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HomeMy WebLinkAboutRDA 10.15.2025of ffdmh z ii twzlm t Conservation Office 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 Incomplete Application and will not be advertised for a Public Hearing. Refer to the meeting schedule. Contact the Conservation Office if you need assistance. Sufiiaiffrtz��P,( a6r�,a.- Hard py filing dropped off or mailed to the Conservation Office including: 7�/ 1 RDA Administrative Checklist ✓' 1 complete RDA application WPA form 1 with original signatures (double sided).* i/ Detailed narrative of the project with sufficient information to enable the Commission to determine whether the proposed work will alter an area subject to protection. _ If BVW or vegetated wetlands are present, delineation sheet(s), coastal bank calculation and other relevant material if applicable (not applicable for flood zone only projects). V Yarmouth Assessor's locator map highlighting parcel(s) where work is proposed, including map and sparcel numbers. V 1 current abutters list identifying the property owners who are to be notified and abutter notification form. All abutters to be notified via certified mail, Certified Mail Receipts (PS Form 3800) must be provided. V' 1 original and 7 photocopies of the plan/sketch, folded separately, right side out with title and address visible. All plans shall reference NAVD1988 unless otherwise noted. Landscape plans shall be detailed to show proposed and existing conditions, native species, quantity, size and spacing. By-law filing fee: Separate check made payable to "Town of Yarmouth" Legal ad fee: Separate check made payable to "Town of Yarmouth" Please list project property's street address on checks. Refer to Fee Schedule. Digit nd DEP filing A pdf of the entire application emailed to bdirienzo armouth.ma.us and jjerolimo[a)yarmouth.ma.us and DEP Southeast Region at SERO_NOI@mass.gov in the same email. Subject line shall be "YARMOUTH - RDA — Street Address - Applicant Name" Please list project property's street address in the pdf file name. In'tial below ►C, 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 resource areas and buffer zones must be staked or flagged. Please consult the Yarmouth Wetland Regulations, page 17. I understand that in person representation is required at the scheduled hearing to present to the conservation commission. * If the pplicant is NOT 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 submit a copy of the Certified Mail receipt with application. If Applicable Certified Mail Receipt for Massachusetts Natural Heritage and Endangered Species Program Certified Mail Receipt for Massachusetts Division of Marine Fisheries. If filing via email, CC bdirienzogyarmouth.ma.us and iiiieroiimoAyarmouth.ma.us Yarmouth Conservation Commission - 1146 Route 28 - South Yarmouth, MA 02664-4492 Tel. (508)-398-2231 Fxt. 1288 - Fax (508)-398-0836 - TTD# (508) 398-2231 - bdirienzo a, anuouth.ma.us Rev. 712025 Massachusetts Department of Environmental Protection -- Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality A. General Information Important: 1. Applicant: When filling out forms on the paul power computer, use only First Name Last Name the tab key to move 6 Shady lane your cursor - do not use the return key. Address holden ma 01520 rad City/Town State Zip Code 978-429-6634 paulpower92@gmaiLcom Phone Number Email Address �emm 2. Property Owner (if different from Applicant): eileen Sullivan First Name Last Name 35 Iroquois blvd Address west yarmouth ma 02673 CitylTown State _ Zip Code 201-572-8082 paulpower92@ gmaiLcom Phone Number Email Address (if known) 3. Representative (if any) Paul power First Name Last Name powerhouse framing inc Company Name 6 shady lane Address holden ma 01520 City/Town State Zip Code 978-429-6634 paulpower92@gmail.com Phone Number Email Address (if known) B. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 35 Iroquois Blvd West Yarmouth ma Street Address City/Town Flow to find Latitude 41.65000 n 70.24640 w and Longitude Latitude (Decimal Degrees Format with 5 digits after decimal Longitude (Dectmai Degrees Format with 5 digits after e.g. XX.XXXXX) decimal e.g-XX.XXXXX) and how to convert 024.119 d1342825/0 to decimal degrees Assessors' Map Number Assessors' Lot/Parcel Number b. Area Description (use additional paper, if necessary): c. Plan and/or Map Reference(s): (use additional paper if necessary) Title Date Title Date wpaforml.doc - rev. 4/261202 3 WPA Form 1 — Request for Determination of Appiioebifity • Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality B. Project Description (cont.) 2. a. Activity/Work Description (use additional paper and/or provide plan(s) of Activity, if necessary): adding family room off left side of house b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work (use additional paper, if necessary). 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 811196 ❑ Single family house on a lot recorded after 8/1196 ■❑ Expansion of an existing structure on a lot recorded after 8/1/96 ❑ Project, other than a single-family house or public project, where the applicant owned the lot before 817196 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 817196 ❑ 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 for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ❑ District, county, state, or federal government project ❑ Project required to evaluate off -site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if necessary.) wpaform1.doe • rev. 412812023 WPA Form 1 —Request for Determination of ApplicaNlity • Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality C. Determinations 1. 1 request the make the following determination(s). Check any that apply: Conservation Commission ❑ 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. ❑ b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced above are accurately delineated. ■❑ c. whether the Activities depicted on plan(s) referenced above is subject to the Wetlands Protection Act and its regulations. ❑ 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 ❑ 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 Applicability. Signatures: also understand that notification of this Request will be placed in a local newspaper at my expense in accordance with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations. Paul power 09/23/25 Signature of Applicant Signature of Representative (if any) Date Date wpaform 1.doc • rev. 4128/2023 WPA Form 9 — Request for Determination of Applicability • Page 3 of 3 DEPARTMENT OF CONSERVATION Site (1cce131.3 aulhatizatim .�l� gg" J _ 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. Property Address: ) L VQ__......._-- Assessors Map/Lot: I (we) hereby authorize the individual members of the Yarmouth Conservation Commission 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). (]A� Authorized Signature: t Date: / Please Print Name: P �T (10 T2 � If other than owner, please state whether tenant, agent, or other: Mailing Address: cSi HA LL_A-�J L< �-� tt:-� 4A L5 Phone:(q l Zq S q CeII: '5'A1Vt-6 Emai&)A'-Po�2,gZ e_ACL.CPfax: 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 P0WERH0USE FRAMING INC 6 SHADY LANE HOLDEN, MA 01520 October 13, 2025 Paul W. Power 6 Shady Lane Holden, Ma 01620 The following is a brief description of the project at 35 Iroquois Blvd West Yarmouth, Ma: Excavate for a 13'4"x1614" family room addition with crawl space Install 4 ft poured concrete foundation Build addition Vision GIS Portal 10/13125,3:53pm 106 *-32-199 24,25 .108 2!r4M.05� 24.1,16 24.26 32/ 197/ / / MASSAAD ROBERT A 25 CAPT BESSE RD SOUTH YARMOUTH, MA 02664 32/ 198/ / / SMITH TODD M GIADONE-SMITH CHRISTINA E 3 THEODORE DR LEOMINSTER, MA 01453 321 199/ / / CRITIKOS MARY A 49 CAROLYN RD SOUTH WEYMOUTH, MA 02190-1703 24/ 59/ / / FERGUSON FAMILY TRUST 42 IROQUOIS BLVD WEST YARMOUTH, MA 02673 32/ 1/ GEHLY ALBERT T GEHLY GAIL 31 IROQUOIS BLVD WEST YARMOUTH, MA 02673 32/ 2/ LUCZYK KELLY L 9 NAVAJO RD WEST YARMOUTH, MA 02673 24/ 119/ SULLIVAN EILEEN T 35 IROQUOIS BLVD WEST YARMOUTH, MA 02673 24/ 106/ / / CHIZAUSKAS MICHAEL J CHIZAUSKAS ALYSON L 62 HILLSIDE CIR HANOVER, MA 02339 24/ 118/ ABBER JEFFREY A TRS ABBER MAUREEN D TRS 518 FELLSWAY EAST MALDEN, MA 02148 24/ 107/ GOSTOMSKI THOMAS M GOSTOMSKI SHERYL A 3645 LIGON RD ELLICOTT CITY, MD 21042 Please use this signature to certify this list of properties abutting within 100' of the parcel located at: 35 Iroquois Blvd., West Yarmouth, MA 02673 Assessors Map 24, Lot 119 Andy Mac do, Director of Assessing October 1 , 2025 NOTIFICATION TO ABUTTERS UNDER THE TOWN OF YARMOUTH WETLAND BY-LAW, CHAPTER 143 In accordance with the Town of Yarmouth Wetland Regulations Section 2.03, you are hereby notified of the following: A. The name of the applicant is �N UJL 'a2 B. The applicant has filed a Request for Determination of Applicability with the Yarmouth Conservation Commission, seeking knowledge of whether a project is subject to the Wetlands Protection Act (MGL c.131 s. 40) or Bylaw (Town of Yarmouth Wetland By -Law, Chapter 143). C. The address of the lot where the activity is proposed is 3fZ G% otS_ (3uV� u D. Proposed work is (-- � A-7 () un E. Copies of the Request for Determination of Applicability may be examined at the Yarmouth Town Hall at the Conservation Commission office between the hours of 9:00 a.m. and 4:00 p.m. Monday thru Friday. For more information, call (508) 398-2231 ext.1288. F. Copies of the Request for Determination of Applicability may b# obtained from either the applicant or applicant's representative. Applicant's phone number q -7 ) �J 2_q aS_q Or Applicant's representatives phone number G. Information regarding the date, time and place of the public hearing may be obtained by calling the Yarmouth Conservation Commission office at (508) 398-2231 ext.1288 H. Person sending this notification (applicant, representative or other) Name .P R UL Lu 1 au- Address�"� �Z Town P-0 L,f 56*J State i Zip 0 1-5 2-0 Telephone a7W) L12-1 — Note: • Notice of the public hearing, including date, time and place will be published at least five (5) days in advance in a newspaper of general circulation. • Notice of the public hearing, including date, time and place will be posted on the Town Website not less than forty-eight hours in advance. • You may also contact the Southeast Regional Office of the Department of Environmental Protection at (508) 946-2800 for mare information about this application. r 0� Y`91 CONSERVATION OFFICE \ �`y�M'+tcHLsgge Town of Yarmouth �c�RpORAT�/, Conservation Commission 21-DAY WAIVER Please complete this form, sign at the bottom and return to the Conservation Office. 1. VL w P. 0 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 0 05 (datb recei for work at 35 11toQUOIJ, (project addressllocation) am the: ❑ Applicant applicant's Representative ❑ Property Owner SigNtre Conservation Office) 10 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 duly 2024 New Logo hfi hhT9 iLE2D 0z29 OT�O 6E56 29 hT9 LE2R %25 OT4o 6�56 SA W9 000 0125 ©TIO A56 99 hhT9 4E2D 0125 2110 6956 66 W9 GOO 2L25 0110 6556 5o 5hT9 M22 012S OT O 6956