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C II Car-en pw T C TOWN OF AGAWAM, MAS SACHUSETTS FORM A Application for Endorsement of Plan Not Believed to Require Approval FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B ! ?y 2Q /6 TO THE PLANNING BOARD: The undersigned, believing that the accompanying plan of his property in the Town of Agawam does not constitute a subdivision within the meaning of the Subdivision Control Law, herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. 1. Name of A licant i F m 1 L T'2 v S l Pp �� 1�/I�1 S� � . Address 2 aPhone# Fax # email 2. Name of Surveyor,' Nil\a ES ID AL.�oeIA_�f omnub oY) Address 37-T-l,tJ+4l.j1LX sr. ay-r , h6 ig u1 El nj A Phone#W6 52 4 t S Fax#q13 23-?7 7b email R0N M1k)L, CDK 3. Deed of Property Recorded in M P.4" t' v Book 5 3 31 _ Page 2? 1 4. Location of Property _St., 91i �.. lA i�,- 2212 ^ aQ M 5 1-4 �110..N i9 F. 5. Describe the proposal in this submission: CIRgoTe otq p CDNroR rn +N& ATTACHMENTS-Two originals and three copies of plan by certified land surveyor. Filing Fee-$50.00 plus$20.00 per Iot. Signature of Owner 4Address j 3 (� '7;;�ol}v e Q1 � 30 SCANNED 77 � . C elan . Massachusetts Department of Environmental Protection L7 Bureau of Resource Protection - Wetlands WPA Emergency Certification Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Emergency Information Important: Agawam Conservation Commission When filling out issuance From. Issuing Authority forms on the 19 Cesan Street computer, use 1. Site Location: only the tab key to move 2 Reason for Emergency: your cursor- do not use the Dying/dead tree approximately 20' from pond in back yard in danger of falling. return key. . � 3. Applicant to perform work: owner _ ��I r 4. Public agency to perform work or public agency ordering the work to be performed: 5. Date of Site Visit: Start Date: End Date*: 5-25-16 6-3-16 7-3-16 no later than 30 days from start date or 60 days in the case of an Immediate Response Action approved by DEP to address an oiVhazardous material release. 6. Work to be allowed*: Deadldying tree to be cut. *May not include work beyond that necessary to abate the emergency. B. Signatures Certified to be an Emergency by this Issuing Authority. Signatures: June 3, 2016 Chair n(or signee) Date A copy of this form must be provided to the appropriate DE,APn (Regional Office. WPA Emergency Certification SCANNED ` r w` Page 1 of 2 Rev.011a110 L1101 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Emergency Certification Form Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 C. General Conditions 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Emergency Certification or subject to enforcement action. 2. This Emergency Certification does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of property rights. 3. This Emergency Certification does not relieve the applicant or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. 4. Any work conducted beyond that described above, and any work conducted beyond that necessary to abate the emergency, shall require the filing of a Notice of Intent. 5. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Emergency Certification at reasonable hours to evaluate compliance with this Certification, and may require the submittal of any data deemed necessary by the Conservation Commission or the Department for that evaluation. 6. This Emergency Certification shall apply to any contractor or any other person performing work authorized under this Certification. 7. No work may be authorized beyond 30 days from the date of this certification without written approval of the Department. D. Special Conditions Stump is to remain. Notify Conservation Commission 24 hrs. in adavance of work taking place. E. Appeals The Department may, on its own motion or at the request of any person, review: an emergency certification issued by a conservation commission and any work permitted thereunder; a denial by a conservation commission of a request for emergency certification; or the failure by a conservation commission to act within 24 hours of a request for emergency certification. Such review shall not operate to stay the work permitted by the emergency certification unless the Department specifically so orders. The Department's review shall be conducted within seven days of: issuance by a conservation commission of the emergency certification; denial by a conservation commission of the emergency certification; or failure by a conservation commission to act within 24 hours of a request for emergency certification. If certification was improperly granted, or the work allowed thereunder is excessive or not required to protect the health and safety of citizens of the Commonwealth, the Department may revoke the emergency certification, condition the work permitted thereunder, or take such other action as it deems appropriate. WPA Emsrgwcy Certilicaton Page 2 of 2 Rev.0113110 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 87-0602 Ll C�� WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaotian# Agawam Cityfrown A. General Information Important: Agawam _ When filling i.From: Conservation Commission TJ. out forms - on the 2. This issuance is for -._ _ computer, (check One): a.®Order, of Conditions b. ❑Amended Order of Condimbns use only the W tab Ivey to s. To: Applicant: - move your cursor-do Christopher _ _ Golba not use the a.First Name b.Last Name return key. Agawam Department of Public Works _ 0.Organization VQ 1000 Suffield Street d.Mailing Address Agawa MA 01001 e.Cityrrown f.State g.Zip Code 4. Property Owner(if different from applicant): John Nekitopoulos a.First Name b. Last Name Christy Real Estate, LLC c.Organization 339C Bliss Street d. Mailing Address Agawam MA 01001 e.Cityfrown _ f.State g.Zip Code 5. Project Location: #11 and #37 Ramah Circle North Agawam a. Street Address b.Cityfrown J14 212 and 2/3 c.Assessors Map/Plat Number d.PareeVLot Number Latitude and Longitude, if known: d m s d m s d.Latitude e.Longitude wpaform5.doe• rev.12n3fo9 Page 1 of 12 SCANNED Massachusetts Department of Environmental Protection Provided by MassDEP: LlBureau of Resource Protection - Wetlands 87-0602 WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Agawam City1rown A. General Information (cunt.) 6. Property recorded at the Registry of Deeds for(attach additional information if more than one parcel): Hampden a.County _ b.Certificate Number(if registered land) 17589 465 c.Book d. Page 7. Dates: 3-31-14 5-22-14 5-22-14 a.Date Notice of Intent Filed b. Date Public Hearing Closed c.Date of Issuance 8. Final Approved Plans and Other Documents(attach additional plan or document references as needed): Ramah Circle North Town Drainage System a.Plan Title Michael F. Albro b.Prepared By c.Signed and Stamped by 2111/14 1" = 10' d.Final Revision Date e.scale Pro osed Im rovetnents to Town Draina e System 2/11/14 f.Additional Plan or Document TO-- g.Date B. Findings 1. Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing, this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act(the Act). Check all that apply: a. ❑ Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollution d. ❑ Private Water Supply e. f. ❑ Protection of pp y El Wildlife g. ❑ Groundwater Supply h. ® Storm Damage Prevention i. ❑ Flood Control 2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes) Approved subject to: a. ® the following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. wpaform5.doc- rev.12123M Papa 2 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: LlBureau of Resource Protection - Wetlands 87-0602 WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPTransadion# Agawam _ cityrrown B. Findings (cunt.) Denied because: b. ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect the interests of the Act, and a final Order of Conditions is issued. A description of the performance standards which the proposed work cannot meet is attached to this Order. c. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific Information which is lacking and why It is necessary is attached to this Order as per 310 CMR 10.06(6)(c). Inland Resource Area Impacts: Check all that apply below. (For Approvals Only) 3. ❑ Buffer Zone Impacts: Shortest distance between limit of project a.linear feet disturbance and Bank or Bordering Vegetated Wetland boundary(if available) Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 20-30 20-30 4. ® Bank a_linear feet b. linear feet c.linear feet d.linear feet s. ❑ Bordering Vegetated Wetland a.square feet b.square feet c.square feet d.square feet 6. ❑ Land Under Waterbodies and a.square feet b.square feet c.square feet d.square feet Waterways e_cfy dredged f.Gy dredged 7. ❑ Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet 8. ❑ Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c cubic feet d.cubic feet e.cubic feet f.cubic feet wpaform5.doc• rev.12FIM Page 3 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 87-0602 WPA Form 5 — Order of Conditions MassQEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Agawam City/Town B. Findings (cont.) Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 9. ❑ Riverfront Area a,total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100- 200 ft g.square feet h.square feet i.square feet j.square feet Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only) 10. ❑ Designated Port Areas Indicate size under Land Under the Ocean, below 11. ❑ Land Under the Ocean a.square teet b.square feet c.dy dredged d.dy dredged 12. ❑ Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13. ❑ Coastal Beaches cu yd Cu yd a.square feet b.square feet c. nourishment d.nourishment 14. ❑ Coastal Dunes cu yd Cu yd a.square feet b.square feet c.nourishment d.nourishment 15. ❑ Coastal Banks a.linear feet b.linear feet 16. ❑ Rocky Intertidal Shores a.square feet b.square feet 17. ❑ Salt Marshes a.square feet b.square feet c.square feet d.square feet 18. ❑ Land Under Salt Ponds a.square feet b.square feet c.cty dredged d.cly dredged 19. ❑ Land Containing Shellfish a.square fie-F b.square feet c.square feet d.square feet 20. ❑ Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above a.cly dredged b.Gy dredged 21. ❑ Land Subject to Coastal Storm a.square feet b.square feet Flowage wp8t0rm5.doc• rev.12/23/09 Page 4 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 87-0602 WPA Form 5 -- Order of Conditions MassDEPFile# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Agawam Ci Yrrown B. Findings (cont.) 22. ❑ Restoration/Enhancement: a.square feet of BV1N b.square feet of salt marsh 23. ® Stream Crossing(s): 0 a.number of new stream crossings b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects. 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of emptying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. If this Order constitutes an Amended Order of Conditions, this Amended Order of Conditions does not extend the issuance date of the original Final Order of Conditions and the Order will expire on unless extended in writing by the Department. 7. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse,rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper,cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. wpaWm5.doe• rev.12l23l09 Page 5 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands 87-0602 WPA Form 5 — Order of Conditions MassDEP File# ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Agawam Citylrown C. General Conditions Under Massachusetts Wetlands Protection Act (cunt.) 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which farm must be stamped by the Registry of Deeds, prior to the commencement of work. 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or, "MassDEP"] "File Number 87-0602 " 11. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before MassDEP. 12. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 16. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. wpaform5.d0c- rev.12123109 Page 6 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands 87-0602 WPA Form 5 - Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40ILI eDEP Transaction# Agawam Cityrrown C. General Conditions Under Massachusetts Wetlands Protection Act (coat.) 18. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work lime has been approved by this Order. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the "Project") is (1)❑ is not(2)®subject to the Massachusetts Stormwater Standards. If the work is subject to the Stormwater Standards,then the project is subject to the following conditions: a) All work, including site preparation, land disturbance, construction and redevelopment, shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and, if applicable,the Stormwater Pollution Prevention Plan required by the National Pollution Discharge Elimination System Construction General Permit as required by Stormwater Condition 8. Construction period erosion, sedimentation and pollution control measures and best management practices (BMPs) shall remain in place until the site is fully stabilized. b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that: i. all construction period BMPs have been removed or will be removed by a date certain specified in the Certification. For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation, recharge, and/or treatment, the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the ¢MP has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment trapped in inlet and outlet control structures; # as-built final construction BMP plans are included, signed and stamped by a Registered Professional Engineer, certifying the site is fully stabilized; M. any illicit discharges to the stormwater management system have been removed, as per the requirements of Stormwater Standard 10; iv. all post-construction stormwater BMPs are installed in accordance with the plans (including all planting plans) approved by the issuing authority, and have been inspected to ensure that they are not damaged and that they are in proper working condition; v. any vegetation associated with post-construction BMPs is suitably established to withstand erosion. %psformEdoc- rev.12123/09 Page 7 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 87-0602 WPA Form 5 -- Order of Conditions MassDEP File# ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Agawam City£rawn C. General Conditions Under Massachusetts Wetlands Protection Act (cont.) c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance. Prior to requesting a Certificate of Compliance, or Partial Certificate of Compliance, the responsible party(defined in General Condition 18(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement) for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan ("O&M Plan")and certifying the following: i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance, and ii.) the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-term pollution prevention plan section of the approved Stormwater Report and, if applicable, the Stormwater Pollution Prevention Plan required by the National Pollution Discharge Elimination System Multi-Sector General Permit. e) Unless and until another party accepts responsibility, the landowner, or owner of any drainage easement, assumes responsibility for maintaining each BMP. To overcome this presumption, the landowner of the property must submit to the issuing authority'a legally binding agreement of record, acceptable to the issuing authority, evidencing that another entity has accepted responsibility for maintaining the BMP, and that the proposed responsible party shall be treated as a permittee for purposes of implementing the requirements of Conditions 18(f) through 18(k)with respect to that BMP. Any failure of the proposed responsible party to implement the requirements of Conditions 18(f)through 18(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance. In the case of stormwater BMPs that are serving more than one lot, the legally binding agreement shall also identify the lots that will be serviced by the Stormwater BMPs. A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement. f) The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans, the O&M Plan, and the requirements of the Massachusetts Stormwater Handbook. wpafomi5,dx• rev.12123/09 Pape 8 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 87-0602 WPA Form 5 - Order of Conditions MassDEP File# ILI Massachusetts Wetlands Protection Act M.G.L. c. 131, §44 eDEP Transaction# Agawam Citylrown C. General Conditions Under Massachusetts Wetlands Protection Act (cunt.) g) The responsible party shall: 1. Maintain an operation and maintenance log for the last three (3)consecutive calendar years of inspections, repairs, maintenance and/or replacement of the stormwater management system or any part thereof, and disposal (for disposal the log shall indicate the type of material and the disposal location); 2. Make the maintenance log available to MassDEP and the Conservation Commission ("Commission") upon request; and 3. Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable federal, state, and local laws and regulations. i) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. j) The stormwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3, Chapter 1, Low Impact Development Site Design Credits) shall not be altered without the prior written approval of the issuing authority. 1) Access for maintenance, repair, and/or replacement of BMPs shall not be withheld. Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions (if you need more space for additional conditions, please attach a text document): SEE ATTACHED CONDITIONS wpafprm5.d=• rev.1212W9 Page 9 of 12 TOWN OF AGAWAM, MASSACHUSETTS CONSERVATION COMMISSION ORDER OF CONDITIONS Ramah Circle North—Town of Agawam—87-0602 20. This Order supersedes all previous Orders of Conditions issued for this work. 21. The Order of Conditions applies only to the work permitted by this Order. Any other work to be done within the area of statutory interests of Wetlands Protection shall require the filing of a new Notice of Intent or Request for Determination. 22. During the construction-phase, the applicant shall be responsible for maintaining a copy of these Orders at the site. The applicant shall be responsible for compliance with the conditions of these Orders. 23. Prior to the start of construction,adequate erosion and sedimentation control measures shall be implemented, and shall be maintained throughout the entire construction phase and until the site has become stabilized with permanent vegetative cover. 24. The Commission shall be notified at least seventy-two hours prior to the start of construction and after erosion control measures are in place to enable the Commission to ensure compliance with these Orders. 25. The erosion and sedimentation barrier shall serve as the alteration limit line. Said barrier shall fully protect the adjacent wetland/resource area, and no work shall be permitted beyond this limit line. No machinery shall be operated beyond this limit line. 26. There shall be no discharge or spillage of oil, fuel, any petroleum product or any other pollutant into any area of statutory interest. 27. At no time shall any construction materials, soils, fills, sediments, dredging or any other substances be stockpiled or stored in any area of statutory interest. 28. All work within the area of statutory interest shall be performed so as to create minimum disturbance to the existing vegetative cover and contours. 29. The construction site shall be left in a stable condition at the close of each day. Erosion and sedimentation controls shall be continuously monitored to ensure proper operation. 30. If any alteration of the wetland/resource area does occur, the Commission shall impose such measures as it finds necessary to protect and restore the areas of statutory interest. 31. Whether from on-site or off-site, any fill used in connection with this project shall be clean fill as described here: The fill material shall be clean coarse washed sand or other clean granular material essentially free of clay, fines, dust, organic matter, large stones,masonry, stumps, frozen clumps of earth, wood tree branches and waste material. Before the fill is put in place, all trees, brush and stumps shall be removed from the area to be filled. Topsoil,peat and other impervious materials shall be removed from all areas to be filled prior to the placement of the fill material. 32. All disturbed areas of statutory interest shall be stabilized with permanent vegetative cover. 33. Periodic maintenance/cleaning of the catch basin shall be conducted by the owner and all successors in interest or control of the property. (All catch basins shall contain oil/grease traps. These traps shall be cleaned routinely, but at least once every six months.) The applicant, his successors or assignee, shall have the continuing responsibility of this maintenance. 34. The Commission reserves the right to impose additional conditions on any or all portions of this work to minimize the impact of potential site erosion or noticeable degradation of water quality discharging from the site at any time. 35. Members and Agents of the Agawam Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the construction site to evaluate compliance with the order and to require the submittal of any additional information deemed necessary. 36. This order shall apply to all successor or assignee in interest or control of the subject property. Any conveyance of interest or control in the subject property shall make reference to this order by stating that the conveyance is subject to the provisions of an Order of Conditions under the Wetlands Protection Act, M.G.L. Chapter 131, Section 40, and by giving the book and page reference in the Hampden County Registry of Deeds where this order is recorded. 37. The petitioner shall have recorded in the Hampden County Registry of Deeds an "Order of Conditions Form" provided by this Commission. The Commission will not allow work to begin until proof of recording is provided the Conservation Commission. Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection -Wetlands 87-0602 WPA Form 5 — Order of Conditions MassDEPFileILI # Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Agawam City£rown D. Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable? ❑ Yes ❑ No 2. The hereby finds (check one that applies): Conservation Commission a. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw, specifically; 1.Municipal Ordinance or Bylaw 2.citation Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. b. ❑ that the following additional conditions are necessary to comply with a municipal ordinance or bylaw: 1.Municipal ordinance or Bylaw 2.Citation 3. The Commission orders that all worm shall be performed in accordance with the following conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows(if you need more space for additional conditions, attach a text document): wpeform5.doc• rev.12)23Io9 Pape 10 of 12 Massachusetts Department of Environmental Protection Provided by MassDEP: LLIBureau of Resource Protection -Wetlands ? 7-o c7- WPA Form 5 — Order of Conditions MassDEP File# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEPT nsaction# u..Y.c Ci own E. Signatures / This Order is valid for three years, unless otherwise specified as a special Tl 7 condition pursuant to General Conditions#4,from the date of issuance. 1.Date of Issuance Please indicate the number of members who will sign this form. This Order must be signed by a majority of the Conservation Commission. 2.Number of Signers The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant.A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office,if not filing electronically,and the property owner,if different from applicant. Signatures: r by hand delivery on ❑ by certified mail, return receipt requested, on d/z/ Date �— Date F. Appeals The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, 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 MassDEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.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. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order, or providing written information to the Department prior to issuance of a Superseding Order. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L. c. 131, §40), and is inconsistent with the wetlands regulations(310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. wpafarrr6doc• rev.12I2=9 Page 11 of 12 Massachusetts Department of Environmental Protection Provided by iwassDEP: LlBureau of Resource Protection '- Wetlands 87-0602 WPA Form 5 — Order of Conditions MassDEP Fite# Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transaction# Agawam Cityrrown G. Recording Information T This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on this page shall be submitted to the Conservation Commission listed below. Agawam Conservation Commission Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. To: Agawam Conservation Commission Please be advised that the Order of Conditions for the Project at: Ramah Circle North 87-0602 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: Hampden County Book Page for: Property owner and has been noted in the chain of title of the affected property in: Hook Page In accordance with the Order of Conditions issued on.- Date If recorded land, the instrument number identifying this transaction is: Instrument Number If registered land, the document number identifying this transaction is: Document Number Signature of Applicant ~ wpaf0m5,do0• rev.12123M Page 12 or 12 L11Massachusetts Department of Environmental Protection Cz�I'ulr�6� 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 Agawam _ computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Columbia Gas of Mass. A Nisource Com an Town of Agawam DPW return key. Name Name 2025 Roosevelt Ave., P.O. Box 2025 Y� Mailing Address Mailing Address Springfield MA 01102 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: Natural Gas Main Improvement Phase 1 B &2 on H.P. Almgren Drive, 12-19-16q Title Date Title Date Title Date 2. Date Request Filed: March 20, 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): Run a 4" pipe in treebelt across driveways and into intersection of Silver Streeet. Second phase_ts replacing about 430'of existing 2" pipe with 4" pipe on Almgren Drive from the 4" main (frorr4Rhase.V. towards Abrams Drive. The work will involve excavating and restoring a shallow grench in ttq-oati shoulder, paved roadway/driveway surface to install the gase main. The work will occur in th�xi disturbed right of way and will not result in any permanent impacts or changes to any resourdVare buffer zones. Project Location: near 120 Almgren Drive through 777 Silver Street Agawam ROW City/Town Assessors Map/Plat Number ParceKot Number wpaform2.doc•Determination of Applicability-rev.12114 SCANNED-5 ! r lr Page 1 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.) - The following Determinations) 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 wpaform2.dm•determination of Applicability•rev.12114 Page 2 of 6 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.) ❑ 8. 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 Applicability•rev.12114 Page 3 of 5 Y 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/reguietory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on April 14,2017 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 Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see http://www_mass.aovleealagencieslmassdeptabouVcontactstfind-the-massdep-regional-office-for-your- city or-town.html) and the property owner(if different from the applicant). Signatures: .April 13, 2017 Date wpaform2.doc-Determination of Applicability•rev_12114 page 4 of 5 COnStrVel-t)0h CauJdA Town of Agawam Conservation Commission. 36 Main Street, Agawam, Massachusetts 01001.1801 Tel. 413-726.9737 Fax 413-786.9927 October 2,2017 Dear Resident: The Conservation Commission has received complaints recently regarding dumping of leaves, wood chips and yard debris in areas that are subject to the Massachusetts Wetlands Protection Act in your neighborhood. Please be advised that dumping in a wetland or stream is a violation of the Act. If you propose any work(i.e. tree cutting, sheds, additions, etc.) within 100' of a wetland or 200' of a"river" (includes perennial streams) you must file either a Request for Determination of Applicability or a Notice of Intent with the Agawam Conservation Commission. The Commission greatly appreciates your anticipated cooperation on this matter. If you have any questions, you may contact this office at 413-726-9737. Sincerely, -A/, g, Henry A. Kozloski,Chairman AGAWAM CONSERVATION COMMISSION HAK:prkCD 7; x- SCANNED 1 o z 17 2l j o aj eaol6ll1 6/1 Town of Agawam Board of Appeals �- 36 Main Street, Agawam, Massachusetts 01001.1801 E PA Tel.. 413.726.9739 Fax 413.786.9927 June 23, 2016 The Agawam Board of Appeals will hold a public hearing in the Agawam Public Library Children's Room, 750 Cooper Street, Agawam, MA, beginning at 6:30 P.M., Monday, August 8, 2016 for the following: Case #: 1952 Petitioner: Geraldine Shilling-Nordal Address: 203 Cooper Street Reason: Seeking a Special Permit in accordance with Section 180-7 Paragraph B-2 (b) of the Town of Agawam's Zoning Ordinances to allow for the construction of a residential structure with less than the required side yard at the premises identified as 203 Cooper Street. The Agawam Board of Appeals will hold a public hearing in the Agawam Public Library Children's Room, 750 Cooper Street, Agawam, MA, beginning at 7:00 P.M., Monday, August 8, 2016 for the following: Case #: 1953 Petitioner: H.P. Hood, LLC Address: 233 Main Street Reason: Seeking a Special Permit in accordance with Section 180-56 of the Town of Agawam's Zoning Ordinances to allow for the construction of three milk storage silos at the premises identified as 233 Main Street. Advertise: Thursday July 21, 2016 and Thursday July 28, 2016 Doreen Prouty Chairperson 4 .. .. .. ...... A Town of Agawam Clerk's Office +#� lk 36 Main fit,Agawam,Massachusetts 0I001-1$37 Tel.413-786-0400 X 8215 Fax 413-786-9927 Email:clerk@agawam.ma.us September 28, 2016 To Whom it May Concern; 1 hereby state that the Clerk's Office has not received any objections to Case #1953, Petition of Geraldine Shilling-Nord al, 203 Cooper Street. The deadline to file an appeal to this petition was September 27112016. Sincerely, Vincent Gioscia, Agawam Town Clerk g;; SCANNED t� � QM Cc , am(� Town of Aj,awam Board of Appeals W ` 36 Main Street, Agawam, Massachusetts 01001.1801 TeL 413-726.9739 Fax 413-786.99ZZ Petition of: Geraldine Shilling-Nordal J Premises Affected: 203 Cooper Street Date: August 22, 2016 Case #: 1953 The Agawam Board of Appeals conducted a couple of hearings beginning August 8, 41'6 and ending with a meeting on August 22, 2016 at the Agawam Public Library Community Room, 750 Cooper Street, Agawam, MA for all parties interested in the appeal of Geraldine Schilling- Nordal, who is seeking a Special Permit in accordance with Section 180-7 Paragraph-2 (b) of the Town of Agawam's Zoning Ordinances to allow for the construction of an addition to a legal nonconforming structure with less than the required side yard at the premises identified as 203 Cooper Street. After the public hearings, along with a site visit and after a thorough review of the facts presented,the Agawam Zoning Board of Appeals made the following findings: 1. The subject property is located in an area of town zoned Residence A-1. 2. The petitioner proposes to construct a bedroom (10 feet 9 inches by 15 feet) to the easterly (left) side of the property behind an existing sunroom. 3. Section 180-20 (A) states "There shall be a side yard between a principle building and each side lot line which shall be 15 feet wide in its least dimension". 4. The easterly (left) side yard of the subject property currently is 9 feet 1 inch. 5. The proposed easterly (left) side yard is 7 feet 4 inches. 6. A memo from Sgt. Steve Grasso, Safety Officer for the Town of Agawam, dated June 29th, 2016 states "it would appear that the residential structure would have would have no impact to pedestrian, bicycle and/or motor vehicle traffic safety". 7. Several neighbors spoke of their concerns which included the issue of the tree stumps being seen,black ants,not wanting a second story added on later and water runoff issues. 8. The petitioner has agreed to move the proposed addition so that the side yard remains the same as that which already.exists. 9. The petitioner has agreed to cut the tree stumps to the ground and plant arborvitaes. 10. The proposed addition will not create a substantial detriment to the neighborhood. 11. A single family dwelling is an allowed use in a residential district. 12. The specific site is an appropriate location for the proposed addition, which is situated in a residential area. 13. Conditions agreed upon with the petitioner and this board safeguard that the use as developed will not have an adverse effect on the health, safety or property value of the neighborhood. SCANNED ZIA Decision (p.2) Schilling-Nordal Case # 1953 14. The memo from Sgt. Grasso provides evidence that there will be no nuisances or potential hazards to vehicular or pedestrian safety. 15. The proposed addition will meet all building regulations providing adequate and appropriate facilities and controls for the proper and safe operation of the proposed addition. 16. No evidence was presented to this board showing that the proposed use would be considered so objectionable or obnoxious that the proposed use would be against the public interest or detrimental or injurious to the character of the neighborhood. Based on its findings, the Board is of the opinion that it is within the authority of the Zoning Board of Appeals to grant a special permit as stated under Section 180-7 of the Town of Agawam's Zoning Ordinances. Now, therefore, by a unanimous vote of its three members, the Agawam Zoning Board of Appeals hereby grants the petitioner a special permit to allow for the construction of an addition to a residential dwelling with the following conditions: 1. The proposed addition will be no larger than that which is proposed (15 feet by 10 feet 9 inches). 2. The proposed addition shall be no closer to the easterly (left) lot line than that which already exists (9 feet 1 inch). 3. The tree stumps existing on the easterly (left) lot line must be cut to ground level. 4. Abborvitaes must be planted along the easterly (left) lot line between the rear of the carport and the rear property line. These arborvitaes must be planted no more than 3 feet apart and be at least 4 feet in height so as to create a visual barrier between the subject property and the abutters located at 195 Cooper Street. 5. The pitch of the roof should be no greater than a six pitch. 6. Tbere will be no windows on the proposed addition facing the abutters at 195 Cooper St. 7. Runoff from the roof shall be diverted so as not to flow onto neighboring properties. 8. The foundation, as stated by the representative from R. Levesque Associates, shall be a 4 foot frost wall with a slab. 9. The petitioner shall record with the Hampden County Registry of Deeds a"Notice of Special Permit" form, which shall be provided by this Board and proof of said filing must be submitted to this Board and to the Inspector of Buildings. 10. This Special Permit shall become null and void if construction does not commence within two (2) years from the date of this decision. This decision is subject to appeal in accordance with M.G.L.Ch. 40A, Section 17 within 20 days after this decision is filed with the Agawam Town Clerk. Attachment. Signatory Page of Decision Town of Agawam %to Board of Appeals 1 t 36 Main Street Agawam, Massachusetts 01001-1801 TeX. 413.726.9739 Fax 413.786-9927 Si ng atpH Page of Decision Case#: 1953 Date: August 22 2016 Applicant: Geraldine Shillin -Nordal Address: 203 Cooper Street By a unanimous vote of its three members, the Zoning Board of Appeals hereby grants the petitioner a Special Permit. This approval is subject to the conditions set forth in the attached written decision. Doreen Prouty G Su t Richard Maggi Gary Geiger(Alternate) Aldo Mancini (Alternate) S _ Town of Agawam a03 Cam- S+_ Inspection Services Department Building Inspection Code Enforcement 1000 Suffield Street,Agawam,MA 01001 Telephone - (413) 821-0632 Fax (413) 82I-0637 Erik Wight Gary Turnbull Inspector of Buildings Electrical Inspector Michael Day Michael Theroux Plumbing Inspector Sealer of Weights&Measures Cross Connection Tester Enforcement Officer DATE: lc TO: BOARD OF APPEALS FROM: Erik.Wight, Inspector of Buildings RE:' SPECUL PERMIT: VARIANCR: The above referenced property is applying to the Board of Appeals. The Section of the . Agawam Zoning by-Laws,which they are seeking relief from is Section: Paragraph.' Received d CZ Ur RE 291B ,d JUG Board ai Appeals SCANNED r , From. LETTER OF TRANSMITTAL R__LEVESQUE ASSOCIATES, INC, Date: ,rune 16, 2016 A Land Planning Services Company Project No: 160414 www.rlaland.com Project Name: 203 Cooper St 40 School Street,P.0_Box 640, Westfield,MA 01086 RE; Special Permit application 413-568-0985(0) 413-568-0986(F) To: Town of Agawam Zoning Board of Appeals 36 Main Street Agawam,MA 01 DO1 Attention: Amanda Boissonneault We Are Transmitting to You: ❑ Under Separate Cover VIA ❑ Attached M Plans ❑ Approval of Subcontractor ❑ Copy of Letter ❑ Specifications ❑ Order on Contract ❑ Photographs ❑ Report ❑ Original Drawings ❑ Proposal ❑ Form ® Other Zone Map Amendment Number DWG./Revision Drawing Description of Copies Date Number 3 Special Permit Application 1 original,2 copies) 9 Site Plans Filing Fee These are Transmitted as Noted Below: ® For Approval ❑ Approved as Submitted ❑ Resubmit Copies for Approval ❑ For Information ❑ Approved as Noted ❑ Resubmit Copies for Distribution M For Action ❑ For Corrections ❑ Return Corrected Prints M As Requested ❑ For Review and Comments ❑ Remarks: Hi Amanda, please contact me with any questions you may have. Herita a Homes,Inc. 0 E 4 i Geraldine Scbillin -Nordal m O U By: Ryan Nelson Note: If Enclosures are not as noted,please notify us at once. Application & Supporting Documents 203 Cooper Street, Agawam, MA 01001 (Parcel ID: JI 3 4 16) Applicant & Owner: Geraldine Schilling-Nordal 203 Cooper Street Agawam, MA 01001 RLA Project File: 160414 5 iMt A LAND PLANNING SERVICES COMPANY 40 School Street, Wc-stfidd, MA OlOE35 p 413.SGS.0985 - f 413568.0986 - wwwx[aland.cam . . TABLE OF CONTENTS �o � "° p�{�8T{{]�� FOP. PERMIT �RMIT �K�� v� °.~~= ^^��P�� STREET AGAAAM/ MABl00l (PARC/�»�C�E[ |? � � � �� EL � . ~~ -, , =� ITEM SECTION TITLE PAGE CO«/2A LETTER..................................................................`^`.......... --T APPLICATION FOR SPECIAL PERMIT..............................................................2 NARRATIVE....—.......—_........................................................................3 L(JCUs MAP.......................................................................................4 DEED —'—.—.—.—^'.__,.,^^_.^..^'..^__._,^^.....^.'—.—'._......'--^...--.''--.5 COPY OF FILING FEE CHECK....................................................................6 A8UTTERsLIST.....................................................................................7 APPENDIX "SPECIAL PERMIT FILING PLAN", BY R[EYE5QUE ASsOClAJES, INC., DATED 6/]6/2{}]6 ' SECTION 1 COVER LETTER R LEVESQUE ASSOCIATES, INC. 40 Srhoot Street • Wcstfie€d,MA 01085 p413.SGS.0985 , f413.568.0986 • wulw.pint and.com r .dune 16, 2016 Doreen Prouty, Chairperson Agawam Zoning Board of Appeals 36 Main Street Agawam, MA 01001 RE: Special Permit Application 203 Cooper Street (Parcel 115 5 4) RLA Project#160414 Dear Chairperson Prouty & Board Members: On behalf of the applicant and property owner, Geraldine Schilling-Nordal, please find the required number of copies of an application for a Special Permit and associated plan. The applicant is seeking a relief from the Agawam Zoning By-laws to allow for the construction of an addition to the existing single family home. We are herein request to be placed on the Board's next available agenda. Should you have any questions or comments regarding this application, please do not hesitate to contact our office at your earliest convenience. Sincerely, R LEVESQUE ASSOCIATES, INC Robert M. Levesque, RLA, ASLA President cc: Heritage Homes, Inc. Geraldine Schilling-Nordal A LAND PLANNING SERVICES COMPANY SECTION 2 APPLICATION FOR SPECIAL PERMIT ................ ........................... FOR OFFICE USE ONLY TOWN OF AGAWAM 36 MAIN STREET Case #: 195 AGAWAM, MA 01001 1 Filed BOARD OF APPEALS I Hearing: Expires:. ........................................................ ........... Application to Board of Appeals for SPECIAL PERMIT as provided in the Zoning and other By-laws. Applicant Geraldine Schilling-Nordal Address 203 Cooper Street, Agawam, MA 01001 Application is hereby made for a SPECIAL PERMIT as provided by Section 180 P Paragraph 20 of the By-law. Premises affected are situated on Cooper Street; -200 -feet distant from the corner of Senator Ave Street and known as street number 203 Property is zoned as Residence A-1 Reason(s) for request of Special Permit: The applicant is re guesting a variance from the minimum left side and setback distance of is feet to allow for the construction of an addition to the existing single-family home. Please see the attached narrative for further information. Signature of owner or hi authorized agent: Telephone #: 413-568-0985 NOTICE: THIS APPLICATION MUST BE FILLED OUTIN�IPJO� I T TCAN" glop SECTION 3 NARRATIVE Application for Special Permit 203 Cooper Street (Parcel ID: J13 4 16) Agawam, MA 01001 RLA Project No. 160414 Property Description: The property is located at 203 Cooper Street and is designated as Parcel ID: J13 4 16 with the Town of Agawam Assessors Office. A locus map showing the subject parcel is attached hereto in Section 4 of this application packet and is made a part hereof by reference. Said property is recorded in the Hampden County Registry of Deeds in Book 5074, page 96. The property is .26 acres in area and lies within the Residence A-1 District. The property contains an existing single family home that is two stories in height and has a footprint of approximately 1,796 square feet. The eastern ("left") portion of the existing residence lies within the required side yard; it is this portion upon which construction is proposed to extend rearward from the existing structure. Special Permit Sought: The applicant seeks a Special Permit to allow relief from Article II "Residence A-1 Districts" Section §180-20 of the Town of Agawam Zoning By-law which requires a minimum left side yard setback distance of 15 feet. The applicant is requesting to allow for the construction of a 161 square-foot addition to the single-family home with a left side yard setback distance of 7.6 feet—a request of only 1.7 greater than the existing non-conforming side yard dimension. Special Permit Review Standards: (1) The Board of Appeals shall not approve any such application for a special use permit unless it finds in its judgment all of the following conditions are met: a. The specific site is an appropriate location for such a use, building, structure, or services. 1 . The site is currently in residential use with a single-family home. No change in use is proposed and the Special Permit will allow for an economically feasible solution for the existing residence, allowing the owner to continue aging in-place with additional first-floor area. b. The use as developed will not adversely affect the health, safety, or property value of the neighborhood. 1 . The proposed addition is not anticipated to adversely affect the health, safety, or property value of the neighborhood. c. There will be no nuisance or potential hazard to vehicle or pedestrian safety. 1. Under proposed conditions there will be no anticipated change to vehicular or pedestrian traffic. d. Adequate and appropriate facilities and controls will be provided for the proper and safe operation of the proposed use or service. 1. There are no significant changes anticipated to affect the existing use of the site. (2) The special use exception may be granted for a specific use that is not considered so objectionable or obnoxious that the proposed use would be against the public interest or detrimental or injurious to the character of the neighborhood. 1. Understanding the aforementioned, the Special Permit requested herein is not detrimental to the public good, and does not substantially derogate from the intent of and purpose of the zoning bylaw. Based on the foregoing, and on all of the Exhibits attached hereto, the applicant respectfully requests that the Zoning Board of Appeals grant the aforementioned Special Permit to allow for the construction an addition to the existing single-family dwelling within the subject property. SECTION 4 Locus MAP +try4' 7 Y G a ' ram ' i IRVAV r Or 4 � Je { iE a �� I ■ f,l �� k � i - ,��y, sk r�.. + u. 40 T. 7. kr it 14 Url +++ > 9 :P' • raj-}ia- >r a "`t + '3T IYL+ef ^' s z + -aG'F` I k ✓~y:. The information depicted an this map is for planning purposes only. It is not adequate f #� for legal boundary definitior:, regulatory 203 Cooper Street' Agawam'interpretation, or parcel-level analyses: MA 1:1740 5.101`2016 9.09.04 AM 1°=145' SECTION 5 DEE❑ mall:5074ro 06 vacsacw acrrr owtcunr er waxear rw r u mrwavw�u . 1 ITU I, HELEN V. SCHILLIK (a widow), of 203 Cooper Street, of Agawam, Hampden Caunty,Mas=dsa y { drivgiwwarsinlc-far arra.leration paid,and in full mnider.4iossof (No Monetary Consideration) gmnatlo GERALDINE SCHILLING-NORDAL, being married, of 203 Cooper Street, Agawam, in said County of ]tampden, WW,qu"cbtm rant uallb OftbIsI Certain real estate situated in Agawam, Hampden County, r Ma3sachusetts, being known and deslgnated as Lot#2 as shown on a plan inaod9rirrr.,,d r,Ro a<,ar„n.a dr] of lots known as Cooper Heights, and recorded in Hampden County Registry of Deeds in Book of Plans 24, Page 26, said lot being more particularly - bounded and described as follows: NORTHWESTERLY by the curved line of Cooper Street, one hundred (100) feet; NORTHEASTERLY bgp Lot gl (one) as shown on said pplain one hundred i twenty-eight and 21/lA0 (12a; 1) feet; SOUTH ASTERLI 6y Let #54 (fifty- [[ four) and a portion of (fifty— Lot (fifty-rive) as shown on a plan of lots k recorded in said Registry of Deeds in Bock 5, Page 52, eighty-two and 54✓100 (82.54) feet; and SOUTHWESTRRLY by Lot3 (three) as ahown on i first mentioned plan, one hundred twenty-eight and 5SA00 (12$,58) feet. SUBJECT to pole and wire rights granted the American Telephone k Telegraph Company as set forth in instrument dated December 14, 1905, - recorded as aforesaid in Book 692, Page 403. SUBJECT to restrictions and easements of record if-any. i ESUBJECT to all municipal taxes and assessments if any. BEING the same premises conveyed to ROBERT M. SCHILLING, now deceased (see Hamden County Probate Case No. 149348). and HELEN V. SCHILLING (husband and wife), br Warranty Deed of BENJAHIN MRSKY (widower), dated February 5, 19(`i0 and recorded with Hampden County Registry of Heeds, in Book 2729t Page 546. i 3BE1t1emr-•-mF-..Land and ml shin.....27xh_...__.day of _.January-------151 1 He en Y. ling ' s 4� �. aIIfge @ladatmdnmratffl of jawm*ml i Hampden, St. Springfield, January 27, 19 al. f Ilen Pa Ily appeared tSe abuse a9,ned HELEN V. SCHILLING 1< and m1row1edgeF6c lougomg insimmew to be her froract mad deed,be[oremr _ ) KCETVM aT y�LpL�aya M, airs January 1, ty 92 RIE FROM ME 9Su61Rpi �) Teoeat>—Temnla ie[vmmoa—'heann by Ohe Pntirnr.) CNAPTEa M SEC 6 Al A IROEO 11Y GlAriea 491 OF 1969 r c++77 deod rcd III ahJl mnl i u Iv.r mdmmd ep..i,d,r lull m 4 rdid<aa r.d IvN a6;re ad�rn,flle�eYp rod r.n3re1 p[Wr rmou 1 d rhr lulF wui2en,ioo iLrrerTin dolor,er 1e xn4�d rb:mM wnidrreiar,6e�or V rq dtllrrmd IQ ' - NRiSr ma+run role Zl.e[rll aenS.4a+i:ra Wa.one na 5wS 1+.+s Set a,e.ra.ganrc v6tm.q Nd.nieo iaa.ro.aear a o - ar�:.nrn nm.¢d 6T the annhe a rcaW n6g ihc.....hll+rsch m2aw-mrm and rec,dr dna k r®cdN u p,q d d'x dpy ' Filnrt Ia is -as ,his gq p„I,clt,pr rde411,e nhdiq of en9 dsd.No I�fk1 ddce6,h.11 w0ep1 a dml Eorxm,CgTmtr r 1.In rmapl„nsn e116e,aq,drnoraf of SECTION 6 COPY OF FILING FEE CHECK - .vEasisaeuai 45546 naw�.aassA[ruse�ra R LEyESOU�� Q4�RTES IH�'r � Haan -: 1 Sly wes� �uc class e i opYt�EH E rOiSn�lx� WOW A v is, R50 b _ nog-U+r{s SECTION 7 ABUTTERS LEST fit► F � O .. ... ...; Town of Agawam E Assessors Office 36 Main St,Agawam,Massachusetts 01001-1837 Tel.413-786-0400 X 8704 Fax 413-786-9927 Email: assessor@agawam.ma.us May,6,2016 R. Levesque Associates, Inc. C/O Ryan Nelson 40 School Street Westfield,MA 01085 Dear Mr.Nelson: On May 6,2016,you requested a.Certified Abutter's List for R Levesque Associates, Inc. for the property located at 203 Cooper Street, further identified as Map J13,Block 04, Lot 0016.The request was for abutters 300' from the subject property. The attached list to this cover letter represents,to the best of our knowledge,the current owners of the properties that are 300' from 203 Cooper Street. We have also attached a map showing the subject parcel and the abutters as generated by our GIS Mapping System. 3 t i 4eSincerely vin Baldini Assessor ate.. �i' •_k i+ ,t�. mF�c ��„ - _ _ / "sot ,.. w.- / ' O iaC a. � � �:•� � � ,r, r f7 ! ss } d _ 14 f a �',:k'{ ips T✓F 8 °4'�.�t.. p�`� S --h ,A s �I. r V. f.,e`�' ^ - ,•r,'a,. `f �H 7 �a37Sv r L) d > K a _. a rawlq 'kw a 24 +If d +a ow. nw�{.�t- t? , >f 1 P 'u f N un.s+ r,a.,r f� k OT•e ( g,ofH �, fiHieF 1h1�T a s; A. / •r, 1GI04E J .a A a7 4� aru ar Jow f+• ..V MW Y pg9�v 3 : 1 i *mil•;. d _! 1 KA�9 mr s �� rNAF r '•• � 6 tMfLAF •�' O •Jlr x {i fMnY 9 YH sAANlff 'r41 J 1w K J #i Y 5Kz9r s •{t air,eu !� r 4 •elil is ��I._ � (�Y�� • ,•i�4�3 n yOrKv - Nli1 ,mHY! �}g.._ . r 4 O ," Oir Sr �T.fi $7 � IANiF 1• n.. -��i�C: "1` � r. s a;x,• � �hh��nv ..,moo � ""°v BE ° r S ay �yy r r s y nnryr / v R� t' r IP 141 r try' "[• 9`S a� c' !1'5.-- Y lti. tw s x7 The information depicted on this map is for FA planning purposes only. It Is not adequate for legal boundary definition,regulatory 203 COOPER ST J13 416 interpretation, or parcel-level analyses. 300' ON r ,+ 1:2400 €Ea 5/6/2016 10:13:56 AM 1 Ef=200' MAY 6,2016 CERTIFIED ABUTTER'S LIST 30U 203 COOPER STREET J13 416 PARCEL OWNER OWNER 2 OWNER 3 ADDRESS CITY STATE ZIP J1410 2 BABBIN JOYCE E BABBIN WALTER F Ill 2 PRINCE LN AGAWAM MA 01001-1708 J13 2 13 PREW STEPHEN D 182 COOPER ST AGAWAM MA 01001-2109 J13 415 LEFAVE DARIN P LEFAVE DEBRA A 195 COOPER ST AGAWAM MA 01001-2110 J13 414 ALLARD BRYAN M 185 COOPER ST AGAWAM MA 01001-2110 K13 6 10 FERGUSON-SULLIVAN PAULAJEAN 165 COOPER ST AGAWAM MA 01001-2108 J13 416 SCHILLING-NORDAL GERALDINE ANN 203 COOPER ST AGAWAM MA 01001-2165 J13 413 PILIERO VINCENT L/T PILIERO ALBA V L/T JOHNSON ANNA P 16 SENATOR AV AGAWAM MA 01001-2130 J13 212 RAMAH JOSEPH P JR 28 ALLEN ST CHICOPEE MA 01020 J13 417 FERIOLI ROBERT A FERIOLI LUCRETIA H 23 COUNTRY RD AGAWAM MA 01001 K13 611 DAL MOLIN JANET M 11 SENATOR AV AGAWAM MA 01001-2129 J13 412 MCCARTHY MARGARETA 20 SENATOR AV AGAWAM MA 01001-2130 J13 411 WHITE JAMES D WHITE CANDACE L 24 SENATOR AV AGAWAM MA 01001.-2130 J13 4 18 BRASSARD ROLAND P SARDELLA JOHN A 225 COOPER ST AGAWAM MA 01001-2165 K13 6 12 DOW DIANE L WILLIAMS JEFFREY D 21 SENATOR AV AGAWAM MA 01001-2129 J1.3 2 11 RAMAH JOSEPH P JR 28 ALLEN ST CHICOPEE MA 01020 J13 410 MERCADANTE JAY V 30 SENATOR AV AGAWAM MA 01001-2130 J13 419 WILSON RALPH D WILSON ANNE T 233 COOPER ST AGAWAM MA 01001-2165 K13 6 13 LTEIF SAGE L LTEIF ROMEL N 29 SENATOR AV AGAWAM MA 01001-0240 J13 4 9 TOMROC HOLDINGS LLC 40 ISLAND POND RD SPRINGFIELD MA 01118 J13 4 8 SHEEHAN KEVIN J 46 SENATOR AV AGAWAM MA 01001-2130 11364 EAGAN EILEEN F EAGAN RICHARD H JR 37 SENATOR AV AGAWAM MA 01001-2129 APPENDIX "SPECIAL PERMIT FILING PLAN" BY R LEVESQUE ASSOCIATES, INC. DATED 6/16/16 PROPERTY IS ZONEV. RA-I LAND N/F LAND IVIF VINCFNT AVERO MARGARET MCCARTHY AND LDT 54 FRONT YARD J5 AI RA PILIERD SIDE YARD 75' LOT 55 REARYARD = 25' S ? '49:59 0 W LDT 2 LAND /V/F d DARIN LAFAVE LAND N/F ANDiD,��u - _ GJ.d' ROBERT FE)MOL1 DEBRA LEFAVE PROPOSED LOT 3 r AQDITIDN LOT 1 74, ADDITION UNDER CONSTRUCTION 9.11 SYMBOL & LINE LEGEND z :�t r Q IRON PIPE FOUND � rn A COMPUTED POINT EXISTING 1 IMUSE 20 I , t I h. I C-} EXISTING c rl DRIVE AYE � 35.0` �„ R T28, g 1 RC. �___ IV83'4 ' 9 s E U COOPER STREET PROPER Y SHOWN IS OWNED BY M10 GERALDINE SCHILLING--NORDAL SEE H.C.R.D.. DEED BOOK 5074 PAGE 96. ALSO SEE PLAN BOOK 24 PAGE 28 REVISION: DATE: R LEVESQUE ASSOCIATES, INC Special Permit Ping Plan A Land planning Services.Company Geraldine Schilling-NOrdal 4€1 School Street P..0-Box 640 • Westrcltl,MA 01086 Cooper 2Q3 Coo Street Agawam SCALE: I"=26' DATE: 06-16-241"6. JOB NO.: 16.0414 ph:413S68,098S fox;411568.0,906 rlaloncLeoca P g onQOC�QrS-V - T-C Town of Agawam Conservation Commission 36 Main Street, Agawam, Massachusetts 01001-1801 Tel. 413-72&9737 Fax 41.3-786.9927 October 28, 2016 John Samik 608 Cooper Street Agawam, MA 01001 Dear Mr. Samik: At its duly called meeting held on October 27, 2016,the Agawam Conservation Commission voted to lift the Enforcement Order issued to you and dated August 25, 2016. If you have any questions, please contact this office. Sincerely, Henry A.Kozloski,Chaivffan AGAWAM CONSERVATION COMMISSION HAK:prk 4 r Cc: Town Clerk - DEP � . , File n3 - sy 3rn try c� q�o$ Cccper S+_ -r.L - L1Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands 1 WPA Form 9 -- Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Violation Information Important: When filling out This Enforcement Order is issued by: forms on the Conservation Commission August 26, 2016 computer, use Conservation Commission(Issuing Authority) Date only the tab key to move To: your cursor- do not use the John Samik return key. Name of Violator 608 Cooper Street, Agawam, MA 01001 � Address 1, Location of Violation: Same Property Owner(if different) Street Address Citylrown Zip Code Assessors Map/Plat Number Parcel/Lot Number 2. Extent and Type of Activity (if more space is required, please attach a separate sheet): Working in the riverfront area without a valid Order of Conditions or Notice of Determination. 0 to { B. Findings C The Issuing Authority has determined that the activity described above is in a resource area and/or buffer zone and is in violation of the Wetlands Protection Act (M"G.L. c. 131, §40) and its Regulations(310 CMR 10.00), because: ® the activity has been/is being conducted in an area subject to protection under c. 131, §40 or the buffer zone without approval from the issuing authority(i.e., a valid Order of Conditions or Negative Determination). wpatorm9a.doc•rev,7714f04 -SCANNEDL /'.��/ A Pape t of 4 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection -Wetlands WPA Form 9 -- Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings (cont.) ❑ the activity has been/is being conducted in an area subject to protection under c. 131, §40 or the buffer zone in violation of an issuing authority approval (i.e., valid Order of Conditions or Negative Determination of Applicability) issued to: Name Dated File Number Condition number(s) ❑ The Order of Conditions expired on (date): Date ❑ The activity violates provisions of the Certificate of Compliance. ❑ The activity is outside the areas subject to protection under MGL c.131 s.40 and the buffer zone, but has altered an area subject to MGL c.131 s.40. ❑ Other(specify): C. Order The issuing authority hereby orders the following (check all that apply): ❑ The property owner, his agents, permittees, and all others shall immediately cease and desist from any activity affecting the Buffer Zone and/or resource areas. ® Resource area alterations resulting from said activity shall be corrected and the resource areas returned to their original condition. ❑ A restoration plan shall be filed with the issuing authority on or before Date for the following: The restoration shall be completed in accordance with the conditions and timetable established by the issuing authority. wpeform9a.doc•rev.7114M Page 2 of 4 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 9 -- Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Order (cost.) ❑ Complete the attached Notice of Intent(NOI). The NO] shall be filed with the Issuing Authority on or before: Date for the following: No further work shall be performed until a public hearing has been held and an Order of Conditions has been issued to regulate said work. ❑ The property owner shall take the following action (e.g., erosion/sedimentation controls)to prevent further violations of the Act: Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a) shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not more than two years,or both, such fine and imprisonment; or(b)shall be subject to a civil penalty not to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing violation shall constitute a separate offense. D. Appeals/Signatures An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of Environmental Protection, but may be filed in Superior Court. Questions regarding this Enforcement Order should be directed to: Marc Strange Name 413-786-0400 Phone Number M-F 8:30-4:30 Hours/Days Available Issued by: Conservation Commission Conservation Commission Conservation Commission signatures required on Following page. wpafofm9a.doc•rev,7/14/04 Page 3 of 4 L1Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands 1 WPA Form 9 — Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals/Signatures (cant.) In a situation regarding immediate action, an Enforcement Order may be signed by a single member or agent of the Commission and ratified by majority of the members at the next scheduled meeting of the Commission. Signatures: G ,/ 45- f r -aop 1 o4( , Signature of delivery person or certified mail number wpaform8a.tloe•rev.7114ro4 Page 4 or 4 \L eol C r a, 7(t a Town of Agawam 36 Main Street Agawam, Massachusetts 01001-1801 Tel, 413-786-0400 Fax 413-786-9927 March 2, 2017 Kim-Joe Realty Trust 668 Cooper Street Agawam, MA 01001 Dear Mr. Barbera: At its duly called meeting held on March 2, 2017, the Agawam Planning Board voted to approve your plans under "Subdivision Control Law Not Required" for a parcel of land located on Cooper Street. Plans drawn by Smith Associates Surveyors and dated February 2,2017. Sincerely, AGAWAM PL PQ ca Please be advised th ure to record the plan within six(6) months and provide proof of recording will negate the action of the Board Detach on dotted line and return to the Agawam- Planning Board, 36 Main Street,Agawam,MA 01001. To Agawam Planning Board Please be advised that the Form A plan that was filed by Kim-Joe Realty Trust and approved by the Agawam Planning Board for a parcel of land located on Cooper Street. Plan has been recorded at the Hampden County Registry of Deeds. Book_ , Page Signature of Applicant SCANNED 8 `� c. TOWN OF AGAWAM, MASSACHUSETTS FORM A Application for Endorsement of Plan Not Believed to Re uire A1212roval FILE ONE COMPLETED FORM WITH THE PLANNING BOARD AND ONE COPY WITH THE TOWN CLERK IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 11-B 20 TO THE PLANNING BOARD: The undersigned, believing that the accompanying plan of his property in the Town of Agawam does not constitute a subdivision within the meaning of the Subdivision Control Law, herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. 1. Name of Applicant s�"� "-�'a b'' ��4 Z'R1 T);�,v s-r Address 665 Acwumwl Phone # Fax# email 2. Name of Surveyor Address 4(6 t- Bwc.rvw�w a'T. 6'A wr 4-cy �P-7 e�Nabdi-j 525-8$ r S*IL4 Phone# '�t3- ciassocr:.,�s Qws Fax# k 1%-is'-e�1 email 3. Deed of Property Recorded in '4-"vAP0,e~ C'1uyvr`'r Book 1190- Page 4. Location of Property 6&8 C,-:,'Pa-7L- • 5. Describe the proposal in this submission: / AbW ?e91Z C-eG.S G -t• /o NeYL41zga ry . ATTACHMENTS - Two origin Is and three copies of plan by certified land sure o Filing Fee-$50.00 plus$20.00 per lot. Signature of Owner V Address 1,6f Co© M rl n� �IIIAi� BIZ B�� Ll �v/ VN WVNIVOV 40, 9.WK373 I v,*:4n SCANNED 11J ,111 IT : 35S CoreV Sr . Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number. WPA Form 7 — Extension Permit for Orders of Conditions 87-0600 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. General Information trnportant: 1. Applicant: When filling out pP forms on the Thomas Russo, Jr., TOR Properties, LLC _ Computer, use Name only the tab key to move 204 Suffield Street your Cursor- Mailing Address � r do not use the Agawam MA =0100k return key, Cityrrown State Zip 2. Property Owner(if different): w ' same Name C:� Mailing Address •� •c4 City/Town State Zip C� B. Authorization The Order of Conditions(or Extension Permit) issued to the applicant or property owner listed above on: 1-23-14 Issued by: Agawam _ Date Conservation Cornmisston for work at: 358 Corey Street M12 2/1 Street Address Assessor's Map/Plat Number ParceGLot Number recorded at the Registry of Deeds for: Hampden 20180' 4606 County Book Page Certificate(if registered land)is hereby extended until: 1-23-20 _ Date Date the Order was last extended(if applicable) This date can be no more than 3 years from the expiration date of the Order of Conditions or the latest extension. Only unexpired Orders of Conditions or Extension may be extended. This Extension Permit must be signed by a majority of the Conservation Commission and a copy sent to the applicant and the appropriate DEP Regional Office ( tth g://www.mass.gov/eea/agencies/maasdep/abouVeontactstfind4 e-massdep-feoionai-office-for-your-city�r- t wn.html . Signatures: January 12, 2017 bate ?. 1 wparotm7.tloc-rev.5129f2014 Pegs 1 of 2 SCANNED-9� Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection -Wetlands WPA Form 7 — Extension Permit for Orders of Conditions 87-0600 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP C. Recording Confirmation The applicant shall record this document in accordance with General Condition 8 of the Order of Conditions(see below), complete the form attached to this Extension Permit, have it stamped by the Registry of Deeds,and return it to the Conservation Commission. Note. General Condition 8 of the Order of Conditions requires the applicant, prior to commencement of work, to record the final Order(or in this case, the Extension Permit for the Order of Conditions)in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, it shall be noted in the Registry's Granter Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land, it shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. Detach this page and submit it to the Conservation Commission prior to the expiration of the Order of Conditions subject to this Extension Permit. To: Agawam Conservation Commission Please be advised that the Extension Permit to the Order of Conditions for the project at: 358 Corey Street 87-0600 Project Location DEP File Number has been recorded at the Registry of Deeds of: Hampden County for: Property Owner and has been noted in the chain of title of the affected property in accordance with General Condition 8 of the original Order of Conditions on: Date Book Page If recorded land the instrument number which identifies this transaction is: Instrument Number If registered land, the document number which identifies this transaction is: Document Number Signature of Applicant wpaformTdoc-rev.5129M14 Page 2 of 2 (_OWN S-b . COMMUNITY PRESERVATION PROJECT APPLICATION COVER SHEET -1: Project Information Project Title: Corey Street Property Acquisition Project Summary: Purchase property located at 358 Corey Street. Estimated start date: NIA Estimated completion date: NIA CPA Program Area(check all that apply): X Open Space `Historic Preservation —Community Housing —Recreation 11: Applicant/Developer Information Contact Person and or/primary applicant: Chris Sparks, Director of Parks & Recreation Organization(if applicable): Town of Agawam ti Mailing Address: 1000 Suffield Street,Agawam, MA 01001 c, c� Daytime phone#: 821-0514 f E-mail address: recreation@agawam.ma.us _71 Project Manager: Chris Sparks Total budget for project: S500,000 CPA funding request: $500,000 Other Funding Source: Applicant's Signature: Date Submitted: SGANNED �� What Community Preservation criteria does this project meet? Please try to answer those questions that apply and include program specific criteria found in the CPA Plan: • Does this project serve multiple needs and populations and/or addresses more than one focus area of CPA? Yes, multiple populations will be served as this property will be used for overflow parking for all events at the School Street Park. The site can also be used in the winter months for ice skating. • Is ongoing maintenance and upkeep required? If yes, please explain how this will be accomplished and include detailed maintenance costs if applicable and funding and revenue sources, if any. Maintenance will include policing grounds after an event for trash and mowing throughout the summer months as needed. This work was already done in 2016 and is part of routine maintenance at no additional cost to the Town. • Does this project preserves,utilizes,protects and/or enhances current town-owned assets? This project will enhance Town owned assets by adding to the Town's open space inventory. • Does this project receive endorsement by community groups, municipal boards and/or departments? Please include any letters of support or endorsement. The Agawam Police support this project as it will increase safety by allowing more off street parking during our larger events at School Street Park. Corey Street Property Acquisition October 4, 2016 The Town recently hired Commercial Appraisal Services, Inc. from East Longmeadow to complete an appraisal report for the property located at 358 Corey Street. Enclosed in this application are the first three pages of the report showing a market value of$490,000. The full report is 55 pages and will be sent to you electronically. Since the Town cannot appropriate more than the appraised value to acquire property,the appraisal was conducted. The owner of the property has been provided a copy of this report as well and as you can see in the attached letter has agreed to accept this amount for purchase. The Town has recognized that the property in question to be a valuable parcel of property for the purposes of open and recreational space. There are numerous opportunities for park expansion and use of the property at 358 Corey Street that directly abuts the existing School Street Park. Walking trails through the wooded area, additional picnic sites, access to the pond for fishing and ice skating are just a few. Due to the overwhelming success of the School Street Park addition that opened in 2015 we also have a proven need for additional parking for events that are held at the park. Our summer concerts, 5k runs, the Relay for Life,the Rotary Club's Harvest Festival, soccer jamboree, and the AHS Bandathon, are just some of the events that required on street parking in 2015 and 2016. There are already seven large events scheduled for 2017 not including the concerts,the Harvest Festival, or the soccer jamboree. Future use of the park for large events is going to grow. It is in our best interest to plan and prepare for the future growth by providing adequate parking. Off street parking at 358 Corey Street will provide a safer parking for the people going to the Park, allow for safer traffic and pedestrian flow, and will allow better access for emergency vehicles. With proper planning we can utilize this property for more than just overflow parking. I strongly recommend the CPA and the City Council to fund the purchase of this property to add to the Open space inventory foe the Town. COMMUNITY PRESERVATION ITEMIZATION OF FUNDS RE UESTED Cost Item per unit of units Total Cost Comments Pro e A uisition $ $490,000 Professional Fees (2esiM Architectural,Legal, Permits, Fees) Cost # Item per unit of units Total Cost Comments Closing costs, deeds,etc. $ $10,000 $ $ Site Work(Clearing Excavation,Infrastructure& Landsca in Cost # Item per unit of units Total Cost Comments Construction (Materials,Labor otal $ $500,000 October 3, 2016 Chris Sparks Agawam Parks&Recreation 1000 Suffield Street Agawam, Ma 01001 Dear Chris, Mr.Thomas J. Russo Jr. would be willing to sell the property at 358 Corey Street Agawam, MA to the Town of Agawam.We would like to write up the offer for$490,000.00 for entire parcel.Thomas J. Russo Jr. requests that the Town of Agawam also pay all real estate fees.Should the CPA and the City Council approve, we would like to go into contract and close this property as soon as possible. Please direct any and all questions to Thomas J. Russo Jr, at (413)478-3470 or Rose Misischia (413)636- 8214. Thank you Thomas J. Russo Jr. T. Russo Construction Co. 204 Suffield Street Agawam, Ma 01001 CC; Mayor Richard Cohen Christopher Sparks From: Patrick Toney Sent: Wednesday,October 05, 2016 2:30 PM To: Christopher Sparks;Jennifer Bonfiglio;Vince Gioscia; Mayor Richard Cohen Subject: Costs to Close on 358 Corey Street I have consulted with top real estate pros Vince Gioscia and Dennis Tully and between the three of us we have concluded that$10,000.00 in extra costs over the$490,000.00 should more than enough to seal the deal.That is barring, any unforeseen circumstances. APPRAISAL REPORT 358 COREY STREET AGAWAM, MASSACHUSETfS i r x PREPARED FOR JENNIFER BONFIGLIO CHIEF PROCUREMENT OFFICER TOWN OF AGAWAM 36 MAIN STREET AGAWAM, MA 01001 PREPARED BY BENEDETTO R. DIMICHELE COMMERCIAL APPRAISAL SERVICES, INC. 264 NORTH MAIN STREET, SUITE 1 EAST LONGMEADOW, MA 01028 DATE OF INSPECTION/EFFECTIVE DATE OF VALUATION AUGUST 12, 2016 COMMERCIAL APPRAISAL SERVICES, INC. 264 NORTH MAIN STREET,SUITE 1,EAST LONGMEADOW MA01028 PHONE 413-650-9437•FAX 413-241-5776•WWW.COAPPSERVICES.COM September 20, 2016 Ms.Jennifer Bonfiglio Chief Procurement Officer Town of Agawam 36 Main Street Agawam, MA 01001 RE: Appraisal Report: 358 Corey Street Agawam, Massachusetts Commercial Appraisal Services Report#1356 Dear Ms. Bonfiglio: At your request, I have prepared an Appraisal Report of the property located at 358 Corey Street, Agawam, Massachusetts. The purpose of the appraisal is to estimate the Market Value of the fee simple interest in the subject property. The intended user of this appraisal is the Town of Agawam. The intended use of this appraisal is for internal business purposes. The property was physically inspected and photographed on August 12, 2016 and this date serves as the effective date of valuation. The subject property consists of single parcel that contains 5.209 acres of Residence A-3 zoned land. The parcel is essentially vacant land but there are remains of gravel driveways as the site was previously improved by the Agawam Sportsman's Club that has since been demolished. The parcel contains a large pond in the southeast portion and a good amount of the land is encumbered by wetlands. The rear and the perimeter of the parcel is wooded and there are mature trees dispersed throughout the parcel. The parcel has a generally level topography. The property has been fully approved as a 29-unit condominium development. The development was approved in 2014 but no work has started to date. The accompanying Appraisal Report sets forth in detail my methods of valuation and my conclusion concerning the Market Value of the subject property. As a result of my inspection, market research and analysis of the property, it is my opinion that the "as is" Market Value of the subject property as of August 12, 2016 was: FOUR HUNDRED NINETY THOUSAND DOLLARS $490,000 Ms.Jennifer Bonfiglio Page 2 September 20, 2016 Thank you for contacting my firm for this assignment. If you have any questions concerning my valuation and analysis, please contact me at(413)650-9437. Sincerely, sa"t� R. iZu, .� Benedetto R. DiMichele MA General Certification#70653 Page 1 of 1 Card 1 of I Location 358 COREY ST r Property Account Numbe=rl Parcel ID M12 2 1 Old Parcel ID 1910 -1910 -1910 Current Property Mailing Address Owner T RUSSO CONSTRUCTION CORP City AGAWAM State MA Address 204 SUFFIELD ST Zip 01001-1748 Zoning AG Current Pra a Sales Information Sale Date 511/2012 Legal Reference 19239-65 Sale Price 235,000 Grantor(Seller) AGAWAM SPORTSMAN'S CLUB INC. Current Property Assessment Card 1 Value Year 2016 Building Value 0 Xtra Features Value 0 Land Area 5.520 acres Land Value 348,000 Total Value 348,000 Narrative Description I is property contains 5.520 acres of land mainly classified as NIA with a(n)NIA style building, built bout, having NIA exterior and NIA roof cover,with 0 unit(s), 0 total room(s), 0 total bedroom(s), 0 otal baths , 0 total half baths , 0 total 314 baths . Legal Description Property Images 7 i 1 1 t, '. http://agawam.patriotpropeirties.com/summary-bottom.asp 10/5/201 b Agawam,MA—GIS Page 1 of 2 geographic information systems r_'aweSY.Ml9r:.i.i.'�' R. map SMk' ). 181 few ~r Q $58 CONEY St Q. ® l Addmv a a 358 COREY Sf Owner: 63 T RUSSO CONSTRUCTION ,•--"` CORP Parcel Info j Abutters Print" a > Parcel Detail,(fink to Pat-riot website) Bird's Eve images 11W.to Bin;;Mapsi " .ate a iWO ,.. t , t 1yi�t' 32N. )t 71 «a _ 14 M ;X.a 8D81 �. Y=51 709 b7a6. M . http://hosting.tighebond.com/Agawarnma_public/index.html 10/5/2016 LIMassachusetts Department of Environmental Protection C-T P-Jondi--s Bureau of Resource Protection - Wetlands WPA Form 2 — Determination of Applicability IS10.4 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out From: forms on the Agawam_ computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Springfield_Water and Sewer Commission return key. Name m Name P.O. Box 995 Y °"Q Mailing Address Mailing Address Springfield MA O1101 Citylrown State Zip Code City/Town State Zip Code r 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents: Proposed Boring Locations_ Plan C-1 9120/16 Title Date Proposed Boring Locations, Plan C-2 9/20/16 Title Date Title Date 2. Date Request Filed: October 3, 2016 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): Borings in Connecticut River, and two borings at Bondi's Island (one on top of dike and one behind dike). _ o _ c� --a =m a �x u Project Location: 0 ;-Ti Connecticut River and Bondi's Island Agawam P Street Address Cityrrown N15 1/1 Assessors Map/Plat Number Parcel/Lot Number wpaform2.doc•Determination of Applicability•rev-12114 SCANNED 2 1`F 1 1 Page 1 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands r WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) The following Determination(s) istare applicable to the proposed site andfor 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($) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpatormZdoc•Determination of Applicability-rev.12114 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,- El 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. ❑ Aternatives 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 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 (cant.) ❑ 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 Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on October 14, 2016 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 Conservation Commission. A copy must be sent to the appropriate DEP Regional Office(see htt ://www.mass. ov/eea/a encies/massde /abouVcontacts/find4he-massde -re ional-office-for- our- city-or-town.html) and the property owner(if different from the applicant). Signatures: Apr October 13, 2016 Date wpafon-Q.doc-Determination of Applicahility-rev.12114 Page 4 of 5 10 Y f Massachusetts Department of Environmental Protection ILIBureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 87-0609 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the computer, use Ronald Champagne DENIED only the tab key Name to move your 28 C nthia Place cursor-do not use the return Mailing Address key. Feeding Hills MA 01030 CityTrown � State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions or Order of Resource Area Delineation issued to: Ronald Champagne n1°rd Name 8-13-15 87-0609 Dated DEP File Number 3. The project site is located at: 29 Cynthia Place Feeding Hills Street Address City/Town C15 2143 Assessors Map/Plat Number Parcel/Lot Number The final Order of Conditions or Order of Resource Area Delineation was recorded at the Registry of Deeds for: Property owner(if different) Hampden 7411 596 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: Date r 4 d i.. SCANNED wpafrm8b.doc•rev.8117117 wPA Form 88,Certificate of Compliance•Page 1 of 3 Massachusetts Department of Environmental Protection 7L' J Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 8T-06Q9 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 provided by DEP B. Certification Check all that apply: ❑ Complete Certification: It is hereby certified that the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. ❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the above-referenced Order of Conditions have been satisfactorily completed.The project areas or work subject to this partial certification that have been completed and are released from this Order are: ❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above-referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act may commence without filing a new Notice of Intent and receiving a new Order of Conditions. ® Ongoing Conditions: The following conditions of the Order shall continue: (Include any conditions contained in the Final Order, such as maintenance or monitoring, that should continue for a longer period). Condition Numbers: Certificate is denied based on pile of limbs and debris to be removed from wetland and silt fence is to be removed_ ❑ Order of Resource Area Delineation: It is hereby certified that the wetland resource area delineation for the above-referenced Order of Conditions has been satisfactorily completed C. Authorization Issued by: _Agawam 12-14-17 Conservation Commission Date of Issuance This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the applicant and appropriate DEP Regional Office(See hftp:Ylwww.mass.gov/eea/agencies/massdeplabouVcontacts/}. Signatures: (A,, wpafrm8b.doc•rev.$H 7117 WPA Form 8B,Certificate of Compliance-Pape 2 of 3 r Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: Ll WPA Form 8B — Certificate of Compliance s7-asas Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP D. Recording Confirmation The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land Court for the district in which the land is located. Detach on dotted line and submit to the Conservation Commission, f6-:---------------------------------------------------------------------------------------------------- Conservation Commission Please be advised that the Certificate of Compliance for the project at: Project Location DEP File Number Has been recorded at the Registry of Deeds of: County for: Property Owner and has been noted in the chain of title of the affected property on: Date Book Page If recorded land, the instrument number which identifies this transaction is: If registered land, the document number which identifies this transaction is: Document Number Signature of Applicant wpafrm8b.doc-rev.8117117 WPA Form 08,Certificate of Compliance•Page 3 of 3