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12 ORNE STREET - CONSERVATION COMMISSION J x `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 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 Robert T. Lutts Same return key. Name Orne Street Ma m4 Mailing Address Mailing Address Salem MA 01970 City/rown State Zip Code City/Town State Zip Code tea, 1. Title and Date of Final Plans and Other Documents: Plan of Land, 92 Orne Street, Salem November 30, 2002 Title Final Date(or Revised Date if applicable) 2. Date Request Filed: February 13, 2003 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): Determination of work related to the installation of 20 foot by 40 foot in ground pool with associated concrete patio and fence Project Location: 92 Orne Street Salem Street Address Citylrown - - Map 37 Lot 60 Assessors Map/Plat Number Parcel/Lot Number WPA Form 2 Page t of 5 Rev.02100 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands y, 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. I Th❑ 2b. _b e boundaries of resource areas listed below are not confirmed b this Determination, y 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 WPA Form 2 Rev.02/00 Page 2 of 5 .� Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability w 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. WPA Form 2 Page 3 of 5 Rev.02100 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:310 CMR 10.58 (6) (b) (5) Conditions: I. Staked halebales & gilt fence shall be in stalled along the limit of work. 2. A special filter for the pool shall be installed which Exempt Activity(site applicable statuatory/regulatory provisions) .helps remove chlorine from the discharge when the pool needs to be drained. ❑ 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 Mutes 3. 200 3 Date Dam This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see Appendix A) and the property owner(if different from the applicant). Si natures: �A FC-13 21. 7-o 3 Date WPA Fa 2 Pege4et5 Rai.02000- f Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability q,. 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. WPA Form 2 Page 5 of 5 Rw.02/00 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 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 Robert T. Lutts Same return key. Name Orne Street VQ Mailing Address Mailing Address Salem MA 01970 FA Citylrown State Zip Code Citylrown State Zip Code 1. Title and Date of Final Plans and Other Documents: Plan of Land, 92 Orne Street, Salem November 30, 2002 Title Final Date(or Revised Date if applicable) 2. Date Request Filed: February 13, 2003 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): Determination of work related to the installation of 20 foot by 40 foot in ground pool with associated concrete patio and fence Project Location: 92 Orne Street Salem Street Address City/Town Map 37 Lot 60 Assessors Map/Plat Number Parcel/Lot Number WPA Form 2 Page 1 of 5 Rev.02/00 o - 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 WPA Form 2 Page 2 of 5 Rev.02100 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 followingalternatives. Refer to the wetland regulations at 10.58(4)c. for more ( 9 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. EJAlternatives 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. WPA Form 2 Rev.02100 - Page 3 015 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:310 CMR 10.58 (6) (b) (5) Conditions: 1. Staked halebales & silt fence shall be in stalled along the limit of work. 2. A special filter for the pool shall be installed which Exempt Activity(she applicable statuatory/regulatory provisions) helps remove chlorine from the discharge when the pool needs to be drained. ❑ 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 1"�oasJ�-, 3. 2co 3 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 DEP Regional Office (see Appendix A) and the property owner(if different from the applicant). Si natures: 46 FJOZ1� z o a 3 Date wPA Faun 2 Page 4 ars Rev.02/00 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands } WPA Form 2 — Determination of Applicability 4, r. 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. WPA Form 2 Rev.02/00 Page 5 5 0( 1 Massachusetts Department of Environmental Protection cv,-, Bureau of Resource Protection -Wetlands citylrown WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out 1. Applicant: forms on the computer, use \�Q��(� —T only the tab key Name E-Mail Address(if applicable) to move your N oV u, cursor-do not Madmg Ad re use the return t P�A �m1 , Zi key.Im I I Phoneown Nu eA ��` 0�� State p Code mber Fax Number(if applicable) 2. Representative(if any): rom Firm Contact Name \ E-Mail Address(ff applicable) Mailing Address \ 0A,-.AM Citylrown State Zip Code Phone Number Fax Number(ilapplicable) B. Determinations 1. I request the ��' y make the following determination(s). Check any that apply: 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 1c below are accurately delineated. Inl 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: SCJQ,Vv� , Narrte of Municipality ❑ e.whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). WPA Fo l Rev.0200 Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands cttyfrowo WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 G. Project Description � 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): Street Address Cityrrown 3� LD Assessors Map/Plat Number Parcel/Lot Number b. Area Description(use additional paper, H ne ssary): c. Plan and/or Wap Reference(s): Tdle Rift \ (�.� Date 2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary): b. Identify provisions of the Wetlands Protection Actor 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). NRA Fwm7 Rev.02M - Papa 2 of 9 Massachusetts Department of Environmental Protection 'S4 Q—W1Bureau of Resource Protection - Wetlands city/Town WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description (cont.) 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.) WPA Fo l R".02100 Page 3 of 4 Postal (DomesticCERTIFIED MAIL RECEIPT 7 EetC3 III a Postage $ rR M Certified Fee Postmark _p Return Receipt Fee Here C3 (Endorsement Required) 0 Restricted Delivery Fee O (Endorsement Required) M Total Postage&Fees Lj n'I Name(Please Print Clearly)(tobe completed by mailer) tST Street-Apt.No.;or PO Bax No. �17- Clig Sta[e,ZIP+d---"-"""""""--------""-"-""""""""""----------""""""""""_----.-----""""-- Certified Mail Provides: III A mailing receipt ■ A unique identifier for your mailpiece �. ■ A signature upon delivery ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return 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 USPS 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 the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ 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. PS Form 3800,July 1999(Reverse) 102595-99-M-2087 Postal CERTIFIED MAIL i RECEIPT I (Domestic Mail Only; r '. 0 0 Or Postage $ rl M Certified Fee Postmark Return Receipt Fee Here 0 (Endorsement Required) O Restricted Delivery Fee O (Endorsement Required) C3 Total Postage&Fees ,$ O Nam lease P' t Ole Hy)it be completed by mailer) M Ms---�--xr� ...-e :.Lr S........ Street,Apt.No or PO Box No. y� Ciry,State,ZIP+4 Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A signature upon delivery ■ A record of delivery kept by the Postal Service for two years Important Reminders. ■ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete antl attach a Return 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 USPS 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 the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ■ 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 Certifietl Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999(Reverse) 102595-99-M-2087, Z� SENDER: DELIVERY ■ Complete items 1,2,and 3.Also complete A. Receivednby(Please Print Cl rly) B. Date of Delivery item 4 if Restricted Delivery is desired. QFIr M.4R r 2.f�3 ■ Print your name and address on the reverse C. Signature so that we can return the card to you. ❑Agent ■ Attach this card to the back of the Tailpiece, or on the front if space permits. X 0 Addressee D. Is delivery address different from item 1? 0 yes 1. Article Addressed to: 4If VES,enter delivery address below: 0 No Q OS Fi L.ctwa,\� 5 3. Service Type .S s`-\Certified Mail ❑ Express Mail r T 0 Registered ❑ Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 yes 2. Article Number (Transfer from service label)'7Og 5 34o O oop(o 6 f$h 0'2'q5/ 7' PS Form 3811, March 2001 Domestic Return Receipt 102595.01-M-1424 �, r - UNITED STATES POSTAL SERVICE First-Class Mail Postage USPS &Fees Paid Permit No.G-10 • Sender: Please print your name, address, and-ZIP+4 in this box co f Salem Conservation Commission: ., 1 120 Washington Street,3rd Fl Salem,MA 01970 0.AA 91 o.,w R, SENDER: COMPLETE THIS SECTION i COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A eceived by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. a ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. ❑Addressee D. Is delivery address different from item 17 ❑yes 1. Article Addressed to: If VES,enter delivery address below: ❑ No (I' Z \�✓Y� /iMIq 019-30 - 3. Service Type Certified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑yes 2. Article Number (Transfer from service label) -Ir-Al 3'1()C) QUO(o 6191 661 1 PS Form 3511, March 2001 Domestic Return Receipt 102595.01-W424 I �i UNITED STATES POSTAL SERVIC -� L S SF C -First la AAail Postage E,.. PP,t " USPS Permit i • Sender: Please prinYlkur,na„me address, and ZIP+4'in this box 1 i Salem Conservation Commission j 120 Washington Street,3rd FI Salem,MA 01970 i Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands city— rrow� WPA Form 1 - Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Signatures and Submittal Requirements 1 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 f the property owner. I �. Name oyN Madmg�Ada�e�s =4\n,w� CityrFown Vkk offio State Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in acc ce with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations. Sign U of Applicant Z ate Signature of Representative(d any) ate WPA Fw I Rev.02100 Pa9e404 .4N CC) o Conservation Commi%ion Salem, Massachusetts 01970 M'yASSAC�S 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 Robert T. Lutts, 92 Orne Street, Salem, MA. The purpose of the hearing is for a determination of work related to the installation of 20 foot by 40 foot in ground pool with associated concrete patio and fence at 92 Ome Street. This hearing will be held on Thursday, February 27, 2003 at 7:00 p.m. in Room 313, third floor at 120 Washington Street. Kevin Comacchio Chairman February 20, 2003 Please send bill to: Robert T. Lutts 92 Orne Street Salem, MA 01970 978-657-8071 k' ROBERT T. LUTTS 53-7055/2113 92 ORNE STREET 886170265 2295 SALEM,MA 01970 DATE s}i NAY TO'CHE ORDER Of S M FIVE ;; 155' o� SALEM.MASSACHUSRT 501970 MEMO 1: 2113 ?OSS8i: B86i7026Slim 2 2 9 S -z - - --_-- --- kERNty�� STREET y a y� PLANNING BOARD APPROVAL UNDER eR"E STREEToarivERs THE SUBDIVISION CONTROL LAW NOT REQUIRED RqN� LOCUS RIVER SALT WALL NOTES: RAASALEM PLANNING BOARD LANE — PARCEL A IS NOT A BUILDING LOT. IT IS TO BE CONVEYED 8 T S LOCUST'S T TO THE OWNERS OF THE ABUTTING LOT AND BE COMBINED uvr�'' WITH THAT LOT TO FORM ONE CONTIGUOUS LOT HAVING AN Q � AREA OF 38,608 f S.F. c a LOCUS MAP SCALE 1" = 800't R SSFSSp RFC q/N/N�S Mqp 9/f 116 Np Op 40;,8> PC S7 e 16 C 2 pT Fq M R IRON BUST ROD FOUND DRILL HOLE IN CONCRETE BOUND S6�7S FOUND SS Op OpF IRON 0 ROD 10 FOUND 4 VL N `n 01. 2ty h 9S 11, F 3 . h O SFsSO , �y P��S RF wgRQ �nsMgA ?8 � 0 pegN &A-. 9�6S/V) Ne T 1S Op /'C i IRON 1,966 14? ROD FOUND ASSESSOR'S MAP 37 LOT 60 ROBERT T. LUTTS o RACHEL N. LUTTS l 010 REC BK. 8970 PG. 587 0 MAP 28 LOT 16 y MAP 3 a- o PL. BK. 152 PL. 53 1h o, ly REMAINING LAND OF = THE CABOT FARM TRUST MAP 28 LOT so j =ryN of AREA 32,333f S.F. rn AREA = 27.3 t ACRES LOT 15 hF� f IRON ROD SET G y I!q Ch SCALE 1" = 200' 3� \ R�SFSSp 114 MqP ? TO j 8j ACK, r 16 Cg6pT qss � \ FST � - �.,. � FgRM �v AFM fsSORS ,�,� PARCEL A ST RSC SNC 4qN qA ?8 <p \ \ T �.0 AREA = 6275 f S.F. 1 Is 87 p or �C. F T 16 \ , S82 CgeOT FgRM 20 ,y 120 �(/Sr 63S Op 1140E �•so,w gs5e R�ch'T PLAN OF LAND FOR REGISTRY USE ONLYR�Nf RE R'S 441pOF 92 ORNE STREET P4 B &k. SOP GU�) SOT 81 /I 1 �6 3S 1 ^II r SALEM P4. 0. 14S / 3S6SV, PREPARED FOR IRON ROD SET ROBERT T. LUTTS I CERTIFY THAT THIS PLAN TO THE RULES AND REGULATIONS OFONFORMS THE REGISTERS OF DEEDS. rin°'No350sscRACHEL N. LUTTS GRAPHIC SCALE ( , 1 11 I30 /6L aa Q, SCALE 1" = 20' NOVEMBER 30, 2002 p °�iTTaoNORTH SHORE SURVEY CORPORATION sO iAi. Lnuo so DATE REGISTERED PROFESSIONAL LAND SURVEYOR "" 47 LINDEN STREET — SALEM, MA ( mfr ) 1 Inch = 20 It _i #1214 -- _-- ---- i I