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Massachusetts Department of Environmental Protection
Bureau of Water Resources — Waterways Program
BRP WW 24 p&: 33462 P�_-14 .
,22182
Chapter 91 General License Certification ®-''_31-21i 12 S a 12 a ��
Transmittal Number: X286988
A. Certification Information
1. 1 am applying for Certification under: ® the General License for Coastal Structures
❑ the General License for Inland Structures
2. The applicable General License for my structure dated 4/13/15 is recorded at the Barnstable
Book 28978, Page 219. Name of Registry of Deeds
3. My structure meets the eligibility requirements of: ® General License Section 1(A) and (B) and
❑ General License Section 3.2 for Great Ponds
and navigable rivers/streams
B. Applicant Information
Deborah and Richard Carrus
8861 Sydney Harbor Circle, Delray Beach, FL 33446
Mailing Address / City / State / Zip Code _
516-650-7989 rcl30l@yahoo.com
Phone Number Email Address
uj Mark Burgess, Shorefront Consulting 508-280-8046; shorefrontconsulting@gmail.com
NJ Printed Name of Authorized Agent (if any) Contact Information
eC. Project Location
ir
.24,doc•V2018
Printed Name of Property Owner (if different from Applicant)
122 Mayflower Terrace, South Yarmouth, MA 02664
Project Street Address / City / State / Zip Code
Using Section C in the Instructions, provide the following geographic coordinates:
41 d41 m49.524s 70d10m29.604s
Latitude Longitude
120 19 Barnstable
Tax Assessors Map/Parcel Number Parcel/Lot Number County
Property Recorded at Registry of Deeds: 25515 26
Book Page
Or Certificate of Title Number Or Probate Number
Type of waterbody, as described on page 6 of the Instructions, the type of water body in which the project site is
located (check all that apply):
® Private Tidelands ❑ Great Pond
® Commonwealth Tidelands (seaward of MLW) ❑ Non -tidal Navigable River or Stream (Inland)
Dinah's Pond (Bass River)
Name of the water body the project site is located on
D. Project Plans
I have attached plan(s) drawn in accordance with the locations shown and details that meet the list of
Requirements for my coastal or inland structure (page 11 of Instructions).
❑ Hand -drawn Plans ® Professional Engineering Plans
Number of pages:
BRP Vdw 24, General License Certification • Page 1 of 3
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Failure to record
this Certification
within 60 days of
the date of
approval will
render this
Certification void.
Bk 33962 Pg147 #22182
Massachusetts Department of Environmental Protection
Bureau of Water Resources — Waterways Program
BRP WW 24
Chapter 91 General License Certification
Transmittal Number:Xz-gZg8`3
E. Certification
I hereby make application for certification under the General License authorized by the Department and signed
by the Governor on April 13, 2015. Upon my signature, I agree to allow the duly authorized representative of the
Massachusetts Department of Environmental Protection to enter upon the premises of the project site at
reasonable times for the purpose of inspection.
I hereby certify that the information submitted in this Certification and on the attached plans is true and accurate
`to the best of my knowledge, and is in conformance with the eligibility requirements as outlined in Section 1(A)
and (B) and Section 3.2 of the General License. And, upon my signature, that I have read the General License
and agree to the terms and conditions set forth therein.
I hereby certify that any change in use or structural alteration of the project described herein will require that I
request recertification in accordance with 310 CMR 9.29(4)(e).
I hereby certify that I have sent the required fee to MassDEP, and have attached a copy of the completed fee
calculation (Check all that apply):
® Ch.91 Applicant Fee
® Tidewater Displacement Fee
® Tideland Occupation Fee ❑ Great Pond Occupation Fee
I hereby certify I have submitted this certification, and provided the opportunity to comment, to the following
officials for the municipality in which thg project is located (check all that apply):
❑ . Planning Board ) of 8120
Notification Date
❑ Conservation Commission: if approved, identify
4/30/2020
Date of Order or Determination
SE83-2220
DEP File #, if issued
® Board of Selectmen ❑ Mayor and City Council ® Harbormaster
❑ Landowner (if not applicant) ® Zoning Enforcement Officer (for Coastal Structures only)
In accordance with 310 CMR 9.29(4)(c) a I 20 in -Tile ks.3fsT j -
public notice was published on Date Name of publication
Original tures required for all applicants, property owners, authorized agents, and zoning officer (if
appli le). hg authorized ogegnt may sign all future application correspondence for applicant or property owner.
Original Signature
Property
Authorized Ager/s Original Signature (if applicable)
(For Coastal Structures only) I hereby certify that the project described above and in the attached plans is not
in violation of local zoninq ordinances and bylaws.
Officer / Title / Date
Yarmouth
MassDEP
�.24 doc,1/2018 BRP ww 24, General Ltwx Cert cation • Page 2 of 4
GENERAL LICENSE CERTIFICATION N0.VL-jA GfQ
APPROVED BY DEPARTMENT OF
ENVIRONMENTAL PROTECTION
DATE: nwttk 141, 242,11
N
w
S�yy.,v....
MAP 1119 PARCEL 58
i N/F
LOMBARDI JEAN
C/O FANARA JEFFREY B
TRS
PO BOX 775
.
DENNIS, MA 02638
/p/
DEED` BK:15930 PG:309�
qg�� T�DAtjAO�'D
U�NO
a;
THIS PLAN CONFORMS TO THE
REQUIREMENTS OF THE
Bk 33962 Pg148 #22182
FOR REGISTRY OF DEEDS USE ONLY
Mq Y,c�
wgyR
MAP 120 PARCEL 19
DEBORAH D. AND RICHARD CARRUS
8861 SYDNEY HARBOR CIRCLE
DELRAY BEACH, FLORIDA 33446
DEED BOOK 25515, PAGE 26
DEED INDEXING STANDARDS FOR THE
COMMMONWEALTH OF MASSACHUSETTS
JANUARY 1, 2008, SECTION 6-4:
PLANS AS ATTACHMENTS TO
OTHER DOCUMENTS.
EAN HI,9H WATER
BASS RIVER
DINAHS
POND
LOCUS MAP
NOT TO SCALE
4kS8,-Zf0 -MEAN LOW WATER
/'/fq (EL= -0.3') SITE PLAN
qQV� TO 25 0 25 50 100
ANG DOCK SCALE: 1"=50'
DATUM FOR ALL ELEVATIONS = NAVD88
PLAN ACCOMPANYING PROJECT DESCRIPTION:
PETITION OF: I
PROPOSED PIER, RAMP, AND FLOAT
DEBORAH AND RICHARD CARRUS,
TO INSTALL, LICENSE AND
MAINTAIN A PIER, RAMP, AND
FLOAT IN DINAH'S POND (BASS
RIVER), YARMOUTH
IN: YARMOUTH
AT: #122 MAYFLOWER TERRACE
KxPPY�Z9�1FL•1:7�F9�1:I�a
SHEET 1 OF 6 DATE: AUGUST 31. 2020
TP \
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MAP 120 PAR L
T-
N/F
HULSE LUCY L C / -TRS
KNOBCOTTAGE UST
ry^ /
159 MAINS 47A
STONEHAM, A 02180
DEED BK:2 99 PG:347
EAN HI,9H WATER
BASS RIVER
DINAHS
POND
LOCUS MAP
NOT TO SCALE
4kS8,-Zf0 -MEAN LOW WATER
/'/fq (EL= -0.3') SITE PLAN
qQV� TO 25 0 25 50 100
ANG DOCK SCALE: 1"=50'
DATUM FOR ALL ELEVATIONS = NAVD88
PLAN ACCOMPANYING PROJECT DESCRIPTION:
PETITION OF: I
PROPOSED PIER, RAMP, AND FLOAT
DEBORAH AND RICHARD CARRUS,
TO INSTALL, LICENSE AND
MAINTAIN A PIER, RAMP, AND
FLOAT IN DINAH'S POND (BASS
RIVER), YARMOUTH
IN: YARMOUTH
AT: #122 MAYFLOWER TERRACE
KxPPY�Z9�1FL•1:7�F9�1:I�a
SHEET 1 OF 6 DATE: AUGUST 31. 2020
GENERAL LICENSE CERTIFICATION NO.
APPROVED BY DEPARTMENT OF
ENVIRONMENTAL PROTECTION
DATE: l'1 Ill. 74 ZZI
i� 3-,PHRAG
N81 °57'24"W
56.37' (TIE -LINE) 7^
410T
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Bk 33962 Pg149 #22182
FOR REGISTRY OF DEEDS USE ONLY
C
HRU V
PROPOSED — — _ •.
4'x58' PIER
Z
h
-2-
PROPOSED
2"PROPOSED 3'x20' RAMP
PROPOSED 8'x16' FLOAT
h & MEAN HIGH WATER
— I (EL=1.9')
DINAR (EL
S
--2 (2IDAL)pOND
AgUNG ')OCk F�O
1N LOW WATER -
=-o- it
off, — — —
4A SITE PLAN
---�� 10 5 0 10 20 40
aP SCALE: 1"=20'
oy�o�
DATUM FOR ALL ELEVATIONS = NAVD88
PLAN ACCOMPANYING PROJECT DESCRIPTION:
THIS PLAN CONFORMS TTHE PETITION OF: PROPOSED PIER, RAMP, AND FLOAT
REQUIREMENTS OF THE
DEED INDEXING STANDARDS FOR THE
COMMMONWEALTH OF MASSACHUSETTS DEBORAH AND RICHARD CARRUS, IN: YARMOUTH
TO INSTALL, LICENSE AND AT: #122 MAYFLOWER TERRACE
JANUARY 1, 2008, SECTION 6-4: MAINTAIN A PIER, RAMP, AND
FLOAT IN DINAH'S POND (BASS
PLANS AS ATTACHMENTS TO RIVER), YARMOUTH COUNTY OF: BARNSTABLE
OTHER DOCUMENTS.
SHEET 2 OF 6 DATE: AUGUST 31, 2020
Bk 33962 Pg150 #22182
GENERAL LICENSE CERTIFICATION NO.")(
FOR REGISTRY OF DEEDS USE ONLY
APPROVED BY DEPARTMENT OF
ENVIRONMENTAL PROTECTION
DATE: PAAttCW 1Q ZoeI
I� PIER, RAMP, AND FLOAT EXTEND 80' BEYOI\
SALT MARSH; MATCH LINE
LAWN UNMOWED � DECKING IS GRATED \
GRASSES OVER MARSH
I \
SHRUBSPROPOSED
4'5±8'
'x58 PIER; DECK
PROPOSED STEPS;
HEIGHT = 7.± NAVD88
8" RISE, 12" RUN±
10
8 PUBLIC ACCESS
6 AROUND END OF PIER
4
2 MHW= 1.9'
0
MLW= -0.3'
-2
-4 LONG GREENHEART OR FIBERGLASS EX. GRADE
-6 11PILES (2 TOTAL) 18'± SPAN (TYP)
> Ln
CD
N
u7
H: 1"=l'
0
0
PROPOSED 8"-10" DIAM. x 22'
LONG GREENHEART OR FIBERGLASS
PILES (6 TOTAL)
PROFILE A -A (PROPOSED)
5 0 5 10 20
SCALE: I"=10'
DATUM FOR ALL ELEVATIONS = NAVD88
THIS PLAN CONFORMS TTHE
PLAN ACCOMPANYING
PROJECT DESCRIPTION:
PROPOSED PIER, RAMP, AND FLOAT
REQUIREMENTS OF THE
PETITION OF:
DEED INDEXING STANDARDS FOR THE
DEBORAH AND RICHARD CARRUS,
TO INSTALL, LICENSE AND
IN: YARMOUTH
AT: #122 MAYFLOWER TERRACE
COMMMONWEALTH OF MASSACHUSETTS
JANUARY 1, 2008, SECTION 6-4:
MAINTAIN A PIER, RAMP, AND
FLOAT IN DINAH'S POND (BASS
PLANS AS ATTACHMENTS TO
RIVER), YARMOUTH
COUNTY OF: BARNSTABLE
OTHER DOCUMENTS.
SHEET 3 OF 6 DATE: AUGUST 31, 2020
Bk 33962 Pg151 #22182
GENERAL LICENSE CERTIFICATION NO.
G'jX 2gle9$$
FOR REGISTRY OF DEEDS USE ONLY
APPROVED BY DEPARTMENT OF
ENVIRONMENTAL PROTECTION
DATE: t&ARtW 1411
BEYOND MHW; 83't ALONG CENTERLINE OF DOCK
JE
MATCH LINE
PROPOSED 12" DIAM. x 30'
.CK
LONG GREENHEART PILES; TOP
OF PILE = 12' NAVD (2 TOTAL)
PROPOSED
3'x20' RAMP
10
_
8
PROPOSED
6
8'x 16' FLOAT
4
Q7 Z 12
MHW= 1.9
p
....... ..
............ ..�_VLW=' =0.
—2
-4
-6
Ln
o
o
0
PUT ADDITIONAL FLOTATION
AND FLOAT STOPS (FOR
2.75' ON THIS END
PROFILE A -A (PROPOSED)
5 0 5 10 20
SCALE: 1"=10'
DATUM FOR ALL ELEVATIONS
= NAVD88
THIS PLAN CONFORMS TTHE
PLAN ACCOMPANYING
PROJECT DESCRIPTION:
PROPOSED PIER, RAMP, AND FLOAT
REQUIREMENTS OF THE
PETITION OF:
DEED INDEXING STANDARDS FOR THE
DEBORAH AND RICHARD CARRUS,
TO INSTALL, LICENSE AND
IN: YARMOUTH
AT: #122 MAYFLOWER TERRACE
COMMMONWEALTH OF MASSACHUSETTS
JANUARY 1, 2008, SECTION 6-4:
MAINTAIN A PIER, RAMP, AND
FLOAT IN DINAH'S POND (BASS
PLANS AS ATTACHMENTS TO
RIVER), YARMOUTH
COUNTY OF: BARNSTABLE
OTHER DOCUMENTS.
SHEET 4 OF 6 DATE: AUGUST 31,
2020
GENERAL LICENSE CERTIFICATION NO. O tLX 2uA 88
APPROVED BY DEPARTMENT OF
ENVIRONMENTAL PROTECTION
DATE: IMA&CO 10t, '7.o'z k
Bk 33962 Pg152 #22182
FOR REGISTRY OF DEEDS USE ONLY
Imo_ 4' 2"x6" RAILING CAP
4"x4" POST BOLTED
THROUGH YOKES AND
2"x4" RAILINGS (TYP) VJOISTS (TYP)
2"x12" STRINGERS
(6 TOTAL, TYP)
2"X6" DECKING OR (3) 4'x10"
W/ 3/4" SPACING
(GRATING OVER RS[I)
3/4" THROUGH—BOLTS
=1 (TYP)
e 3"x10" YOKE; (2) TYP.
o P o
0 3"x8" CROSS
BRACING, (TYP)
THROUGH BOLT WITH
DOCK WASHERS (TYP)
8-10" GREENHEART PILE (INSTALL
BUTT END DOWN, TYP) OR
"PEARSON" FIBERGLASS PILES
INSTALL SCREW ANCHOR AT
EACH BENT BEYOND MHW TO
PREVENT ICE UPLIFT
DOCK SECTION B -B ELEVATION DETAIL
1 .5 0 1 2 4
PLAN ACCOMPANYING PROJECT DESCRIPTION:
THIS PLAN CONFORMS TTHE PETITION OF: PROPOSED PIER, RAMP, AND FLOAT
REQUIREMENTS OF THH E
DEED INDEXING STANDARDS FOR THE
COMMMONWEALTH OF MASSACHUSETTS
JANUARY 1, 2008, SECTION 6-4:
PLANS AS ATTACHMENTS TO
OTHER DOCUMENTS.
DEBORAH AND RICHARD CARRUS,
TO INSTALL, UCENSE AND
MAINTAIN A PIER, RAMP, AND
FLOAT IN DINAH'S POND (BASS
RIVER), YARMOUTH
IN: YARMOUTH
AT: #122 MAYFLOWER TERRACE
COUNTY OF: BARNSTABLE
SHEET 5 OF 6 DATE: AUGUST 31, 2020
GENERAL LICENSE CERTIFICATION NO. lsCX 2$l.'l4'Ji'
APPROVED BY DEPARTMENT OF
ENVIRONMENTAL PROTECTION
DATE: We J -J 141, 20 L t
Bk 33962 Pg153 #22182
FOR REGISTRY OF DEEDS USE ONLY
2"x6" RAILING B
CAP (TYP)
5/8" THROUGH
2"x4" RAILING
2"x6" DECKING W/ 3/4"
SPACING; OVERLAP 1" (TYP)
2"x12" STRINGERS
° (TYP)
3"x10" YOKE;'3/4" THROUGH
n:��B (2) TYP. T WITH DOCK
WASHERS (TYP)
,i 3"x8" CROSS
BRACING, (TYP)
8-10" GREENHEART
OR FIBERGLASS
PILES (TYP)
B
DOCK SECTION A -A ELEVATION DETAIL
THIS PLAN CONFORMS TO THE
REQUIREMENTS OF THE
'.D INDEXING STANDARDS FOR
:'0181X1'[0]Ell 7_1A1.KolOFEv' -161:1114210&1
JANUARY 1, 2008, SECTION 6-4
PLANS AS ATTACHMENTS TO
OTHER DOCUMENTS.
1 .5
0
1
2 4
1"=2'
PLAN ACCOMPANYING
PETITION OF:
DEBORAH AND RICHARD CARRUS,
TO INSTALL, LICENSE AND
MAINTAIN A PIER, RAMP, AND
FLOAT IN DINAH'S POND (BASS
RIVER), YARMOUTH
PROJECT DESCRIPTION:
PROPOSED PIER, RAMP, AND FLOAT
IN: YARMOUTH
AT: #122 MAYFLOWER TERRACE
COUNTY OF: BARNSTABLE
SHEET 6 OF 6 DATE: AUGUST 31, 2020
BARNSTABLE REGISTRY OF DEEDS
John F. Meade, Register