HomeMy WebLinkAbout83-2206 - MESA filingMASSWILDLIFE
DIVISION OF
FISHERIES & WILDLIFE
1 Rabbit Hill Road, Westborough, MA 01581
p: (508) 389-6300 1 f: (508) 389-7890
MASS.G0V/MASSWILDLIFE
MASSWILDLIFE
MESA Project Review Checklist
Massachusetts Endangered
Species Act M.G.L. c.131A and Regulations (321 CMR 10.00)
1) Project Location:
off Powers Lane
West Yarmouth
02673
Street Address/Location
City/Town
Zip Code
15
19
Assessors Map/Plat Number
Parcel /Lot Number
Property recorded at the Registry
of Deeds for:
Barnstable
123079
County
Certificate # (if registered land)
Book
Page Number
2) Applicant:
Great Island Ocean Club Homeowners Assoc.
First Name
Last Name
Company
P.O. Box 684
Mailing Address
West Yarmouth
MA
02673
City/Town
State
Zip Code
Phone Number
Fax Number
Email address
3) Property owner (if different
from applicant):
First Name
Last Name
Company
Mailing Address
City/Town
State
Zip Code
Phone Number
Fax Number
Email address
4) Representative (if any):
�oltis►—� P'�
Company
'
Daniel
Ojala, PE, PLS
Contact Person First Name
Contact Person Last Name
939 Route 6A
Mailing Address
Yarmouth Port
MA
02675
City/Town
State
Zip Code
508-362-4541
508-362-9880
downcape@downcape.com
Phone Number
Fax Number
Email address
MASSWILDLIFE
Additional Information
1. Will this project require a filing with the Conservation Commission and/or DEP? F1INo Yes
2. Has this project previously been issued a NHESP Tracking Number (either by previous NOI Submittal
or MESA Information Request Form)? F_]jNo Yes, if Yes -Tracking No. unknown
Project Description (attach separate sheet, as needed)
Please note, certain projects or activities are exempt from review, see 321 CMR 10.14. The MESA does not allow
project segmentation. Your filing must reflect all anticipated work associated with the proposed project (CMR 321
10.16).
Selective beach raking during summer months
Include the Following Information:
ALL Applicants must submit:
• TUSGS map (1:24,000 or 1:25,000) with property boundary clearly outlined
• TProject plans for entire site (including wetland Resource Areas, showing existing and proposed
conditions, existing and proposed tree/vegetation clearing line, and clearly demarcated limits of
work)
• TAssessor's map or right-of-way plan of site
• jStatem e nt/p roof that applicant is the Record Owner or that applicant is a person authorized in
writing by the record owner to submit this filing
• TPhotographs representative of the site
Projects altering 10 or more acres, must also submit:
• TA vegetation cover type map of the site
• TProject plans showing Priority Habitat boundaries
The NHESP may request additional information, such as, but not limited to, species and habitat surveys,
wetland reports, soil map and reports, and stormwater management reports (321 CMR 10.16). The
NHESP will notify the applicant within 30 days if the materials submitted do not satisfy requirements for
a filing and request submission of any missing materials (321 CMR 10.18(1)).
Filing Fee, Payable to Comm. of MA - NHESP (see website for fee information)
a. Total MESA Fee Paid 300.00 b. Acreage of Disturbance 0.57 c. Total Site Acreage 1.9
Required Signatures
I hereby certify under the penalties of perjury that the foregoing MESA filing and accompanying plans,
documents, and supporting data are true and complete to the best of my knowledge.
Signature of Property Owner/Record Owner of Property Date
Signature of Applicant (if different from Owner)
MASSWILDLIFE
Date
Additional Information
1. W11 01!, uroicci ICctihe J 1111q; v l:h the fI?nsrrvathn frtr4nl :•Jnr aadfnr -)Ell? ❑ No Oyes
z. Has 11• s project ores•:ousybee, iss ,ed aAHcSPTrdckink Numbei 160er by ulcvic•u% NQ1,511IiwlIt II
a' MESA Int•orr•stion RcquestFxmji' El140Ycs, 1 Y_!,J'afRltlFfq t•�kirn,r
Project Description (attach separate sheet, as needed)
plr.•ra r Ar, r :^ Li y ,: earcte c' SOV tic�i die evr•rtpt •rola PLtIeei, s?2 gid: Ct: K ::i1•1 I Fe NA=SA ror : nnl :rllnp•
prolect sepprmitetion. Your V rp, mi5t rcOectiyl;: 11rq•;l,erl :vnik :r:•nr.:d.:d %with Ow Incl lined pWI!!L_ (C1d1721
1.,). 5f.
.5duabb coast rtics dr•n-1 summer ninth!-,
Include the Following Information:
AL_ AP F_rants m.:st .uL•Ti.:
• OS(-- S map I_:21,000• or 1:25,000 -with xcperly . •,i ridwy r a ..riy n. I In,:
• prtrirc_ plans for entire s to {indudi^g wetland Resource Areas, showing eki-ti ir. im' piopcsA
ccnd tions, existing and prormeo trcc%vcr:e:atien dco•i :g Nov,;lrxl c.learty.:tancrcccrd lim`ts of
tvorti)
• Assessci s map ur •ir,ht ul wr•y p rn nil wile
• Mate-iPnt•Jprocf &2t 3 3 icar.t's the Rcco•d Ownui or It -it doplku-it is a perSor atoh:`r 7Fd In
tvritinY. tryl"r -:•Irlrr: u•+:tier 1:1+.rb• V I - K fillne
Phonographs 'epreserta!ive o1 Lne ti I.---
Pro,
._Pro, II Ivrinp IOor:;-r•r:;u:Ins. rn.,:J ,:1st: suon•,It:
• A.vcr.=talor cover t pt, r•:;n of ;hr •,I;r
• fro;eapla-as�.ovrnr;FroritvHr,bilatbrur•;iarir�
I h+• WIl-W rnap rPgi,Ps- adcrt n -o1 nfcnnation, such as. but ^.ot IimiteC to, ipcciu and IiufALal SJI-cys,
•ae-lana'et»rts, so l napardrepc•rts, antis:nrrr.•.I ••r -,:m:rr;r•,r.•ntrrpnrtc{:17' (:I�tK 1;1.'f,j. IFF
I•ir-ESP •xilInoliiy1 :+:Ipp rWil v:r•&LIm::Ir1s f-1w-raterialssubmitted donet satisy •ecui'emc---ntstor
: fi fry au:: reyurst suh-ilssion of ary missing mate-ia s (32_ CMR _0.18{11),
Filing Fee, Payable to Comm. of MA - PIHESP (see website for fee information)
t. I nn UFNA I P.P. •lAd arn..Co L. Acrewee of Vstu•bance, �' _ c. Tu.il Site Acrt!dge 9.t1
Required signatures
I herrwhy c.nrtify unser the penalties of peri i ry thaw the 4orcgoir•p F/ESA Ii it m and arrurrllnlnyhtg r I::ns,
do_u nBrits, and suppo .inC Bata are tnleand cu-rfd: ir• iii 11•n m v.I of my kncwledgF.
GKw�,;?2 d Occ�n C(r�b 6 jnZd x
5Kn„lt.i-ofV,npPrt1 �ier!teccrd 0 erot rop r:y
5 g h r_ at Apnlivnti, (if r111irrrnt frim Cwnrr) tate
NfASSWILDLIFE