HomeMy WebLinkAboutNOI ApplicationEl
Massachusetts Department of Environmental Protection Provided by MassDEP:
7 Bureau of Resource Protection - Wetlands MassDEP File Number
WPA Form 3 — Notice of Intent
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
City/rown
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Conservation
Commission
regarding any
municipal bylaw
or ordinance.
A. General Information
1. Project Location (Note: electronic filers will click on button to locate project site):
4 Glenwood Street
a. Street Address
Latitude and Longitude:
f2. Assessors Map/Plat Number
2. Applicant:
Paul and N
a. First Name
c. Organization
5 Russells Mills
Dartmouth
e. City/Town
774-930-5339
h. Phone Number I. Fax Number
West Yarmouth 02673
b. City/Town c. Zip Code
41.646488-70.266396
d. Latitude e. Longitude
g. Parcel /Lot Number
Cruz
b. Last Name
MA
peruz@ccstaff.net
j. Email Address
3. Property owner (required if different from applicant):
Same _
a. First Name b.
C.
e. City/rown
Phone Number I. Fax Number
4. Representative (if any):
I. State
02748
g. Zip Code
❑ Check if more than one owner
g. Zip Code
Matthew T.
Farrell
a. First Name
b. Last Name
J.M. O'Reilly & Associates, Inc.
c. Company
1573 Main Street, P.O. Box 1773
d. Street Address
Brewster
MA 02631
e. City/Town
f. State g. Zip Code
508-896-6601
mfarrell@jmoreillyassoc.com
h. Phone Number L Fax Number
j. Email address
5. Total WPA Fee Paid (from NO[ Wetland Fee Transmittal Form):
$330.00 $152.50 $177.50
a. Total Fee Paid b. Slate Fee Paid c. City/Town Fee Paid
wpaform3.doc • rev. 12/4/2023 Page 1 of 9
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
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
Cilyrrown
A. General Information (continued)
6. General Project Description:
Project is for improvements to the existing dwelling & property, including sand norishment, within the
100 foot buffer zone to a Coastal Bank, Salt Marsh and within Land Subject to Coastal Storm
Flowage, FEMA Flood Zone VE=13.0
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. El 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)
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:
Barnstable
a. Countv
b. Certificate # (if registered land)
37028 18
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
rd
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassoEP File Number
WPA Form 3 — Notice of Intent
Document Transaction Number
Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
B. Buffet' Zone & Resource Area Impacts (temporary & permanent) (cont'd)
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
1. square feet
1. square feet
3. cubic yards dredged
Size of Proposed Alteration
1. square feet
Proposed Replacement (if any)
2. linear
square
2. square feet
Proposed Replacement (if any)
square
3. cubic feet of flood storage lost 4. cubic feet replaced
1. square feet
2. cubic feet of flood storage lost 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:
a. total square feet
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?
5. Was the lot where the activity is proposed created prior to August 1, 1996?
3. ❑ Coastal Resource Areas: (See 310 CMR 10.25-10.35)
Note: for coastal riverfront areas, please complete Section B.2.f. above.
❑ Yes ❑ No
❑ Yes ❑ No
wpaform3.doc • rev. 12/4/2023 Page 3 of 9
13
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
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
j. ❑ 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
1. ® Land Subject to - 42
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 feel of BVW
5. ❑ Project Involves Stream Crossings
a. number of new stream crossings
b. square feel of Sall Marsh
b. number of replacement stream crossings
wpaform3.doc • rev. 12t412023 Page 4 of 9
n
Massachusetts Department of Environmental Protection Provided byMassDEP:
Bureau of Resource Protection - Wetlands MaseDEP File Number
WPA Form 3 — Notice of Intent
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
Cityrrown
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 http://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
MA Mapper 12/4/25 1 Rabbit Hill Road
b. Date of map 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, MESANVetlands Protection Act review, please
complete Section CA.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 NOI, by
completing Section f 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 percentage/acreage
(b) outside Resource Area 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) ❑ Project description (including description of impacts outside of wetland resource area &
bufferzone)
(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-
endang eyed-species-act-mesa-reg ulatory-review).
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.
wpafonn3.doc • rev. 12/4/2023 Page 5 of 9
n
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassDEP File Number
WPA F®rli 3 — Notice of Intent
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
Cily/rown
C. Other Applicable Standards and Requirements (cont'd)
(c) ❑ MESA filing fee (fee information available at https://www.mass.gov/how-to/how-to-file-for-
a-mesa-proiect-review).
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
(a) ❑ 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,
his://www. mass.gov/service-details/exemptions-from-review-for-promectsactivities-in-
priority-habitat; the NO[ 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
the Cape & Islands:
Division of Marine Fisheries -
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 South Rodney French Blvd.
New Bedford, MA 02744
Email: dmf.envreview-south()mass.gov
North Shore - Plymouth to New Hampshire border:
Division of Marine Fisheries -
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
Email: dmf.envreview-north(Wmass.gov
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
0
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassDEP File Number
WPA F®rt"I't'u 3 — Notice of Intent
L
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
Cilyrrown
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 ® 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
El
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassDEP File Number
WPA Foam 3 — Notice of Intent
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
Cily/rown
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 PLAN
a. Plan Title
J.M.OREILLY & ASSOCIATES, INC. John M. O'Reilly, P.E., P.L.S.
b. Prepared By c. Signed and Stamped by
12/24/25 1"=20'
d. Final Revision Date e. Scale
Landscape and Mitigation Plan Blue Flax Design, LLC 12/18/25
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:
1K5go IZ- Z9 . Z5
2. Municipal Check Number 3. Check date
II Lk52 I Z- Zci • Z5
4. State Check Number 5. Check dale
J.M. O'Reilly & Associates, Inc.
6. Payor name on check: First Name 7. Payor name on check: Last
wpaform3.doc • rev. 12/4/2023 Page 8 of 9
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassDEP Fite Number
LEI
WPA Form 3 - Notice of Intent —Document TransaclionNumber
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Yarmouth
Cityrrown
F. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Notice of Intent and accompanying
plans, documentsand supporting data are true and complete to the best of my knowledge. I understand
Conservaiion Commission will
placethat the
expen a of the applicant inaccordancewith the notification
regulations, local
ulat ons, 310 CMR 10.05(5)(a). the
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
project location.1/
2. Date
4. Date
2/f
6. Dater
For Conservation Commission:
Two copies of the completed Notice of Intent (Form 3), including supporting plans and documents,
two copies of the NOI Wetland Fee Transmittal Form, and the cityltown 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 NOI 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.
Page 9 of 9
woaform3.doc • rev. 121412023
Important: When
filling out forms
on the computer,
use only the tab
key to move your
cursor - do not
use the return
key.
VItA
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
A. Applicant Information
Location of Project:
4 Glenwood Street
a. Street Address
c. Chec
�5knumber�rI
2. Applicant Mailing Address:
Paul and Nancy
a. First Name
c. Organization
5 Russells Mills Road
Dartmouth
e. City/Town
774-930-5339
In. Phone Number I. Fax Number
3. Property Owner (if different):
a.
C.
West Yarmouth
b. City/rown
t 1572.5'a
d. Fee amount
Cruz
It. Last
MA
f. State
peruz@ccstaff.net
j. Email Address
02748
g. Zip Code
d. Mailing Address
e. City/Town f. State g. Zip Code
In. Phone Number I. Fax Number 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.
nodeelLd. • Wetland Fee Transmittal Form • rev. 10/11 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 21Number
of Activities
Category 1a. & 1c & 1d. 3
Work on A Single Family Dwelling &
Control Vegetation & Resource
Improvement: Sand Norishment
C. Submittal Requirements
Step Step 4/Subtotal Activity
311ndividual Fee
Activity Fee
$110.00 $330.00
Step 5/Total Project Fee:
$330.00
Step 6/Fee Payments:
Total Project Fee:
$3
Total
ToF
a. Total Fee from Step 5
State share of filing Fee:
$152.50
b. 1/2 Total Fee less $12.50
City/Town share of filling Fee:
0
c. 11/2 T
/2 Total Fee plus $12.50
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.)
rrodeetf.doc • Welland Fee Transmittal Form • rev. 10111 Page 2 of 2
DEPARTMENT
OF
CONSERVATION
Jawn
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.
4 Glenwood Street
Property Address:
20 /20
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 th ose of gathering information regarding the
application filed with the Commission pur nt to the etlands Protection Act (M.G.L. Ch. 131, s.
40) and/or the Yarmouth Wet Pr t ction Byla Chapter ).
Authorized Signat Date: Z Z Z5
Please Print Name: Matthew T arrell
If other than owner, please state whether tenant, agent, or other:
Mailing Address:
P.O. Box 1773
Brewster, MA 02631
508-896-6601
Phone: Cell:
Email: mfarrell@jmoreillyassoc.com Fax:
508-896-6602
Agent
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
for work at
CONSERVATION
OFFICE
Town of Yarmouth
Conservation Commission
21-DAY WAIVER
Please complete this form, sign at the bottom and return to the Conservation Office.
Matthew T. Farrell, EIT (J.M. O'Reilly & Assoc) , 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
4 Glenwood St., W. YarmotINa received by Conservation Office)
(project address/location)
I am the: ❑ Applicant
® Applican
77
perty
12, 1Z �
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
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 Paul & Nancy Cruz
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 4 Glenwood St.
D. Proposed work is Project is for improvements to the existing dwelling & property, including
sand nourishment within the 100 foot buffer zone to a Coastal Bank, Salt Marsh and within Land
Subject to Coastal Storm Flowage FEMA Flood Zone VE=13.0
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
Or Applicant's representatives phone number 508-896-6601
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 _Matthew T. Farrell, EIT (J.M. O'Reilly & Associates, Inc.)_
Address 1573 Main St.
Town Brewster State MA Zip 02631
Telephone 508-896-6601
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.
201 17/ / /
GLENWOOD STREET LLC
C/O DAVID OFFICER
60 SUTTON PL SOUTH 19CN
NEW YORK, NY 10022
20/ 20/
OCEAN VACATIONS LLC
C/O CRUZ PAUL
5 RUSSELLS MILLS RD
DARTMOUTH, MA 02748
20/ 21/
SEXTON MARK G
SEXTON MARY ELLEN
10 GLENWOOD ST
WEST YARMOUTH, MA 02673
20/ 221 / /
63 PARK AVE LLC
2 ADARE RD
MENDON, MA 01756
201 231 I /
HIGHLAND FIFTEEN REALTY TRUST
35 HOLLY LN
BRIDGEWATER, MA 02324
20/ 19/ / 1
WACKROW JEAN M (LIFE EST)
5 GLENWOOD ST
WEST YARMOUTH, MA 02673
Please use this signature to certify this list of properties
abutting within 100' of the parcel located at:
4 Glenwood St., West Yarmouth, MA 02673
Assessors Map 20, Lot.20 ,
Andy Machgdo, Director of Assessing
December 5, 2025
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