HomeMy WebLinkAboutNOI 01.21.2026Yarmouth Conservation Commission • 1146 Route 28 South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288
Rev 6/2025 Page 1 of 2
Administrative Checklist
Notice of Intent
General Information:
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.
Submitting an Application:
Does the property have any outstanding/expired Orders of Conditions? If so, please file a Request
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. (*see page 2)
Hardcopy filing dropped off or mailed to the Conservation Office including:
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 Regulations, delineation sheets (if BVW or vegetated wetlands are
present) or other resource area calculations, and supporting information.
1 100’ radius map, current abutters list identifying the property owners who are to be notified per 310
CMR 10.00 and abutter notification form. 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.
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)
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
CONSERVATION
OFFICE
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submitted via eDEP
Yarmouth Conservation Commission • 1146 Route 28 South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288
Rev 6/2025 Page 2 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.
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 jjerolimo@yarmouth.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 Yarmouth Wetland Regulations, page 17. Without proper staking your project may be
deemed incomplete and be continued to the next hearing date.
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
Certified Mail Receipt for Massachusetts Division of Marine Fisheries. If filing via email,
dmf.envreview-south@mass.gov, Amanda.Davis@mass.gov
CC bdirienzo@yarmouth.ma.us and jjerolimo@yarmouth.ma.us
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
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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
Site Access Authorization Form
General Information:
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: _____________________________________________________________
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).
Authorized Signature: _______________________________________ Date: ______________
Please Print Name: _________________________________________
If other than owner, please state whether tenant, agent, or other: _____________________
Mailing Address: ________________________________________________
________________________________________________
________________________________________________
Phone: __________________________ Cell: __________________________
Email: __________________________ Fax: __________________________
DEPARTMENT
OF
CONSERVATION
92-18
11/12/2025
Kasia Kos, Cape & Islands Engineering
agent
Cape & Islands Engineering Inc.
800 Falmouth Road Suite 301
Mashpee MA 02649
508-477-7272
kkos@capeeng.com
26 Grandview Drive, Yarmouth MA 02664
NOTICE OF INTENT
Filing under the Massachusetts Wetlands Protection Act, M.G.L. Chapter 131, Section 40 and
implementing regulations (310 CMR 10.00) and the Town of Yarmouth Wetlands Protection
Bylaw (Chapter 137) and implementing Regulations
Project:
Drainage Improvements & Beach Nourishment
Location:
26 Grandview Drive
Yarmouth, MA 02673
Applicant & Owner:
Zach Barber, Harbour Haven Neighborhood Association
26 Grandview Drive
South Yarmouth, MA 02664
Prepared By:
CAPE & ISLANDS ENGINEERING, INC.
800 Falmouth Road, Suite 301C
Mashpee, MA 02649
(508) 477-7272
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:
A.General Information
1. Project Location:
a. Street Address 26 GRANDVIEW DRIVE
b. City/Town YARMOUTH c. Zip Code 02664
d. Latitude 41.68210N e. Longitude 70.16353W
f. Map/Plat #92 g.Parcel/Lot #18
2. Applicant:
Individual Organization
a. First Name b.Last Name
c. Organization HARBOUR HAVEN ASSOCIATION, INC
d. Mailing Address 51 HARBOR HILL RUN
e. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664
h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com
3.Property Owner:
more than one owner
a. First Name b. Last Name
c. Organization HARBOUR HAVEN ASSOCIATION, INC
d. Mailing Address 51 HARBOR HILL RUN
e. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664
h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com
4.Representative:
a. First Name MARK b. Last Name DIBB, P.E.
c. Organization CAPE & ISLANDS ENGINEERING, INC.
d. Mailing Address 800 FALMOUTH ROAD, SUITE 301C
e. City/Town MASHPEE f. State MA g. Zip Code 02649
h.Phone Number 5084777272 i.Fax j.Email mdibb@capeeng.com
5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):
a.Total Fee Paid 915.00 b.State Fee Paid 445.00 c.City/Town Fee Paid 470.00
6.General Project Description:
THE APPLICANT PROPOSES TO CONSTRUCT DRAINAGE IMPROVEMENTS AND PROVIDE APPROXIMATELY
270 CUBIC YARD (CY) OF SAND NOURISHMENT INCLUDING THE CREATION OF A BERM TO ADDRESS THE
FLOODING AND EROSION CONCERNS AT 26 GRANDVIEW DRIVE. THE PROPERTY IS LOCATED ALONG THE
WESTERN SHORES BASS RIVER AND THE PROPOSED WORK WILL FALL WITHIN OF LAND SUBJECT TO
COASTAL STORM FLOWAGE (LSCSF), COASTAL BEACH, RIVERFRONT AREA, AND WITHIN 100FEET OF
JURISDICTIONAL WETLAND RESOURCE AREAS.
7a.Project Type:
1. Single Family Home 2. Residential Subdivision
3.Limited Project Driveway Crossing 4.Commercial/Industrial
5.Dock/Pier 6.Utilities
7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)
9.Transportation 10.Other
7b.Is any portion of the proposed activity eligible to be treated as a 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:
2. Limited Project
8.Property recorded at the Registry of Deeds for:
a.County:b.Certificate:c.Book:d.Page:
BARNSTABLE 107951
B. Buffer Zone & Resource Area Impacts (temporary & permanent)
1.Buffer Zone & Resource Area Impacts (temporary & permanent):
This is a Buffer Zone only project 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)
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a.Bank
1. linear feet 2. linear feet
b.Bordering Vegetated Wetland
1. square feet 2. square feet
c.Land under Waterbodies and Waterways
1. Square feet 2. square feet
3. cubic yards dredged
d.Bordering Land Subject to Flooding
1. square feet 2. square feet
3. cubic feet of flood storage lost 4. cubic feet replaced
e.Isolated Land Subject to Flooding
1. square feet
2. cubic feet of flood storage lost 3. cubic feet replaced
f.Riverfront Area
1. Name of Waterway (if any)
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 11034
square feet
4. Proposed Alteration of the Riverfront Area:
8378
a. total square feet
5793
b. square feet within 100 ft.
2585
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.Coastal Resource Areas: (See 310 CMR 10.25 10.35)
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a.Designated Port Areas Indicate size under Land under the ocean below,
b.Land Under the Ocean
1. square feet
2. cubic yards dredged
c.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, below
d.Coastal Beaches 7300
1. square feet
270
2. cubic yards beach nourishment
e.Coastal Dunes
1. square feet 2. cubic yards dune nourishment
f.Coastal Banks
1. linear feet
g.Rocky Intertidal Shores
1. square feet
h.Salt Marshes
1. square feet 2. sq ft restoration, rehab, crea.
i.Land Under Salt Ponds
1. square feet
2. cubic yards dredged
j.Land Containing Shellfish
1. square feet
k.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland Land
Under Waterbodies and Waterways, above
1. cubic yards dredged
l.Land Subject to Coastal
Storm Flowage
8378
1. square feet
4.Restoration/Enhancement
Restoration/Replacement
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 entered the additional amount here.
a. square feet of BVW b. square feet of Salt Marsh
5.Projects Involves Stream Crossings
Project Involves Streams Crossings
If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.
a. number of new stream crossings b. number of replacement stream crossings
C. Other Applicable Standards and Requirements
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 StateListed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program
(NHESP)?
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
1 Rabbit Hill Road
Westborough, MA 01581
b. Date of map:FROM MAP VIEWER
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18)....
c. Submit Supplemental Information for Endangered Species Review * (Check boxes as they apply)
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 rightofway plan of site
3. Project plans for entire project site, including wetland resource areas and areas outside of wetland 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 & buffer zone)
b. Photographs representative of the site
c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/naturalheritage/regulatory
review/massendangeredspeciesactmesa/mesafeeschedule.html )
Make check payable to "Natural Heritage & Endangered Species Fund" 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
d. 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, http://www.mass.gov/eea/agencies/dfg/dfw/lawsregulations/cmr/321cmr1000massachusettsendangered
speciesact.html#10.14; 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 Number
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.
*Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review...
2.For coastal projects only, is any portion of the proposed project located below the mean high waterline or in a fish run?
a. Not applicable project is in inland resource area only
b.Yes No
If yes, include proof of mailing or hand delivery of NOI to either:
South Shore Cohasset to Rhode Island, and the Cape & Islands:
Division of Marine Fisheries
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 S. Rodney French Blvd
New Bedford, MA 02744
North Shore Hull to New Hampshire:
Division of Marine Fisheries
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
If yes, it 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.
3.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a.Yes No If yes, provide name of ACEC (see instructions to WPA
Form 3 or DEP Website for ACEC locations). Note:
electronic filers click on Website.
b. ACEC Name
4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in the
Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a.Yes No
5.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L.c. 131, §
40A) or the Coastal Wetlands Restriction Act (M.G.L.c. 130, § 105)?
a.Yes No
6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
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, Explain why the project is exempt:
1.Single Family Home
2.Emergency Road Repair
3.Small Residential Subdivision (less than or equal to 4 singlefamily houses or less than or equal to 4 units in multifamily
housing project) with no discharge to Critical Areas.
D. Additional Information
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 by regular mail delivery.
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.
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.
a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:
DRAINAGE AND SITE
IMPROVEMENTS
PLAN
CAPE & ISLANDS
ENGINEERING, INC MARK D. DIBB, P.E.January 9, 2026 1" = 20'
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:
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
6. Payer name on check: First Name 7. Payer name on check: Last Name
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 project location.
1. Signature of Applicant 2. Date
3. Signature of Property Owner(if different)4. Date
5. Signature of Representative (if any)6. Date
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 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 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 Section C, Items 13, 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.
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 MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 1 of 7 * ELECTRONIC COPY
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:
A.General Information1. Project Location:a. Street Address 26 GRANDVIEW DRIVEb. City/Town YARMOUTH c. Zip Code 02664d. Latitude 41.68210N e. Longitude 70.16353Wf. Map/Plat #92 g.Parcel/Lot #182. Applicant:Individual Organizationa. First Name b.Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com3.Property Owner:more than one ownera. First Name b. Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com4.Representative:a. First Name MARK b. Last Name DIBB, P.E.c. Organization CAPE & ISLANDS ENGINEERING, INC.d. Mailing Address 800 FALMOUTH ROAD, SUITE 301Ce. City/Town MASHPEE f. State MA g. Zip Code 02649h.Phone Number 5084777272 i.Fax j.Email mdibb@capeeng.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 915.00 b.State Fee Paid 445.00 c.City/Town Fee Paid 470.006.General Project Description:
THE APPLICANT PROPOSES TO CONSTRUCT DRAINAGE IMPROVEMENTS AND PROVIDE APPROXIMATELY
270 CUBIC YARD (CY) OF SAND NOURISHMENT INCLUDING THE CREATION OF A BERM TO ADDRESS THE
FLOODING AND EROSION CONCERNS AT 26 GRANDVIEW DRIVE. THE PROPERTY IS LOCATED ALONG THE
WESTERN SHORES BASS RIVER AND THE PROPOSED WORK WILL FALL WITHIN OF LAND SUBJECT TO
COASTAL STORM FLOWAGE (LSCSF), COASTAL BEACH, RIVERFRONT AREA, AND WITHIN 100FEET OF
JURISDICTIONAL WETLAND RESOURCE AREAS.
7a.Project Type:
1. Single Family Home 2. Residential Subdivision
3.Limited Project Driveway Crossing 4.Commercial/Industrial
5.Dock/Pier 6.Utilities
7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)
9.Transportation 10.Other
7b.Is any portion of the proposed activity eligible to be treated as a 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:
2. Limited Project
8.Property recorded at the Registry of Deeds for:
a.County:b.Certificate:c.Book:d.Page:
BARNSTABLE 107951
B. Buffer Zone & Resource Area Impacts (temporary & permanent)
1.Buffer Zone & Resource Area Impacts (temporary & permanent):
This is a Buffer Zone only project 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)
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a.Bank
1. linear feet 2. linear feet
b.Bordering Vegetated Wetland
1. square feet 2. square feet
c.Land under Waterbodies and Waterways
1. Square feet 2. square feet
3. cubic yards dredged
d.Bordering Land Subject to Flooding
1. square feet 2. square feet
3. cubic feet of flood storage lost 4. cubic feet replaced
e.Isolated Land Subject to Flooding
1. square feet
2. cubic feet of flood storage lost 3. cubic feet replaced
f.Riverfront Area
1. Name of Waterway (if any)
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 11034
square feet
4. Proposed Alteration of the Riverfront Area:
8378
a. total square feet
5793
b. square feet within 100 ft.
2585
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.Coastal Resource Areas: (See 310 CMR 10.25 10.35)
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a.Designated Port Areas Indicate size under Land under the ocean below,
b.Land Under the Ocean
1. square feet
2. cubic yards dredged
c.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, below
d.Coastal Beaches 7300
1. square feet
270
2. cubic yards beach nourishment
e.Coastal Dunes
1. square feet 2. cubic yards dune nourishment
f.Coastal Banks
1. linear feet
g.Rocky Intertidal Shores
1. square feet
h.Salt Marshes
1. square feet 2. sq ft restoration, rehab, crea.
i.Land Under Salt Ponds
1. square feet
2. cubic yards dredged
j.Land Containing Shellfish
1. square feet
k.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland Land
Under Waterbodies and Waterways, above
1. cubic yards dredged
l.Land Subject to Coastal
Storm Flowage
8378
1. square feet
4.Restoration/Enhancement
Restoration/Replacement
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 entered the additional amount here.
a. square feet of BVW b. square feet of Salt Marsh
5.Projects Involves Stream Crossings
Project Involves Streams Crossings
If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.
a. number of new stream crossings b. number of replacement stream crossings
C. Other Applicable Standards and Requirements
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 StateListed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program
(NHESP)?
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
1 Rabbit Hill Road
Westborough, MA 01581
b. Date of map:FROM MAP VIEWER
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18)....
c. Submit Supplemental Information for Endangered Species Review * (Check boxes as they apply)
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 rightofway plan of site
3. Project plans for entire project site, including wetland resource areas and areas outside of wetland 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 & buffer zone)
b. Photographs representative of the site
c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/naturalheritage/regulatory
review/massendangeredspeciesactmesa/mesafeeschedule.html )
Make check payable to "Natural Heritage & Endangered Species Fund" 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
d. 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, http://www.mass.gov/eea/agencies/dfg/dfw/lawsregulations/cmr/321cmr1000massachusettsendangered
speciesact.html#10.14; 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 Number
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.
*Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review...
2.For coastal projects only, is any portion of the proposed project located below the mean high waterline or in a fish run?
a. Not applicable project is in inland resource area only
b.Yes No
If yes, include proof of mailing or hand delivery of NOI to either:
South Shore Cohasset to Rhode Island, and the Cape & Islands:
Division of Marine Fisheries
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 S. Rodney French Blvd
New Bedford, MA 02744
North Shore Hull to New Hampshire:
Division of Marine Fisheries
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
If yes, it 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.
3.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a.Yes No If yes, provide name of ACEC (see instructions to WPA
Form 3 or DEP Website for ACEC locations). Note:
electronic filers click on Website.
b. ACEC Name
4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in the
Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a.Yes No
5.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L.c. 131, §
40A) or the Coastal Wetlands Restriction Act (M.G.L.c. 130, § 105)?
a.Yes No
6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
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, Explain why the project is exempt:
1.Single Family Home
2.Emergency Road Repair
3.Small Residential Subdivision (less than or equal to 4 singlefamily houses or less than or equal to 4 units in multifamily
housing project) with no discharge to Critical Areas.
D. Additional Information
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 by regular mail delivery.
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.
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.
a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:
DRAINAGE AND SITE
IMPROVEMENTS
PLAN
CAPE & ISLANDS
ENGINEERING, INC MARK D. DIBB, P.E.January 9, 2026 1" = 20'
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:
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
6. Payer name on check: First Name 7. Payer name on check: Last Name
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 project location.
1. Signature of Applicant 2. Date
3. Signature of Property Owner(if different)4. Date
5. Signature of Representative (if any)6. Date
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 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 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 Section C, Items 13, 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.
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 MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 2 of 7 * ELECTRONIC COPY
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:
A.General Information1. Project Location:a. Street Address 26 GRANDVIEW DRIVEb. City/Town YARMOUTH c. Zip Code 02664d. Latitude 41.68210N e. Longitude 70.16353Wf. Map/Plat #92 g.Parcel/Lot #182. Applicant:Individual Organizationa. First Name b.Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com3.Property Owner:more than one ownera. First Name b. Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com4.Representative:a. First Name MARK b. Last Name DIBB, P.E.c. Organization CAPE & ISLANDS ENGINEERING, INC.d. Mailing Address 800 FALMOUTH ROAD, SUITE 301Ce. City/Town MASHPEE f. State MA g. Zip Code 02649h.Phone Number 5084777272 i.Fax j.Email mdibb@capeeng.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 915.00 b.State Fee Paid 445.00 c.City/Town Fee Paid 470.006.General Project Description:THE APPLICANT PROPOSES TO CONSTRUCT DRAINAGE IMPROVEMENTS AND PROVIDE APPROXIMATELY270 CUBIC YARD (CY) OF SAND NOURISHMENT INCLUDING THE CREATION OF A BERM TO ADDRESS THEFLOODING AND EROSION CONCERNS AT 26 GRANDVIEW DRIVE. THE PROPERTY IS LOCATED ALONG THEWESTERN SHORES BASS RIVER AND THE PROPOSED WORK WILL FALL WITHIN OF LAND SUBJECT TOCOASTAL STORM FLOWAGE (LSCSF), COASTAL BEACH, RIVERFRONT AREA, AND WITHIN 100FEET OFJURISDICTIONAL WETLAND RESOURCE AREAS.7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 107951B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):This is a Buffer Zone only project 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)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 1. square feet 2. square feetc.Land under Waterbodies and Waterways 1. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet
2. cubic feet of flood storage lost 3. cubic feet replaced
f.Riverfront Area
1. Name of Waterway (if any)
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 11034
square feet
4. Proposed Alteration of the Riverfront Area:
8378
a. total square feet
5793
b. square feet within 100 ft.
2585
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.Coastal Resource Areas: (See 310 CMR 10.25 10.35)
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a.Designated Port Areas Indicate size under Land under the ocean below,
b.Land Under the Ocean
1. square feet
2. cubic yards dredged
c.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, below
d.Coastal Beaches 7300
1. square feet
270
2. cubic yards beach nourishment
e.Coastal Dunes
1. square feet 2. cubic yards dune nourishment
f.Coastal Banks
1. linear feet
g.Rocky Intertidal Shores
1. square feet
h.Salt Marshes
1. square feet 2. sq ft restoration, rehab, crea.
i.Land Under Salt Ponds
1. square feet
2. cubic yards dredged
j.Land Containing Shellfish
1. square feet
k.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland Land
Under Waterbodies and Waterways, above
1. cubic yards dredged
l.Land Subject to Coastal
Storm Flowage
8378
1. square feet
4.Restoration/Enhancement
Restoration/Replacement
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 entered the additional amount here.
a. square feet of BVW b. square feet of Salt Marsh
5.Projects Involves Stream Crossings
Project Involves Streams Crossings
If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.
a. number of new stream crossings b. number of replacement stream crossings
C. Other Applicable Standards and Requirements
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 StateListed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program
(NHESP)?
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
1 Rabbit Hill Road
Westborough, MA 01581
b. Date of map:FROM MAP VIEWER
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18)....
c. Submit Supplemental Information for Endangered Species Review * (Check boxes as they apply)
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 rightofway plan of site
3. Project plans for entire project site, including wetland resource areas and areas outside of wetland 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 & buffer zone)
b. Photographs representative of the site
c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/naturalheritage/regulatory
review/massendangeredspeciesactmesa/mesafeeschedule.html )
Make check payable to "Natural Heritage & Endangered Species Fund" 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
d. 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, http://www.mass.gov/eea/agencies/dfg/dfw/lawsregulations/cmr/321cmr1000massachusettsendangered
speciesact.html#10.14; 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 Number
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.
*Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review...
2.For coastal projects only, is any portion of the proposed project located below the mean high waterline or in a fish run?
a. Not applicable project is in inland resource area only
b.Yes No
If yes, include proof of mailing or hand delivery of NOI to either:
South Shore Cohasset to Rhode Island, and the Cape & Islands:
Division of Marine Fisheries
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 S. Rodney French Blvd
New Bedford, MA 02744
North Shore Hull to New Hampshire:
Division of Marine Fisheries
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
If yes, it 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.
3.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a.Yes No If yes, provide name of ACEC (see instructions to WPA
Form 3 or DEP Website for ACEC locations). Note:
electronic filers click on Website.
b. ACEC Name
4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in the
Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a.Yes No
5.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L.c. 131, §
40A) or the Coastal Wetlands Restriction Act (M.G.L.c. 130, § 105)?
a.Yes No
6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
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, Explain why the project is exempt:
1.Single Family Home
2.Emergency Road Repair
3.Small Residential Subdivision (less than or equal to 4 singlefamily houses or less than or equal to 4 units in multifamily
housing project) with no discharge to Critical Areas.
D. Additional Information
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 by regular mail delivery.
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.
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.
a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:
DRAINAGE AND SITE
IMPROVEMENTS
PLAN
CAPE & ISLANDS
ENGINEERING, INC MARK D. DIBB, P.E.January 9, 2026 1" = 20'
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:
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
6. Payer name on check: First Name 7. Payer name on check: Last Name
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 project location.
1. Signature of Applicant 2. Date
3. Signature of Property Owner(if different)4. Date
5. Signature of Representative (if any)6. Date
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 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 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 Section C, Items 13, 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.
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 MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 3 of 7 * ELECTRONIC COPY
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:
A.General Information1. Project Location:a. Street Address 26 GRANDVIEW DRIVEb. City/Town YARMOUTH c. Zip Code 02664d. Latitude 41.68210N e. Longitude 70.16353Wf. Map/Plat #92 g.Parcel/Lot #182. Applicant:Individual Organizationa. First Name b.Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com3.Property Owner:more than one ownera. First Name b. Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com4.Representative:a. First Name MARK b. Last Name DIBB, P.E.c. Organization CAPE & ISLANDS ENGINEERING, INC.d. Mailing Address 800 FALMOUTH ROAD, SUITE 301Ce. City/Town MASHPEE f. State MA g. Zip Code 02649h.Phone Number 5084777272 i.Fax j.Email mdibb@capeeng.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 915.00 b.State Fee Paid 445.00 c.City/Town Fee Paid 470.006.General Project Description:THE APPLICANT PROPOSES TO CONSTRUCT DRAINAGE IMPROVEMENTS AND PROVIDE APPROXIMATELY270 CUBIC YARD (CY) OF SAND NOURISHMENT INCLUDING THE CREATION OF A BERM TO ADDRESS THEFLOODING AND EROSION CONCERNS AT 26 GRANDVIEW DRIVE. THE PROPERTY IS LOCATED ALONG THEWESTERN SHORES BASS RIVER AND THE PROPOSED WORK WILL FALL WITHIN OF LAND SUBJECT TOCOASTAL STORM FLOWAGE (LSCSF), COASTAL BEACH, RIVERFRONT AREA, AND WITHIN 100FEET OFJURISDICTIONAL WETLAND RESOURCE AREAS.7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 107951B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):This is a Buffer Zone only project 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)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 1. square feet 2. square feetc.Land under Waterbodies and Waterways 1. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. Designated Densely Developed Areas only100 ft. New agricultural projects only200 ft. All other projects3. Total area of Riverfront Area on the site of the proposed project 11034square feet4. Proposed Alteration of the Riverfront Area:8378a. total square feet 5793b. square feet within 100 ft.2585c. square feet between 100 ft.and 200 ft.5. Has an alternatives analysis been done and is it attached to this NOI?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 73001. square feet 2702. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above
1. cubic yards dredged
l.Land Subject to Coastal
Storm Flowage
8378
1. square feet
4.Restoration/Enhancement
Restoration/Replacement
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 entered the additional amount here.
a. square feet of BVW b. square feet of Salt Marsh
5.Projects Involves Stream Crossings
Project Involves Streams Crossings
If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.
a. number of new stream crossings b. number of replacement stream crossings
C. Other Applicable Standards and Requirements
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 StateListed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program
(NHESP)?
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
1 Rabbit Hill Road
Westborough, MA 01581
b. Date of map:FROM MAP VIEWER
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18)....
c. Submit Supplemental Information for Endangered Species Review * (Check boxes as they apply)
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 rightofway plan of site
3. Project plans for entire project site, including wetland resource areas and areas outside of wetland 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 & buffer zone)
b. Photographs representative of the site
c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/naturalheritage/regulatory
review/massendangeredspeciesactmesa/mesafeeschedule.html )
Make check payable to "Natural Heritage & Endangered Species Fund" 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
d. 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, http://www.mass.gov/eea/agencies/dfg/dfw/lawsregulations/cmr/321cmr1000massachusettsendangered
speciesact.html#10.14; 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 Number
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.
*Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review...
2.For coastal projects only, is any portion of the proposed project located below the mean high waterline or in a fish run?
a. Not applicable project is in inland resource area only
b.Yes No
If yes, include proof of mailing or hand delivery of NOI to either:
South Shore Cohasset to Rhode Island, and the Cape & Islands:
Division of Marine Fisheries
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 S. Rodney French Blvd
New Bedford, MA 02744
North Shore Hull to New Hampshire:
Division of Marine Fisheries
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
If yes, it 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.
3.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a.Yes No If yes, provide name of ACEC (see instructions to WPA
Form 3 or DEP Website for ACEC locations). Note:
electronic filers click on Website.
b. ACEC Name
4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in the
Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a.Yes No
5.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L.c. 131, §
40A) or the Coastal Wetlands Restriction Act (M.G.L.c. 130, § 105)?
a.Yes No
6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
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, Explain why the project is exempt:
1.Single Family Home
2.Emergency Road Repair
3.Small Residential Subdivision (less than or equal to 4 singlefamily houses or less than or equal to 4 units in multifamily
housing project) with no discharge to Critical Areas.
D. Additional Information
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 by regular mail delivery.
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.
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.
a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:
DRAINAGE AND SITE
IMPROVEMENTS
PLAN
CAPE & ISLANDS
ENGINEERING, INC MARK D. DIBB, P.E.January 9, 2026 1" = 20'
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:
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
6. Payer name on check: First Name 7. Payer name on check: Last Name
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 project location.
1. Signature of Applicant 2. Date
3. Signature of Property Owner(if different)4. Date
5. Signature of Representative (if any)6. Date
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 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 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 Section C, Items 13, 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.
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 MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 4 of 7 * ELECTRONIC COPY
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:
A.General Information1. Project Location:a. Street Address 26 GRANDVIEW DRIVEb. City/Town YARMOUTH c. Zip Code 02664d. Latitude 41.68210N e. Longitude 70.16353Wf. Map/Plat #92 g.Parcel/Lot #182. Applicant:Individual Organizationa. First Name b.Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com3.Property Owner:more than one ownera. First Name b. Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com4.Representative:a. First Name MARK b. Last Name DIBB, P.E.c. Organization CAPE & ISLANDS ENGINEERING, INC.d. Mailing Address 800 FALMOUTH ROAD, SUITE 301Ce. City/Town MASHPEE f. State MA g. Zip Code 02649h.Phone Number 5084777272 i.Fax j.Email mdibb@capeeng.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 915.00 b.State Fee Paid 445.00 c.City/Town Fee Paid 470.006.General Project Description:THE APPLICANT PROPOSES TO CONSTRUCT DRAINAGE IMPROVEMENTS AND PROVIDE APPROXIMATELY270 CUBIC YARD (CY) OF SAND NOURISHMENT INCLUDING THE CREATION OF A BERM TO ADDRESS THEFLOODING AND EROSION CONCERNS AT 26 GRANDVIEW DRIVE. THE PROPERTY IS LOCATED ALONG THEWESTERN SHORES BASS RIVER AND THE PROPOSED WORK WILL FALL WITHIN OF LAND SUBJECT TOCOASTAL STORM FLOWAGE (LSCSF), COASTAL BEACH, RIVERFRONT AREA, AND WITHIN 100FEET OFJURISDICTIONAL WETLAND RESOURCE AREAS.7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 107951B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):This is a Buffer Zone only project 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)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 1. square feet 2. square feetc.Land under Waterbodies and Waterways 1. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. Designated Densely Developed Areas only100 ft. New agricultural projects only200 ft. All other projects3. Total area of Riverfront Area on the site of the proposed project 11034square feet4. Proposed Alteration of the Riverfront Area:8378a. total square feet 5793b. square feet within 100 ft.2585c. square feet between 100 ft.and 200 ft.5. Has an alternatives analysis been done and is it attached to this NOI?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 73001. square feet 2702. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above1. cubic yards dredgedl.Land Subject to CoastalStorm Flowage 83781. square feet4.Restoration/Enhancement Restoration/ReplacementIf the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has beenentered in Section B.2.b or B.3.h above, please entered the additional amount here.a. square feet of BVW b. square feet of Salt Marsh5.Projects Involves Stream Crossings Project Involves Streams CrossingsIf the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.a. number of new stream crossings b. number of replacement stream crossingsC. Other Applicable Standards and RequirementsStreamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review1.Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recentEstimated Habitat Map of StateListed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program(NHESP)?a.Yes NoIf yes, include proof of mailing or hand delivery of NOI to:Natural Heritage and Endangered SpeciesProgramDivision of Fisheries and Wildlife1 Rabbit Hill RoadWestborough, MA 01581b. Date of map:FROM MAP VIEWERIf yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18)....c. Submit Supplemental Information for Endangered Species Review * (Check boxes as they apply)1. Percentage/acreage of property to be altered:(a) within Wetland Resource Area percentage/acreage(b) outside Resource Area percentage/acreage2. Assessor's Map or rightofway plan of site3. Project plans for entire project site, including wetland resource areas and areas outside of wetland jurisdiction, showingexisting 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 & buffer zone)b. Photographs representative of the sitec. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/naturalheritage/regulatoryreview/massendangeredspeciesactmesa/mesafeeschedule.html )Make check payable to "Natural Heritage & Endangered Species Fund" 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
d. 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, http://www.mass.gov/eea/agencies/dfg/dfw/lawsregulations/cmr/321cmr1000massachusettsendangered
speciesact.html#10.14; 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 Number
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.
*Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review...
2.For coastal projects only, is any portion of the proposed project located below the mean high waterline or in a fish run?
a. Not applicable project is in inland resource area only
b.Yes No
If yes, include proof of mailing or hand delivery of NOI to either:
South Shore Cohasset to Rhode Island, and the Cape & Islands:
Division of Marine Fisheries
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 S. Rodney French Blvd
New Bedford, MA 02744
North Shore Hull to New Hampshire:
Division of Marine Fisheries
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
If yes, it 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.
3.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a.Yes No If yes, provide name of ACEC (see instructions to WPA
Form 3 or DEP Website for ACEC locations). Note:
electronic filers click on Website.
b. ACEC Name
4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in the
Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a.Yes No
5.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L.c. 131, §
40A) or the Coastal Wetlands Restriction Act (M.G.L.c. 130, § 105)?
a.Yes No
6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
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, Explain why the project is exempt:
1.Single Family Home
2.Emergency Road Repair
3.Small Residential Subdivision (less than or equal to 4 singlefamily houses or less than or equal to 4 units in multifamily
housing project) with no discharge to Critical Areas.
D. Additional Information
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 by regular mail delivery.
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.
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.
a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:
DRAINAGE AND SITE
IMPROVEMENTS
PLAN
CAPE & ISLANDS
ENGINEERING, INC MARK D. DIBB, P.E.January 9, 2026 1" = 20'
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:
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
6. Payer name on check: First Name 7. Payer name on check: Last Name
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 project location.
1. Signature of Applicant 2. Date
3. Signature of Property Owner(if different)4. Date
5. Signature of Representative (if any)6. Date
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 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 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 Section C, Items 13, 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.
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 MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 5 of 7 * ELECTRONIC COPY
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:
A.General Information1. Project Location:a. Street Address 26 GRANDVIEW DRIVEb. City/Town YARMOUTH c. Zip Code 02664d. Latitude 41.68210N e. Longitude 70.16353Wf. Map/Plat #92 g.Parcel/Lot #182. Applicant:Individual Organizationa. First Name b.Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com3.Property Owner:more than one ownera. First Name b. Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com4.Representative:a. First Name MARK b. Last Name DIBB, P.E.c. Organization CAPE & ISLANDS ENGINEERING, INC.d. Mailing Address 800 FALMOUTH ROAD, SUITE 301Ce. City/Town MASHPEE f. State MA g. Zip Code 02649h.Phone Number 5084777272 i.Fax j.Email mdibb@capeeng.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 915.00 b.State Fee Paid 445.00 c.City/Town Fee Paid 470.006.General Project Description:THE APPLICANT PROPOSES TO CONSTRUCT DRAINAGE IMPROVEMENTS AND PROVIDE APPROXIMATELY270 CUBIC YARD (CY) OF SAND NOURISHMENT INCLUDING THE CREATION OF A BERM TO ADDRESS THEFLOODING AND EROSION CONCERNS AT 26 GRANDVIEW DRIVE. THE PROPERTY IS LOCATED ALONG THEWESTERN SHORES BASS RIVER AND THE PROPOSED WORK WILL FALL WITHIN OF LAND SUBJECT TOCOASTAL STORM FLOWAGE (LSCSF), COASTAL BEACH, RIVERFRONT AREA, AND WITHIN 100FEET OFJURISDICTIONAL WETLAND RESOURCE AREAS.7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 107951B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):This is a Buffer Zone only project 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)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 1. square feet 2. square feetc.Land under Waterbodies and Waterways 1. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. Designated Densely Developed Areas only100 ft. New agricultural projects only200 ft. All other projects3. Total area of Riverfront Area on the site of the proposed project 11034square feet4. Proposed Alteration of the Riverfront Area:8378a. total square feet 5793b. square feet within 100 ft.2585c. square feet between 100 ft.and 200 ft.5. Has an alternatives analysis been done and is it attached to this NOI?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 73001. square feet 2702. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above1. cubic yards dredgedl.Land Subject to CoastalStorm Flowage 83781. square feet4.Restoration/Enhancement Restoration/ReplacementIf the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has beenentered in Section B.2.b or B.3.h above, please entered the additional amount here.a. square feet of BVW b. square feet of Salt Marsh5.Projects Involves Stream Crossings Project Involves Streams CrossingsIf the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.a. number of new stream crossings b. number of replacement stream crossingsC. Other Applicable Standards and RequirementsStreamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review1.Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recentEstimated Habitat Map of StateListed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program(NHESP)?a.Yes NoIf yes, include proof of mailing or hand delivery of NOI to:Natural Heritage and Endangered SpeciesProgramDivision of Fisheries and Wildlife1 Rabbit Hill RoadWestborough, MA 01581b. Date of map:FROM MAP VIEWERIf yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18)....c. Submit Supplemental Information for Endangered Species Review * (Check boxes as they apply)1. Percentage/acreage of property to be altered:(a) within Wetland Resource Area percentage/acreage(b) outside Resource Area percentage/acreage2. Assessor's Map or rightofway plan of site3. Project plans for entire project site, including wetland resource areas and areas outside of wetland jurisdiction, showingexisting 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 & buffer zone)b. Photographs representative of the sitec. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/naturalheritage/regulatoryreview/massendangeredspeciesactmesa/mesafeeschedule.html )Make check payable to "Natural Heritage & Endangered Species Fund" and mail to NHESP at above addressProjects altering 10 or more acres of land, also submit:d.Vegetation cover type map of sitee.Project plans showing Priority & Estimated Habitat boundariesd. OR Check One of the following1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/lawsregulations/cmr/321cmr1000massachusettsendangeredspeciesact.html#10.14; the NOI must still be sent to NHESP if the project is within estimated habitat pursuant to 310 CMR10.37 and 10.59.)2. Separate MESA review ongoing.a. NHESP Tracking Numberb. Date submitted to NHESP3.Separate MESA review completed.Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan.*Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review...2.For coastal projects only, is any portion of the proposed project located below the mean high waterline or in a fish run?a. Not applicable project is in inland resource area onlyb.Yes NoIf yes, include proof of mailing or hand delivery of NOI to either:South Shore Cohasset to Rhode Island, and the Cape & Islands:Division of Marine Fisheries Southeast Marine Fisheries StationAttn: Environmental Reviewer836 S. Rodney French Blvd New Bedford, MA 02744 North Shore Hull to New Hampshire:Division of Marine Fisheries North Shore OfficeAttn: Environmental Reviewer30 Emerson AvenueGloucester, MA 01930If yes, it 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.3.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?a.Yes No If yes, provide name of ACEC (see instructions to WPAForm 3 or DEP Website for ACEC locations). Note:electronic filers click on Website.b. ACEC Name4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in theMassachusetts Surface Water Quality Standards, 314 CMR 4.00?a.Yes No5.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L.c. 131, §40A) or the Coastal Wetlands Restriction Act (M.G.L.c. 130, § 105)?a.Yes No6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
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, Explain why the project is exempt:
1.Single Family Home
2.Emergency Road Repair
3.Small Residential Subdivision (less than or equal to 4 singlefamily houses or less than or equal to 4 units in multifamily
housing project) with no discharge to Critical Areas.
D. Additional Information
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 by regular mail delivery.
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.
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.
a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:
DRAINAGE AND SITE
IMPROVEMENTS
PLAN
CAPE & ISLANDS
ENGINEERING, INC MARK D. DIBB, P.E.January 9, 2026 1" = 20'
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:
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
6. Payer name on check: First Name 7. Payer name on check: Last Name
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 project location.
1. Signature of Applicant 2. Date
3. Signature of Property Owner(if different)4. Date
5. Signature of Representative (if any)6. Date
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 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 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 Section C, Items 13, 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.
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 MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 6 of 7 * ELECTRONIC COPY
a.Yes, Attach a copy of the Stormwater Report as required by the Stormwater Management Standards per 310 CMR10.05(6)(k)(q) and check if:A.General Information1. Project Location:a. Street Address 26 GRANDVIEW DRIVEb. City/Town YARMOUTH c. Zip Code 02664d. Latitude 41.68210N e. Longitude 70.16353Wf. Map/Plat #92 g.Parcel/Lot #182. Applicant:Individual Organizationa. First Name b.Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com3.Property Owner:more than one ownera. First Name b. Last Namec. Organization HARBOUR HAVEN ASSOCIATION, INCd. Mailing Address 51 HARBOR HILL RUNe. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com4.Representative:a. First Name MARK b. Last Name DIBB, P.E.c. Organization CAPE & ISLANDS ENGINEERING, INC.d. Mailing Address 800 FALMOUTH ROAD, SUITE 301Ce. City/Town MASHPEE f. State MA g. Zip Code 02649h.Phone Number 5084777272 i.Fax j.Email mdibb@capeeng.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 915.00 b.State Fee Paid 445.00 c.City/Town Fee Paid 470.006.General Project Description:THE APPLICANT PROPOSES TO CONSTRUCT DRAINAGE IMPROVEMENTS AND PROVIDE APPROXIMATELY270 CUBIC YARD (CY) OF SAND NOURISHMENT INCLUDING THE CREATION OF A BERM TO ADDRESS THEFLOODING AND EROSION CONCERNS AT 26 GRANDVIEW DRIVE. THE PROPERTY IS LOCATED ALONG THEWESTERN SHORES BASS RIVER AND THE PROPOSED WORK WILL FALL WITHIN OF LAND SUBJECT TOCOASTAL STORM FLOWAGE (LSCSF), COASTAL BEACH, RIVERFRONT AREA, AND WITHIN 100FEET OFJURISDICTIONAL WETLAND RESOURCE AREAS.7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 107951B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):This is a Buffer Zone only project 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)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 1. square feet 2. square feetc.Land under Waterbodies and Waterways 1. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. Designated Densely Developed Areas only100 ft. New agricultural projects only200 ft. All other projects3. Total area of Riverfront Area on the site of the proposed project 11034square feet4. Proposed Alteration of the Riverfront Area:8378a. total square feet 5793b. square feet within 100 ft.2585c. square feet between 100 ft.and 200 ft.5. Has an alternatives analysis been done and is it attached to this NOI?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 73001. square feet 2702. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above1. cubic yards dredgedl.Land Subject to CoastalStorm Flowage 83781. square feet4.Restoration/Enhancement Restoration/ReplacementIf the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has beenentered in Section B.2.b or B.3.h above, please entered the additional amount here.a. square feet of BVW b. square feet of Salt Marsh5.Projects Involves Stream Crossings Project Involves Streams CrossingsIf the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.a. number of new stream crossings b. number of replacement stream crossingsC. Other Applicable Standards and RequirementsStreamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review1.Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recentEstimated Habitat Map of StateListed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program(NHESP)?a.Yes NoIf yes, include proof of mailing or hand delivery of NOI to:Natural Heritage and Endangered SpeciesProgramDivision of Fisheries and Wildlife1 Rabbit Hill RoadWestborough, MA 01581b. Date of map:FROM MAP VIEWERIf yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321 CMR 10.18)....c. Submit Supplemental Information for Endangered Species Review * (Check boxes as they apply)1. Percentage/acreage of property to be altered:(a) within Wetland Resource Area percentage/acreage(b) outside Resource Area percentage/acreage2. Assessor's Map or rightofway plan of site3. Project plans for entire project site, including wetland resource areas and areas outside of wetland jurisdiction, showingexisting 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 & buffer zone)b. Photographs representative of the sitec. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/naturalheritage/regulatoryreview/massendangeredspeciesactmesa/mesafeeschedule.html )Make check payable to "Natural Heritage & Endangered Species Fund" and mail to NHESP at above addressProjects altering 10 or more acres of land, also submit:d.Vegetation cover type map of sitee.Project plans showing Priority & Estimated Habitat boundariesd. OR Check One of the following1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/lawsregulations/cmr/321cmr1000massachusettsendangeredspeciesact.html#10.14; the NOI must still be sent to NHESP if the project is within estimated habitat pursuant to 310 CMR10.37 and 10.59.)2. Separate MESA review ongoing.a. NHESP Tracking Numberb. Date submitted to NHESP3.Separate MESA review completed.Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan.*Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review...2.For coastal projects only, is any portion of the proposed project located below the mean high waterline or in a fish run?a. Not applicable project is in inland resource area onlyb.Yes NoIf yes, include proof of mailing or hand delivery of NOI to either:South Shore Cohasset to Rhode Island, and the Cape & Islands:Division of Marine Fisheries Southeast Marine Fisheries StationAttn: Environmental Reviewer836 S. Rodney French Blvd New Bedford, MA 02744 North Shore Hull to New Hampshire:Division of Marine Fisheries North Shore OfficeAttn: Environmental Reviewer30 Emerson AvenueGloucester, MA 01930If yes, it 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.3.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?a.Yes No If yes, provide name of ACEC (see instructions to WPAForm 3 or DEP Website for ACEC locations). Note:electronic filers click on Website.b. ACEC Name4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in theMassachusetts Surface Water Quality Standards, 314 CMR 4.00?a.Yes No5.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L.c. 131, §40A) or the Coastal Wetlands Restriction Act (M.G.L.c. 130, § 105)?a.Yes No6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management HandbookVol.2, Chapter 3)2.A portion of the site constitutes redevelopment3.Proprietary BMPs are included in the Stormwater Management Systemb.No, Explain why the project is exempt:1.Single Family Home2.Emergency Road Repair3.Small Residential Subdivision (less than or equal to 4 singlefamily houses or less than or equal to 4 units in multifamilyhousing project) with no discharge to Critical Areas.D. Additional InformationApplicants 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 yousubmit to the Department by regular mail delivery.1.USGS or other map of the area (along with a narrative description, if necessary) containing sufficient information for theConservation 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.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.a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:DRAINAGE AND SITEIMPROVEMENTSPLAN CAPE & ISLANDSENGINEERING, INC MARK D. DIBB, P.E.January 9, 2026 1" = 20'
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:
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
6. Payer name on check: First Name 7. Payer name on check: Last Name
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 project location.
1. Signature of Applicant 2. Date
3. Signature of Property Owner(if different)4. Date
5. Signature of Representative (if any)6. Date
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 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 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 Section C, Items 13, 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.
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 MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 7 of 7 * ELECTRONIC COPY
A. Applicant Information
1. Applicant:
a. First Name b.Last Name
c. Organization HARBOUR HAVEN ASSOCIATION, INC
d. Mailing Address 51 HARBOR HILL RUN
e. City/Town SOUTH YARMOUTH f. State MA g. Zip Code 02664
h. Phone Number 6177679533 i. Fax j. Email zachryabarber@yahoo.com
2.Property Owner:(if different)
a. First Name b. Last Name
c. Organization HARBOUR HAVEN ASSOCIATION, INC
d. Mailing Address 51 HARBOR HILL RUN
e. City/Town SOUTH YARMOUTH f.State MA g. Zip Code 02664
h. Phone Number 6177679533 i. Fax j.Email zachryabarber@yahoo.com
3. Project Location:
a. Street Address 26 GRANDVIEW DRIVE b. City/Town YARMOUTH
Are you exempted from Fee?
Note: Fee will be exempted if you are one of the following:
City/Town/County/District
Municipal Housing Authority
Indian Tribe Housing Authority
MBTA
State agencies are only exempt if the fee is less than $100
B. Fees
Activity Type Activity
Number Activity Fee RF Multiplier Sub Total
B.) SITE, WORK WITHOUT A HOUSE; 1 110.00 RFA MULTIPLIER
1.5 165.00
C.) BEACH NOURISHMENT; 1 500.00 RFA MULTIPLIER
1.5 750.00
City/Town share of filling fee
$470.00
State share of filing fee
$445.00
Total Project Fee
$915.00
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Wetlands
WPA Form 3 Notice of Wetland FeeTransmittal
Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File #:
eDEP Transaction #:1980732
City/Town:YARMOUTH
Page 1 of 1 * ELECTRONIC COPY
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 8
7.0 FIGURES
Figure 1 – USGS Topo Map
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 9
LEGEND:
Figure 2 –ACEC & NHESP Map
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 10
LEGEND:
Figure 3 –Aerial View & Critical Areas
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 11
8.0 APPENDIX
AFFIDAVIT OF SERVICE
Under the Massachusetts Wetlands Protection Act
(To be submitted to the Massachusetts Department of Environmental Protection and the Conservation
Commission when filing a Notice of Intent)
I, Kasia Kos, Cape and Islands Engineering, Inc. hereby certify under the pains and penalties of perjury
(Name of person making the Affidavit)
that on, January 21, 2026 gave notification to abutters in compliance with the second
(Date)
Paragraph of Massachusetts General Laws Chapter 131, Section 40, and the DEP Guide to Abutter Notification,
Dated April 8, 1994, in connection with the following matter:
A Notice of Intent filed under the Massachusetts Wetland Protection Act by
Zach Barber, Harbor Haven Neighborhood
Association
with the Yarmouth
(Name of Applicant) (Name of Municipality)
Conservation Commission on January 21, 2026 for the property located at
(Date)
26 Grandview Drive, Yarmouth, MA
(Address of land where work is proposed)
The form of the notification and a list of the abutters to whom it was given, and their addresses are
attached to this Affidavit of Service.
Kasia Kos, Cape and Islands Engineering, Inc. January 21, 2026
(Name) (Date)
Appendix A – Abutter Affidavit of Service
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 12
Appendix B – Abutter Notification
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 13
Appendix C – Certified Abutters List & Map
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 14
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 15
Photos taken 9/2/2025
Photos taken 9/18/2025
Appendix D – Site Photographs
NOTICE OF INTENT APPLICATION 26 GRANDVIEW DR., YARMOUTH
Project Narrative Page 16
Appendix E – Project Drawings (attached)