfish:
2. Bordering Vegetated Wetland Delineation: Explain the
determination of Bordering Vegetated Wetland boundaries
SgwmFeEtto be a&red identified on plans:
❑ Final Order of Resource Area Delineation issued by
Fish Run: conservation commission or DEP(attached)
❑ DEP BVW Field Data Form(attached)
L inear Fret to tr al(ered
❑ Other Method of Determining BVW boundary(Check all
Riverfront Area that apply and attach documentation):
i 50%or more wetland indicator plants
i. Name of waterway(if available): ❑Saturated/inundated conditions exist
ST�OfJG kJ�}T � 6200K ❑Groundwater indicators
Direct observation
01 Hydric soil indicators
❑Credible evidence of conditions prior to disturbance
Massachusetts Department ofEnviromnentafProtection
Bureau of Resource Protection-Wet/ands
WPA Form 3 - Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Activities Subject to Regu/ation (cont.)
3.Sites Subject to Special Protection
b.Is any portion of the proposed project located within an
a. Is any portion of the proposed project located within Area of Critical Environmental Concern (ACEC)?
estimated habitat which is indicated on the most recent
Estimated Habitat Map of State-Listed Rare Wetland ❑ Yes IF No If yes,provide name of ACEC(see
Wildlife published by the Natural Heritage and Endangered Appendix D for ACEC locations):
Species Program?
71 Yes ®No acre
09-7-98
Dd,e CtUap
If yes,include proof of mailing or hand delivery of NOI to:
Natural Heritage and Endangered Species Program c. Is any portion of the site subject to a Wetlands
Division of Fisheries and Wildlife Restriction Order under the Inland Wetlands Restriction Act
Route 135,North Drive (M.G.L.c.131,s. 40A)or Coastal Wetlands Restriction Act
Westborough,MA 01581 (M.G.L.c.131,s. 105)?
❑ Yes JP No
If yes,attach a copy of the Restriction Order to the NO1.
' Performance Standards
b.Was the lot where the activity is proposed created prior to
1. Is any portion of the proposed activity eligible to be treated August 1, 1996?
as a limited project subject to 310 CMR 10.24 or 310 CMR
10.53?
❑Yes IN No
❑Yes 1qNo If yes,describe which limited project 4. a. Describe how the project will meet all performance
applies to this project: standards for each of the resource areas altered,including
standards requiring consideration of alternative project
design or location. Attach additional sheets if necessary.
N�GLt G r,(j Lg rM�gcT�rZErro�,4,0iA.�
2. Is any activity within any Resource Area or Buffer Zone O l= "15r7AJ4 61}11,116)
exempt from performance standards of the wetlands
regulations,310 CMR 10.00. 3/o cM tZ 10.58: (6)C60) 7
❑Yes s No If yes,describe which exemption applies to
Management:
b. Stormwater Mana
this project: g
The project is exempt from the DEP Stormwater Policy:
M Yes ❑ No If yes,explain why the project is exempt:
3. a. Is the project located in the Riverfront Area: `j/06 6697 Fi¢M1 LY {4-o M C`
&Yes ❑No
If yes,indicate the proposed project purpose: �Lf}N t�ScAPtnlrj)
i Single family home
C1 Residential subdivision
Q Commercial development If no,Stormwater management measures are required.
❑ Industrial development Applicants are encouraged to complete Appendix C:
❑Transportation Stormwater Management Form and submit it with the
11 Other-describe: Notice of Intent
2e'rzhi9w' TING C�¢vJN
- - --- - -----
Bureau of Resource Protection- Wetlands
l WPA Form 3 - Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Additional Information
Applicant must include all the following with this Notice of Intent:
t,�USGS or other map of the area(along with a narrative description, if necessary),containing sufficient
information for the conservation commission and the Department to locate the site.
Plans identifying the location of proposed activities(including activities proposed to serve as a BVW
replication area or other mitigating measure)relative to the boundaries of each affected resource area.
Other material identifying and explaining the determination of resource area boundaries shown on plans
(e.g.,a DEP BVW Field Data Farm).
✓� List of the titles and final revision dates of all plans and other material submitted with this N01.
Fees
The fees for work proposed under each Notice of Intent must Applicants must submit the following information (in
be calculated and submitted to the conservation commission addition to pages 1 and 2 of Appendix B)to confirm fee
and the Department(see the Instructions and Appendix B: payment:
c 30
Wetland Fee Transmittal Form),
nine- -
No fee shall be assessed for projects of the fedeChea dive
ral govem- n �G
ment,the Department of Environmental Protection,or cities paywnameon>
and towns of the Commonwealth.
App'iontname(if diffi trmm payor)
Signatures and Submittal Requirements
I hereby certify under the penalties of pe jury that the For conservation commission:
foregoing Notice of Intent and accompanying plans,docu- Two copies of the completed Notice of Intent(Form 3),
ments,and supporting data are true and complete to the best including supporting plans and documents;two copies of
of my knowledge. I understand that the conservation commis pages l and 2 of Appendix B;and the city/town fee payment
sion will place notification of this Notice in a local newspaper must be sent to the conservation commission by certified mail
at the expense of the applicant in accordance with the wetlands or hand delivery.
regulations,310 CMR 10.05(5)(a). _
For DEW.
I further certify under penalties of perjury that all abutters were Two copies of the completed Notice of Intent(Form 3),
notified of this application,pursuant to the requirements of including supporting plans and documents;two copies of
M.G.L.c.472 of the Massachusetts Acts of 1993. Notice must pages 1 and 2 of Appendix B;and a copyof the state fee
be made in writing by hand delivery or certified mail(return payment must be sent to the DEP regional office by certified
receipt requested)to all abutters within 100 feet of the mail or hand delivery(see Appendix A Tor regional office
property line of the project location. addresses).
G/ / Other:.I co GG if the applicant has checked the"yes"box in any part of
anxe a Alio �x Section C,Item 3,above,refer to that section and the Instruc-
/ tions for additional submittal requirements.
211 Co/f f) The original and copies must be sent simultaneously.Failure by
nature o/popary°'Mer Dale the applicant to send copies in a timely manner may result in
9 dismissal of the Notice of Intent.
Signaturedm (a(iM Dale
�jot}t� Dlc(� U'(Ls10A72617�o2M��C9�`-'s�
NFti-NGoG� e�7.JVtftor�vle!'-�T�42 Ca�JSvt-T79-iJ'1-5
z 3 5 N&f-,j( c-wr 57 . 4 019Z3
MassachusettsDleparownt ofFmironmento/Protection
Bureau of Resource Protection- Wetlands
WPA Appendix B - Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Please type or
print clearly all Instructions
information category requested on this 1. To calculate filingfees,refer to the cate o fee lists and 2. To the conservation commission:Send the Notice of Intent,
form, examples in Section D of this form.Complete pages 1 and Abbreviated Notice of Intent,or Abbreviated Notice of
2 of this form and send these pages and a check or money Resource Area Delineation;a copyof pages 1 and 2 of this
order for the state share of the fee,payable to the Com- form;and the city/town fee payment.
monwealth of Massachusetts,to:
3. To DEP regional office(see Appendix A for addresses):
Dept.of Environmental Protection Send the Notice of Intent,Abbreviated Notice of Intent,or
Box 4062 Abbreviated Notice of Resource Area Delineation;a copyof
Boston,MA 02211 pages 1 and 2 of this form;and a copyof the state fee
payment.
App/ican&ftpeq 010ner Information
1. Applicant: 2. Property Owner:
F20-1`JI5C- 6 A->`A•t,-)HA•U (4,OAIc4trr')
Nam Name
15 5 4-1/ f2r7.
MailingAddrns Mailing Address
S A-C-C -H
c, Io
M wn A O l9 70 ciy nwn
slate zip code
sra "5'-
p code 9 76) 7�t 5 - y�oy�6
Ph"Nu ba- PlxwNu ba'
3. Project Location:
155 MA(?J-3Y?0V6c/ 2p,
s(me12o7Nomber
S ke 11M
QVITa-
fees
Note: See Abbreviated Notice of Resource Area Delineation:
examples of how
to calculate The fee is calculated as follows(check applicable project type):
wetland fling fees
in Section D. ❑ single family house project
X$1.00=
(feet of BVW) Total fee(not to exceed$100)
❑all other projects
X$1.00=
(feet of BVW) Total fee(not to exceed$1,000)
State share of filing fee: City/Town share of filing fee:
(1/2 of total fee minus$12.50) (1/2 of total fee plus$12.50)
massacnusetts mpaftmenr of cnvuonmenraf riotectton
Bureau of Resource Protection- Wetlands
WPA Appendix B - Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Fees (cont.)
Note:See Abbreviated Notice of Intent or Notice of Intent:
examples of how
to calculate The fee should be calculated using the following six-step process and worksheet:
wetland filing fees
in Section D. Step t/rype of Activity:Describe each type of activity(see Section D for a list of activities)which will occur in a wetland resource
area and buffer zone.
Step 2/Number of Activities:Identify the number of each type of activity.
Step 3/Individual Activity Fee: Identify the fee associated with each type of activity using the six categories of projects and fees
listed in Section D of this farm.
Step 4/Subtotal Activity Fee:Multiply the number of activities(identified in Step 2)times the fee per category(identified in
Step 3)to reach a subtotal fee amount. Note: If any of these activities are in a riverfront area in addition to another resource
area or the buffer zone,the fee per activity should be multiplied by 1.5 and then added to the subtotal amount.
Step 5/Total Project Fee:Determine the total fee for the project by adding the subtotal amounts identified in Step 4.
Step 6/Fee Payments:To calculate the state share of the fee,divide the total fee in half and subtract$12.50.To calculate the
city/town share of the fee,divide the total fee in half and add$12.50.
Step 1/rype of Activity Step 2/Number Step 3/Individual Step 4/Subtotal
of Activities Activity Fee Activity Fee
X6.0367) alptj 1 55'= 55'!�O
�c,�ra-raorzY 1 . b.)
Step 5/Total Project Fee:1 55
Step Wee Payments:
Total Project Fee: S
(Total fee from Step 5)
5� c+p
State share of filing fee: City/iown share of filing fee:
(1/2 of total fee minus$12.50) (1/2 of total fee plus$12.50)
i..� ••. 3- -.a t,f'.': IMERC
r
GNf Ceur9B
It
.INT nAE 1 , roe &n Pan .
"l. _, Couse•-..
�J. --
� 11 i � r .✓ y i i..
- E
_ ���"` f � I� >��5���,s• � �erk "` i ' ,k`t�errK+tY�G-r +
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.� ,s`t<'5ubvta� ♦ V„ �.n �
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t�tl� /� r� i I` � I b '.-,� I•��\. V � t ✓ C+JI'C rsa-
~ L1LG9L4
57' 30"' 340 341 ' , ...342 55' Q ...--- ---
KILOMETERS 1 .5 0 7
MILES 1
Locus plan — 1985 Salem Quadrangle - scale 1:25,000
t. Location of existing dwelling, existing grades, and limit of existing lawn by field
OQ�( reconnaissance September 14, 1999.
2. Proposed grades shown with reference to landscaping proposal provided by owner.
3. This plan has been prepared to accompany a Notice of Intent to change existing lawn
grades within the Outer Riparian Zone of Strongwater Brook. No work is proposed
o h within any other resource area or buffer zone. Total area of disturbance is 750±
\y r,; square feet, (all consisting of existing lawn).
JNA PAUL
25, --i-S.F.
192
�� 0.5783 to c.
_60.00" ,1
1/i S 2254"14"W
LOT 4
38,028 tS.F.
i 0.8730 tAc. rod
�T7g4 tS.Fi. t j h��
8" CHAINLINK
— — e� � �' 1 FENCE 'IS
_ x O `
6 69 v z 2 d `'' 30.00 G6
7 IV 2234"14" E
�-�r 571IJl J `O C
� \
42'14"16" E 1 lV1 Q Q
25.00" N
I o�� _ II �.
3105 E X155 . 78"�(l � �
5.00'1 .c✓000��� /
Field Sketch of Land of
GAFANHAO
(Showing topography and resource area limits
compiled from a Topographic Plan
prepared for R. J. Kelly Company
OrV CSN �� ?60. by Eastern Land Survey
78— _ dated Fehr. 21, 1995 and revised through May 24, 1996)
Scale: P = 40' September 15, 1995
\ Hancock Environmental Consultants
`� 235 Newbury Street, Danvers, MA 01923
755 0, Notes:
1. Location of existing dwelling, existing grades, and limit of existing lawn by field
reconnaissance September 14, 1999.
�.. �OK� 2. Proposed grades shown with reference to landscaping proposal provided by owner.
�J 3. This plan has been prepared to accompany a Notice of Intent to change existing lawn
j grades within the Outer Riparian Zone of Strongwater Brook. No work is proposed
Y) within any other resource area or buffer zone. Total area of disturbance is 750±
square feet, (all consisting of existing lawn).
4- 1 I /
� I;o �N� PAUL
�PF
10 r-6 �1
25, 192 fSF.��
20.5783 --Ac.
00 ;/
60.00'
Iii S 2254'14 W
LOT 4 I W
38,028 ±S.F. Jr x
0.8730 tAc. _ 794 ±S
rA i 62 0 6381- JAc.
(o 8" CHAINLINK
�� o: /r✓s -c c s t_ FENCE l
7�/. ��a 'TD l'TiF�F7:L.
6 60 n 30.00• G8
��71
-7c�?5474" E >�
72 5 770'
ck✓�J
/ S 4274'16"" E — —^ Q
25.00"
I ( /
$ 6'3/'05). E r , . 78�� � / �
l 15.00" ✓0 O���A�l
Field Sketch of Land of
I h GAFANHAO
74-' 12 1 o p0• l (Showing topography and resource area limits
/N.S�/<< y0 �� compiled from a Topographic Plan
r"-D-65 1E60UN0` \ prepared for R. J. Kelly Company
Ov /NEJ �� ?6p� by Eastern Land Survey
78— — dated Febr. 21, 1995 and revised through May 24, 1996)
D Scale: P = 40' September 15, 1995
7A IL Hancock Environmental Consultants
V. Ts. 235 Newbury Street,Danvers, MA 01923
DRILL HOLE 7858
= - o
HANCOCK SURVEY ASSOCIATES, INC. JOB e::; N HR 7858
235 Newbury Street, Route 1 North SHEET NO �- OF Z
DANVERS, MASSACHUSETTS 01923 CALCULATED a �� 1-40 c�
(508) 777.3050 (617) 662.9659 r DATE
(508) 352-7590 (508) 283.2200 CHECKED BY DATE
SCALE
SPb�r F2 fst�. S COI�Ef _
71.0 '�
Y
�f}{'P�X l+�f R�sGY 7-wo (z� ,�-7--0��r c•c, N•�',�'c-�
TYPi cl�-t 5-65 t0'u
"o / t N 1A k; u-vft Ls 4y2& 1�2147,g7S&-Zq.
F7` 76 oT" 7=y Le �' Vcam 6-1v(1S77Na' 6�6-S . 5.06
PRODUCT OW5-1 4 B C D E F
#7858
Notification to Abutters Under the Massachusetts Wetlands Protection Act
In accordance with the second paragraph of the Massachusetts General Laws Chapter 131, Section 40, you are
hereby notified of the following.
A The name of the applicant is Denise Gafanao
B. The applicant has filed a Notice of Intent with the Conservation Commission for the Municipality of
Salem seeking to remove,fill,dredge or alter an Area Subject to Protection Under
the Wetlands Protection Act(General Laws Chapter 131, Section 40).
Activities Proposed: Proposed regrading of existing lawn area will increase grade in outer riparian zone by
approximately four(4)feet.
C. The Address of the Lot where the activity is proposed is 155 Marlborough Road,Map 9,Lot 5
D. Copies of the Notice of Intent may be examined at Salem Conservation Commission
between the hours of See and Below on the following days of the week:
For more information,call: 978 745-9595
Check one:This is the applicant ET representative E,or other (specify): Commission
Name of Representative: Hancock Environmental Consultants
E. Copies of the Notice of Intent y be obtained,for a fee,from either(check one)the applicant E,or the
applicant's representative ling this telephone number (978)-777-3050
between the hours of 8 AM and 4 PM on the following days of the week: M—F
F. Information regarding the date,time,and place of the public hearing may be obtained from:
Salem Conservation Commission
by calling this telephone number (978)745-9595 between the hou of SEE and BELOW
on the following days of the week: M-W 84,Th 8-7,F 8-1
Check one:This is the applicant ❑,representative or other (specify): Conservation Commission
NOTE:Notice of the public hearing,including its date,time and place,will be published at least five
(5)days in advance in the Salem Evening News
(name of newspaper)
NOTE:Notice of the public hearing,including its date,time and place,will be posted in the City or Town Hall not
less than forty-eight(48)hours in advance.
NOTE: You also may contact your local Conservation Commission or the nearest Department of Environmental
Protection Regional Office for more information about this application or the Wetlands Protection Act.
To contact DEP call:
Central Region: 508-792-7650 Northeast Region:978-661-7600
Southeast Region: 508-946-2700 Western Region: 413-784-1100
DENISE K. GAFANHAO 5-31 30
MANUEL GAFANHAO
155 MARLBOROUGH RD. 978-745-4046 Date CI ( C.o
SALEM, MA 01970 /G
Pay to the order of
BankBoston
a�kmrzon,NA-moon,nwwdmxm
For cc
11:0 1 1000 3901: 429 135-r 10 ro
DENISE K. GAFANHAO 5_39 1031110
MANUEL GAFANHAO
155 MARLBOROUGH RD. 978-745-4046 Date Q/I
SALEM, MA 01970
Pay to th er of Q-1
C 1 GG Dollars 8
BankBoston
mnkmsson,NA-m WM Mas�6n
For
-1:0 1 1000 3901: 429 1351011' 1031
`- BOARD OF ASSESSORS
CITY HALL PAGE:
SALEM, MA 01970
DATE : 09/20/99
CERTIFIED ABUTTERS LIST
SUBJECT PROPERTY : MAP : 09 LOT: 0283 SUFE:
PROPERTY ADDRESS : 0155 MARLBOROUGH ROAD
_.. ASSESSED OWNER GAFANHAO MANUEL---
GAFANHAO DENISE. K
-MAP LOT SUFF PROPERTY ADDRESS ---- -ASSESSED-OWNER--- --_----------MAILING--ADDRESS---- --
09 0283 0155 MARLBOROUGH ROAD GAFANHAO MANUEL 1.55 MARLBOROUGH ROAD
--. . -- .- _ .- _ ._ GAFANHAO-DENISE K- -- SALEM--MA 01970-- - - - - _
09 01-08 0159 MARLBOROUGH ROAD FINAN PAMELA L 159 MARLBOROUGH ROAD
FINAN ROGER V SALEM MA 01970
09 0275 -- 012.1 MARLBOROUGH ROAD --- - FURNARI--JOSEPH-A-- ---- -' 129-MARLBOROUG'H--ROAD- -_.-_
TDA A SALEM MA 01970
09 0282 0151 MARLBOROUGH ROAD EVERSON DUANE E 151 MARLBOROUGH ROAD
EVERSON DONNA F ____.. SALEM-MA--01970
i
FRANK KU.LIK
CHIEF ASSESSOR 9? ! C
- A