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Home My WebLink AboutRDAMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth WPA Form 1- Request for Determination of Applicability City/Town Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Town of Yarmouth Wetland By -Law, Chapter 143 A. General Information Important: When filling out 1. Applicant: forms on the Brian Basler computer, use Name only the tab key to move your 46 Minnetuxet Way cursor - do not Mailing Address use the return Yarmouthport key. CityFrown r� Phone Number 2. Representative (if any): Hamlyn Consulting Firm Lynne Whiting Hamlyn Contact Name 690 Thousand Oaks Drive Mailing Address Brewster City/Town 774-323-0603 Phone Number B. Determinations 1. 1 request the Yarmouth Conservation Commission E-Mail Address MA 02675 State Zip Code Fax Number (if applicable) Ihamlyn@capecodwetlands.com E-Mail Address MA 02631 State Zip Code Fax Number (if applicable) make the following determination (s). Check any that apply: ❑ 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. Requesting Negative 3 Determination ® 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: Yarmouth 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 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): 63 Thacher Shore Road Street Address 122 Assessors Map/Plat Number Yarmouth(port) City/Town 24.1 Parcel/Lot Number b. Area Description (use additional paper, if necessary): Surrounding area is developed with mostly year-round homes. This lot is vacant: the first 70'+/- of the access driveway is within the Conservation Commission's jurisdiction. A Salt Marsh, Bordering Vegetated Wetland and Coastal Bank lie across Thacher Shore Road from locus. See attached U.S.G.S. Topographic Map, FEMA FIRMette, Assessor's Map and Site Plan c. Plan and/or Map Reference(s) Plan of Land, #63 Thacher Shore Road, Yarmouth Port, MA December 12, 2016 Title Date Prepared for David Swift Title Date Prepared by Down Cape Engineering, Inc_. Title Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): Work involves the upgrading of the existing dirt driveway to gravel as approved by the Planning Board: removal of a large boulder from the entrance area; installation of an equalizing drainage pipe underneath the driveway; and installation of underground utilities — see attached. wpaform I doc Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth City/Town WPA Form 1- Request for Determination of Applicability LIOI� 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). None of the proposed work will have a deleterious effect on the Resource areas (which include Salt Marsh. Borderina Vegetated Wetland and Land Subject to Coastal Storm Flowage). 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 Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth WPA Form 1- Request for Determination of Applicability City/Town 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: Brian Basler Tr., William Sullivan Tr., Basler Sullivan RealtyTrust Name - -- - P.O. Box 119 Mailing Address Yarmouthport 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. Signature of Applicant Date Sig ature of Representative (i any) Date wpaform 1.doc Page 4 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth -- WPA Fo rm I - Req u est fo r beta rm Frl ati on of A ppl- il its C Massach usetts Wetlands Pr otec6ort Act M. G. L, o_ 131, � Town of Yarmouth Wettand By -Law. C hapter 143 0. Signatures and Suhmittal Requirements I hefeby caftiFy urld�!r the penalties of pequry thnE the foregoing Req-ue5t for Determination of Applicmiiiity and ai=mpanyrin!� plarr5, documents, grid suppQrtan!g cl= are Prue and ccreopWW f4 the best of my kncwledgs. I frurlhw CArtify that the property owner, if different frofn the npplicank, and the apprvpriale DEP Regional Of ice were serrt a com pl&te copy of this Request f including all appmpfiate docurnenlaticr ) Mrnuttanaouslyr with :lhe :s5Lrtrmiftl ¢f this Request to tfre nsre"ation Ccm:ni:ssion. Failure I#y the ani icant to sond copies in a timely m2l1r7et-r may result in dismissal of Rhe Request fpr Deierrnin3tion ofAppicabifity. Name and address of the prape%rty owner; Brian Pasler Tr., William Sullivan Tr., Pasler 5uiliv011) Re3Itx!rust Name P1.0_ BOX T7-� Ming Address Yarm9tikftip7t Qq.vn MA 0267:5 StPhC zip Ccde Signature$ - I also uridefsrand ]hat notifiGa: Fw of thls Request will he 151�iiCE�d in a local newspaper :�k my e):Pense in acxordancA with 5eclicn 10.05(3Xb)(1) of the Wetlands Proteuitm Act regulations. / �4%,rf t._._ SiQ31Ure Of Repte�eMxli,re any? f Ihrjff401d