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HomeMy WebLinkAboutNOIAll Cape Septic and Survey 618 Route 28 West Yarmouth, MA 02673 508 771-4200 Date: January 20, 2022 Re: NOI Narative 10 Berwick Road West Yarmouth, MA The applicant Joanne Nolan Edwards resides with her mother next door at 6 Berwick Road and has been taking care of the lot for many years. The lot has minimum foliage and is largely cleared and has been used by the applicant for various gardens and storage. The applicant wishes to develop a single family home on Lot 3 at 10 Berwick Road West Yarmouth. The lot is an 8,000 SF undeveloped lot with 80.00' feet of frontage. It has very little elevation (el = 10.5) change except for the slope from the edge of ROW to the edge of traveled paved way with elevations at approximately 8.0 as shown on the plan. It is located in the AE Flood Zone El. = 11.0. The proposed single family house is a modular home that will be delivered and placed on the proposed new foundation. The proposed three bedroom house will have a deck along the front and west side. The proposed septic system is designed in the front of the house and has an adequate reserve area as required. It will be serviced by Town Water and will have underground utilities. The proposed setback from the ROW is approximately 47' feet and the proposed house also meets all the required side and rear setbacks. Before construction a silt fence will be placed around the perimeter of the lot as shown on the proposed plan. Storm Drain filters will be placed in the catch basins on Berwick Road that will be affected by any construction and or construction vehicle. Staking of the construction will be performed. The construction will consist of removing the top and subsoil in construction areas, excavating the foundation, excavation of utility lines and the installation of the septic system. Excess material will be removed from the site as required. Fill will be brought as shown on the plan with a finish elevation of 12.0. Loam and sod will be placed on the disturbed areas and a pervious driveway is proposed. Sincerel , Michael Aucoin 4 I Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Note: Before completing this form consult your local Conservation Commission regarding any municipal bylaw or ordinance. Massachusetts 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 YE Town of Yarmouth Wetland By -Law, Chapter 143 Ci ,/Town A. General Information 1. Project Location (Note: electronic filers will click on button to locate project site): 10 Berwick Road West Yarmouth 02673 a. Street Address s►. C s4lp Code Latitude and Longitude: d. Latitude e. Longitude 22 218 f. Assessors Map/Plat Number g. arcel /Loi~ RM*e; 2. Applicant: : GIN N IF t4oLA of Ed 1 y A14-5 t T&d STE i a. First Name b. Last Name t`daA" s >^ , I1.t 6VOCA SLIT' -r& -iSf c. Organization (0_ 943Ad/ d. Street Address JAkST y6&AAO VTH e. City/Town Sa 6)3-0 —` yy h. Phone Number I. Fax Number MA 011025! f. State g. Zip Code -t atvd-orind &4odPalerizo,J - n,ig- Y' I. Email Address , 3. Property owner (required If different from applicant): a. First Name c. Organization d. Street Address e. City/Town h. Phone Number i. Fax Number 4. Representative (If any): Michael a. First Name All Cape Septic and a company 618 Route 28 d. Street Address ❑ Check if more than one owner b. Last Name t. State g. Zip Code I J. Email address i I Aucoin b. Last Name West Yarmouth MA 02673 e. CIty/Town f. State g. Zip Code 508 771-4200 allcapeseptc@gmail.com ,.JI Owne Number i. Fax Number j. Email address 5. Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form): 'vb ri . Sa a. Total Fee Paid b. State Fee Paid c City/Town Fee Paid wpaform3.doc • rev. 8/18/2020 Page t of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, 640 Town of Yarmouth Wetland By -Law, Chapter 143 A. General Information (continued) 6. General Project Description: Construct new single family three bedroom home on an existing vacant lot located within the AE Flood Zone 7a. Project Type Checklist: (Limited Project Types see Section A. 7b.) I 1. ® Single Family Home 2. ❑ Residential Subdivision 3. ❑Commercial/Industrial 4. ❑ Dock/Pier 5. ❑ Utilities 6. ❑ Coastal engineering Structure 7. ❑ Agriculture (e.g., cranberries, forestry) 8. ❑ Transportation 9. ❑ Other 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 (310I 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 b. vartificate # (if registered land) c. Book 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 10.64-10.58; 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. I wpaform3.doc • rev. 611812020 Page 2 of 9 Massachusetts 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 Town of Yarmouth Wetland By -Law, Chapter 143 I B. Buffer Zone & Resource Area Impacts (temporary S permanent) (cont'd) ' Resource Area Size c f Proposed Alteration Proposed Replacement (if an'v) a. ❑ Bank For all projects 1. linear feet 2. linear feet affecting other b. ❑ Bordering Vegetated Resource Areas, Wetland 1. square feet 2. square feet please attach a f narrative c. ❑ land Under 1. square feet 2. square feet explaining how Waterbodies and the resource Waterwa S area was y 3. cubic yards dredged delineated. 'I Resource Area Size of Proposed Alteration Proposed Replacement (if a� d. ❑ Bordering Land Subject to Flooding 1. square feet 2. square feet i 3. cubic feet of flood storage lost 4. cubic feet replaced e. ❑ Isolated Land Subject to Flooding 1. square feet j 1 2. cubic feet of flood storage lost 3. cubic feet replaced f. ❑ 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 3. Total area of Riverfront Area on the site of the proposed project: Square feet I 4. Proposed alteration of the Riverfront Area: 1 s a. total square feet b. square feet within 100 ft. C. square feet between 100 ft. and 200 ft. 5. Has an altematives analysis been done and Is It attached to this NOI? ❑ Yes Eli: No i 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) i Note: for coastal riverfront areas, please complete Section S.M. above. wpaform3.doc • rev. 6/18/2020 Page 3 of 9 4 Massachusetts Department of Environmental Protection ;u Bureau of Resource Protection - Wetlands WPA Form 3 — Notice of IntentLI !'J Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 West Ye Town of Yarmouth Wetiand By -Law, Chapter 143 cityrrown Online Users: Include your document transaction number (provided on your receipt page) with all supplementary information you submit to the Department. B. Buffer Zone & Resource Area Impacts (temporary & permanent) ( 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. Resource Area a. (I Designated Port Areas b. ❑ Land Under the Ocean c. ❑ Barrier Beach d. ❑ Coastal Beaches e. ❑ Coastal Dunes f. ❑ Coastal Banks g. ❑ Rocky Intertidal Shores h. ❑ Salt Marshes i. ❑ Land Under Salt Ponds i. ❑ Land Containing Shellfish Size of Proposed Alteration Indicate size under Land Under the Ocean, below 1. square feet 2. cubic yards dredged d) Indicate size under Coastal Beaches and/or Coastal Dunes below 1. square feet 1. square feet Size of Proposed Alteration 1. linear feet 1. square feet 1. square feet 1. square feet 2. cubic yards dredged 1. square feet 2. cubic yards beach nourishme, hit 2, cubic yards dune nourishment Proposed Replacement if an 2. sq It restoration, rehab., creation k. ❑ Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodles and Waterwa* above 1. cubic yards.dredged I. tn nd Subject to _ 1 t Zoo S F Coastal Storm Flowage 1. squawtbef T 4. ❑ Restoration/Enhancement If the project is for the purpose of restoring or enhancing a wetland resource area in addition to tl'e square footage that has been entered in Section B.2.b or B.3.h 9bove, please�enterthe additional amount here. a. square feet of BVW 5. ❑ Project Involves Stream Crossings b. square feet of Salt Marsh i wpaform3.doc • rev. 6/18/2020 Page 4 of 0 4 Massachusetts Department of Environmental Protection Prcvxied by MassDep: Bureau of Resource Protection - Wetlands Masst)EFFiteNnnibei ( W PA Form 3 — Notice of Intent Document Tiinsaction A( ber Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 "'' West Yarmouth Town of Yarmouth Wetland By -Law, Chapter 143 Cityfrown a. number of new stream crossings b. number of replacement stream crossings C. Other Applicable Standards and Requirements ❑ 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 ActlWetlands 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 Jv_(No If yes, include proof of mailing or hand delivery of NOI to: Natural Heritage and Endangered Species Program Division of Fisheries and Wildlife 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-day, 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 tiling 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) - Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review (see https://www.mass.aov/ma- en dangered-species-act-mesa-regulatory-review). 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. 6/18/2020 Page 5 of 9 4 Massachusetts Department of Environmental Protection Pm,4ded6yyMasaDeP: �-- Bureau of Resource Protection - WetlandsoEPI lib WPA Form 3 — Notice of Intent Docupient TransaWon Nut011er Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 West Yarmouth Town of Yarmouth Wetland By -Law, Chapter 143 City/Town (b) ❑ Photographs representative of the site C. Other Applicable Standards and Requirements (cont'd) (c) ❑ MESA filing fee (fee information available at httas://www.mass.gov/how-to/how-to-file- for-a-mesa-orolect-review). Make check payable to "Commonwealth of Massachusetts - NHESP" and mall to NHESP at above address Projects altering 10 or more acres of land, also submit. (d) ❑ Vegetation cover type map of site (a) ❑ Project plans showing Priority & Estimated Habitat boundaries (q 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, httas://www.mass. gov/service-details/exem ptions-from-review-for-oroiectsactivities-in- priority-habitat; 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 of 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-southO)mass.00v 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@mass.00v 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. c. ❑ Is this an aquaculture project? d. ❑ Yes ❑ No If yes, include a copy of the Division of Marine Fisheries Certification Letter (M.G.L. c. 130, § 57). wpaform3.doc - rev. 6/18/2020 page 6 of 9 4 Massachusetts Department of Environmental Protection #1"oWdetfbyMassDEN; Bureau of Resource Protection - Wetlands MassUEP%i1e Nurriber-- WPA Form 3 — Notice of Intent L11 Document Transaction %Iur[ibEr Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 west Yarmouth Town of Yarmouth Wetland By -Law, Chapter 143 Cityrrown C. Other Applicable Standards and Requirements (cont'd) Online Users: Include your document transaction number (provided on your receipt page) with all supplementary information you submit to the Department. 4. Is any portion of t proposed project within an Area of Critical Environmental Concern (ACEC)? a. ❑ Yes No if yes, provide name of ACEC (see instructions to WPA Form 3 or MassDEP Website for ACEC locations). Note: electronic filers click on Website. b. ACEC 5. Is any portion of the roposed project within an area designated as an Outstanding Resource Water (ORW) as design ad in the Massachusetts Surface Water Quality Standards, 314 CMR 4.00? a. ❑ Yes No 6. Is any portion of th site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act ( G.L. c. 131, § 40A) or the Coastal Wetlands Restriction Act (M.G.L. c. 130, § 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 CM 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 ZNo. Proprietary BMPs are included in the Stormwater Management System. b. heck 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 wpaform3.doc • rev. 6/18/2020 Page 7 of 9 t�94r 7- 4 Massachusetts Department of Environmental Protection Pro%ddea by Ma"DF-P; Bureau of Resource Protection - Wetlands MassDEP Fie Number WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 t)ocurnent Transadlon Nu�tber -West Yarmouth Town of Yarmouth Wetland By -Law, Chapter 143 City/Town to the boundaries of each affected resource area. D. Additional Information (cont'd) 3. ❑ 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. Proposed Site and Septic Plan a. Plan Title All Cape Septic and Survey Steve Moore b. Prepared By c. Signed and Stamped by January 1 I Zo ZZ 1" = 20' d. Final Revision Date e. Scale 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: 711'1 Z- I 1 t q 1 zZ 2. Municipal Check Number zt13 4. State Check Number ___Ht C. N A,eA- 6. Payor name on check: First Name 3. Clieck date 1011 ZZ_ 5. Chedk date Atw.,r c1rof 7. Payor name on check: Last Name wpaform3.doc • rev. 6/18/2020 Page 8 of 9 4 Massachusetts Department of Environmental Protection ProvidedbyMasst7EP. Bureau of Resource Protection - Wetlands MasspRFile Number WPA Form 3 — Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction NumberWest Yarmouth Town of Yarmouth Wetland By -Law, Chapter 143 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. - / e;�S� 61&,Z ���aAk 4106" /1c?/2Q?_Z 1. SigOiature of App ican 2. Date 3. Sign ture f Property Own r (if different) 4. Date 5. Signature of Representative (if any) 6. Da 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. 6/18/2020 Page 9 of 9 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands NOI Wetland Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Applicant Information 1. Location of Project: 10 Berwick Road a. Street Address -L% 1 z, c. Check number 2. Applicant Mailing Address: -u7 ANNEF a. First Name c. Oroaniaation R, FR- 4 J Z4, e- 4,4d d. Mailing Address oe 5r YAA"VTIA e. City/ rown h. Phone Number i. Fax Number 3. Property Owner (if different): a. First Name c. Organization d. Mai Finn Address West Yarmouth b. Cityrrown 'L 1-1 , Sb d. Fee amount ,4oLP,nJ e-J,twJ 5 TR,j5tc- b. Last Name IX" r' j. Email Address b. Last Name MA f. State pz6T2 g. Zip Cooe e. Uty/1 own 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 list and Fee should be calculated using the following process & worksheet. Please see Instructions before examples in the filling out worksheet. instructions for filling out WPA Step IfType 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.doe • Wetland Fee Transmittal Form • rev. 10/11 Pagel of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands NOI Wetland Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Fees (continued) Step Irrype of Activity C. Submittal Requirements Step 2/Number of Activities Step 3/Individual Activity Fee 500 . 70 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 roo.D0 Soo . OD 51019 . t70 a. Total Fee from Step 5 V5 7. 50 b. 1/2 Total Fee less $12.50 Ze2, 4$;70 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.) 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 __ M %,C-�A-& 4�&C-0 P-J B. 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 ) C) (3PrL.J I UL em,f D. Proposed work is _ GOdll 51-aV61r 5lu!! j4 t-A ✓vi t 440us� DfJ A llAc/3^-7r- Lo i LocATti IAl Tpg7 E ?-d'✓C- 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. F. Copies of the Notice of Intent may be obtained from either the applicant or applicant's representative. Applicant's phone number FOR 't.0 D Or Applicant's representatives phone number 50� 13 - ( --) --1 7 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) Name 1 t�V� C �-(.t CEO (� ✓I-) Address f)zt ZE Townw At- State I"^' Zip 0 7-ko- Telephone Sa 2, -1-5 -7 (`1 -7 7 NOTES : • 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. 22/ 217/ / / 22/ 226/ NOLAN JOAN A TRS WHITE KENNETH H III THE J A NOLAN TRUST WHITE MARCELLE J 11 COUGHLIN RD 7 WILLOW ST NORTH EASTON , MA 02356-2007 MILFORD , NH 03055 22l 218/ 1 1 22/ 225/ NOLAN EDWARDS JOANNE MCGRATH JOHN R TRS EDWARDS TYRONE T DENNIS REALTY TRUST PO BOX 765, 558 SPRINGS RD WEST YARMOUTH , MA 02356 BEDFORD , MA 01730-1115 221 2191 / 1 221 224/ WILSON ROBERT K JR TENTE DAVID J P O BOX 23 TENTE LESLIE J WEST YARMOUTH , MA 02673 18 WINDMILL LN RUMFORD , RI 02916 22/ 220/ / / 22/ 215.21 HAYES DANIEL F DISIPIO ANTHONY G HAYES MARCELA M DISIPIO LAURA 11 DARLENE DR 530 NORTH ST SOUTHBOROUGH , MA 01772 WALPOLE , MA 02081 221 2211 I I EDWARDS WAYNE J EDWARDS THERESA M Please use this signature to certify this list of properties 14 FIELDCREST CIR SOUTH EASTON , MA 02375 abutting within 100' of the parcel located at: 10 Berwick Rd., West Yarmouth, MA 02673 22/ 213/ / 1 Assessors Map 22, Lot 218 HENDERSON MARY B C/O HENDERSON MARY B TR 61 FRANKLIN ST EXT Andy Mado, Director of Assessing WEST YARMOUTH , MA 02673 January 20, 2022 22/ 215.1/ / / PETKAUSKOS BRANDON PAUL P O BOX 263 WEST YARMOUTH , MA 02673 22/ 223/ MARTIN GERALD E MARTIN KATHY M 12 CHESIRE LN TEWKSBURY , MA 01876 22/ 2161 PERSONENI PETER L TRS PERSONENI MARGARET M TRS 2 BERWICK RD WEST YARMOUTH , MA 02673 221 2141 1 1 KELLY KATHLEEN KELLY J JR & M GILBERTO J F 225 HAYNES RD SUDBURY , MA 01776 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.1s 'XoA^fWC 4°y°"J s , V�o 4ti 41 B. 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 finder 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 l D Gee ij i gA4 1?4ojd D. Proposed work is C,OIU S'i'YZuGy SJAJG7Q- ✓►4 i L-7 440US.-C ON A (/AG/1A- LOT- Loc-A7t-J rnl TH6 AF, 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. F. Copies of the Notice of Intent may be obtained from either the applicant or aaplicant's representative. Applicant's phone number Or Applicant's representatives phone number 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. 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