RDA application Massachusetts Department of Environmental Protection
L Bureau of Water Resources - Wetlands
WPA Form 1- Request for Determination of Applicability Yarmouth
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality
A. General Information
Important: 1. Applicant:
When filling out
forms on the Brittany DiRienzo-Town of Yarmouth
computer, use only First Name Last Name
the tab key to move 1146 Route 28
your cursor-do not
use the return key. Address
Yarmouth MA 02664
—VVV�� City/Town State Zip Code
508 398 2231 EXT 1288 bdirienzo@yarmouth.ma.us
Phone Number Email Address
/ \ 2. Property Owner(if different from Applicant):
Town of Yarmouth
First Name Last Name
1146 Route 28
Address
Yarmouth MA 02664
City/Town State Zip Code
5083982231
Phone Number Email Address(if known)
3. Representative(if any)
First Name Last Name
Company Name
Address
City/Town 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):
Multiple, see attached list Yarmouth
Street Address City/Town
How to find Latitude
and Longitude Latitude(Decimal Degrees Format with 5 digits after decimal Longitude(Decimal Degrees Format with 5 digits after
e.g.XX.XXXXX) decimal e.g.-XX.XXXXX)
and how to convert Multiple, see attached list
to decimal degrees Assessors'Map Number Assessors'Lot/Parcel Number
b. Area Description (use additional paper, if necessary):
Populations of invasive vegetation on Town owned Conservation and Recreation parcels as described in the attached document.Populations lie with BV W,salt marsh,and upland buffer zone.Invasive inlcudes phragmites
c. Plan and/or Map Reference(s): (use additional paper if necessary)
See attached document for multiple treatment areas within Town of Yarmouth
Title Date
Title Date
wpaforml.doc•rev.4/10/2023 WPA Form 1—Request for Determination of Applicability•Page 1 of 3
Massachusetts Department of Environmental Protection
LIBureau of Water Resources-Wetlands
WPA Form 1- Request for Determination of Applicability
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):
Mechanical removal and herbicide treatment of invasive vegetation at multiple Town owned parcels per individual site descriptions provided in the
attached document.Some sites have recently completed a three year treatment plan and will require ongoing monitoring and spot treatments
over the next years.Other sites require a full three year treatment plan.
Work will follow Best Management Practices and include long-term monitoring and re-treatment of new shoots as needed.Mechanical removal
will consist of mowing with low ground pressure tracked vehicles with ground pressures of less than 4 p.s.i.or equivalent.Herbicide treatment will
include glysophate application.The contractor will hold a valid Massachusetts herbicide license,a copy of which shall be provided prior to
execution of a contract.
Prior to the start of work,the contractor shall meet with the Conservation Administrator to review the work.All debris shall be removed off site.
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).
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.
D 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
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.)
wpaforml.doc•rev.4,102023 WPA Form 1-Request for Determination of Applicalgliy•Page 2 of 3
Massachusetts Department of Environmental Protection
-L.
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 . I request the Yarmouth make the following determination(s). Check any that apply:
Conservation Commission
❑ 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 understand that notification of this Request will be placed in a local newspaper at my expense
in accordance with Section 10.05(3)(b)(1 ) of the Wetlands Protection Act regulations.
/2 11 /22/2023
Signature of Applicant Date
Signature of Representative (if any) Date
wpaform1 doc• rev. 4/10/2023 WPA Form 1 —Request for Determination of Applicability • Page 3 of 3