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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
\i\ WPA Form 5 — Order of Conditions
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Town of Yarmouth Wetland By-law, Chapter 143
A. General Information
Please note: Yarmouth
r...., s,., C r
Provided by MassDEP:
5E83-2189
MassDEP File #
eDEP Transaction #
Yarmouth
City/Town
beenumodified V Conservation Commission
with added 2. This issuance Is for
space to a. ®Order of Conditions b. ❑ Amended Order of Conditions
accommodate (check one):
the Registry
of Deeds 3. To: Applicant:
Requirements
Mark Gombar
a. First Name
Important:
When filling
Powers Management LLC
out forms on
c. Organization
the
P.O. Box 1667
computer,
use only the
d. Mailing Address
tab key to
Carlsbad
move your
e. City(Town
cursor - do
not use the
4. Property Owner (if different from applicant):
return key.
rab
a. First Name
relam
c. Organization
d. Mailing Address
e. City/Town
5. Project Location:
55 Powers Lane
a. Street Address
15
c. Assessors Map/Plat Number
Latitude and Longitude, if known:
wpaform5.doc • rev. 11112/2014
b. Last Name
CA
f. State
b. Last Name
f. State
West Yarmouth
b. City/Town
17
d. ParceilLot Number
d m s
d. Latitude
92018
g. Zip Code
d m s
e. Longitude
Page 1 of 12
Massachusetts Department of Environmental Protection
Provided by MassDEP:
Bureau of Resource Protection - Wetlands
SE83-2189
WPA Form 5 — Order of Conditions
Ll
MassDEP FNeMassachusetts
Wetlands Protection Act M.G.L. c. 131, §40
eDEP Transaction ##
Town of Yarmouth Wetland By-law, Chapter 143
Yarmouth
A. Genera! information (cont.)
City/Town
s. Property recorded at the Registry of Deeds for (attach additional information
if more than
one parcel):
Barnstable 182561
a. County b. Certificate Number (if registered land)
c. Book d. Page
T Dates: 2/21/19 3/7/19 3/27/19
a. Date Notice of intent Filed b. Date Public Hearing Closed c. Date of Issuance
a. Final Approved Plans and Other Documents (attach additional plan or document references
as needed):
Proposed Site Plan Showing Proposed Deck Expansion
a. Plan Title
J.M. O'Reilly & Associates Inc. John O'Reilly
b. Prepared By c. Signed and Stamped by
3/13/19 1 "=2_0
d. Final Revision Date e. Scale
f. Additional Plan or Document Title
g. B. Findings Date
Findings pursuant to the Massachusetts Wetlands Protection Act. -
Following the review of the above -referenced Notice of Intent and based on the information
provided in this application and presented at the public hearing, this Commission finds that
the areas in which work is proposed is significant to the following interests of the Wetlands
Protection Act (the Act). Check all that apply:
a. ® Public Water Supply b. ❑ Land Containing Shellfish ® Prevention of
Pollution
d. ® Private Water Supply e. ❑ Fisheries f ® Protection of
Wildlife Habitat
g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control
2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes)
Approved subject to:
a. ® the following conditions which are necessary in accordance with the performance
standards set forth in the wetlands regulations. This Commission orders that all work shall
be performed in accordance with the Notice of Intent referenced above, the following
Generai Conditions, and any other special conditions attached to this Order. To the extent
that the following conditions modify or differ from the plans, specifications, or other
proposals submitted with the Notice of Intent, these conditions shall control.
wpaform5.doc • rev_ 11112/2014
Page 2 of 12