HomeMy WebLinkAboutCOC request 7.24.2025Kos cam.
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CONSERVATION
OFFICE
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• All filings must be made on Town of Yarmouth forms.
• All applications must be submitted two weeks prior to the next scheduled Conservation
Commission meeting. Refer to Meeting Schedule.
• Failure to follow the Administrative Checklist shall result in an Administrative Incomplete
Application and will not be scheduled for a Public Hearing.
• Contact the Conservation Office if you need assistance.
Sa6m4tiag an C[Vpticatian.
y Hardcopy of the COC application mailed to or dropped off at the Conservation
office in Town Hall.
Signed statement from an Engineer or similar professional to who prepared the
approved plan stating the date of a recent site inspection and certifying compliance
with the permit and outlining departures from the approved plan, if any exist.
V As -Built plan — *Refer to issued Order of Conditions: Special Conditions to
determine if required*.
Pdf of the COC request including application, letter, & as -built plan if needed
emailed to bdirienzo@yarmouth.ma.us and jjerolimo@yarmouth.ma.us
V Local filing fee. Refer to Fee Schedule. Make check payable to "Town of
Yarmouth" and include property address in memo.
All forms, Fee Schedule and Meeting schedule can be found at
hops://www.yarmouth.ma.us/696/Filing-Forms.
*Chech the Yarmouth Street Index for parcel -related Conservation
documents.
Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 02664- 4499
Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 9 TTD# (508) 398-2231 • bdiriezno@yarmouth.ma.us Rev 3/2025
Sull'van Engineering&
1Consulting, Inc.
(508) 428-3344 • P.O. Box 659 • 711 Main Street, Osterville, MA 02655
seci@sullivanengin.com • www.sulliyanengin.com
July 18, 2025
Conservation Commission
Town of Yannouth
1146 Route 28
South Yarmouth, MA 02664
RE: DEN 083-2229 - Certificate of Compliance Request
Robert J. & Gina M. McCullough (formerly Robert & Rita Davis)
177 River Road
Soudi Yarinoudi
Dear Commissioners,
At. die request of die applicant, I have perfonned an inspection of die project.
I believe die project to be substantially in compliance Niridi die approval and would like to
request a Certificate of Compliance.
Attached are WPA For1n 8b, Photos of die site, Stamped Existing Conditions Plan and
die associated fee with this request.
I trust this meets your needs.
Very ly yours,
f , rq'
U
Jol 1 O'Dea, P.E.
Sul ivan Engineering & Consulting, Inc.
V.A.
CONSERVATION
OFFICE
Town of Yarmouth
Conservation Commission
21-DAY WAIVER
Please complete this form, sign at the bottom and return to the Conservation Office.
1, Leah O'Dea , 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
for work at 177 River Road, Yarmouth
(project address/location)
I am the: ❑ Applicant
® Applicant's Representative
❑ Property Owner
Signature
(date received by Conservation Office)
7/18/2025
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.
21 day waiver Rev July 2024 New Logo
Important:
When filling out
forms on the
computer, use
only the tab
key to move
your cursor -
do not use the
return key.
Massachusetts Department of Environmental Protection DEP File Number:
Bureau of Resource Protection - Wetlands
WPA Form 8A — Request for Certificate of Compliance 083-2229
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By-law, Chapter 143
A. Project Information
This request is being made by:
Robert J. McCullough and Gina M. McCu
Name
177 River Street
IYIa11111y nuulczb
South Yarmouth MA 02664
City/Town State Zip Code
Phone Number
2. This request is in reference to work regulated by a final Order of Conditions issued to:
Upon completion
of the work 3
authorized in
an Order of
Conditions, the
property owner
must request a
Certificate of 4
Compliance
from the issuing
authority stating
that the work or
portion of the
work has been
satisfactorily
completed.
Robert J./Rita M. Davis
Applicant
7/8/2020 083-2229
Dated DEP File Number
The project site is located at:
177 River Street Yarmouth
Street Address
34
Assessors Map/Plat Number
%..ayI i own
291
Parcel/Lot Number
The final Order of Conditions was recorded at the Registry of Deeds for:
Robert J. McCullough and Gina M. McCullough
Property Owner (if different)
Barnstable
County Book
CTF 224751, LCP 18832-A
Certificate (if registered land)
5. This request is for certification that (check one):
Page
® the work regulated by the above -referenced Order of Conditions has been satisfactorily completed.
❑ the following portions of the work regulated by the above -referenced Order of Conditions have
been satisfactorily completed (use additional paper if necessary).
❑ the above -referenced Order of Conditions has lapsed and is therefore no longer valid, and the
work regulated by it was never started.
wpaform8a.doc -- rev. 5/29114 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP File Number:
WPA Form 8A — Request for Certificate of Compliance 083-2229
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP
Town of Yarmouth Wetland By-law, Chapter 143
A. Project Information (cont.)
6. Did the Order of Conditions for this project, or the portion of the project subject to this request, contain
an approval of any plans stamped by a registered professional engineer, architect, landscape
architect, or land surveyor?
® Yes If yes, attach a written statement by such a professional certifying substantial
compliance with the plans and describing what deviation, if any, exists from the plans
approved in the Order.
❑ No
B. Submittal Requirements
Requests for Certificates of Compliance should be directed to the issuing authority that issued the final
Order of Conditions (OOC). If the project received an OOC from the Conservation Commission, submit
this request to that Commission. If the project was issued a Superseding Order of Conditions or was the
subject of an Adjudicatory Hearing Final Decision, submit this request to the appropriate DEP Regional
Office (see http://www.mass.ciov/eea/agencies/massdep/about/contacts/find-the-massdep-regional-office-
for-you r-city-or-town. html ).
wpaform8a.doc -- rev. 5/29/14 Page 2 of 2
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