HomeMy WebLinkAboutRDA 7.3.2025DEPARTMENT
OF
CONSERVATION
Sitefrr*eao ion fiwm
Qmwal, Sr4nttmstiun:
If the applicant is not the property owner, please submit this form with your application. The owner
must be sent a copy of the application on the same day it is filed with this office.
/<Ll So;/fi 56tr uA?
Property Address:3
w Y/Wz{nD
Assessors Map/Lot:"e 3b cr
I (we) hereby authorize the individual members of the Yarmouth Conservation Cornmission and its
agents to enter upon the referenced property for the purpose of gathering information regarding the
application filed with the Commission pursuant to the Wetlands Protection Act (M.G.L. Ch. 131, s.
40) and/or the Yarmouth Wetlands Protection Bylaw (Chapter 143).
Authorized Signature:
Please Print Name:
Date: 7
If other than owner, please state whether tenant, agent, or other:
Mailing Address:z O,drdffiV7-0)/ 70
Phone:
Email
)}C -s"7o Cell:s@
Fax
e_. con/\
Yarmouth Conservation Commission . 1146 Route 28 . South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288 . Fax (508)-398-0836. TTD# (508) 398-2231
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Mhratiuerut
freqnru t /6,n 9ffi o/ Ap p $cnrtA@
Jnlrumattun:
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 lnamplete Application and will not be advertised for a Public Hearing. Refer to the meetino
schedule. Contact the Conservation Office if you need assistance.
,!-u/uttrltma att (1o olkattaa-'
Hardcopy filing dropped off or mailed to the Conservation Office including:
./ I noeaaministrative Checklist
plete 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 subjec{ to protection.
_l_ lf BVW or vegetated wetlands are present, delineation sheet(s), coastal bank calculation and other
re.levant material if applicable (not applicable for flood zone only p@ects)-
-tiarmouth Assessol's locator map highlighting parcel(s) where work is proposed, including map and
pgrcel numbers.
-4
current abutters list identifying the property owners who are to be notified and abutter notification form.
Alabutters to be notified via certified mail, Certified Mail Receipts (PS Form 3800) must be provided.
-4
original and 7 photocopies of the plan/sketch, folded separately, right side out with title and address
visible. All plans shall reference NAVDl988 unless otheMise noted. Landscape plans shall be detailed to
show proposed and existing conditions, native species, quantity, size and spacing.
----/-p4aw filing fee: Separate check made payable to "Town of Yarmouth'
/ tqa abe: Separate check made payable to 'Torvn of Yarmouth'
Please list proiect property's street address on checks. Refer to EegSghedgle.
Digital and DEP filing
_ A pdf of the entire application emailed to bdirienzo@varmouth.ma.us and jjCIgli4q@yAlm.Oqlh.,ma.us and
DEP Southeast Region at SERO NoI@mass.oov in the same email. Subject line shall be "YARMOUTH -
RDA - Street Address - Applicant Name"
Please list proiect property's street address in the pdf file name.
lnitial below
+P 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 rresource areas and buffer zones must be
staked or flagged. Please consult the Yarmouth Wetland Reoulations, page 17.
I understand that in person representation is required at the scheduled hearing to present to the
conservation comm ission.
" If the applicant is NgI 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 submil a copy of the Certified Mail receipt with application.
tf Applicable
Certified Mail Receipt for Massachusetts Natural Heritage and Endangered Species Program
-Certified
Mail Receipt for Massachusetts Division of Marine Fisheries. lf filing via email, CC
bdirienzo@varmouth.ma.us and iierolimo@varmouth.ma.us
Yannouth Conservation Commission . 1146 Route 28 . South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288 'Fax (508)-398-0836'TTI)# (50S) 398-2231 . bdirienzo(Oyannourh.ma.us
Rev.6/2025
Conservation
Office
\
\
Massac h usetts De pa rtment of Envi ron menta I P rotectio n
Bureau of Water Resources - Wetlands
WPA Form 1- Request for Determination of Applicability
Massachu setts Wetlands Protection Act M.G.L. c. 131, S40
Municipality
lmportant:
\A/hen filling out
forms on the
computer, use only
the tab key to move
your cursor - do not
use the return key.
Fi
7
Num
2. Proper$ Owner (if ditferent from Applicant):
First Name
)/il,t O-t-/ ? Lstm--7ip Code
Last Name
F*/,-
Last Name
own
A, <b*
rESS,*,4
Address
City/Town State Zip Code
Phone Number Email Address (if known)
3. Representative (if any)
First Name Last Name
Company Name
Address
Cityffown State Zip Code
Phone Number Email Address (if known)
B. Project Description
1. a. Project Location (use maps 1td plans to identify the location of the area subject to this request)
own
./,
How to find Latitude
and Longitude
and how to convert
to decimaldegrees
Street Address
Latitude (Decimal Degrees Format with 5 digits after decimal
e.g. )fi)fiXXX)
b. Area Description (use additional paper, if necessary):
Longilude (Decimal Degrees Format with 5 digits after
decimale.g. -XX)000fi)
-Assessors' LoUPi ice[N umber
t
a
c Plan and/or Map Reference(s): (use additional paper if necessary)
Title Date
Title
wpafiorm 1 -doc . rev. 4,/'28f2023
Date
VI/PA Form 1 - Request fa Determination of Applicability . Page 1 d 3
A. General lnformation
1. Applicant:
D*tz, r-l
a.a
Assessors'Map Number
iiassachusetts Deparhent of E nvi ronmenta I Protection
Bureau. of Water Resources - Wetlands
B
2. a.
b. ldentify provisions of the Wetlands Protection Act or regulations which may exempt the applicant
from having to file a Notice of lntent for all or part of the described work (use additional paper, if
necessary).
3. a. lf this application is a Request br Determination of Scope of Alternatives for work in the
Riveffiont Area, indicate the one classification below that best describes the project.
n Single family house on a lot recorded on or before 811/96
n Single f;amily house on a lot recorded after 8/1/96
tr Expansion of an existing structure on a lot recorded after 811196
tr Project, other than a singte-family house or public project, where the applicant owned the lot
before 817196
n New agriculture or aquaculture project
tr Public project where funds were appropriated prior to 8ffl96
n 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 br the entire subdivision
tr Residential subdivision; institutional, industrial, or commercial project
tr Municipal project
D District, county, state, or federal government project
tr Project required to evaluate off-site alternatives in more than one municipality in an
Environmental lmpact Report under MEPA or in an alternatives analysis pursuant to an
application br a 4A4 permit from the U.S. Army Corps of Engineers or 401 Water Quality
Certification from the Department of Environmental Protection.
b. Provide evidence (e.9., record of date subdivision lot was recorded) supporting the classification
above (use additional paper and/or attach appropriate documents, if necessary.)
Project Description (cont.)
ActivityM/ork Description (use additional paper and/or provide plan(s) of Activity, if necessary):
tl tsn f fln)U a-s d.nz itt fl* faS*
wpaforml.doc . rev. 4f28t20,23 lr1/FA Form 1 - Request for Determinatbn of Applk*ility'Page 2 of 3
fteilectto* 461+il.G.t. e. '131, S40 {lsriotsafity-
Massachusetts Deparfinent of E nvi ron menta I P robction
Bureau of Water Resources - Wetlands
WPA FOrm 1- Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, S40
Municipality
G
1
Determ
I request the
inationsVm;uil'.make the following determination(s). Check any that apply:
Conservation Commission
tr a. whether the area depicted on plan(s) and/or map(s) referenced above is an area subject to
jurisdiction of the Wetlands Protection Act.
tr b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced
above are accurately delineated.
tr c. whether the Activities depicted on plan(s) referenced above is subject to the Wetlands
Protection Act and its regulations.
D d. whether the area and/or Activities depicted on plan(s) referenced above is subject to the
jurisdiction of any municipal wetlands' ordinance or bylaw of:
Name of Municipality
tr e. whether the following scope of alternatives is adequate for Activities in the Riverfront Area as
depicted on referenced Plan(s).
D. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability
and accompanying plans, documents, and supporting data are true and complete to the best of my
knowledge.
I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional
Office were sent a complete copy of this Request (including all appropriate documentation)
simultaneously with the submittal of this Request to the Conservation Commission.
Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for
Determination of Applicabili$.
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
tn 1 lations
Signature of
Signature of Representative (if any)Date
wpaforml.doc . rev. N2812O23 \AIPA Form 'l - Request for Determination of Applicability . Page 3 of 3
{
of the Wetlands Protection Act
30.97 30"96
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Prperty I
Vision lD
Lrcation 33 CREST CIR
1624
Map lD 221591 I I
Bldg # 2
Bldg Name
Sec# 1 of 1 Card# 3 of 3
State Use 1090
Print Date 1131?f,253:3Account # 1624
ct ,frRENT OWNEH TOPO STHT/ ROAT)LOCATI,,N
Pa/ed suburban As
. DATA
RESIDNTL
RES LAND
1090
1090
1,486,700
273,300
1 486,
273,
700
300
PALMER DAVID
PALMER MELISSA
63 PROSPECT ST
MELROSE MA 02176
Att Prcl lD l9lAO04.| llMtsc 120
SEWER P
CONTRACT #
PI-AN # 183
ZIP CODE fi73:
Gts tD M_304019_822630
VOTE
VOTE DATE
PRIVATE
Assoc Pid#
VISION
EK-VOUPAGE )ALE OAnE WU v/t vc
Year Year Code Code Assessed
2c25 1
1
090
090
1,486,700
273,WO
?0.24 1090
1090
1,369,000
z]7,ffio
2f.23 1090
1090
1,365,4@
200,900
PALMER DAVID
WALSH MARGARET R (EST OF)
WALSH MARGARET R (EST OF)
28773
4315
0207
0093
0
03-31-2015
11 -13-1984
U 350,000
0
0
1H
Total 1,605 1,566,200EXEMPTIONSOTHER ASSFS5'I[,|EV7f
3Ar rlIlOUht Code Amount Cornm lnt
nature a Col
Total
Nbhd alre B
0060
,TES
Appraised Bldg, Value (Card)
Appraised Xf (B) Value (Bldg)
Appraised Ob (B) Value (Bldg)
Appra,ised Land Value (Bldg)
Special Land Value
Total Appraised Parcel Value
Valualion Method
7,'loo
273,W0
0
1,760,000
c
1,474,6@
5,000
BP2018: RENO EST @ 50%
GUEST HOUSE
NATURAL I/G E/G
Tolal Appraised Parcel Value 1,760,000
Permit ld lssue Dde de(omp Cornments Dde td ls
B Use Code Decriflion Zone Land Type Land Units Unit Price Size Adj Site lndex Cmd Nbhd,Nbhd, Adj Notes Location Adjustment Adj Unit P Land Vdue
2 1090 MULTI HSES M 0 SF 11.00 1.00000 6 1.15 0050 1,400 0.0000 17.71 0
TotaleardEndnnlfs o SF 0.39 0
IYT',I
?tIEEIilI
,UMEN I
815
YARMOUTH, MA
3ltselow lode
t8
J .PRICI
a 0r
Y e De 0n cn
uvt
n0
I
B,
e VDE 'Resull
Property
Visim lD
Location 33 CREST CIR
1624
Map lD 221591 I I Bldg
Sec #
Name
1of 1
State Use 1090
Acqount# 1624 Bldg # 2 Cud# 3 a Print 1tuD25 3:
coj ;th ,tY I tn,t
(,onElementCd
4
Parcel lc 0.0
FacAdiust T'onypee
Condo Flr
Condo Unit
13
7
BAS
PRS
7
.3?
WDK
5.
I
06
01
03
2
1
14
03
03
05
12
03
01
02
01
1
0
4
02
02
Building Value New
Year Built
Etfectiw Year Built
Deprecidion Code
Remodd Raling
Year Remodeled
Deprecidion %
FunctionalObsol
Ext, Ccinment
Trend Factor
Condition
Condition %
Percml Good
RCNLD
Dep o/o Ow
Dep Ow Commenl
Misc lmp Ow
Misc lmp Ow Commenl
Cost to Cure Ovr
Cosl to Cure Ovr Commenl
144,949
5
0
0
1
G
1960
95
197,700
Style:
Model
Grade:
Stories:
Occupancy
Eilerior Wall 1
Exterior Wall 2
Roof Slructure:
Rmf Coler
lnlerior Wall 1
lnterlor Wall2
lnterior Flr 1
lnterior Flr 2
Hat Fuel
Het Type:
AC Type:
Total Bedrooms
Total Blhrms:
Tolal Half Baths
Total Xtra Fitrrs
Total Rooms:
Bdh Style:
Kilchen Style:
Gable/1-lip
Asph/F Gls/Cmp
Drywall/Sheet
Wood Shingle
Hardwood
Conventional
Residential
Average
Gas
None
Heat Pump
1 Bedrmm
Average
Average
T YAHI
Iion Units Yr Blt Cond. Cd o/" Gd Grade
Descri Livin Etf Area alue
BAS
FUS
PRS
WDK
Firsl Floor
Upper Slory Finished
Piers
Deck, Wood
261
164
0
0
261
164
261
196
261
164
0
20
325,73
325.73
0,00
33.24
85,015
53,419
0
6,515
949ross425882
aluerrice
sorec'0n
a
I
2017i,.i1 'il1
'.rttilrF-_ . "l;.
Proprty Localion 33 CREST CIR
Vision lD 1624
Map lD 221591 ll Bldg
Sec #
Name
Cqd# 3 of 3
State Use 1090
Print Dale 1/UN253:Account # '1624 Bldg # 2 of
I
Element Cc Element Cd on
13
7
BAS
PRS
b
66 5.
6
FUS
BAS
PRS
66 7
32 5.
WDK
83
6
9
Style:
Model
Grade:
Stories:
Occupancy
Exlerior Wall 1
Exlerior Wall 2
Rmf Struclure:
Rmf Covep
lnterior Wall 1
lnterior Wall2
lnterior Flr 1
lnterior Flr 2
Het Fuel
Hel Type:
AC Type:
Tolal Bedrooms
Total Blhrms:
Total Hall Baths
Total Xtra Fixtrs
Tolal Rooms:
Bdh Style:
Kitchen Style:
06
01
03
2
1
14
03
03
05
12
03
01
02
01
1
0
4
02
02
Cmventional
Residential
Averpge
Wmd Shingle
Gable/tlip
AspffF Gls/Cmp
DrywalliSheet
Hardwmd
Gas
None
Heat Pump
1 Bedrmm
Average
Average
Parcel ld 0.0
Adiust T ype B on
Condo Flr
Condo Unit
iT/
Building Value New
Year Built
Etfectiw Year Buih
Deprecidion Code
Remodd Rating
Year Remodeled
Deprecialion o/o
Funclional Obsol
Ext, Cqnment
Trend Factor
Condition
Condition o/o
Percenl Good
RCNLD
Dep % Ovr
Dep Ow Comment
Misc lmp Ow
Misc lmp Ow Comment
Cosl lo Cure Ovr
Cost 1o Cure Ovr Comment
144,949
1960
T.,
5
0
0
1
95
137,700
)lNt iE)
esc UB Units Yr Blt rpor. Value
tl
0n oor Eff Arr t eprec Value
BAS
FUS
PRS
WDK
First Floor
Upper Slory Finished
Piers
Dmk, Wmd
261
164
0
0
261
fi4
261
196
261
164
0
20
325,73
325,73
0,00
33.24
85,015
53,419
0
6,515
TtlGrcs Liv/ Lease Area 425 445
YU
-
F !F- a s*
2012i01/tj.1
F-[,1
ln Unit rrice
Propaty Location 33 CREST CIR
Visim lD 1624
Map lD ?21591 ll
Bldg # 2
Bldg
Sec #
Name1of 1 Card# 3 of 3
Slate Use 1090
Print Date 11312f.253:3Accor.rnl # 1624
fQPI 5I 1T/LOCATION CI
815
YARMOUTH, MA
PALMER DAVID
PALMER MELISSA
63 PROSPECT ST
MELROSE MA 02176
suburban lode ised
n Gas RESIDNTL
RES LAND
1090
1090
1,486,700
273,300
1,486,700
273,300S€
SAPPLEMENTAL DATA
Att PrcllD lSlAO04,( llMtsc 120
SEWER P
CONTRACT #
PLAN # 183
ztP coDE %73:
Gts tD M_304019-8?2630
VOTE
VOTE DATE
PRIVATE
Assoc Pid#
VISION
1,760,1,71
SALE DA rU v/t VC
PALMER DAVID
WALSH MAHGARET R (EST OF)
WALSH MARGARET R (EST OF)
28773
4315
0207
0093
0
03-31-2015
11 -13-1984
U 350,000
0
0
1H Year Year Code
2025 1 090
0901
1,486,700
n3300
2f24 1 090
0901
1,368,000
Z37,NO
?f23 1090
1090
1,365,400
200,800
Total Tolal
a Collector or Assessor
Coc e Code 0n Amounl Cornm lnl
Appraised Bldg. Value (Card)
Appraised Xf (B) Value (Bldg)
Appralsed Ob (B)Value (Bldg)
Appraised Land Value (Bldg)
Special Land Value
Total Appraised Parcel Value
Valuation Method
1,474,6@
5,000
7,100
273,300
0
1,760,000
c
Total
aTe B
GUEST HOUSE
NATURAL I/G E/G
BP2018: RENO EST @ 50%
Tolal Appraised Parcel Value 1,760,000
Pr lssue Dde Amounl Dde Comp Comments td vpe ls cd
B Use Code Description Zone Land Units Unit Price Size Adj Sile lndex Cond Nbhd Nbhd, Adj Location Adjustment Adi Unit P Land ValueLand Type Notes
2 1090 MULTI HSES M 0 SF 11.00 1.00000 6 1.15 m60 1,400 0.0000 17.71 0
Total(o SF 0.39 0
TIEfj
Pa/ed
,.17EV
e
,v,)L
)ar
1
HEH AUUE
Y ln
tD
h
0060
A
,-/c iE ril5 t
D lnso Da 6 o/o C,e Result
P arcel To1 ,rea I Land Value
Proprty Lmation 33 CREST CIR
Visim lD 1624
Map lD 221591 I I
Bldg # 1
Bldg Name
Sec# 1 of 1 Cqd# 2 of 3
State Use 109(
Print Date 113,Account# 1624
CONSTHUCTION DETAIL VUN I
'NUEU
I
Cd Descri rtion Element C(Descrip
Parcel ld 0.0
Adiust T'ype Code Descri Iion Factor%
Condo Flr
Condo Unit
Style:
Model
Grade:
Stories:
Occupancy
Exterior Wall 1
Exterior Wall 2
Rmf Structure:
Roof Cowr
lnterior Wall 1
lnlsior Wall2
lnterior Flr'1
lnlerio Flr 2
Heat Fuel
Heat Type:
AC Type:
Tolal Bedrooms
Total Bthrms:
Total Half Balhs
Tolal Xtra Fixlrs
Tolal Rooms:
Bdh Style:
Kitchen Style:
03
03
05
09
03
o4
03
04
4
1
1
03
03
07
01
06
2.5
1
14
Building Value Neur
Year Built
Effectiw Year Buih
Depreclation Code
Remodel Rating
Year Remodeled
Deprecidion %
Functional Obsol
Ext. Cornment
Trend Factor
Condition
Condition %
Percent Good
RCNLD
Dep % Ow
Dep Ovr Cornment
Misc lmp Ow
Misc lmp Ow Comment
Cml to Cure Ovr
Cet to Cure Ovr Comment
Modern/Conlemp
Residential
Ercdlent
Gable/Hip
Asph/F Gls/Cmp
Drywall/Sheet
Pine/Soft Wood
Wood Shingle
Modern
Modern
Gas
Forcrd Air-Duc
Cenlral
4 Bedrooms
Code UB Unils Yr Blt "/o Gd Grade r ue
Code Descr tArea Flmr Area Eff Area Unit Cost eprec Value
WDK Deck, Wmd 0 168 17 31.34 5,265
ross
3n
rN
ilion ilce
,-A'lEA tUfiilTWAFl ,AI
0n
Proprty Location 33 CREST CIR
Vision lD 1624
Map lD 221591 I I Bldg
Sec #
Name
Account# 1624 Bldg # 1 o
CONSTHUCTION DETAIL CONSTRUCTION DETATL r ..UN I NUED
cd Descri rtion
0,0Parcd lc
Adiust T'ype e rescriplion
Cmdo Flr
Condo Unil
COST / MARKET VALUATION
Style:
Model
Grade:
Stories:
Occupancy
EfieriorWall 1
Eferior Wall 2
Roof Struclure:
Roof Cowr
lnterio Wall 1
lnterior Wall2
lnterior Flr 1
lnterior Flr 2
Het Fuel
Heal Type:
AC Type:
Total Bedrooms
Total Bthrms:
Total Half Baths
Total Xtra Fixtrs
Total Rooms:
Bdh Style:
Kitchen Style:
07
01
06
2.5
1
14
03
03
05
09
03
04
03
04
4
1
1
03
03
Building Value New
Year Built
Etfectiw Year Built
Deprecidion Code
Remodd Raling
Year Remodeled
Deproidion %
Funclional Obsol
Ext. Cornment
Trend Factor
Condition
Condition %
Percent Gmd
RCNLD
Dep % Ovr
Dep Ow Comment
Misc lmp Ow
Misc lmp Ow Comment
Cost to Cure Ovr
Cmt to Cure Ovr Comment
Modern/Contemp
Residential
Ercdlent
Gable/l-lip
Asph/F Gls/Cmp
DrywalliSheet
Wmd Shingle
Pine/Sofl Wood
Modern
Modern
Gas
Forced Air-Duc
Central
4 Bedrmms
I
Code UB Unils Unit Price Yr Blt Cond. Cd Y" Gd Grade I
Code Descr Livinq Area Etf Area Unit Cost
5,265WDKDrck, Wood 0 168 17 31.34
ross
1
I
owne
)escrir iril aluetion
'r!
on Un<aorec Value
73 erosr
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