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Home My WebLink Aboutapplication documentsCONSERVATION OFFI CE Oµ . _ y ` HATTACP CSF.(1 4' &k4Cfi& t All filings must be made on Town of Yarmouth forms. The filing deadline is two weeks prior to the next scheduled Conservation Commission meeting for new applications. Failure to follow this Checklist shall result in an Administratively Incomplete Application and will not be advertised for a Public Hearing. Refer to the meeting schedule. Contact the Conservation Office if you need assistance. Does the property have any outstanding/expired Orders of Conditions? If so, please file a Request for Certificate of Compliance for each outstanding/expired Order, as the Commission may not issue a new Order until any outstanding/expired Orders have been closed and recorded. (*see page 2) Hardcopy filing dropped off or mailed to the Conservation Office including: NZ 1 Administrative Checklist _ N/ 1 NOI application with original signatures (double sided). Typed signatures will not be accepted. 1 detailed narrative of the project including: existing & proposed conditions, construction sequence, type of equipment, staging locations, drainage and stormwater, erosion controls, invasive species management and alternative analysis. The narrative shall include how the project meets performance standards per 310 CMR 10.0 & TOY Wetland Bylaw, Chapter 143, BVW delineation sheets or other resource area calculations, and supporting information. 1 100' radius map, current abutters list identifying the property owners who are to be notified per 310 CMR 10.00and abutter notification form. Abutters list must be certified by the Town Assessor's office. The Assessor's office requires 7 days advance notice. All abutters must be notified via certified mail. �Z Certified Mail Receipts (PS Form 3800) for all abutters. Green cards to be submitted at the hearing. 1 original and 7 copies of the plan, folded separately, right side out with title and project address visible. All plans shall reference NAVD1988 unless otherwise noted. Landscape plans shall be detailed to show proposed & existing conditions, native species, size and spacing. See plan requirements _Yarmouth's share of State filing fee: Separate check made payable to "Town of Yarmouth" (refer to NOI Wetland Fee Transmittal Form) By-law filing fee: Separate check made payable to "Town of Yarmouth" Legal ad fee: Separate check made payable to "Town of Yarmouth" Please list project property's street address on checks. Refer to Fee Schedule DEP share of the fee (refer to NOI form) shall be sent to: Dept. of Environmental Protection Box 4062 Boston, MA 02211 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 Rev 3/2023 Page 1 of 2 Digital filing emailed to bdirienzoCcb-yarmouth.ma.us and kbrooks(a)-yarmouth.ma.us including: A pdf of the entire signed application, supporting information listed above, and plan. Please list project property's street address in the pdf file name. DEP Submittal If you are filing with MassDEP using eDEP, please include a copy of the submittal confirmation with your application. If not filing via eDEP, a copy of your application, plan, and all other supporting information must be sent VIA EMAIL the same day to DEP, Southeast Region at SERO_NOI@mass.gov with the subject line in the email per DEP's request listed as "YARMOUTH - NOI - Street Address - Applicant Name" and copied to bdirienzo(cDyarmouth.ma.us and kbrooks _yarmouth.ma.us. We must receive a copy of this email with the application as proof that it has been submitted to DEP. Initial below 1 CERTIFY that all on -site requirements will be completed by noon on the Friday prior to the hearing date. All proposed struu res must be staked, and all relevant resource areas and buffer zones must be staked or flagged. Jos Please consult the Yarmouth Wetland Regulations, page 17. Without proper staking your project may be deemed incomplete and be continued to the next hearing date. If Applicable Certified Mail Receipt for Massachusetts Natural Heritage and Endangered Species Program Certified Mail Receipt for Massachusetts Division of Marine Fisheries. If filing via email, CC bdirienzo(c�yarmouth.ma.us and kbrooks(aD-yarmouth.ma.us Waterway's jurisdiction — Any coastal projects such as, but not limited to, docks, piers, bulkheads, revetments, dredging and boardwalks shall require submittal of all Notice of Intent, plans and supplemental information to the Town of Yarmouth Waterways/Shellfish Committee via the Natural Resources office by certified mail or hand delivery. The applicant or his/her representative must provide the Conservation office proof that this has been done or the filing will not be accepted. Other Requirements o Does the proposed project meet the applicable regulations of the Town of Yarmouth Zoning bylaws? Do you need to file with the Yarmouth Board of Appeals? If so, you must file with both boards at the same time. o If a vacant lot, have you completed and received a determination for the Building Department for a lot inquiry form? *To view all Conservation files/permits for the property address online, go to www.varmouth.ma.us/LF 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 Rev 3/2023 Page 2 of 2 DEPARTMENT OF CONSERVATION (7 oz' atfaw, °Pa�irn t�wvuaf �L7114vunatian": 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: 4 Malfa Road, West Yarmouth Assessors Map/Lot: 20/27.1 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: Please Print Name: Kathryn Wilson, Trustee, R Bergen Van Doren Trust If other than owner, please state whether tenant, agent, or other: Mailing Address: P. 0. Box 901 Falmouth, MA 02541 '77 Phone: 5 0&2- Cell: �23 7? Email: kwilson(&-mackevfoster.com Fax: grassflowerknfts@gmaii.com 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 CONSERVATION OFFICE Town of Yarmouth Conservation Commission 21 -DAY WAIVER Please complete this form, sign at the bottom and return to the Conservation Office. I, Jean E. Duff -Still, Cape & Islands Engineering, Inc. , hereby waive the 21 -day time period for a public hearing/meeting and/or issuance of the: OOC / DOA COC / ORAD following receipt of my filing of a: V1 Notice of Intent F-] Request for Determination of Applicability Request for Certificate of Compliance Other by the Yarmouth Conservation Commission under Massachusetts General Laws, Ch. 131, sec. 40, and/or under Yarmouth Wetland Bylaw. The application was submitted on -2-D 2- 25 (date r6ceived by Conservation Office) for work at 4 Malfa Road, West Yarmouth (project addressAocation) I am the: F-1 Applicant EZ Applicant's Representative F] Property Owner Signature Date NOTE: Please be advised that you will be notified of the meeting date once this application has been assigned to a Conservation Meeting Agenda at the email address listed on the application. 21 day waiver NOTIFICATION TO ABUTTERS UNDER THE MASSACHUSETTS WETLANDS PROTECTION ACT & TOWN OF YARMOUTH WETLAND BY-LAW, CHAPTER 143 In accordance with the second paragraph of the Massachusetts General Laws Chapter 131, Section 40, you are hereby notified of the following: A. The name of the applicant is R. Bergan Van Doren Revocable Living Trust, William K. Mackey, Lucinda V. Albrecht B. The applicant has filed a Notice of Intent with the Yarmouth Conservation Commission, seeking permission to remove, fill, dredge or alter an Area Subject to Protection under the Wetlands Protection Act (MGL c. 131 s. 40 & Town of Yarmouth Wetland By -Law, Chapter 143). C. The address of the lot where the activity is proposed is 4 Malfa Road West Yarmouth MA - D. Proposed work is: Coastal Beach and Coastal Dune Stabilization. E. Copies of the Notice of Intent may be examined at the Yarmouth Town Hall at the Conservation Commission office between the hours of 9:00 a.m. and 4:00 p.m. Monday thru Friday. For more information, call (508) 398-2231 ext. 1288. F. Copies of the Notice of Intent may be obtained from the applicant's representative. phone number 508-447-7272 G. Information regarding the date, time and place of the public hearing may be obtained by calling the Yarmouth Conservation Commission office at (508) 398-2231 ext. 1288 H. Person sending this notification (applicant, representative or other) Name Jean E. Duff -Still, Cape & Islands Engineering, Inc. Address 800 Falmouth Road Suite 301C Town Mashpee State MA Zip 02649 Telephone 508-477-7272 NOTES: • Notice of the public hearing, including date, time and place will be published at least five (5) days in advance in a newspaper of general circulation. • Notice of the public hearing, including date, time and place will be posted in the Town Hall not less than forty-eight hours in advance. • You may also contact the Southeast Regional Office of the Department of Environmental Protection at (508) 946-2800 for more information about this application. 20/ 241 / t ZELCH BRANDON J ZELCH JESSICA 51 PARK AVE WEST YARMOUTH , MA 02673 20/ 25/ t / CENTOPANIKATHLEEN B 97 STROBEL RD TRUMBULL , CT 06611 20/ 26/ / / DOUGLAS LISA A TRS C/O ANTHONY FEOLA 20 WARREN ST MEDFORD , MA 02155 20/ 27.1/ / / MACKEY WILLIAM K TRS ALBRECHT LUCINDA V TRS P0BOX 901 FALMOUTH , MA 02641 20/ 28/ SHRAGO JEFFREY K TRS SHRAGO ELLEN L TRS 45 PARK AVE WEST YARMOUTH , MA 02673 20/ 27.31 / 1 ABRECHT LUCINDA V TR C/O WM K MACKEY TRS P O BOX 901 FALMOUTH , MA 02541 201 27.21 / 1 VAN DOREN R BERGEN C/O WM K MACKEY TRS P O BOX 901 FALMOUTH , MA 02541 Please use this signature to certify this list of properties abutting Within 100' of the parcel located at: 4 Malfa Rd., West Yarmouth, MA 02673 Assessors Map 20, Lot 27.1 Abutters a" &a Andy Malthado, Director of Assessing May 2, 2023 Postal Service' ru CERTIFIED ° RECEIPT Domestic Mail On)y rn Certified Mail Fee r-1 Extra Services & Fees (ctxtck box, add fee as apprcpmtol 1:3 ❑ Return Receipt (ttadoopy) $ O ❑ Return Receipt (electronic) $ k Postmark It ❑ Cert�ed Mail Restricted Delivery $ Here rt.l ❑Adult Signature Required $ Lrl ❑Adult Signature Restricted Delivery $ Postage Total, Zelch Brandon J i1- a rs Zelch Jessica a,51 Park Avenue `oWest Yarmouth, MA 026730" l _ A f _ IU.S. Postal Service'" CERTIFIED MAILC Domestic Mail Only For delivery Information, visit ou 1! M Certified Mail Fee .� $ Extra Services & Fees (chock box, add fee as appropriate) 0 ❑ Return Receipt (hardcopy) S 0 ❑ Return Receipt (electronic) $ :. Postmark ❑ Certified Mail Restricted Delivery $ e'" }{'VIj ❑ Adult Signature Required $ 1 f � El Adult Signature Restricted Delivery $ Postage ri Total Pc Centopani Kathleen B o $ 97 Strobel Road Q.. sent To Trumbull, CT 06611 m SO-eeia ----------- u7 Ir rn Ciry, st f CERTIFIED M.A Domestic Mail Only For delivery information, vL u rn Certified Mail Fee ...0 $ r-- Extra Services & Fees (Umck bow, add fee as ep 1:3 ❑ Ralum Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ O C3 ❑ Certified Mail Restricted Delivery S ❑Adult Signature Required $ L11 ❑ Adult Signature Restricted Dollvery $ C3 Postage Douglas Lisa A Trs Total Po c/o Anthony Feola o $ 20 Warren Street Sent To Q' Medford, MA 02155 ccEr S`treet an Ln Il�ul�il U.S. Postal Service- ' CERTIFIED MAIL° RECEIF Domestic Mail Only For delivery information, visit our website at ovw u fTl Certified Mail Fee -0 $ r-1 Extra Services & Fees (check box, add fee as apprcpria C3 ❑ Return Receipt (hardoopy) $ (� ❑ Retrrm Receipt (electronic) $ 4ms ❑ Certified Mail Restricted Delivery $ He 4. pa ru ❑Adult Signature Required $ _ Lrj ❑ Adult Signature Restricted Delivery $ _ Postage a $ Van Doren R Bergen Total Po o c/o Wm K Mackey Trs Ir sent To PO Box 901 co Shea w, Falmouth, MA 02541Ln _ dlS ' • f (Y1 6L,- V C� ,fax /,} ' CERTIFIED MAIL° RECEIF Domestic Mail Only For delivery information, visit our website at lvw u M Certified Mail Fee $ QExtra Services & Fees (check box, add fee as sppropdate) - - ❑ Return Receipt (hardcepy) $ ❑ Return Receipt (electronic) $ tl-.< Postmark E-3 ❑ Certified Mail Restricted Delivery $ � Here []Adult Signature Required $ ru Ln ❑Adult Signature Restricted Delivery $ Postage O ra r` TotalP—Shrago Jeffrey KTrs C3 $ Shrago Ellen L Trs Sent To Er ._________ 45 Park Avenue ca Street ana Ln West Yarmouth, MA 02673 0" Ciry Slate � ti CERTIFIED o ru Ln Domestic Mail Only C m m Certified Mail Fee .11 $ rl Extra Services & Fees (ct=kbo)q add fee as apr E3 ❑ Return Receipt (harcimpy) $ ❑Return Receipt (olectronic) $ O ED ❑ Certified Mail Restricted Delivery $ []Adult signature Required $ ru Ln ❑ Adult Signature Restricted Delivery S Postao^ o $ Mackey William K Trs °-1 To`2 `Albrecht Lucinda V Trs r` sent 7 PO BOX 901 °' Falmouth, MA 02541 ca Street Ln City; 4 Iryl4 E stn4 NV� Here �; U (ewe, r-----------