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51 OSGOOD STREET - CONSERVATION COMMISSION _RP4 - S/ dsy�zd _ - - - - _ �- -- - - - I CITY OF SALEM CONSERVATION COMMISSION May 16, 2006 Glenn&Carol Maynard 51 Osgood Street Salem, MA 01970 Re: Determination of Applicability-51 Osgood Street, Salem, Massachusetts Dear Mr. & Mrs. Maynard, Enclosed,please find the Determination of Applicability for the above referenced property. The Commission has rendered a Negative 2 Determination,which means that your approved project is in an area subject to protection but will not adversely impact the wetland resource area. To further safeguard the res�urce area, the commission has attached some additional conditions to the determination. If you have any further questions, please feel free to contact me at (978) 745-9595 x 311. Sincerely, ra ao a Planner / arbor Coordinator 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 • TEL: 978.745.9595 FAX: 978.740.0404 • WWW.SALEM.COM UNITED STATES POS Eff,'V2IL_ -Class VIA01:a Per G-10 • Sender: Please print your name, address, and ZIP+4MCs box I I I I SalemConsetvation Commission 120 Washington Street,3rd Fl Salem,MA 01970 S� OS oo I SENDER: • I�I v ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. 11Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? 11 Yes If YES,enter delivery address below: ❑ No 61wi-6srol Nynmd s� o�r�► s� 3. Service Type /6Certified Mail ❑Express Maii '0 Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number i700511820,100001$795 '1902-' (transfer from service/abt PS Form 3511, February 2004 Domestic Return Receipt 102595.02-M-1540 UNITED STATES PO EKW4 SEX-ESS ostage&Fee MA 0181 USP o. • Sender: Please print your name, address, and ZIP+4 in this box i — Salem Conservation Commission 120 Washington Street,3rd R Salem,MA 01970 0 d TC fill If IHIIIIIIIIIIIIIIII IIIII1I111I1I 11111 11 it III If HII 11 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sig at Rem 4 if Restricted Delivery is desired. 0 Agent ■ Print your name and address on the reverse X 0 Addressee so that we can return the Card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Rem 17 13Yes If YES,enter delivery address below: 0 No The Commonwealth of Massachusetts I Department of Environmental Protection I Northeast Regional Office 3. Service Type 205B Lowell Street Certified Mail ❑Express Mall Wihnington,MA 01887 Registered ❑Return Recelpt for Merchandise -- -- - - — _ _ 0Insured Mail 0C.O.D. 4. Restricted Delivery?(gym Fee) 0 Yes 2. Article Number — _ 7— —_ (transferfirmsandaslabeQ Ir X7005' 1820 0000 8814 0985 I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 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 Glenn&Carol Maynard return key. Name Name 51 Osgood Street "Q Mailing Address Mailing Address +' Salem MA 01970 ® Cilylrown State Zip Cade City/rows State Zip Code �. 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents: Plan of Land in Salem MA, Glenn &Carol Maynard June 1997 Tit1e Date Title Date Title Date 2. Date Request Filed: April 13, 2006 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): Installation of a 30'diameter x 52"high(18,500 gallon)above-ground swimming pool and associated fence. Project Location: 51 Osgood Street Salem Street Address Cityrrown MAP 36 LOT 0273 Assessors Map/Plat Number ParoeyLot Number w paform2.doc•rev.11/15100 Pape 1 of 5 s 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 wpaftmiUoc•rev.12MS= Pape 2015 l: 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 no 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 altematives 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 afters an Area subject to protection under the Act. xpefam2.dac•rev.17H 5100 Pepe 3 of 5 / Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on 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 DE R o ffice(see Ap ndix A)and the pr party owner(if different from the applicant). ❑ I n r . / May 11, 2006 Date wpelam2.dce•rev.12116= Fede L 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 Deparbnent 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. wpabm lldoc•m.17115= Pegs 5 of 5 a Attachment to Determination of Applicability Page+ SALEM CONSERVATION COMMISSION Determination of Applicability 51 Osgood Street City of Salem,Massachusetts ADDITIONAL FINDINGS Based on the Estimated Habitats or Rare Wildlife and Certified Vernal Pools Map (June 1, 2003) from Natural Heritage& Endangered Species Program(NHESP)of the Massachusetts Division of Fisheries and Wildlife, it has been determined that this project does not occur near any habitat of state-listed rare wildlife species nor contains any vernal pools. This Order is issued under the Massachusetts Wetlands Protection Act,M.G.L.Chapter 131,Section 40 and the City of Salem Wetlands Protection Ordinance, Salem Code Chapter 34,Section 34-1—34-13. This Order permits the installation of a 30' diameter x 52"high(18,500 gallon)above-ground swimming pool and associated fence with Land Subject to Coastal Storm Flowage and a Buffer Zone to a Coastal Bank. ADDITIONAL CONDITIONS 1. Approval of this application does not constitute compliance with any law or regulation other than M.G.L Chapter 131, Section 40, Wetlands Regulations 310 CMR 10.00 and the City of Salem Wetlands Protection Ordinance, Salem Code Chapter 34, Section 34-1 —34-13. z Only one of the two environmentally sensitive chemical options proposed by the applicant and approved by the Commission can be used to maintain and clean the applicant's pool water. 3. If and when the pool needs to be drained,the applicant shall only drain pool water into a sanitary sewer,and not into catch basins,stormwater drains,or directly into wetland resource area(Collins Cove). 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 Glenn&Carol Maynard return key. Name Name 51 Osgood Street VQ Mailing Address Mailing Address Salem MA 01970 City/Town State Zip Code City/town State Zip Code 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents: Plan of Land in Salem MA, Glenn&Carol Maynard June 1997 Title Date Tit1e Date Title Date 2. Date Request Filed: April 13, 2006 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): Installation of a 30'diameter x 52"high (18,500 gallon)above-ground swimming pool and associated fence. Project Location: 51 Osgood Street Salem Street Address Cityrrown MAP 36 LOT 0273 Assessors Map/Plat Number ParceVLot Number wpm«m2.d«•rev.12/15= Pape 1 of 6 s 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 wperorm240o•w.12115M Pape 2 of 5 r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but no 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 altematives 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. ❑ Altematives 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 Detenninations 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. wpd)wrQ.duc•w.121151W Pepe 30/5 f ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on 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 DE R 'o ffice(see Ap ndix A)and the pr perty,owner(if different from the applicant). ❑ 1 n re . May 11, 2006 Date wpelam2.d=•rev.12/15Pop Pepe 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 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. wpafamIdw•rev.11/15100 Pepe 5 of 5 Attachment to Determination of Applicability Page SALEM CONSERVATION COMMISSION Determination of Applicability 51 Osgood Street City of Salem, Massachusetts ADDITIONAL FINDINGS Based on the Estimated Habitats or Rare Wildlife and Certified Vernal Pools Map (June 1, 2003) from Natural Heritage&Endangered Species Program(NHESP)of the Massachusetts Division of Fisheries and Wildlife, it has been determined that this project does not occur near any habitat of state-listed rare wildlife species nor contains any vernal pools. This Order is issued under the Massachusetts Wetlands Protection Act,M.G.L.Chapter 131,Section 40 and the City of Salem Wetlands Protection Ordinance, Salem Code Chapter 34,Section 34-1 —34-13. This Order permits the installation of a 30' diameter x 52"high(18,500 gallon)above-ground swimming pool and associated fence with Land Subject to Coastal Storm Flowage and a Buffer Zone to a Coastal Bank. ADDITIONAL CONDITIONS 1. Approval of this application does not constitute compliance with any law or regulation other than M.G.L Chapter 131, Section 40,Wetlands Regulations 310 CMR 10.00 and the City of Salem Wetlands Protection Ordinance, Salem Code Chapter 34,Section 34-1 —34-13. 2. Only one of the two environmentally sensitive chemical options proposed by the applicant and approved by the Commission can be used to maintain and clean the applicant's pool water. 3. If and when the pool needs to be drained,the applicant shall only drain pool water into a sanitary sewer,and not into catch basins,stormwater drains,or directly into wetland resource area(Collins Cove). Pool Specs for 51 Osgood Street - using non-chlorine chemical Baguacil - active ingredient Nquanide a non- chlorine ingredient - steel pool - copper bearings - steel wall 20 ml thick liner (best one they sell) - 27" round by 52" hig h holds 18,500 gallons water - installation by Pool USA - shipped from Mass. Mcolister 978) 664- 9500 Material Safety Data Sheet Page I of 6 BSC 22624 BLUE SHIELD B. Q. SHOCK EDP#22624 n Section I -Identification Company Name Emergency Contact North American Marketing Corp. Chemtrec 1-800-424-9300 U.S. (NAMCO) Chemtrec 1-202-483-7616 International Company's Address Non-Emergency Information 100 Sanrico Drive 1-860-649-3666 Manchester, CT 06040 Revised Date 1/01/99 Chemical Name Hydrogen Peroxide Solution Trade Name Blue Shield B.Q. Shock Chemical Family Peroxygen Chemical Formula 27% , Product Composition: 27% Hydrogen Peroxide Component Data Inert: Water 73% Chemical Name Hydrogen Peroxide Cas# 7722-84-1 Percent Range 27% Section II -Hazardous Ingredients Hazardous Components Hazardous % Prod Cas# PEL/TLV Hydrogen Peroxide 27% 7722-84-1 1ppm/ Ippm Section IIA - Toxic Ingredients This product contains the following toxic chemicals subject to the reporting requirements of section 313 of the emergency planning community right-to-know act of 1986 and of 40 CFR 372: Cas# Chemical Name % by wt. De Minimis Level All components of this product that are required to be on the TSCA Inventory are listed above. Material Safety Data Sheet Page 3 of 6 BSC 22624 BLUE SHIELD B. Q. SHOCK Section V-Health Hazard Data First Aid Procedures Emergency First Aid* Inhalation: Remove to fresh air. If individual experiences nausea, headache, dizziness, has difficulty in breathing or is cyanotic, get medical attention immediately. Skin Contact: Wash thoroughly-Remove contaminated clothing- Wash with soap and water. Eye Contact: Flush immediately with water for at least 15 min. Get medical attention." Ingestion: Do not induce vomiting. .Rinse mouth with copious amounts of water or milk first. Irrigate the esophagus and dilute stomach contents by slowly giving one (1) to two(2) glasses of water or milk. Avoid giving alcohol or alcohol related products. Get medical attention immediately. Listed Carcinogen There are reports of limited evidence of carcinogenicity of Hydrogen Peroxide to mice administered high concentrations in their drinking water (IARC Monograph 36, 1985). However, the international agency for research on cancer concluded that Hydrogen Peroxide could not be classified as to it's carcinogenicity to humans (Group III Carcinogen). Threshold Limit Value ND Over Exposure Effects Extremely irritating and corrosive to the eyes and gastrointestinal tract. May cause irreversible tissue damage to the eyes, including blindness. Inhalation of mists or vapors may be severely irritating to the nose,throat and lungs. May cause skin irritation and burns. * Never give anything by mouth town unconscious person* **Do not wear contact lenses when handling chemicals** Material Safety Data Sheet Page 5 of 6 BSC 22624 BLUE SHIELD B. Q. SHOCK Section X-Toxicological Information Acute Effects: Extremely irritating and corrosive to the eyes and gastrointestinal tract. May cause irreversible tissue damage to the eyes, including blindness. Inhalation of mist or vapors may be severely irritating to the nose, throat and lungs. May cause skin irritation and bums. Acute Dermal LD50: (Rabbit)>2000 mg/kg (35%H2O2) (Rat)= 1193 mg/kg (35%H2O2) Acute Inhalation LC50: (Rabbit)>0.17 mg/1 (Rat, 50% H2O2) Irritant Effects: *See ( Section V Health Hazard Data)* Sensitization Effects: See Above Carcinogenic Potential: See Above Other Health Effects: See Above Environmental Toxi- cological Information: H2O2 in the aquatic environment is subject to various reduction or oxidation processes and decomposes into water and oxygen. H2O2 half life in fresh water ranged from 8 Hrs. to 20 Days, in air from 10-20 Hrs., and in soils from minutes to hours depending upon Microbiological activity and metal contaminants. Acute Aquatic LC50's (Channel Catfish) 96 Hr. = 37.4 mg/l (Fathead Minnow) 96 Hr. = 16.4 mg/l (Daphnia Magna) 24 Hr. EC50 = 7.7 mg/l (Daphnia Pule)48Hr. = 2.4 mg/1 (Physa Sp.) 96 Hr. = 17.7 mg/1 Acute Marine LC50's ND Avian Acute Oral LD50's ND Avian Dietary LC50's ND Material Safety Data Sheet Page 6 of 6 BSC.22624 BLUE SHIELD B. Q. SHOCK North American Marketing Corp. 100 Sanrico Drive, Manchester, CT 06040 In accordance with good practices of personal hygiene, handle with due care and avoid any unnecessary contact with this product. This information is being supplied to you under OSHA "Right to Know" Regulation 29CFR 1910, 1200 and is believed to be true and accurate. No warranty or guaranty expressed or implied is made regarding the accuracy of this data or the results obtained from the reliance on this data. The hazard connected with use of the material, or the results to be obtained from the use thereof, is made. NAMCO, Inc. And its suppliers assume no responsibility for damage or injury from the use of the product described herein. The data and information given in this material data sheet are accurate on the day of preparation. It does not indicate any warranty or representation. We disclaim all liability relating to use of material since this is beyond our control. Material Safety Data Sheet Page 4 of BSC 22624 BLUE SHIELD B. Q. SHOCK Section VI -Reactivity Data Chemical Stability Stable(Heat and contamination could cause decomposition). Conditions to Avoid Excessive heat or contamination could cause product to become unstable. Incompatible Materials Dirt, organics, cyanides and combustibles such as wood,paper, oils, etc. Decomposition Products Oxygen that supports combustion. Hazardous Polymerization Will not occur. Polymerization Avoid ND Section VII-Spill or Leak Procedure Waste Disposal Method Follow all Federal, State, and Local Regulations. Section VIII-Special Protection Respiratory Protection If needed use a NIOSH/MSHA approved respirator. Ventilation Use in well ventilated area. Protective Gloves Rubber Gloves. Eye Protection Safety Goggles Other Protective Equipment Protective work clothing should be worn and standard industrial hygiene practices followed. Handling& Storage Containers of this material may be hazardous when emptied. Since emptied containers retain product residues (vapor, liquid and/or solid) all hazard precautions given in this data sheet must be observed. Keep out of reach of children. Section IX-Shipping Information Hazard Class 5.1 Oxidizer DOT Shipping Name Hydrogen Peroxide, agueous solution 27%. Reportable Quantity(R.Q.) Packing Group II UN Number UN 2014 NA Number 4918776 Packaging Size 1 (Gallon) Material Safety Data Sheet Page 2 of 6 BSC 22624 BLUE SHIELD B. Q. SHOCK Section III -Physical Data Boiling Point (F) 107*C /225*17 Freezing Point (F) -26*C /-15* F Volatility/Vol (%) 100% Melting Point ND Vapor Pressure 24mm HG@30*C Vapor Density (Air--I) ND Solubility in H2O 100% Appearance/Odor Clear Colorless Liquid, Odorless. Specific Gravity(H2O=1) 1.11@20*C/4*F Evaporation Rate Above 1 pH Approx. 5.0--6.0 (1% Solution) Flash Point Non Combustible Section IV - Fire and Explosion Hazard Data Flash Point NA Lower Flame Limit NA Higher Flame Limit NA Extinguish Media Carbon Dioxide and Dry Chemical may be used. For Fire Preferably water or water fog. Unusual Fire Hazard Product is non combustible. On decomposition H2O2 releases oxygen which may intensify fire. Parcel Map & Aerial Photo „ 'Y• jj)yv} y jigY K h '•� .bi 'J k.wry.} � k p�� • w� � 5 ! v +^T i h - k `'.S•.e � f � E �K •Ila a .•..do-. � g ��` 7*:, � r n a ar• Parcel ID 36 0273 0 Address 51 - OSGOOD STREET 1 Map for Reference Only NOT A LEGAL BecaPs CAfd gerent update schedules, current property assessments may not reflect recent changes to property boundaries. Check with the Board of Assessors to confirm boundaries used at time of assessment. iF CITY OF SALEM CONSERVATION COMMISSION City of Salem Conservation Commission Will hold a public hearing for a Request for 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 Glenn&Carol Maynard,51 Osgood Street,Salem MA. The purpose of the hearing is for a determination of work involving the installation of an above ground pool within a Buffer Zone to a Coastal Bank and Land Subject to Coastal Storm Flowage at 51 Osgood Street. This hearing will be held on Thursday,April 27,2006 at 6:00 pm in City Hall Annex, Room 313, 120 Washington Street. Kevin P. Comacchio Chairman Please print legal ad on: April 20, 2006 Please send bill to: Glenn & Carol Maynard 51 Osgood Street Salem, Ma 01970 (978) 744-5719 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 TEL: 978.745.9595 FAX: 978.740.0404 0 WWW.SALEM.COM Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands c � ( r' WPA Form 1- Request for Determination of Applicability om L11 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important When filling out 1. Applicant.' fors on the ,. (v r�/ma✓n [� apG computer,use N-wfia E-Mail only the tab key to move your 4-z 6 cursor-do not Ma" -Address use the reh 6 key. Cityrrown state Zip Code 6W Cell � Phone Numbef q iii Fax Number(if applicable) -�°j-floss 2. Representative(if any): Firm Contact Name E-Mail Address Mailing Address Cityrrown state Zip Code Phone Number Fax Number(if applicable) B. Determinations 1. I request the 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 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 pian(s)referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: Name of Municipality ❑ e.whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). wpermatAM-rev.Q MM4. Page i or4 Massachusetts Department of Environmental Protection �^ Bureau of Resource Protection - Wetlands cJr�eoq— WPA Form 1- Request for Determination of Applicability 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): StreetAddress Cityrrown f /tel Dr3 zJ Ooh X Assessors Map/Plat Number ParceYW Number b. Area Description(use additional paper, if necessary): ,oran�r+ / �oCQ,�� cam//.+s C o✓e �t�� / . c. Plan and/or Map R nce(s): Tile Date/ title Date Title Date 2. a. Work Description(use additional paper and/or provide plan(s)of workrf necessary): 7© arl cr�i�✓e 4�„rr� DOa - reni94/�9 / /JfO 4/39drl� /a,5 / a ✓ .O/P�o,ei�o ,PPQ nXo oof� g � �. 776 lln,svie // wpgftmml.doc.rwv o7n4,04. PaP204 _r Massachusetts Department of Environmental Protection Sze. Bureau of Resource Protection - Wetlands cdyRmn WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description (cont.) 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). 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 811/96 ❑ 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 Cl Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverrront 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.) xpafa l.dw-m.07114761. Pegg 3of4 Massachusetts Deparbment of Environmental Protection I Bureau of Resource Protection - Wetlands _ WPA Form 1- Request for Determination of Applicability Cdyrrown Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Signatures and Submittal Requirements I hereby certify under the penalties of pe jury 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 Attachment)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. POO 6/ Mailing Ad:M/.,,m Cityrrown State Zip Code Signatures: I also understand thnotification of this Request will be placed in a local newspaper at my expense in accordance on 05(3)(b)(1)of the Wetlands Protection Act regulations. .u-•c ��Oi3 a� Sig of Appli Data Signature of Representative(if any) Date wpafmmi.dw•rev.MINN. kqo o a a -� 07eV- 9 N L�1 0 �YFo a, THIS PLOT PLAN SHOWS THE AREA KNOWN AS THE PLATS. THE TOTAL AREA SHOWN ON CITY OF SALEM ASSESSORS MAP 36 LOT 273 is ` �N 11500 square feet of land more or le. S.. THI . U • U ! o � , /zoo ' OJGaUD �ST� S .srEREBY CE.PT/Fy TO Tye T/TLE/.✓SU•PO,C ANO PG O T 1U TNS"6AN.t'TNAT TWE 0/✓EL4/WG /S IOCATEO ON TiyEGOT AS SMRI"y ANO THAT?OAFS LO.f/FAPM /N IY/7"y TNEC�r� pF.SAcEM ZO.V/NG .e-,wi1z,4r wS /7 ,fL�"bIRO/.W^ JETdCICKS iXOM STRECTS LOT UNES. 'r f!/.cryC.r LE.CT/FY TNA Ty/J 0A^CZZ1WW /SNOT / LOGITEG /i(/ TWE FELL R.I ONO AZA.fO A.PEA. O.�AI✓/V FO.P ♦fin. N l:�+ a`5-6 G �EYS� ,F L Afs'c nn CIS 7,'Y/S PCAN FO,P - ; PoSES- NOT Fp.P BO�!/NO.PY LL�TE.e ,�+ij40U.VOA.PY/.(/FORA/- �I�E.P,P/MACt' E.VJWEE.P/l/6 9E.PI�/CES AT/ON TA.l�E.(/ F,MM /ST/,�/G .PE2^aPOS. Lle PA�P.f' ST.�L�ET + "BSzsq ,LVOOYE� if4,-<XACX?YSETTS O/B/O City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete corm and make two copies. Date Received Ob Amount Received US. 00 Form of Payment Check E:] Cash CHECK PAYMENTS: write chedc number 302 CASH PAYMENTS: write Client Initials QSign Permit Application Fee r-r-10 i x i Conservation Commission Fee Payment received for 0 what service? Planning Board Fee Q Old Town Hall Rental Fee a Orbe Name of staff person f-- receiving payment �aK j aor'r n 1Nd Additional Notes d Ilett✓i. ✓tiiayliard 05-98 s3-179/1; 3027 Cal-01 1. �Maynaid 4014 - 51 Os S eet Ph. 978-7 5719 pA O Sale , a 01 70 pq 06 IUD x LABS M..s 316 4 Easte k : sur:M, as FBCO•PA Le - MEMO` " 1:0 1 130 i,7A81: 40 1489 30 76o - Original Cheri[and Form: DPCD Finance Copy 1: alent Copy 2: Application File City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete Porn►and make two copies. Date Received Amount Received $ 5 00 Form of Payment Check Cash CHECK PAYMENTS: write chedc number 30 T CASH PAYMENTS: write dient initials 0 Sign Permit Appiicauon Fee Conservation Commission Fee Payment received for what service? panning Board Fee Q Old Town Hail Rental Fee 0 Other Name of staff person r receiving payment � aK k )aorwi 1Nd Additional Notes j ( Os o0d S�G filen 4. lRaMflard 0598 53-179/11 3027 earol A. 'blapllard 40148 ' 51 Os S ed pH- 978-7 5719 on Sale , O7 70 PA $ __,,5.o6 -�LARS LJa,n } 316 Eisterk MEMO' i:0'Li30i7981: 40 1489307 ' 30 Original Check and Form: DPCD Finance Copy is Client Copy 2:Application File