Use the included checklist to ensure that the plan(s) include at least the minimum required information.

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1 RCOC Applicatin Instructins CHELMSFORD CONSERVATION COMMISSION Request fr Certificate f Cmpliance Applicatin Instructins Certificates f Cmpliance (COC) are the final permit issued by the Cnservatin Cmmissin t certify that wrk perfrmed under an Order f Cnditins has been cmpleted. Please cnsult the Chelmsfrd Wetlands Bylaw and Bylaw Regulatins prir t filing with the Cnservatin Cmmissin. Step 1 Dwnlad and cmplete WPA Frm 8A frm the Massachusetts Department f Envirnmental Prtectin (DEP) website: Printed cpies may be btained frm the Cnservatin Office at the Twn Offices. Yu may wish t btain a wetland scientist, cnsultant, engineer, and/r land surveyr t assist yu with preparing the permit applicatin. If the Order f Cnditins fr this prject, r the prtin f the prject subject t this request, cntains an apprval f any plans stamped by a registered prfessinal engineer, architect, landscape architect, r land surveyr, then: Attach a written statement by such a prfessinal certifying substantial cmpliance with the plans. If any deviatin exists frm the plans apprved in the Order: Include an as-built plan stamped by a registered prfessinal engineer, architect, landscape architect, r land surveyr, clearly depicting and describing all deviatins. Use the included checklist t ensure that the plan(s) include at least the minimum required infrmatin. Step 2 Plan yur submissin date based n the hearing schedule. The Cnservatin Cmmissin generally meets every 1 st and 3 rd Tuesday f the mnth. Please cntact the agent prir t submitting the applicatin t determine the next available meeting. Generally applicatins shuld be submitted tw weeks prir t the meeting. Step 3 Submit the fllwing materials t the Cnservatin Cmmissin: Tw (2) cpies f the RCOC applicatin: WPA Frm 8A Written statement certifying substantial cmpliance Lcal Filing Fee Calculatin Frm Applicatin fee payable t the Twn f Chelmsfrd Nine (9) Cpies f the plan [if larger than 11 x 17 submit tw (2) full-size cpies and seven (7) 11 x 17 cpies] Electrnic submissin f applicatin materials ( t: aleflre@twnfchelmsfrd.us r prvide n Cmpact Disc): Please N staples - N GBC bindings N plastic cvers Use binder clips r three-hle punch Flded unbund plans One cpy f the applicatin and the plan in digital frmat: PDF file One cpy f the plan in digital frmat: capable f cnversin t a DXF file and referenced t the Massachusetts State Plane NAD83 frmat One cpy f the crdinates fr all wetland resurce flags, labeled and referenced t the Massachusetts State Plane NAD83 frmat Step 4 By submitting a cmplete RCOC applicatin (see items listed in Step 4), the applicatin will be scheduled fr the next available public meeting. Incmplete RCOC applicatins will nt be received by the

2 RCOC Applicatin Instructins Cnservatin Office. The applicant r the representative is encuraged t attend the scheduled public meeting. Step 5 The Cnservatin Cmmissin, their agent, r an apprved third party reviewer will perfrm a site visit t cnfirm the existing cnditins and areas f wrk prpsed in the plans. The applicant will be ntified abut the date and time f the site visit and is encuraged t attend. As-built Plan Checklist The fllwing shuld be included n the submitted plan: Title & date Applicant s name & address Owner s name & address Assessr's map, blck, lt number, street number and subdivisin lt number, where applicable, f the subject prperty Owner s name, assessr's map, blck, lt number, and street number f adjacent prperties Existing & Prpsed Cnditins Buildings & structures Pavement Edge f lawn / landscaping Strmwater structures 2-ft cnturs r smaller Screened apprved Order f Cnditins plan Red line as-built cntur elevatins with spt shts Red line identificatin f any discrepancies frm the Order f Cnditins plan Certificatin by a prfessinal engineer r land surveyr Wetlands n and within 200 feet f the prperty The lcatin f cnsecutively numbered flags delineating Wetland Resurce Areas 100-ft Buffer Zne, 50-ft N Build, 30-ft N Impervius, and 25-ft N Disturbance Certificatin by a prfessinal engineer r land surveyr Updated August 2012

3 CHELMSFORD CONSERVATION COMMISSION Lcal Filing Fee Calculatin Frm The Chelmsfrd Wetlands Bylaw [Chapter 187] and the Chelmsfrd Wetlands Bylaw Regulatins [Sectin 7.1] require a filing fee accrding t the fllwing schedule. APPLICATION TYPE: QUANTITY: FILING FEE: TOTAL: Request fr Determinatin f Applicability (RDA): Cmmercial, industrial, nn-prfit, and water district entity: $ Residential Subdivisin (2 r mre lts): $ General Residential r Single Family huse: $50.00 Abbreviated Ntice f Resurce Area Delineatin (ANRAD): Single Family huse Half the ttal Act fee All ther Activities Half the ttal Act fee Ntice f Intent (NOI): Activity Fee Categry 1 $55.00 Activity Fee Categry 2 $ Activity Fee Categry 3 $ Activity Fee Categry 4 $ Activity Fee Categry 5 $75.00 *per each activity prpsed within Wetland Resurce Areas and Buffer Zne Applicatin Filed After Enfrcement Order: Amended Order f Cnditins Applicatin: Duble the ttal municipal fee 75% f initial municipal fee Request fr Certificate f Cmpliance (RCOC): Cmmercial, industrial, nn-prfit, and water district entity: $ Residential Subdivisin: $ General Residential r Single Family huse: $50.00 If Order f Cnditins has Expired: Add an additinal $50.00 Request fr an Extensin Permit (REP): $75.00 Request fr True Attest Cpy: Order f Cnditins, Certificate f Cmpliance, Amended Order f Cnditins, Extensin Permits, r ther dcuments: Research: Obtaining specific applicatins, plans, r permits frm file r researching ther infrmatin: $25.00 each $25.00 per hur f staff time Request fr Partial Certificate f Cmpliance: Cmmercial, industrial, nn-prfit, and water district entity: $ Residential Subdivisin: $75.00 General Residential r Single Family huse: $25.00 Lcal Filing Fee (Sum f filing fees abve): Twn Share f state filing fee (frm DEP frm): Nte: State filling fee nly applies t ANRADS and NOIs, Ttal Payable t Twn f Chelmsfrd: (Lcal Filing Fee + Twn Share): $ Updated April 2010 TOWN OFFICES 50 BILLERICA ROAD CHELMSFORD, MA PHONE:

4 Massachusetts Department f Envirnmental Prtectin Bureau f Resurce Prtectin - Wetlands WPA Frm 8A Request fr Certificate f Cmpliance Massachusetts Wetlands Prtectin Act M.G.L. c. 131, 40 DEP File Number: Prvided by DEP A. Prject Infrmatin Imprtant: When filling ut frms n the cmputer, use nly the tab key t mve yur cursr - d nt use the return key. 1. This request is being made by: Name Mailing Address City/Twn State Zip Cde Phne Number 2. This request is in reference t wrk regulated by a final Order f Cnditins issued t: Applicant Upn cmpletin f the wrk authrized in an Order f Cnditins, the prperty wner must request a Certificate f Cmpliance frm the issuing authrity stating that the wrk r prtin f the wrk has been satisfactrily cmpleted. Dated DEP File Number 3. The prject site is lcated at: Street Address City/Twn Assessrs Map/Plat Number Parcel/Lt Number 4. The final Order f Cnditins was recrded at the Registry f Deeds fr: Prperty Owner (if different) Cunty Bk Page Certificate (if registered land) 5. This request is fr certificatin that (check ne): the wrk regulated by the abve-referenced Order f Cnditins has been satisfactrily cmpleted. the fllwing prtins f the wrk regulated by the abve-referenced Order f Cnditins have been satisfactrily cmpleted (use additinal paper if necessary). the abve-referenced Order f Cnditins has lapsed and is therefre n lnger valid, and the wrk regulated by it was never started. wpafrm8a.dc rev. 7/13/04 Page 1 f 2

5 Massachusetts Department f Envirnmental Prtectin Bureau f Resurce Prtectin - Wetlands WPA Frm 8A Request fr Certificate f Cmpliance Massachusetts Wetlands Prtectin Act M.G.L. c. 131, 40 DEP File Number: Prvided by DEP A. Prject Infrmatin (cnt.) 6. Did the Order f Cnditins fr this prject, r the prtin f the prject subject t this request, cntain an apprval f any plans stamped by a registered prfessinal engineer, architect, landscape architect, r land surveyr? Yes If yes, attach a written statement by such a prfessinal certifying substantial cmpliance with the plans and describing what deviatin, if any, exists frm the plans apprved in the Order. N B. Submittal Requirements Requests fr Certificates f Cmpliance shuld be directed t the issuing authrity that issued the final Order f Cnditins (OOC). If the prject received an OOC frm the Cnservatin Cmmissin, submit this request t that Cmmissin. If the prject was issued a Superseding Order f Cnditins r was the subject f an Adjudicatry Hearing Final Decisin, submit this request t the apprpriate DEP Reginal Office (see wpafrm8a.dc rev. 7/13/04 Page 2 f 2

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