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Home My WebLink About SE3-1123 REQ FOR CERT OF COMPCONSERVATION OFFICE !e% of eot" &mw �� &A � J� % kj�A� -,7= tj j � I • 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 shall result in an Administrative Incomplete Application and will not be scheduled for a Public Hearing. • Contact the Conservation Office if you need assistance. S acra Cl�peicactiafa: 1 complete hardcopy of the COC application, plan/sketch, and other supporting information to the Conservation Office - mailed to or dropped off at Town Hall. J1 complete pdf of the COC application, plan/sketch, and other supporting information emailed to bdirienzoCayarmouth.mamuss Signed statement from an Engineer or similar professional to who prepared the approved plan. — Include in hardcopy and digital submission. As -Built plan —Include in hardcopy and digital submission. Refer to 310 CMR 10.05(9)(d). *Refer to issued Order of Conditions: Special Conditions to determine if required*. Local filing fee. Refer to Fee Schedule. Make check payable to "Town of Yarmouth" and include property address in memo. All forms, Fee Schedule and Meeting schedule can be found at https://www.yarmouth.ma.us/696/Filing-Forms. *Click Yarmouth Street Index for parcel -related Conservation documents. 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 • bdiriezno(a)�yarmouth.ma.us Rev 2/2023 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ras ICI 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 Bureau of Resource Protection - Wetlands WPA Form 8A — Request for Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Project Information 1. This request is being made by: Laurie Gallagher Name 18 Lincoln Street 2 3 Mailing Address Dedham City/Town Phone Number MA State This request is in reference to work regulated by a final Order of Conditions issued to: Leonard Gallagher Applicant May 29, 1991 Dated The project site is located at: 13 Sagamore Road Street Address 29 Assessors Map/Plat Number SE83-1123 DEP File Number West Yarmouth City/Town 128 Parcel/Lot Number 4. The final Order of Conditions was recorded at the Registry of Deeds for: Leonard Gallagher Property Owner (if different) Barnstable County Certificate (if registered land) 5. This request is for certification that (check one): 7836 Book DEP He Number: SE3-1123 Provided by DEP 02026 Zip Code 307 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). construction of bulkhead and dredging; pier and platform not constructed ❑ 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 A. Project Information (com.) DEP He Number: SE3- l i zo Provided by DEP 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-ofrice- for-your-city-or-town. html). wpaform8a.doc •• rev. 5/29/14 Paget oft 939 main street rt 6a yarmouth port mass 02675 land court surveys structural design site planning sewage system designs inspections permits down cape engineering, inc civil engineers & land surveyors March 30, 2023 Yarmouth Conservation Commission 1146 Route 28 South Yarmouth, MA 02664 Re: Request for Certificate of Compliance SE 83-1123 13 Sagamore Road d Dear Commission Members: tel. (508) 3624541 fax(508)362-9880 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. On May 16, 1991, the Commission issued an Order of Conditions for construction of a wood bulkhead, dredging and to permit a platform with ramp and floats within a man-made lagoon. Extensions were granted, with the final expiration in 1999. A site visit was made for the purpose of closing out the Order of Conditions and to perform an as -built. The bulkhead was located and found to be installed as proposed. Dredging was performed in the 90's according to the owner's relative, but the lagoon has since filled in. No platform or ramp with floats were installed. This is to certify, to the best of my knowledge and belief, that the work was performed in substantial compliance with the approved plan and Order of Conditions, with the exceptions of the above. We hereby request the issuance of a Certificate of Compliance at this time. Thank you for your consideration. Very truly yours, Daniel A. 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