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HomeMy WebLinkAboutRDAMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth P 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 Steven & Cheryl Karras _ computer, use Name E-Mail Address only the tab key to move your 379 Weir Road cursor - do not Mailing Address use the return Yarmouthport MA 02675 key. City/Town State Zip Code rra Phone Number Fax Number (if applicable) 2. Representative (if any): Hamlyn Consulting Firm Lynne Whiting Hamlyn Ihamlyn@capecodwetlands.com Contact Name E-Mail Address 690 Thousand Oaks Drive MA 02631 State Zip Code Mailing Address Brewster City/Town 774-323-0603 Phone Number Fax Number (if applicable) B. Determinations 1. 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. 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). wpaform 1.doc Page 1 of 4 ILIMassachusetts 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): 379 Weir Road Yarmouthport Street Address City/Town 126 41.1 Assessors Map/Plat Number Parcel/Lot Number b. Area Description (use additional paper, if necessary): See attached U.S.G.S. Topographic Map, Assessor's Map, Site Plan and narrative c. Plan and/or Map Reference(s): Site Plan of Land, 379 Weir Road, Yarmouthport, MA Title Prepared for Steven & Cheryl Karras Title Prepared by Demarest Land Surveying Title 03/16/22 Date Date Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): Proposed construction of a barn and driveway extension. See attached narrative wpaforml.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 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 Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands Yarmouth City/Town Lll� 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 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: Steven J. & Cheryl A. Karras, Trs. Karras Realty Trust Name 379 Weir Road 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. 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