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Home My WebLink AboutRDAMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands YARMOUTH t WPA Form 1- Request for Determination of Applicability Cit Own Massachusetts Wetlands Protection Act M. G.L. c. 131, §40 A. General Information Important: When filling out 1 • Applicant: forms the computer, use MICHAEL FARRELL Name ---- — michaelffa rre I liggmail.com only the tab key to move your 87 BROWNS BEACH ROAD E-Mail Address cursor - do not Mailing Address - use the return BRISTOL key. City/Town NH 03222 617-549-8240 State Zip Code tab Phone Number _ Fax Number (if applicable) 2. Representative (if any): COTUIT BAY DESIGN Firm -- — - - _ -- — STEVE COOK Contact Name 43 BREWSTER ROAD Mailing Address ---. MASHPEE City/Town --- — _(508) 274-1166 Phone Number ---- B. Determinations steve@cotuftbavidesign.com E-Mail Address MA 02649 State Zip Code fax Number (if applicable) 1. 1 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. ® 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: TOWN 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). wpaforml.doc • rev. 7/27/2020 WPA Form 1 — Requost for Determination of Applicability • Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands YARMOUTH PA Form I - Request for Determination of Applicability CirylTowrt Llll� Massachusetts Wetlands Protection Act M. G.L. c. 131, §40 C. Project Description 1. Q. Project Location (use maps and plans to identify the location of the area subject to this request): 175 PINE GROVE ROAD SOUTH YARMOUTH Street Address �— — City/Town As _ 200 Assessors Map/Plat Number Parcel/Lot N b. Area Description (use additional paper, if necessary): The property is a 5827 SF developed lot in South Yarmouth. The property in primarily open with a few trees close to the front property line. It is located approximately 1300 ft north of Parkers River Beach and 2300 ft east of Parkers River, There are no wetland resource areas within 100 ft of the property.The property lies within FEMA designated flood zone AE(EL11) and is Land Subject to Coastal Storm Flowage. C. Plan and/or Map Reference(s): Proposed Septic S stem/site Plan, 175 Pine Grove Rd, So. Yarmouth, MA 11/28/22 Title Date Title - -� �- Date -- Title � Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): The proposed work will consist of raising the existing building above the flood elevation and upgrading the septic system with a new pressure distribution subsurface sewage disposal system. Areas disturbed during construction will be restored loam, seed, plantings and mulch. Driveway will be restored with avement or crushed stone or as otherwise directed bar the approving authority. wpNforml.doc • rev, 7/27/2020 WPA Form 1 - Request for Determination of Applicability • Page 2 of 4 Massachusetts Department of Environmental Protection LI\", Bureau of Resource Protection - Wetlands YARMOUTH WPA Forml - Request for Determination of Applicabili cityrrown Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Project Description (cont) b. Identify provisions of the Wetlands Protection Actor 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). 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 817/96 ❑ 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. 71271202o WPA Form 1 — Request for Determination of Applicability • Page 3 of 4 LIMassachusetts 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 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: Name is-7 9ro -v v.S J�wG j,, JZ�� Mailing Address 7 cz N �A (?J 72 Z Z City/Town ) State Cn 3Z ZZ Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense iqrdSfgnature ance with S c - in) ) 10.05(3) of the Wetlands Protection Act regulations. of A PH an Dat Signature cVROresentarlva (if any) Date wpaforml.doc - rev. 712712020 WPA Farm 1 — Request fvr Determiratlon of Applicability • Page 4 of 4 DEPARTMENT OF CONSERVATION aewP d Ak—WWEl f If the applicant is not the property owner, please submit this form with your application. The owner must be sent a copy of the application on the same day it is filed with this office. Property Address: 175- lPf',1.e Ct'a" z ack Assessors Map/Lot: 2 Sf- ZQc2 I (we) hereby authorize the individual members of the Yarmouth Conservation Commission and its agents to enter upon the referenced property for the purpose of gathering information regarding the application filed with the Commission pursuant to the Wetlands Protection Act (M.G.L. Ch. 131, s. 40) and/or the Yarmouth Wetlands Protection Bylaw (Chapter 143). Authorized Signature: Date: "2- Please Print Name: If other than owner, please state whether tenant, agent, or other: Mailing Address: �r--7 Lam. r�,� �1 s �t, (?� c`• 5+t N " G 3 2.2Z. Phone: Cell: G 1 -7 - 5 -ZTZq 0 Email: rn PPQ ym I Fax: r0fk g tM.0 ► I - cc m 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 EEK 00 COTUHTO BAD DESUIL�51G ING DESIGN STEVE COOK Project Narrative 175 Pine Grove Road South Yarmouth, MA Owners: Michael and Deborah Farrell Map 25 parcel 200 This property is located in an AE flood zone B.F.E 11.0'. The proposed work on the exiting house exceeds 50% of the market value. Per FEMA and building code the house will be raised on a new foundation to meet the elevation requirements. The house and rear porch will be placed on a concrete foundation. The rear porch will be re -built. The front porch will be re- built on sonotubes. The existing landscape is grass, oak trees, low vegetation. All disturbed areas to be re -planted per landscape plan. A new septic system will be installed in the rear yard. Steven Cook Cotuit Bay Design, LLC