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-. ... t. ' q. ! . .. NEW HAMPSHIRE DEPARTMENT OF ENVIRONMENTAL SERVICES ~·. -

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HETLANDS BOARD APPLICATION

~ \pplication for Filling, Dredging or Construction of Structures under RSA Chapters 482-A and 485-A:17.

FILING FEE (CHECK OR' MONEY ·ORDER MADE FOR HETLANDS BOARD OFFICE USE ONLY PAYABLE TO N.H. HETLAHDS BOARD) IS Fee ieceived:~~~---------­REQUIRED TO ACCOMPANY THIS APPLICATION Check t Amount Init FORM TO THE HETLANDS BOARD OFFICE. (Set Item 1 Below) File t --------- ­

GENERAL INSTRUCTIONS: On four (4) copies of a completed application obtain the 1ignature of town/city clerk of municipality where project i1 located. Clerk will retain three (3) copies and a copy of all plans and 1upporting data. Applicant is to ltnd the fourth 1igned copy with all items listed below:

DELBERT F. DOWNING, CRAiiMAR N.H. WETLANDS !OAiD ·

P.O. BOX 2008 CONCORD, NH 03301-2008

1. FILING FEE: A inimum filing fee of $50 1hall be 1uhmitted with the application. An •dditional filing fee may be required for MINOR and MAJOR PROJECTS (exceeding 2,000 1q. ft. of dredge and fill) at the rate of $ .025 per 1q. ft. of impact requested, and $100 per boat 1lip reque1ted will be charged.

{ Fee 11 based on requested impact not approved impact. Once the project hal been cla1sified and the area of requested impact ha1 been determined, the applicant will be billed if the apprdpriate fee ha• not been aubmitted. .The application will not be auigned an agenda date until 'the fee h paid in full.

PLEASE PIINT CLEARLY 01 TYPE (Tinkham, Judy T., Trustee)

2. BAME or ONNEI: Tinkham Investments Phone Humber: (603) 432-7760 La1t, First, Ml ·: -~· Area Code

MAILIBG ADDiESS: 4 McAllister Drive Londonderry, NH 03053 Street/load/Box t Town/City State Zip Code

3. a. Locate propoaed project by 1treet or road addre11, town tax aap and lot number.

LOCATIOB or PIOPOSED COBSTIUCTIOB 4..;....;M~c:;.;A;;.;l;;.;l;;.;i;;.;s~t;;.;e;.;:r~-:;D;.:;r~i;.;,v.;;;e;..._.;;;L.;;.o.;.:.n.;;.do;:;.n~d~e;;.;r;..;r~y~--­Street/road/highway Town/City

Tax Map t.__7___ _ Lot t __1_1_2___

ATTACH TO TKt APPLICATION THE FOLLOWING (b - e):

b. A copy of the town tax map (traci ngs acceptable) ahowing the property of the appl i cant. the locati on of the pro j ect on the property. and the loca t i on of the properti es of abutters .

1 or 4 (lEV 2-2:!-90)

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.. c. A copy of a U.S. Geological Survey map with the property located on it •.. . d. One drawing of· the project and wetlands . on-site prepared to scale or 10

dimensioned as to be clearly defined. e. Submit photograph(s) to Wetlands Board depicting wetlands (to be filled or

dredged), shoreline and existing docking structures. Pictures shall be dated, labeled, and mounted to 8 1/2" x 11" sheets.

lEAD BEFORE PREPARING PLANS

* SUBDIVISION NOTICE ·. Pleas, be advised that the Wetlands Board considers 1ubdivi1ion applications in a lingle action.

All intended wetland impacts must be submitted ..··a dnglt package,' and approval will generally contain the •tipulation that there will be no further alteration to the wetlands for .lot development, driveways, culverting, or fill for 1eptic setback.

Hbere large multiphase project• art involved, an overall plan is required ahowing the current phase, all streams and other wetlanda, and conceptual plana for future phases.

Submit a complete aet of plans ahowing existing and propoatd topography, Jptcifically locating the edge of all wetlands (E.O.W.) on all plans, lot lines and numbers, receiving area for aeptic systems (if not on town/city aewer), all roadway and driveway crossings, all culverts (types, 1izes, inverts), and erosion control measures.

SHORELINE STRUCTURES (e.g., piers. walls. breakwaters)

Submit photographs of exiating Jhoreline and existing Jtructurea, detailed plana with dimenaion' ana l~:ationa of all exiating and propoaed structure• on the frontage, indicate aeaaonal or permanent piers and type of conatruction. (on pipea or floating; on pilings or cribs).

letaining walls, (riprap is a preferred aethod of Jtabilization) - locate in detail the txi.ting Jhorelint and the proposed Jtabilization 1tructure in relation to the high water aark - plans 1ubmitted 1hall be a 1urvey or •hall locate the project with detailed dimenaiona, by triangulation, to at leaat two (2) fixed pointa (e.g., corners of house). A typical creta Jtction 1hall be 1ubmitted which locate• the lhoreline, the wall or rip rap, and the high water aark.

4. Obtain lame of Water Body rroa u.s. Geological Survey Map. If Water Body ia Unnamed, Place •x• in the Appropriate Box.

Adjacent to, or in (aalt)(!!:!,!!) water .....;;B;..;e;..;a;;..v;..;e;..;r;.....;B;.;r;..;o~o-.k.;;.._._~~-----­(namt of water body)

( X) Unnamed tributary to Beaver Broo.k ( ) Unnamed pond, ( ) Unnamed atream. or (X ) Unnamed wetlan

5. Place •x• in each appropriate box. Treated Water ~IP• of Project: ( ) Fill ( ) Dredge ( ) Pier (X) Other Discharge

specify

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.0 ·. Reason(s) for and explanation of proposed construction (use separate sheet ifnecessary):

Refer to Cover Letter.

7. Proposed Starting Date Spring 1992 Proposed Completion Date Fall 1992

8. Contractor or Agent --=T:..::e;.::r;.::r:..::a:.......;V:..::a;.;:c:......________ Telephone (508) 366-8033 area code

Mailing Addreu 57 East Main Street Suite 205 Westborough, MA 01581 Street/load/Box t 'l'own/City State· Zip

9. Description of all proposed work within N.H. Wetlands Board jurisdiction(e.g., lakes, ponds, stre~. wetlands. etc.)

a. Estimated area to be dredged (sq. ft.) NA Type of Material --- ­b. Estimated area to be filled (sq. ft.) NA Type of Material ~~~­c. Estimated total area of all .propoaed work (sq. ft.) NA (in N.H.

Netlan~a Board jurisdiction). d. Final disposition of dredged material -~~...t.:,j~-=-~--=--~--=---­aubmit location map, (on or off site). Is disposal site in wetlands or not? e. If any channel is to be constructed give the distance, in feet, the flow of

water is to be rerouted ~~N~oel....____ f. If waterfront structure. indicate length of shoreline frontage in feet___

10. I hereby certify that the applicant has filed three copies of 1aid applicationwith a detailed plan with the town/city of as required byChapter 482-A:3 as amended 1990.

· DA'l'E.________SIGNATUIE._______ ~-~-------­'l'own/city clerk

11. Complete list of all abutting property owner1 and their addreaae1. Signaturebelow certifies that all abutter• have been notified in writing of the work proposed and that the SU!DIVISIOH RO'l'ICE (under item 3) i1 under1tood by the applicant.

SIGNATURE OF OHNEI OR AUTHOIIZED AGENT DATE

• • • • - NAINIHG • • • • The propo1ed project may require a permit from the Corps of Engineerl. Information concerning jurildiction/application procedures may be obtained at 1-800-343-4789

The Wetlands Board will provide infor=ation from your application to the Hater/ Supply ' Pollution Control Divi1ion (NSPCD) for ISA 485-A:l7 consideration. IF A PElMIT FOI "SIGNIFICANT ALT!lATION OF TEIIAIN" IS IEQUIIED. SEPARATE APPLICATION SHOULD BE MADE TO NSPCD. DA.~ AP LICATIOHS SHOULD BE SUBHIT'l'!D TO NA'!tl RESOURCES DIVISIOIJ.

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EXAMPLES OF PROJECT CLASSIFICATION (For specific criteria see HH Administrative Rules Nt 100-800)

MAJOR PROJECTS MINIMUM IMPACT PROJECTSn 1. Fill or dredge in saltmarsh wetlands, 1. The only seasonal pier on the

sand dunes an~/or 100' landward o.f frontage, not to exceed 6' in the highest observable tide line. width, or 30' in length (4'x20'

in lakes le1s than 1000 acres).

2. Fill or dredge an area greater tha~ 2. Repair or replacement of 20,000 sq.ft. retaining walla, piers or other

structure• (Provide detailed ~­3. Construct a subdivision of more dimension drawing and picture• of

than three lots, except where only exiating 1tructurea and date of culverts for road conatruction original conatruction.) acroas minor wetland• or 1tre~. iii

3. Beach repl-nilbment/conJtruction, limit 20 cubic rards. sa

4. Construction or modification of a docking 1ystem which re1ult1 4. Fill in treed wetlanda. limit of

~ =IIin more than four boat 3000 1quare feet. 8 PI 1lips on the propertr. ~ss. lock removal from water. limit

s. Project• involving more than 20 cubic rarda. 200 linear feet of 1horeline or waterbody. 6. Wetland crossing for drivewar,

limit SO feet.

MINOR PROJECTS 7. Temporarr atream cro1aing for logging or utiitr purpo1es.

1. Projects that are not cla1aifitd a1 major projects or minimum 8. Maintenance dredging. impact projects.

9. Certain culverts, bridge1, EXAMPLES: and widening within right-of-war

a. A 1ingular 4' br 20' pier on of public roada. pilings on a propertr with at ltaat 75' of ahorelint frontage 10. Project• involving 1••• than SO on a water bodr. linear feet of 1horelint or

water bodf with no work in the b. Project• involving between SO water.

and 200 linear feet of 1horelint or water body.

4 or 4