HomeMy WebLinkAboutCOC request0, 3 Lt, 140, L& 2, 1D pky Ui&'w T
J
All filings must be made on Town of Yarmouth forms.
CONSERVATION
DIVISION
All applications must be submitted two weeks prior to the next scheduled Conservation
Commission meeting. Refer to Meeting Schedule.
Failure to follow the Administrative Checklist shall result in an Administrative Incomplete
Application and will not be scheduled for a Public Hearing.
Contact the Conservation Office if you need assistance.
�� 1 complete original application, plan/sketch, and other supporting information
to the Conservation Division - mailed to/dropped off at Town Hall.
1 complete pdf of application, plan/sketch, and other supporting information
emailed to kgrantLa.)yarmoutn.ma.us.
i% Statement from Engineer and/or stamped As -Built plan if required under the
Order of Conditions to be included with both original and pdf application.
Refer to 310 CMR 10.05(9)(d).
Local filing fee. Refer to Fee Schedule. Make check payable to "Town of Yarmouth"
and include property address in memo.
All forms, Fee Schedule and Meeting schedule can be found at
https://www.yarmouth.ma.us/696/Filing-Forms.
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 • k rg ant(n-,.yarmouth.ma.us
Rev 8/2021
939 main street rte. 6a
yarmouth port
mass 02675
land court
surveys
structural design
site planning
sewage system
designs
inspections
permits
down cape engineering, inc
civil engineers & land surveyors
January 11, 2022
Kelly Grant, Conservation Administrator
Conservation Commission
Town of Yarmouth
1146 Route 28
South Yarmouth, MA 02664
tel. (508) 3624541
fax (508) 36M880
Daniel A. Ojala, P.E., P.L.S.
4rne H. Ojala, P.E., P.L.S.
7aniel E. Gonsalves, P.E., S.E.
Craig J. Ferrari, E.I.T., S.E.
Regards: Request for Certificate of Compliance Mass DEP file #SE83-1634
Cape Cod Hospital / Cape Cod Healthcare
Site: 30, 34, 40, Lot 1, 50 Bayview St, West Yarmouth
Dear Commission Members and Administrator Kelly Grant:
On June 17, 2003, the Commission issued an Order of Conditions for the Cape Cod
Hospital proposed parking lot improvements on Bayview Street, West Yarmouth.
This letter is to certify, to the best of my knowledge and belief, the work was
performed in substantial compliance with the approved plans and Order of Conditions.
We respectfully request the issuance of the Certificate of Compliance.
Thank you for your consideration.
Sincerely,
Daniel A. Ojala, PE, PLS
Down Cape Engineering, Inc.
cc: Michael Bachstein, CCH
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8A — Request for Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Town of Yarmouth Wetland By-law, Chapter 143
A. Project 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.
lab
Upon completion
of the work
authorized in
an Order of
Conditions, the
property owner
must request a
Certificate of
Compliance
from the issuing
authority stating
that the work or
portion of the
work has been
satisfactorily
completed.
2
This request is being made by:
DEP File Number:
SE 83-1634
Provided by DEP
Cape Cod Hospital /Cape Cod Healthcare c/o Daniel A. Ojala, PE, PLS, Down Cape Engineering, Inc
Name
27 Park St
Mailing Address
Hyannis
City/Town
Phone Number
MA
State
This request is in reference to work regulated by a final Order of Conditions issued to:
Cape Cod
Applicant
6-17-03
Dated
3. The project site is located at:
30, 34, 40, Lot 1, 50 Bayview St
Street Address
36
Assessors Map/Plat Number
SE 83-1634
DEP File Number
Yarmouth
02601
Zip Code
CitylTown
8, 91 10, 11 and Map 28 parcel 58
Parcel/Lot Number
4. The final Order of Conditions was recorded at the Registry of Deeds for:
Property Owner (if different)
Barnstable
County
Certificate (if registered land)
5. This request is for certific
ation that (check one):
17146 34
Book Page
of Conditions has been satisfactorily completed.
❑ the following portions of the work regulated by the above -referenced Order of Conditions have
been satisfactorily completed (use additional paper if necessary).
® the work regulated by the above -referenced Order
❑ the above -referenced Order of Conditions has lapsed and is therefore no longer valid, and the
work regulated by it was never started.
wpaformBa.doc •• rev. 5/29/14 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 8A — Request for Certificate of Compliance
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Town of Yarmouth Wetland By-law, Chapter 143
A. Project Information (com.)
DEP He Number:
SE 83-1634
Provided by DEP
6. Did the Order of Conditions for this project, or the portion of the project subject to this request, contain
an approval of any plans stamped by a registered professional engineer, architect, landscape
architect, or land surveyor?
® Yes If yes, attach a written statement by such a professional certifying substantial
compliance with the plans and describing what deviation, if any, exists from the plans
approved in the Order.
❑ No
B. Submittal Requirements
Requests for Certificates of Compliance should be directed to the issuing authority that issued the final
Order of Conditions (OOC). If the project received an OOC from the Conservation Commission, submit
this request to that Commission. If the project was issued a Superseding Order of Conditions or was the
subject of an Adjudicatory Hearing Final Decision, submit this request to the appropriate DEP Regional
Office (see http://www mass gov/eea/agencies/massdep/about/contacts/find-the-massdep-regional-office-
for-your-city-or-town. html).
wpaform8a.doc ••rev. 5/29/14 Page 2 of 2
I
, � �. A,�
\�OroAI,mM
ITT .
do WW old
/ 274- a
Wool +... TIAT
r v,imri) , W. / a� �.
mrt.n, u.r Al ro R " • ,iR:¢) ? ,r • maa,.M,a„mA
dold
All CALL CONO 1%
ARAW ITT Sol
LAITS All
coll. WE[jp TOP STANKI'll Oil I" Will lit 2148
'oldy
WAS EXISWAS
b�
. . w �u or A, ] ATE z� ice` •i mr a :�) "` j �/ -w ,. \\ all
Sl
q 1 IT old TAT
IN
TO Al
Audi �+ _ Al ii
10
TDANTEr
SdIV \A Rvi Yam},` ,Iss+o> n
AT c000d) a / Ad Vol 0 ci,odir Sol�
\n Wow to LLOT
Emru° /
r /,.miu / n �``
O JFu/ �sx¢
sss.>
NTOTAAL LOT tsgAS A7 To T
do
16 NO
AT
gaff
55 al ' ' �' Sol
_,,Othma
a. n/Till +2$48
h
ss rod /AAA 3VS � n s • , _
°T P9 z z>/z } (z.+ $,] / a e 1 s rs / / ' ` `p / , Sillwr Wort AS a m.vx0trt w`�M+y
z /zis ,�.�TE
` � / x � } 5 l�'om m3u¢FNAdl ATSNil VXPIZ III? S+aE wurtu_
, egwzmrt0.
ll JUIS �4 FAR
xo m,.,r tncc AT NOT rsnsrur(mi .
¢ 1 ` rx
; I / t: / 4T� jXA2Fc,� ¢. a/ .> dxL6�mmrw" i1 / ! l 11 15 a LE Of vo wrs pi W n FIA->al
r A E /, ` «"rw <o.-.im.i
wfill Tom LINE
Will •nuns `v ` / 1 11 / ) n / ; CRANRERRT RW
a
•t li Ssrjy/ jVISAzsds /r 11 ',��' Too t
// d'• /dr¢ 1 1
1 /// 1 tkill
All PLAINS OFcvsrox, ANDcl s a TO� 1:
F 1 t f , /AN
JNO t1d
Mila r.41 1 r
do
#Y a
s
�/ 114t'/— fi1 11
E l I •" Lill
ra ?� . ``3 1 Adirsoll ull Sol All I All we LANE IVar at Mil "�E .
Film It
A �3 a`1i2 11 1}aFOX.+mrxw INTENT e_wnrm As
g
rr ANN AT arm 1 2 1 l w &VAST zool Sol AT
_
a / / g 1 4 rcwUriw.v
Lsao ,° , ,'ws`w! a LIALIT VIT eT" ON MANS
/j � MITI,MITI,it
if SIT
f�
B
rAsrrww x Pas aa.+a+, : xfi/se
s
O
PARI(ING LOT STfL PLAN
E,'+
N
v uw ry rA.vm1M uA
/xiw,f wd /s0 eFrvnt sa¢t. v_sTrxsvwM uA
t
POOTASIX) FOR
IT
v n
e CAPE COD HOSPITAL
G
� nvzusruEr,x]A.v,6a,unws °
PROPOSED CONDITIONS— SITE. PLAN
SITE PLAN RENEW DATA: ,.E ,y �]).
rAAdl c nsESTfME zista,!'a eAr vLr s,xEx ,Esr vARAwtx T sow :a M
WVpSCAPE RECIREVENTS: ITT
44 STATES A)-6 PLa
2] Am SRCLr, wA�.NS. uA Ozedl PIFi_k. LOT ,R35:fe) s,OA_ vas PwOYa%0 IN
Tyl ARC ttSGfLEO e16Cmry )i AL EMSASil9E
wN,
hm PL6m. a LEVEL nm NCP AWESME Vi Ptil ON VACALMS LOTS
,�wtr NS NOT »aFi A STATE tall .ZLa
zro ON! E)i MANS Or
.OLT E ' All Va' RA' E �6T ;"' So arm
UK SIX STONIEST 15 FT. ANY CIUVATISCA4 Film WAS "i All WE ITTE wimi �mill,E
VAL TEAM SEIIA(AK AD FL FLOURED ANOTill TO DO SAFE WE yAVAXM AllLAS
O AFMNAEVAva S LE
Am SEE sTill n n.
of LOT SETBACK SO "zsx'
..----
LEGEND
Coll COT
nn xo,
11,194 ,s sa°, nn
II vW
AMC
Q Giw EASII
fh
G
PosT Lmsr
m mew
�.rtR So 1im mrul
Sol FTST Sol
msivias Lam)
� Em,m....Sx
CC
mn POLL
n 1 so. TWA
di
Ell INATER V124
4
asitill GAS UNIT
�1�
CASINO FATTIM ELECTRIC
�11-
Ell VA VKTGEN FINING
A
--him NU An SWEMEL Al ___ ara MA'
` c/NS`iL>x � E. r�� . "VITALE Aa Ra,L ESTATE cL.a�r.un
P,L , ra-rhz-su ]Ax ,-sca-6;z-] n A
ri�
Cape engineering, inc.
'1C/l1L ENGINEERS
LAND SURVEYORS
Alain Sfreet — YARAfOUINPORI: A/A55.