HomeMy WebLinkAboutStormwater ApplicationPage 1 of 2
Town of Yarmouth Stormwater By-Law Ch. 145
Stormwater Management Permit Application
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A. General Information
1.Project Location:
a. Street Address b. City/Town c. Zip Code
Latitude and Longitude: d. Latitude e. Longitude
f. Assessors Map/Plat Number g. Parcel /Lot Number
2.Applicant:
a. First Name b. Last Name
c. Organization
d. Street Address
e.City/Town f. State g. Zip Code
h. Phone Number j. Email Address
3.Property owner (required if different from applicant):Check if more than one owner
a. First Name b. Last Name
c. Organization
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number j. Email address
4.Representative (if any):
a. First Name b. Last Name
c. Company
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number j. Email address
5.Total Fee Paid:
a. Total Fee Paid
A. General Information (continued)
770 Route 28 South Yarmouth 02664
Map 33 Lots 38, 39, 40
Mash Realty, LLC.
17 Old Main Street
West Dennis MA 02670
Conserv Group, Inc.
110 State Road - Suite 7
Sagamore Beach MA 02562
508-888-6555 rcatignani@conservgroup.com
Roy Catignani
$210.00
Richard Tabaczynski
Atlantic Design Engineers, Inc.
P.O. Box 1051
Sandwich MA 02563
508-888-9282 rtabaczynski@atlanticcompanies.com
Steven Sewell (Manager)
774-244-2537 steve@kiacape.com
DocuSign Envelope ID: 5D841A5F-EE6C-4695-A56E-9E7D1DE2A327
Page 2 of 2
Town of Yarmouth Stormwater By-Law Ch. 145
Stormwater Management Permit Application
6.General Project Description:
7.Property recorded at the Registry of Deeds for:
a. County b. Certificate # (if registered land)
c. Book d. Page Number
B. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Storm water Management Permit
Application 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
application in a local newspaper at the expense of the applicant.
I further certify under penalties of perjury that all abutters were notified of this application, pursuant to
the requirements of the Yarmouth Stormwater Management Regulations 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.
Signature of Applicant
Signature of Property Owner (if different)
Signature of Representative (if any)
Date_____________________
Barnstable
34709 146
Proposed 9,991 sf building for Nissan dealership to include service bays, and various site
improvements including parking, car inventory area, utilities and landscaping.
DocuSign Envelope ID: 5D841A5F-EE6C-4695-A56E-9E7D1DE2A327
7/1/2024