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15B-050 306 CHESTERFIELD RD BP-2017-0288 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block: 15B-050 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2017-0288 Project# JS-2017-000485 Est.Cost:$195000.00 fee:$1505,00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group:... ED JAZAB 950099 Lot Size(sq.RIL Owner: Patrick Melnik Zoning:RR Applicant: ED JAZAB AT: 306 CHESTERFIELD RD Applicant Address: Phone: Insurance: 9 SHEPHERDS HOLLOW (413) 222-4910 O LEEDSMA01053 ISSUED ON:10132016 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2000 SG FT SINGLE FAMILY HOUSE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke. Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 10/3/2016 0:00:00 $1505.00 212 Main Street,Phone(413)587-1240.Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0288 0 k7"o SirCitrgliatifri APPLICANT/CONTACT PERSON ED JAZAB ADDRESS/PHONE 9 SHEPHERDS HOLLOW LEEDS (413)222-4910 0 PROPERTY LOCATION 306 CHESTERFIELD RD MAP 1513 PARCEL 050 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 4*-' # C/5,9 6 604" Biddle Permit Filled out Fee Paid Typeof Constmctiotl, CONSTRUCT 2000 SOFT SINGLE FAMILY HOUSE New('on$lruction Non Structural interior renovations Addition to Existino Accessory Structure Building,Plans Included: /� Owner/ Plans or License 050099 f� /% qtr' /r Pi kak 3 sets of Plans 7 Plot Plan /!�"/A/ L^r�( +ti' f` THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: proved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board ofHeaith Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition De 73, 1e( Signature of Buildi'g wta Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A,Contact Office of Planning&Development for more information. -zokRng o)(- pl.,. iteArtgA j�, City of Northampton StafUegf Permlt�, "'$yv Building Department CurgGpt/Dd ewe ¢ `t 212 Main Street Seti id3eptmrAvalia6 s ft' ° Jt Room 100 WaterANell Avpliahllily ` ?-co \/1J„ Northampton, MA 01060 Two Sets of Structural Plans �J WI phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans .` Other Spedfy '.' r, „, 1' APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Address: ^ This section to be completed by office 06 CN«eit`/ `E6' '_ O Map Lot Unit Leaf dr.,a Q) 0 r3 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Patrick 7A elnik Jr.,trustee 286 Chesterfield Road Leeds Ma. 01053 Name(Pdr Current Mailing Address — 413-584-6750 i ' /k ) Telephone Signature , 2.2 Authorizediz/ Agent:: E(/_ I✓4 74244 i (,4R p4 .f /,IoL1O✓ Le n".4�Pr Namernt) Current Mailing Address: OIDS2 412 - aa-a - y91b Signature Telephone SECTION 3-ESTIMA ED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 150,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of 10,000 Construction from(6) 3. Plumbing 15,000 Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 20,000 6. Total=(1 +2+3+4+5) 195,000 Check Number 6/di RF -_ _ 1 & This Section For Official Use Only Building Permit Number: Date L 206Issued' ! Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to bo filled in by Building Department Lot Size 130,000 $'0 000 -_--- - __-- Frontage 175__ . 1.75 ._.._ _.._. Setbacks Front "_. - 0 40- Side L 0 R:;O L.RO R.50. r__ I t --, Rear 0. . _: 200_ .. . Building Height - '-"-- 0 20 Bldg_Square Footage 0 0 2000l o'u • Open Space Footage L.—_ ant area minus bldg&paved 100 97"( narking) . . _ A of Parking Spaces 0- • `L- Filh 0 _. _. " _._.- !volume&Lmn4l A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES Q IF YES, date issued:, 3 j8 IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES 0 IF YES: enter Book 1 `r Page 2d-.0 and/or Document/I B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained V , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and Location: - - - D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and Location: - E. Will the construction activity disturb(clearing, grading,excavation,or filling)over 1 acre or is it part of a common plan U that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5•DESCRIPTION OF PROPOSED WORK(cheek all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition 0 New Signs (p) Decks ID Siding[o1 Other(1711 Brief Description of Proposed Wort sa.am.w—:o xan-.-aria Alteration of existing bedroom Yes xx No Adding new bedroom Yes xx No Attached Narrative Renovating unfinished basement Yes *+ No Plans Attached Roll -Sheet Ga.If New house and or addition to existing housing. complete the following: a. Use of building:One Family it Two Family Other_ b. Number of rooms in each family •unit: 5 Number of Bathrooms 2 c. Is there a garage attached? Yes !1 L d. Proposed Square footage of new construction.2000 Dimensions 63x32 e. Number of stories? I f. Method of heating? propane Fireplaces or Woodstoves (10 Number of each g. Energy Conservation Compliance.y//e5 Masscheck Energy Compliance form attached? Yes R Type of construction W ae) T4dn.R. I, Is construction within 100 ft.of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes -4 No 41 _ QI j. Depth of basement or cellar floor below finished grade Ad k. Will building conform to the Building and Zoning regulations? Yes _No. I. Septic Tank dc City Sewer Private well '/y\ City water Supply SECTION 7a-OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES' FOR BUILDING PERMIT h 3 i, at Cet "• enii(N fC ✓ _ ,as Owner of the subject property hereby authorize _ Fyy �✓ARr/ Az 413 to act on my beh ,in all matt relative to work authorized by this buildin er application. Signature of r ate epiWAAJ LAZA 2, as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. -t . AA 7,424 Print Name "hi Signature of Owner/A•.nl Date SECTIONS-CONSTRUCTION SERVICES � 8.1 Licensed Construction Supervisor: 1-47-44 ( Not /Applicable �/❑ ,,/ Name of License Holder; 1-!Y "�OA /J SIV 9)' License Number 9 fNeyLs4J Ne2.LbL✓ r "r-e o)ard _ . a ;. Aa Expirafien 0 � ya gad - Y41b Signature Telephone S.Registered Home Improvement Contractor: `. - Not Applicable 0 Company Name Registration Number Address Expiration Date I' Telephone SECTION 10•WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(8)) Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes EX No...... ❑ 11. -Rome Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied DwelHnes of one(I) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.35.1 Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and.'or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that hefshe shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"eertifes and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 3 o 6 C 01 `t41 LJ Awl The debris will be transported by: ✓1 n./ Sal The debris will be received by: NLIctO i) %ohArE — ,(-9,/t i fv Building permit number: Name of Permit Applicant (SIT/Lk"( T Z t" it 5''x 4d1 , , / Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents 1* Office of Investigations 'r — a 1 Congress Street, Suite 100 t 'k Boston, MA 02114-2017 .'r www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Edward Jazab Address:9 Shepherds Hollow _ City/State/Zip:LeedsMa 01053 _ phone#:413-222 U4i0 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. Q New construction employees(full and/or part-time).* have hired the sub-contractors 2.® I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These subcomractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp, insruance3 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ i officers] haveexercised their ❑Plumbing 11. re I am a homeowner doing all workbairs or additions P myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required_] ' c. 152,§1(4),and we have no 13.❑Other employees. [No workers' — comp. insurance required.] *Any applicant that checks box#1 must also fill our the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. tic.#: Expiration Date; Iob Site Address: City/State/Zip: , Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ,. p n r e pains and penalties of perjury that the information providedabove is true and correct. Signature: ^t Date: 4 al1 b Phone#: 'j l f ' a a - t 9 D ._ ..._ Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone Si: Home Energy Rating Certificate Property HERS Rating Type: Projected Rating Certified Energy Rater: David Gagne 306 Chesterfield Rd Rating Date: 8/29/16 Rating Number: HERS-707 Leeds, MA 01053 Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost HERS Index: 61 Use Matti Cost Percent Heating 38.2 $2078 56% General Information Cooling 4.2 $73 2% Conditioned Area 2296 sq. ft. House Type Single-family detached Hot Water 5.8 $409 11% Conditioned Volume 38258 cubic ft. Foundation Conditioned basement Lights/Appliances 22.0 $1119 30% Bedrooms 2 Photovoltaics -0.0 5-0 -0% Service Charges $0 0% Mechanical Systems Features Total 70.2 $3680 100% Heating: Fuel-fired air distribution, Propane, 95.0 AFUE. Cooling: Air conditioner,Electric,13.0 SEER. Criteria Water Heating: Instant water heater, Propane, 0.82 EF, 0.0 Gal. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 23.00 CFM25. Ventilation System Exhaust Only: 46 cfm, 10.0 watts. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-40.7 Slab R-0.0 Edge, R-0.0 Under Sealed Attic NA Exposed Floor NA Vaulted Ceiling NA Window Type U-Value: 0.300, SHGC: 0.250 Above Grade Walls R-19.8 Infiltration Rate Htg: 4.00 Clg: 4.00 ACH50 Foundation Walls R-15.0 Method Blower door test Jamie Callan Power House Energy Consulting Lights and Appliance Features 30 W Pomeroy Lane Percent Interior Lighting 80.00 Range/Oven Fuel Electric Amherst,MA 01002 Percent Garage Lighting 80.00 Clothes Dryer Fuel Electric 413-923-1553 Refrigerator(kWh/yr) 0 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.00 Ceiling Fan (cfm/Watt) 70.40 REM/Rate- Residential Energy Analysis and Rating Software v14.6.4 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Bk:12254 Pg:325 ..... ' Planning Decision City of Northampton Heating No.: PLN-2016-0031 Date:March 30,2016 APPLICATION TYPE: f SUBMISSION DATE: IIINININ'IININIIN .NIIIIN PB Special Permit with Intermediate 1 2119/2016 201 0000 y Applicant's Name: Owner's Name: Bk:12264Pg:326 Page:1 of 2Recorded: 04/26/2016 01:19 PM NAMe ruME: MELNIK PATRICK J 6 toe Zekhner Trustee MELNIK PATRICK J 6 Zoe Zeichner Trustees ADDRESS. ADDRESS: 308 Chesterfield Rd. 308 Chesterfield Rd. TOWN: STATE: LP CODE: TOWN: STATE: ZIP CODE. LEEDS MA 01053 LEEDS MA 01053 PHONE NO.: PAX NO: PHONE NO.: FAN NO.. EMAIL ADDRESS: EMAIL ADDRESS: Site Information: Surveyors Name: STREET t1,: SIM ZONING, COMPANY NAME: CHESTERFIELD RD • RRI100/ TOWN. ACTION TAXER ADDRESS: LEEDS MA 01053 Approved With Conditions IAP. BLOCK LOT MAP DATE. SECTION OF mYAW: 158 001 001 Chpt.3306.10:Flag Lots TOWN: srATE: ZIP CODE' Purr,: 265414.}' PHONE NO.: FM NO. EMAIL ADDRESS: NATURE OF PROPOSED WORK CREATE FLAG LOT 6 ANR LOT FOR 2ND SRI HARDSHIP. towmoN OFNwpvAL 1) Prior to issuance of a certificate of compliance for the newly created lot the applicant shall providea 83,000 payment for traffic mitigation,as offered by the applicant to comply with section 35011.6 with traffic mitigation costs for one home equaling or exceeding$3,000 Z Prior to submitting an eprruvat not numbed pian for the proposed log the applicant must moat all the criteria for releasing the Property out of Chapter 61A. FINDINGS. The Board granted the special permit for the conversion of a standard lot into a flag lot for the purposes of creating a second standard lot based upon the plans submitted with the application as hollows: Plan of Lots by SaMhri Associates Zekhner Melnik Family Trust Dated Feb 4,2016. The Board granted the special permit for the flag lot with conditions that would meet the criteria in the special permits for flag lots es well as site plan In 11.6. A.The requested use protects adjoining premises against seriously detrimental uses.If applicable,this shall include provision for surface water dam age.sound and sight buffers and preservation of views,light,and air;and B.The requested use wig promote the convenience and safety of vehicular and pedestrian movement within the site and on adjacent streets,cycle tracks and bike paths,minimize traffic impacts on the streets and roads in the area,((applicable,this shall Include considering the location of driveway openings in relation to traffic and ad/aunt streets,cross-access easements to abutting parcels, access by public safety vehicles,the arrangement of parking and loading spaces,connections to existing transit or likely future transit routes,and provisions for persons with disabilities;end: j4 The project including any concurrent road improvements,wilt not decrease the levet of service{LOS)of all am City and state roads or intersections affected by the project below the existing condition when the project is proposed and the proponent has demonstrated that all cumulate and Incremental traffic Impacts will be mitigated with the offer of a payment-In-lieu of mitigation for the new impacts. Funds may be used In accordance with zoning to address provision of public transit and pedestrian or bicycle paths,in lieu of requiring o((--site improvements. C.The site will function harmoniously in relation to other structures and open spaces to the natural landscape,existing buildings and other community assets in the area as it relates to Imnfscaping,drainage,sight lines,building orientation,massing,egress,and setbacks. The two lots will be used for single family homes only,consistent with the neighborhood. D.The requested use will not overload,and will mitigate adverse impacts on,the City's resources,including the effect on the City's water supply and distribution system,sanitary and storm sewage collection and treatment systems,fire protection,streets and schools. GeoTMSS 2015 Des Caudata Municipal Solutions,Inc. Bk:12264 Pe:326 / Planning•Decision City of Northampton Hearing No.: PLN-2016.0031 Date:March 30,2016 The site is served by private water and sewer. E The requested use meets any special regulations set Porth in this under 6.13 flag lots. F.Compliance with the following technical performance standards: (1)Curb cuts onto sheets shalt be minimized.The existing driveway wit continue to serve the house lot. (2)Pedestrian,bicycle and vehicular traffic movement on she must be separated,to the extent possible COULD NOT DEROGATE BECAUSE'. FILING DEADLINE: WILING DATE: CRANING CONTINUED GATE: OSCI$ION DRAFT fly: APPEAL CATE 1/312016 3/17/2016 4/7/2016 REFERRALS IN DALE HEARING DEADLINE DATE. HEARING CLOSE DATE: *UAL SIGNING BY: APPEM.DEACONS. 31102016 4/242016 3/24/200 4/712016 4/19/2016 FIRST ADVERTISING DATE: HEARING DATE VOTING DATE'. DECt5IONDAit: 3/10/2016 3/24/2016 3/24/2016 3130/2016 SECOND ADVERTISING DATE: 'HEARING TIME: VOTING DEADLINE: DECISION DEADLINE 3/17/2016 745 PM 622/2016 6/2272016 uncERa PRESENT: VOTE: Theresa(Tess)Poe votes to Grant William Grinnell votes to Grant —' Ti------ . Alan Verson votes to No Action Needed , �I, Il 1- [ Dan Felten votes to No Action Needed I r John Lute votes to Grant . I, MAR 0 0 2016 Karla Youngblood votes to Grant , Debin Brace votes to Grant L Ann DeWitt Brooks votes to Grant ' t3/: Mark Sullivan votes to Grant MOTION MADE flP. SECONDED BY: VOTE COUNT. DECISION: Therese(lass)Poe John Lute 74 Approved with Conditions MIMES OF MECINZ , Awiab/N0e gee Cityb webstte at www.norihamptonma.gov (Wayne Pt n,as agent to the Planning Board,certify that this Is a true and accurate decision made by the Planning Board and certify that a copy of this end all plans have been filed with the Board and the Cly Clerk on the date shown above. I certify that a copy of this decision has been mailed to the Owner and Applicant Notice of Appeal An appeal from the decision of the Planning Board may be made by any person aggrieved pursuant to MGL Chept 40A,Section 17 as amended within twenty(20)days after the date of the Rena of the notice of the decision with the City Clerk.TM date Is fisted above. Such appeal may be made to the Hampshire Superior Court with a certified copy of the appeal sent to the City Clerk of the City of Northampton. April 20, 2016 I,Wendy Mazza, City Clerk of the City of Northampton,hereby certify that the above Decision of the Northampton Zoning Board was filed in the Office of the City Clerk on March 30, 2016,that twenty days have elapsed since such filing and that no appeal has been filed in th' matter. Atte La .LJ adfrif City Clerk / /1/ , City of Northampton r.—ergr*nf j aF- S'" GeoTMSO 2015 Des Landers Municipal Solutions,Inc. City of Northampton BOARD/ OF HEALTH PERMIT NUMBER: ���r7 '4d FEE $ 50.00 CHECK#_,rLq '''}''" CASH This is to certify that r _^jam_ ff_Lieketq /EZ NA ADDRESS Is Hereby Granted a Permit to Install a Private Drin/k•injyy WelkLOCATION:_, P5]l"l7" N'l /�el —_ _— DATE: Board of Ilea This license is granted in con`�f `�y with the Statutes and ordinances relating thereto and expires _'7t JO/Z _unless sooner suspended or revoked. . Howard Laboratories 62 Main Street - Hatfield, MA 01038 Tel. (413) 247-5533 Fax (413) 247-9599 WATER ANALYSIS REPORT Henshaw Well Drilling Invoice Number: 18165 Date Sampled: 8-8-16 Client: Melnick Jr Sample Location: NA Date Received: 8-9-16 Parameter Sample Result MA DEP/EPA Maximum Comments Contaminant Limit (MCL) Total Coliform Bacteria Absent Absent OK E. coli° Absent Absent OK § Microbiology Certification #: M-00851 for Total Coliform & E. coli (SM 92236-Colilert(&) Additional Water Quality Parameters - Primary Drinking Water Standards Parameter Sample Result Detection Limit MA DEP/EPA MCL Comments Nitrate 0.5 mg/L 0.1 mg/L 10 mg/L OK Nitrite 0.011 mg/L 0.001 mg/L 1 mg/L OK Secondary Drinking Water Standards Color 285.0 PtCo Color 1 PtCo Color Units 15 PtCo Color Units Units Iron 0.03 mg/L 0.01 mg/L 0.3 mg/L OK Manganese 0.001 mg/L 0.001 mg/L 0.05 mg/L OK pH 6.88 pH units 0.01pH units 6.5 to 8.5 OK Sodium 11.0 mg/L 1 mg/L 20 mg/L OK TDS 40.0 mg/L 0.1 mg/L 500 mg/L OK Turbidity 16.0 NTU 0.01 NTU No Standard No Standard Chloride 23.0 mg/L 1 mg/L 250 mg/L OK Hardness 90.0 m /L lm /L No Standard <SD soft mg/L >100 hard Parameters marked with an asterisk are above acceptable MCL. For new wells most of the parameters that are over the limit should decline to below MCL after a few weeks. Analyst: SBH Date: 8-10-16 J Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: HENSHAWWELLS Transaction ID: 856566 Document: Well Driller Size of File: 433.69K Status of Transaction: In Process Date and Time Created: 8/15/2016:11:32:42 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to 'Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 306 CHESTERFIELD ROAD Please specify well type: Building Lot#: Assessor's Map#: [Domestic Assessor's Lot#: ZIP Code: Number Of Wells: 01060 City/Town: Well Location NORTHAMPTON In public right-of-way: OPS I'Yes r No North: West. 42.20549 7242400 Subdivision/Property/Description: Mailing Address: 7 click here if same as well location address Property Owner: Street Number: Street Name: PATRICK J MELNICK SR 110 KING STREET City/ awn: State: Engineering Firm: NORTHAMPTON MASSACHUSETTS ZIP Code: 01060 Board of health permit obtained: La Yes r Not Required Permit Number: Date Issued: 2016 02 0]/01/2016 0 D 1 Massachusetts rc Protetiof-Will Environmental P Protection Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock Air Hammer 'ALRotary 1 WELL LOG OVERBURDEN LITHOLOGY I From)f1) Tolft) Code Color Comment Drop in drill Extra fast (Lass or addition stem drill rate of fluid __- r r I I b pr 11T+ JJ [Brown ` r Faslrs YES NO Loss ndatcn WELL LOG BEDROCK LITHOLOGY i Drop in Extra fast or IL sor Visible Rust l Extra From(0) To�ft) Code Comment addidrill stem slow drill rate fluidbon of Staining I'Chips I ps 77 X34 1 -.--- J BROWN r r �I r r ii; f r I iY IL s L - — YES NO Fast Slow � I Loss Addition - I YELLOWGRAY r r i r r r f 134 111,72 i Schist �- rrns ',r Yes YES Fast slow 1 Loss Addition GRAY YELLOW r r r r r r r- I Yes I,r e s 72 0- S Trr -. YES NO Fast Slow Loss Addition 1 JII 01 1 184_. L 1 ScM1s1... 4 rELLOW GRAY r r lid r r I r r Yes] III ves YES NO 1 Fast Slow L Addition -- -- — ----- - rYea GRAYWHITE r r l r �___ _ _ _ - I .,cs 8d 1 LB4 r h 1 - J YES NO Fast Slow L Addition I- — GRAYwHITE 1 r r 1 r r A ryes II-Ye 104 199Hi _ 15chu1 11 YES NO Fast Slow L Addition )199 11231 JS bill WHRE GRAY 1 YES NO Fast Slow LossAddition Lr.Yel Ir Yes. Zl 315 Schist GRAYWHITE r r r r r rIl-Yesl YES NO Fast Slow Loss Addition -1 -- WI-FEGRAY F rY 1 r •'s 1315 ] tau ItSchist_ J l r r L r r r f—J I i YES NO F Slow LossAdditiont__ - - 1322 11422 __H Iasi J11FGFAYWHITE f f( f 1 r lir yes -Yes __ YES NOJ Fast Slow I Loss Addition I 1 IFGRAY WHITE ll r ( t r f t 422 16 H Schist J� �Ir Yes rYes _ Ill YES NO Fast SI _LossAddllan J 516 _ 1 sv_I[Schist_ J �WHITE GRAY � �f r r r - Clk r I�r ves ryes] - YES NO { Fast Slow L Addition � , cfwYWHrre r r r r rr r 1 L _ III Schist__ _II YES NO Fast Slow LossA tion es i27 I�631 Schist GRAYWHITE r r r r I �� � YES NOFast Slow L Addtton� Ir Ye� 1 Yes, Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program r' Well Completion Reports(General)� 631 1639 , [schist _I WHITEGRAr r r r r r r ,. r- I _ �= J _�= Loss �Y� YES ND Fast Slow Addition GBAYWHITE P r r r I I r r II 639 � 1660 !Schist � iil II-i ----s Iftes. YES ND F Slow L Addition ADDITIONAL WELL INFORMATION Developed a Yes r No] Disinfected o Yes r No 1 Total Well Depth 660 Depth to Bedrock 17 Surface Seal TypeINone - fracture Enhancement I r'Yes r Nb CASING EZIs Casing above ground From 1.5 To: 15 From To Type Thickness IDi ter IDrivesM1oe 15 i 60 I Steel _. 1 Ele _HI_ —Its 1 ryes I SCREEN FT;Screen! Imm TT [Type Slot Size I I Diameter ft I CM1 eScr Type-- J 'I _ ___I WATER-BEARING ZONES [r DRY WELL !From IITo -_ !Yield(gpm) !639.--_1 66n 1__..j LS �___. PERMANENT PUMP(IF AVAILABLE) Choose Pump F-Choose Pump Description Horsepower D !!Horsepower- J escriptionn- Pump Intake Depth(ft) Nominal Pump Capacity(gpm) ANNULAR SEAL I FILTER PACKII Wate From To Material t Weight Material 2 !W ght MetF tl OT _ (gal) r ( t nt)hee 'Placement 1_ - Il I Choose Material J f Il Choose Mat nal JJ [ Jr- -CheeSeC WELL TEST DATA --.I. rr- 'Date Method Yield(gpm) Time Pumped Pumping Level(ftTime To Recover Recovery lfi (HH:MM) BGS) (HH:MM) BGS) 09/0P/2016i� Arr Now With Drill Stem 21 F� 1oa00 -1 !MO ! 10430 ) 22 - I� 108/081201611!Constant Rate Pump 'J' 11'00 10400 _1 0430 7, P2 WATER LEVEL Data Static Depth BGS(n) Flowing Rate(gpm) Measured Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) 108/02/2016 11122 blas 06/OB/2016 i 122 15 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. MICHAEL Monitoring[MI Supervising Driller HENSHAW. DrilllerLAROCHE Registration# 196 Signature KIRKE,R KIRKE R. Date Job Complete Firm HENSHAW,INC. Rig Permit# 321 I00100/2016. NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. v S PENDING APPROVAL. ""�' (:l'ry OF NORTHAMPTON, MASSACHUSETTS e �*tom+ 306 Chesterfield Rd, Leeds, MA DEPARTMENT OF PUBLIC WORKS 1� : 125 Locust Street Trench Permit Number: 2017-056 1:5 € Northampton,MA 01Q60 � f. 413-587-1570 Date Approved: 112.14 V1,55 Fax 413-587-1576 Expiration Date: 9,—/e?-/ (for City Use Only) EXCAVATION/TRENCH PERMIT Pursuant to G.L.c. 82A and 520 CMR 14.00 et seq.(as amended) This permit must be fully completed prior to consideration. Submit completed form with permit fee to Northampton Department of Public Works, 125 Locust Street, Northampton, MA 01060. This permit is issued under the provisions of M.G.L.c.82A,520 CMR 14.00 and applicable sections of the Revised Ordinances of the City of Northampton,including,but not limited to,Section 285-21. Fee:$250 Check#: 5147 Date Issued: 8/8/16 Name of Applicant Primary Phone# COTTON TREE SERVICE 584-9104 KIM Street Address Emergency Phone# 248 HATFIELD STREET 237-1200 CityTiown State Zip Email NORTHAMPTON MA 01060 Name of Excavator Primary Phone # SAME Street Address Emergency Phone# City/T'own State Zip Email Name of Property Owner(s) Primary Phone# PATRICK MELNIK 413-537-0219 Street Address Emergency Phone# 286 CHESTERFIELD ROAD City/Town State Zip Email LEEDS MA 01053 Insurance Certificate# Policy Expiration Date ON FILE Name&Contact Information of Insurer ON FILE Dig Safe# __.._..._.___ _... 20` I� 16-290-911112 " 1 /�, V ��1l Pg 114,Excavation/Trench Permit Q9 P DZ P-(--P Pt QST] L E 1vE_1 0 PE_ 6 " of ti�I G(-vs 0 2 J W ging 1 I - C DePTt} o - CONLEK C J il -- I I 6.--R-0.50-5.t, 510-)E- 60.- `C CAN5Skbr M Z_ol.`i DR-tu&-vJA.3-2 _ c_vt v r CITY OF NORTHAMPTON g- �� p p -f DEPARTMENT OF PUBLIC WORKS 1 ENGINEERING DIVISION CALCULATION 125 LOCUST STREET WORK SHEET NORTHAMPTON,MASSACHUSLI IS 01060 (413)587-1570 FAX 587-1576 0 • 306 CHESTERFIELD RD Pro.�JJec__t Description/Location of Work.Provide the following: tv/ Description of purpose and exact location of proposed work including description of what is to be laid or repaired in the proposed trench(e.g. water pipe, sewer pipe, drain pipe, gas Zine, ✓ power line, communication lines, etc Sketch or drawing showing all proposed work. Anticipated Start of Work Date. 306 CHESTERFIELD ROAD, LEEDS, MA NEW CONSTRUCTION NEW DRIVEWAY NO WATER NO SEWER YES NO X Check here if Emergency. Describe. X Work in Public Right-of-Way _ X Work on Private Property Work within State Layout(If yes, attach State Permit) Work within 100 ft. of a wetland or 200 ft. of a stream or river.(If yes,attach Permit) Work within Floodplain.(If yes,attach Permit) Public Water/Sewer/Drain Entry Permit(Attach Permit, if available) Driveway Permit(Attach Permit, if available) Pg 2/4 `\ .,.�" nog m n k7 - �p� R.pI ee-_5 Mo d -- & Oh'� ? 5. trench wlsh I / • O �� P we! 'w ,�[t���� 4 There will be no h. m!e 5, fu Iterondy mtlllmj 111111 a'd's s e, 3 'i rally ll<an,ed 5.45 ^."-`,.. /f Tert oh'3 P/,`_44-' / P,.,po4t or hale m , � ��� 1 arae ,500 4, I eonpw-4nm I•{ pVlt teh / `!` �✓ r. rn • T ttr L revs PR n n-I bOQ 71 / 01/4431441s) j ���� s' tie' ipyca� ! ar'n°ma`oe., :ro - a v�* REQUEST SC ` , . . d $ v ha,xr -41,./..—;;;;;.. ` e c f 'drier` �—' rur. ay M 87 APPSL ,. / MASSACHUStJI • 8 / PrvPaafd vett tamtb10:m` at', �: / p CS) tree note a lea *ai_Pk d e , P/L [: Z-['..� Rz O0'Qi ore, ‘-..,:-...... or i • t` 308 nM-nal; wrro oak tr.�cte.. lao P/k \ f i .. LEEDS, f • .....--•'' `ti,tl Cn ,In fence May bale, «:. . .F DI * LOT B * .V. 311 \ - Other IM{ el Patrick Moltke Sr..... . m T TEL /j1, , Intermittent sire \ . ./+8 Icn —i 4.. TIMOTHY 70 To be completed when approved permit is picked up. By signing below,the applicant acknowledges and agrees to all the conditions of approval stated below and validates thisspgerrmmii-/t --yU p p-11-16 Applis6nt Date For City Use-Do not write in this section Department Approvals/Comment Other Referenced Permits d4 (e Water r ' -( 0-119 / Sewer ilio ritelit Streets nit, !! $T,u/u_ _ Condition of road: Road last paved: I - --' - - - - Conditions of Approval Control Density Fill Required Refer to Engineering for plans Must install clean-out(See Attached) Subject to 5-yr.pavement moratorium Other requirements(See Attached) Water/Sewer/Drain Entry Permit Fee 1 $250 Permit Application Fee received(Check payable to the City of Northampton) Fee Waived. ,siibli l Permit Ap . oval / /a gl k -Director-Cif Public Works r ate P9_4/4 By signing this form,the applicant,owner and excavator all acknowledge and certify that they are familiar with,or,before commencement of the work,will become familiar with,all laws-and regulations applicable to work proposed,including OSHA,regulations,MV.G.L.c. 82a,520 CJYIR 14.00 et seq.,and any applicable municipal ordinances,by-laws and regulations,and they covenant and agree that all work done under the permit issued for such work will comply therewith in all respects and with the conditions set forth below. The undersigned owner authorizes the applicant to apply for the permit and authorizes persons duly appointed by the municipality to enter upon the property to monitor and inspect the work for conformity with the conditions attached hereto and the laws and regulations governing such work for the duration of the construction. The undersigned applicant,owner and excavator agree jointly and severally to reimburse the municipality for any costs and expenses incurred by the municipality in connection with this permit and the work conducted thereunder,including but not limited to enforcing the. requirements of state law and conditions of this permit,inspections made to assure compliance therewith,and measures taken by the municipality to protect the public where the applicant,owner or excavator has failed to comply therewith,including police details and other remedial measures deemed necessary by the municipality. The undersigned applicant,owner and excavator agree jointly and severally to defend, indemnify,and hold harmless the municipality and all of its agents and employees from any and alldiability,causes or action,costs and expenses resulting from or arising out of any injury,death,loss or damage to any person or properly during the work conducted under this.permit .._ «.. By signing this form,the applicant,owner and excavator acknowledge that they have read and understand all the information set forth in and referenced within this application package and that they agree to comply in all respects with the requirements therein. 42-1 / Applicant • l � �'t' . �a�te Z-Ce Exca atori (i mem) Date Owner SS(if di$e - Dar Pas./ID Permit No. D13-16 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 5/5/16 _ Check#: FEE: $250.00 CHECK# Proposed driveway must be staked and address and/or lot number posted. Public Shade Trees are protected by MGL Chapter 87. Do not cut, trim or remove any trees on City property. The undersigned respectfully petitions your honorable body for: A NEW CURB CUT Permission to install a driveway at: 306 CHESTERFIELD ROAD, LEEDS, MA 01053 Fifteen (15) foot maximum width from street line to property line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. The first one hundred(100) feet of the driveway surface shall be paved as soon as possible if the grade of the proposed driveway exceeds 3% at any point in the first one hundred (100) feet. Homeowners will be held responsible for any costs to the City of Northampton in the event of a washout of this driveway. City is not responsible for culverts installed under driveways in City layout. Code of Ordinances §350-8.8 providing standards for private, individual driveways as most recently amended, must be followed. By: Patrick J. Melnik Sr. Telephone: a 413-584-6750 Proposed Location Inspection Byes to jfik- t 67-2- 2.oi‘ Gravel Base Grade Inspected By: Final Approval: Director of Public Works Ce: Building Inspector Re: j (SUBJECT TO ATTACHED CONDITIONS 1 & 2) Permit No. D13-16 Conditions: Driveway Permit In lieu of plan approved by the City Engineer I agree to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections, any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: /4 _ Name: Patrick J. Melnik Sr. Address: 110 King Street, Northampton, MA 413-584-6750 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. For Commercial and Industrial applicants, a plan showing the proposed driveway with grades, location and Planning Board permits are required. Cc: Building Inspector LIL CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS e 125 Locust Street Northampton, MA 01060 413-587-1570 Fax 413-587-1576 ASSIGNMENT OF HOUSE NUMBER Street: Chesterfield Road Assessors Map: Map 15B, Lot 50 House Number: , 306 Date: May 5,2016 Remarks: Address assigned to a new building lot on Chesterfield Road shown as Lot A on an ANR plan entitled Plan of Lots, Zeichner Melnik Family Trust, surveyed by Salvini Associates,Inc., sealed by Stephen A. Salvini, PLS, dated February 4, 2016 and endorsed by the Planning Board on April 14,2016. The number assignment was requested by the owner for permitting purposes for the construction of a single family dwelling. k Ja• elLaurila, P.E. City gineer cc: Central Dispatch Board of Health Water Division Tax Collector Sewer Division National Grid Streets Division Verizon Telephone Inspectors Comcast Assessors Columbia Gas of Massachusetts Police Department Post Office(Northampton) James Thompson (GIS Coordinator) Post Office (Easthampton) Registrar of Voters School Department(Joy Winnie) MassGIS Address Management Systems Applicant/Owner: Patrick J. Melnik, Sr. Melnik Law Offices 110 King Street Northampton, MA 01060 M_\l louse NumhersVChesterfield Roa0306 Chesterfield Road doe MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: I 306 Chesterfield Road,Leeds Inquiry Made By: Patrick S. Melnik Sr. 413-584-6750 5/6/16 Date of Inquiry: I Fire Line Irrigation Domestic X Number of Units: Type of Single Family X 'type of Private X 1 Unit(s): Apart. Comm. Ownership: Condo Multi-family I Rental (Applicant to fill nut the above) Municipal Water Main in / Existing service to Front of Location? Yes: No:` site? Yes: No Size of Water Main: NIA Material: Age: Approximate Static Street How Test Conducted: Yes: No: Pressure: if done attach results Size of Service Connection Suggested Meter Size: Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. All work shall co f r to Northampton Water Department specifications. dd `DPW Engineering Dept. Water Entry 5 Meter$ Radio$ cc: City of Northampton Building Dept./Commissioner Note: If this availability is for a new construction,it must be hand delivered to the Building Inspector. mLl iii V,,nniu r Uh Rr Applicuti n'.Walcr A va il.ibiiliE day \' / MUNICIPAL SEWER/AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587-1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 306 Chesterfield Road, Leeds, MA 01053 Date of Inquiry: 5/6/16 Patrick J. Melnik Sr. 584-6789 Reason for Request: New Construction Municipal Sewer Main in Front of Location: Yes No i 1/ Municipal Storm Drain Available:/ 5 '/deep Yes No Size of Sewer Main: y� (A Material: Age: Depth of Sewer Main: !!! Length of Sewer Main: Size of Service Connection: Type of Service Connection: Tie-in to Sanitary Main Tie-in to Sanitary Stub Comments: City Requires 6" cleanout installed at City Property Line Note: If this availability is for new construction,this form must be hand delivered to Building Inspector. A corresponding"sewer entrance fee"shall be paid prior to making any connection to the municipal sewer system.Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. 6 )�,,, ,� 1 W 51—/� cc: City of Northampton Building Dept./Commissioner • ,` Commonwealth of Massachusetts - p. City/Town of Northampton Number a Application for Disposal System �,_, Construction Permit $e Form 1A B. Agreement The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage • posal system in accordance with the provisions of Title 5 of the Environmental Code and not to pl- the system in operation until a of Certificate Compliance has been issued by this Board ill d6J 6 of He:. natu: Date Application Approved By: (/3 /6 Name � 1] • L • T Date Application Disapproved for the following reasons: NORTHAMPTON BOARD OF HEALTH 212 MAIN STREET NORTHAMPTON, MA 010E2 t5forml a.doc•06/03 Application for Disposal System Constructior Permit•Page 3 of 3 .� .._�. ". .....H7 \ ."s..« .. ... .,,.. ."��... \ e> OTA * e �© L : �A �,� g © , I.a 2f x; H,AA r n _ • .Y REQUEST OM HE OF ft A� e PMueAND TO ne 0 © ^. MA.. Mss sn. WETLANDS0 orecr ory ACT / ' Sown 00 Q\ ' � mJ.)...,,,M,. .��.�A. *o e so .`�2 •" ; ` 3O LHESTERF TTO ROAR `� LEEPS MASSACt J5ETT 0101) ��•. \ ` cm APP11CANT mom Ammo.. \ -'4 , e ••••"r«• iT PATRICK ICN 5R. * * LOT I) * .4 (111 TEXP ElD ROM _ .. F� F ((413) i�50 * ^'^' *�' y a PREPARED BY wtSAWS. rT W.'G��"�... 1 TIMOTHY E. MAGIANIS RS.� 11:iA \ 20 MONTAGUE ROAD mmmmmm a ,TNN COM?Mix I ZSES A NESLWWPTON, MASSACHU SETS 01022 .....�-...w..�-.«w.+ewe. —... NOVEMBER 26. 2016 / m «a AXI<IIIG@PIIS �N . kw.m..",F.:."�'._�'"~.^..:0:�'..".'.`1t n.:.`w` K111). ' {¢All TWIll IIIM IN sl'P C"rr ..-._:...�_:..._.... ^..LTG...- ....w a.e age or . TAMP,mm Mass i Epi Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection Western Regional Office•436 Dwight Street, Springfield MA 01103.413-784-1100 Charles 0. Baker Matthew A. Beaton Governor Secretary Karyn E. Polito Martin Suuberg Lieutenant Governor Commissioner Patrick J. Melnik, Sr., Esq. June 24,2016 311 Chesterfield Road Leeds, Massachusetts 01053 patmelnik2gmail.com RE: Request for Departmental Action Appeal for Failure to Act Issuance of Superseding Determination of Applicability 306 Chesterfield Road,Northampton Dear Mr. Melnik: Per the authority granted it at 310 CMR 10.05(7)0), the Massachusetts Department of Environmental Protection(hereinafter the Department) elected not to hold an informal on-site meeting for the above-referenced Request for Departmental Action dated May 31, 2016. The Department did so as there is no material dispute in this matter. "therefore, in accordance with the Massachusetts Wetlands Protection Act(the Act) (MGL c. 131, § 40), the Department hereby issues the following Superseding Determination of Applicability (SDA). This SDA is positive for a portion of the "area" described in the Request for a Determination of Applicability (RDA or WPA Form 1) submitted on April 27, 2016. This SDA is negative for the "work" described in RDA, namely construction of a single-family house with driveway, subsurface sewage disposal system, and appurtenances, all as described within the RDA and shown on the plan of record. The Department has determined that the portion of said "area" shown on the site plan approved herein is An Area Subject to Protection Under MGL c. 131, § 40, or a Buffer Zone thereto, as had previously been determined by the Northampton Conservation Commission in plans of record the Commission approved in an Order of Conditions for Wetlands File Number 246-0655, issued by the Commission on October 28,2011. These plans of record are binding as to the "boundaries" of"Resource Areas" (each as defined at 310 CMR 10.04) purposefully shown thereon until such time as a Certificate of Compliance is sought and obtained by the permittee, and that Certificate is recorded at the appropriate Registry of Deeds. The Department has determined that said "work" will not occur within a Resource Area or a Buffer Zone thereto,and is therefore not subject to MGL c. 131, § 40. This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TEST MassRelay Service 1000-419-2770 MassDEP Website:sew mass govldep Printed on Recyced Paper This SDA does not confirm the boundaries of Bank(Inland) [310 CMR 10.54(2)], Bordering Vegetated Wetland [310 CMR 10.55(2)], Land Under Water Bodies and Waterways [310 CMR 10.56(2)], Land Subject to Flooding [310 CMR 10.57(2)], Riverfront Area [310 CMR 10.58(2)] or any other jurisdictional resource area on the parcel in question or in the vicinity thereof, as this was not asked for in the aforementioned RDA. Additionally, this SDA only legally applies to the area described in the RDA/specific to proposed work shown on the"plans of record", and has no bearing on other portions of the parcel in question, or other adjacent or proximate land. Please be aware that this decision has no legal or regulatory bearing upon municipal jurisdiction under any municipal wetlands protection bylaw or ordinance. The reasons given here are sufficient to justify this SDA. Should there be further proceedings in this matter, the Department reserves the right to raise additional issues and present further evidence as may be appropriate concerning the regulations and protection of the"interests" of the Act. If you have any questions or need additional information, please contact David Foulis at 1-413- 755-2154. /Si/ Jly, 2n0Ln 0 )avid am ero q PWS I JP)Ike , Wetlands Program Chief WI...Melkik SEA Lener.doex Certified Mail#7015 0640 0005 7966 3197, return receipt requested. ec Northampton Conservation Commission slavallev.«northamptonma.no! 2 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands Superseding Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: When filling out From: forms on the The Massachusetts Department of Environmental Protection computer, use — --- - - — only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Patrick J. Melnik, Sr., Esq. return key. Name Name m 311 Chesterfield Road a Mailing Address Mailing Address Ca Leeds MA _ 01053 City/Town State Zip Code City/Town State Zip Cade 1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents: "Plan for a Request fora Determination of Applicability..." 11/26/2016 (sic) Title"for Land at 308 Chesterfield Road, Leeds,Massachusetts 01027",Sheet 1 of 1 Date Title Date Title Date 2. Date Request for Departmental Action Filed: May 31, 2016 B. Determination Pursuant to the authority of M.G.L. c. 131, § 40, the Department considered your Request for Superseding Determination of Applicability, with its supporting documentation, and made the following Determination. Project Description (if applicable): 1. Construction of a single-family house, driveway, subsurface sewage disposal system, and appurtenances. 2. Resource Area Boundaries as determined on plan of record for Order of Conditions for Wetlands File Number 246-0655, issued by Northampton Conservation Commission on October 28, 2011. Project Location: 306 Chesterfield Road Northampton (Village of LeedsL_ Street Address City/Town Assessor's Map 15B _ _ _. Lot 50 Assessors Map/Plat Number Parcel/Lot Number wpa@•m2aom Request tar Departmental Action Pee TransrN,al Form•rev 10/6104 Page 1 al 5 Massachusetts Department of Environmental Protection Bureau of Water Resources -Wetlands 1 Superseding Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) The following Determination(s) 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. O 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. 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): 0 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. O 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. wpaformzaoc-Reoest for Departmental Actino Fee Transmittal Form.rev..l 0/6/D4 Page ofs Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands Superseding Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. If a request for an adjudicatory hearing has been made, work may proceed at the owners risk. Requirements for requests for adjudicatory hearing are listed at the end of this document. ❑ 1. The area described in the Request is not an area subject to protection under the Actor the Buffer Zone. D 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). • Z 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. ❑ 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) C. Authorization This Determination is issued to the applicant and delivered as follows: 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 is issued by the Department of Environmental Protection and has been sent to the appropriate local Conservation Commission and the property owner(if different from the applicant). Signature: 7�1 �---- 6/ay lire David Cameron Wetlands Prcogram Chief Date 1-lr..n„5-n&' ttn_ 1>ono This Determination is issued to the applicant and delivered as follows: N by certified mail, return receipt requested on: 6, ) -1 I l _ Date vgatormz doe.Request for Departmental Action Fee Transmittal Form.rev.10/6/04 Page 3 a 5 IDMassachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands Superseding Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant, the landowner, any person aggrieved by the Superseding Order, Determination or other Reviewable Decision as defined at 310 CMR 10.04, who previously participated in the proceedings leading to this Reviewable Decision, the conservation commission, or any ten (10)residents of the city or town where the land is located if at least one resident was previously a participant in the permit proceeding, are hereby notified of their right to appeal this Reviewable Decision pursuant to M.G.L. c.30A, § 10, provided the request is made by certified mail or hand delivery to the Department,along with the appropriate filing fee and a MassDEP Fee Transmittal Form within ten (10}business days of the date of issuance of this Superseding Order or Determination, and addressed to: Case Administrator Office of Appeals and Dispute Resolution Department of Environmental Protection One Winter Street, 2nd Floor Boston, MA 02108. A copy of the request(hereinafter also referred to as Appeal Notice)shall at the same time be sent by certified mail or hand delivery to the Conservation Commission, the applicant, the person that requested the Superseding Order or Determination, and the issuing office of the MassDEP at: Wetlands Program Department of Environmental Protection 436 Dwight Street, 5th Floor Springfield, MA 01103. In the event that a ten resident group requested the Superseding Order or Determination, the Appeal Notice shall be served on the designated representative of the ten resident group,whose name and contact information is included in this Reviewable Decision (when relevant). Contents of Appeal Notice An Appeal Notice shall comply with the Department's Rules for Adjudicatory Proceedings, 310 CMR 1.01(6) and 310 CMR 10.05(7)0), and shall contain the following information: (a) the MassDEP Wetlands File Number, name of the applicant, landowner if different from applicant, and address of the project: (b) the complete name, mailing address, email address, and fax and telephone numbers of the party filing the Appeal Notice; if represented by consultant or counsel, the name, fax and telephone numbers, email address, and mailing address of the representative; if a ten residents group, the same information for the group's designated representative, (c) if the Appeal Notice is filed bye ten (10) resident group, then a demonstration of participation by at least one resident in the previous proceedings that led to this Reviewable Decision; (d) if the Appeal Notice is filed by an aggrieved person, then a demonstration of participation in the previous proceeding that lead to this Reviewable Decision and sufficient written facts to demonstrate status as a person aggrieved; (e) the names, telephone and fax numbers, email addresses, and mailing addresses of all other interested parties, if known; (f) a clear and concise statement of the alleged errors contained in the Department's decision and how each alleged error in inconsistent with 310 CMR 10.00 and does not contribute to the protection of the interests identified in the Wetlands Protection Act, M.G.L. c.131, §40, including reference to the statutory or regulatory provisions that the party filing the Appeal Notice alleges has been violated by the Department's Decision, and the relief sought, including any specific desired changes to the Department's decision; wp k c2 de:..eaWex 1c P-:eel NI Athan Fee TranSnthM Form,ts¢ 10$tp4 Page aas Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands Superseding Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 (g) a copy of the Departments Reviewable Decision that is being appealed and a copy of the underlying Conservation Commission decision if the Reviewable Decision affirms the Conservation Commission decision; (h) a statement that a copy of the request has been sent by certified mail or hand delivery to the applicant and the conservation commission; and (i) if asserting a matter that is Major and Complex, as defined at 310 CMR 10.04(1), a statement requesting that the Presiding Officer make a designation of Major and Complex, with specific reasons supporting the request. Filing Fee and Address A copy of the Appeal Notice along with a MassDEP Fee Transmittal Form and a valid check or money order payable to the Commonwealth of Massachusetts in the amount of one hundred dollars ($100) must be mailed to: Commonwealth of Massachusetts Department of Environmental Protection Commonwealth Master Lockbox P.O. Box 4062 Boston, Massachusetts 02211 The request will be dismissed if the filing fee is not paid, unless the appellant is exempt or granted a waiver. The filing fee is not required if the appellant is a city or town (or municipal agency), county, district of the Commonwealth of Massachusetts, or a municipal housing authority. The Department may waive the adjudicatory hearing filing fee pursuant to 310 CMR 4.06(2)for a person who shows that paying the fee will create an undue financial hardship. A person seeking a waiver must file an affidavit setting forth the facts believed to support the claim of undue financial hardship together with the hearing request as provided above. • wpaform2 dos Reouest for oepadmenial Action Fee Trensmll'al Foam.rev 10/6/04 Pages of= City of Northampton / rs` � � Massachusetts �� k DEPARTMENT OF BUILDING INSPECTIONS F 'a,„,+ ,i. 212 Mein Street • Municipal Building 1. � Northampton, MA 01060 r-f Fee Calculator for Residential Properties Location : Square Footage Amount Basement @ .20 ok - U tN 1ST Floor @ .50 t -60 a, a d U J 2nd Floor @ .50 Floors, Finish Attic, Garage @ .20 / di— &Th) Deck / Porches @ .20 Total : 0 I - - r 1 7 1 v