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18 OSBORNE HILL DRIVE - CONSERVATION COMMISSION t? �� OS'�'�e tell "1�f',ue = ��H aol�" I �I t i RDA Status Sheet Address: �5 1 �j�l DY Date Submitted: 1(blI} Contact Name: vAo pV aW 5 �Wfi11 Proposed activity: u ow(� vvc Phone: SSS b Application Complete Correct Fee Received erl�egal Ad Sent &<eegal Ad Confirmed d6nline ta�Added to Agenda 24genda to Applicant eAgent Comments to Commission Hearing Opened: U IZZIVi- Continued: tJ'ft- Site Visit: 0/A M/Permit Sent to Applicant and DEP ❑ Confirmation of Delivery Added to database Notes: HACON COMM\Administrative\project status sheet\RDA status sheet 2013-10-30.dce USPSTRACFMIG# � First-Class Mail V I I I III Il 1 1 Postage&Fees I USPS Paid ittll l I I I I Pennitt W G-10 9590 9402 WFLIA 8490 34 j United States •Sender.Please print your name,address,and ZIP+q®in this box. Postal Service ��� CoYI�trUG�bvt C-�MIMI��I IZo Wqc���� , 3rd FI i I!ill I!dill,III IIIIIIIIIIIIllliull��ll��tl�lnlll'dl'1���'1'�R 4 i SENDER: COMPLETE THIS SECTION COMPLETE THIS CTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ,�/ ■ Print your name and address on the reverse X p+Q Agent so that we can return the card to you. / �d Addressee ■ Attach this card to the back of the mailpiece, B. Received by fPfinted//Name) C. oat of livery or on the front if space permits. - &.yf%y /(n- LBlr 7IF-17 t If 1. Article Addressed to: D. Is delivery address different from item i? AS NamIf YES,enter delivery address below: J6. ji� 0Sbof Vie t{1ll z✓• Salew� i MIN 099-0 l I ice Type D Priority Mail II I III II(III III I II I I II I II I I I III I I II I III ertlSignature Signature 0 9 tune Restricted Delivery ❑Registered Mail Resttrriictl 9590 9402 1868 6104 8490 34 lwery 0 Certified Mail Restricted Delivery 0 Return Receipt for 0 Collect on Delivery Marchantlias 2. Article Number(17ansfef from service label) _ 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation^^ 0 Insured Mail 0 Signature Confirmation j 7 12 3 0 5 0 0 0 1 2 9 5 9 7 6 5 8�j El Insured Mail Restricted Delivery Restricted Delivery (over$500) Ii PS Form 3811,July 2015 PSN 7530-02-000-9053 , , Domestic Return Receipt f�l LE (yF1 AN ) CITY OF SALEM F CONSERVATION COMMISSION June 26, 2017 Van Pham 18 Osborne Hill Drive Salem, MA 01970 Re: Determination of Applicability-18 Osborne Hill Drive Dear Ms. Pham: Enclosed,please find the Determination of Applicability for the above-referenced property. This Determination permits the improvements described in your June 6, 2017 submittal,provided that impervious pavestones are placed with sufficient separation to allow infiltration. The purpose of this condition is to facilitate adequate drainage at this point of the property. Work may commence following the 10-business-day appeal period. This document is effective for three years from its date of issuance. If you have any further questions, please feel free to contact me at 978-619-5685. SiIel y , ,shley Green Conservation Agent Enclosure CC: DEP Northeast Regional Office 1 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: fors 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 Van Pham return key. Name Name 18 Osborne Hill Drive Q Mailing Address Mailing Address Salem MA 01970 City/Town State Zip Code City/rown State Zip Code rtNn 1. Title and Dat r Revised Date if applicable)of Final Plans and Other Documents: Date o ( PP ) Backyard Project Request for Determination - 18 Osborne Hill Drive (6 pgs) 5/29/2017 Title Date Title Date Title Date 2. Date Request Filed: 6/6/2017 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): Patio with pavestones, pation extension with water-permable pavers and step, flowerbed, trees, shrubs compost, backyard lighting, fence, per 6/6/2017 Request for Determination. Project Location: 18 Osborne Hill Drive Salem Street Address Cityrown 90339 36 Assessors Map/Plat Number Parcel/Lot Number w afortn2.doc•Detenninagon of Applicability•rev.12/14 Page 1 of 5 rMassachusetts Department of Environmental Protection ` Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) The following Determination(s)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD)has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling,dredging, or altering of the area requires the filing of a Notice of Intent. ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3.The work described on referenced plan(s)and document(s) is within an area subject to protection under the Act and will remove,fill, dredge, or alter that area.Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s)and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5.The area and/or work described on referenced plan(s)and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpaform2.dm•Determination of Applicability•rev.12/14 Page 2 of 5 Massachusetts Department of Environmental Protection 1 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). Impervious pavestones must be placed with sufficient separation to allow infiltration ❑ 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,dm•Deteoninabon d Applicability•rev.12114 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) P 6. The area and/or work described in the Request is not subject to review and approval by: S�II-CfM Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. *'OOLMS -FrvF,ec�hNcn at-t� Drd"nW(e . so Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on L1LI by certified mail, return receipt requested on 7 (� VW ZD 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 ConservatioC mmission. A copy must be sent to the appropriate DEP Regional Office (see htt ://www.mass. ov/eea/ nci ssde /about/contacts/) and the property owner(if different from the applicant). Signal nn a l�l 23I I�- Date wparorm2.tloc•Determination of Applicability•rev.12114 Page 4 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands ' WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see http://www.mass.gov/eea/agencies/massdep/about/contacts )to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. wpaform2.d=•Deleanination of Applicability•rev.12114 Page 5 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: Request for Departmental Action Fee Transmittal Form Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information 1. Location of Project a.Street Address b.Cityrrown,Zip c.Check number d.Fee amount Important: eWhen filling 2 Person or art making request(If appropriate, name the citizen group s repr : out forms on the computer, Name use only the tab key to Mailing Address move your cursor-do City/rown State Zip Code not use the return key. Phone Number Fax Number(if applicable) VQ� 3. Applicant(as shown on Determination of Applicability(Form 2), Order of Resource Area Delineation (Form 4B), Order of Conditions(Form 5), Restoration Order of Conditions (Form 5A), or Notice of KI Non-Significance(Form 6)): renin Name Mailing Address City/rom State Zip Code Phone Number Fax Number(if applicable) 4. DEP File Number: B. Instructions 1. When the Departmental action request is for(check one): ❑ Superseding Order of Conditions—Fee: $120.00(single family house projects)or$245(all other projects) ❑ Superseding Determination of Applicability— Fee: $120 ❑ Superseding Order of Resource Area Delineation— Fee: $120 Send this form and check or money order, payable to the Commonwealth of Massachusetts, to: Department of Environmental Protection Box 4062 Boston, MA 02211 naform2.doc•Request for Departmental Action Fee Transmittal Form•rev.12/14 Page 1 of 2 Massachusetts Department of Environmental Protection ! Bureau of Resource Protection - Wetlands DEP File Number: Request for Departmental Action Fee Transmittal Form Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Instructions (cont.) 2. On a separate sheet attached to this form, state clearly and concisely the objections to the Determination or Order which is being appealed. To the extent that the Determination or Order is based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. 3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office(see htto://www.mass.gov/eea/agencies/massdeo/abouVcontacts/). 4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. wpaform2.E0c•Request for Departmental Action Fee Transmittal Form•rev.12A4 Page 2 of 2 I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Salem WPA Form 1- Request for Determination of Applicability LEI Cityfrown Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out 1. Applicant: forms on the Van Pham VanMartinPK@gmail.com computer, use Name E-Mail Address only the tab key to move your 18 Osborne Hill Drive cursor-do not Mailing Address use the return Salem MA 01970 key. City/Town State Zip Code Phone umber 6 � Phone Number Fax Number(if applicable) 2. Representative (if any): Firm Martin Kessler VanMartinPK@gmail.com Contact Name E-Mail Address 18 Osborne Hill Drive Mailing Address Salem MA 01970 City/Town State Zip Code (857)212-1508 Phone Number Fax Number(if applicable) B. Determinations 1. I request the Salem Conservation make the following determination(s). Check any that apply: Commision ❑ 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. ® 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: Essex County 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 Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Salem WPA FOrm 1 - Request for Determination of Applicability City/Town Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 18 Osborne Hill Drive Salem Street Address City/Town 90339-0 36 Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): Residential area. See Map on page 2-4 of referenced document c. Plan and/or Map Reference(s): Backyard Project"back_yard_project_180sborneHill_2017_05_29.pdf' 05/29/2017 Title Date Title Date Title Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): Backyard improvement project: 1) Patio with pavestones. 2) Patio extension with water-permeable pavers and step. 3) Flower bed, trees and shrubs 4) Compost 5) Backyard lighting 6) Fence Work Plan is outlined on page 5 of referenced document. Example of water-permeable pavers can be found on page 6 of referenced document. wpaforml doo Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Salem WPA Form 1 - Request for Determination of Applicability City/Town Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description (cont.) b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work (use additional paper, if necessary). 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 8/1/96 ® Single family house on a lot recorded after 8/1/96 ❑ Expansion of an existing structure on a lot recorded after 8/1/96 ❑ Project, other than a single family house or public project, where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 8/7/96 ❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverfront Area for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ❑ District, county, state, or federal government project ❑ Project required to evaluate off-site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if necessary.) wpaforml doe Page 3 of 4 1 LIMassachusetts Department of Environmental Protection ' Bureau of Resource Protection - Wetlands Salem WPA Form 1 - Request for Determination of Applicability CitylTown Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Signatures and Submittal Requirements I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional Office were sent a complete copy of this Request(including all appropriate documentation) simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the property owner: Van Pham Name 18 Osborne Hill Drive Mailing Address Salem City/Town MA 01970 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. 05/29/2017 Signature of Applicant Date 05/29/2017 Signature of Representative(ifAny) Date wpaformt.doc Page 4 of 4 Backyard Project Request for Determination Residential Backyard Improvement Van Pham / Martin Kessler 5/29/2017 18 Osborne Hill Drive 1 _yr. q- i, .Mu"..4>vh" CemeterY.t '+. s ..ry!`p �, ±, aSelem Wrtch Museum ♦ � r n c `Y'r•t �„ ' 9 a •'���� "`. � c x "'�. +” .t�, s��r y -�t .� "`4 f+" as � +�ti� � ..`, lE Y4:an s rfs` ny,�^St �, y t�bai + 't •a' 9pyi�,F ,R r. 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O 1 •t• - 11 J °0 M y ° Cfl , a118 Osborne . 7 ,. � '�/`'�`�:' ;.'(• °fig" �k' O � r Google ' , 5/29/2017 IS Osborne Hill Drive,Salem MA 4 Yard has irrigation: i ' • Project compostDrip irrigation, Water outlet at - �"�,Z�.�j>-� Pe�rea,k���� �_'�e Compost "� Vegetable/ f; _�;, � ti � Shrubs/Evergreen _ ; p � Se�t f•� +r � ♦ �t}�s +� Ima a k�i2017 Goa le.Ma data®2017 Goa le Terms Send feedheck 20 ft� Ima a ®2077 Goo le.Ma data®2017 Goo Ie Terms Send feedback 20 ft 5/29/2017 IS Osborne Hill Drive, Options for water permeable pavers NDS Turftrack grassroots pavers Turfstone u e 7 Porous pavers 5/29/2017 6 City of Salem Department of Planning & Community Development I CHECK RECEIPT AND TRACKING FORM DATE �L `� BOARD_ C L6rn STAFF CLIENT: 1 � 4S w I T Y`Apm lq 0 s I-rV\AYyLe� 1fi�1 PROPERTY ADDRESS: :ONTACT NUMBER: 'URPOSE FOR !!JJ 1PPLICATION: I Z.1 ` I HECK # MOUNT RECEIVED: $_ MARTIN KESSLER VAN PRAM 53-179/113 18 OSBORNE HILL DR. - 119 SALEM,MA 01970 P DATE PAY TO THE ORDRA O��O � a/_c3L.S Agn `` 8 `� ; f +.,4a I $ 260, 00 ` • � ��� �� DOLLARS ®Eastern Mnk mdembank.com._. i MEMO 200.FASiFAN � . �:O i i 30 1798 : 0 40 5 9 9880811' Oi39