HomeMy WebLinkAbout228 RT 28 stormwater applicationTown of Yarmouth Stormwater By -Law Ch. 145
. a j,�`Y Stormwater Management Permit Application
7
Important: When
A. General Information
filling out forms on
the computer, use
only the tab key to
1. Project Location:
move your cursor -
do not use the
228 Route 28
return key.
a. Street Address
r�
Latitude and Longitude:
37
rerun
f. Assessors Map/Plat Number
2. Applicant:
Emad
a. First Name
A Plus Real Estate LLC
c. Organization
206 Barnstable Road
Yarmouth
02673
b. City/Town
c. Zip Code
41.655350 N
70.255380 W
d. Latitude
e. Longitude
148
g. Parcel /Lot Number
Zahran
b. Last Name
d. Street Address
Hyannis MA 02601
e. City/Town f. State g. Zip Code
See Representative See Representative
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
h. Phone Number
4. Representative (if any):
Jack
a. First Name
Green Seal Environmental LLC
f. State
j. Email address
O'Leary
b. Last Name
g. Zip Code
c. Company
114 State Road
d. Street Address
Sagamore Beach MA 02562
e. City/Town
784-206-7521
h. Phone Number
5. Total Fee Paid:
Z t0. 00
a. Total Fee Paid
A. General Information (continued)
f. State g. Zip Code
i.oleary@gseenv.com
j. Email address
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r�� YaR Town of Yarmouth Stormwater By -Law Ch. 145
�o. Stormwater Management Permit Application
CSC'
6. General Project Description:
Redevelopment of former restaurant into a mixed -use building. All work will be outside of the
buffer zone. Stormwater improvements include water quality measures and infiltration of all site
runoff.
7. Property recorded at the Registry of Deeds for:
Barnstable
a. County b. Certificate # (if registered land)
34148 87
c. Book d. Page Number
B. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Stormwater 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 h 2U�
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