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Home My WebLink AboutRDA' ' Viatitte e# LGcub t CONSERVATION OFFICE TION I � 1101111 1 1110 call Mm = � � O;etwA& 3'ul"matiatt. All filings must be made on Town of Yarmouth forms found at www.yarmouth.ma.us/325/Conservation. The filing deadline is two weeks prior to the next scheduled Conservation Commission meeting. No new information may be accepted into the Commissioners' packets within the week before a meeting. Failure to follow this Checklist shall result in an Administrative Incomplete Application and will not be advertised for a Public Hearing. Refer to the meeting and fee schedule. Contact the Conservation Office if you need assistance. Sufttt9 tux cut appficatiatt: o-- X 1 original application with original signatures (double sided). X A detailed project narrative to include sufficient information to enable the Commission to determine whether the proposed work will alter an area subject to protection (in hardcopy form). N/A gVW delineation sheet(s), coastal bank calculation and other relevant material (in hardcopy form). X 1 hardcopy of a Yarmouth Assessor's locator map highlighting parcel(s) where work is proposed, including map and parcel numbers. Assessor's maps can be found at www.yarmouth.ma.us/70/Assessor X 1 original and 7 photocopies of the plan/sketch, folded separately, right side out with title visible. All plans shall reference NAVD1988 unless otherwise noted. Landscape plans shall be detailed to show proposed and existing conditions, native species, size and spacing. X A pdf copy of the application, supporting information and plan/sketch emailed to kgrantyarmouth.ma.us. Please put the property's street address in the pdf file name. X Local filing fee — separate check payable to "Town of Yarmouth". X Legal ad fee — separate check payable to "Town of Yarmouth". (Refer to Fee Schedule at https://www.yarmouth.ma.us/696/Filing-Forms) X A pdf copy of the signed application and plan/sketch must be sent VIA EMAIL to DEP, Southeast Region at SERO NOI(cDmass.gov with a subject line showing "YARMOUTH - RDA - Street Address - Applicant Name" and copied to kgrant yarmouth.ma.us. We must receive a copy of this email as proof that it has been sent to DEP. X Submit a copy of any Certified Mail receipts (PS Form 3800) for others, such as Massachusetts Natural Heritage and Endangered Species Program, Massachusetts Division of Marine Fisheries, etc. Alternatively, you may visit their websites for electronic filing information. If filed electronically, please copy kgrant(ayarmouth.ma.us. If the applicant is not the property owner: X Please submit a signed Site Access Authorization Form; AND X The owner must be sent a copy of the application via Certified Mail on the same day it is filed with this office. Please submit a copy of the Certified Mail receipt with application. Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 02664-4492 Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231 • kerant@yarmouth.ma.us Rev. 9/2021 DEPARTMENT OF CONSERVATION �n F Awl? �'u'`�Y :��,/.:1��✓� ��.iy�, '� -.i-j Ali � l�C�i�� If the applicant is not the property owner, please submit this form with your application. The owner must be sent a copy of the application on the same day it is filed with this office. Property Address: 28 Barkentine Circle, South Yarmouth Assessors Map/Lot: Map 19 Parcel 49 I (we) hereby authorize the individual members of the Yarmouth Conservation Commission and its agents to enter upon the referenced property for the purpose of gathering information regarding the application filed with the Commission pursuant to the Wetlands Protection Act (M.G.L. Ch. 131, s. 40) and/or the Yarmouth Wetlands Protection Bylaw (Chapter 143). Authorized Signature: 7 Date: ( ! 01 / Please Print Name: Z'41— If other than owner, please state whether tenant, agent, or other: Mailing Address: 1 Phone: Cell: lil: EOm 1106 C C41 Fax: Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 02664-4492 Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231 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 Town of Yarmouth Wetland By -Law, Chapter 143 A. General Information Important: 1 When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VkA Applicant: Gina L. Mazza, Trustee, Gina L. Mazza Rev. Living Trust Name 57 Austin Street Mailing Address Chicopee City/Town 508-477-7272 Phone Number Representative (if any): Cape & Islands Engineering, Inc. Firm Jean E. Duff -Still Contact Name 800 Falmouth Road, Suite 301C Mailing Address Mashpee, City/Town 508-477-7272 Phone Number B. Determinations jean@capeeng.com E-Mail Address MA State 01013 Zip Code 508-477-9072 Fax Number (if applicable) jean@capeeng.com E-Mail Address MA State 02649 Zip Code 508-477-9072 Fax Number (if applicable) I request the YARMOUTH make the following determination(s). Check any that apply: Conservation Commission ❑ 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: ❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). wpaforml.doc - rev. 7/27/2020 WPA Form 1 — Request for Determination of Applicability - 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 Town of Yarmouth Wetland By -Law, Chapter 143 C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 28 Barkentine Circle Street Address 19 49 Assessors Map/Plat Number b. Area Description (use additional paper, if necessary): South Yarmouth, MA Cityrrown Parcel 49, Parcel/Lot Number All work proposed to be within FEMA Flood Zone AE (EL. 11 & 12). No other Resource Areas within Jurisdiction. c. Plan and/or Map Reference(s): Proposed Dwelling Modification Plan December 6, 2021 Title Date Title Date Title Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): Raise existing dwelling by two (2) feet, utilizing same footprint. Renovate second floor and add Gutters and down spouts with drywells. Add new stairs and walk, proposed covered entrance, Sunroom, reconfigure stairs, with the associated utilities, grading and landscaping. wpaformt.cloc • rev. 7/27/2020 WPA Form 1 — Request for Determination of Applicability • Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth WPA Form 1- Request for Determination of Applicability crcyf t own Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By -Law, Chapter 143 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). 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 8/1/96 ❑ Single family house on a lot recorded after 8/1/96 ❑ 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 ❑ 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 for a 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.) wpaforml.doc • rev. 7/2712020 WPA Form 1 — Request for Determination of Applicability • Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth City/Town PA Form 1- Request for Determination of Applicability q pp � tY Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By -Law, Chapter 143 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 property owner: Gina L. Mazza, Trustee, Gina L. Mazza Rev. Living Trust Name 57 Austin Street Chicope City/Town MA State Signatures: 01013 Zip Code I also understand that notification of this Request will be placed in a local newspaper at my expense in accordance with tion 10.05(3)(b)(1) of the Wetlands Protection Act regulations. Signature of tpoeant Date of Representative (if any) CAPE & ISLANDS ENGINEERING, INC. Date wpaformi.doc • rev. 7/27/2020 WPA Form 1 — Request for Determination of Applicability • Page 4 of 4 28 Barkentine Circle 19.80 +r 19.33 �S 19.79 19.41.1.2 19.97 . 19.93 .mJ19.96 r 19.32 , I � 19.41.1.3 _ --- =19.95 1.9.716 rr rf 19.45.1.1 {f � 19.94 19.301 19.43 19.44 � 19.45.1.2 19.70 � 19.56 19.55 19.46.1 , 19.4C f'� i l 1 �,L--/ 19.57 19.54 19.47.1 19.28 19.4$ 19.5 19.58 19.52 19.53 -, ff 19.27�1"rf y~ ' x 1�9.49 , rrJ r-( 19.26 � I / 19.20.1 F5~st�n`C 19.6 f 19.7 / �—/ 19.13 -," `' 19.16 19.17%, December 6, 2021 LI Municipal Boundaries ❑ Parcels Buildings ■ w ■ Tniein D-k n- 1:2,257 0 105 210 420 ft 0 30 60 120 m Sources: Esri, HERE, Garmn, USGS, Intermap, INCREMENT P, NRCan, I J------ - - - - ------------------------------------------------------------7 I ' I I I � I I I I I I ' I I i 1 I 1 I I 1 I I ' I I ' I I I � I � , ` I I � I - � I I -J 1 O V• I I I I I ❑ J9 c V63 F N � 1 3Nb1 i13dd14 all n i I CR s � m E444Y+1 � I I tll� zl (k<oL O I I s4� a iJVIEfB � I `111R - •^ '1 all il� \ ` I ram( 11 1 ,9a B ' d Iw .ea ' AVENUE I SEP`nEW � Iu It "al < I I O I I Lwm � w �-7 rc� r � `•} I anlaaLi „ a C� a i y 0•,q�`zo S yy , a � 0 1!U(MbNN1MMVd m ��j _ � • Oin I W u Q O 1 1 ^ RI C L---- -------------o-- - _ v9'6t pdg B4 0� I - _ ____ _ u. ___ _ �__-4'UL9l Aid________ __________________ 1 3i Y a = to D _ 0 g co z LL Z) 00 U ZW J m O F- Z Of Q in