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Home My WebLink AboutSE83-2208 NOITRANSMITTAL DATE: 8/11/19 FROM: Down Cape Engineering, Inc. 939 Main Street Yarmouth Port, MA 508-362-4541 TO: Yarmouth Conservation Commission DEP, SERO RE: Stephen DiPalma, 159/165 South Street, South Yarmouth NOI Submittal Enclosed: • WPA Form 3 — Notice of Intent • 8 proposed site plans • Narrative • USGS • Copy of checks to Town and State • Assessors map showing locus and 100' abutters • List of abutters • Abutter Notification Letter • Filing fees • advertising fee • photo ld LlMassachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands MassDEP File Number WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction NumberYarmouth -t TpW,�& Vii% �iirLtti e/lti f11 Gni{ . �-(3 �i%�+---Li City/Town Important: A. General Information When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. tab Note: Before completing this form consult your local Conservation Commission regarding any municipal bylaw or ordinance. 1 2 3 Project Location (Note: electronic filers will click on button to locate project site) 159 & 165 South Street South Yarmouth 02664 a. Street Address b. City/Town c. Zip Code Latitude and Longitude: 41-39-03.1 70-12-02.8d. i. Fax Number j. Email address Latitude e. Longitude 34 262 & 263 b. State Fee Paid c. City/Town Fee Paid f. Assessors Map/Plat Number g. Parcel /Lot Number Applicant: Stephen & Nancy DiPalma a. First Name b. Last Name c. Organization 12 Deer Path d. Street Address Natick MA 01760 e. City/Town f. State g. Zip Code h. Phone Number i. Fax Number j. Email Address Property owner (required if different from applicant): ❑ Check if more than one owner Stephen DiPalma, Tr a. First Name b. Last Name 165 South Street Realty Tr c. Organization 12 Deer Path d. Street Address Natick MA 01760 e. City/Town f. State g. Zip Code h. Phone Number i. Fax Number j. Email address 4. Representative (if any): Daniel A. Ojala, PE, PLS a. First Name b. Last Name Down Cape Engineering, Inc. c. Company 939 Route 6A d. Street Address Yarmouth Port MA 02675 e. City/Town f. State g. Zip Code 508-362-4541 508-362-9880 downcape@downcape.com h. Phone Number i. Fax Number j. Email address 5. Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form): 440.00 207.50 232.50 a. Total Fee Paid b. State Fee Paid c. City/Town Fee Paid wpaform3.doc • rev. 2/8/2018 Page 1 of 9 In Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands MassDEP File Number WPA Form 3 — Notice of Intent Document Transaction Number Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth A. General Information (continued) 6. General Project Description: Proposed addition, detached garage, paved driveway, pool with patio 7a. Project Type Checklist: (Limited Project Types see Section A. 7b.) 1. ® Single Family Home 3. ❑ Commercial/Industrial 5. ❑ Utilities 7. ❑ Agriculture (e.g., cranberries, forestry) 9. ❑ Other City/Town 2. ❑ Residential Subdivision 4. ❑ Dock/Pier 6. ❑ Coastal engineering Structure 8. ❑ Transportation 7b. Is any portion of the proposed activity eligible to be treated as a limited project (including Ecological Restoration Limited Project) subject to 310 CMR 10.24 (coastal) or 310 CMR 10.53 (inland)? 1. ❑ Yes ® No If yes, describe which limited project applies to this project. (See 310 CMR 10.24 and 10.53 for a complete list and description of limited project types) 2. Limited Project Type If the proposed activity is eligible to be treated as an Ecological Restoration Limited Project (310 CMR10.24(8), 310 CMR 10.53(4)), complete and attach Appendix A: Ecological Restoration Limited Project Checklist and Signed Certification. 8. Property recorded at the Registry of Deeds for: Barnstable a. County 29307 & 23631 c. Book b. Certificate # (if registered land) 49 & 225 d. Page Number B. Buffer Zone & Resource Area Impacts (temporary & permanent) 1. ❑ Buffer Zone Only — Check if the project is located only in the Buffer Zone of a Bordering Vegetated Wetland, Inland Bank, or Coastal Resource Area. 2. ❑ Inland Resource Areas (see 310 CMR 10.54-10.58; if not applicable, go to Section B.3, Coastal Resource Areas). Check all that apply below. Attach narrative and any supporting documentation describing how the project will meet all performance standards for each of the resource areas altered, including standards requiring consideration of alternative project design or location. wpaform3.doc • rev. 2/8/2018 Page 2 of 9 In Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands MassDEP File Num WPA Form 3 — Notice of Intent Document Transa Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth City/Town B. Buffer Zone & Resource Area Impacts (temporary & permanent) (co Resource Area Size of Proposed Alteration Proposed Replacem a. ❑ Bank 1. linear feet 2. linear feet For all projects affecting other b. ® Bordering Vegetated 0 Resource Areas, Wetland 1. square feet 2. square feet please attach a narrative c. ❑ Land Under 1. square feet 2. square feet explaining how Waterbodies and the resource Waterways area was 3. cubic yards dredged delineated. Resource Area Size of Proposed Alteration Proposed Replacem d. ❑ Bordering Land Subject to Flooding 1. square feet 2. square feet 3. cubic feet of flood storage lost 4. cubic feet replaced e. 1771 Isolated Land Subject to Flooding 1. square feet 2. cubic feet of flood storage lost 3. cubic feet replaced f. Fl Riverfront Area 1. Name of Waterway (if available) - specify coastal or inland 2. Width of Riverfront Area (check one): ❑ 25 ft. - Designated Densely Developed Areas only ❑ 100 ft. -New agricultural projects only ❑ 200 ft. - All other projects ber ction Number n 3. Total area of Riverfront Area on the site of the proposed project: 4. Proposed alteration of the Riverfront Area: square feet a. total square feet b. square feet within 100 ft. c. square feet between 100 ft. and 200 ft. 5. Has an alternatives analysis been done and is it attached to this NOI? ❑ Yes ❑ No 6. Was the lot where the activity is proposed created prior to August 1, 1996? ❑ Yes ❑ No 3. ® Coastal Resource Areas: (See 310 CMR 10.25-10.35) Note: for coastal riverfront areas, please complete Section B.2.f. above. wpaform3.doc • rev. 2/8/2018 Page 3 of 9 t'd) ent (if any ent (if any) 3. Total area of Riverfront Area on the site of the proposed project: 4. Proposed alteration of the Riverfront Area: square feet a. total square feet b. square feet within 100 ft. c. square feet between 100 ft. and 200 ft. 5. Has an alternatives analysis been done and is it attached to this NOI? ❑ Yes ❑ No 6. Was the lot where the activity is proposed created prior to August 1, 1996? ❑ Yes ❑ No 3. ® Coastal Resource Areas: (See 310 CMR 10.25-10.35) Note: for coastal riverfront areas, please complete Section B.2.f. above. wpaform3.doc • rev. 2/8/2018 Page 3 of 9 rd Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands MassDEP File Number WPA Form 3 — Notice of Intent Document Transaction Number Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth City/Town B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont'd) Check all that apply below. Attach narrative and supporting documentation describing how the project will meet all performance standards for each of the resource areas altered, including standards requiring consideration of alternative project design or location. Online Users: Include your Resource Area Size of Proposed Alteration Proposed Replacement (if any) document transaction a. ❑ Designated Port Areas Indicate size under Land Under the Ocean, below number (provided on your receipt page) b. ❑ Land Under the Ocean with all 1. square feet supplementary information you 2. cubic yards dredged submit to the Department. c. ❑ Barrier Beach Indicate size under Coastal Beaches and/or Coastal Dunes below d. ❑ Coastal Beaches 1. square feet 2. cubic yards beach nourishment e. ❑ Coastal Dunes 1. square feet 2. cubic yards dune nourishment Size of Proposed Alteration Proposed Replacement (if any) f. ❑ Coastal Banks 1. linear feet g. ❑ Rocky Intertidal Shores 1. square feet 0 h. ® Salt Marshes 1. square feet 2. sq ft restoration, rehab., creation i. ❑ Land Under Salt Ponds 1. square feet 2. cubic yards dredged j. ❑ Land Containing Shellfish 1. square feet k. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above 1. cubic yards dredged I. ® Land Subject to 11,200+/- sf Coastal Storm Flowage 1. square feet 4. ❑ Restoration/Enhancement If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.2.b or B.3.h above, please enter the additional amount here. a. square feet of BVW b. square feet of Salt Marsh 5. ❑ Project Involves Stream Crossings a. number of new stream crossings b. number of replacement stream crossings wpaform3.doc • rev. 2/8/2018 Page 4 of 9 L11Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Other Applicable Standards and Requirements El Provided by MassDEP: MassDEP File Number Document Transaction Number Yarmouth City/Town ❑ This is a proposal for an Ecological Restoration Limited Project. Skip Section C and complete Appendix A: Ecological Restoration Limited Project Checklists — Required Actions (310 CMR 10.11). Streamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review 1. Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recent Estimated Habitat Map of State -Listed Rare Wetland Wildlife published by the Natural Heritage and Endangered Species Program (NHESP)? To view habitat maps, see the Massachusetts Natural Heritage Atlas or go to http://maps.massgis.state,ma.us/PRI EST HAB/viewer.htm. a. ❑ Yes ® No If yes, include proof of mailing or hand delivery of NOI to: Natural Heritage and Endangered Species Program Division of Fisheries and Wildlife 2017 1 Rabbit Hill Road b. Date of map Westborough, MA 01581 If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18). To qualify for a streamlined, 30-d2y, MESA/Wetlands Protection Act review, please complete Section C.1.c, and include requested materials with this Notice of Intent (NOI); OR complete Section C.2.f, if applicable. If MESA supplemental information is not included with the NOI, by completing Section 1 of this form, the NHESP will require a separate MESA filing which may take up to 90 days to review (unless noted exceptions in Section 2 apply, see below). c. Submit Supplemental Information for Endangered Species Review` 1. ❑ Percentage/acreage of property to be altered: (a) within wetland Resource Area (b) outside Resource Area percentage/acreage percentage/acreage 2. ❑ Assessor's Map or right-of-way plan of site 2. ❑ Project plans for entire project site, including wetland resource areas and areas outside of wetlands jurisdiction, showing existing and proposed conditions, existing and proposed tree/vegetation clearing line, and clearly demarcated limits of work ** (a) ❑ Project description (including description of impacts outside of wetland resource area & buffer zone) (b) ❑ Photographs representative of the site * Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review (see http://www mass gov/eea/agencies/dfg/dfw/natural-heritage/regulatory-reviews. Priority Habitat includes habitat for state -listed plants and strictly upland species not protected by the Wetlands Protection Act. ** MESA projects may not be segmented (321 CMR 10.16). The applicant must disclose full development plans even if such plans are not required as part of the Notice of Intent process. wpaform3.doc • rev. 2/8/2018 Page 5 of 9 Massachusetts Department of Environmental Protection ILIBureau of Resource Protection - Wetlands WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 4 Provided by MassDEP: MassDEP File Number Document Transaction Number Yarmouth City/Town C. Other Applicable Standards and Requirements (cont'd) (c) ❑ MESA filing fee (fee information available at http://www.mass.gov/dfwele/dfw/nhesp/regulatory review/mesa/mesa fee schedule.htm). Make check payable to "Commonwealth of Massachusetts - NHESP" and mail to NHESP at above address Projects altering 10 or more acres of land, also submit: (d) ❑ Vegetation cover type map of site (e) ❑ Project plans showing Priority & Estimated Habitat boundaries (f) OR Check One of the Following 1. ❑ Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14, http://www.mass.gov/dfwele/dfw/nhesp/regulatory review/mesa/mesa exemptions.htm; the NOI must still be sent to NHESP if the project is within estimated habitat pursuant to 310 CMR 10.37 and 10.59.) 2. ❑ Separate MESA review ongoing a. NHESP Tracking # b. Date submitted to NHESP 3. ❑ Separate MESA review completed. Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan. 3. For coastal projects only, is any portion of the proposed project located below the mean high water line or in a fish run? a. ❑ Not applicable — project is in inland resource area only b. ❑ Yes ® No If yes, include proof of mailing, hand delivery, or electronic delivery of NO[ to either: South Shore - Cohasset to Rhode Island border, and the Cape & Islands: Division of Marine Fisheries - Southeast Marine Fisheries Station Attn: Environmental Reviewer 836 South Rodney French Blvd. New Bedford, MA 02744 Email: DMF.EnvReview-South(cDstate.ma.us North Shore - Hull to New Hampshire border: Division of Marine Fisheries - North Shore Office Attn: Environmental Reviewer 30 Emerson Avenue Gloucester, MA 01930 Email: DMF.EnvReview-North(c)state.ma.us Also if yes, the project may require a Chapter 91 license. For coastal towns in the Northeast Region, please contact MassDEP's Boston Office. For coastal towns in the Southeast Region, please contact MassDEP's Southeast Regional Office. wpaform3.doc • rev. 2/8/2018 Page 6 of 9 0 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands MassDEP File Number WPA Form 3 — Notice of Intent Document Transaction Number Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth City/Town C. Other Applicable Standards and Requirements (cont'd) 4. Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)? Online users: a. ❑ Yes ® No If yes, provide name of ACEC (see instructions to WPA Form 3 or MassDEP Include your Website for ACEC locations). Note: electronic filers click on Website. document transaction b. ACEC number (provided on your 5. Is any portion of the proposed project within an area designated as an Outstanding Resource Water receipt page) (ORW) as designated in the Massachusetts Surface Water Quality Standards, 314 CMR 4.00? with all supplementary a. ❑ Yes ® No information you submit to the 6. Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Department. Restriction Act (M.G.L. c. 131, § 40A) or the Coastal Wetlands Restriction Act (M.G.L. c. 130, § 105)? a. ® Yes ❑ No 7. Is this project subject to provisions of the MassDEP Stormwater Management Standards? a. ❑ Yes. Attach a copy of the Stormwater Report as required by the Stormwater Management Standards per 310 CMR 10.05(6)(k) -(q) and check if: 1. ❑ Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management Handbook Vol. 2, Chapter 3) 2. ❑ A portion of the site constitutes redevelopment 3. ❑ Proprietary BMPs are included in the Stormwater Management System. b. ® No. Check why the project is exempt: 1. ® Single-family house 2. ❑ Emergency road repair 3. ❑ Small Residential Subdivision (less than or equal to 4 single-family houses or less than or equal to 4 units in multi -family housing project) with no discharge to Critical Areas. D. Additional Information ❑ This is a proposal for an Ecological Restoration Limited Project. Skip Section D and complete Appendix A: Ecological Restoration Notice of Intent — Minimum Required Documents (310 CMR 10.12). Applicants must include the following with this Notice of Intent (NOI). See instructions for details Online Users: Attach the document transaction number (provided on your receipt page) for any of the following information you submit to the Department. 1. ® USGS or other map of the area (along with a narrative description, if necessary) containing sufficient information for the Conservation Commission and the Department to locate the site. (Electronic filers may omit this item.) 2. ® Plans identifying the location of proposed activities (including activities proposed to serve as a Bordering Vegetated Wetland [BVW] replication area or other mitigating measure) relative to the boundaries of each affected resource area. wpaform3.doc • rev. 2/8/2018 Page 7 of 9 rd LlMassachusetts Department of Environmental Protection Provided by MassDEP:' Bureau of Resource Protection - Wetlands MassDEP File Number WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction NumberYarmouth City/Town D. Additional Information (cont'd) 3.0 Identify the method for BVW and other resource area boundary delineations (MassDEP BVW Field Data Form(s), Determination of Applicability, Order of Resource Area Delineation, etc.), and attach documentation of the methodology. 4. ® List the titles and dates for all plans and other materials submitted with this NOI. Site Plan of #159 & #165 South Street a. Plan Title Down Cape Engineering, Inc. Daniel A. Ojala, PE, PLS b. Prepared By c. Signed and Stamped by August 6, 2019 1" = 20' d. Final Revision Date e. Scale Landscape Plan by Andrew Garulay, LS August 6, 2019 f. Additional Plan or Document Title g. Date 5. ❑ If there is more than one property owner, please attach a list of these property owners not listed on this form. 6. ❑ Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7. ❑ Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8. ® Attach NOI Wetland Fee Transmittal Form 9. ❑ Attach Stormwater Report, if needed. E. Fees 1. ❑ Fee Exempt: No filing fee shall be assessed for projects of any city, town, county, or district of the Commonwealth, federally recognized Indian tribe housing authority, municipal housing authority, or the Massachusetts Bay Transportation Authority. Applicants must submit the following information (in addition to pages 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 31781 2. Municipal Check Number 31783 4. State Check Number H. 6. Payor name on check: First Name 232.50 3. Check date 207.50 5. Check date Vermette 7. Payor name on check: Last Name wpaform3.doc • rev. 2/8/2018 Page 8 of 9 4 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection - Wetlands MassDEP File Number WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c, 131, §40 Document Transaction NumberYarmouth City/Town F. Signatures and Submittal Requirements I hereby certify under the penalties of perjury that the foregoing Notice of Intent and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. I understand that the Conservation Commission will place notification of this Notice in a local newspaper at the expense of the applicant in accordance with the wetlands regulations, 310 CMR 10.05(5)(a). I further certify under penalties of perjury that all abutters were notified of this application, pursuant to the requirements of M.G.L. c. 131, § 40. Notice must be made by Certificate of Mailing or in writing by hand delivery or certified mail (return receipt requested) to all abutters within 100 feet of the property line of the project location. 1. Signature,dff Applicant 2. Date 3. roperty w r (if ifferent) 4. Date r 5. Signature -e resentative (if any) 6. Date �w-y.;.r-X—:X) ^b(C� For Conservation Commission: Two copies of the completed Notice of Intent (Form 3), including supporting plans and documents, two copies of the NOI Wetland Fee Transmittal Form, and the city/town fee payment, to the Conservation Commission by certified mail or hand delivery. For MassDEP: One copy of the completed Notice of Intent (Form 3), including supporting plans and documents, one copy of the NOI Wetland Fee Transmittal Form, and a copy of the state fee payment to the MassDEP Regional Office (see Instructions) by certified mail or hand delivery. Other: If the applicant has checked the "yes" box in any part of Section C, Item 3, above, refer to that section and the Instructions for additional submittal requirements. The original and copies must be sent simultaneously. Failure by the applicant to send copies in a timely manner may result in dismissal of the Notice of Intent. wpaform3.doc • rev. 2/8/2018 Page 9 of 9 Notice of Intent #s 159/165 South Street South Yarmouth PROJECT NARRATIVE Introduction Current site improvements include a 3 bedroom dwelling with a Title 5 septic system, constructed in 2005 and one out -building. The following work is proposed: • Proposed addition consisting of a mudroom and screened porch • Detached 3 car garage • Paved driveway • Pool with patio • Existing shed to be re -located The resource areas which affect the site are Land Subject to Coastal Storm Flowage (AE el. 12 and AE el. 11) and Salt Marsh. The work lies within the Buffer Zone to the Salt Marsh and BVW. The BVW was flagged by BLH Environmental Consultants. The site was surveyed by Down Cape Engineering, and the topography is based on the current NAVD '88 flood zone datum. All work occurs within Land Subject to Coastal Storm Flowage (LSCSF). The proposed garage will be floodzone-compliant. Final grading shall conform to the floodzone regulations. Approximately 1400 c.y. of fill is required as part of the design and to assist in conforming with floodzone regulations. A detailed landscape/pool plan created by Yarmouth Port Design Group is included as part of the filing. Extensive plantings of perennials, shrubs and groundcover are proposed within the fill area between the pool and the BVW. These will enhance the buffer zone and provide additional habitat for wildlife. The 3 car garage will be used primarily for storage and vehicles. Roof run-off will be mitigated with the use of a leach (drainage) trench. The trench is sized to handle the run-off from the pool patio, the addition roofs and the garage roof, as well as for a pool backwash pit. The existing shed will be re -located to the south of the pool. Compliance with the MA Wetlands Protection Act and Yarmouth Bylaw Chapter 143 Regulations: The current septic system was designed based on 3 bedrooms; there will be no increase in flow. No changes are proposed for the system. The proposed construction activities will not have a deleterious effect upon any wetland values as listed in the Bylaw. A silt fence is proposed to contain construction activities. At its closest, it is set at 35' off the BVW. All construction takes place greater than 50' to the BVW. The closest point of construction is 52.3' to - 1 - the stairs by the screened porch. All work will occur within a resource area (LSCSF). All run-off shall be contained on-site. Any stockpiling of materials is expected to take place in the area of the proposed driveway, which is outside the 100' setback to the BVW. Staging of materials will take place in the area closest to the road and furthest from the wetland area. Typical excavation and construction equipment will be utilized. RARE SPECIES The site is not located in a Priority Habitat or Estimated Habitat for state -listed rare species as shown on Mass. GIS Oliver Maps dated 2017. ALTERNATIVES ANALYSIS The homeowner purchased the abutting vacant lot, which had a dwelling and septic design plan (which was approvable) in the past. Instead of constructing another dwelling with 3 bedroom septic system design, the homeowner is utilizing the vacant lot for a garage and pool. The alternative would be to leave the lot vacant, which is unacceptable. By providing a drainage trench for roof and patio run-off, and for pool backwash, maintaining current septic flow, and providing extensive native plantings, the proposed construction will not be negatively impacting the interests protected under the Act or under Yarmouth Regulations. -2- L1Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 1 NOI Wetland Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Important: When A. Applicant Information filling out forms on the computer, 1. Location of Project: use only the tab key to move your #159 & #165 South Street South Yarmouth cursor - do not a. Street Address b. City/Town use the return key. 31783 207.50 00-71) G. Check number d. Fee amount ray 2. Applicant Mailing Address: Stephen DiPalma rzam a. First Name b. Last Name c. Organization 12 Deer Path d. Mailing Address Natick MA 01760 e. City/Town f. State g. Zip Code h. Phone Number i. Fax Number j. Email Address 3. Property Owner (if different): a. First Name b. Last Name c. Organization d. Mailing Address e. City/Town f. State g. Zip Code h. Phone Number i. Fax Number j. Email Address To calculate B. Fees filing fees, refer to the category Fee should be calculated using the following process & worksheet. Please see Instructions before fee list and 9 9 examples in the filling out worksheet. instructions for filling out WPA Step 1/Type of Activity: Describe each type of activity that will occur in wetland resource area and buffer zone. Form 3 (Notice of Intent). Step 2/Number of Activities: Identify the number of each type of activity. Step 3/Individual Activity Fee: Identify each activity fee from the six project categories listed in the instructions. Step 4/Subtotal Activity Fee: Multiply the number of activities (identified in Step 2) times the fee per category (identified in Step 3) to reach a subtotal fee amount. Note: If any of these activities are in a Riverfront Area in addition to another Resource Area or the Buffer Zone, the fee per activity should be multiplied by 1.5 and then added to the subtotal amount. Step 5/Total Project Fee: Determine the total project fee by adding the subtotal amounts from Step 4 Step 6/Fee Payments: To calculate the state share of the fee, divide the total fee in half and subtract $12.50. To calculate the city/town share of the fee, divide the total fee in half and add $12.50. noifeetf.doc • Wetland Fee Transmittal Form • rev. 10/11 Page 1 of 2 Massachusetts Department of Environmental Protection ILIBureau of Resource Protection - Wetlands NOI Wetland Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Fees (continued) Step 1/Type of Activity pool, driveway, addition, garage C. Submittal Requirements Step 2/Number Step of Activities 3/Individual Activity Fee A i1n Step 5/Total Project Fee: Step 6/Fee Payments: Total Project Fee: State share of filing Fee: City/Town share of filling Fee: Step 4/Subtotal Activity Fee 440 440 440 a. Total Fee from Step 5 207.50 b. 1/2 Total Fee less $12.50 232.50 c. 1/2 Total Fee plus $12.50 a.) Complete pages 1 and 2 and send with a check or money order for the state share of the fee, payable to the Commonwealth of Massachusetts. Department of Environmental Protection Box 4062 Boston, MA 02211 b.) To the Conservation Commission: Send the Notice of Intent or Abbreviated Notice of Intent; a copy of this form; and the city/town fee payment. To MassDEP Regional Office (see Instructions): Send a copy of the Notice of Intent or Abbreviated Notice of Intent; a copy of this form; and a copy of the state fee payment. (E -filers of Notices of Intent may submit these electronically.) noifeetf.doc • Weiland Fee Transmittal Form • rev. 10/11 Page 2 of 2 shed by the Geological Survey 1A and Massachusetts Geodetic Survey ric methods from aerial photographs planetable surveys 1940. phs taken 1973. Field checked 1974 :ompiled from NOS 257 , and 339 (1973) ded for navigational purposes North American datum assachusetts coordinate system, ,erse Mercator grid, , M `GN 15>(� °\ 276 MILS 0°47' 14 MILS UTM GRID AND 1974 MAGNETIC NORTH DECLINATION AT CENTER OF SHEET I SCALE 1:25 000 1 2 0 1000 0 1000 2000 3000 4000 5000 60( 1 .5 0 CONTOUR INTERVAL 10 FEET NATIONAL GEODETIC VERTICAL DATUM OF 1929 DEPTH CURVES AND SOUNDINGS IN FEET—DATUM IS MEAN LOVA SHORELINE SHOWN REPRESENTS THE APPROXIMATE LINE OF MEAN HIGH W, THE MEAN RANGE OF TIDE IS APPROXIMATELY 9.5 FEET IN CAPE COD BAY AND 2.8 FEET IN NANTUCKET SOUND THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STAND/ FOR SALE BY U. S. GEOLOGICAL SURVEY, RESTON, VIRGINIA 2 A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOI S IS AVAILARI F ( N T r o O O A _ -------------- r > r rwL D pD 1 z ------------- ---------------- s -------------- y8 F 5tl a7 - ------ 0 ... d �1 0 B �O o g g a O o O i ric a '-- hNi---------------- ----- 77 I it i I y S R Z� A p � o � � xa o m —g additions & alterations to thea DiPalma Residence :ayARCHI-TECHD159 & 165 South StreetASS0CIATESc ' Yarmouth, Massachusetts ;d M �� SomiL. oa ainfogarchitechassociates.com First Floor Plans i« architect ural design architechassociates.com � T > A A _ O P i �r r ® < rn D < i D — o ® z z P D A D P m L7 r > m T m r o m o r- m � --4 Q t� � d❑ r� » 0 additions & alterations to the _ DiPalma Residencew U A R C H I- T B C H f L ° 159 & 165 South Street , s school street tsae.em.s»s fsoe.�m.smr 1 Yarmouth Massachusetts ;� M R �� A S S O C I A T E S �eteit. • Inra@archilechassalates.com Elevationst �„�� »� .,architect ural design archifechassociates.com NOTIFICATION TO ABUTTERS UNDER THE MASSACHUSETTS WETLANDS PROTECTION ACT & TOWN OF YARMOUTH WETLAND BY-LAW, CHAPTER 143 In accordance with the second paragraph of the Massachusetts General Laws Chapter 131, Section 40, you are hereby notified of the following: A. The name of the applicant is B. The The applicant has filed a Notice of Intent with the Yarmouth Conservation Commission, seeking permission to remove, fill, dredge or alter an Area Subject to Protection under the Wetlands Protection Act (MGL c. 131 s. 40 & Town of Yarmouth Wetland By -Law, Chapter 143). C. The address of the lot where the activity is proposed is +t-5 151 +- 11, 5 S,9 Lx t ST D. Proposed work is �fl� lT�ot�l D� i-tl�✓� G-r—� Pa.VC o na-kye✓t..td.`fes -Poo L_ E. Copies of the Notice of Intent may be examined at the Yarmouth Town Hall at the Conservation Commission office between the hours of 9:00 a.m. and 4:00 p.m. Monday thru Friday. For more information, call (508) 398-2231 ext. 1288. Copies of the Notice of Intent may be obtained from either the applicant or applicant's representative. Applicant's phone number Or Applicant's representatives phone number S oU - 3 ( Z — q S`f G. Information regarding the date, time and place of the public hearing may be obtained by calling the Yarmouth Conservation Commission office at (508) 398-2231 ext. 1288 H. Person sending this notification (applicant, representative or other) NOTES: Name D A -i --t tiF— L.- 0,7-A L -P, i2e PLA Address Town kaM,6LJfN o24 -State _ Zip Telephone Notice of the public hearing, including date, time and place will be published at least five (5) days in advance in a newspaper of general circulation. Notice of the public hearing, including date, time and place will be posted in the Town Hall not less than forty-eight hours in advance. ® You may also contact the Southeast Regional Office of the Department of Environmental Protection at (508) 946-2800 for more information about this application. cs m 216 2RIVER (TOWN) y BASS ) PARKWAY �r 0.21 AC \ -�' � 1.46 AC 1 toJ ` 0 j22�G 0. 9 ? 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