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Home My WebLink AboutRDADATE: 03/29/2022 FROM: Ansley Druckenbrod Yarmouth Conservation Commission Method of Delivery: Deliver TRANSMITTAL 717 Willow Street, South Yarmouth Enclosed is the RDA filing of 717 Willow Street, South Yarmouth, including • Town of Yarmouth RDA Checklist • Project Narrative • WPA Form 1 — RDA • Yarmouth Assessors Map 42 • $75 filing fee • $10 legal ad Cc: File Please call/email should you have any questions DOWN CAPE ENGINEERING, INC. 939 MAIN ST, SUITE C YARMOUTHPORT, MA 02675 PHONE: 508-362-4541 X100 FAX: 508-362-9880 E-MAIL: ansley�a downcape.com fi2lnotudim 4 CONSERVATION OFFICE All filings must be made on Town of Yarmouth forms found at www.ya1mouth.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. S ace CLppei'.catiar�: r/ 1 original application with original signatures (double sided). 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 BVW delineation sheet(s), coastal bank calculation and other relevant material (in hardcopy form). 1 hardcopy of a Yarmouth Assessor's locator map highlighting parcels) where work is proposed, including map and parcel numbers. Assessor's maps can be found at www.varmouth.ma.us/70/Assessor 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. A pdf copy of the application, supporting information and plan/sketch emailed to kgrant(i1yarmouth.ma.us. 1 / Please put the property's street address in the pdf file name. Local filing fee — separate check payable to "Town of Yarmouth". Legal ad fee — separate check payable to "Town of Yarmouth". / (Refer to Fee Schedule at httos://www.yarmouth.ma.us/696/Filing-Forms) y A pdf copy of the signed application and plan/sketch must be sent VIA EMAIL to DEP, Southeast Region at SERO_NOI@mass.gov with a subject line showing "YARMOUTH - RDA - Street Address - Applicant Name" and copied to k_qrant@yarmouth.ma.us. We must receive a copy of this email as proof that it has been sent to DEP. N � 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(yarmouth.ma.us. * If the applicant is NOT the property owner: N p Please submit a signed Site Access Authorization Form; AND 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 026644492 Tel. (508)-398-2231 Ext. 1288 •Fax (508)-398-0836 • TTD# (508) 398-2231 • korant(c�yarmouth.ma.us Rev. 2/2022 REQUEST FOR DETERMINATION OF APPLICABILITY 717 Willow Street, South Yarmouth, MA Project Narrative The applicant is pleased to submit a Request for Determination of Applicability application for an addition and septic system upgrade. The 17,436 square foot property is surrounded by existing dwellings in a coastal area of South Yarmouth. This single- family home is more than 1000 feet from the Bass River and any Priority or Estimated Habitat of endangered species. Therefore, no work will take place in either NHESP or coastal resource areas. The resource area affecting this the site is Land Subject to Coastal Storm Flowage (LSCSF) AE EI. 11. All other resource areas are located greater than 100' from the property. Site improvements for this project are an addition of living space in an area now occupied by a deck. Renovations to portions of the existing dwelling. And a new septic system to include a new septic tank and leaching field. The site was surveyed by Down Cape Engineering Inc. and the topography is based on the current NAVD '88 flood zone datum. No increase in the number of bedrooms is proposed. No fill is expected to be required for this project. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 4:1 ICI Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information 1. Applicant: David Pearson Name 3440 Austin Court Mailing Address Alexandria City/Town 73-589-8466 Phone Number Yarmouth City/Town davidpearson83@msn.com E Mail Address IJ:I State Fax Number (if app 22310 Zip Code 2. Representative (if any): Down Cape Engineering Inc Firm Daniel Ojala PE PLS Downcape@downcape.com Contact Name E-Mail Address 939 Main St. Mailing Address Yarmouthport MA 02675 CityrFown State Zip Code 508-362-4541 508-362-9880 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 plans) and/or man(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: 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). wpaformt.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 WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. Co 131, §40 Yarmouth citylTown C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 717 Willow St. Street Address 42 Assessors Map/Plat Number South Yarmouth City/Town 136 Parcel/Lot Number b. Area Description (use additional paper, if necessary): Sinqle Familv home constructed in 1947 in area of other single c. Plan and/or Map Reference(s): Title 5 Site Plan of 717 Willow Street Title Title Title homes near Bass River 3-23-2022 Date Date 2. a. Work Description (use additional paper and/or provide plans) of work, if necessary): Proposed addition in area of existing deck. Upgrade of septic system in new location. wpaforml.doc •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 WPA Form 1= Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. Cr 131, S40 C. Project Description (cont.) Yarmouth cftylTown bI 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). Flood zone only filing, no fill is proposed. 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 asingle-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. 7/27/2020 WPA Form 1 —Request for Determination of Applicability •Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth Cityrf own I 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: David Pearson Name 3440 Austin Ct Mailing Address Alexandiria City/Town VA 22310 Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in accor nce with Section 10.05(3)(bA 1 of the Wetlands Protection Act regulations. &07 /kozo 2 c�/YI� rC 22 nature of Applicant Signature of Representative (if any) �%/N 1 CL JOA) Oy Date Date wpaforml.doc •rev. 7/27/2020 WPA Form 1 —Request for Determination of Applicability •Page 4 of 4 u - - e - - - - t - �{ enzsou °" wLU N CAr u ell o a 8< I V I P El CO LO WI m I ,� a A t u . 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