COC requestDATE: 06/27/2022
FROM: Ansley Rodormer
Town of Yarmouth
Conservation Commission
Method of Delivery: Deliver
104 Wharf Lane, Yarmouth
Port (SE83-2031
Enclosed is the Certificate of Compliance Request filing for 104 Wharf Lane, Yarmouth Port,
including:
• Town of Yarmouth COC Checklist
• Statement from Daniel A. Ojala, PE, PLS
• WPA Form 8A — Request for COC
• Photographs of Site
• $75 filing fee
Please call/email should you have any questions
Cc: File 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
DEPARTMENT
OF
CQNSERVATION
F / / AlA
u� .7r�atinzatiaxc:
All filings must be made on Town of Yarmouth forms.
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 guidelines shall result in an Administrative
Incomplete Application and will not be advertised for a Public Hearing.
Contact the office if you need assistance. We will be happy to help guide you through the process.
S a� �eicactcan:
1 original application with original signatures
1 pdf of application, plan/sketch, and other supporting information emailed
to k rg ant@yarmouth.ma.us
Statement from Engineer or stamped As -Built plan, refer to 310 CMR 10.05(9)(d)
Local filing fee — Refer to fee schedule, Check payable to "Town of Yarmouth"
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
939 main street rt 6a
yarmouth port
mass 02675
land court
surveys
structural design
site planning
sewage system
designs
inspections
permits
own caj'18 800108cring, Inc
civil engineers & land surveyors
June 245 2022
Yarmouth Conservation Commission
1146 Route 28
South Yarmouth, MA 02664
RE: Request for Certificate of Compliance
SE83-2031
Dear Commission Members:
tel. (508) 3624541
tax (508) 36M880
Daniel A. Ojala, P.E., P.L.S.
Arne H. Ojala, P.E., P.L.S.
Daniel E. Gonsalves, P.E., S.E
Craig J. Ferrari, E.I.T., S.E.
The Conservation Commission issued an Order of Conditions for 104 Wharf Lane Yat7nouth
Port on 8/19/2015.
Down Cape Engineering, Inc. performed a site visit to determine compliance on June 9, 2022.
This is to certify that the work was completed in substantial compliance with the approved
pIan and Order of Conditions. We are hereby requesting the issuance of a Certificate of
Compliance at this time.
Thank you for your consideration.
Very truly yours,
Daniel A. Ojala, PE, PLS
Down Cape Engineering, Inc.
Important:
When filling out
forms on the
computer, use
only the tab
key to move
your cursor -
do not use the
return key.
rah
:1
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.
Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 8A — Request for Certificate of Compliance 83-2031'
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By-law, Chapter 143
A. Project Information
1. This request is being made by
John & Dorothy Marchildon
Name
100 Wharf Lane
Mailing Address
Yarmouth port MA 02675
City[Town State Zip Code
Phone Number
2. This request is in reference to work regulated by a final Order of Conditions issued to:
John & Dorothy Marchildon
Applicant
8/19/2015 83-2031
Dated DEP File Number
3. The project site is located at:
104 Wharf Lane (previously known as "100A Wharf Lane")
Street Address
130
Assessors Map/Plat Number
Yarmouth Port
City/Town
9-1
Parcel/Lot Number
4. The final Order of Conditions was recorded at the Registry of Deeds for:
John &Dorothy Marchildon
Property Owner (if different)
Barnstable 29127
County Book
Certificate (if registered land)
5. This request is for certification that (check one):
Page
® the work regulated by the above -referenced Order 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 above -referenced Order of Conditions has lapsed and is therefore no longer valid, and the
work regulated by it was never started.
wpaform8a.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
V Project Information (cont.)
DEP He Number:
Provided by DEEP
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-you r-city-or-town. html).
wpaform8a.doc ••rev. 5/29/14 Page 2 of 2
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