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L1Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
1 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 17 Independence Road
computer, use 1. Site Location: - - -
only the tab
key to move 2 Reason for Emergency:
your cursor-
do not use the Trees in buffer zone damaged in recent windstorm fell into neighbor's yard and very close to the
return key. house.
VQ 3. Applicant to perform work: David Pleshaw
4. Public agency to perform work or public agency ordering the work to be performed:
5. Date of Site Visit: Start Date: End Date*:
3-7-16 3-7-16 Y6-16
"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 oilfhazardous material release.
6. Work to be allowed:
Damaged trees to be cut down.
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" May not include work beyond that necessary to abate the emergency.
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B. Signatures ---
Certified to be an Emergency by this Issuing Authority.
Signatures:
March 7, 2016
4 Chairman�denee) Date
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A copy of this form must be provided to the appropriate DEP Regional Office.
WPA Emergency Certificetion Page 1 of 2
Rev.0113110
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
1 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
No slash shall be left in the bufferzone -shall be removed from site.
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 Emergency Certification Page 2 of 2
Rev.01/3110