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22 SUNSET ROAD - CONSERVATION COMMISSION (2) 1ZUR - zZ s�3ef �� �i L1Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 1 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 Dr. Barbara Poremba return key. Name Name yrs) Sunset Road V m� Mailing Address Mailing Address Salem MA 01970 City/Town State Zip Code City(rown State Zip Code 1. Title and Date (or Revised Date if applicable)of Final Plans and Other Documents: Proposed Residential Addition April 2004 Title Date Title Date Title - Date 2. Date Request Filed: June 24, 2004 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): The construction of a two story addition and a first floor exterior deck to an existing single family residendial structure. Project Location: 22 Sunset Road Salem Street Address Cityf town Map 31 Lot 0251 Assessors Map/Plat Number Parcel/Lot Number wpafor 24=•rev.12/15/00 Page 1 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.) 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, FII, 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 wpaform2.doc•rev.12/15/00 Page 2 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.) ❑ 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). 1. Silt fencing and haybales will be install prior to construction. 2. NO building material or excavated material shall be stockpiled within the buffer zone to the resource area. 3 NO construction machinery will be left on site at the end of each work day. ❑ 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. wpaform2Aoc•rev.12/15/00 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) ❑ 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 V'7/0 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 appro ri nal Office (see Appendix A)an the roperty owner(if different from the applice .n • net s: v _ 0 ° / / y Date wpafe 2.dw•rev.12iism Page of 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. wpaform2 Goc•rev.12/15/00 Page 5 of 5 I First-Class Mail Postage o.Fees Paid USPS UNITED STATES POSTAL SERVICE Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box Salem Conservation Commission 120 Washington Street,3rd Ff ll II �l,gy Salem,MA 01970 n�p7 ncp1p tL S-hte flett- 2U I SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete - A. Signature i item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse ❑ ddressee so that we can return the card to you. B. REby C. Date f Delivery ■ Attach this card to the back of the mailpiece r L. or on the front if space permits. 1. Article Addressed to: D. a ivory address different from i ml? ❑ es f YES,enter delivery address bel w: ❑ to J U L 1 3 2004 1 Department of Environmental Profeclion I NERO- Wetlands & Waterways 5°i Floor DE' One Winter Street s. y ILROOM a Boston, MA 02108 POs tLttied Mail. !k d"p'r s,�f ail__ - EYRedistered-'❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7002 2410 0002 0021 5772 (transfer from service labeq PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICOPM -E-Fot s:MFeesRai US PS .G-10 • Sender: Please print your name, address, and ZIP+4 in this box IV JIr_ot.tiiLlij 1 If Salem I 1 s Cone®rvstlon Commission � 2004 120 Washington Street,3rd R Salem,MA 01370 V So i- nd - ifL,,,,, v. &I=[ 81=I.fl[@j#JUFjZjq COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse D7/ ❑Addressee so that we can return the card to you. B. Received by(Panted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. Is delivery address different from item 1? 11 Yes 1. Article Addressed to: �MP 01 9 Q.9 ES,enter delivery address below: ❑ No Dr.. &a4a2 k, Pore 19� co Zz S„nse4 2,A - �A sa[ea7 / `a alig Typeified Mail ❑ Express Mail gistered ❑ Return Receipt for Merchandise ured Mail ❑C.O.D. cted Delivery?(Extra Fee) ❑Yes 2. Article Number 'VO `_ .. �- `.. :7; i "5t (rransferfromserWcefabe, `T002 2410 0`00211d2l 765 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-/5 PO N t` (` (Domestic rq I AAL. 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Internet access to delivery informatlon is not available on mail addressed to APOs and FPOs. CITY OF SALEM ' CONSERVATION COMMISSION City of Salem Conservation Commission Will hold a public hearing for a Request for a Determination of Applicability under the Wetlands Protection Act, Massachusetts General Laws, Chapter 131, Section 40 and Salem's Ordinance Pertaining to General Wetlands at the request of Dr. Barbara Poremba, 22 Sunset Road, Salem, MA. The purpose of this hearing is for a determination of work related to the construction of a two story addition with a first floor exterior deck to an existing single family dwelling within a Riverfront Area and Land Subject to 100-year Flooding at 22 Sunset Road. This hearing will be held on Thursday, July 8, 2004 at 6:00 p.m. in Room 313, third floor at 120 Washington Street. Kevin Cornacchio Chairman July 1, 2004 Please send bill to: Dr. Barbara A. Poremba 22 Sunset Road Salem, MA 01970 (978) 745-0061 120 WASHINGTON STREET, SALEM, MASSACHUSE7Ts 01970 TEL: 978.745.9595 FAx: 978.740.0404 WWW.SALEM.COM f 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 A. General Information Important: When filling out 1. Applicant: forms on the Dr. Barbara A. Poremba computer, use Name E-Mail Address only the tab key to move your 22 Sunset Road cursor-do not Mailing Address use the return Salem MA 01970 key. City/Town State Zip Code (978)745-0061 Phone Number Fax Number(if applicable) 2. Representative (if any): H.H. Morant&Co., Inc. Firm Mr. Stephen W. Livermore steve@hhmorant.com Contact Name E-Mail Address P.O. Box 4485 Mailing Address Salem MA 01970 Citylrown State Zip Code (978) 744-5354 (978)740-9161 Phone Number Fax Number(if applicable) B. Determinations 1. I request the Salem 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 plan(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). wpaformi.doc•rev.02100. Pagel of 4 r 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): 22 Sunset Road Salem Street Address City/Town 31 0251 Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): Residential Neighborhood adjacent to Foerst River c. Plan and/or Map Reference(s): Partial Assessors Map (Locus Plan) No Date Title Date Site Plan (Existing Conditions), North Shore Survey Corp. 6/8/04 Title Date Site Plan (Proposed Work), H.H. Morant & Co., Inc. 6/24/04 Title Date 2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary): The construction of a two story addition and an first floor exterior deck to an existing single family residential structure wpaforml.doc•rev.02/00. Page 2 of 4 I - 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 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). The proposed work in the buffer zone will not alter the wetland resource area. 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.) w fcrml.doc•rev.02/00. Page 3 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 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 (see Appendix A)were sent a complete copy of this Request (including all appropriate documentation)simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the property owner: Dr. Barbara Poremba Name 22 Sunset Road 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 10.0 (b (1)of the Wetlands Protection Act regulations. 6/24/04 nature of Ap lira Date 6/24/04 Sign of ep ntative( an Date wpaforrel Acc•rev.02/00. Page 4 of 4 H5 p° 40 31 1 315Q 8 / p 31 qY Q- 31iRJP4 3 - 60 o 31 � ^ y 6 O \ 359 31• 3 - A ° ^ 0 0 � cl e° e yJ 315 82 '. O ^ 6 67 3 moi_ 31i��9 � 316 % 31��55 _�J � V 5631- 1- 31• 41 ° 3 69 ^ , 5� 3139; ^° 31- 70 3 78 31- ^ ^o 0 0^ 54 31- 8 A ^ 31- 71 3 7 ^o 0 /� ^o �` fV•V� k 31J;86 1i 53 J?�y ^A 1 72O - �76 �0P2 y ^° ? 3 ��;49 31 ^o �0 3 74 O, P 31 '0P2 o Q. 150 17'S SS4 pI? � vll 0 e� 31- 50 '*I 159 /02 N FA'" 1 P14, 31i�o19 4 _ _ .. _ L CITY OF SALEM IRON ROD SET IRON ROD 70,00' Y� SET CONCRETE SLAB O 3• MAP 31 LOT 251 MAP 31 MAP 31LOT 252 LOT 250 AREA — 7,3371 S.F. IRON ROD g 5.0 ;ET P 8 Q DECK 30 IRON ROD D SET 7.5' 8 8. 1-1/2 STORY 5 DWELLING IRON ROD 7.6LN 22 I a I SET g o yLj122 o o IRON ROD 85.00' I SET - - IRON - � L - SLT EDGE OF PAVEMENT SUNSET ROAD atp�4 4 0 F MAS$4 •f• T G s GAIL = PLOT PLAN OF LAND I CERTIFY THAT THE BUILDINGS N-A3 043 22 SUNSET ROAD HEREON ARE LOCATED ON -s `fc ago tom` SALEM, MA THE GROUND AS SHOWN, ex " Sias PROPERTY OF �" •"� BARBARA A. POREMBA oy � SCALE 10 - 20' JUNE 8, 2004 DATE REG. PROF. LAND SURVEYOR NORTH SHORE SURVEY CORPORATION 47 LINDEN ST.. SALEM, MA • /GL278. OSS S8d81798L6 Eb:ET 6002/bT/50 City of Salem Department of Planning & Community Development Check/Cash Receipt and Tracking Form Please complete forms and make two copies. Date Received c�` i Amount Received Form of Payment Check ❑ Cash CHECK PAYMENTS: write check number J CASH PAYMENTS: write client initials 0 SignPermit Appal atiof Fee 0 Conservation Commission Fee Payment received for Q Km*V Board Fee what service? Q old Town Han Rentai Fee ottner Name of staff person receiving payment Additional Nates 3 IR k f 0 m .. - F%&-n Gn�nro fLin ns P/urb nA C - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �m �i O y ; 10.00 H.H. Morant & Co., Inc. Architects c Concrete Slate �4 L 1 P.O. Box 4485 0) 221 Washington Street t+l Salem, Massachusetts 01970 Dl I (978) 744-5354 (978) 740-9161 Fax 8 Map 31 consultants:LU ; 'n Lot 251 Map 31 ; Lot 250I 0J Area = 1,331± S.F. I � I m New Deck Location (Wood I Job Number. w/ Concrete Sonotube Piers 5 ± -019 Q) ; New Addition over Existing Date: U Building/Deck Footprint June 24, 2004 ....................... ............... ...4............. ..................... ........................... " ..'"..... --- Map 31 No. Date Revision By: �4 : I I Lot 252 ; 8V ('-o"± I — I I tti �-- C;ara e I I I g I New Walkway ; I ; Project: Note ' I L--------� I Proposed All information For Lot 251 Taken From Plans Prepared By The North Shore Survey Corporation, j I I 5-�,�± Residential A Salem, Massachusetts, Dated June 8, 2004. ILl I Addition ltlo L I X22 i Barbara Poremba 22 Sunset Road I I I I Modified Bit Conc Driveway Salem, Massachusetts L- -� Limit of Existing Bit �iy n 9 ch Goc Driveway " \ qbE Q��o v[Z=F �' 1,411 5n4 in, '♦ r�. (V Site Pla ' - - - -65.00' AIM - - - - � — � Scale. Edge Of Pavement /gj" _ �'-�" — L_ - -� Drawing Number. C1 FI 5 i t e I ka n/ a 7 11-0 04-OIS (3/04) Large Format Box # Doc # Image # I M AGF DATA