HomeMy WebLinkAboutSKM_C45823061414590}¢f Y Town of Yarmouth Stormwater By -Law Ch. 145
Stormwater Management Permit Application
Important: When filling out forms on A. General Information
the computer, use
only the tab key to Project Location:
move your cursor -
donot use the 473, 479 and 487 Station Ave Yarmouth 02664
return key. a. Street Address —
f'
b. City/Town c. Zip Code
41. 6 8 5 2 0 6 6 - 7 0.2 0 8 4 9 7 4
Latitude and Longitude:
d. Latitude e. Longitude
�--T 9 — 1, 2 and part of 3
f. Assessors Map/Plat Number g. Parcel /Lot Number
f^� 2. Applicant:
Michael — _ Gazdacko
a. First Name b. Last Name
Colbea Enterprises, LLC
c.Organization
695 George Washington Highway
d. Street Address
Lincoln RI 02865
e. Cityrrown f. State g. Zip Code
401.490.2209 mgazdackoOseasonscornermarket.com
h. Phone Number j. Email Address
3. Property
�� owner (required if different from applicant): El Check if more than one owner
(Sian, MI L0z-Z.t
a. First Name b. Last Name — —
Sandy Island LLC
c. Organization —
159 Cambridge Street
d. Street Address
Allston MA 02134
e. City/Town f. State
g. Zip Code
(01 -.251/'S��ry EuF. la j icOZZI'( jMicu-zZiManaScwte.h+-, c0,4.-,
h. Phone Number j. emati address
4. Representative (if any):
__Joni_ — Murphy_
a. First Name b. Last Name
HFA
c. company — - — —
1705 S. Walton Blvd. Suite 3
d. Street Address — — —
Bentonville AR 72712
e. City/Town f. State g. Zip Code
479.877.5668 joni.murphy@hfa-ae.com
h. Phone Number -f Email address
5. Total Fee Paid:
a. Total Fee
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�o Y Town of Yarmouth Stormwater By -Law Ch. 145
Stormwater Management Permit Application
O 'H
k
A. General Information (continued)
6. General Project Description:
Proposed new construction of a 3600sf Seasons Corner market
to include abasement, new 3648 over ead canopy with new
fuel dispensing islands, 2 ev charging spaces, 2 new 15k under-
c1rolind storage tanks with associated titi 1 i ty, aradi ncl+ Storm —
water, landscaping and curbing improvements.
7. Property recorded at the Registry of Deeds for:
_ _35614 35614. b
18308 _
a. County . Certificate # (if registered land)
135 138 02772
c. Book d. Page Number
B. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Stormwater Management Permit
Application and accompanying plans, documents, and supporting data are true and complete to the best
of my knowledge. I understand that the Conservation Commission will place notification of this
application in a local newspaper at the expense of the applicant.
I further certify under penalties of perjury that all abutters were notified of this application, pursuant to
the requirements of the Yarmouth Stormwater Management Regulations in writing by hand delivery or
certified mail (return receipt requested) to all abutters within 100 feet of the property line of the project
location.
Michael Gazdacko - Colbea Enterprises, LLC
Signature of A licant —
< _ 'JzzSa-'k.A'/ 1sia.kei LGG
Signature of Property Owner (if different)
Joni Mu_r_ phy — HFA
Signature of Representative (if any)
Date 05.08.2023
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