HomeMy WebLinkAboutNOI 12.4.20251
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HC�RPORAiEO �b�'a&nini3 tuvi"
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Notice of Jutad
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.
Sub an ((V p icatian:
�O Does the property have any outstanding/expired Orders of Conditions? If so, please
for Certificate of Compliance for each outstanding/expired Order, as the Commission may not issue a
new Order until any outstanding/expired Orders have been closed and recorded.
Hardcopy filing dropped off or mailed to the Conservation Office including:
1e 1 Administrative Checklist
1 complete NOI application WPA form 3 with original signatures. Typed signatures will not be accepted.
Detailed narrative of the project including existing & proposed conditions, construction sequence, type of
equipment, staging locations, drainage and stormwater, erosion controls, invasive species management
and alternative analysis. The narrative shall include how the project meets performance standards per
310 CMR 10.0 & TOY Wetland Wetland Regul.-itions, delineation sheets (if BVW or vegetated wetlands are
/ present) or other resource area calculations, and supporting information.
1 100' ap, current abutters list identifying the property owners who are to be notified per 310
CMR 10.00 and ,', ,!i,-otification i, . Abutters list must be certified by the Town Assessor's office.
/The Assessor's office requires 7 days advance notice. All abutters must be notified via certified mail.
Certified Mail Receipts (PS Form 3800) for all abutters. Green cards to be submitted at the hearing.
V 1 original and 7 copies of the plan, folded separately, right side out with title and project address visible.
All plans shall reference NAVD1988 unless otherwise noted. See plan requirements
Yarmouth's share of State filing fee: Separate check made payable to "Town of Yarmouth"
(refer to NOI Wetland Fee Transmittal Form)
V 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
�DEP share of the fee (refer to NOI form) shall be sent to: Dept. of Environmental Protection
Box 4062
Boston, MA 02211
Yarmouth Conservation Commission [ 1146 Route 28 South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288
Rev 6/2025 Page 1 of 2
DEP Submittal and Digital filing
If you are filing with MassDEP using eDEP, please include a copy of the submittal confirmation with your
application.
N A If not filing via eDEP, a PDF of your application, plan, and all other supporting information must be sent
VIA EMAIL the same day to DEP, Southeast Region at SERO NOI mass.gov with the subject line in
the email per DEP's request listed as "YARMOUTH - NOI - Street Address - Applicant Name" and
copied bdirienzo@)yarmouth.ma.us and jierolimo(cDyarmouth.ma.us. We must receive a copy of
this email with the application as proof that it has been submitted to DEP.
Initial below
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 tarmouth Wetland Regulations, page 17. Without proper staking your project may be
deemed incomplete and be continued to the next hearing date.
M I understand that in person representation is required at the scheduled hearing to present to the
conservation commission
If Applicable
✓ Certified Mail Receipt for Massachusetts Natural Heritage and Endangered Species Program
A Certified Mail Receipt for Massachusetts Division of Marine Fisheries. If filing via email,
dmf.envreview-southp.mass.gov, Amanda. Davis(a)mass.gov
CC bdirienzo(abyarmouth.ma.us and Jerolimo@yarmouth.ma.us
I
( �Waterway's jurisdiction — Any coastal projects such as, but not limited to, docks, piers, bulkheads,
revetments, dredging and boardwalks shall require submittal of all Notice of Intent, plans and
supplemental information to the Town of Yarmouth Waterways/Shellfish Committee via the Natural
Resources office by certified mail or hand delivery. The applicant or his/her representative must
provide the Conservation office with proof that this has been done or the filing will not be accepted.
Other Requirements
o Does the proposed project meet the applicable regulations of the Town of Yarmouth Zoning bylaws? Do
you need to file with the Yarmouth Board of Appeals? If so, you must file with ZBA after conservation
permitting is completed.
o If a vacant lot, have you completed and received a determination for the Building Department for a lot
inquiry form?
*To view all Conservation files/permits for the property address online, go to www.yarmouth.ma.us/LF
Yarmouth Conservation Commission • 1146 Route 28 South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288
Rev 6/2025 Page 2 of 2
Transmittal
DATE: DECEMBER 3, 2025
TO: YARMOUTH CONSERVATION COMMISSION
MADEP, SERO
FROM: MEYER AND SONS INC.
PO BOX 981
EAST SANDWICH, MA 02537
RE: IGOE (APPLICANT)
21 HERITAGE DRIVE, WEST YARMOUTH
NOI SUBMISSION
ENCLOSED:
- YARMOUTH CONSERVATION ADMINISTRATIVE CHECKLIST
- MADEP FORM 3 – NOTICE OF INTENT
- SITE PLAN – (1) ORIGINAL – (7) COPIES
- NARRATIVE
- USGS SITE LOCUS
- 21-DAY WAIVER
- SITE ACCESS AUTHORIZATION FORM
- ASSESSORS MAP (100’ ABUTTER RADIUS)
- CERTIFIED LIST OF ABUTTERS
- ABUTTER NOTIFICATION LETTER
- CERTIFIED MAIL RECEIPTS – PROOF OF MAILING TO ABUTTERS
- PROOF OF SUBMITTAL TO MADEP – EFILE RECEIPT
- PROOF OF MAILING TO NHESP
- FILING FEES – BY LAW FEE/MADEP TOWN PORTION
- LEGAL AD FEE
4
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassDEP File Number
WPA Form 3 — Notice of Intent
Document Transaction Number
Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 VARMr)l ITN
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
Note:
Before
completing this
form consult
your local
Conservation
Commission
regarding any
municipal bylaw
or ordinance.
City/Town
A. General Information
1. Project Location (Note: electronic filers will click on button to locate project site)
21 HERITAGE DRIVE WEST Y_ARMOUTH
a. Street Address b. Cityrrown
Latitude and Longitude: 41.6378
d. Latitude
17 _ 13 _
f. Assessors Map/Plat Number g. Parcel /Lot Number
2. Applicant
3
4
5.
James Igoe
a. First Name b. Last Name
02673 _
c. Zip Code
-70.2380
e. Longitude
C. Organization
40 S_k_eehan Street- ---
d. Street Address
Somerville MA 02143
e. City/Town f. State g. Zip Code
617-921-0433 N/A _ _ james.igoe@att.net
h. Phone Number i. Fax Number j. Email Address
Property owner (required if different from applicant): ❑ Check if more than one owner
Thomas Murphy
a. First Name b. Last Name
c. Organization
19 Glenn Drive
d. Street Address
Wilbraham
MA
01095
_
e. City/Town
f. State
-
g. Zip Code
413-244-6752
n/a
thomasmurphy@charter.net
h. Phone Number
i. Fax Number
j. Email address
Representative (if any):
Darren
Me er
a. First Name
b. Last Name
Meyer & Sons Inc_
c. Company
PO BOX 981
d. Street Address
East Sandwich
MA
02537
e. City/Town
I. State
g. Zip Code
508-360-3311
N/A
meyerandsonstitle5 9rr ail.com
h. Phone Number
i. Fax Number
j. Email address
-
Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form):
$500.00 _ $237.50 _ $262.50 _
a. Total Fee Paid b. State Fee Paid c. City/Town Fee Paid
wpaform3.doc • rev. 12/4/2023 Page 1 of 9
51
Massachusetts Department of Environmental Protection Provided by MassDEP
Bureau of Resource Protection - Wetlands MassDEP File Number -
WPA Form 3 — Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction Number
YAR_MOUTH
City/Town
A. General Information (continued)
6. General Project Description:
Construction of a new 4 bedroom dwelling w/garage in an "AE" (El 11) Flood zone, w/Title 5
compliant septic system,with approx 800 cubic yards of fill to modify grade.
7a. Project Type Checklist: (Limited Project Types see Section A. 7b.)
1. ®
Single Family Home
3. ❑
Commercial/Industrial
5. ❑
Utilities
7. ❑
Agriculture (e.g., cranberries, forestry)
9. ❑
Other
2. ❑ Residential Subdivision
4. ❑ Dock/Pier
6. ❑ Coastal engineering Structure
8. ❑ Transportation
7b. Is any portion of the proposed activity eligible to be treated as a limited project (including Ecological
Restoration Limited Project) subject to 310 CMR 10.24 (coastal) or 310 CMR 10.53 (inland)?
1. ❑ Yes ® No If yes, describe which limited project applies to this project. (See 310 CMR
10.24 and 10.53 for a complete list and description of limited project types)
2. Limited ProjectType
If the proposed activity is eligible to be treated as an Ecological Restoration Limited Project (310
CMR10.24(8), 310 CMR 10.53(4)), complete and attach Appendix A: Ecological Restoration Limited
Project Checklist and Signed Certification.
8. Property recorded at the Registry of Deeds for:
Rarnctahla
224062 (LCP 21255-B sht 2 (Lot 17))
b. Certificate # (if registered land)
c Book d. Page Number
B. Buffer Zone & Resource Area Impacts (temporary & permanent)
1. ❑ Buffer Zone Only — Check if the project is located only in the Buffer Zone of a Bordering
Vegetated Wetland, Inland Bank, or Coastal Resource Area.
2. ❑ Inland Resource Areas (see 310 CMR 10.54-10.58, if not applicable, go to Section B.3,
Coastal Resource Areas).
Check all that apply below. Attach narrative and any supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
wpaform3.doc • rev. 12/4/2023 Page 2 of 9
4
LlMassachusetts Department of Environmental Protection Provided by MassDEP.
Bureau of Resource Protection - Wetlands MassDEP File Number
WPA Form 3 — Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction NumberYARMOUTH
City/Town -----
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (corl
Resource Area
a. ❑
Bank
For all projects
affecting other
b. ❑
Bordering Vegetated
Resource Areas,
Wetland
please attach a
narrative
c. ❑
Land Under
explaining how
Waterbodies and
the resource
Waterways
area was
delineated.
Resource Area
d ❑
Bordering Land
Subject to Flooding
e. ❑ Isolated Land
Subject to Flooding
Size of Proposed Alteration
1. linear feet
Proposed Replacement (if any)
2. linear feet
2. square feet
1. square feet 2. square feet
3. cubic yards dredged
Size of Proposed Alteration Proposed Replacement (if any)
1. square feet 2. square feet
3. cubic feet of flood storage lost
1. square feet
2. cubic feet of flood storage lost
4. cubic feet replaced
3. cubic feet replaced
f ❑ Riverfront Area 1. Name of Waterway (if available) - specify coastal or Inland
2. Width of Riverfront Area (check one):
❑ 25 ft. - Designated Densely Developed Areas only
❑ 100 ft. - New agricultural projects only
❑ 200 ft. - All other projects
3. Total area of Riverfront Area on the site of the proposed project:
4. Proposed alteration of the Riverfront Area:
square feet
a. total square feet b. square feet within 100 ft. c. square feet between 100 ft. and 200 ft.
5. Has an alternatives analysis been done and is it attached to this NOI? ❑ Yes ❑ No
6 Was the lot where the activity is proposed created prior to August 1, 1996? ❑ Yes ❑ No
3 F<� Coastal Resource Areas (See 310 CMR 10.25-10 35)
Note: for coastal riverfront areas, please complete Section 13.2.f. above.
wpaform3.doc • rev. 12/4/2023 Page 3 of 9
4
Massachusetts Department of Environmental Protection Provided by MassDEP.
Bureau of Resource Protection - Wetlands
MassDEP File Number
WPA Form 3 — Notice of Intent Document Transaction Number
Li
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 YARMOUTH
Cityrrown
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont'd)
Check all that apply below. Attach narrative and supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
Online Users:
Include your Resource Area Size of Proposed Alteration Proposed Replacement (if any)
document
transaction
number
(provided on
your receipt
page) with all
supplementary
information you
submit to the
Department.
a ❑ Designated Port Areas
b ❑ Land Under the Ocean
c. ❑ Barrier Beach
d ❑ Coastal Beaches
e. ❑ Coastal Dunes
f. ❑
Coastal Banks
g ❑
Rocky Intertidal
Shores
h ❑
Salt Marshes
i ❑
Land Under Salt
Ponds
❑ Land Containing
Shellfish
k ❑ Fish Runs
Indicate size under Land Under the Ocean, below
1. square feet
2 cubic yards dredged
Indicate size under Coastal Beaches and/or Coastal Dunes below
1. square feet
1. square feet
Size of Proposed Alteration
1. linear feet
1. square feet
1 square feet
1. square feet
2. cubic yards dredged
2 cubic yards beach nourishment
2. cubic yards dune nourishment
Proposed Replacement (if any)
2. sq ft restoration, rehab., creation
1. square feet
Indicate size under Coastal Banks, inland Bank, Land Under the
Ocean, and/or inland Land Under Waterbodies and Waterways,
above
1. cubic yards dredged
I Land Subject to 14000 +/-
Coastal Storm Flowage 1. square feet
4. ❑ Restoration/Enhancement
If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the
square footage that has been entered in Section B.2.b or B.3.h above, please enter the additional
amount here.
a. square feet of BVW
5. ❑ Project Involves Stream Crossings
a. number of new stream crossings
b. square feet of Saft Marsh
b. number of replacement stream crossings
wpaform3.doc • rev. 12/4/2023 Page 4 of 9
0
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassDEF File Number
i LWPA Form 3 — Notice of Intent -
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 YARMOUTH
c.1ty%Town
C. Other Applicable Standards and Requirements
❑ This is a proposal for an Ecological Restoration Limited Project. Skip Section C and
complete Appendix A: Ecological Restoration Limited Project Checklists — Required Actions
(310 CMR 10.11).
Streamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review
1. Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on
the most recent Estimated Habitat Map of State -Listed Rare Wetland Wildlife published by the Natural
Heritage and Endangered Species Program (NHESP)? To view habitat maps, see the Massachusetts
Natural Heritage Atlas or go to nttp.//maps.massgis.state.ma.us/PRI EST HAB/viewer.htm.
a. ® Yes ❑ No
If yes, include proof of mailing or hand delivery of NOI to:
Natural Heritage and Endangered Species Program
Division of Fisheries and Wildlife
Mass Mapper - 1 Rabbit Hill Road
current Westborough, MA 01581
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321
CMR 10.18). To qualify for a streamlined, 30-day, MESA/Wetlands Protection Act review, please
complete Section C.1.c, and include requested materials with this Notice of Intent (NOI); OR complete
Section C.2.f, if applicable. If MESA supplemental information is not included with the NO/, by
completing Section 1 of this form, the NHESP will require a separate MESA filing which may take up
to 90 days to review (unless noted exceptions in Section 2 apply, see below).
c. Submit Supplemental Information for Endangered Species Review'
1 ® Percentage/acreage of property to be altered:
(a) within wetland Resource Area
(b) outside Resource Area
0.32/acre of Land Sub to Coastal Storm flowage
percentage/acreage
n/a
percentage/acreage
2. ® Assessor's Map or right-of-way plan of site
2. ® Project plans for entire project site, including wetland resource areas and areas outside of
wetlands jurisdiction, showing existing and proposed conditions, existing and proposed
tree/vegetation clearing line, and clearly demarcated limits of work "
(a) F;1 Project description (including description of impacts outside of wetland resource area &
buffer zone)
(b) ® Photographs representative of the site
Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review (see https://www.mass.gov/ma-
+ct-mes;_i story-r_eview).
Priority Habitat includes habitat for state -listed plants and strictly upland species not protected by the Wetlands Protection Act.
" MESA projects may not be segmented (321 CMR 10.16). The applicant must disclose full development plans even if such plans are
not required as part of the Notice of Intent process.
wpaform3.doc • rev. 12/4/2023 Page 5 of 9
4
Massachusetts Department of Environmental Protection Provided by MassDEP
Bureau of Resource Protection - Wetlands --- - - --
MassDEP File Number
WPA Form 3 — Notice of IntentLi Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 YARMOUTH
City/Town
C. Other Applicable Standards and Requirements (cont'd)
(c) ® MESA filing fee (fee information available at https://www.mass.gpv/hqW-,to/how-to-file-for-
a-proi i' t view).
Make check payable to "Commonwealth of Massachusetts - NHESP" and mail to NHESP at
above address
Projects altering 10 or more acres of land, also submit:
(d) ❑ Vegetation cover type map of site
(e) ❑ Project plans showing Priority & Estimated Habitat boundaries
(0 OR Check One of the Following
1. ❑ Project is exempt from MESA review.
Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14,
l/wv, ._ mass.gov/ser, tails/exemptions-f ities-in-
ty-habitat; the NOI must still be sent to NHESP if the project is within estimated
habitat pursuant to 310 CMR 10.37 and 10.59.)
2. ❑ Separate MESA review ongoing. a. NHESP Tracking # b. Date submitted to NHESP
3. ❑ Separate MESA review completed.
Include copy of NHESP "no Take" determination or valid Conservation & Management
Permit with approved plan.
3. For coastal projects only, is any portion of the proposed project located below the mean high water
line or in a fish run?
a ❑ Not applicable — project is in inland resource area only b. ❑ Yes ® No
If yes, include proof of mailing, hand delivery, or electronic delivery of NOI to either:
South Shore - Bourne to Rhode Island border, and North Shore - Plymouth to New Hampshire border:
the Cape & Islands:
Division of Marine Fisheries -
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 South Rodney French Blvd.
New Bedford, MA 02744
Email Jmf.envreview-south(@mass.gov
Division of Marine Fisheries -
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
Email: dmf.env rev iew-north[a)mass.goy
Also if yes, the project may require a Chapter 91 license. For coastal towns in the Northeast Region,
please contact MassDEP's Boston Office. For coastal towns in the Southeast Region, please contact
MassDEP's Southeast Regional Office.
c ❑ Is this an aquaculture project?
d ❑ Yes ® No
If yes, include a copy of the Division of Marine Fisheries Certification Letter (M.G.L. c. 130, § 57).
wpaform3.doc • rev. 12/4/2023 Page 6 of 9
4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 - Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDER
MassDEP File Number
Document Transaction Number
YARMOUTH
City/Town
C. Other Applicable Standards and Requirements (cont'd)
4. Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
Online Users: a. ❑ Yes Z No If yes, provide name of ACEC (see instructions to WPA Form 3 or MassDEP
Include your Website for ACEC locations). Note: electronic filers click on Website.
document
transaction b. ACEC
number
(provided on 5. Is any portion of the proposed project within an area designated as an Outstanding Resource Water
your receipt (ORW) as designated in the Massachusetts Surface Water Quality Standards. 314 CMR 4.00?
page) with all
supplementary a ❑ Yes ® No
information you
submit to the 6. Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands
Department. Restriction Act (M.G.L. c. 131, § 40A) or the Coastal Wetlands Restriction Act (M.G.L. c. 130, § 105)?
a ❑ Yes ® No
7. Is this project subject to provisions of the MassDEP Stormwater Management Standards?
a. ❑ Yes. Attach a copy of the Stormwater Report as required by the Stormwater Management
Standards per 310 CMR 10.05(6)(k)-(q) and check if:
1. ❑ Applying for Low Impact Development (LID) site design credits (as described in
Stormwater Management Handbook Vol. 2, Chapter 3)
2. ❑ A portion of the site constitutes redevelopment
3. ❑ Proprietary BMPs are included in the Stormwater Management System.
b. ® No. Check why the project is exempt:
1. ® Single-family house
2. ❑ Emergency road repair
3. ❑ Small Residential Subdivision (less than or equal to 4 single-family houses or less than
or equal to 4 units in multi -family housing project) with no discharge to Critical Areas.
D. Additional Information
❑ This is a proposal for an Ecological Restoration Limited Project. Skip Section D and complete
Appendix A: Ecological Restoration Notice of Intent — Minimum Required Documents (310 CMR
10.12).
Applicants must include the following with this Notice of Intent (NOI). See instructions for details.
Online Users: Attach the document transaction number (provided on your receipt page) for any of
the following information you submit to the Department.
1. ® USGS or other map of the area (along with a narrative description, if necessary) containing
sufficient information for the Conservation Commission and the Department to locate the site.
(Electronic filers may omit this item.)
2 ® Plans identifying the location of proposed activities (including activities proposed to serve as a
Bordering Vegetated Wetland [BVW] replication area or other mitigating measure) relative to
the boundaries of each affected resource area.
wpaform3.doc • rev. 12/4/2023 Page 7 of 9
4
Massachusetts Department of Environmental Protection Provided by MassDEP:
LiBureau of Resource Protection - Wetlands MassDEP File Number
WPA Form 3 — Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction NumberYARMOUTH
City/Town
D. Additional Information (cont'd)
3 ❑ Identify the method for BVW and other resource area boundary delineations (MassDEP BVW
Field Data Form(s), Determination of Applicability. Order of Resource Area Delineation, etc.),
and attach documentation of the methodology.
4 ❑ List the titles and dates for all plans and other materials submitted with this NOI.
Site & Septic Plan
a. Plan Title
Meyer and Sons Inc.
Darren M Meyer, R.S., Edward A Stone, PLS
b. Prepared By
c. Signed and Stamped by
DECEMBER 3, 2025
V=30'
d. Final Revision Date
e. Scale
f. Additional Plan or Document Title g. Date
5. ❑ If there is more than one property owner, please attach a list of these property owners not
listed on this form.
6. ❑ Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed.
7. ❑ Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed.
8. ® Attach NOI Wetland Fee Transmittal Form
9. ❑ Attach Stormwater Report, if needed.
E. Fees
1. ❑ Fee Exempt: No filing fee shall be assessed for projects of any city, town, county, or district
of the Commonwealth, federally recognized Indian tribe housing authority, municipal housing
authority, or the Massachusetts Bay Transportation Authority.
Applicants must submit the following information (in addition to pages 1 and 2 of the NOI Wetland Fee
Transmittal Form) to confirm fee payment:
3688
2. Municipal Check Number
E-FILE
4. State Check Number
Meyer & Sons Inc. _
6. Payor name on check: First Name
December 3, 2025
3. Check date
5. Check date
7. Payor name on check: Last Name
wpaform3.doc - rev. 12/4/2023 Page 8 of 9
Massachusetts Department of Environmental Protection ProvidedbyMassDEP
1 Bureau of Resource Protection - Wetlands �MassDEP File Number --
` WPA Form 3 — Notice of Intent
I Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
cityfiown -- F. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Notice of Intent 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 Notice in a local newspaper at the
expense of the applicant in accordance with the wetlands regulations, 310 CMR 10.05(5)(a).
I further certify under penalties of perjury that all abutters were notified of this application, pursuant to the
requirements of M.G.L. c. 131, § 40. Notice must be made by Certificate of Mailing or in writing by hand
delivery or certified mail (return receipt requested) to all abutters within 100 feet of the property line of the
Z ->'
— [,j
2. Date
- _/J -Zs'� �S
4. ate
6. Date
For Conservation Commission:
Two copies of the completed Notice of Intent (Form 3), including supporting plans and documents,
two copies of the NO] Wetland Fee Transmittal Form, and the city/town fee payment, to the
Conservation Commission by certified mail or hand delivery.
For MassDEP:
One copy of the completed Notice of Intent (Form 3), including supporting plans and documents, one
copy of the NO1 Wetland Fee Transmittal Form, and a copy of the state fee payment to the MassDEP
Regional Office (see Instructions) by certified mail or hand delivery.
Other:
If the applicant has checked the "yes" box in any part of Section C, Item 3, above, refer to that section
and the Instructions for additional submittal requirements.
The original and copies must be sent simultaneously. Failure by the applicant to send copies in a
timely manner may result in dismissal of the Notice of Intent.
wpatorm3.doc • rev. 1214/2023 Page 9 or 9
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Ll�'
A. Applicant Information
Important: When
filling out forms
on the computer.
1. Location of Project:
use only the tab
key to move your
21 Heritage Drive
cursor - do not
a. Street Address
use the return
key.
c. Check number
re4
2. Applicant Mailing Address:
James
a. First Name
n/a
West Yarmouth
b. aty/Tow-
d. Fee amount
Igoe
b. Last Name
c. Organization
40 Skeehan Street
d. Mailing Address
Somerville MA _
e. City/Town f. State
617-921-0433 n/a qmm -s.igoe@att.net
h. Phone Number I. Fax Number j. Email Address
3. Property Owner (if different):
Thomas
a. First Name
n/a
c. Organization
19 Glenn Drive
d. Mailing Address
%AhlKrohnm
413-244-6752
In. Phone Number
n/a
i. Fax Number
Murphy
b. Last Name
02143
g. Zip Code
MA 01095
f. State g. Zip Code
thomasmurphy@charter.net
j. Email Address
To calculate B. Fees
filing fees, refer
to the category Fee should be calculated using the following process & worksheet. Please see Instructions before
fee list and 9 9
examples in the filling out worksheet.
instructions for
filling out WPA Step 1/Type of Activity: Describe each type of activity that will occur in wetland resource area and buffer zone.
Form 3 (Notice of
Intent).
Step 2/Number of Activities: Identify the number of each type of activity.
Step 3/Individual Activity Fee: Identify each activity fee from the six project categories listed in the instructions.
Step 4/Subtotal Activity Fee: Multiply the number of activities (identified in Step 2) times the fee per category
(identified in Step 3) to reach a subtotal fee amount. Note: If any of these activities are in a Riverfront Area in
addition to another Resource Area or the Buffer Zone, the fee per activity should be multiplied by 1.5 and then
added to the subtotal amount.
Step 5/Total Project Fee: Determine the total project fee by adding the subtotal amounts from Step 4.
Step 6/Fee Payments: To calculate the state share of the fee, divide the total fee in half and subtract $12.50. To
calculate the city/town share of the fee, divide the total fee in half and add $12.50.
noifeetf doc • Wetiand Fee Transmittal Form • rev. 10111 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Fees (continued)
Step 1/Type of Activity Step 2/Number Step
of Activities 3/individual
Activity Fee
CAT - 2 - Const. of Single Family 1 $ 500
Step 4/Subtotal Activity
Fee
$ 500
Step 5/Total Project Fee:
$ 500.00
Step 6/Fee Payments:
Total Project Fee.
$ 500.00
a. Total Fee from Step 5
State share of filing Fee:
$ 237.50_ _
b. 112 Total Fee less $12.50
City/Town share of filling Fee:
$ 262.50
c. 1/2 Total Fee plus $12.50
C. Submittal Requirements
a.) Complete pages 1 and 2 and send with a check or money order for the state share of the fee, payable to
the Commonwealth of Massachusetts.
Department of Environmental Protection
Box 4062
Boston, MA 02211
b.) To the Conservation Commission: Send the Notice of Intent or Abbreviated Notice of Intent; a copy of
this form, and the city/town fee payment.
To MassDEP Regional Office (see Instructions): Send a copy of the Notice of Intent or Abbreviated Notice of
Intent: a copy of this form, and a copy of the state fee payment. (E-filers of Notices of Intent may submit these
electronically.)
noifeetf doc • Wetland Fee Transmittal Form • rev. 10/11 Page 2 of 2
MassDEP Home I Contact I Privacy Policy
MassDEP's Online Filing System
Username:MEYERANDSONS
Nickname: MEYER
L Receipt
Signature Payment Receipt
Summary/Receipt
Your submission is complete. Thank you for using DEP's online reporting
system. You can select "My eDEP" to see a list of your transactions.
DEP Transaction ID: 1965095
Date and Time Submitted: 12/3/2025 10:22:17 PM
Other Email :
Form Name: WPA Form 3 - NOI
Project Location
City/Town Name: YARMOUTH
location: 21 HERITAGE DRIVE
General Description: CONSTRUCTION OF A NEW 4 BEDROOM DWELLING
W/GARAGE W/IN AN "AE" EL. 11 FLOOD ZONE, FULLY COMPLIANT TITLE
5 SYSTEM, WITH APPROX 800 SF OF FILL TO MODIFY GRADE.
Applicant Information
Name: JAMES IGOE
Company
Address: 40 SKEEHAN STREET, SOMERVILLE, MA, 02143
Payment Information
Your fee for the state share is $: 237.50
If you have paid by credit card or ACH, thank you for your payment. If you are
paying by check or money order, please send your check (payable to the
Commonwealth of Massachusetts) to MassDEP, Box 4062, Boston, MA 02211
Additional Forms Submitted
WPA Form 3 - NOI (Fee Transmittal)(ONLINE ONLY)
Ancillary Document Uploaded/Mailed
21 Heritage Drive, WY - USGS - Locus Map
MESA Submittal Green Card
Project Narrative
Proposed Site Plan
Site Photographs
WPA Form 3 Final signed
print receipt Exit
ImY eDEP
MassDEP Home I Contact I Privacy Policy
MassDEP's Online Filing System ver.17.22.2.19) 2025 MassDEP
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
N r�f.5f Vitt- v, jc ►J
IIIIIIIII IN IIIIitIIIIIIII III IIIIIIIIIIIII III
9590 9402 8201 3030 1553 21
2. Article Numher /Transfer from servire /ahelt
9589 0710 5270 0893 4482 9C
A.Ignature� -1
x j ❑ gent
�-/ Addressee
B. Received by ed Name) C. Date f Delivery
i„A i ,`ice %� z
D. Is delivery address different from item 1? u Yes
If YES, enter delivery address below: p No
3. Service Type
❑ A t Signature
❑ dult Signature Restricted Delivery
Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
t-- asnrn
❑ Priority Mail Express®
❑ Registered MaiITM
❑ Registered Mail Restricted(
Delivery
❑ Signature ConfirmationTM
❑ Signature Confirmation +
Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053 AM -'I q-k(1� Domestic Return Receipt
24
DEPARTMENT
OF
CONSERVATION
Site aCCZs,5 aumoulza ' a
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: _�_lPfE-��l%ye wgg
Assessors Map/Lot: b� 0/ -3
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 pursuaq to the Wetlands Protection Act (M.G.L. Ch. 131, s.
40) and/or the Yarmouth Wetlands Protection Byy sw (Chapter 143).
Authorized Signature: Date:
Please Print ' "� : �IAH
If other than owner, please state whether tenant, agent, or other:
Mailing Address: '^/0 J6k,- 40 S'
0r+1f-V At I /A 4�7
Phone: Z` 7 "/f Z �'7"" S
Cell: �� � �� G VT 3
Email: cv---
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
21 HERITAGE DRIVE, W. YARMOUTH - LOCUS MAP
Printed Oct 21, 2025
USGS Topographic Maps
Property Tax Parcels
17/ 14/ / /
MURPHY DENNIS
MURPHY KATHLEEN L
26 OXFORD LN
EAST LONGMEADOW, MA 01028
17/ 13/ / /
MURPHY THOMAS P
MURPHY KAREN A
19 GLENN DR
WILBRAHAM, MA 01095
17/ 12/ / /
CALLE LEONARDO P
SHAYMARDANOVA LIANA V
3 BALDWIN LN
WEST YARMOUTH, MA 02673
17/ 11/ / /
BIONDO PAUL J
BIONDO MARGARET A
171 BARBARA RD
WALTHAM, MA 02453
17/ 27/ / /
FEDERICO DONNA
WASSON LORENE
14 HERITAGE DR
WEST YARMOUTH, MA 02673
17/ 22.1/ / /
PREVITE JAMES
PREVITE MARY
24 HERITAGE DRIVE
WEST YARMOUTH, MA 02673
17/ 23/ / /
HASSETT MARY
29 HERITAGE DR
WEST YARMOUTH, MA 02673
17/ 26/ / /
PERRONE JOHN H TR
PERRONE LUCIE R
65 HERITAGE DR
WEST YARMOUTH, MA 02673
Please use this signature to certify this list of propertiesabutting within 100' of the parcel located at:21 Heritage Dr., West Yarmouth, MA 02673Assessors Map 17, Lot 13___________________________________Andy Machado, Director of AssessingOctober 10, 2025
U.S. Postal Service..
mCERTIFIED MAILP -
ru Domestic Mail Only
West Yarmouth? MA 02673
m Ctixtiried Mail Fee — --- - —
-0 Extra rvices & Fees (cheek box, add !«��ay,'wta) .�
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❑ Return Receipt (elect=ic) $-qT� _
p Post ur;r
M ❑ Certified Mail Restricted Delivery S —�' l! a U V
❑ Adult Signature Require! $ Hei
L, n Adult Signature Restricted Delivery $
7
-
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`Total Postage avid Fees,
Sent To
Er 1
m Siree�ark 17/ 23/ / /-------i
Ln HASSETT MARY
29 HERITAGE DR
WEST YARMOUTH. MA 02673
ru
Ln
CERTIFIED RECEIPT
I nj
Domestic
West Yarmouth r MA 026-73
m rtifled Mail Fee
E S 35.?0
6563
,,0
Extra Services & Fees (check box, add fee nate)
02
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❑ Return Rnccipt (hardcopy) $ _.30 _0
C3
❑ Return Recept (eleetrenic) $
Po
U Cerlif ed Mail Restriced W eery $ _
t j�re
U1
❑ Adult Signature Requiredru $
❑ Adult Signature Retwcted Delivery S ? _
'
Postage -
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$i�,7�
Tottal Postage and Fees
1 2!0s/2025
Q
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Sent To
Er
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ari 171 27/
Ln
FEDERICO DONNA
Er rr,ty
srai 14 HERITAGE DR
_6ww= WEST YARMOUTH MA n267.-A
'.ra- CERTIFIED MAIL" RECEIPT
Domestic Mail Only
-
1.1
West Yarmouth • MA 02673
m Certified Mail Fee
Er S %5.70 056
14J Extra Services &Fees (clxxkGox, odd r app helm) 32
I: ❑ Fkturn R—P, (twdcopy) $ _AO l lQ
L7 ❑ Return Receipt (electronic) $ PostTi*
❑ Certified Mal R-tnctod DLI-y $ Here
❑ Adult Signature Requinxl $--�y�--yy�—
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Lr❑ Ac1utt Signet— R-mctw DelKwy $
(Postage
it
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Sep nt To ---
r�iraei a 17/ 26/
�
ituiy-sa PERRONE JOHN H TR
65 HERITAGE DR
WEST YARMOUTH, MA 02673
■ CERTIFIED
�t
il Only
-
� I West Yarmouth : MA' 0267,�
m iCertified Mail Fees
o-
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❑ Return Fecept (twrdcopy) $ _
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❑Certified MM R,:Ariclvd D diwxy $ _�1� 0 1
rLi❑Adensanahr Re,a eel $ --oft-Al -
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Postage
o II $0.7R
r--1 (Total Postage and Fees
O �10.4f
— "ent TO
eta 17/ 22.1/
PREVITE JAMES
----- Ir 24 HERITAGE DRIVE
m RECEIPT
.a
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ti
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En.
West Yarmouth + MA 0267<<•
m
Certified Mail Fee
0563
cr
5
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❑ Retum Rer--eipt (haadcoPY)—
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Postmark
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$ _.
12/03/2025
ri Total Postage and Foes
r- �10.45
C3 —
Sent To
Co CALLE LEONARDO P
Ln 3 BALDWIN LN
0' City St.
WEST YARMOUTH, MA 02673
0563
32
4
Poy*mark
,Were
12/0- 7`02 =,
WEST YARMOUTH, MA 02673
Postal
RECEIPT
ru
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Walthamt MA 02457
iY'1 Certified Mail Fee -------- i`<?0
- �-- 1I J63
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1-1 T�rotal Postage, and Fees
it1�l.jti
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m Sheet 171 11.1 ! /
- -
►,n BIONDO PAUL J
-----------
Er c"iry, 171 BARBARA RD
WALTHAM, MA 02453
Postal Service7
o RECEIPT
Ln CERTIFIED
Ln Domestic Mail only M
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c 32
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m - 1.2 `03/2025
fmYl To Po go and Fees --
$(.4i'.
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(1J ISent
o I -- 171 14/ ,I I MURPHY DENNIS------------
-..
C.rr> 26 OXFORD L _�
EAST LONGMEAD�� �W�yA 01028
postal
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ti
CO ,.
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m certitied Mail Fee der • �0
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ru . _. - . _ S�tu� ed DONi Y
postage $13.79
C35--------- --
r-9 Total Postage and Fees
Sent To
Cr 17l 131 1 1
Stieetand THOMAS P
hAURPHY
sr� 19 GLEN�NAMRMA 01095
—
WILBRA ,!„
Abutters Map
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14.1�6.1,1
I
October 20, 2025
1 _,257
1 230 4&0 fE
NOTIFICATION TO ABUTTERS UNDER THE
MASSACHUSETTS WETLANDS PROTECTION ACT &
TOWN OF YARMOUTH WETLAND BY-LAW, CHAPTER 143
In accordance with the second paragraph of the Massachusetts General Laws Chapter 131, Section 40,
you are hereby notified of the following:
A. The name of the applicant is ,kikeS ) %Oe
B. The applicant has filed a Notice of Intent with the Yarmouth Conservation Commission, seeking
permission to remove, fill, dredge or alter an Area Subject to Protection under the Wetlands
Protection Act (MGL c. 131 s. 40 & Town of Yarmouth Wetland By -Law, Chapter 143).
C. The address of the lot where the activity is proposed is Z ( REy-1 IPtG� Dkj vE
D. Proposed work is �'dNST�U�T l\- nl eyj 4 iS�bP.wm -byi_eti I ►J 4
wl,N itnl „fit,Eu =ll,o �-UooD zo-r)&
E. Copies of the Notice of Intent 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 Notice of Intent may be obtained from either the applicant or applicant's
representative. Applicant's phone number (0 (' 21 0433
Or Applicant's representatives phone number 06,Z 360 331 I
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] represencta�tiive r other)
Name;Jk0�_`� H � � - + to � rift's 1�c
Address Iy 60.V ow I
Town 6 .51YO V4I W State MA Zip 02-53-7
Telephone s�69 ELO 331 !
NOTES :
• 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 in the Town Hall 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 more information about this application.