04-003 521 Audubon Rd wetlandsDoc; 940024364 OR 14516/0096 10/24/19941231
s&
310CMR 10.99 DEP File No. 246 -
(To be provided by DEP)
Form 5 City /Town Northampton
Applicant CHARLES WUUDF
Commonwealth MAP 0 4 - PAP.CEL Y 3
of Massachusetts
Order of Conditions
aft the Northampton Wetlands Protection Ordinance
From Northampton Conservation Commission Issuing Authority To
G1nk'0 - "1f" A a±�,
(. ame o App icail (Name of property owner)
126 page 6outevan.d, SwLi.ng4.ie ed
Aaaress �]a Address 2512 H delzon q Ridge Lane, a en
ithe bung,
- : y2and
This Order is issued and delivered as follows: 20882
[ ] by hand delivery to applicant or representative on q�[ _(date)
by certified mail, return receipt requested on /� I / 7 (date)
This project is located in Northampton at _S21 AudUbOn Road, Leeds, '1A
The property is recorded at the Registry of Hampshire County
Book 13 _ page 2 00, 20 1 E 312
Ce:: t ificate (if registered)
The Notice of Intent for this project was filed on Septembet 1, 199 _(date)
The public hearing was closed on 9 /�G /�`� (date)
Findings
The Northampto Conservation Commission as reviewed the above - referenced Notice
of Intent and plans and has held a public hearing on the project. Based on the
information available to the Conservation Commission at this time, the Cofraission
has determined that the area on which the proposed work is to be done is
significant to the following interests in accordanve with the Presumptions of
Significance set forth in the regulations for each Area Subject to Protection
Under the Act (check as appropriate):
[ ] Public water supply [X] Flood Control [ ] Land containing
shellfish
[ ] Private water supply [X] Storm damage prevention ( ] Fisheries
[ ] Ground water supply [X] Prevention of pollution [ ] Protection of
Wildlife Habitat
Total Filing Fee Submitted $55,00 State Share $15.00
City Share
(1/2 fee in excess of $25)
Total Refun d Due Due $ City Portion $ State Portion $
(1/2 total) (1/2 total)
page 5 -1 (memorex \wp \conscom \crder.ec)
Doc, 940024364 OR /4516/0091 10/24/1944 1.23?
Therefore, the Northampton Conservation Commission hereby finds that the
following conditions are necessary, in accordance with the Performance Standards
set forth in the regulations, to protect those interests checked above. The
Conservation Commission orders that all work shall be performed in accordance
with said 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.
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 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 complying with all other applicable federal, state or local
statutes, ordinances, by -laws 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 and both that date and the special circumstances warranting
the extended time period are set forth 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. Any fill used in connection with this project shall be clean fill,
containing 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.
The applicant is prohibited from using demolition materials, asphalt,
large chunks of concrete, tree stumps and limbs, and general refuse;
7. No work shall be undertaken until all administrative appeal periods from
this Order have elapsed or, if such an appeal has been filed, until all
proceedings, before the Department have been com_leted.
8. No work shall be undertaken until the Final order 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 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 to be done. The
recording information shall he proposed work is to be done. The recording
information shall be submitted to the Commission on the form at the end of
this Order prior to commencement of the work. The Commission usually will
record the order in the Registry of Deeds. It is the applicant's
responsibility to insure the order is properly recorded.
9. A sign shall be displayed at the site not less than two square feet or
page 5 -2 (memcrex \wp \conscom \order.cc)
Doc; 940024364 OR /4576/0099 10/24/199412:31
more than three square feet in size bearing the works, .0
File Number 246 - 70 -1, "
iN tti<. Pm icc b' -n1 (l.a „,mi
10. Where the Department of Environmental Protection is requested to make a
determination and to issue a superseding order, the Conservation
Commission shall be a party to all agency proceedings and hearings before
the Department.
11. Upon completion of the work described herein, the applicant shall
forthwith request in writing that a Certificate of Compliance be issued
stating that the work has been satisfactorily completed.
12. The work shall conform to the following plans and special conditions:
PLANS TITLE DATED SIGNED b STAMPED BY:
All Plans on File with Northampton Conservation Commission
Special Conditions:
13) All construction areas shall be restored to original condition or better
upon completion of the project, including vegetation;
14) No area within the 100 year floodplain, any wetland, or area within 100
feet of a wetland or 40 feet of a 100 year floodplain, as defined in 310
CMR 10, and Chapter 24, shall be permissible disposal sites, unless such
areas are specifically approved by the Commission;
15) Excavated material and topsoil stockpiles shall be located and stabilized
so as to minimize washing into wetland areas or waterways;
16) Adequate measures shall be taken to prevent erosion and siltation of all
disturbed areas, and shall be implemented prior to any construction.
Sedimentation and erosion control devices shall be placed according to
standards set in the U.S.D.A. Soil Conservation service, "Guidelines for
Soil and Water Conservation in Urbanizing Areas of Massachusetts`.
Placement shall be directed at the site by the project engineer in order
to accomplish maximum control of erosion and ensure than no eroded
materials will reach wetland resource areas. Hay bales must be staked.
Silt fencing must be placed in a dug trench with sufficient porosity to
allow detained water to pass while trapping suspended sediments;
17) The areas of construction shall remain in a stable condition at the close
of each construction day. Erosion controls shall be inspected at this
time, and maintained or reinforced to meet specifications in the plans and
this order;
18) This Order of Conditions shall apply to any successor in interest or
successor in control;
19) Members and agents of the Conservation Commission shall have the right to
enter and inspect the premises to evaluate compliance with the Conditions
and to require the submittal of any data deemed necessary for that
evaluation;
page 5 -3 (memorex \wp \cons ... \order.,,)
BE: 940024364 OR /4516/0099 10/24/199412,31
20) The Applicant shall notify the Commission, in writing, as to the date that
work will be commencing on the project. Said notification must be
received by the Commission no sooner than ten (10) days and no later than
five (5) days prior to the commencement of the approved activity;
21) The owner of the property described in this Order must advise any
potential buyer of the property that any construction upon or alteration
to said property, including brush clearance, may require action by the
Northampton Conservation Commission and any instrument conveying any or
all of the owner's interest in said property or any portion thereof shall
contain language substantially as follows: "This property may be subject
to the Northampton Wetlands Protection Ordinance, the Wetlands Protection
Act, an Order of Conditions, and /or a Determination of Applicability from
the Northampton Conservation Commission ";
22) The contractor is responsible with the applicant and property owner for
any violation and the penalties under the law for such violation. While
all activities regulated by this Order are being performed and during the
construction phase for this project, an on -site foreman, or project
engineer, shall have a copy of this permit at the site, be familiar with
the conditions of this permit, and adhere to such conditions. A copy of
the plans and Order must always be on -site and in all excavating machinery
when work is being performed;
23) All required permits must be obtained from the Planning Board, Zoning
Board, Department of Public Works, & Building Inspector prior to the start
of this project and all permits must be complied with. Army 404 permits
and Water Quality Certifications must be obtained prior to the start of
projects involving fill within wetlands;
24) Upon completion of the project, the Applicant shall submit a statement
that all work has been done in conformance with the provisions of the
approved Order of Conditions and request a Certificate of Compliance. (if
checked) Statement shall be by a Professional Engineer or by a Wetlands
Consultant who has been approved by the Commission:
[ ] YES [%%] NO
25) (if checked) An "As Built" plan shall be included with the project
engineer's statement, detailing the post - development conditions of the
site: [ ] YES [ %2] NO.
x+ x+ + x ++++ xx+ x++ x+++++ x+ xx + +xx+ + ++ + +xxxx + +x+ + +xx +x + +xx + ++ +xxxxx + + + + +x +xxx +x +++
26) Wetland boundaries are not being approved by the Conservation Commission,
with the issuance of this permit.
27) The location of the leaching trenches shall be located in order for the
Conservation Commission to measure and determine whether the trenches are
a minimum of 75' away from the wetlands.
28) Applicant must notify the Conservation Commission after staking wetland
lines and the leaching trenches in the field.
29) A member of the Conservation Commission and /or staff shall inspect the
site to confirm that the leach field boundary closest to the wetland is no
closer than 75' from the edge of any wetland area, and NO WORK SBALL
COMMENCE PRIOR TO SUCH APPROVAL BY THE CONSERVATION COIMIISSION OR STAFF.
page 5 -4 (memorex \wp \conscom \order.cc)
DOC: 940024304 OR /4576/0100 10124/199412;31
This Order must be signed by a majority of the Conservation Commission.
On this day of 1 /' /fv 199 before me
pereonal ly appeared - . C �. , to me known to be the
person described in and who executed the foregoing instrument and acknowledged
that he /she executed the same as his /her free act and deed.
N6t'ry Putil My commission exp it es �yf
The applic n , the owner, any person aggrieved by this Order, any owner of ].and
abutting the land upon which the proposed work is to be done, or any ten
residents of the City or town in which such land is located, are hereby notified
of their right to request the Department of Environmental Protection to issue a
Superseding Order, providing the request is made by certified mail or hand
delivery to the Department, with the appropriate filing fee and Fee Transmittal
Form as provided in 310 CMP 10.03(7), within ton days from the date of issoauce
of this determine «ion. A copy of the request shall at the same time be sent by
certified mail or hand delivery to the Conservation Commission and the applicant.
Detach on dotted line and submit to the Northampton conservation Co;nnission prior
to commencement of work. PLEASE NOTE - -THIS IS NOT REQUIRED IF THE COMMISSION HAS
ALREADY RECORDED THE ORDER, AS IS THEIR USUAL PRACTICE, UNLESS LAND IS REGISTERED
IN LAND COURT.
........................................... ............................... I...
To M1O Con se rva tion C omm ssto �: Please be advised that the Order of
Conditions for the peo3ect at_J "�/ �L /.. /1' " File P:u tuber 246-76 has beep
ecozded at the Regi -try of Hampshi,e cou,ty an_{ has bee,, noted �n the chain of
title of the affected property in accordance with General Condition 8 on
19
Tf recorded land, the instrument number which identifies this transaction is
If registered land, the document nwnber which identifies thi. transaction is
Signature _. Applicant
page 5 -1, (m,emorex \wp \conscom \order.cc)
ATTEST: W2SHIRE, / /L?d.tu. „ x��° , p LsREGI5TER
MARIdNNE i. BONOEti&
Co rswealth yin n Otyr,
a '^ T
of xasachueotts �i� �J
��ft 0 � ' Yas,Cc � J+ 3 P.ppiiani �.1♦T'rF L_L w O D(
SUbreviatr-. Y -r. Lr If Tai.cr_t
cttE 7..t:.1 DDS 1...,,_at ict. ri <..L. , . , 40
To br. used only for projects of minimum impact, as described in the General
Instructions for Completing the Notice of Intent.
1. Location: Street Address
Lot Number s 2./
2. Project: Type Description
3.Registry: County Current Book 1 a Page GVg
Certificate(If Registerd Land)
4.Applicant: Ch -i C L�aIal� Tel. ) 5'/ ./
1
Address: 2 -k. foc f$L.V — �Pg . IJ6 e Mli
5.Property Tel. (j'��)rS >• - " - 'oU 4i'7"39
Address. -n <- ,v u . r.R� -f l? D T- (liu` - I TH R�8 ✓Q.0 Mu((/auD �n ��,r
6. Representative: Tel.
Address:
7. a. Have the Conservation commission and the Department's Regional office
each been sent, by certified mail or hand delivery, 2 copies of completed
Notice of Intent, with supporting plans and documents?
Yes L7 No ❑
Is. Has the fee been submitted? C1 Yes M No +_ _ ��
C. Total Filing Fee Submitted ))�����''''""��
d. City /Town Share of Filing Fee * �_ State Share of filing fee / J1.J
(sent to City /Town) (% of fee in excess of $25, sort to DED)
e. Is a brief �tatement a4Eached indicating how the applicant calculated
the fee? Yea NO
8. Have all obtainable permits, variances a6 approvels required by local by-
law been obtained or applied for? Yes L.1 No L.1
obtained Applied For: -/ Not Applied For:
9. Is any portion of the site subject to a wetlan$, Reatpq& on order pursuant
to G.L. C. 131, 540A or G.L. c. 130, 51052 Yes L No LT
Effective 11/20/92 4 -1
310
CHR
10.99
Co rswealth yin n Otyr,
a '^ T
of xasachueotts �i� �J
��ft 0 � ' Yas,Cc � J+ 3 P.ppiiani �.1♦T'rF L_L w O D(
SUbreviatr-. Y -r. Lr If Tai.cr_t
cttE 7..t:.1 DDS 1...,,_at ict. ri <..L. , . , 40
To br. used only for projects of minimum impact, as described in the General
Instructions for Completing the Notice of Intent.
1. Location: Street Address
Lot Number s 2./
2. Project: Type Description
3.Registry: County Current Book 1 a Page GVg
Certificate(If Registerd Land)
4.Applicant: Ch -i C L�aIal� Tel. ) 5'/ ./
1
Address: 2 -k. foc f$L.V — �Pg . IJ6 e Mli
5.Property Tel. (j'��)rS >• - " - 'oU 4i'7"39
Address. -n <- ,v u . r.R� -f l? D T- (liu` - I TH R�8 ✓Q.0 Mu((/auD �n ��,r
6. Representative: Tel.
Address:
7. a. Have the Conservation commission and the Department's Regional office
each been sent, by certified mail or hand delivery, 2 copies of completed
Notice of Intent, with supporting plans and documents?
Yes L7 No ❑
Is. Has the fee been submitted? C1 Yes M No +_ _ ��
C. Total Filing Fee Submitted ))�����''''""��
d. City /Town Share of Filing Fee * �_ State Share of filing fee / J1.J
(sent to City /Town) (% of fee in excess of $25, sort to DED)
e. Is a brief �tatement a4Eached indicating how the applicant calculated
the fee? Yea NO
8. Have all obtainable permits, variances a6 approvels required by local by-
law been obtained or applied for? Yes L.1 No L.1
obtained Applied For: -/ Not Applied For:
9. Is any portion of the site subject to a wetlan$, Reatpq& on order pursuant
to G.L. C. 131, 540A or G.L. c. 130, 51052 Yes L No LT
Effective 11/20/92 4 -1
10. List all plans and e..pporting documents submitted wit this Notice of
Intent.
Tdontifyi rg
... _- _tcr Tlt'c /: cte
c
Cc 11 <Y;id .V uw' &SA( - pu ) —
:,rl: fro ,d 'thin ttc cc.'_Lr 7c.' (zz cefi>E' .. port I, - -tic r.s
i. C.C�(2) z ;1 10.04 c.t the r.culati..;..$) dccer be, with eCoerce to
cu2porting plans and calculations where necessary:
(a) The size, shape, type and location of the proposed work. / , ,
-: P2.fi °j e"Fj T }U ; =-C, 1 {- Lc3c, <�h .k141( =�'-N Lh2h � l,ioc K �W X /.<5 N�
�'oev.o�toj 10 (3c, �dl � -
�j -a- "��j ci ��<. ✓.ra� J �re�.J,l.
Jn lA�.. >.W.L�I WL�LN'..f :Aaih WLL..1 (r'.• � cl� ., .� r_: oIt �A
(b) Mitigating measures and designs to insure that the proposed-work will
not alter the resource area which said Buffer zone borders; or if it will
alter said resource area, the mitigating measures and designs proposed to
meet the performance standard established for that resource area in Part
II or Part III of these regulations.
1 }i
l 1.cS w:F.IC W NG A /41.1)Q_ A
vc
cu C(? WJ� �c IW1� <.r c� �( �. G'r c4•,')�n ^O,
(?u_. nn ✓..? � .3 T�Ca i>tiP C.- to >�`:.�;� Z��
12. For work proposed within Land Subject to Flooding (as defined in
Part III, Section 10.57(2) of the regulations) describe, with reference
to supporting plans and calculations where necessary:
(a) The size, shape, type and location of the proposed work.
N /i
tb) Mitigating measures and designs proposed to meet the performance
atandards.set forth in Part III, sections 10.57(4) and 10.60 of the
regulations.
13. Is the project within estimated habitat which is indicated on the most
recent Estimated Habitat Map of state - Listed Rare wetlands wildlife of
any) published by the Natural Heritage and Endangered Species Program?
YES [ ] NO [/] Date printed on the Estimated Habitat Map
NO MAP AVAILABLE [ ] (if any)
4 -2
• if yes, have you sent a ry of the Notice of intent to tt 'atural Heritage
• and Endangered Species Program via the U.S. Postal Service .y certified or
priority mail (or otherwise sent it in a manner that guarantees delivery
within twe days) no later thrn the date of the filing of this Notice of Intent
cc:...i E:. icn and the DEP -- c`_f iccl
( I N /VA
If yes, please attach evidence of timely mailing or other delivery to the
Natural Heritage and Endangered species Program.
'
u)A
I hcrcbv_ ecrti -fy under t.- pc-irs and pen. _ins of F r iry tic' ,,Oc nn
J " Ltr o..- E - ir ,'Or' C..L iie
true ar:d cor lcta, to t_c bc_t o`_ my ts- r'_etec.
�s tP� s i 9y
Signature of Applicant Z, Date
Signature of Applicant's Representative Date
4 -3
310 CKR 10.99 G � ~ �
(Te M pnT1sM H GYj
Toil 1
AAiaq Chr (Z ES C
Commonwealth
of xaoaehuaette
Request for a Determination of APP11" iiitY
Massachusetts Wetlands Protection Act, G.L o. 131, 60
1. 1, the undersigned, hereby request that the /JL)RTNM M(J�dl.�
conservation Commission Hake a determination a to vhethar the area,
is subject juri dict ot the wetlands protection G.L. descr 131,
S40.
l provide a de• eript o and the l V of the area p lant,
ubject to this request.)
Location, street Ad Sal AUDUBOLI R 060 —
Lot Numbert � 1
3. The wo in s ar
the Proposed describ
rk.Ilw. (use additional paper, if
R�Gts»t �'i "�= Nd2'-R1rsrV��TJ1J CrJ,JJ'- UA�lotJ �11,w�MtSS�OYJ Td
magic- A LtT��-M -Wo AS ro A FoRrnet
Sw.n �n„tiG PUal�rvA��NL pour .ls A ��dT3 - - 1�0 (� urc.c,
utio Lua�La Cis pcT,a a�`� S n „� P�� t HAs
AsP,MNCT {30VTZI S,p -b ,s do wTLJtwD ����1i <�oJ
M 6tv\(3M � i,c: S - T - LZ /Ra �ItER.� Lnw�
Effective 11/10/89
u •s k Ta )NS�Yr A S�f3S�f��cs 5e� �s� �JisposaL LbY N�u6
(3
U ,_
r k N r1S dF
Pn rd L'
.�_
4. The owners) of the area, if not the person making `t, A equest, has ds ue ) n
given written notification oI this request on
The names) and addreas(es) of the owner(a)
C`RViN TESSI C(Z
cz mr(zy0 020���
5 office of fi
the a Maasachusetts y Department of requ Environmental Pr Ot ction regional
"u. , e f5 t0.'{4— (date)
DEP Northeast Regional Office
10 Commerce Nay
Woburn, MA 01801
DEP Central Regional Office
75 Grove Street
Worcester, m), 01605
DEP Southeast Regional Office
Lakeville Noa pi tal
Route 105
Lakeville, MA 02347
/
✓ DEP western Regional Office
State Souse Neat, 4th Floor
436 Dwight Street
Springfield, MA 01103
6. I understand that notification of this request will be placed in a local
newspaper at my expense in accordance with Section 10.5(7)(6) 1 of the
requ lations by the Conservation Conuni n ion and that I will be billed
accordingly.
Si
Addres
Tel. '/ /3--L2Y /
1 -3
310 CMR 10 a9
Forth 2
Commonwealth
of Massachusetts
>J
i
I
pEP R. Po. Z4 ' 6_
n. a cy DEP)
CineJ.wn Northampton
Chan_2ee Nood4on.d
pine Resin Fay 6110194
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
6 NOKTTA,IPTOS WETLANDS PdOTECTIOS ORDINASCE
From Northamr Co_servatio Issuing AWhortfy
Cluvr.eed wood4mnd En.v -gin Tes5jpoo
To
(Name of person making request)
126 Page Peud - Sat,uigg ,no
Address ___ -tt�-.___
Tno o=_tenrr n is Issued ant d4,—ec as:ollows:
by hand delivery to person making request On
❑ by certified mail, retain receipt requsned on_
cats)
Pursuant to the aaaibonty of C L c_ 131, 640, tha ao rthamp mn_ a t i 01 COmor ' av+ an —
has considered your request fora Delerthmation of Applicability and its supporting documentation, and has
made the following determination (check whichever is applicable)'.
)
Location: Street Address 527 A udubon P. oad, Lee "4A
Lot Number: (*SAP ID #) 4 p P 0 n03
This Determination is ositive:
1. E: The area eescnoe� below, winch includes all /part of the area described in your request, is an
Area Subject to Protection Under the Act. Therefore, any removing, filling, dredging or
altering of that area requires the filing of a Notice of Intent.
2. The work described below, which includes sill of the work described in your request. is within
an Area Subject to Protection Under the Act and will remove, fill, dredge or alter that area. There-
fore, said work requires the filing of a Notice of Intent.
ANY WOU WITHIN 100' OF THE ISOLATED WETLANDS DIRECTLY RELO('t THE f'Offfl I'IILL BEDUIRE
AN ADDITIONAL FTLING WITH THE CONSEf:VATION COi',iUSSi ON.
(Name of property owner)
925112, hickony P„istge Lae
CWu TfheVe buag, Nmry$artd 20392
Effective 11/16/89
2 -1
�' 6iorih P�o-n WtHands Iry her�iovt Ord ,noncc�
3. The work described below, which includes altrpart of the work described In your request. is within
the Butter Zone as defined In the regulations, and will alter an Area Subleol to Protection Under
the Act. Therefore, said work requires the filing of a Notice of Intent.
This Determination is negative. undzr IA p55 W2lilgq bs Pro T, J dvl A
1 . >� The area oescrioed in your request is not an Area Subject to Protection Under the Act.
2. ❑ The work described in your request Is within an Area Subject to Protection Under me Act, but will
no; remove, fill, dredge, or alter that area Therefore, said work does not require the filing of a
Notice of Intent.
3 The work des;hbed in your revues? is within the Buffer Zone, as defined in the regulatons. but will
not alter an Area Subjec! to Protection Under the Act Therefore said work does not require the
fihne of a Notice of Intenl-
4- G The area described in your recuesf is Subject to Protection Underthe Acl, but Slice fne work
described therein meets the requirements torthe fallowing exemp'ion,as specified In the Act and
tae reoulations, no Notice of Intent Is recuireC
Issued by Ng rthamot on -
Conservation Commission
Signatures)
This Determination must be signed by a majority of the Conservation Commission.
/
On this '-:j, t day Of 19-' before me
personally appeared i ter, 417epw , to me known to be the
Person described in, and who executed. the foregoing instrument. and aIlja..P (tut he.mshA executed
the same as III s /her free ac deed. NOTARY PUBLIC
w COMMISSION EXPIRES JAN. 16 fYM
Notary Public
My commission expires
This 0eleimpro pndoes noneireve the appLCant from comoipng with alp Other aopncame federal stare or local statuses, oreinances,
dp laws or reguauons. This determination small pe valid for three years lone me pate of rsswnce
The ass In- owne', any harbor agpneved by this 0-1-The tion, any owner pf land Mootling the land upon whiim the ones sed work
0 T As 00". or any ten residents of the C lty or town In which soon land is IoWted,are ready notified of their right to repuast the Department
of EnVjmhmenal PrmeNOn to Issue a Sucan ailing Determtahon of Appliowelcy, providing the reauas is tape oy complied mal or hand
OefwCryID the Department. with Ine Adprppnate filing At and Fee Transmlual Forth as provided In 310 CM 10.03(7) within ten ears from
the care of 6[uence of tnis Celemninahon. A deny of The repuast snail at the same time Ca sent by CepiLeo mail or nano phalli tp the
Corown'th on Commission antl Ine appLCant
2 -2A
a
}� - .f -.i�.: S. .f .-In /p EL /_!IB_TN ✓ � - S Z// 4, t
\ �"'• POUF /On/ OF C -�nnr i?; 9� a-, >r 5 I Pi _co, Ito/ /j /Z yi
Pr T ��
IV
. +r go.8zi �S•� - 1 \ � �: � ��
rn ♦ d 4 °� ro Z4-6°*
d G °
L \2 EQ ✓r /I Hrrp tUN //o .,i TE �S /.
` \J
c
D
i
3
.r
�s