64-171 - 26 READ STREET - CONSERVATION COMMISSION 2!o Read �htet- �bU - i71�
z
Oetech on dotted line and Submit to the prior to commencement of%rock.
TO Salem Conservation Commission Issuing Authority
alesse be advised that me Order of Conditions for the protect at Champlain Rd., Lot B. Salem, MA
File Number 64-171 has been recorded at me Registry of Deeds. Essex South '' and
has been noted In me chain Of the of me affected property In accordance with General Condition 8 on O!!�///J�A 2j . 19A
7 _
If recorded land. the instrument number which identifies this transaction is !f
If registered land, the document number which identifies this transaction is
(ByHistoo/rn� I,
Signatur L�L ��y« Applicant
/fes John R. Serafini, SR. 5.48
Oetach on dotted fine and submit to the SALEM CONSERVATTON (70MMTSSTl1N prim to commencement of work.
To Issuing Authority
Please be advised that the Order Of Conditions for the project at
File Number has been recorded at the Registry of and
has been noted in the Chain of title of the effected property in accordance with General Condition B on . 19
ifrecorded land. the instrument number which identifies this transaction is
If registered land. the document number which identifies this transaction,is
Signature Applicant
5.4A
r
Form 5 OEGE File No. 64-171
(To be oroviaec by OEOE)
Commonwealth CItWTown
SALEM
of Massachusetts A00iCwrJohn Buonfiglio
Order of Conditions
Massachusetts Wetlands Protection Act
G.L. c. 131, §40
From SALEM CONSERVATION COMMISSION
To JOHN BUONFIGLTO Tnum s L19i A s,aa I6PE
(Name of Applicant) (Name of property ownerl
Address 214 Lafayette Street, Salem Address 26 Read Street, Salem
This Order is issued and delivered as follows:
❑ by hand delivery to applicant or representative on (date)
(N by certified mad.return receipt requested on October 19. 1988 (date)
This project is located at Champlain Road, Lot B, Salem, MA
The property is recorded at the Registry of Essex South
3800 349
Book Page
Certificate(it registered) N/A
The Notice of Intent for this project was filed on July 25, 1988 (date)
October 13, 1988;
The public hearing was closed on (date)
Findings
Commission
The has reviewed the above-referenced Notice of
Intent and plans and has held a public hearing on the project. Based on the information available to the
Commicc;nn at this time. the Commission has determined that
the area on which the proposed work is to be done is significant to the following interests in accordance with
the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the
Act(check as appropriate):
❑ Public water supply ❑ Flood control ❑ Land containing shellfish
❑ Private water supply ❑ Storm damage prevention ❑ Fisheries
❑ Groundwater supply ® Prevention of pollution ❑ Protection of wildlife habitat
5.1
Effective 11/1/87
Therefore. the Commission hereby finds that the following conditions are
necessary, in accordance with the Performance Standards set forth in the regulations, to protect those inter-
ests checked above. The Commission orders that all work shall be performed
in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the fol-
lowing conditions modify or differ from the plans, specifications or other proposals submitted with the Notice
of Intent, the conditions shall control.
General Conditions
1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory meas-
ures,shall be deemed cause to revoke or modify this Order.
2. This Order does not grant any property rights or any exclusive privileges:it does not authorize any injury
to private property or invasion of private rights.
3. This Order does not relieve the permittee or any other person of the necessity of complying with all
other applicable federal. state or local statutes,ordinances,by-laws or regulations.
a. The work authorized hereunder shall be completed within three years from the date of this Order unless
either of the following apply:
(a) the work is a maintenance dredging project as provided for in the Act:or
(b) the time for completion has been extended to a specified date more than three years. but less than
five years.from the date of issuance and both that date and the special circumstances warranting
the extended time period are set forth in this Order.
5. This Order may be extended by the issuing authority for one or more penods of up to three years each
upon application to the issuing authority at least 30 days prior to the expiration date of the Order.
6. Any fill used in connection with this project shall be clean fill,containing no trash, refuse, rubbish or de-
bris, including but not limited to lumber, bricks. plaster. wire, lath, paper, cardboard, pipe, tires. ashes.
refrigerators, motor vehicles or parts of any of the foregoing.
7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or. it
such an appeal has been filed. until all proceedings before the Department have been completed.
8. No wont shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land
Court for the district in which the land is located, within the chain of title of the affected property. In the
case of recorded land. the Final Order shall also be noted in the Registry's Grantor Index under the name
of the owner of the land upon which the proposed work is to be done. In the case of registered land, the
Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which
the proposed work is to be done. The recording information shall be submitted to the CQmm+ss+o
on the forth at the end of this Order prior to commencement of the work.
9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size
bearing the words. "Massachusetts Department of Environmental Quality Engineering,
Fite Number 64-171
10. Where the Department of Environmental Quality Engineering is requested to make a determination and
to issue a Superseding Order, the Conservation Commission shall be a parry to all agency proceedings
and hearings before the Department.
1 1. Upon completion of the work described herein, the applicant shall forthwith request in writing that a
Certificate of Compliance be issued stating that the work has been satisfactorily completed.
12. The work shall conform to the following plans and special conditions:
5.2
Plans:
Title Dated Signed and Stampea by: On File with:
"Preliminary Subdivision Plan" revised through 1/7/88 Salem Con Comm & Planning Bd.
T&M Engineering Associates
LEC Env. Renort 4/9/87 Panl T.alitn PraciAant Salam Cnncarvatinn Commissior
Special Conditions(Use additionai paper It necessary)
1. Work shall conform to above referenced plan.
2. Work shall conform to LEC Envornmental Report.
3. Any changes in the plans shall require the applicant to file a new Notice of Intent,
to inquire of the Commission in writing as to whether the changes are substantial
enough to require a new filing.
4. Prior to construction, an erosion and sedimentation control barrier shall be installe
downgradient of construction to prevent siltation in bordering vegetated wetlands and
shall remain in place until the area has -been stabilized by vegetation.
5. Conservation Commission members and/or their designated agent reserve the right to
enter and inspect the site during construction.
6. The concrete slab on the site shall be removed and taken off site.
7. The retaining wall shall be constructed of masonry units or dry stone.
S. As—built plans stamped by a Registered Professional Engineer, shall be submitted to
the Commission prior to the issuance of a Certificate of Compliance.
........................................................................ .
.. ...........................................................................
(leave Soace 8I9ek1
5.3A
Plans:
Title Dated Signed and Stamped by: On File with:
Special Conditions(use additional caper it necessary)
........... ........... ............... ........ ..... ...... ................................... ....... .........
(Leave Space 8IWki
5.38
Issued By SALEM Conservation Commission
Signature) I
(� i
Rfb Ordermi t be signed by a majority of the Conservation Commission.
On th 18th day of OCTOBER 19 RA before me
personally appeared
Me above named . to me known to be the
person described in and who executed the foregoing instrument and acknowledged that he/she executed
the same as his/her tree act and deed.
Notary Public My commission expires
The applieant.the owner.aM person eqW m d by this Order.shy owner at Who Abtltwq die tend Loon wMeh ate proposed was is to
be doe or arty ten residents at the city or town in wfWo such twit is bead are hereby loan at Nor rqm to request the 000womm
of Environments OtWlty Eng"ese to Moue a SLoereedm Order.plavedh OW re0uest a made by Cerwed mad or hand deanery to
the oeovwent with"ter of"from me date at leswnee of this Order.A Coot'Of Ne request Sri"at me same Eine be earn by Cliff 0 d
mad or hand dethery to the Conaervatwn Canmealon and dta atlta1Ca11L
Oeach on dotted line and submit to the SALEM CONSERVATTON (7.QMMTGSTQM _prim to Commencement of wort.
..
To Issuing Authanty
Phesse to advised mat the Order of Conditions for the arciect a
File Number has been recorded at me Registry of and
has been noted in the chain of abs of the ah acted orooerrym accordance with General Condition a on . 19—
if
9—II recorded land. the instrument number which identifies m0 transaction is
{{{EEE II registered IWO. the document numoer which identities this transaction is
Applicant
Signature
5.4A
Issued by the Department of Environmental Quality Engineering.
Signature
On this day of 19 , before me
personally appeared to me known to be the person
descnbed in and who executed the foregoing Instrument and acknowledged that he/she executed the same
as his/her tree act and deed.
Notary Public My commission expires
The apoucant.me owner.any person s9WMYeo by this SUbrawag Order.any owner of Ore abutting me lana upon which me bra
paw work Is to be Done or airy on persons ourauant to G.L c.30A.§1 DA.am nareby,nodlw of mer right to request an aakwlcaory
hearing pursuant to GLL 30A.110.Wording the request Is made by cm of mall or hatW delivery to me Oepwnent within ted days
from the bad of aeurbe of tle Slberkeoag Order.and d aa"ssw to: 0odcet Clerk.Offke of Gahan damsel.0soanmwtof
Envirahnenm OuWty Eegnersg.One Winter Sbwt.Baton.MA 02109.A copy of the requew shall at m•erne lune oetent try
cars sad mai ar hared do""no me consentsom convanow.me eooucark.and any other city.
A Ngtlbe of Claim north AdKW"Wfy Nersg shoo COMM with me OePWMn ra Rules for AdluWatory,Procewmgs.310 CMR
1.01 nal,and shea condor ole lolbwmg mfondsoon:
nal the DEOE Wetlands File Number.name of the acpkrant and address of the oroedt
Ibl me comluate nrre.address and telearbna.number of me parry tiling me request,and.if recresenfed by counsel.the name and
address of Me anomay:
Ick the names and adareweofasother Parties.iknown:
Idl a clear and donde etmrnrm at(I l the facts which We grounds for the 0=800",121 the oblwbord to this Sucersedag Order.
including spa WI My tle memler m whull ala allegedb be mbonsetwt w In Me Deammanrs Wenrbs Regulabons 1310 CMR
10.001 and dose not conmbute to me protection at the interests IPwafied m the Act,and 131 the relief sought through the aaph
diestory hearing,Including apecltially the changes Pealed in the Superseorlg Orden
lel a statement mat a copy of the request nas been sent to me applicant.me conservation commission we own other Parry or foo-
resentatme of such perry.it known.
Failure Ic submit all necessary mfohnanon may result In a dismissal by me Deonrtmenl of me Nonce at Claim tar an AdIudicalory Hearing.
Detach on dotted Ilene and submit to the prior to commencement of wore.
To ISSuing Authority
Please be advlsd that the Order at Conditions for the project at
File Number has been recorded at the Registry of _.._ and
half been noted In me chain of title of the affected ofoperry In accordance with General Condition 9 on . 19_
If recorded land, the Instrument number which identifies this transaction Is
It registered land. the document number which Identifies this transaction Is
Signature APPIICarg
5.48
x y
L e I i t o E n v i r o n m e n t a I C o n s u I t a n i s
Wildlife Biologists
r Wetland Scientists
r Complete Environmental Permitting Process
April 3 , 1987
James H. MacDowell
T & M Engineering Associates , Inc .
83 Pine Street
Peabody , MA 01960
Re: Salem Subdivision for John Buonfiglio
Dear Jim;
In response to your request LEC located the the resource
areas off Champlain Road on March 24, 1987 with consecutive
flags numbered one through nine. The following is a brief
explanation of our observations and determinations made on
Lot B Champlain Road.
The topography of Lot B is dominated. by a low flat area with
a moderate slope up to Champlain Road. This low flat area is
marshland dominated by a pure stand of narrow- leaved cattail
(Typha angustifolia) with some areas of purple loostrife
(Lythrum salicaria). This Bordering Vegetated Wetland
borders on a small brook which passes through Lot B flowing
in a southerly direction. Other wetland species found on the
periphery of the wetland were as follows: boxwood (Acer
negundo), smartweed (Polygonium sp.) european bruckthorn (Rhamnus
carthartica), elderberry (Sambucus canadensis) and wild geranium
1 North Shore South Shore
83 Pine Street 31 Tataket Square
Peabody. MA 01960 East Falmouth. MA 02536
(617)535.7861 (617)540.9514
1
L e I I t o E n v i r o n m e n t a I C o n s u I t a n t s
(Geranium sp. ) Plants found on the slope were norway maple (Acer
pllatanoides), multiflora rose ( Rosa multiflora ), common mugwort
(Artemesia vulaaris ) , black cherry (Prunus serrotina ), apple
( Malus sp . ) , staghorn sumac ( Rhus ty2hinia ) , bittersweet
(Celastrus scandens) and goldenrod (Solids o sp.) .
Our site determinations were performed using the definitions
and criteria provided in the Regulations promulgated under
Massachusetts General Law Chapter 131, section 40, the
Wetlands Protection Act at 310 CMR 10.00. The wetlands
resource area boundaries were made consistant with the
requirements under Part III of the Regulations at 310 CMR
10 . 55 .
If you have any questions on this matter please do not
hesitate to contact me.
Sincerely ,
Paul R . Lelito
President
PRL/mto
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345�E
ROAD CLASSIFICATION
I MILE ls�
Primary highway. Light duty road.hard or
5000 6000 7000 FEET hard surface.._. improved surface
Secondary highway.
I KILOMETER
hard surface Unimproved road
_ET ------/-I- Interstate Route U. S. Route -)State Route
OF 1929
15 MEAN LOW WATER
Is VARIABLE
IJ MEAN HIGH WATER
— Ih°I �P�2L7/V!/I,eILG Q�i �'JIZIlC/�K�jCL2�%�/21�G �:G%Ci V/2C7.LIZP�PL[!/7.Q: ,
S. RUSSELL SeYA
CammissOR E C E 1 V E
935-2160 cC c� AUG 31 1988 ATE:
Ta7N:
SALEM PLANING DEPT. SIGNED FILE N0:
The Divisim of Wetlandis in receipt of an application filed under M L.
Chapter 131, Section 40, the application is in the name of:
APPLICANT: ! O'W'NER OF LAND:
PROTECT LOCATION: fuA) IOT:
PROTECT REVI&'7
( ") The application is incomplete. No file number will be assigned until material
checked below is submitted to this Office:
( lel-) Notice of Intent�l/�YIC°IY>zjn�� ��( 1.C2�1ZrX1 ( Plans y
( ) Project requires the filing of a /a
Form 3 (Notice of Intent) rather than
Form 4 (Abbreviated Notice of Intent) ( ✓) Incus
WATEPWAYS REVIEW
( ) Project may require a Chapter 91 License-Project has been referred to
Waterways.
( ) Preliminary review indicates that the project does not require a Chapter 91
License. However, should further review indicate that the project may require
a Chapter 91 License, the DtpaLLltlent oesecves the right to refer the project
to Waterways at that time.
ISSUANCE OF A FILE NUMBER INDICATES ONLY COMPLETENESS OF FILING- SUBMITTED, NOT
APPROVAL OF THE APPLICATION.
Very trul you ,
Sabin M. Lord, Jr. ,
Deputy Regional Environmental Engineer
Icc: Conservation Commission,
1 �
QAALR'Y"ENOINEERINC
510 CMR: DEPARTMENTOF FNVI
10.99: continued
12' is the wetland resource area to be altered by the.. Mock located an the most recent
Estimated Hahilat Map((any)of a al eyed blisted"vertebrate and lnvcrtebrate animal species
occucrences provided to the conservation commission by the Natural Heritage and Endangered
Species Program?
- NO Date printed on the Estimated Habitat Map Issued
YES 1 1 Qf any).
NO MAP AVAILABLE - 1 with
Q. ire.,-�. C�otJ$• C'•�m Y`^ ' .
j(yes, have you completed an Appendix A and a Notice at Intent and filed them alongby
supporting documentation with o at Natthe ural program
shall ave recetage and ived Appendix A Pdo ered species a the
• certified mail or hand defivery,
filing of this.Notice of Intent?
YES I 1 NO L 1
C%ON Cu4
°= Conservatim Comr issim
Salem. Massachusetts 01970
4
ey nen ssnC`'�
CITY OF SALEM
CONSERVATION COMMISSION
Will hold a continued public hearing under the Wetlands Protection Act ,
Mass G.L. Chapter 131 , Section 40, at the request of John Buonfiglio. The
proposal involves the construction of one (1) single family home on
Champlain Road, located in the Buffer Zone. This hearing will be held on
Thursday, September 22, 1988, at 7:30 p.m. , One Salem Green, second floor
conference room.
Philip D. Moran
Chairman
J2346
1'hie u.clue ; ue :. r iiri_1 hull.,tin Board 's
City Hall A-ie . , YE--F . nn SeP%' 4-:7 /sJy
at 13;2,f Y
-P, ) in accoi-ance with Chap. 626.
of the Acts of 1958.
IN U"..I/l
�i
1z COI1SeP m im comm ssim
'I� Salem. Massachusetts 01970
CITY OF SALEM
CONSERVATION COMMISSION
Will hold a public hearing under the Wetlands Protection
Act , Mass G . L . Chapter 131 , Section 40 , at the request of
John Buonfiglio . The proposal involves the construction of
one ( 1 ) single family home on Champlain Road , located in the
Buffer Zone . This hearing will be held on Thursday ,
September 8 , 1988 , at 7 : 30 p . m . , One Salem Green , second
floor conference room . ._
Philip b . Moran
Chairman
September 1 , 1988
w
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� � " 1i�iczr�i�z�az�o��ztuiv�znzv�zlczLa.C.�ralt��� �ir�.�irP�iuiz�
%' �ll��itl�aaz JJallcuz = _.�q/reczaG !/l4lz
VEU
S. RUSSELL S) LVA � or�znurzctn�z�l� lete�2ue O�'� E I
Cummissiaurr ��(2 ,UU2 �����
SEP .1 ' 19..R8
935-2160 IYaTE: J/L/6�
TOWN: 1] .YItIY `uBm
ASSIGNED FILE NO: Cq- i7
The Division of Wetlands is in receipt of an application filed under M.G.L.
Chapter 131, Section 40, the application is in the name of:
l% /�
APPLICANT: �0�+�� :Ji!�.;n �---jl, > 0TANER OF IANC:
lc;
PROJECT LCCt TI0I7:
PROJECT REVIB
( ) The application is incomplete. No file m,unber will be assigned until material
checked below is submitted to this Office:
( ) Notice of Intent \
( ) Plans
( ) Project requires the filing of a
Form 3 (Notice of Intent) rather than
Form 4 (Abbreviated Notice of Intent) ( ) Locus
WATERWAYS REVIEW
( ) Project may require a Chapter 91 License-Project has been referred to
Waterways.
( rf Preliminary review indicates that the project does not require a Chapter 91
License. However, should further review indicate that the project may require
a Chapter 91 License, the Department reserves the right to refer the project
to Waterways at that time.
ISSUANCE OF A FILE NUMBER INDICATES ONLY COMPLETENESS OF FILING SUBMITTED, Ndf
APPROVAL, OF THE APPLICATION.
- verytrul you ,
Sabin M. Lord, Jr. ,
Deputy Regional Environmental Engineer
cc: Conservation Commission,
J
L
• ' SIO CMR: DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERINC. ' .. •zt•.•,,�
io.ss: continued
Form 3 ot_oE"a No.
Commonwealth ^ ~' "'tea L (To bewroidedbyo�EOE)
of Massachusetts t cityiro Salem
• _ Aocacv,t John Bunnfi Q1 i o
Notice of Intent
Under the
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
and
Application for a Department of the Army Permit
Part 1:General Information
�. Location:Street Address Champlain Road, Salem, MA
Lot Number--L—L—
.2.
umber B.2. ProfectTypeResidential Description Construction of dwelling,
roadway driveway utilities, retaining wall and regrading.
3. Registry:county Essex Current Book 3800 &Page 349
Certificate(if Registered land)
4 Applicant John Buonfiglio TeL7�Jr+ 09y�
Address 214 Lafayette Street Salem, MA 01970
S. PropertyO,nner John & Lucia Belfiore Tel 745-1098,
Address 26• Read Street, Salem, MA 01970
6. Representative Atty. John t Serafini Tel 744-0212
Address 63 Federal Street, Salem, MA 01970
T. Have the Conservation Commission and the DEOE Regional Office each been sent,by certified mail or
hand delivery,2 copies of completed Notice of Intent,with supporting plans and documents?
Yes )a No ❑
3-t
y
•5 f
,n/•Alt)
r'' :"• •"`r1):-'' ` "110 CMR: 'DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING _
.10.99: continued
0.. Have att obtainable permits,variances and approvals required by local by-law been obtained?
Yes ❑ No
Obtained:''- Applied For. Not Applied For..,
Variance Wetland Special Permit 4ibdivisinn Approval
Building Permit
g, Is any portion of the site subject to a Wetlands Restriction Order pursuant to G.L c. 131,§40A or G.L
C. 130,§105? Yes ❑ No ❑
10.List an plans and supporting documents submitted with this Notice of Intent .
Identifying
Number/Letter Title,Date
A Site Plan. Revised Through 1-7-88
B LEC Report, April 3 , 1987
11.Check those resource areas within which work is proposed:
(a)$1 Buffer Zone "
(b)Inland: • .
❑ Bank' Land Subject to Flooding.
❑ Bordering Vegetated Weiland- ❑ Bordering
❑ land Under Water Body&Waterway' ❑ Isolated
(c)Coastal:
❑ .land Under the Ocean' ❑ Designated Port Area*
❑ Coastal Beach• ❑ Coastal Dune .
❑ Barrier Beach ❑ Coastal dank
,. ❑ Rocky Intertidal Shore- ❑ Salt Marsh'
❑ Land Under Salt Pond• ❑ land Containing Shellfish
.. ❑ :FshRun• •.:.�.
•Likely to involve U.S.Aimy Corps of Engfneers eoacun ent ftaisdwtton.See General instructions for
Completing Notice of Intent.
3-2
` 910CMR: DEPARTMENTOPENV[RONMENTALQUALCfY'ENGZNF.EIUNG
10.99: continued
oposed work located n the most recent
12' is the wetland resource area tobealtered b isthed"verteb to and love bo to animal species
Estif
mated Habitat Map( y)o( ea
occurrences provided to the conservation commission by the Natural Heritage and Endangered
Species Program?
YES [ J NO [ [ Date printed on the Estimated Habitat Map issued
NO MAP AVAILA13LE [ 1 (it any).
long
nd a Notice of intent and riled
s yes. tinghave
yo� completed an Appendix A documentation with the Natural aHeritage and Endangered Spec es Program y
supporting Appendix A prior to the
'
certified mail or hand delivery,so that the Program shall have received
filing of thi&Nouce of intent?
YES [' 1 NO [ 1
3.3
.. . im rmvz —2n0.19 .
310 CMR: DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING
to.99: continued
• Part It:Site Description
Indicate which of the following information has been provided (on a pian.In narrative description orcalcula.
lions)to dearly.completely and accurately describe existing site conditions.
Identifying
NumbedLetter
(of pian.narrative . .
.of calculations) _
Natural Features• - -
Soils
B Vegetation
A Topography
Open water bodes(including ponds and takes)
• Flowing water bodies(including streams and rivers)
Public and private surface viater and ground water supplies on or within 100 feet of site
Maximum annual ground water elevations with dates and location of test
A Boundaries of resource areas checked under Part I.item 11 above
Other
A Man-made Features:
Structures(such as buildings,piers,towers and headwalls) - -
Drainage and flood control facilities at the site and immediately off the site,including ' -
culverts and open channels (with inverts),dams and dikes
Subsurface sewage disposal systems
A Underground utilities
A Roadways and parking areas
A Property boundaries,easements and rights-of-way
Other
Part III:Work Description -
• Indicate which of the following information has been provided(on a plan.In narrative descrfp8on or calcula.
lions)to dearly completely and accurately describe work proposed within each cf the resource areas
• checked in Part 1,item 11 above.
Identifying -
Number/Letter
(of plan,narrative
or calculations)
Planview and Cross Section of: "
A Structures(such as buildings.piers•towers and headwalls)
Drainage and ftood control facilities,including culverts and open channels(with Inverts)•
dams and dikes
A Subsurface sewage disposal systems&underground utilities
A
Filling.dredging and excavating.Indicating volume add composition of material
Compensatory storage areas•where required(rt eddordance with Part fit,Section 10:57
(4)of the regulations
1Ntidlife habitat restoration or replication areas
Other
Point Source Discharge � _
Description of characteristics of discharge from polr(66urce(both dosed and open
channel),when point of discharge falls with8l resovlde area checked tinder Part).Item
11 above.as supported by standard engineerhg catculatkxu,data and plans,Including : z.
but not firnited to the following:. cr.
y.. 3.4
310 CMR—280.20 c
f -- 10/10/87 (Effective 11/1/87) �•
710 CMR: DEPARIMENTOFII-MRONMENTALQUAUTYENGINMUNG
10.99: continued -
1. Delineation of the drainage areacontnbu0ng.to the pointof discharge;
2. Pre-and post-development peak runoff from the drainage area,at the paint of discharge,for at least the
• 10-year and 100-year frequency storm;
3. Pre-and past-development rate ofinfntrationcontributingtotheresourceareacheckedunderPartl,item
11 above;
• 4. Estlmatedwater quality charactetisticsofpre-and post-development run-off at the point ofdischarge.
r Part IV:Mitigating Measures
1. Clearly,completely and accurately describe,with reference to supporltng plans and calculations where
necessary:
(a) All measures and designs proposed to meet the performance standards set forth under each re-
source area sdecifled In Part It or Part ill of the regulations:or
(b) why the presumptions set forth under each resource area specified In Part It or Part Ill of the regula-
tions do not apply.
❑ Co tar R4s aMea Typo: Wendly vnwntw rletter
❑ wand ( Not Applicable of support cl M is
• ❑ C=W Resource Mea Type: idenlayingn bererletter
❑ wand Not Applicable of supporldacwn<nU
3.5
• .. __.__.__ ,_..._.._"_ ....m.a 'Stn .MR _2fln_21 "
TAL QUALITY ENGINEERING
SIO CMA: DEPAATMENTOF ENVIAOPIMEN4' ..
10.99: continued
. tdantifykngwroeraknar .
❑ Coastal FNsaace Are*TYpe: of auppo,tdoaanenta
❑ lNsd Not A
2. Clearly.completely and accurately describe,with reference to supporting pians and calculations where
necessary: ',
(a) an measures and designs to regulate work within the Buffer Zone so as to ensure that said work
does not alter an area specified in Part 1.Section 10.02(1)(a)of these regulations;or
easures and designs proposed
(b) It work Inperformance standards established for the adjacent uffer Zone will alter such an area.all rresource a ea specitiedin Part Ili fineetthe
Part III of these regulations.
C3Coastal Reaaxce Area Type Bordeted Gy tee-Foot Maedonary Zane: •ldpfaupbartdoa,ortetttar
)W".A Borderinq Ve etated Wetla
Erosion control will be practiced at the A
boundary of the resource area until work
is complete and permanent vegetative cover
is established.
310 CMR: DEPARTMENT OF ENViRONMENTAL QUALITY ENCINEERINC .
to.gg: continued
Part v:Additional Information for a Department of the Army Permit
1. COE Application No. 2
(to be provided by COE) . (Name of waterway)
3. Names and addresses of property owners adjoining your property:
4. Document other project alternatives U.e..other locations and(Of construction methods.particularly those
that would eliminate the discharge of dredged or fill material into waters orwatlands). '
5.- 8%"x i t'drawings in ptanvlew and cross-section,showing the resource area and the proposed activ-
ity withill the resource area.Drawings must be to scale and should be clear enough for photocdpying.
Certification is.requiredlrom the Division.of.WaterP.ollution.Control before the.Federal permit can be
Issued.Certification may be obtained by contacting the 0[vision of Water Pollution Control,t Winter Street,
Boston,Massachusetts 02108.
Where the activity will take place within the area under the Massachusetts approved Coastal Zone.
Management Program the applicant cerUffes that his Proposed activity complies with and will be conducted
In a manner that Is consistent with the approved program.•
Information provided will be used In evaluating the application for a permit and Is made a matterof public
record through Issuance of a public notice.Disclosure of this information is voluntary,however,if necessary
Information Is not provided,the application cannot be processed nor can a permit be Issued '
I hereby certify under the pains and penalties of perjury that the foregoing Notice of Intent and accompanying
• plans,docum nts and supportin data are true and complete,to the best of my knowledge,
' r �
Sigrtat of Appfcant Date .
r � •
Signa eofApplicant'sRepresen ' e Date
SERAFINI, SERAFINI and DlI�T '63eiler...��r�t�S€agstii}s�d�' PfA 01970
FORM -C.<..t. r« 43 .r.
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HED 100 (TEST)
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DATE IN Mon. Tues. Wed. fiurs. 10 11 12 1 2 3
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CUSTOMER'S STATEMENT
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