289 DERBY STREET - CONSERVATION COMMISSION S�-
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CITY OF SALEM
CONSERVATION COMMISSION
Salem Conservation Commission
978-619-5685
Will hold a public hearing for a Request for Determination of Applicability for the City of Salem,
120 Washington St, Salem MA.Purpose of hearing is to discuss proposed grading,fencing and curb
stops at 289 Derby St within an area subject to the Wetlands Protection Act MGL cl31§40 and
Salem's Wetlands Protection&Conservation Ordinance.Hearing will be held 5/11/17 at 6:30pm at
City Hall Annex, 120 Washington St, P floor conference room.
Salem News publication date:
May 4, 2017
Please charge this ad to the City of Salem account for:
Charles J. Dam, P.E.
Assistant City Engineer
120 Washington Street, 4th Floor
Salem, MA 01970
978 619-5661
f. Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands Salem
WPA Form 1- Request for Determination of Applicability Citylfown
Massachusetts Wetlands Protection Act M.G.L. c. 131, 540
A. General Information
Important:
Whenfillingoul 1- Applicant:
forms on the City of Salem dknowlton@salem.com
computer, use
only the tab key Name E-Mail Address
to move your David Knowlton P.E.
cursor-do not Mailing Address
use the return 120 Washington Street MA 01970
key. CityrFown State Zip Code
9713 N 5670
V �^� Phonee Number Fax Number(if applicable)
2. Representative(if any):
Firm
Contact Name E-Mail Address
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 plants)referenced below is subject to the Wetlands Protection Act.
® d. whether the area and/or work depicted on plants) referenced below is subject to the jurisdiction
of any municipal wetlands ordinance or bylaw of:
the City 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),
wpafprml.tleC Page 1 W4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Salem
WPA Form 1- Request for Determination of Applicability City/iown
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):
289 Debry Street Salem
Street Address Cityrrown
34 0441
Assessors Map/Plat Number Parcel/Lot Number
ID Area Description (use additional paper, if necessary):
City owned parking lot adjacent to the South River, within linits of 200-ft river front area and 1 00y
FEMA flood plain.
c. Plan and/or Map Reference(s):
Google Map-289 Derby Street 5/1117
Title Date
MA GIS-289 Derby Street 5/1/17
Title Date
FEMA-Firm 289 Derby Street 5/1/17
Title Date
2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary):
City intends to reclaim the parking area, improve grading to promote site drainage to existing
infrastrucure and update site for community events and event staging. Existing lot consists of mixed
bituminous, gravel and grass area. City intends to remove top 4-inches of material and replace with rolled
dense graded aggregate. Safety updrades will include fencing along the canal and granite wheel stops at
perimeter.
wpalormt.tlac Page 2 vf
• Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Citylevo
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 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).
Municipal project upgrading existing top material to exisitng grades.
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
❑ 1 q P Y
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(orml.tloc Page 3 d 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Salem
Cialem n
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 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:
David Knowlton P.E.
Name
120 Washington Street 4t"floor
Mailing Address
Salem
City/Town
MA 01970
State Zip Code
Signatures:
I also urXerstand that notification of this Request will be placed in a local newspaper at my expense
in acco d ce with Section 10.05(3)(b)(1)of the Wetlands Protection Act regulations.
_ _ tvh lie)
Sign of Ap i nt Date r—�
Signature of Representative(if any) Date
wpalor l.Coc Papa 4 of 4
• Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Salem
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):
289 Debry Street Salem
Street Address City/Town
34 0441
Assessors Map/Plat Number Parcel/Lot Number
b. Area Description(use additional paper, if necessary):
City owned parking lot adjacent to the South River, within linits of 200-ft river front area and 100yr
FEMA flood plain.
1
I
c. Plan and/or Map Reference(s):
Google Map-289 Derby Street 5/1117
Title Date
FEMA- Firm 289 Derby Street 5/1/17
Title Date
MA GIS-289 Derby Street 5/1/17
Title Date
2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary):
City intends to reclaim the parking area, improve grading to promote site drainage to existing
infrastrucure and update site for community events and event staging. Existing lot consists of mixed
bituminous, gravel and grass area. City intends to remove top 4-inches of material and replace with rolled
dense graded aggregate. Safety updrades will include fencing along the canal and granite wheel stops at
perimeter.
wgetcrmi.doc Page 2 of 4
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2
CITY OF SALEM
CONSERVATION COMMISSION
May 12, 2017
David Knowlton, City Engineer and DPW Director
City of Salem
120 Washington Street, 4`h Floor
Salem, MA 01970
Re: Determination of Applicability-289 Derby Street Improvements
Dear Mr. Knowlton:
Enclosed, please find the Determination of Applicability for the above-referenced project.
Following the 10-business-day appeal period, you may proceed with your project. This
permit is effective for three years following its date of issuance.
If you have any further questions, please feel free to contact me at 978-619-5685.
Sincerely,
Ashley Green
Conservation Agent
Enclosure
CC: DEP Northeast Regional Office
c
Massachusetts Department of Environmental Protection r
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 City of Salem
return key. Name Name
120 Washington Street
Mailing Address Mailing Address
r, 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:
Unlabeled sketch attached to 5/1/2017 Request for Determination Undated
Title Date
Title Date
Title Date
2. Date Request Filed:
5/1/2017
B. Determination
Pursuant to the authority of M.G.L. c. 131, § 40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the following
Determination.
Project Description (if applicable):
Grading, paving, installation of fencing and curb stops, and associated improvements as described in
5/1/2017 Request for Determination of Applicability
Project Location:
289 Derby Street Salem
Street Address Cityrrown
34 441
Assessors Map/Plat Number Parcel/Lot Number
vvpaform2.d=•Determination of Applicability•rev.12/14 Page 1 of 5
f
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)or Order of
Resource Area Delineation(issued following submittal of Simplified Review ANRAD)has been received
from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection).
❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act.
Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent.
❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are
confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination are
binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding
such boundaries for as long as this Determination is valid.
❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination,
regardless of whether such boundaries are contained on the plans attached to this Determination or
to the Request for Determination.
❑ 3. The work described on referenced plan(s)and document(s) is within an area subject to
protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
❑ 4. The work described on referenced plan(s)and document(s)is within the Buffer Zone and will
alter an Area subject to protection under the Act. Therefore, said work requires the filing of a
Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone).
❑ 5. The area and/or work described on referenced plan(s)and document(s)is subject to review
and approval by:
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
Name Ordinance or Bylaw citation
wpaformldm•Delemiru ion of Applicability•rev.12114 Page 2 of 5
Massachusetts Department of Environmental Protection r
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
B ffer Zone.
22 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.
wpeform2.dm•Determination of Applicability•rev.12M4 Page 3 of 5
Kr Massachusetts Department of Environmental Protection
l 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)
0/6 The area and/or work described in the Request is not subject to review and approval by:
G 0� �4�
Name of Municipality
Pursuant to a municipal wetlands ordinance or bylaw.
W&M/lds Pr��.du� atld CalswvattM ordlru c-.so
Name Ordinance or Bylaw Citation
C. Authorization
ThisDe mination is issued to the applicant and delivered as follows:
7by hand delivery on ❑ by certified mail, return receipt requested on
51I1-II+
Dale 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 Conservationf mmission. A copy must be sent to
the appropriate DEP Regional Office (see htt :/Iwww.mass. ov/ee fa a cies/massde /about/contacts/)
and the property owner(if different from the applicant).
Signatures:
1 v4x�
5I1� IIS'
Date
wpaform2.A •Determinabon of Applicability•rev.1914 Page 4 of 5
i.
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, or any ten residents of the city or town in which such land is
located, are hereby notified of their right to request the appropriate Department of Environmental
Protection Regional Office(see http://www.mass.gov/eea/agencies/massdep/about/contacts/)to issue a
Superseding Determination of Applicability. The request must be made by certified mail or hand delivery
to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for
Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days
from the date of issuance of this Determination. A copy of the request shall at the same time be sent by
certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the
appellant. The request shall state clearly and concisely the objections to the Determination which is being
appealed.To the extent that the Determination is based on a municipal ordinance or bylaw and not on the
Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has
no appellate jurisdiction.
wpaformZdw•Determination of Applicability•rev.12114 Page 5 of 5
�. Massachusetts Department of Environmental Protection
DEP File Number:
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee
Transmittal Form Provided by DEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Request Information
1. Location of Project
a.Street Address b.City/Town,Zip
c.Check number d.Fee amount
Important:
When filling 2 Person or party making request(If appropriate, name the citizengroup's representative):
out forms on
the computer, Name
use only the
tab key to Mailing Address
move your
cursor-do City/Town State Zip Code
not use the
return key. Phone Number Fax Number(if applicable)
VQ 3. Applicant(as shown on Determination of Applicability(Form 2), Order of Resource Area Delineation
(Form 4B), Order of Conditions (Form 5), Restoration Order of Conditions (Form 5A), or Notice of
FANon-Significance(Form 6)):
Name
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
4. DEP File Number:
B. Instructions
1. When the Departmental action request is for(check one):
❑ Superseding Order of Conditions—Fee: $120.00(single family house projects)or$245(all other
projects)
❑ Superseding Determination of Applicability—Fee: $120
❑ Superseding Order of Resource Area Delineation—Fee: $120
Send this form and check or money order, payable to the Commonwealth of Massachusetts,to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpaformZd o•Request fm Departmental Action Fee Transmittal Form•rev.17/14 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
Request for Departmental Action Fee
Transmittal Form Provided by DEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a
Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP
Regional Office (see htto://www.mass.gov/eea/agencies/massdep/about/contacts/).
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant.
wpaform2.doc•Request for Departmental Action Fee Transmittal Fo m•rev.12114 Page 2 of 2
v coI
CITY OF SALEM
CONSERVATION COMMISSION
CONFIRMATION OF HAND DELIVERY
Document: 289 (Derby"St. D,etteermination of Applicability
Recipient: f C ✓ w J —Pcz-KA-
Signature: Date: 51,-,7111
RDA Status Sheet
Address: a S Date Submitted:
Contact Name: L h L Proposed activity:
Phone:
RApplication Complete
greet Fee Received
gal Ad Sent gal Ad Confirmed e-O-nline
fi r ded to Agenda ❑ Agenda to Applicant
❑ Agent Comments to Commission
Hearing Opened: Continued: Site Visit:
❑ Permit Sent to Applicant and DEP
❑ Confirmation of Delivery
❑ Added to database
Notes:
I
HACON COMM\Administrative\project status sheet\RDA status sheet 2013-10-30.doc