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Home My WebLink About2024- RDA - Route 6A Yarmouth - Native Land ConservancyYarmouth 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@yarmouth.ma.us Rev. 03/2024 Information: 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. Submitting an Application: Hardcopy filing dropped off or mailed to the Conservation Office including: 1 RDA Administrative Checklist 1 complete RDA application WPA form 1 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. If BVW or vegetated wetlands are present, 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 current abutters list identifying the property owners who are to be notified and abutter notification form. All abutters to be notified via certified mail, Certified Mail Receipts (PS Form 3800) must be provided. 1 original and 6 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, quantity, 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. Digital and DEP filing A pdf of the entire application emailed to bdirienzo@yarmouth.ma.us and fkelley@yarmouth.ma.us and DEP Southeast Region at SERO_NOI@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. Initial below 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 fkelley@yarmouth.ma.us CONSERVATION OFFICE Administrative Checklist Request for Determination of Applicability SeeRDA Form NA NA NA NA NA wpaform1.doc • rev. 4/28/2023 WPA Form 1 – Request for Determination of Applicability • Page 1 of 3 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: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 1.Applicant: First Name Last Name Address City/Town State Zip Code Phone Number Email Address 2.Property Owner (if different from Applicant): First Name Last Name Address City/Town State Zip Code 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): Street Address City/Town How to find Latitude and Longitude Latitude (Decimal Degrees Format with 5 digits after decimal e.g. XX.XXXXX) Longitude (Decimal Degrees Format with 5 digits after decimal e.g. -XX.XXXXX) and how to convert to decimal degrees Assessors’ Map Number Assessors’ Lot/Parcel Number b.Area Description (use additional paper, if necessary): c.Plan and/or Map Reference(s): (use additional paper if necessary) Title Date Title Date wpaform1.doc • rev. 4/28/2023 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 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): 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. 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.) Abutters List for Map/Lot: 124.111.2, Address: Route 6A, Yarmouth Port MA Due to the unique nature of this project, the Conservation Administrator Brittany DiRienzo has agreed to a customized abutter notification list as follows (see attached map for reference): Loca�on: 124/128, 28 UNION ST Owner: RONALD S AND LISA M NAPOLITAN 28 UNION ST YARMOUTH PORT, MA 02675-1935 Loca�on: 124/129 34 UNION ST Owner: ADAMS DAVID F 34 UNION ST YARMOUTH PORT, MA 02675-1939 Loca�on: 124/ 131 48 UNION ST Owner: ADAMS DAVID ADAMS GRACE 34 UNION ST YARMOUTH PORT, MA 02675-1939 Loca�on: 124/ 132 54 UNION ST Owner: SAWICKI STEPHEN J JR (LIFE EST) SAWICKI CHERYL E (LIFE EST) 11 BELCHERTOWN ST THREE RIVERS, MA 01080 Loca�on: 115/ 62.1 102 UNION ST Owner: TOWN OF YARMOUTH WATER DEPT 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664 Simpkins Bog—Project Abutters MassMapper Project locus