31 REVENNA AVENUE - CONSERVATION COMMISSION 3 1 (Z��w� ���- ���
t
��CONUIT,j J,
CITY OF SALEM
CONSERVATION COMMISSION
May 11, 2012
Michael E. Pellitier
31 Ravenna Ave.
Salem, MA 01970
Re: Determination of Applicability-31 Ravenna Ave.
Dear Mr. Pellitier:
Enclosed, please find the Determination of Applicability for the above referenced
property. This permits the activity described in your Request for Determination of
Applicability to commence after a ten day appeal period.
This document is effective for three years from its date of issuance. If you have any
further questions please feel free to contact me at 978-619-5685.
Sincerely,
l�
Tom Devine
Conservation Agent/Staff Planner
Enclosure
CC: DEP Northeast Regional Office
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 Michael E. Pellitier
return key. Name Name
31 Ravenna Ave.
Mailing Address Mailing Address
Salem MA 01970
CirylTown State Zip Code City/Town State Zip Code
1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
Proposed Replacement Skimmer to Filter Line by Anne Pelletier 4/26/2012
Title Date
Title Date
Title Dale
2. Date Request Filed:
4/26/2012
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):
Intallation of a new line for a pool skimmer with 6" by i' deep trench within approximately 30'from
wetland resource area.
Project Location:
31 Ravenna Ave. Salem
Street Address City/Town -
4 10
Assessors Map/Plat Number Parcel/Lot Number
wpaform2.doe•Determination of Applicability•rev.IW6/04 Page I of 5
Project Status Sheet
Address: 3 ( DEP #:
Application Type: Date Submitted: i
Contact Name: k ll� � Phone: 7 `fly 6 O 6
Proposed activity: i�,�
$-Application Complete
Correct Fee Received
Legal Ad Sent 'Legal Ad Confirmed .�LDnline
i$Added to Agenda -(�--Agenda to Applicant
Agent Comments to Commission
Hearing Opened: S Continued: Site Visit:
ea g Ope e ��la/(/�
❑ Abutters Notice Confirmed
❑ Order of Conditions ent to Applicant and D
❑ Confirmation of Delivery
❑ Expiration date added to calendar
❑ Added to data ase
❑ Applicant Recorded OoC with R istry
Preconstruction eeting:
❑ Certificate of Co pli ce Sent to Applicant and DEP
❑ Confirmatio of Delivery
❑ Applicant Recorded CoC with Registry
r Notes:
SALEM CONSERVATION ry
COMMISSION
978.619-5685
E Will hold a public hearing for a
Request for Determination of Appli-
cability under the Wetlands Protec-
tion Act MGL c131§40 and Salm
Wetlands Protection&Conservation
Ordinance at the request of Michael
E Pelletier,31 Ravenna Ave,Salem'
MA. Purpose of hearing is to dis-
cuss installation of a pool skimmer
"line within buffer zone to a wetlands
resource area at 31 Ravenna Ave.
.Hearing will be 5/10/12 at 6 p.m. in
City Hall Annex Rm 313, 120 Wash-
ington St.
SN-5/3/12
UNITED STATEk,,P 5Tk,§kPFEy First-Class Mail
P
ass Paid
Irk -Po.
Sender: Please print your name, address, and ZIP+4 in this box
Salem Conservation Commission
120 Washington street,3rd Fl
Salem,MA 01970
ko�/e vt vA c)
r
IRII III IM 111,11 I'll',I IIIIIIIIIA011111 MIMI i1th 11M 111
SENDER: DELIVERY
■ Complete items 1,2,and 3.Also complete A. ' nature
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse lYlr ❑Addressee
■ Attach this card to the back of the mailpiece,
so that we can return the card to you. B.fleceivecl by(Printed Name) Date livery
or on the front if space permits. C
D. Is delivery address different from Rem 1? 17 Y
1. ArtidelIAdtlre l\dto: I1 � If YES,enter delivery address below: 0N
�'GAJ P3- "`�f��✓ �i
3. Service Type
($Certified Mail ❑Express Mail
❑ Registered ❑Return Reoeipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(rransfer from service Iabeq
�i
Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1 MO
Massachusetts Department of Environmental Protection
I
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,,-'-Intent.
r
❑ 4. The work described on referee, `,qnd document(s) is within the Buffer Zone and will
alter an Area subject to protection uritle .. ' q more, said work requires the filing of a
Notice of Intent or ANRAD Simplified Review't,t. Witted to the Buffer Zone).
r.
El5. The area and/or work described on referenced "plan(s)ano._ ` "q1 its subject to review
and approval by: \\__t
Name of Municipality _
Pursuant to the following municipal wetland ordinance or bylaw:
Name Ordinance or Bylaw Citation
wpaform2.doc•Oeterrai nation of Applicability•rev.1 W&Gf
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).
❑ 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.
wpaform2.doc•Determination of Applicabitily•rev.1 W&04 Page 3 of 5
LlMassachusetts 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)
5T 6. The area and/or work described in the Request is not subject to review and approval by:
Name of Municipality
Pursuant to a municipalwetlandsdinsnce or byla11w.
�2�'Lcv'UL� Prc1d�-C�41c ll' "I ( r k' e}/0„� C N -
Name Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the applicant and delivered as follows:
❑ by hand delivery on E" 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 Conservatp' p Commissiocopy must be sent
to the appropriate DEP Regional Office(see htti)://www. ass. o /d /about/re ior5.find our.htm and the
property owner ' ren the applicant).
I s
C
Date
wpaform2.doc•Determination of Applicability•rev.10/6/04 Page 4 of 5
. l
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
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.oov/dei)/about/region.findvour.htm) 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.
wpaform2.doe•Determination of Applicability•rev.10/6/04 Page 5 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Request Information
Important:
When filling out 1. Person or party making request(if appropriate, name the citizen group's representative):
forms on the
computer, use Name
only the tab
key to move
your cursor- Mailing Address
do not use the
reettuur,`en kkeey��. CityfTown State Zip Code
�V Phone Number Fax Number(if applicable)
Project Location
Mailing Address
Cityrrown State Zip Code
2. Applicant(as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation
(Form 4A); or Request for Determination of Applicability(Form 1)):
Name
Mailing Address
Cityfrown State Zip Code
Phone Number Fax Number(if applicable)
3. DEP File Number:
B. Instructions
1. When the Departmental action request is for(check one):
❑ Superseding Order of Conditions ($100 for individual single family homes with associated
structures; $200 for all other projects)
❑ Superseding Determination of Applicability($100)
❑ Superseding Order of Resource Area Delineation ($100)
Send this form and check or money order for the appropriate amount, payable to the Commonwealth of
Massachusetts to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpafurm2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/&04 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
:L1
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
http://www.mass.gov/der)/abouVregion/findvour.htm).
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 lot Departmental Anion Fee Transmittal Form•rev.10/&04 Page 2 of 2
� VED
Massachusetts Department of Environmental Protec - S�
Bureadof Resource Protection - Wetlands ppR 2 6 2012 Cityrrown
L71]
WPA Form 1 - Request for Determination of o� licability
Massachusetts Wetlands Protection Act M.G.L. c. 13�
MUNrry DEVELOPMENT
'A. General Information
Important: 1. Applicant':` _
When filling out !` G
forms on the / nGnA G n
computer, use Name E- it Address
only the tab key 31 4�VF� y d I+y�
to move your M
cursor-do not /ling Address ^A a Q! n D
use the returnrl 7
key. City/Town 7/7`�,7/ State Zip Code
9,17F— " D Fax Number(if applicable)
ro Phone Number
2. Representative (if any):
Firm
Contact Name E-Mail Address
Mailing Address
City/Town State Zip Code
t ,
Phone Number Fax Number(if applicable)
B. Determinations /�/l
1. I request the S%L G /" make the following determination(s). Check any that apply:
Conservation Commission
91a. 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.
� . .
_ cwhether the work depicted on plan(s) referenced below is subject to the Wetlands Protection Act.
[l�/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
i
' ❑ e.whether the following scope of alternatives is adequate for work in the Riverfront Area as
depicted on referenced plan(s).
.. Page 1 of 4
wpafamt doc
Massachusetts Department of Environmental ProtectiU�"
Bureau of Resource Protection - Wetlands ri� LE.` iwn
+t WPA Form 1- Request for Determination of Ap"C84 V,
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
_._ DL-FT. OF PLR,VNINO
C. Project Description 1Y DcVELOPAgENT
1. a. Project Location (use maps and plans to identify the location of the area subject to this request):
3 / RA✓EA1 NAr ffl/E SyQ .
Street Address City/Town
AA-P IV _LD T /O
Assessors Map/Plat Number Parcel/Lot Number
b. Area Description (use additional paper, if necessary):
1 M�' Ppb �0 5CD T2EA/<-- H j _'5 R FFCT
P(LoM TWE- 6'4-'� GE of 7-HC /.t)4�TL_1 /U>
P.ESoo /: C '� Ae"
c. Plan and/or Map Reference(s):
�2f'o R�P/Ac�MFAl► sK�rv1M1✓2 Tb �f a(o n/�
Title p LT 2 C/N BY AN A) E -PoL L_6-F(,6(_ oat
Title Date
®F N s,4 E £ _6/ 91
Title(AtCAEL E AMD /l/ G M fc'G`r'T/E2 oat
2. a. Work Description (use additional paper and/or provide plan(s)of work, if necessary):7-141,6
C-0 m 2FAU r 59 IM ME('- LIN C W H / e Fl- fs A55y rn G D To
RON r) "Fg= TH,6 CDA1G2ETC_ j)EC� HAS A 4EA1�
Ifo LA F !S Poo LS
MA Wil-t-- Re V I kE rd UN A N nee)
'r/-i 6:1_64 & AV / Fr
TKEAt Cfl 045 DW G J aCyr Td THE C MG ►T-,
Pt Alb R� KIA! n IN SH - >1g FiZoM TNF SK /MME2
To Tf4e �r iE2�— �} DrSTAMGE t�F ALO-r /hD�'�
THAN N /On CET TH15 COO OS CT [J !L[ T r /Y1=
.pL_E1 b�p /ry OAl£ -DAY , 7RE GP_OUA./D COV�5)11
W f L1- [36 2CfKbV ]p f SET f}Sf -PE/ i4cp f�e-
wpafonntd= TV t_A E�D 7-0 /7-1< 1,O C A I /O 1L1 bN T HyJT
''relt 1Page o 4
t>{^}Y/
Massachusetts Department of Environmental Protection
�4� ' �
- Bureau of Resource Protection - Wetlands APR Town
WPA`Forffli 1- Request for Determination of AIWOcaOF b ,� G ICC
( t OUMU Jl7
Y p fJl
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40c 04NG It
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).
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 r
❑ 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.)
Page 3 of 4
wpafonl.doc
REQ " IVSD
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands APR 26 2012 SALE(
{ WPA Form 1- Request for Determination,�WA1.0 ioabiut, Cit'y[rown
Massachusetts Wetlands Protection Act M.G.L. c. 131, /n 0,-VELOPMENT
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:
I C4i F_ ` -{FLICT/C-Z
fvame
=31 2A V6A) NA &e
�54M
City/Town
AAtate
Di97d
Lip Code
Signa. -/{—
I also undo 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 Wetl nds Protection Act re ulations.
l r l C��Gt Q� �Lo Lam—/ Lf a(D
Signature of Applicant Date
Signature of Representative(if any) - Date
wpafo mI.doc
Page 4 of 4
RECD IVEJ'P—OFO.-S .p (ZE PL C?F/ iii i
APR 2-6:',201 t
To
T0
CUhiTY`D TYLp
� t�.4 VELOPAAEIdT
\ S .
E[ N4Y S 3! let Val
A hot 04
fit.
OfoSE� F
t I aY 1T4 � �r1T f h i
7,4
yfown,KS ul
:t 1 f i d}_ l t
1 \ ��.'.y, T .'� f / Z• `" •FwS �}'`��- '4 ��s {•511 '.. '4 r x i y x t '�.` A -.
lilt"rt! 1 J
J.
`
ikA 'R°y' Iag R- v t � a7 �"9?�y1' r�,k,sF} e Y w. acct
r A� 79,549 5 Fi� +�
;4 _x +
�' / J ��^ 4'l'.• saF§ "W t,� w"b tSWI ', 6k r ,ari i � k #
ti �yv y� yr< e to f _.if
.
"AlS
¢ r ✓ c If kly
/u
P
hV GROVNp x `
Pa
FaNov <
✓, .{ t 1VQZ fi3 F1:4 y�$i'�y x* ,� � t y}x �e 3Ew ._..t ¢ ':i �
ry Z{ s ,�,a r rt _ th pa - f
r f J �O� M 4 F 4I.tl° o d d T ; A
J ry as r� 3 ea„ 2
_'V
V le s .1 r,F,t�y tk'P x �' ,
e 1
rm
OOtJRLt 1i 3v!li i�rr`" +.]�jJSc c� .z< ,Mj v, 'i a' DE�r ,'�Y • ;J 5 ; [ *�
V \ a 31
n'n t tI u !
t tr ti { Y
�y § #•, T
j;0 An
ayy ( iii rf T.Y
MAYin
} .`` 4 . a i f f'A' '°5 asb T §" r.' •�M `T9y�d
`F
7
R A
� r
Ak
•q1 Y
act;.a
4
t+ fiy,. i�
'
. r t
�,$ i�v�N �x,'!ls 4:, ry„�k .�,, �a f�a�.4 xF�.• � �.�� %+a�3o���v� '�" �� � ��. i ��j ;
�'���Y'_�3 "9E' ��s }"M1n r��'�• `.�R' �`r�"#v�i3°,U�t� � °.�s ':Y � p
s �
?tom
NdF
y� 4
Al
FrECO'r-OVER
APR 26 2012 C. he Salem News
r-PT.OF PLAN.NINC,&
COL4MUNiTV f�c`JELOPFAENT
REQUEST FOR LEGAL NOTICE
I understand that by signing this form I am agreeing to the cost of the legal notice to be
published in the newspaper.
Payment is required at the time of the legal notice being received by the city and before it
is published in the newspaper.
Please make checks payable to the SALEM NEWS and mail immediately to
SALEM NEWS
Attention Gloria Pobiedzinski
32 DUNHAM ROAD
BEVERLY,MA 01915
**Average legal notice costs are estimated
"Customer will either be refunded or billed when the legal notice is published
Salem News=$250.00 per day
Check#
Credit Card please call Gloria @ the Salem News 978-338-2512 e -� ///1-.5/20/a
If payment is not received the Legal Notice will be cancelled
/�1 � c `� , %�! lei✓ �/lwr !1
Signed Applicant/Authorized Agent Date
Print Name/R<C tlfgCL E
Address -3l_ F4V'EyA64 AVb7
s44 eF t M /F 0197D
Phone QJ 7 g — 7q `/ —( (o
32 DUNHAM ROAD ADVERTISING FAX 978-922-4330
BEVERLY, MA 0191 s-1998 NEWSROOM FA%978-927.4$24
TELEPHONE 978-922-1234 E-MAIL ECNNEWS.COM
CITY OF SALEM
Salem Conservation Commission
978-619-5685
Will hold a public hearing for a Request for Determination of Applicability under the Wetlands
Protection Act MGL c131§40 and Salem Wetlands Protection & Conservation Ordinance at the
request of Michael E. Pelletier, 31 Ravenna Ave, Salem MA. Purpose of hearing is to discuss
installation of a pool skimmer line within buffer zone to a wetlands resource area at 3 Ravenna Ave.
Hearing will be 5/10/12 at 6pm in City Hall Annex Rm 313, 120 Washington St.
Please print legal ad on:
May 3,•2012
Please remit bill to:
Michael E. Pelletier
31 Ravenna Ave.
Salem, MA 01970
978-144-6906
THE FOLLOWING
IS/ARE THE BEST
i IMAGES FROM POOR
QUALITY ORIGINALS)
IM ^� �
DATA
I —
City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received �—
Amount Received
Form of Payment Check �] Cash
Client Information
CASH PAYMENTS: client initials
Sign Permit Application Fee
[Conservation Commission Fee
/
Payment received for what Planning Board Fee ZBA
service? ❑ SRA/DRB Fee
Copies
Other:
Name of staff person receiving
payment N— .
Additional Notes
II
5W12�z„3
5032
t
i MICHAEL E. PELLETIER 1
ANNE M. PELLETIER
k 31 RAVENNA AVE. PH. 970-744-6906 20/1
SALEM, MA
j y �.0/j1.970GC �'1� T
Y To l,
The Order h te
�HCr1U5...8 o.ro.ra
NORTH SHORE BANK
Ii NNJW NORTHSNno M
it For -
It y
1: 21137129131: 8006 >,070721" _5032
vJ
I I
Original Check and Form. DPCD Finance
Copy 1: Client
Copy 2: Application File
IID
PL�� r00
r \ .
V ,NCfA1-r A. �' Ngtvcy T swrNrucy
e2 �
3 \ 112
(aei\ P¢o Post.0 �t _
S7omi wgtc �yf,
h m
O Q _
DH (FDl (SE1) N v
O/ a 7'0 BE REMOVED
T
? oG x SHED
�OPOseL w l / / at" op 0
0 0
40T 375
H= 19,544=S.ruj
oFr9,
IN GROVND w / tT\
e
PROPOSED T£RRRCiA7C- �... I
bwo o (VAtz r `J �J
MPH 6 � VaGiAji.Ft vi-To Rs� LiAtt
Y - D£�K t A 31
w
csct. / p
��Pty G.fdAgsgc
GAILL.
9G�m 1 Q FF
SMITH
, No.35043
l 9oFFSS QNAS LAN)O L5t'I)` �V
ELEVATIONS BASED ON SEWER INVERTS CHANGED TO MEAN SEA LEVEL
DATUM. PLAN OF LAND
IN
SALEM
PROPERTY OF
fir- ^ MICHAEL E - & ANNE M . PEL L ETI ER
RECEIVED SCALE 1 '= 20 ' MAY 6, 1991
APR 2 6 2012 NMTH stOW SMS' C".
DEFT. OFP
JJ 1 INCH =20FEETtAANIIr,lG6 20 0 20 40 209 WASHIN6TON STREET - SALEM, MA.
COUAAWTY,DEVELOPMENT -=-J_J-L�� #662