HomeMy WebLinkAbout2019 RDA1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Yarmouth
City/Town
WPA Form 1 -Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out 1. Applicant:
forms on the C. A. Vincent, Inc. info@cavincent.com
computer, use Name E -Mail Address
only the tab key
to move your 17 Still Brook Road
cursor - do not Mailing Address
use the return South Yarmouth MA 02664
key. City/Town - State Zip Code
774-212-0938
r Phone Number. Fax Number (if applicable)
2. Representative (if any):
,O;A
Firm
Contact Name
Mailing Address
City/Town
E -Mail Address
State
Zip Code.
Phone Number Fax Number (if applicable)
B. Determinations
1. 1 request the Yarmouth make the following determination(s). Check any that apply:
Conservation Commission
EJ a. whether the area depicted on plan(s) and/or map(s) referenced below is an area subject to
jurisdiction of the Wetlands Protection Act.
❑ b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced
below are accurately delineated.
c. whether the work depicted on plan(s) referenced below is subject to the Wetlands Protection Act.
❑ d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction
of any municipal wetlands ordinance or bylaw of:
Name of Municipality
e. whether the. following scope of alternatives is adequate for work in the Riverfront Area as
depicted on referenced plan(s).
wpaform1.doc Page 1 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Yarmouth
City/Town
WPA Form 1- Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability
and accompanying plans, documents, and supporting data are true and complete to the best of my
knowledge.
I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional
Office were sent a complete copy of this Request (including all appropriate documentation)
simultaneously with the submittal of this Request to the Conservation Commission.
Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for
Determination of Applicability.
Name and address of the properly owner:
Scott &Maryanne Petersen
Name
10 Susan Road
Mailing Address
Yarmouth Port
City/Town
MA 02675
State Zip Code
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
in accordance with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations.
11/12/19
Signature of Applicant Date
Signature of Representative (if any)
wpaform1.doc
f
Date
Page 4 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands Yarmouth
Cityfrown
WPA Fora 1Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, X40
C. Project Description
1. a. Project Location (use maps and plans to identify the location of the area subject to this request)
10 Susan road Yarmouth Port
Street Address City/Town
127 37
Assessors Map/Plat Number Parcel/Lot Number
b. Area Description (use additional paper, if necessary):
Two story single family home with two exterior decks on 0.44 acre lot abutting Follins Pond
c. Plan and/or Map Reference(s):
Site Plan of 10 Susan Road - 11/6/19
Title Date
Title Date
Title Date
2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary):
Install approximately four concrete sonotube footings to support new deck extension.
wpaform1.doc Page 2 of 4
�. Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Yarmouth
city lTown
WPA Form 1- Request #or -Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Project Description (cont.)
b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant
from having to file a Notice of Intent for all or part of the described work (use additional paper, if
necessary).
Work of a minor nature with minimal disturbance of the affected area
3. a. If this application is a Request for Determination of Scope of Alternatives for work in the
RiverFront Area, indicate the one classification below that best describes the project.
❑ Single family house on a lot recorded on or before 811/96
❑ Single family house on a lot recorded after 8/1/96
El Expansion of an existing structure on a lot recorded after 8/1/96
❑ Project, other than a single family house or public project, where the applicant owned the lot
before 8/7/96
❑ New agriculture or aquaculture project
El Public project where funds were appropriated prior to 8/7/96
❑ Project on a lot shown on an approved, definitive subdivision plan where there is,a recorded deed
restriction limiting total alteration of the Riverfront Area for the entire subdivision
❑ Residential subdivision; institutional, industrial, or commercial project
❑ Municipal project
❑ District, county, state, or federal government project
❑ Project required to evaluate off-site alternatives in more than one municipality in an
Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an
application fora 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality
Certification from the Department of Environmental Protection.
b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification
above (use additional paper and/or attach appropriate documents, if necessary.)
wpaform1.doc Page 3 of 4
DCE #02-218
ZONING SUMMARY
ZONING DISTRICT: RS -40 RESIDENTIAL DISTRICT
m
RETAINING WALL
C)
EXISTING:
29,984±S.F.
401.86'
21.9'
N/A
N/A
15.9%
O�
PROPOSED:
29,984±S.F.
401.86'
14.2'
N/A
N/A
16.4%
Cb ^�•
RETAINING W LL 9
PARCEL 1
113 Cal °�
CP
/ I
� � 1
I
1
�0 1\
�+ o \ \\
EXisti 9 \\
PROPOSED DECK Coni e{e \
EXPANSION Stoir \\
O
14.2'
m
\ oma"
O38•0
\ PARCEL 2
0
\ Pa too
80
\ n �
A
0
Scale: 1 "= 20'
0 10 20 30 40 50 FEET
COMBINED LOT SIZE
29,984± S.F.
0
.,
I
REQUIRED:
MIN.
LOT SIZE
40,000 S.F.
MIN.
LOT FRONTAGE
150'
MIN.
FRONT SETBACK
30'
MIN.
SIDE SETBACK
20'
MIN.
REAR SETBACK
20'
MAX.
BUILDING COVERAGE
25%
m
RETAINING WALL
C)
EXISTING:
29,984±S.F.
401.86'
21.9'
N/A
N/A
15.9%
O�
PROPOSED:
29,984±S.F.
401.86'
14.2'
N/A
N/A
16.4%
Cb ^�•
RETAINING W LL 9
PARCEL 1
113 Cal °�
CP
/ I
� � 1
I
1
�0 1\
�+ o \ \\
EXisti 9 \\
PROPOSED DECK Coni e{e \
EXPANSION Stoir \\
O
14.2'
m
\ oma"
O38•0
\ PARCEL 2
0
\ Pa too
80
\ n �
A
0
Scale: 1 "= 20'
0 10 20 30 40 50 FEET
COMBINED LOT SIZE
29,984± S.F.
0
.,
I
LOCUS MAP
SCALE 1"=2000'±
ASSESSORS MAP 127 PARCEL 37 AND 38
LOCUS IS WITHIN FEMA FLOOD ZONE AE E. 9
AS SHOWN ON COMMUNITY PANEL
#25001 CO579J DATED 7/16/2014
R'm
tam"
r-"
rA
CL
Q
.,
OWNER OF RECORD
THE MARYANNE C. PETERSEN TRUST
MAYANNE C. PETERSEN AND SCOTT C. PETERSEN, TRUSTEES
26 RIVERVIEW HEIGHTS
SIOUX FALLS, SOUTH DAKOTA 57105
REFERENCES
DEED BOOK 25661 PAGE 117
PLAN BOOK 179 PAGE 49 (LOT 7 AND LOT 8)
DATE DANIEL A. OJALA, P.E., P.L.S.
SITE PLAN
OF
10 SUSAN ROAD
YARMOUTH PORT, MA
PREPARED FOR
SCOTT PETERSEN
DATE: NOVEMBER 6, 2019
off 508-362-4541
fax 508-362-9880
downcape.com
down cape engineering, inc.
civil engineers
land surveyors
939 Main Street ( Rte 6A)
YARMOUTHPORT MA 02675
02-218 Petersen Pier.DWG
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LOCUS
Follins o
Pond
Old ear R° T
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D��ft� od E��iks
fh
Stoney Hill Roo
LOCUS MAP
SCALE 1"=2000'±
ASSESSORS MAP 127 PARCEL 37 AND 38
LOCUS IS WITHIN FEMA FLOOD ZONE AE E. 9
AS SHOWN ON COMMUNITY PANEL
#25001 CO579J DATED 7/16/2014
R'm
tam"
r-"
rA
CL
Q
.,
OWNER OF RECORD
THE MARYANNE C. PETERSEN TRUST
MAYANNE C. PETERSEN AND SCOTT C. PETERSEN, TRUSTEES
26 RIVERVIEW HEIGHTS
SIOUX FALLS, SOUTH DAKOTA 57105
REFERENCES
DEED BOOK 25661 PAGE 117
PLAN BOOK 179 PAGE 49 (LOT 7 AND LOT 8)
DATE DANIEL A. OJALA, P.E., P.L.S.
SITE PLAN
OF
10 SUSAN ROAD
YARMOUTH PORT, MA
PREPARED FOR
SCOTT PETERSEN
DATE: NOVEMBER 6, 2019
off 508-362-4541
fax 508-362-9880
downcape.com
down cape engineering, inc.
civil engineers
land surveyors
939 Main Street ( Rte 6A)
YARMOUTHPORT MA 02675
02-218 Petersen Pier.DWG