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RDA application- withdrawn
of .YqR� S�� o y CON t��� t F, CONSERVATION OFFICE �t fi Detex�i►t�rtatiion of a'pp `V J .7ft�n�vssrntinn - 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. =W att n�icaticut Hardcopy filing dropped off or mailed to the Conservation Office including: ✓ RDA Administrative Checklist ✓ Complete RDA application with original signatures (double sided). Detailed narrative of the project with sufficient information to enable the Commission to determine 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). ✓ Yarmouth Assessor's locator map highlighting parcel(s) where work is proposed, including map and parcel numbers 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. 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. Dig' I and DEP filing A pdf of the entire application emailed to bdirienzo armouth.ma.us, kbrooksayarmouth ma us and DEP Southeast Region at SERO NOI(a)mass.gov 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. I 'al below Gf 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: Please submit a signed Site Access Authorization Form; AND 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 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( Yarmouth ma us and kbrooks(a�varmouth ma us 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 - bdirienzo(7a yarmouth ma us Rev. 312023 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. v� Massachusetts Department of Envlronmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability S. Yauth rmoMuniclpallty Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Applicant Audet Craig — Last Name First Name 118 Driftwood Lane S. Yarmouth City/Town 203.470.1615 Phone Number 2. Property Owner (if different from Applicant): First Name Cityrrown Phone Number 3. Representative (if any) First Name Company Name Ciyrrown Phone Number B. Project Description MA 02664 state Zip Code cmaudet00@gmail.com Email Address Lest Name State Zip Code Email Address (if known) Last Name State Zip Code Email Address (if known) 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 118 Driftwood Lane Street Address How to find Latitude 41.70262 and Longitude Latitude (Decimal Degrees Format with 5 digits after decimal e.g. )0000 00 and how to convert t Z 13 to decimal degrees Assessors' Map Number S. Yarmouth Cityfrown -70.185055 Longitude (Decimal Degrees Format with 5 digits after decimal e.g.-XX.XX)M) YARM10:0120:000031-:0000 Assessors' LotlParcel Number b. Area Description (use additional paper, if necessary): vegitated slope c. Plan and/or Map Reference(s): (use additional paper if necessary) Title Date Date wpatorml.doc • rev. 4/1=023 WPA Form 1— Request for Determinabon of Applkability • Page 1 of 3 a N Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1-Request for Determination of Applicability S- Yarmouth 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): 4' retaining wall along north driveway b. Identify provisions of the Wetlands Protection Act or 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). none 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. wpetom,l.doc • rev. 4/102023 ❑ Single family house on a lot recorded on or before 8/1/96 ❑ Single family house on a lot recorded after 8/1196 ❑ Expansion of an existing structure on a lot recorded after 8/1196 ❑ 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 817/96 ❑ 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 application 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.) WPA Form 1— Request for Determination of Applicability • Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability S. Yarmouth Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Munlciparrgr C. Determinations 1. I request the Yarmouth make the following determination(s). Check any that apply: Conservation Commisslon ❑ 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: 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). D. 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 stand that notification of this Request will be placed in a local newspaper at my expense in a rcJan with ecf 10.0 3)(b)(1) of the Wetlands Protection Act regulations. 0 Signature of icant Date Signature of Representable (It any) Date wpeformf-doc • rev. 411=023 WPA Foos f — Request for DetsrmhaUon of ApplicabAhy • Page 3 013 u� 8 8 0 8 li ., �m m 4 L-o 7L L-, n I 1 1 1 1 1 1 I 1 , 1 , 1 1 , 1 , 1 , 1 , 1 , 1 1 , i 0 � ' � 1 O 1 ' � I 1 Q 1 ' Z ' 1 ' 1 ' � 1 1 1 � I 1 1 1 1 1 1 ' 1 1 , � I I J----- - - - - -- ----, ------------ - - - - ---------------------------------------------------------- .l, r `\� � • ". i ,. L-'.�t*� � ' -tom'..-*//�1� ^'t •E ti s �,. V `_... ! f J +rrt fi_ t_• �� '�w�•'' ••1•y� -� • •� b J�yJI7�jj /-y� � ♦ •/ F + r r �''S •'!t , r'a� ,T '�♦\`•. `i, v\ r, . . • ` � _, r J. � 1�L 4• I r• 1 , U � f fw`` r. ; ,}5�.� •�di�r1 �►'' t` ♦ cc rh+l�o �+Y . .� `, ;%J''t , r► r t �r�' v' :E. 44 �'•.:. 1 •`• ;! r :�...',` �, , ".�� , / r'"S, !4't! . 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M ` Town of Yarmouth Conservation Commission 21-DA Y WAIVER CONSERVATION OFFICE Please complete this form, sign at the bottom and return to the Conservation Office. 1, C ,-.A\ G, ,A. frv1)ct '( , hereby waive the 21-day time period for a public hearing/meeting and/or issuance of the: OOC I DOA I COC I ORAD following receipt of my filing of a: D Notice of Intent Request for Determination of Applicability D Request for Certificate of Compliance D · 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 / D ,4-v Z-o 2. (date received Cor,arvatton Offlcel,_ , . forworkat /1'1 ))~tf-rwool> l,A:,Jt. , 7, y~Oc.lL ft' (project address/location) I am the: Applicant D Applicant's Representative Date oz.re(pl/ NOTE: Please be advised that you will be notified of the meeting date once th is application has been assigned to a Conservation Meeting Agenda at the email address listed on the application . 2 I day wa iver r anti 6 J0 'd SN py"br) r� r tFX0 17o% E%4TA-i N hi QOX iAATV 7SrK 4IP T' o M�'rc� W J* mot, CSC V 35 i A O N i Q Af al• - ' _ir 1YC' i