8 NURSE WAY - CONSERVATION COMMISSION 8 Nur
i
' CITY OF SALEM
'�M= CONSERVATION COMMISSION
May 15, 2015
Robert B. and Carolyn P. Goudey
8 Nurse Way
Salem, MA 01970
Re: Determination of Applicability-8 Nurse Way
Dear Mr. and Mrs. Goudey
Enclosed, please find the Determination of Applicability for the above-referenced
property. Work may commence following the 10-business-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
Tom Devine
Conservation Agent
Enclosure
CC: DEP Northeast Regional Office
L1Massachusetts Department of Environmental Protection i
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 Robert B. and Carolyn P. Goudey
return key. Name Name
8 Nurse Way
+� Mailing Address Mailing Address
Salem MA 01970 pCod
Salem State Zip Code City/Town State Yip Code
1. Title and Date (or Revised Date if applicable)of Final Plans and Other Documents:
PLOT PLAN FOR BUILDING PERMIT (with hand-drawn markup) 6/24/2014
Title Date
Title Date
Title Date
2. Date Request Filed:
5/28/2015
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):
Fence, deck expansion, and sprinkler system per 5/28/2015 Request for Determination
Project Location:
8 Nurse Way Salem
Street Address Cityrrown
14 327
Assessors Map/Plat Number Parcel/Lot Number
wpaform2.doc•Determination of Applicability•rev.1914 Page 1 of 5
fi 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.
I
❑ 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
Waform2.doc•Determination of Applicability•rev.12114 Page 2 of 5
, k
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
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 Eoc•Determination of Applicability•rev.12/14 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
WALLPursuant rQ
to a municipal wetlands ordinance orr bylaw.
Name Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the applicant and delivered as follows:
❑ by hand delivery on JR by certified mail, return receipt requested on
/OL-el(S-
Date Dole
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 co must be sent to
the appropriate DEP Regional Office (see http://www.mass.gov/eea/aaenciesss /a out/contacts/)
and the property owner(if different from the applicant).
X-
Signatures:
A
Da
wpaform2,doc•Detenninalian of Applicability•rev.12/14 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 http://www.mass.oov/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.
wpaform2.doe•Determination of Applicability•rev.12114 Page 5 of 5
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
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 citizen group'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)
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
Non-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
wpaform2.doe•Request for Departmental Action Fee Transmittal Form•rev.12114 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands DEP File Number:
Request for Departmental Action Fee L1
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/abouUcontacts/).
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 Depar mental Action Fee Transmittal Form•rev.M4 Page 2 of 2
RDA Status Sheet
Address: Date Submitted:
Contact Name: Proposed activity:
Phone:-,774-(
(;Application Complete
Li-Correct Fee Received
t-Legal Ad Sent 6-Legal Ad Confirmed Online
--g Added to Agenda D`Agenda to Applicant
Agent Comments to Commission
Hearing Opened: /( Continued: Site Visit:
r,j;Permit Sent to Applicant and DEP
e-Confirmation of Delivery
j�-Added to database
Notes:
HACON COMMWdministrativ6project status sheet\RDA status sheet 2013-10-30.doc
I
UNITED STATES POSTAL SERVICE First-Class Mail
"Postage R Fees Pald
USPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box
Salem Conservation Commission
120 Washington Street,3rd FI
Salem,MA 01970
SENDER:
■ Comp $items 1,2,and 3.Also complete "At" igneture
iters„ti,if Restricted Delivery is desired: ❑Agent
■ Print your name and address on the reverse � 0 Addtessee
so.that we can return the card to you. 8: Received by(Printed Nam4 C. Da o eH cry
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different itom item 17 ❑Yes
1. Article A ressed to: If VES,enter delivery address below: 0 No
g N./r� ( �
1 / \ 3. Service Type
%rCertifled Mail ❑Express Mail
0 Registered 0 Rehm Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 yes
2. Article Number 7012 3050 0001 2959 0840
(Transfer from service label)
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1W
��caxo��A ��
CITY OF SALEM
CONSERVATION COMMISSION
k�'iiumg r�?r,
Salem Conservation Commission
978-619-5685
Will hold a public hearing for a Request for Determination of Applicability for Robert B and
Carolyn P Goudey, 8 Nurse Way, Salem, MA. Purpose of hearing is to discuss proposed
construction of a fence and irrigation system and expansion of a deck at 8 Nurse Way within an
area subject to protection under the Wetlands Protection Act MGL c.131§40 and Salem Wetlands
Protection& Conservation Ordinance. Hearing will be held 6/11/15 at 6:30pm in the City Hall
Annex, 3`d floor conference room, 120 Washington St.
Please print legal ad on:
June 4, 2015
Please invoice:
Robert and Carolyn Goudey
8 Nurse Way
Salem, MA 01970
744-263-0519
City of Salem Department of Plannin
Check/Cash g aDOmm°°ihr Deve/o
Receipt and Trackin Pment
Please complete fand o 9 Form
rm make two copes.
Date Received
S
Amount Received
Form of Payment i_X�(IS�.,t�.
heck
Client Information ❑ Money Order
CASH PAYMENTS: client initials
❑ Sign Permit Application Fee
Payment received for what 0 Conservation Commission Fee
service? ❑ Planning Board Fee/ZBA
❑ SRA/DRB Fee
❑ Old To Hail Rental Fee
❑ Other:
Name of staff
Person receiving
Payment V �1
Additional Notes VQ
LO11 ..^h..�
0 7v
CAROLpN OUDEy g
O V. � p'F
GOUDEY .S W '
s-Toui2no
PAY r . -4004
ORDE
EROPDATE 16 1
5-63r_u„
Y "
Citizens g
ank®
MEMO DOLLARS
w �
t' 2330P0
1 �5i. f
333309028"
_1 g
Original Check and Form: DPCD Finance
COPY 1: Client
copy 2: Application File
i
Massachusetts Department of Environmental Protection C��
Bureau of Resource Protection-Wetlands , _
ctyrt- n
WPA Form 1- Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out 1. Applicant:
forms the
computer,use `z7rt9�+ B .�i_zt,'�JUl7L��/ �OT/Hi9/L �/jj
only the tab key Name ��— E-Mail Address
to move your 8 mpaw/y
cursor-do not Malting Address
use the return �i4LE/�1 M A Q/9 7o
Key. cityrrovm state Zip Code
�n ®77/1 ZG3-OS �9 -77,91,?j8•c7's.P4
°6 Phone Number Fax Number(if applicable)
2. Representative(if any): I,r
Finn �I
Contact Name E-Mail Address
Mailing Address
crty/ro" state Zip Code
Phone Number Fax Number(if applicable)
i
B. Determinations
1. 1 request the 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.
',Wd.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).
wPa 1.doe Pape 1 of e
Quick Notes Page 2
Massachusetts Department of Environmental Protection
\ Bureau of Resource Protection -Wetlands
c
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):
Nt/&OQF IVAY
SAc cam, In,*
My!41 clbmwa,
R
S.�
Assessors Ma /Plat Number Parcel/Lot Number
i
b. Area Description(use additional paper,if necessary):
_idL�, C.6 L,6 A-� 4-, -.4-fp cert i a,
'I 4eaj- a _r1m tsek,t=l C.4.t 1 CO ' We- aw- -t- +�'e—
C.V�t Lit"1`�r> 'I Ll he„ p r'e zA I soy-k Sac Irl �r d 'iee.h t ftJ
- Lq 2 hr.LL� ar(1f�6lLn_ �1. 1 )P
1�t�rM,e.m Sam , l
c: 'Plan and/or Map Reference(s):
Title —_— _ Date
Title Date
Thle Date
2. a. Work Description (use additional paper and/or provide plan(s)of work,if necessary):
4oDto 2`:L44d,6,;7-d 6aeky42P. 141142
wk�e 4 �h-r BAeee�o e,� S2io ,r�UtiE S�rfrS�et 8iro.>,s�o�,,� G ya y
Rae* P l«ek'G 2F 62om L./.vE AtiD /D of S�D�F�rr� w�,s.� 1J1--1 M1A6;'
f�ia9ry�• L.)'lcK�Ute 3or�.gto�sio�ar',B�oFT�if�,e;F�
wiu U.lEsAItO e140D 49T�/�o?
Pr>T D�oK yoli is /o x�.l yo�igo Dcp se/7" 111'!5�Size-
_
G -
Page 2 ara
Quick Notes Page 3
Massachusetts Department of Environmental Protection
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 (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 k(use additional paper, "d
necessary),', work
3. a. If this application is a Request for Determination of Scope of Alternatives for work in the
Rivertront 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
i
❑ 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!7196
❑ New agriculture oraquacutture'project
❑ Public project wherefunds were appropriated.prior to 8/7/96
❑ Project on a lot shown on an approved,definitive.subdivision 0166 where there is a recorded deed
restriction limiting total alteration of the Riverfront Areafor the entire subdivision
❑ Residential subdivision; in'stfttAoriaf,Industrial,or ooritmercial project
❑ Municipal project
❑ District,county,state,or federal government project
❑ Project required t6 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.
.,yaw, l.dnc
Pape 3 d14
Quick Notes Page 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection-Wetlands
WPA Form 1- Request for Determination of Applicability cry rewn
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 andaddressof the property owner.
Name
g' �Vy,PSt I.1iA y
Mailing Address -
Cl rrovm
70
State lip code -
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
in a dance with Section 10.05(3)(b)(1)of the Wetlands Protection Act regulations.
�,,&A," 'K4N pplkant __ > DO U
Signature of Representative(if any) Date
i
wpamrml.eoc
Pape4 oG
Quick-Notes Page 5
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t f Y
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PRODUCT OVERVIEW Model# 73013796 Internet#203109197
The 4 ft. x 8 ft. Glendale Vinyl Spaced Picket Panel White is pre-assembled. It presents the same appearance on both si
your neighbor. The low-maintenance design never needs to be painted, scraped or stained and is designed to lock picke
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• Post, post tops and brackets sold separately
• Pre-Assembled and ready to install
• Made of durable, low maintenance vinyl
• Easy to install for the do-it-yourselfer
• Transferable Limited Lifetime Warranty
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1 � 1
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NURSE WAY
(PR1VA78 WAY - 40' WIDE)
_ ' — . _ _ . — " —r .
15.4WN25703
1 84.74•
173' I II
Z
1 20.83 m N
MAP 14 LOT 326 ro PROP. PROP- c
N kRESIDENCE GARAGE N :BARTLETT &STEADMAN
DEVELOPMENT CORP-
6 NURSE WAY 56,1E
6- 1 I
(LOT 217 ON REF. $1) r DECK 10.8'
I� 1I 10'x12'
I
I
1 IAT AREA
! 7,204 SF. �-T
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- - '! 5526'1500'E_
—� 90.00' I
DELL STREET I
(NOT CONSPRUCM 40' WIDE)
s
c. � t
nye
.`J'`,, rrr t), `� y14` PLOT PLAN
t f ✓\ r- r �1 FOR BUILDING PERMIT
Gzviy ASSESSORS MAP 14 LOT 327
NUIES- 8 NURSE WAY
1) BOUNDARY SURVEY BY LEBLANC SURVEY SALEM, MASSACHUSETTS
ASSOCIATES, DANVERS. MA-
2) PROPERTY IS SHOWN AS LOT 218 ON LAND RECORD OWNER:
COURT PLAN-856-13. RARTLMT h S'PRADMAN
- - DEVRIAPMENr CORPORYATION
� } {ZCFFRENCES
1) LC.PLAN 856-13 PREPARED FDR:
E' ?. 2) L.C.PLAN 856-J NURSE WAY BUILDERS, LLC
PREPARED BY.
GRIFFW ENGINEERING GROUP. LLC
100 cuinu 1GS ccwwiL SL11TE 2246
BEVERLY, MA 01915
(978) 927-5111
�_,4 70NMG U151RIC7 - RI
11 MINIMUM LOT AREA - 15,000 &FNNS 24, X14
MINIMUM FRONTAGE - 100' SCAM 1'=W'
SETBACKS HDR. SCALE IN FEET
FRONT- 15' 100
SIDE - 1G' 0. 20 50
REAR - 30' ...