HomeMy WebLinkAboutDOA 1.21.2025wpaform2.doc • rev. //2023 WPA Form 2 – Determination of Applicability • Page 4 of 5
Massachusetts Department of Environmental Protection
Bureau of Water Resources - Wetlands
WPA Form 2 – Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality
B. Determination (cont.)
5. The area described in the Request is subject to jurisdiction under the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act
and the regulations, no Notice of Intent is required:
Exempt Activity (site applicable statutory/regulatory provisions)
6.The area and/or work described in the Request is not subject to additional review and approval
by:
Name of Municipality
Pursuant to a municipal wetlands’ ordinance or bylaw.
Name Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the applicant and delivered as follows:
By hand delivery on
Date
By certified mail, return receipt request on
Date
Certified Mail Number
A copy of this Determination has been sent on the same date, considered the date of issuance, to the
appropriate DEP Regional Office and the property owner (if not the applicant) in the manner as follows:
DEP
By eDEP DOA Submittal Platform (Attach this form and supporting documents)
By USPS mail
Date
By hand delivery
Date
Property Owner (if not applicant)
By mail
Date
By hand delivery
Date
Yarmouth
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1/21/2025
7008 0150 0003 2029 8472
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1/21/2025