10 WHITE STREET - ZONING (5) Bourne Consulting Engineering, P C
3 vent Jtreet
Ronald R:Bourne P.E.—President C Franklin, YfA02038 '
December 22, 2014
City of Salem .' pEP7.C'
Planning& Community Development ' �MpA1l
City Hall. .
- 93 .Washington'Street
Salem, MA 01970` a
Attn: Dana Menon.'
Re: Brewer Hawthorne Cove Marina—X263902 (BCE S2890) .
Subj: DEP Chapter, 91 License No: 1590,-Amendment
Dear Dana:
Please, find attached
for review and' signature; :a copy of the, Chapter 91' permit
application to delineate a'zone of future reconfigurationwithin_a' marina at Brewer Hawthorne .
Cove Marina in Salem, MA. Included-,is the Municipal.Planning,Board Notification'and
self-addressed stamped envelope. .
'Under 310 CMR 9:00, the Planning-Board must be notified of the proposed work and the
certification page signed by'the 'ttown clerk or,appropriate`municipal 'official. prior to
: ,
issuance of the licensePlease return the completed.Planning Board Notification'to us in
the self-addressed stamped envelope certifying your receipt of the license application:
Thank you for your attention to this matter. If y-ou`have any questions, please .do not
hesitate to contnt me - -
Very truly yours,
BOURNE CONSULTI GINEERING.
Ronald R. Boun P
Proj ect Manager,
Enclosure
Tel. (508)533-6666 • Fax.(508) 533-0600 • e-mail: bce@bournece:com
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways Regulation Program x263902
Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No.
Water-Dependent, Nonwater-Dependent,Amendment
Important:When
filling out forms pp
A Application Information (Check one)
on the computer,
use only the tab NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing
key to move your Package for BRP WWO6.
cursor-do not
use the return
key. Name (Complete Application Sections) Check One Fee Application #
,m
WATER-DEPENDENT-
General (A-H) ❑ Residential with <4 units $215.00 BRP WW01a
❑ Other $330.00 BRP WW01b
For assistance ❑ Extended Term $3,350.00 BRP WW01c
incompleting this .._..-..-..-..-.._..-..-..-.._.._..-..-.._.._..-..-..-.._..-.-.._.._..-..-..-.._..-..-..-..-.._.._..-..-..-.._.._.._..-..-.._..------.._..---------------
application,please t(dmenA-H _
see the Amen ) ❑ Residential with <4 units $100.00 BRP WW03a
"Instructions".
® Other $125.00 BRP WW03b
NONWATER-DEPENDENT-
Full (A-H) ❑ Residential with <4 units $665.00 BRP WW15a
❑ Other $2,005.00 BRP WW15b
❑ Extended Term $3,350.00 BRP WW15c
- .._.._.. - -._.._.._..- —_._.._.-- --------
Partial
---Partial (A-H) ❑ Residential with <4 units $665.00 BRP WW14a
❑ Other $2,005.00 BRP WW14b
❑ Extended Term $3,350.00 BRP WW14c
_._.-----------------------__..
Municipal Harbor Plan (A-H) ❑ Residential with <4 units $665.00 BRP WW16a
❑ Other $2,005.00 BRP WW16b
❑ Extended Term $3,350.00 BRP WW16c
.. -........ ___.- - - - - -- -- -..-
--- -
-
Joint Ill(A-H) ❑ Residential with < 4 units $665.00 BRP WW17a
❑ Other $2,005.00 BRP WWI 7b
❑ Extended Term $3,350.00 BRP WW17c
__-.- ___..- -----.._..__ __..__.___.
Amendment(A-H) ❑ Residential with <4 units $530;00 BRP WW03c
❑ Other $1,000.00 BRP WW03d
❑ Extended Term $1,335.00 BRP WW03e
CHg1App.doc•Rev.08113 Page 1 of 13
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways Regulation Program x263902
Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No.
Water-Dependent, Nonwater-Dependent, Amendment
B. Applicant Information Proposed Project/Use Information
1. Applicant:
BHCM Inc. nflaherty@byy.com
Name E-mail Address
10 White Street
Mailing Address
Note: Please refer Salem
to the"Instructions" MA 01970
Cityrrown State Zip Code
(978)740-9890 5085330600
Telephone Number Fax Number
2. Authorized Agent(if any):
_Bourne Consulting Engineering - Ronald Bourne rbourne@bournece.com
Name E-mail Address
3 Bent Street
Mailing Address
Franklin MA 02038
Cdy/rown State Zip Code
5085336666 5085330600
Telephone Number Fax Number
C. Proposed Project/Use Information
1. Property Information (all information must be provided):
BHCM Inc.
Owner Name(if different from applicant)
41-0283-0 42.522 -70.882
Tax Assessor's Map and Parcel Numbers Latitude Longitude
10 White Street MA 01970
Street Address and Cityrrown State Zip Code
2. Registered Land ® Yes ❑ No
3. Name of the water body where the project site is located:
Salem Harbor
4. Description of the water body in which the project site is located (check all that apply):
IYLe Nature Designation
❑ Nontidal river/stream ® Natural ❑Area of Critical Environmental Concern
® Flowed tidelands
❑ Enlarged/dammed El Designated Port Area
❑ Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary
❑ Great Pond ❑ Uncertain
❑ Uncertain
CH91App.doc•Rev.08113 Page 2 of 13
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways Regulation Program X263902
Chapter 91 Waterways License Application - 310 CMR 9.00 Transmittal No.
Water-Dependent, Nonwater•Dependent,Amendment
C. Proposed Project/Use Information (cont.)
Select use(s)from
Project Type Table 5. Proposed Use/Activity description
on pg. 2 of the
"Instructions" Delineating a Zone of Reconfguartion within the marina for future reconfiguration design in
accordance to 310 CMR 9.39(1)(b)
6. What is the estimated total cost of proposed work (including materials & labor)?
$0
7. List the name & complete mailing address of each abutter(attach additional sheets, if necessary). An
abutter is defined as the owner of land that shares a common boundary with the project site, as well
as the owner of land that lies within 50' across a waterbody from the project.
House of Seven Gables 115 Derby St. Salem MA
Name Address
City of Salem 93 Washington St. Salem MA
Name Address
Name Address
D. Project Plans
1. I have attached plans for my project in accordance with the instructions contained in (check one):
® Appendix A(License plan) ❑ Appendix B (Permit plan)
2. Other State and Local Approvals/Certifications
❑401 Water Quality Certificate
Date of Issuance
❑ Wetlands
File Number
❑ Jurisdictional Determination JD-
File Number
❑ MEPA
File Number
❑ EOEA Secretary Certificate
Date
❑ 21 E Waste Site Cleanup
RTN Number
CH91Apodoc•Rev. 08/13 Page 3 of 13
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways Regulation Program X263902
Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No.
Water-Dependent,Nonwater-Dependent,Amendment
E. Certification
All applicants, property owners and authorized agents must sign this page.All future application
correspondence may be signed by the authorized agent alone.
"I hereby make application for a permit or license to authorize the activities I have described herein. Upon
my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of
Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the
premises of the project site at reasonable times for the purpose of inspection."
"I hereby certify that the information submitted in this application is true and accurate to the best of my
knowledge."
Applicant's signature
Date
Property r CFs signature(A tlitferenl than apDliwnt)_.. Date
dd�y
Ag s signature Ifappli ble) / �' Date
CH91App,tloc•Rev.08/13
Page 4 of 13
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways Regulation Program x263902
Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No.
Water-Dependent,Nonwater-Dependent,Amendment
G. Municipal Zoning Certificate
Noah Flaherty
Name of Applicant
10 White Street Salem Harbor Salem
Project street address Waterway City/town
Description of use or change in use:
Delineating a zone within the marina for future reconfiguration. In accordance to 310 CMR 9 39(1)(b)
To be completed by municipal clerk or appropriate municipal official:
"I hereby certify that the project described above and more fully detailed in the applicant's waterways
license application and plans is not in violation of local zoning ordinances and bylaws."
_ ec �n 1�, Gln c )c - � e—r
Printed Name of Municipal Official Date
Signature of Municipal Official Title City/Town
CH91App.doc-Rev.08113 Page 6 of 13
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways Regulation Program x263902
Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No.
Water-Dependent,Nonwater-Dependent,Amendment
H. Municipal Planning Board Notification
Notice to Noah Flaherty
Applicant:
Name of Applicant
Section H should 10 White Street Salem Harbor Salem
be completed and Project street address waterway City/Town
submitted along
with the original Description of use or change in use:
application material.
Delineating a zone within the marina for future reconfiguration. In accordance to 310 CMR 9 39(1)(b)
To be completed by municipal clerk or appropriate municipal official:
"I hereby certify that the project described above and more fully detailed in the applicant's waterways
license application and plans have been submitted by the applicant to the municipal planning board."
Printed Name of Municipal Official Date
Signature of Municipal Official Title City7Town
Note:Any comments, including but not limited to written comments, by the general public, applicant,
municipality, and/or an interested party submitted after the close of the public comment period
pertaining to this Application shall not be considered, and shall not constitute a basis for standing in
any further appeal pursuant to 310 CMR 9.13(4)and/or 310 CMR 9.17.
CH91 App.doc•Rev.08/13 Page 7 of 13
Brewer Hawthorne Cove Marine December 2014
Appendix A—License Plans
Bourne Consulting Engineering BCE#32890
I CERTIFY THAT THIS PLAN
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PLANS ACCOMPANYING PETITION OF
BREWER HAWTHORNE MARINA FOR MARINA
ZONE OF RECONFIGURATION
AT WHITE STREET, SALEM, MA IN SALEM
HARBOR.
PREPARED BY
BOURNE CONSULTING ENGINEERING PC.
FRANKLIN, MA
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