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10 WOODBURY COURT - CONSERVATION COMMISSION WD'P. -la w�9-b..� c,sv-�'�-- 'i 1 I 9 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 Brandon & Lisa Alves Same return key. Name 10 Woodbury Court b1 Mailing Address Mailing Address Salem MA 0 Citylrown State Zipp Code Code City/Town State Zip Code m„„ 1. Title and Date of Final Plans and Other Documents: Site Plan include RDA Filing NA Title Final Date(or Revised Date if applicable) 2. Date Request Filed: May 8, 2003 B. Determination Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability, with its supporting documentation, and made the following Determination. Project Description(if applicable): Construction of a 368 square-foot addition to the existing two family dwelling located at 10 Woodbury Court. Project Location: 10 Woodbury Court Salem Street Address City/Town Map 36 _ Lots 3 Assessors Map/Plat Number _ Parcel/Lot Number WPA Form 2 - Page 1 of 5 Rev.02100 R rr Massachusetts Department of Environmental Protection r Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability w Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) 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 fling of a Notice of Intent. ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation WPA Forth 2 Page 2 of 5 Rev.02J00 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 �W B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s), which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to.the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the.state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ® 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ❑ 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. NPA Forth 2 Page 3 of 5 Rev.02100 Massachusetts Department of Environmental Protection Bureau.of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability g 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: XXby hand delivery on *-by certified mail, return receipt requested on fy\L t 21a.-1�3 Date Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see Appendix A) and the property owner(if different from the applicantL DD ignatures: a,7,1"Ale��rj J -t 12. 2x.3 Date WPA Form 2 Rev.02/00 Page 4 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten.residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see 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. NPA Forth 2 Page 5 d 5 ' Rev.02/00 U.S. Postal Servimr .CERTIFIED MAIL. RECEIPT "(Domestic Mail Only;No Insurance Coverage Provided) For delivery information visit our website at www.uspsxorn, 2 Postage ru C3 Corlified Fee C3 Return Ma=Fee (Endorse I so) r3 Restricted q Delivery IN PS Form 3800,June 2002 See Reverse for Instructions Certified Mail Provides: aeet-w-sosssaol ■ A mailing receipt lesreeey)apps eunr'poss uysj ad • A unique identifier for your manplece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails,or Prior*Mail®.I ■ Certified Mail is not available for any class of international mall. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. 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Internet access to delivery Information is not available on mail addressed to APOs and FPos. d t 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 Brandon & Lisa Alves Same return key. Name 10 Woodbury Court VQ Mailing Address Mailing Address Salem MA 01970 City/Town State Zip Code Citylrown State Zip Code a 1. Title and Date of Final Plans and Other Documents: Site Plan include RDA Filing NA Title Final Date(or Revised Date if applicable) 2. Date Request Filed: May 8, 2003 B. Determination Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability, with its supporting documentation, and made the following Determination. Project Description(if applicable): Construction of a 368 square-foot addition to the existing two family dwelling located at 10 Woodbury Court. Project Location: 10 Woodbury Court Salem Street Address City/Town Map 36 Lots 3 Assessors Map/Plat Number Parcel/Lot Number WPA Form 2 Page 1 as .Rev.02100 r y 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 w B. Determination (cont.) The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) has been received from the issuing authority (i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s) is an area subject to protection under the Act. Removing, filling, dredging, or altering of the area requires the filing of a Notice of Intent. ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s) are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent. ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation WPA Form 2 Page 2 of 5 Rev.02/00 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability .4 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s), which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ® 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ❑ 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). ❑ 4. The work described in the Request is not within an Area subject to protection under the Act q 1 (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. WPA Form 2Page 3 of 5 Rev.07100 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 DEP Regional Office (see Appendix A) and the property owner(if different from the applicant). ❑D9ignatures: ",A'f� 21. 23 Date WPA Form 2 - Page 4 of 5 Rev.02/00 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Y WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 v - D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see Appendix A) to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Appendix E: Request for Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. WPA.Fon 2 Rev.02/00 Page 5 of 5 Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection - Wetlands Cityrrown WPA Form 1 `` - Request for Determination of Applicability Z%' +} Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out 1. Applicant: . forms on the Brandon & Lisa Alves computer, use Name E-Mail Address(if applicable) only the tab key to move your 10 Woodbury Court cursor-do not Mailing Address use the return Salem MA 01970 key. City/Town State Zip Code 978-745-8582 Phone Number Fax Number(if applicable) 2. Representative (if any): NA Firm Contact Name E-Mail Address(if applicable) Mailing Address City/Town State Zip Code 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: Salem Name of Municipality ❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). WPA Fo=1 Page 1 of Rev.02/00 r l� Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection - Wetlands City/Town WPA Form 1 - Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 10 Woodbury Court Salem Street Address City/Town Map 36 Lot 3 Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): Level grass/patio area with decorative paver blocks with wood edges horizontal on north rear of house. House is located in A2 flood zone c. Plan and/or Map Reference(s): Title Date 2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary): Construction of a new 368 square foot addition to an existing two family dwelling. Foundation will be 12" round piers 48' deep (see addition plan 2)Addition will rest on top of approximately 8 piers b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work (use additional paper, if necessary). Project impact is minor in nature with no adverse effects to any resource area. WPA For.1 Page 2 of 4 Rev.02/00 f Massachusetts Department of Environmental Protection Salem _ Bureau of Resource Protection - Wetlands City/Town ay WPA Form 1 - Request for Determination of Applicability �~ Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 w �s C. Project Description (cont.) 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 8/1/96 ❑ Single family house on a lot recorded after 8/1/96 ❑ Expansion of an existing structure on a lot recorded after 8/1/96 ❑ Project, other than a single family house or public project, where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 8/7/96 ❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverfront Area for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ❑ District, county, state, or federal government project ❑ Project required to evaluate off-site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if necessary.) WPA Forml Page 3 of 4 Rev.02/00 Massachusetts Department of Environmental Protection Salem Ulf Bureau of Resource Protection - Wetlands City/Town WPA Form 1 - Request for Determination of Applicability 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: Brandon and Lisa Alves Name 10 Woodbury Court Mailing Address Salem City/Town MA 01970 State Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in accordance with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations. tL a ( e/� `YY1 S, -00.3 Signature of Applicant Date Signature of Representative(if any) Date WPA Forml Page 4 of 4 Rev.02100 ,/ rt \ r � r A y P g f k _ '• �'�' �� ria /k/ .�� _ t fit1 ���� n, , '�` �.�. �� y'�iT' .0B' � •� •e'.y.. �r�i.. � t. tl @ dr�FJ1P • SWE ETL) eE NoTE : EUT 1Rc ` � i PROP v Loc-A:r D /At r c.00�) N42.A2D LI SUED � PAI�CEL S a A- 6 A. I9 J-I S VJ E L- 1 0 r / N r SAwy �12 I O s7-oRY � z� I Aw/ELL iNb ID /O0� I '+ r � 6'0.0 bUW LOUR\ REFERENCE: DEED: REC.BK.//ZZL PG. soS PLAN: // Z Or 19v'7 THIS PLOT PLAN WAS NOT MADE FROM TO: AN INSTRUMENT SURVEYAND IS FOR 4/c LLS FARGo RoAn.E hoR-T�Ab c�ruc. THE PURPOSES OF THE BANK ONLY. UNDER I CERTIFY THAT THE BUILDING(S)SHOWN HEREON NO CIRCUMSTANCES ARE OFFSETS TO BE ARE LOCATED ON THE GROUND AS SHOWN AND THAT THEY USED FOR ESTABLISHMENT OF FENCES, CONFORM TO THE HORIZONTAL DIMENSIONAL REGULATIONS WALLS,HEDGES,ETC. OF THE ZONING BYLAWS OF THE C /7y ov SAL E Ak AT THE TIME OF CONSTRUCTION OR ARE PROTECTED UNDER Ep�'lH 0F 144ssy MORTGAGE INSPECTION PLAN GENERAL LAWS CHAPTER 40A SECTION 7. LOCATED AT# I ALSO CERTIFY THAT THE DWELLING SHOWN IS F GAIL 10 WOODBURY COURT LOCATED WITHIN A FLOOD HAZARD ZONE AS o �' SALEM DELINEATED ON THE MAP OF COMMUNITY#Z4b i SMITH PREPARED FOR No.35043 S AC.E/h, MA.,EFFECTIVEP�-�-Y�s ¢ 3-12AJ c�D.ru K. AL GS9Oy THE FEDERAL EMERGENCY MANAGEMENT AGENCY. GrIL4 SCALE Y, I, z,GJ4l y � NORTH ERV CORP.ZA REG.PROFESSIONAL LAND SURVEYOR 47 LINDEN STREET SALEM,MA. #1761 B 23'1 UP Existing Structure Proposed new addition First floor �6 (V N i Common Hall � r UP Ext. deck UP UP UP EXIT �—57 4'6 187 Add i4,o J Pian 1 23'---- 7777 3' — _T7 -77— -.--, — T10 I j j i I i Proposed new Structure j Existing Structure Foundation plan 12" round piers 48' deep I I I I i I 1 � I —77 I 26'6 _ ___—__ _a_-- _. _ _23'— Plan 3'_Plan a ZONE A2 i i i # fi,A : ZONE C ZONE 2 �_ ThpgNpa 4g; SEL101 KF sr P°pD ZONE C ti O m '�F -d x RiOE STBBE ' (r � �Y �.d•`v ski :.$4 X MARCq T �. RM 1 STREET fes:' F •:. ieph Sr 4[)�4 pSOp 1 M°NT gSFT ¢t 4; Bf/q 00 � 5 a - - R 0 i9 AQ0 Amo '^ 0m ZONE C s - S . _t(' SAUNOERS .,^ _ l 3 ST s NOgrh Tq`FT Fig FFT N 99 5� R M 2 ZONE A2 m� O 4, F Zi p � h Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection - Wetlands Cityrrown WPA Form 1 - Request for Determination of Applicability vV 4 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A General Information Important: When filling out 1. Applicant: forms on the Brandon & Lisa Alves computer, use Name E-Mail Address(if applicable) only the tab key 10 Woodbury to move your Court cursor-do not Mailing Address use the return Salem MA 01970 key. Cityr[own state Zip Code Phone Number � 8582 Phone Number Fax Number(if applicable) 2. Representative (if any): NA Firm Contact Name E-Mail Address(if applicable) Mailing Address Cityrrown State Zip Code 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: Salem Name of Municipality ❑ e.whether the following scope of alternatives is adequate for work in the Rivertront Area as depicted on referenced plan(s). WPA Form1 Page 1 of 4 Rev.02/00 Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection - Wetlands City/Town LLy WPA Form 1 - Request for Determination of Applicability �gY 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): 10 Woodbury Court Salem Street Address City/Town Map 36 Lot 3 Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): Level grass/patio area with decorative paver blocks with wood edges horizontal on north rear of house. House is located in A2 flood zone c. Plan and/or Map Reference(s): Title Date 2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary): Construction of a new 368 square foot addition to an existing two family dwelling. Foundation will be 12" round piers 48' deep (see addition plan 2)Addition will rest on top of approximately 8 piers b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work(use additional paper, if necessary). Project impact is minor in nature with no adverse effects to any resource area. WPA Forml Page 2 of 4 Rev.02100 Massachusetts Department of Environmental Protection Salem Bureau of Resource Protection -Wetlands City/Town WPA Form 1 - Request for Determination of.Applicability `6. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description (cont.) 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 8/1/96 ❑ Single family house on a lot recorded after 8/1/96 ❑ Expansion of an existing structure on a lot recorded after 8/1/96 ❑ Project, other than a single family house or public project, where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 8/7/96 ❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverfront Area for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ❑ District, county, state, or federal government project ❑ Project required to evaluate off-site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if.necessary.) WPA F."I Page 3 d 4 Rev.02100 Massachusetts Department of Environmental Protection Salem - - Bureau of Resource Protection - Wetlands City/Town q WPA Form 1 - Request for Determination of Applicability g Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Signatures and Submittal Requirements q 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 certifythat the property owner, if different from the applicant, and theappropriate DEP Re ional P P Y PP9 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: Brandon and Lisa Alves Name 10 Woodbury Court Mailing Address Salem City/Town MA 01970 State Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in accordance with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations. Signature of Applicant Date Signature of Representative(if any) Date WPA Form Page 4 of 4 Rev.02100 - IL gn i 101 y„MNIWC1111,1! � 1OF Ma ... . • nwiw 3 ^e &atFS eaa 's.vNila�? fSM C •n j f P.Ts ISP$" ':: p r PNP° }� Rag I lam AA �, �f , � 4��_ dip �i� t V•�� � s < N//_ SWEETo I • \� 30.0' -/ * No TE : EUTIR(5'. YROPER.i'Y L0.A7-eD /AL F tool HA10,M) LI 511ED PARCEL S a A- 6 A- 19 I- S w e C%1 o / r , i t LL - '0 0 I 012- 5ToR� - �' �_`CI p�/ELL/Nfa Y3 � o 1;t r 0tj L IDES C clL) E REFERENCE: DEED: REC.BK.//Z7-(. PG. -SLS PLAN: // Z v F 19` 'l THIS PLOT PLAN WAS NOT MADE FROM TO: AN INSTRUMENT SURVEYAND IS FOR \./Ct-L..S FARGo THE PURPOSES OF THE BANK ONLY. UNDER I CERTIFY THAT THE BUILDING(S)SHOWN HEREON NO CIRCUMSTANCES ARE OFFSETS TO BE ARE LOCATED ON THE GROUND AS SHOWN AND THAT THEY USED FOR ESTABLISHMENT OF FENCES, CONFORM TO THE HORIZONTAL DIMENSIONAL REGULATIONS WALLS,HEDGES,ETC. OF THE ZONING BYLAWS OF THE C /TY OG' SAL.c M AT THE TIME OF CONSTRUCTION OR ARE PROTECTED UNDER JH of reassq MORTGAGE INSPECTION PLAN GENERAL LAWS CHAPTER 40A SECTION 7, a� LOCATED AT# I ALSO CERTIFY THAT THE DWELLING SHOWN IS F GAIL ; 10 WOODBURY COURT LOCATED WITHIN A FLOOD HAZARD ZONE AS o L _ SALEM DELINEATED ON THE MAP OF COMMUNITY#Z40at- '-� SMITH PREPARED FOR No.35043 S AC..E� MA.,EFFECTIVEP.-�-Y>s- q r Z>ZAUL7D4-) K: AL,,/ cS ry THE FEDERAL EME/R�1GEENCY MANAGEMENT AGENCY. pO RFGISTEa�'O Z Z( //f �F SCALE SHORE' RV Y. Zees I L tpN� NORTH SHORE SURVEY CORP.R A REG.PROFESSIONAL LAND SURVEYOR 47 LINDEN STREET. SALEM,MA. #1761 B 23'1 UP Existing Structure Proposed new addition First floor 16 cV N Common Hall IF deck uP UPuP XIT L5'7 4'6 187 -77- 77-- --._T10- i Proposed new Structure Existing Structure a Foundation plan 12" round piers 48' deep ---- 77-- ------ 718-----------------T9------ 23' 26.6 -_. ______ -- _.-.__--_-- -_ _23 i ZONE _ 1 ZONE C , I r3tm ��i l F\ FT r ZONE.0 Lq NR P T1 ASTV V 1 I ivEiY RM - .•1 /J/ Y �z ,PRION c 0y Conservation Conu i%ion (� Salem, Massachusetts 01970 5 ynssncN 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 Brandon& Lisa Alves, 10 Woodbury Court, Salem, MA 01970. The purpose of the hearing is for a determination of work related to the construction of a 368 square-foot addition to the existing two family dwelling located at 10 Woodbury Court. This hearing will be held on Thursday, May 22, 2003 at 6:00 p.m. in Room 313, third floor at 120 Washington Street. Kevin Cornacchio Chairman May 15, 2003 Please send bill to: Brandon & Lisa Alves 10 Woodbury Court Salem, MA 01970 978-745-8582