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HomeMy WebLinkAboutRDA Applicationr` rn 0 1-1 M1 ru Lrt 0 M1 0 n- to rn rr U.S. Postal Service - CERTIFIED MA11 o nrrmc uomestic Mail Only For aebvery mPormabon, visit our website at •: evc•t^y<,,:,;m-, Upw-rn R..Ipt(o.n.') 8 ❑Return Rec W(elecb jq f ❑cenmed Mall Reeldc�etl omwey a ❑Adult Sh w.. R,Wrea S OMO SIV-Wre ReeMdCea D.- a 7 0472 22 P%aA 3 AuUNITEL) STATES A05T/!L SERVICE. STOUGHTON 31 PORTER ST STOUGHTON, MA 02072-9998 (800)275-8777 07/05/---- 11:37 AM ---------------- Product Oty Unit F-1Ire Price ------------------------ Envelope 6H9 1 $0.59 First -Class Mail® 1 $li G3 Letter West Yarmouth, MA 02673 Weight: 0 lb 1.00 oz Estimated Delivery Date Fri 07/07/2023 Certified Mail® Tracking #: 9589 0710 5270 1037 4750 35 Return Receipt $3 35 Tracking #: 9590 9402 8071 23,19 2609 44 Total $8 13 ----------------.-. _ Grand Total:--------------- Personal/Bus Check $8 Text your tracking number to 28777 (2U515; to get the latest status. Standard Mes'agu S �1 and Data rates may apply. You may also -- visit www.usps.com LISPS Tracking o- rdll .............................— - 1-800-222-1811. Preview your Mail Track your Packages Sign up for FREE https://informeddeliverv.usps.00m All sales final on stamps dnri pottage Refunds for guaranteed services cnlr Thank you for your businesa Tell us about your, experience. Go to: https://postal expel ienc.,. comlipos or scan this code with your roabile device or call 1-800-410-7420. ------------------------- UFN: 247922-0472 Receipt #: 840-50280036-2-6024483-1 Clerk: 22 admiabitimnaeteed{(. E CONSERVATION OFFICE 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. Su&69jgg att ppikahan• Hardcopy filing dropped off or mailed to the Conservation Office including: X RDA Administrative Checklist X Complete RDA application with original signatures (double sided). " X Detailed narrative of the project with sufficient information to enable the Commission to determine N/A whether the proposed work will alter an area subject to protection. BVW delineation sheet(s), coastal bank calculation and other relevant material if applicable (not applicable for flood zone only projects). X Yarmouth Assessor's locator map highlighting parcel(s) where work is proposed, including map and parcel numbers X 1 original and 7 photocopies of the plan/sketch, folded separately, right side out with title and address visible. All plans shall reference NAVD1988 unless otherwise noted. Landscape plans shall be detailed to show proposed and existing conditions, native species, size and spacing. X By-law filing fee: Separate check made payable to "Town of Yarmouth" X Legal ad fee: Separate check made payable to "Town of Yarmouth" Please list project property's street address on checks. Refer to Fee Schedule. Digital and DEP filing _X—A pdf of the entire application emailed to bdirienzo(cDyarmouth ma us, kbrooks(a)yarmouth ma us and DEP Southeast Region at SERO NOI ((@massgov in the same email. Subject line shall be "YARMOUTH - RDA — Street Address - Applicant Name" Please list project property's street address in the pdf file name. Initial below X I CERTIFY that all on -site requirements will be completed by noon on the Friday prior to the hearing date. All proposed structures must be staked, and all relevant resource areas and buffer zones must be staked or flagged. Please consult the Yarmouth Wetland Regulations, page 17. If the applicant is NOT the property owner: X Please submit a signed Site Access Authorization Form; AND X The owner must be sent a copy of the application via Certified Mail on the same day it is filed with this office. Please submit a copy of the Certified Mail receipt with application. If Applicable IV/A Certified Mail Receipt for Massachusetts Natural Heritage and Endangered Species Program N/A Certified Mail Receipt for Massachusetts Division of Marine Fisheries. If filing via email, CC bdirienzo(dvarmouth ma us and kbrooks(ct)yarmouth ma us Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 026644492 Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231 • bdinenzoavarmouth ma us Rev. 312023 OF Y O, 0, _ y. FMA TTA . (! `F\'O 4yM 1T DEPARTMENT OF CONSERVATION LQ1UYe .%il�l!/lfiTtpl(tIi' 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: 225 MA-28 West Yarmouth,MA 02673 Assessors Map/Lot: Map 37 Lot 71 3.95 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: ',god Date: 6/29/23 Please Print Name: Rod Sroczenski If other than owner, please state whether tenant, agent, or other: Mailing Address: 225 MA-28 West Yarmouth, MA 02673 Phone: 508-775-5669 Email: Cell: Fax: Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 02664-4492 Tel. (508)-398-2231 Ext. 1288 9 Fax (508)-398-0836 • TTD# (508) 398-2231 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality A. General information Important: 1. Applicant: When filling out forms on the Daniel computer, use only First Name the lab key to move 181 Tosca Drive your cursor - do not Address use the return key. Stoughton Cityrrown IL�I 1781)344-0522 Phone Number 2. Property Owner ('If different from Applicant): Kennedy Last Name MA 02072 Stale Zip Code dkennedy@ohburg.com Email Address Rod Sroczenski First Name Last Name 225 Ma-28 West Yarmouth MA State 508-775-5669 Phone Number Email Address (if known) 3. Representative (if any) First Name Company Cityrrown Last Name 02673 Zip Code State Zip Code Phone Number Email Address (if known) B. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 225 Ma-28 West Yarmouth Street Address City/town How to find Latitude 41.65498 -70.25698 and Longitude Latitude (Decimal Degrees Format with 5 digits after decimal Longitude (Decimal Degrees Format with 5 digits after e.g. XX.)00000 decimal e.g.-XX.X)D000) and how to convert 37 71 3.95 to decimal degrees Assessors Map Number Assessors' Lot/Parcel Number b. Area Description (use additional paper, if necessary): Resort Hotel c. Plan and/or Map Reference(s): (use additional paper if necessary) Mass Mapper Bayside Resort Site Plan EV Chargers Title 5-30-23 Dale 5-30-23 Dale wpefoml,doc• rev. 4/1=023 WPA Fov 1— Request for Determination of Applicability •Page 1 or Massacauhusetts Department of Environmental Protection Bureof Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability _I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality B. Project Description (cont.) 2. a. Activity/Work Description (use additional paper and/or provide plan(s) of Activity, if necessary): Installation of (4) Electric Vehicle Chargers in Rear Parking Lot. Project will involve trenching (18" wide by 30" deep) of approx 200 linear feet from utility pole to proposed chargers along property as shown on supplied drawing. Trench to allow PVC conduit 3" or less and associated electrical conductors to feed proposed equipment. Distribution/Service equipment to be installed on 4'x4'x.5' concrete pad. Each charger to be set on its own 2'x2'x2' concrete pad. 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). 3. 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 8/7/96 ❑ 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 applicatioh 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.) WPafmm t.doc - rev. 4/10/2023 WPA Form 1 - Repuesl for Determination &Applicability - Page 2 m :, LIMassachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality C. Determinations 1. 1 request the west Yarmouth make the following determination(s). Check any that apply: Conservation Commission 0 a. whether the area depicted on plan(s) and/or map(s) referenced above 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 above are accurately delineated. ❑ c. whether the Activities depicted on plan(s) referenced above is subject to the Wetlands Protection Act and its regulations. d. whether the area and/or Activities depicted on plan(s) referenced above is subject to the jurisdiction of any municipal wetlands' ordinance or bylaw of: Town of West Yarmouth Name of Municipality ❑ e. whether the following scope of alternatives is adequate for Activities in the Riverfront Area as depicted on referenced plan(s). U. 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. Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in accordance wit Section 10. ( )(1) of the Wetlands Protection Act regulations. �( 6-30-23 Signatl re`o Appli ant Date Signature of Representative (if any) wpafornl.tloc• rev. 4R0I2023 WPA Form 1 - Request for Determination of Applicability • Page 3 of 3 Bayside Resort Hotel EV Chargers June 30, 2023 o.heburg corp. Attn: Town of Yarmouth Conservation Commission Re: Bayside Resort Hotel EV Chargers 225 MA-28 West Yarmouth, MA 02673 Project Narrative Scope of Work: 181 Tosca Drive Stoughton, MA 02072 Tel: 781-344-0522 Fax: 781-344-5922 DKennedy@ohburg.com The intent of this project is to install (4) Level Two Electric Vehicle (EV) Chargers along the South-West edge of the parking lot at the rear of the site. This will require a new utility pole to be set along the Western property edge to allow for the installation of (1) new electrical service conduit. A shallow trench will be created from the proposed utility pole to the proposed electrical equipment and chargers. The trench will be 30" deep x 18" wide, except where new concrete bases/pad are installed where the trench will increase in width to accommodate the concrete, but remain no deeper than 30". The trench will run directly against the existing asphalt parking lot, around the rear of the existing dumpster location, and to the proposed electrical equipment A 4" conduit will run from the proposed utility pole, through the shallow trench along the parking lot edge, to the proposed electrical service equipment location. A 3" conduit will then be run from the service equipment to (2) hand holes, and from each hand hole, to the proposed EV chargers. The conduit pathway is identified on the supplied drawings along with the proposed electrical equipment and utility pole. The trench and equipment locations are further than 35' away from the protected area (they are >35' away from the edge of the existing phragmites). A 4" deep concrete pad will be installed for the electrical service equipment cabinet to sit on. Each of the EV chargers will also receive a concrete base, each to be 24"x24"x24" cube of 4000 psi concrete. Each piece of equipment shall also have (2) 6" concrete filled bollards to protect them from vehicle strikes. A base layer of gravel shall be installed under the concrete. All electrical equipment will be secured to concrete. (5) New Native Plantings are to be installed as part of this installation in an effort to ensure that this Green Project benefits both the environment directly and in the future, as well as the end users. The quantity was selected based on the number of proposed electrical structures. These plantings are to be (2) Gallon Marsh Elder (Iva Fuctescens) shrubs, and are to be planted along the sloped edge of the Bayside Resort Hotel EV Chargers June 30, 2023 parking area, facing the conservation area, between the existing Phragmites and the parking area. This location will allow the plantings to grow to full height without interfering with the scenic views. Sincerely, Z)"z( ^BIZ Daniel Kennedy O.H. Burg Corporation 181 Tosca Drive Stoughton, MA 02072 i Tq Qy f i l • i Tog f . __ Via___________ i Tir 6' $ �E E g ° A its 4 R Ah i, ox �r m, V i SOS "4Y � n 6° R• R' 4a c�. MEN l' 41V ��: ela N m m m m 4y~ m m <m-3 m AATa0 DAn M 1= Ma > O m a NN mp aq y m 0 C A N fa � m Z �m m z(1) <m 0 V W [ e 5"ei 1.x>x•2>sa.E'b,a13838e'e,P'dAY'3A'698F1vSx.PlreP@95e8g8a1'!!FSqg[ y yn8 3c . 9 eHIl a5555IQ 8 1Q$QQ�'14.1p { }� g (y iedQzEa�€ Q Q�eQ plQi Q� Q BQQ�EQi1@ / 66 d! i i i 5liiiit��i��FQ Q 3 spg le a A PI E@ Q Q �i @� i� 1A E@@��p1E@@IPaPli 6 x Q l Q ��18 ii Q ��@ Q Q Q !3dii i4aE"Q°[ i l" 1! a e= 1Qi f 111spS Q�;i��Pi@!:i4 @` E3iF 'i94@xq , da° @ i,! i a e} =Q ` e@Ql;1111ii a1e1 �Pgd4°daggQ{�Qj. E Q Q� � gQQ @d@@;�Qd g�Q , @ d d@ d € t� jj ' ° ! i@ d : i $ i i Q! 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