U-HAUL COU - HAUL Co.________
43 Jefferson Ave.
1
REQUEST FOR REVIEW COMMENTS
SPECIAL PERMIT
DATE: -
TO: ( ) Building Inspector ( ) Conservation Commission
( ) City Engineer ( ) Other:
(� Board of Health
Attached please find the application referenced below. The Planning Board
requests that you review this application relative to Section VII of the
Zoning Ordinance. We would appreciate your completing the form below and
returning it to us. Notice of the public hearing for this application will
be forwarded to you.
(�) WETLANDS & FLOOD HAZARD DISTRICTS
( ) CLUSTER DEVELOPMENT
( ) PLANNED UNI/T� DEVELOPMENT
APPLICANT: /J h;4tJZ 0 r n/h�" "
PROJECT NAME & ADRESS: 133 i t rp��San7 AtJ
CONTACT PERSONS AND PHONE:
Applicant: City:
COMMENTS DUE BY:
(Failure to comment within 35 days, shall be deemed lack of opposition.)
(x) Concur with proposal (Explain.on reverse side)
( ) Need more information (Explain on reverse side)
( ) Cannot concur with proposal (Explain on reverse side)
(. ) Comments included
REVIEWER'S SIGNATURE TITCE DATE
Visited site. Concur with proposal.
Voted as approved on March 13, 1979
Board of Health Meeting. -
Robert E. Blenkhorn
Health Agent
REQUEST.FOR.REVIEW -COMMENTS
SPECIAL PERMIT
DATE:
TO: ( ) Building Inspector ( ) Conservation Commission
( ) City Engineer ( ) Other:
(� Board of Health
Attached please find the application- referenced below. The Planning Board
requests that you review this application relative to Section VII of the
Zoning Ordinance. We would appreciate your completing the form below and
returning it to us. Notice of the public hearing for this application will
be forwarded to you.
( �)
WETLANDS :& FLOOD HAZARD DISTRICTS
( ) CLUSTER DEVELOPMENT
( ) PLANNED UNIT DEVELOPMENT -
APPLICANT: I% MAd 0 a,!2i
PROJECT NAME & ADRESS:
CONTACT PERSONS AND PHONE:
Applicant: City:
COMMENTS DUE BY:
(Failure to comment within 35 days shall be deemed lack of opposition.) `
(14 Concur with proposal (Explain on reverse side)
( ) Need more information (Explain on reverse side)
( ) Cannot concur with proposal (Explain on reverse side)
( ) Comments included
HPalth Agpnt 3/13/79 - -
REVIEWER'S SIGNATURE TITLE DATE
Viewed plans, visited site and concurred
with the proposal.
Robert E."Blenkhoi-n
Health Agent
✓-At,
CITY OF SALEM, MASSACHUSETTS
APPLICATION
SPECIAL PERMIT
WETLANDS AND FLOOD HAZARD DISTRICTS
Applicant: 4zalzl/L Cly, r?i x-v3C i t3rir_. dnJ�'
Address:/ 4/ 11/e;120Z-) S'7—
� lJ%?JCh�(✓�
Telephone: (211-7)
Owner: c� JJC
Address
Location of
RE.CENFD
SALEM,MASS-
City Clerk Stam
Project Description:
I. It has been determined by the Building Inspector that the above property
lies in the following area(s):
A. Wetlands District
Wetlands ( )
B. Flood Hazard District
Zone A ( )
Buffer Zone ( )
Zone A3 ) Zone V3 ( )
II. Information required includes this application and the following additional
information (file one copy of everything with the City Clerk and five
copies with the Y lanning Board; all copies must be stamped by the City Clerk):
-�. A sir. t at e '�.Of In .'O, l.�!S Onal
20'
1. Lot lines within which the development is proposed and the tie- (1��
in to the nearest road intersection;
2. The location, boundaries, and dimensions of each lot in question; p
3. Two -foot contours of the existing and proposed land surface;
4. Location of existing and proposed structures, water -courses,
drainage and drainage easements, means of access, utilities, �)
and sewer disposal facilities including leaching fields, if
any. Proposed elevations should be noted.
S. Boundaries of all districts, areas and zones as noted in L) L
Section I. '\
-z -
B. In the Wetlands District, a determination by a qualified engineer
A�� of the seasonal high water table, performed during the last two
/`/rh weeks of March or the first three weeks of April. A minimum of
two percolation tests for each leaching area shall be performed.
C. In cases of flood -proofing or pile construction, certification
by a registered professional engineer or architect as to the
elevation of flood -proofing measures and as to compliance with the
/91< applicable sections of the Massachusetts State Building Code
concerned with flood depths, pressures, velocities, impact and
uplift forces, and other factors associated with the base flood.
Where specific methods or techniques have been previously certi-
fied, the Planning Board may waive this requirement.
D. A list of Federal, State, and other local permits required by the
applicant.
E. Descriptions relative to all conditions applicable in Section III
below.
III. Conditions (Complete those sections indicated (x) by the Building Inspector)
In the Wetlands and Flood Hazard Districts no structure or building,
including pipes and wells, shall be erected, constructed, substantially
improved, enlarged, or otherwise created or moved; no area shall be
paved; no earth or other material shall be stored, dumped, used as
fill, excavated, or transferred; and no sediment shall be caused to
be discharged from or onto a wetland, unless all the following condi-
tions are found to exist as part of the granting of a Special Permit by
the Planning Board (use additional pages if necessary):
A. All Districts:
(X) 1. The proposed use will comply in all respects to the uses and
provisions of theu}derlying District in which the land is
located. Yes J/ No
c. Tiler,.lar :--i _
Lf1aa i..
streets and property, particularly in the event of flooding
of the lot(s) or adjacent lot(s) caused by either overspill
from water bodies or high runoff.
♦ -3-
(X) 3. Utilities, including gas, electrictity, fuel, water, and
sewage disposal, shall be located and constructed so as to
protect against breaking, leaking, shortcircuiting, grounding
or igniting or any other damage due to flooding. (Provide
details)
(X) 4. The cumulative effect of the proposed development or use, when
combined with all other existing and anticipated development
and uses will not obstruct or divert flood flow; substantially
reduce natural flood -water storage capacity in the local
drainage area; destroy valuable habitat for wildlife including
fisheries or shellfisheries; adversely affect groundwater
resources or increase storm water run-off velocity so that
water levels on other land are substantially raised or the
danger from flooding increased.
j i. The proposed development or use shall not incivae the storage
of salt, chemicals, petroleum products or other contaminating
substances or discharge of any polluting liquids or materials
into streams, brooks or wetlands. (The polluting effects of
substances on the Wetlands are to be gauged by the "Rules and
Regulations for the Establishment of Minimum Water Quality
Standards and for the Protection of the Quality and Value of
Water Resources" of the Commonwealth of Massachusetts.)
( ) 2. The floor level of areas to be occupied by human beings as
living or work space shall be four (4) feet or more above
the seasonal high water table.
( ) 3. If the basement floor level is below the seasonal high water
table and affords the possibility of human occupancy at some
future date, although not originally intended, adequate
perimeter drainage and foundation shall be installed to with-
stand the effect of pressure and seepage. Furnace and utilities
are to be protected from the effects of leaching. (Provide details)
Applies ( ) Does not Apply ( )
( ) 4. If the lot is to be served by an on lot septic system, the
leaching area designed for use, as well as a reserved area
for future expansion or total future use, shall be plotted with
dimensions on the site plan, and the leaching areas shall not
be constructed where the seasonal high water table is less
than 4 feet below the bottom of the leaching areas.
Applies ( ) See site plan X/01
Does not apply ( )
C. Flood Hazard District (all zones):
( ) _ 1. The floor of the basement, or if none, the lowest floor of
new construction or substantial improvement of structures for
- It o:- abc. i'ne ear flood le,. -I.
( ) 2. The floor of the basement, or if none, the lowest floor of ,
new construction or substantial improvement of structures for non-
residential uses shall be at or above the 100 year flood level
or the structures shall be flood -proofed to that level in
compliance with the applicable requirements of the Massachusetts
State Building Code. Flood -proofing measures shall insure
that the structure is watertight and that structural components
have the capability of resisting hydrostatic and hydrodynamic_
.._ 4
-5-
D. Flood Hazard District, Coastal High Hazard Area (Zone V3):
( ) 1. New structures or substantial improvements shall be located
landward of the reach of Mean High Tide.
i
( ) 2. New structures or substantial improvements shall be elevated
on adequately'anchored pilings or columns, and securely
anchored to such pilings or columns so that the lowest
portion of the structural members of the lowest floor (ex-
cluding the pilings or columns) is elevated to or above the 100
year flood level. Space below the lowest floor shall be free
of fixed obstruction. (Provide details)
( ) 3. The support of new structures or substantial improvements shall
not be, in whole.or_ in part, by the use of fill. (Provide details)
IV. Procedure
The Planning Board shall, within 7 days after the filing of this
application, transmit one cop: saic ol.ic::;_in: ::lana and al, other
_ n estioate _i:evep,..:
to the Planning Board. The Planning Board shall not take final action
on such application until it has received a report thereon from the
Inspector of Buildings, City Engineer, Board of Health and Conservation
Commission or until thirty-five (35) days have elapsed after dis-
tribution of such application without a submission of a report. The
Planning Board Shall hold a Public Hearing on said application as soon
as possible after receiving the above reports, in accordance with
Chapter 40A of the Massachusetts General Laws. The Planning Board
shall notify the applicant in writing of its decision on the special
permit. The decision shall document the proposed development or use
and the grounds for granting or refusin- the special permit. The
, -6-
Planning Board may, as a condition of approval, require that the appli-
cant give effective notice to prospective purchasers, by signs or
by recording the special permit at the Registry of Deeds, of the wet-
land or flood hazard conditions associated with said premises and the
steps undertaken by the petitioner or his successor in title to
alleviate the effects of same.
Signed
Title
Date
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