HomeMy WebLinkAboutNOI application
July 2, 2024
Brittany DiRienzo
Conservation Administrator
Town of Yarmouth
Conservation Commission
1146 Route 28
South Yarmouth, MA 02664
bdirienzo@yarmouth.ma.us
RE: Notice of Intent Submittal
Cape and Islands Nissan
770 Route 28, South Yarmouth, MA (Map 33, Lot 38, 39 & 40)
ADE Project #3376.00
Dear Ms. DiRienzo:
On behalf of the applicant, enclosed, please find documents associated with the above-listed Notice of Intent for Cape and
Islands Nissan at 770 Route 28 in South Yarmouth, MA on behalf of the applicant
Included in this submittal package:
(1) Copy Administrative Checklist
(1) Complete NOI Application WPA Form 3 (with original signatures)
(1) Stormwater Drainage Analysis dated June 21, 2024
(1) Original and (6) Copies of the plan (Site Plans for Cape & Islands Nissan Revised June 28, 2024)
Checks for the following:
(1) Check payable to Town of Yarmouth in the amount of $537.50 for the Town Share of the State Filing Fee
(1) Check payable to Town of Yarmouth in the amount of $300.00 for the By-Law Filing Fee
(1) Check payable to Town of Yarmouth in the amount of $10.00 for the Legal Advertising Fee
If you have any questions or require further information, please don’t hesitate to contact me at
(508) 888-9282.
Sincerely,
ATLANTIC DESIGN ENGINEERS, INC.
Richard J. Tabaczynski, P.E.
Vice President
cc. MassDEP – SE
ConServ Group, Inc.
Steven Sewell
Notice of Intent Application
for
Proposed Automobile Dealership
Cape and Islands Nissan
770 Route 28, South Yarmouth, MA 02664
(Assessors Map 33, Lots 38, 39 & 40)
Applicant:
Conserv Group, Inc.
110 State Road, Suite 7
Sagamore Beach, MA 02562
Prepared by:
Atlantic Design Engineers, Inc.
P.O. Box 1051
Sandwich, Massachusetts 02563
Date: June 28, 2024
Atlantic Project No. 3376.00
Notice of Intent Application
Cape & Islands Nissan
770 Route 28
South Yarmouth, MA 02664
June 28, 2024
TABLE OF CONTENTS
PROJECT NARRATIVE
I.SITE DESCRIPTION
II.PROPOSED WORK
III.STORMWATER MANAGEMENT
IV. CONSTRUCTION SEQUENCING AND EQUIPMENT
APPENDICES
A.Application Forms
•Administrative Checklist for Notice of Intent
•WPA Form 3 – Notice of Intent
•Notice of Intent Wetland Fee Transmittal Form
B.Abutter Notification
•List of Abutters Within a 100-foot Radius of Project Parcel
•Abutter Notification Letter
•Postmarked Certified Mail Receipts and Green Return Cards (Green Cards To be
Provided at the Hearing)
•Affidavit of Service
C.Miscellaneous Figures (Aerial Locus, USGS)
D.Photographs of Project Area
E.Site Access Authorization Form
F.Stamped Plans (Under Separate Cover) – “Site Plans for Cape & Islands Nissan”
Revised June 28, 2024
G.Stormwater Report (Under Separate Cover) – “Stormwater Drainage Analysis for Cape &
Islands Nissan” dated June 21, 2024
H.Wetland Delineation Report – Goddard Consulting dated April 4, 2024
Notice of Intent Application
C&I Nissan
South Yarmouth, MA 02664
June 28, 2024
1
I.SITE DESCRIPTION
The project site is a 2.86-acre parcel on the north side of Route 28, just west of the Route 28/Sea View
Ave intersection. The property lies completely within a flood zone AE (EL. 11) and is partially
wooded with an automobile storage area located at the front of the property along Route 28. The
abutting property to the west is a Kia dealership while the abutting property to the East is a transitions
center.
The topography onsite gradually slopes to the north where Swan Pond is located. Environmental
Consulting & Restoration, LLC. was onsite and delineated the Bordering Vegetated Wetland (BVW)
to the north of the along with the Isolated Vegetated Wetlands (IVW) to the East of the site; the Report
from ECR can be found in the appendices. The site lies does not lie within a DEP designated Zone II,
or an aquifer protection area based upon review of the Yarmouth zoning map and Massachusetts
Geographic Information. The site is located within a flood zone AE (EL.11) based upon a review of
the FEMA FIRM map number 25001C0589J, effective date July 16, 2014. The property is not located
within an Estimated Habitat of Rare Wildlife or Priority Habitat of Rare Species, as mapped by the
Natural Heritage and Endangered Species Program (NHESP). The site is not located within an Area
of Critical Environmental Concern (ACEC). SCS soil mapping indicates the site is primarily Carver
coarse sand, Hydraulic Soil Group A.
II.PROPOSED PROJECT
The proposed project includes the construction of a 9,991sf automobile dealership along with
associated parking, automobile inventory storage, drainage systems, septic system, water and utility
connections, landscaping and lighting. In compliance with the Town of Yarmouth Zoning Bylaws
there will be 54 parking spaces provided, 3 of which being designated as handicapped parking.
The proposed work on the site is entirely within land subject to coastal storm flowage but only a small
portion of the work is within the 100 ft buffer zone to the IVW. Approximately 12,700sf of disturbance
is proposed within the 50-100 ft buffer from the IVW on the abutting property to the east. In
accordance with section 6.02(2) of the Town of Yarmouth Wetland Protection Regulations, a 50ft
undisturbed buffer is to be maintained from the isolated wetlands to avoid unnecessary disturbance
and mitigation planting. No work is proposed within the 100 ft buffer to the BVW at the north end of
the site. Double erosion controls are to be used upland of the wetlands.
III.STORMWATER MANAGEMENT
The proposed stormwater system consists of a series of deep sump hooded catch basins, First
Defense HC water quality units, drainage pipes, an above-ground stormwater infiltration basin and a
subsurface stormwater infiltration system. Runoff from all paved surfaces (access drives, parking
areas, vehicle storage areas) is collected and routed to an above-ground infiltration basin and a
subsurface infiltration system, located at the east of the building and at the northern side of the
parking lot, respectively.
A complete Stormwater Report documenting compliance with the DEP Stormwater Management
Standards, as well as the Town of Yarmouth Stormwater Management Performance Standards, has
been provided along with appropriate design details on the Site Plans. Erosion control measures
Notice of Intent Application
C&I Nissan
South Yarmouth, MA 02664
June 28, 2024
2
(sediment logs or approved equal) will be in place and maintained at the proposed limit of work
throughout construction, until vegetation has stabilized, to protect the wetlands
IV.CONSTRUCTION SEQUENCING AND EQUIPMENT
1) Install erosion control measures at the limit of work as shown on the erosion control plans.
2) Install stone tracking pad at the entrance as shown on the erosion control plans.
3) Clear and grub the established limit of work.
4) Demo the existing automobile inventory storage area and rough grade the site.
5)Install the proposed stormwater management systems and utilities, ensure that the specified
erosion control measures are being implemented at each upon installation (siltsack sediment
traps at catch basins and sediment logs at the drainage basin).
6)Establish sub grade for the parking lot and automobile inventory storage and pave.
7) Work associated with the building foundation and work inside the building envelope to be
conducted between steps 4-8.
8) Once all of the site work is completed, vegetation has been stabilized, and the site has been
inspected and approved by the design engineer; temporary erosion control measures are to be
removed.
Equipment to be used onsite: Excavators, Front Loaders, Dump Trucks, Skid Steer Loaders,
Jackhammers, Plate Compactors, Concrete Trucks, Boom Lifts, Asphalt Pavers, and miscellaneous
hand tools.
APPENDIX A
Application Forms
Yarmouth Conservation Commission • 1146 Route 28 South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288
Rev 03/2024 Page 1 of 2
Administrative Checklist
Notice of Intent
General 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:
Does the property have any outstanding/expired Orders of Conditions? If so, please file a Request
for Certificate of Compliance for each outstanding/expired Order, as the Commission may not issue a
new Order until any outstanding/expired Orders have been closed and recorded. (*see page 2)
Hardcopy filing dropped off or mailed to the Conservation Office including:
1 Administrative Checklist
1 complete NOI application WPA form 3 with original signatures. Typed signatures will not be accepted.
Detailed narrative of the project including existing & proposed conditions, construction sequence, type of
equipment, staging locations, drainage and stormwater, erosion controls, invasive species management
and alternative analysis. The narrative shall include how the project meets performance standards per
310 CMR 10.0 & TOY Wetland Regulations, delineation sheets (if BVW or vegetated wetlands are
present) or other resource area calculations, and supporting information.
1 100’ radius map, current abutters list identifying the property owners who are to be notified per 310
CMR 10.00 and abutter notification form. Abutters list must be certified by the Town Assessor’s office.
The Assessor’s office requires 7 days advance notice. All abutters must be notified via certified mail.
Certified Mail Receipts (PS Form 3800) for all abutters. Green cards to be submitted at the hearing.
1 original and 6 copies of the plan, folded separately, right side out with title and project address visible.
All plans shall reference NAVD1988 unless otherwise noted. See plan requirements
Yarmouth’s share of State filing fee: Separate check made payable to “Town of Yarmouth”
(refer to NOI Wetland Fee Transmittal Form)
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
DEP share of the fee (refer to NOI form) shall be sent to: Dept. of Environmental Protection
Box 4062
Boston, MA 02211
CONSERVATION
OFFICE
X
X
X
X
X
X
X
X
X
X
Yarmouth Conservation Commission • 1146 Route 28 South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288
Rev 03/2024 Page 2 of 2
DEP Submittal and Digital filing
If you are filing with MassDEP using eDEP, please include a copy of the submittal confirmation with your
application.
If not filing via eDEP, a PDF of your application, plan, and all other supporting information must be sent
VIA EMAIL the same day to DEP, Southeast Region at SERO_NOI@mass.gov with the subject line in
the email per DEP’s request listed as “YARMOUTH - NOI - Street Address - Applicant Name” and
copied to bdirienzo@yarmouth.ma.us and fkelley@yarmouth.ma.us. We must receive a copy of this
email with the application as proof that it has been submitted to DEP.
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. Without proper staking your project may be
deemed incomplete and be continued to the next hearing date.
I understand that in person representation is required at the scheduled hearing to present to the
conservation commission
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
Waterway’s jurisdiction – Any coastal projects such as, but not limited to, docks, piers, bulkheads,
revetments, dredging and boardwalks shall require submittal of all Notice of Intent, plans and
supplemental information to the Town of Yarmouth Waterways/Shellfish Committee via the Natural
Resources office by certified mail or hand delivery. The applicant or his/her representative must provide
the Conservation office with proof that this has been done or the filing will not be accepted.
Other Requirements
o Does the proposed project meet the applicable regulations of the Town of Yarmouth Zoning bylaws? Do
you need to file with the Yarmouth Board of Appeals? If so, you must file with ZBA after conservation
permitting is completed.
o If a vacant lot, have you completed and received a determination for the Building Department for a lot
inquiry form?
*To view all Conservation files/permits for the property address online, go to www.yarmouth.ma.us/LF
X
N/A
N/A
N/A
RJT
RJT
21 day waiver
CONSERVATION
OFFICE
Town of Yarmouth
Conservation Commission
21-DAY WAIVER
Please complete this form, sign at the bottom and return to the Conservation Office.
I, , hereby waive the
21-day time period for a public hearing/meeting and/or issuance of the:
OOC / DOA / COC / ORAD following receipt of my filing of a:
Notice of Intent
Request for Determination of Applicability
Request for Certificate of Compliance
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
(date received by Conservation Office)
for work at
(project address/location)
I am the: Applicant
Applicant's Representative
Property Owner
Signature Date
NOTE: Please be advised that you will be notified of the meeting date once this
application has been assigned to a Conservation Meeting Agenda at the email address
listed on the application.
X
770 Route 28, South Yarmouth, MA 02664
Richard J. Tabaczynski, P.E.
X
wpaform3.doc • rev. 12/4/2023 Page 1 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
Note:
Before
completing this
form consult
your local
Conservation
Commission
regarding any
municipal bylaw
or ordinance.
A. General Information
1. Project Location (Note: electronic filers will click on button to locate project site):
770 Route 28
a. Street Address
South Yarmouth
b. City/Town
02664
c. Zip Code
Latitude and Longitude: 41.65097
d. Latitude
-70.21868
e. Longitude
33
f. Assessors Map/Plat Number
38, 39 & 40
g. Parcel /Lot Number
2. Applicant:
Roy
a. First Name
Catignani
b. Last Name
Conserv Group, Inc.
c. Organization
110 State Road - Suite 7
d. Street Address
Sagamore Beach
e. City/Town
MA
f. State
02562
g. Zip Code
508-888-6555
h. Phone Number
i. Fax Number
rcatignani@conservgroup.com
j. Email Address
3. Property owner (required if different from applicant): Check if more than one owner
Steven
a. First Name
Sewell (Manager)
b. Last Name
Mash Realty, LLC.
c. Organization
17 Old Main Street
d. Street Address
West Dennis
e. City/Town
MA
f. State
02670
g. Zip Code
774-244-2537
h. Phone Number
i. Fax Number
steve@kiacape.com
j. Email address
4. Representative (if any):
Richard
a. First Name
Tabaczynski, P.E.
b. Last Name
Atlantic Design Engineers, Inc.
c. Company
39 Pleasant Street
d. Street Address
Sagamore
e. City/Town
MA
f. State
02561
g. Zip Code
(508) 888-9282
h. Phone Number
(508) 888-5859
i. Fax Number
rtab@atlanticcompanies.com
j. Email address
5. Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form):
1,050
a. Total Fee Paid
512.50
b. State Fee Paid
537.50
c. City/Town Fee Paid
wpaform3.doc • rev. 12/4/2023 Page 2 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
A. General Information (continued)
6. General Project Description:
Proposed 9,991 sf automobile dealership along with associated parking, vehicle inventory storage,
drainage, septic and utility systems, landscaping and lighting, all within land subject to Coastal Storm
Flowage. The project will have approximately 4,100 sf of landscaping and 8,715 sf of impervious
surface within the 100-ft. buffer to an isolated vegetated wetland. No work is to be conducted within
7a. Project Type Checklist: (Limited Project Types see Section A. 7b.)
1. Single Family Home 2. Residential Subdivision
3. Commercial/Industrial 4. Dock/Pier
5. Utilities 6. Coastal engineering Structure
7. Agriculture (e.g., cranberries, forestry) 8. Transportation
9. Other
7b. Is any portion of the proposed activity eligible to be treated as a limited project (including Ecological
Restoration Limited Project) subject to 310 CMR 10.24 (coastal) or 310 CMR 10.53 (inland)?
1. Yes No If yes, describe which limited project applies to this project. (See 310 CMR
10.24 and 10.53 for a complete list and description of limited project types)
2. Limited Project Type
If the proposed activity is eligible to be treated as an Ecological Restoration Limited Project (310
CMR10.24(8), 310 CMR 10.53(4)), complete and attach Appendix A: Ecological Restoration Limited
Project Checklist and Signed Certification.
8. Property recorded at the Registry of Deeds for:
Banstable
a. County
b. Certificate # (if registered land)
34709
c. Book
146
d. Page Number
B. Buffer Zone & Resource Area Impacts (temporary & permanent)
1. Buffer Zone Only – Check if the project is located only in the Buffer Zone of a Bordering
Vegetated Wetland, Inland Bank, or Coastal Resource Area.
2. Inland Resource Areas (see 310 CMR 10.54-10.58; if not applicable, go to Section B.3,
Coastal Resource Areas).
Check all that apply below. Attach narrative and any supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
wpaform3.doc • rev. 12/4/2023 Page 3 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
For all projects
affecting other
Resource Areas,
please attach a
narrative
explaining how
the resource
area was
delineated.
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a. Bank
1. linear feet
2. linear feet
b. Bordering Vegetated
Wetland
1. square feet
2. square feet
c. Land Under
Waterbodies and
Waterways
1. square feet
2. square feet
3. cubic yards dredged
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
d. Bordering Land
Subject to Flooding
1. square feet
2. square feet
3. cubic feet of flood storage lost
4. cubic feet replaced
e. Isolated Land
Subject to Flooding
1. square feet
2. cubic feet of flood storage lost
3. cubic feet replaced
f. Riverfront Area
1. Name of Waterway (if available) - specify coastal or inland
2. Width of Riverfront Area (check one):
25 ft. - Designated Densely Developed Areas only
100 ft. - New agricultural projects only
200 ft. - All other projects
3. Total area of Riverfront Area on the site of the proposed project:
square feet
4. Proposed alteration of the Riverfront Area:
a. total square feet
b. square feet within 100 ft.
c. square feet between 100 ft. and 200 ft.
5. Has an alternatives analysis been done and is it attached to this NOI? Yes No
6. Was the lot where the activity is proposed created prior to August 1, 1996? Yes No
3. Coastal Resource Areas: (See 310 CMR 10.25-10.35)
Note: for coastal riverfront areas, please complete Section B.2.f. above.
wpaform3.doc • rev. 12/4/2023 Page 4 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
Check all that apply below. Attach narrative and supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
Online Users:
Include your
document
transaction
number
(provided on
your receipt
page) with all
supplementary
information you
submit to the
Department.
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a. Designated Port Areas Indicate size under Land Under the Ocean, below
b. Land Under the Ocean
1. square feet
2. cubic yards dredged
c. Barrier Beach Indicate size under Coastal Beaches and/or Coastal Dunes below
d. Coastal Beaches
1. square feet
2. cubic yards beach nourishment
e. Coastal Dunes
1. square feet
2. cubic yards dune nourishment
Size of Proposed Alteration Proposed Replacement (if any)
f. Coastal Banks
1. linear feet
g. Rocky Intertidal
Shores
1. square feet
h. Salt Marshes
1. square feet
2. sq ft restoration, rehab., creation
i. Land Under Salt
Ponds
1. square feet
2. cubic yards dredged
j. Land Containing
Shellfish
1. square feet
k. Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the
Ocean, and/or inland Land Under Waterbodies and Waterways,
above
1. cubic yards dredged
l. Land Subject to
Coastal Storm Flowage
92,150
1. square feet
4. Restoration/Enhancement
If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the
square footage that has been entered in Section B.2.b or B.3.h above, please enter the additional
amount here.
a. square feet of BVW
b. square feet of Salt Marsh
5. Project Involves Stream Crossings
a. number of new stream crossings
b. number of replacement stream crossings
wpaform3.doc • rev. 12/4/2023 Page 5 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
C. Other Applicable Standards and Requirements
This is a proposal for an Ecological Restoration Limited Project. Skip Section C and
complete Appendix A: Ecological Restoration Limited Project Checklists – Required Actions
(310 CMR 10.11).
Streamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review
1. Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on
the most recent Estimated Habitat Map of State-Listed Rare Wetland Wildlife published by the Natural
Heritage and Endangered Species Program (NHESP)? To view habitat maps, see the Massachusetts
Natural Heritage Atlas or go to http://maps.massgis.state.ma.us/PRI_EST_HAB/viewer.htm.
a. Yes No If yes, include proof of mailing or hand delivery of NOI to:
Natural Heritage and Endangered Species Program
Division of Fisheries and Wildlife
1 Rabbit Hill Road
Westborough, MA 01581
August 2021
b. Date of map
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321
CMR 10.18). To qualify for a streamlined, 30-day, MESA/Wetlands Protection Act review, please
complete Section C.1.c, and include requested materials with this Notice of Intent (NOI); OR complete
Section C.2.f, if applicable. If MESA supplemental information is not included with the NOI, by
completing Section 1 of this form, the NHESP will require a separate MESA filing which may take up
to 90 days to review (unless noted exceptions in Section 2 apply, see below).
c. Submit Supplemental Information for Endangered Species Review∗
1. Percentage/acreage of property to be altered:
(a) within wetland Resource Area
percentage/acreage
(b) outside Resource Area
percentage/acreage
2. Assessor’s Map or right-of-way plan of site
2. Project plans for entire project site, including wetland resource areas and areas outside of
wetlands jurisdiction, showing existing and proposed conditions, existing and proposed
tree/vegetation clearing line, and clearly demarcated limits of work ∗∗
(a) Project description (including description of impacts outside of wetland resource area &
buffer zone)
(b) Photographs representative of the site
∗ Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review (see https://www.mass.gov/ma-
endangered-species-act-mesa-regulatory-review).
Priority Habitat includes habitat for state-listed plants and strictly upland species not protected by the Wetlands Protection Act.
∗∗ MESA projects may not be segmented (321 CMR 10.16). The applicant must disclose full development plans even if such plans are
not required as part of the Notice of Intent process.
wpaform3.doc • rev. 12/4/2023 Page 6 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
C. Other Applicable Standards and Requirements (cont’d)
(c) MESA filing fee (fee information available at https://www.mass.gov/how-to/how-to-file-for-
a-mesa-project-review).
Make check payable to “Commonwealth of Massachusetts - NHESP” and mail to NHESP at
above address
Projects altering 10 or more acres of land, also submit:
(d) Vegetation cover type map of site
(e) Project plans showing Priority & Estimated Habitat boundaries
(f) OR Check One of the Following
1. Project is exempt from MESA review.
Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14,
https://www.mass.gov/service-details/exemptions-from-review-for-projectsactivities-in-
priority-habitat; the NOI must still be sent to NHESP if the project is within estimated
habitat pursuant to 310 CMR 10.37 and 10.59.)
2. Separate MESA review ongoing.
a. NHESP Tracking #
b. Date submitted to NHESP
3. Separate MESA review completed.
Include copy of NHESP “no Take” determination or valid Conservation & Management
Permit with approved plan.
3. For coastal projects only, is any portion of the proposed project located below the mean high water
line or in a fish run?
a. Not applicable – project is in inland resource area only b. Yes No
If yes, include proof of mailing, hand delivery, or electronic delivery of NOI to either:
South Shore - Bourne to Rhode Island border, and
the Cape & Islands:
Division of Marine Fisheries -
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 South Rodney French Blvd.
New Bedford, MA 02744
Email: dmf.envreview-south@mass.gov
North Shore - Plymouth to New Hampshire border:
Division of Marine Fisheries -
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
Email: dmf.envreview-north@mass.gov
Also if yes, the project may require a Chapter 91 license. For coastal towns in the Northeast Region,
please contact MassDEP’s Boston Office. For coastal towns in the Southeast Region, please contact
MassDEP’s Southeast Regional Office.
c. Is this an aquaculture project? d. Yes No
If yes, include a copy of the Division of Marine Fisheries Certification Letter (M.G.L. c. 130, § 57).
wpaform3.doc • rev. 12/4/2023 Page 7 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
C. Other Applicable Standards and Requirements (cont’d)
Online Users:
Include your
document
transaction
number
(provided on
your receipt
page) with all
supplementary
information you
submit to the
Department.
4. Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a. Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or MassDEP
Website for ACEC locations). Note: electronic filers click on Website.
b. ACEC
5. Is any portion of the proposed project within an area designated as an Outstanding Resource Water
(ORW) as designated in the Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a. Yes No
6. Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands
Restriction Act (M.G.L. c. 131, § 40A) or the Coastal Wetlands Restriction Act (M.G.L. c. 130, § 105)?
a. Yes No
7. Is this project subject to provisions of the MassDEP Stormwater Management Standards?
a. Yes. Attach a copy of the Stormwater Report as required by the Stormwater Management
Standards per 310 CMR 10.05(6)(k)-(q) and check if:
1. Applying for Low Impact Development (LID) site design credits (as described in
Stormwater Management Handbook Vol. 2, Chapter 3)
2. A portion of the site constitutes redevelopment
3. Proprietary BMPs are included in the Stormwater Management System.
b. No. Check why the project is exempt:
1. Single-family house
2. Emergency road repair
3. Small Residential Subdivision (less than or equal to 4 single-family houses or less than
or equal to 4 units in multi-family housing project) with no discharge to Critical Areas.
D. Additional Information
This is a proposal for an Ecological Restoration Limited Project. Skip Section D and complete
Appendix A: Ecological Restoration Notice of Intent – Minimum Required Documents (310 CMR
10.12).
Applicants must include the following with this Notice of Intent (NOI). See instructions for details.
Online Users: Attach the document transaction number (provided on your receipt page) for any of
the following information you submit to the Department.
1. USGS or other map of the area (along with a narrative description, if necessary) containing
sufficient information for the Conservation Commission and the Department to locate the site.
(Electronic filers may omit this item.)
2. Plans identifying the location of proposed activities (including activities proposed to serve as a
Bordering Vegetated Wetland [BVW] replication area or other mitigating measure) relative to
the boundaries of each affected resource area.
wpaform3.doc • rev. 12/4/2023 Page 8 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
D. Additional Information (cont’d)
3. Identify the method for BVW and other resource area boundary delineations (MassDEP BVW
Field Data Form(s), Determination of Applicability, Order of Resource Area Delineation, etc.),
and attach documentation of the methodology.
4. List the titles and dates for all plans and other materials submitted with this NOI.
Site Plans for Cape & Islands Nissan
a. Plan Title
Atlantic Design Engineers
b. Prepared By
Richard J. Tabaczynski, P.E.
c. Signed and Stamped by
June 28, 2024
d. Final Revision Date
1"=40'
e. Scale
f. Additional Plan or Document Title
g. Date
5. If there is more than one property owner, please attach a list of these property owners not
listed on this form.
6. Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed.
7. Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed.
8. Attach NOI Wetland Fee Transmittal Form
9. Attach Stormwater Report, if needed.
E. Fees
1. Fee Exempt: No filing fee shall be assessed for projects of any city, town, county, or district
of the Commonwealth, federally recognized Indian tribe housing authority, municipal housing
authority, or the Massachusetts Bay Transportation Authority.
Applicants must submit the following information (in addition to pages 1 and 2 of the NOI Wetland Fee
Transmittal Form) to confirm fee payment:
45940
2. Municipal Check Number
06/27/2024
3. Check date
45941
4. State Check Number
06/27/2024
5. Check date
Roland
6. Payor name on check: First Name
Catignani
7. Payor name on check: Last Name
wpaform3.doc • rev. 12/4/2023 Page 9 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Yarmouth
City/Town
F. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Notice of Intent 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 Notice in a local newspaper at the
expense of the applicant in accordance with the wetlands regulations, 310 CMR 10.05(5)(a).
I further certify under penalties of perjury that all abutters were notified of this application, pursuant to the
requirements of M.G.L. c. 131, § 40. Notice must be made by Certificate of Mailing or 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.
1. Signature of Applicant
2. Date
3. Signature of Property Owner (if different)
4. Date
5. Signature of Representative (if any)
6. Date
For Conservation Commission:
Two copies of the completed Notice of Intent (Form 3), including supporting plans and documents,
two copies of the NOI Wetland Fee Transmittal Form, and the city/town fee payment, to the
Conservation Commission by certified mail or hand delivery.
For MassDEP:
One copy of the completed Notice of Intent (Form 3), including supporting plans and documents, one
copy of the NOI Wetland Fee Transmittal Form, and a copy of the state fee payment to the MassDEP
Regional Office (see Instructions) by certified mail or hand delivery.
Other:
If the applicant has checked the “yes” box in any part of Section C, Item 3, above, refer to that section
and the Instructions for additional submittal requirements.
The original and copies must be sent simultaneously. Failure by the applicant to send copies in a
timely manner may result in dismissal of the Notice of Intent.
noifeetf.doc • Wetland Fee Transmittal Form • rev. 10/11 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Important: When
filling out forms
on the computer,
use only the tab
key to move your
cursor - do not
use the return
key.
A. Applicant Information
1. Location of Project:
770 Route 28
a. Street Address
South Yarmouth
b. City/Town
45941
c. Check number
512.50
d. Fee amount
2. Applicant Mailing Address:
Roy
a. First Name
Catignani
b. Last Name
Conserv Group, Inc.
c. Organization
110 State Road - Suite 7
d. Mailing Address
Sagamore Beach
e. City/Town
MA
f. State
02562
g. Zip Code
508-888-6555
h. Phone Number
i. Fax Number
rcatignani@conservgroup.com
j. Email Address
3. Property Owner (if different):
Steven
a. First Name
Sewell (Manager)
b. Last Name
Mash Realty, LLC.
c. Organization
17 Old Main Street
d. Mailing Address
West Dennis
e. City/Town
MA
f. State
02670
g. Zip Code
774-244-2537
h. Phone Number
i. Fax Number
steve@kiacape.com
j. Email Address
To calculate
filing fees, refer
to the category
fee list and
examples in the
instructions for
filling out WPA
Form 3 (Notice of
Intent).
B. Fees
Fee should be calculated using the following process & worksheet. Please see Instructions before
filling out worksheet.
Step 1/Type of Activity: Describe each type of activity that will occur in wetland resource area and buffer zone.
Step 2/Number of Activities: Identify the number of each type of activity.
Step 3/Individual Activity Fee: Identify each activity fee from the six project categories listed in the instructions.
Step 4/Subtotal Activity Fee: Multiply the number of activities (identified in Step 2) times the fee per category
(identified in Step 3) to reach a subtotal fee amount. Note: If any of these activities are in a Riverfront Area in
addition to another Resource Area or the Buffer Zone, the fee per activity should be multiplied by 1.5 and then
added to the subtotal amount.
Step 5/Total Project Fee: Determine the total project fee by adding the subtotal amounts from Step 4.
Step 6/Fee Payments: To calculate the state share of the fee, divide the total fee in half and subtract $12.50. To
calculate the city/town share of the fee, divide the total fee in half and add $12.50.
noifeetf.doc • Wetland Fee Transmittal Form • rev. 10/11 Page 2 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Fees (continued)
Step 1/Type of Activity Step 2/Number
of Activities
Step
3/Individual
Activity Fee
Step 4/Subtotal Activity
Fee
Category 3(b)
1
1,050
1,050
Step 5/Total Project Fee: 1,050
Step 6/Fee Payments:
Total Project Fee: 1,050
a. Total Fee from Step 5
State share of filing Fee: 512.50
b. 1/2 Total Fee less $12.50
City/Town share of filling Fee: 537.50
c. 1/2 Total Fee plus $12.50
C. Submittal Requirements
a.) Complete pages 1 and 2 and send with a check or money order for the state share of the fee, payable to
the Commonwealth of Massachusetts.
Department of Environmental Protection
Box 4062
Boston, MA 02211
b.) To the Conservation Commission: Send the Notice of Intent or Abbreviated Notice of Intent; a copy of
this form; and the city/town fee payment.
To MassDEP Regional Office (see Instructions): Send a copy of the Notice of Intent or Abbreviated Notice of
Intent; a copy of this form; and a copy of the state fee payment. (E-filers of Notices of Intent may submit these
electronically.)
APPENDIX B
Abutter Notification
33/ 39/ / /
MASH REALTY LLC
17 OLD MAIN ST
WEST DENNIS , MA 02670
33/ 36.1/ / /
MASH REALTY LLC
760 ROUTE 28
SOUTH YARMOUTH , MA 02664
33/ 41.1/ / /
TRANSITIONS CENTERS INC
782 ROUTE 28 UNIT 1
SOUTH YARMOUTH , MA 02664
33/ 34/ / /
KEOGH DESMOND J
BOLT THERESA M
109 CARRIAGE LN
BARNSTABLE , MA 02630
33/ 40/ / /
MASH REALTY LLC
17 OLD MAIN ST
WEST DENNIS , MA 02670
33/ 77/ C10/ /
785 ROUTE 28 LLC
176 SUDBURY LN
HYANNIS , MA 02601
33/ 77/ C1/ /
785 ROUTE 28 LLC
28 HODGES AVE UNIT 1
QUINCY , MA 02171
33/ 77/ C2/ /
785 ROUTE 28 LLC
176 SUDBURY LN
HYANNIS , MA 02601
33/ 77/ C3/ /
785 ROUTE 28 LLC
176 SUDBURY LN
HYANNIS , MA 02601
33/ 77/ C4/ /
785 ROUTE 28 LLC
176 SUDBURY LN
HYANNIS , MA 02601
33/ 77/ C5/ /
DE MELO JOSE CARLOS
785 ROUTE 28 UNIT 5 ,
SOUTH YARMOUTH , MA 02664
33/ 77/ C6/ /
GENTIL PRISCILLA PADOVANI
C/O GONCALVES MARCIO
785 ROUTE 28 UNIT 6
SOUTH YARMOUTH , MA 02664
33/ 77/ C7/ /
785 ROUTE 28 LLC
176 SUDBURY LN
HYANNIS , MA 02601
33/ 77/ C8/ /
PUN HONG KIN
C/O DRIFTWOOD AT SEAVIEW LLC
131 CHARLESBANK RD UNIT A
NEWTON , MA 02458
33/ 77/ C9/ /
785 ROUTE 28 LLC
176 SUDBURY LN
HYANNIS , MA 02601
SEAVIEW MOTEL CONDONIMIUM
785 ROUTE 28
WEST YARMOUTH , MA 02673
SEAVIEW MOTEL
CONDO MAIN
785 ROUTE 28 UNIT 1
SOUTH YARMOUTH , MA 02664
Please use this signature to certify this list of propertiesabutting within 100' of the parcel located at:770 Route 28, South Yarmouth, MA 02664Assessors Map 33, Lot 40_____________________________________Andy Machado, Director of AssessingMay 17, 2024
NOTIFICATION TO ABUTTERS UNDER THE
MASSACHUSETTS WETLANDS PROTECTION ACT &
TOWN OF YARMOUTH WETLAND BY-LAW, CHAPTER 143
In accordance with the second paragraph of the Massachusetts General Laws Chapter 131, Section 40,
you are hereby notified of the following:
A.The name of the applicant is ________________________________________________
B.The applicant has filed a Notice of Intent with the Yarmouth Conservation Commission, seeking
permission to remove, fill, dredge or alter an Area Subject to Protection under the Wetlands
Protection Act (MGL c. 131 s. 40 & Town of Yarmouth Wetland By-Law, Chapter 143).
C.The address of the lot where the activity is proposed is ______________________________
D.Proposed work is _____________________________________________________________
E.Copies of the Notice of Intent may be examined at the Yarmouth Town Hall at the Conservation
Commission office between the hours of 9:00 a.m. and 4:00 p.m. Monday thru Friday. For more
information, call (508) 398-2231 ext. 1288.
F.Copies of the Notice of Intent may be obtained from either the applicant or applicant’s
representative. Applicant’s phone number _____________________________________
Or Applicant’s representatives phone number ___________________________________
G.Information regarding the date, time and place of the public hearing may be obtained by calling
the Yarmouth Conservation Commission office at (508) 398-2231 ext. 1288
H.Person sending this notification (applicant, representative or other)
Name __________________________________________
Address ________________________________________
Town _________________ State _______ Zip _________
Telephone _______________________________________
NOTES :
•Notice of the public hearing, including date, time and place will be published at least five (5)
days in advance in a newspaper of general circulation.
•Notice of the public hearing, including date, time and place will be posted in the Town Hall not
less than forty-eight hours in advance.
•You may also contact the Southeast Regional Office of the Department of Environmental
Protection at (508) 946-2800 for more information about this application.
ConServ Group, Inc.
770 Route 28, South Yarmouth, MA 02664
___________________________________________________________________________
(508) 888-6555
(508) 888-9282
Atlantic Design Engineers, Inc.
P.O. Box 1051
Sandwich MA 02563
(508) 888-9282
9,991 sf automobile dealership along with associated parking, vehicle inventory storage, drainage, septic and utility systems, landscaping and lighting, all within land subject to Coastal Storm Flowage. The project
will have aproximately 4,100 sf of landscaping and 8,715 sf of impervious surface within the 100-ft. buffer to an
isolated vegetated wetland. No work is to be conducted within the 50-ft. wetland buffer.
BUSINESS 1 (B1)
BUSINESS 2 (B2) & HMOD1
RES. 25 (R25)
BUSINESS 1 (B1)
RES. 25 (R
2
5
)
BUSINESS
2
(
B
2
)
H
M
O
D
1BUSINESS 2 (B2) & HMOD1RES. 25 (R25)BUSINESS 2 (B2) & HMOD1BUSINESS 1 (B1)BUSINESS 1 (B1)BUSINESS 2 (B2) & HMOD1
APPENDIX C
Miscellaneous Figures (Aerial Locus, USGS)
APPENDIX D
Photographs of Project Area
Site Photos
Cape & Islands Nissan
770 Route 28
South Yarmouth, MA 02664
June 28, 2024
Site Photos
Cape & Islands Nissan
770 Route 28
South Yarmouth, MA 02664
June 28, 2024
APPENDIX E
Site Access Authorization Form
APPENDIX F
Stamped Plans (Under Separate Cover)
“Site Plans for Cape & Islands Nissan” Revised June 28, 2024
APPENDIX G
Stormwater Report (Under Separate Cover)
“Stormwater Drainage Analysis for Cape & Islands Nissan”
Dated June 21, 2024
APPENDIX H
Wetland Delineation Report
Goddard Consulting dated April 4, 2024
P.O. Box 4012, Plymouth, Massachusetts 02361 617-529-3792 | www.ecrwetlands.com
WETLAND DELINEATION MEMO
TO: Atlantic Design
FROM: Brad Holmes, Professional Wetland Scientist #1464
DATE: April 4, 2024
RE: 770 & 770A Route 28, Yarmouth
Per your request, Environmental Consulting & Restoration, LLC (ECR) performed a review of the existing
conditions at the property located at 770 & 770A Route 28 in Yarmouth (the site) on March 22, 2024. The
purpose of the review was to identify wetland resource areas on and near the site. The site is located to
the north of Route 28 and consists of two undeveloped parcels, 770 being the southern-most parcel along
Route 28 and 770A being the northern-most parcel immediately adjacent to 770. The lot at 770 Route 28
includes a paved driveway and gravel area where equipment was being parked during the delineation
event. The northern lot is entirely vegetated and undeveloped. The weather on March 22nd was mostly
sunny and cold (approximately 40 degrees) with light wind and dry site conditions. Wetland resource
areas were delineated to the north and east of the parcels. ECR placed wetland flags (pink/black striped)
#A1 to #A44 along the limit of the Bordering Vegetated Wetland (BVW) to the north of the site and #C1 to
#C8 along the nearest limit of the Isolated Vegetated Wetland (IVW) to the east of the site. The
vegetated wetlands were delineated following the methodology established by the Massachusetts
Department of Environmental Protection (DEP) regulations found at 310 CMR 10.55 pertaining to the
delineation of Bordering Vegetated Wetlands. The delineation was performed by analyzing vegetation,
hydrology within 12 inches of the surface, and soil conditions within 20 inches of the surface. The
wetland contains hydric soils, saturated soils, and dominant wetland indicator plants.
Also note, the site is located within Land Subject to Coastal Storm Flowage (FEMA Flood Zone AE) and
may contain a Coastal Bank. Based on the topography ECR observed on the site, it was not obvious if a
Coastal Bank exists onsite. Both the limit of the flood zone and the top of the Coastal Bank should be
determined by elevation survey. The presence or absence of a Coastal Bank should be determined in
accordance with DEP Policy 92-1 by examining the extent of the flood zone and the slope of the
landform.
Lastly, Parkers River, a USGS mapped tidal river, is located to the north of the site. Because the river is
tidal, the limit of the river coincides with the mean high-water elevation. The mean high-water elevation
should be determined by elevation survey in order to establish the limit of the river and the extent of the
200-foot Riverfront Area that extends over the site.
As a result of ECR’s wetland delineation at the site, ECR is able to confirm that the site contains the
following wetland resource areas and areas of Conservation Commission jurisdiction:
• Bordering Vegetated Wetland
• Isolated Vegetated Wetland
• 100-foot Buffer Zone to BVW & IVW
• Perennial Stream (Parkers River) & the associated 200-foot Riverfront Area
• Bordering Land Subject to Flooding (FEMA flood zone AE)
• Coastal Bank (absence or presence to be determined by survey) & the associated 100 -foot Buffer
Zone
P.O. Box 4012, Plymouth, Massachusetts 02361 617-529-3792 | www.ecrwetlands.com
Also, a review of the MassMapper database reveals the following:
1. The site is not located within Estimated/Priority Habitat for Rare Species according to the
Massachusetts Natural Heritage & Endangered Species Program (MaNHESP).
2. The site does not contain Certified Vernal Pools according to the MaNHESP.
3. The site is not located within an Area of Critical Environmental Concern.
Attachments:
1.) BVW Delineation Forms
BORDERING VEGETATED WETLAND DETERMINATION FORM
Project/Site: ___________________________________ City/Town: ____________________ Sampling Date: ___________
Applicant/Owner: ____________________________________________ Sampling Point or Zone: ____________________
Investigator(s):_______________________________________________Latitude / Longitude:________________________
Soil Map Unit Name:_________________________________________ NWI or DEP Classification: ___________________
Are climatic/hydrologic conditions on the site typical for this time of year? Yes _____ No _____ (If no, explain in Remarks)
Are Vegetation _______ , Soil ______ , or Hydrology _____ significantly disturbed? (If yes, explain in Remarks)
Are Vegetation _______ , Soil ______ , or Hydrology _____ naturally problematic? (If yes, explain in Remarks)
SUMMARY OF FINDINGS – Attach site map and photograph log showing sampling locations, transects, etc.
Wetland vegetation criterion met? Yes______No ______ Is the Sampled Area
within a Wetland?
Yes ____ No _____
Hydric Soils criterion met? Yes______No ______
Wetlands hydrology present? Yes______No ______
Remarks, Photo Details, Flagging, etc.:
HYDROLOGY
Field Observations:
Surface Water Present? Yes ______ No _______ Depth (inches) ______________
Water Table Present? Yes ______ No _______ Depth (inches) ______________
Saturation Present (including capillary fringe)? Yes ______ No _______ Depth (inches) ______________
Wetland Hydrology Indicators
Reliable Indicators of Wetlands
Hydrology
Indicators that can be Reliable with
Proper Interpretation
Indicators of the Influence of Water
____ Water-stained leaves ___ Hydrological records ____ Direct observation of inundation
____ Evidence of aquatic fauna ___ Free water in a soil test hole ____ Drainage patterns
____ Iron deposits ___ Saturated soil ____ Drift lines
____ Algal mats or crusts ___ Water marks ____ Scoured areas
____ Oxidized rhizospheres/pore
linings
___ Moss trim lines ____ Sediment deposits
____ Thin muck surfaces ___ Presence of reduced iron ____ Surface soil cracks
____ Plants with air-filled tissue
(aerenchyma)
___ Woody plants with adventitious
roots
____ Sparsely vegetated concave
surface
____ Plants with polymorphic leaves ___ Trees with shallow root systems ____ Microtopographic relief
____ Plants with floating leaves
____ Hydrogen sulfide odor
___ Woody plants with enlarged
lenticels
____ Geographic position (depression,
toe of slope, fringing lowland
Remarks (describe recorded data from stream gauge, monitoring well, aerial photos, previous inspections, if available):
This form is only for BVW delineations. Other wetland resource areas may be present and should be delineated according
to the applicable regulatory provisions.
Sampling Point__________
2
VEGETATION – Use both common and scientific names of plants.
Tree Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
5.
6.
7.
8.
9.
________ = Total Cover
Shrub/Sapling Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
5.
6.
7.
8.
9.
________ = Total Cover
Herb Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
________ = Total Cover
Sampling Point__________
3
VEGETATION – continued.
Woody Vine Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
________ = Total Cover
Rapid Test: Do all dominant species have an indicator status of OBL or FACW? Yes _____ No ________
Dominance Test:Number of
dominant species
Number of dominant species that are
wetland indicator plants
Do wetland indicator plants make up
50% of dominant plant species?
Yes ______ No _______
Prevalence Index:
OBL species
Total % Cover (all strata) Multiply by: Result
X 1 =
FACW species X 2 =
FAC species X 3 =
FACU species X 4 =
UPL species X 5 =
Column Totals (A)(B)
Prevalence Index B/A = Is the Prevalence Index 3.0?
Yes ______ No _______
Wetland vegetation criterion met? Yes _______ No ________
Definitions of Vegetation Strata
Tree - Woody plants 3 in. (7.62 cm) or more in diameter at breast height (DBH), regardless of height
Shrub / Sapling - Woody plants less than 3 in. (7.62 cm) DBH and greater than or equal to 3.3 ft. (1 m) tall
Herb - All herbaceous (non-woody plants, regardless of size, and woody plants less than 3.3 ft. (1 m) tall
Woody vines - All woody vines greater than 3.3 ft. (1 m) in height
Cover Ranges
Range Midpoint
1-5 % 3.0 %
6-15 % 10.5 %
15-25 % 20.5 %
26-50 % 38.0 %
51-75 % 63.0 %
76-95 % 85.5 %
96-100 % 98.0 %
Sampling Point__________
4
SOIL
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth
(inches)
Matrix Redox Features
Texture Remarks Color (moist) % Color (moist) % Type
1 Location2
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Mask d Sand Grains 2Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators (Check all that apply) Indicators for Problematic Hydric Soils
____ Histosol (A1) ____ Polyvalue Below Surface (S8) ____ 2 cm Muck (A10)
____ Histic Epipedon (A2) ____ Thin Dark Surface (S9) ___ 5 cm Mucky Peat or Peat (S3)
____ Black Histic (A3)
____ Hydrogen Sulfide (A4)
____ Loamy Gleyed Matrix (F2)
____ Stratified Layers (A5)
____ Depleted Matrix (F3)
____ Depleted Below Dark Surface (A11)
____ Redox Dark Surface (F )
___ Iron-Manganese Masses (F12)
____ Thick Dark Surface (A12)
____ Depleted Dark Surface (F )
___ Mesic Spodic (A17)
____ Sandy Mucky Mineral (S1)
___ Red Parent Material (F21)
____ Sandy Gleyed Matrix (S4)
___ Very Shallow Dark Surface (F )
____ Sandy Redox (S5) ___ Other (Include Explanation in
Remarks) ____ Stripped Matrix (S6)
____Dark Surface (S7)
Restrictive Layer (if observed) Type: _____________________________ Depth (inches): ______________________
Remarks:
Hydric Soils criterion met? Yes _______ No ________
____ ()
BORDERING VEGETATED WETLAND DETERMINATION FORM
Project/Site: ___________________________________ City/Town: ____________________ Sampling Date: ___________
Applicant/Owner: ____________________________________________ Sampling Point or Zone: ____________________
Investigator(s):_______________________________________________Latitude / Longitude:________________________
Soil Map Unit Name:_________________________________________ NWI or DEP Classification: ___________________
Are climatic/hydrologic conditions on the site typical for this time of year? Yes _____ No _____ (If no, explain in Remarks)
Are Vegetation _______ , Soil ______ , or Hydrology _____ significantly disturbed? (If yes, explain in Remarks)
Are Vegetation _______ , Soil ______ , or Hydrology _____ naturally problematic? (If yes, explain in Remarks)
SUMMARY OF FINDINGS – Attach site map and photograph log showing sampling locations, transects, etc.
Wetland vegetation criterion met? Yes______No ______ Is the Sampled Area
within a Wetland?
Yes ____ No _____
Hydric Soils criterion met? Yes______No ______
Wetlands hydrology present? Yes______No ______
Remarks, Photo Details, Flagging, etc.:
HYDROLOGY
Field Observations:
Surface Water Present? Yes ______ No _______ Depth (inches) ______________
Water Table Present? Yes ______ No _______ Depth (inches) ______________
Saturation Present (including capillary fringe)? Yes ______ No _______ Depth (inches) ______________
Wetland Hydrology Indicators
Reliable Indicators of Wetlands
Hydrology
Indicators that can be Reliable with
Proper Interpretation
Indicators of the Influence of Water
____ Water-stained leaves ___ Hydrological records ____ Direct observation of inundation
____ Evidence of aquatic fauna ___ Free water in a soil test hole ____ Drainage patterns
____ Iron deposits ___ Saturated soil ____ Drift lines
____ Algal mats or crusts ___ Water marks ____ Scoured areas
____ Oxidized rhizospheres/pore
linings
___ Moss trim lines ____ Sediment deposits
____ Thin muck surfaces ___ Presence of reduced iron ____ Surface soil cracks
____ Plants with air-filled tissue
(aerenchyma)
___ Woody plants with adventitious
roots
____ Sparsely vegetated concave
surface
____ Plants with polymorphic leaves ___ Trees with shallow root systems ____ Microtopographic relief
____ Plants with floating leaves
____ Hydrogen sulfide odor
___ Woody plants with enlarged
lenticels
____ Geographic position (depression,
toe of slope, fringing lowland
Remarks (describe recorded data from stream gauge, monitoring well, aerial photos, previous inspections, if available):
This form is only for BVW delineations. Other wetland resource areas may be present and should be delineated according
to the applicable regulatory provisions.
Sampling Point__________
2
VEGETATION – Use both common and scientific names of plants.
Tree Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
5.
6.
7.
8.
9.
________ = Total Cover
Shrub/Sapling Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
5.
6.
7.
8.
9.
________ = Total Cover
Herb Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
________ = Total Cover
Sampling Point__________
3
VEGETATION – continued.
Woody Vine Stratum Plot size _______________________
Common name Scientific name
Indicator
Status
Absolute
% Cover
Dominant?
(yes/no)
Wetland
Indictor?
(yes/no)
1.
2.
3.
4.
________ = Total Cover
Rapid Test: Do all dominant species have an indicator status of OBL or FACW? Yes _____ No ________
Dominance Test:Number of
dominant species
Number of dominant species that are
wetland indicator plants
Do wetland indicator plants make up
50% of dominant plant species?
Yes ______ No _______
Prevalence Index:
OBL species
Total % Cover (all strata) Multiply by: Result
X 1 =
FACW species X 2 =
FAC species X 3 =
FACU species X 4 =
UPL species X 5 =
Column Totals (A)(B)
Prevalence Index B/A = Is the Prevalence Index 3.0?
Yes ______ No _______
Wetland vegetation criterion met? Yes _______ No ________
Definitions of Vegetation Strata
Tree - Woody plants 3 in. (7.62 cm) or more in diameter at breast height (DBH), regardless of height
Shrub / Sapling - Woody plants less than 3 in. (7.62 cm) DBH and greater than or equal to 3.3 ft. (1 m) tall
Herb - All herbaceous (non-woody plants, regardless of size, and woody plants less than 3.3 ft. (1 m) tall
Woody vines - All woody vines greater than 3.3 ft. (1 m) in height
Cover Ranges
Range Midpoint
1-5 % 3.0 %
6-15 % 10.5 %
15-25 % 20.5 %
26-50 % 38.0 %
51-75 % 63.0 %
76-95 % 85.5 %
96-100 % 98.0 %
Sampling Point__________
4
SOIL
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth
(inches)
Matrix Redox Features
Texture Remarks Color (moist) % Color (moist) % Type
1 Location2
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Mask d Sand Grains 2Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators (Check all that apply) Indicators for Problematic Hydric Soils
____ Histosol (A1) ____ Polyvalue Below Surface (S8) ____ 2 cm Muck (A10)
____ Histic Epipedon (A2) ____ Thin Dark Surface (S9) ___ 5 cm Mucky Peat or Peat (S3)
____ Black Histic (A3)
____ Hydrogen Sulfide (A4)
____ Loamy Gleyed Matrix (F2)
____ Stratified Layers (A5)
____ Depleted Matrix (F3)
____ Depleted Below Dark Surface (A11)
____ Redox Dark Surface (F )
___ Iron-Manganese Masses (F12)
____ Thick Dark Surface (A12)
____ Depleted Dark Surface (F )
___ Mesic Spodic (A17)
____ Sandy Mucky Mineral (S1)
___ Red Parent Material (F21)
____ Sandy Gleyed Matrix (S4)
___ Very Shallow Dark Surface (F )
____ Sandy Redox (S5) ___ Other (Include Explanation in
Remarks) ____ Stripped Matrix (S6)
____Dark Surface (S7)
Restrictive Layer (if observed) Type: _____________________________ Depth (inches): ______________________
Remarks:
Hydric Soils criterion met? Yes _______ No ________
____ ()