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Home My WebLink AboutRDA 6.3.2026Page 1 of 2 ' tultko w - Conservation (jam p Y �� t n Office TEHEESE J� �L .v (D Op� f \ 'Y,oAPO RPTC�,b'Q C�enexae 1doxntation 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. Sy#m.fWg. an LLppdcatian.' N/A 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 DOA until any outstanding/expired Orders have been closed and recorded. To view all Conservation files/permits for the property address online, go to www.varmouth.ma.us/LF Hardcopy filing dropped off or mailed to the Conservation Office including: 1 RDA Administrative Checklist / 1 complete RDA application WPA form 1 with original signatures (double sided). ('see page 2) 'Detailed narrative of the project with sufficient information to enable the Commission to determine whether the proposed work will alter an area subject to protection. Confirm that the work described in the narrative, abutter notification, and plan matches and includes all proposed work/structures. N/A If BVW or vegetated wetlands are present, delineation sheet(s), coastal bank calculation and other relevant material if applicable (not applicable for flood zone only projects). 1 Yarmouth Assessor's locator map highlighting parcel(s) where work is proposed, including map and parcel numbers. 1 current abutters list identifying the property owners who are to be notified via certified mail. 1 abutter notification form accurately describing all work proposed in the narrative and plan. Certified Mail Receipts (PS Form 3800) for all abutters notified. _1 original and 7 photocopies of the plan/sketch, folded separately, right side out with title and address visible_ All plans shall reference NAVD1988 unless otherwise noted_ Landscape plans shall be detailed to show proposed and existing conditions, native species, quantity, size and spacing. By-law filing fee: Separate check made payable to "Town of Yarmouth" Legal ad fee: Separate check made payable to "Town of Yarmouth" Please list project property's street address on checks. Refer to a=ee Schedule. Digital and DEP filing —A/"' _A pdf of the entire application emailed to bdirienzoCa7yarmouth.ma.us and iierolimoCcD-yarmouth.ma.us and DEP Southeast Region at SERO_NOI@mass.gov in the same email. Subject line shall be "YARMOUTH - RDA - Street Address - Applicant Name" Please list project property's street address in the pdf file name. 2pall IFY that all on -site requirements will be completed by noon on the Friday prior to the hearing proposed structures must be staked, and all relevant resource areas and buffer zones must be taked or flagged. Please consult the Yarmouth Wetland Regulations, page 17. nderstand that in person representation is required at the scheduled hearing to present to the conservation commission. Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 026644492 Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231 • bdirienzo&yarmouth.ma.us Rev 12/18/2025 Page 2 of 2 'If the applicant is Q the property owner: Please submit a signed Site Access Authorization Form; AND The owner must be sent a copy of the application via Certified Mail on the same day it is filed with this office. Please submit a copy of the Certified Mail receipt with application. If Applicable Certified Mail Receipt for Massachusetts Natural Heritage and Endangered Species Program. Information on MESA project review can be found here. Certified Mail Receipt for Massachusetts Division of Marine Fisheries_ If filing via email, dmf.envreview- southCc�mass.gov, Amanda. DavisCa)_mass.gov, CC: bdirienzoCc�varmouth.ma.us and iierolimo(&-varmouth.ma.us. 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 - bdirienzo(c�yarmouth.ma.us Rev 12/18/2025 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability 6 +a r ,►d% .011 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Wunicipality A. Important: 1 When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 2. General Information Applicant: Stacey First Name 11 Katie Ln Address Pelham 781-307-5182 Phone Number Property Owner (if different from Applicant): First Name Address City/Town Phone Number 3. Representative (if any) First Name Company Name Address City/Town Phone Number B. Project Description Joyce Last Name NH 03076 State Zip Code staceyjoyce@comcast.net Email Address Last Name State Email Address (if known) Last Name State Email Address (if known) Zip Code Code 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 27 Holly Lane Street Address How to find Latitude 41.64922 and Longitude Latitude (Decimal Degrees Format with 5 digits after decimal e.g. XX.XXXXX) and how to convert 33 to decimal degrees Assessors' Map Number South Yarmouth Cityrrown -70.21088 Longitude (Decimal Degrees Format with 5 digits after decimal e.g.-XX.XXXXX) 153 Assessors' Lot/Parcel Number b. Area Description (use additional paper, if necessary): existing patio space between home and driveway - 5 foot area with patio block and plants next to sunroom c. Plan and/or Map Reference(s): (use additional paper if necessary) Certified Plot Plan with addition —setbacks - 27 Holly Lane - 5.29.26 6/1/2026 Title Date Parcel Mapping - 27 Holly Lane 6/1/2026 Title Date wpaform I Am • rev. 4/28/2023 WPA Forth f — Request for Determination of Applicability . Page 1 of 3 Massachusetts Department of Environmental Protection \ Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability -� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 unicipality B. Project Description (cont.) 2. a. Activity/Work Description (use additional paper and/or provide plan(s) of Activity, if necessary): Proposed work is the construction of an addition. The structure will replace the existing sun room and extend an additional 5 feet horizontally beyond the current footprint along the east elevation. b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work (use additional paper, if necessary). N/A 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 8/1/96 ❑ Single family house on a lot recorded after 8/1/96 ❑ Expansion of an existing structure on a lot recorded after 8/1/96 ❑ Project, other than a single-family house or public project, where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ❑ Public project where funds were appropriated prior to 8/7/96 ❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverfront Area for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ❑ District, county, state, or federal government project ❑ Project required to evaluate off -site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if necessary.) wpaformf.doc • rev.412812023 WPA Form f —Request for Determination of Applicability • Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicabilitydf Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 unicipality C. Determinations 1. 1 request the Yarmouth make the following determination(s). Check any that apply: Conservation Commission ❑ a. whether the area depicted on plan(s) and/or map(s) referenced above is an area subject to jurisdiction of the Wetlands Protection Act. ❑ b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced above are accurately delineated. 0 c. whether the Activities depicted on plan(s) referenced above is subject to the Wetlands Protection Act and its regulations. ❑■ d. whether the area and/or Activities depicted on plan(s) referenced above is subject to the jurisdiction of any municipal wetlands' ordinance or bylaw of: Yarmouth Name of Municipality ❑ e. whether the following scope of alternatives is adequate for Activities in the Riverfront Area as depicted on referenced plan(s). D, Signatures and Submittal Requirements I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional Office were sent a complete copy of this Request (including all appropriate documentation) simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Signatures: I also understand th tification of this Request will be placed in a local newspaper at my expense in ac nce with cti n 10.05(3)(b)(1) of the Wetlands Protection Act regulations. 6/1 /2026 ignatureofApp' t Date Signature of Representative (if any) Date wpaformI-doc • rev. 4/28/2023 WPA Form 1 — Request for Determination of Applicability • Page 3 of 3 to go ' --------r | -------- ' W N� 0 CD Abutting Properties for 27 HOLLY LN SOUTH YARMOUTH, MA 02664 33/ 153/ (5 Feet) Location: 33/ 149/ 58 NANTUCKET AVE Owner: ILONKIS LUM LUM BRIAN 241 MAIN ST MEDWAY, MA 02053 Location: 33/ 153/ 27 HOLLY LN Owner: JOYCE HAYNES STACEY HAYNES STEPHEN 11 KATIE LN PELHAM, NH 03076 Location: 33/ 148/ 52 NANTUCKET AVE Owner: NANTUCKET AVENUE LLC PO BOX 473 SOUTH ORLEANS, MA 02662 Location: 33/ 1541 / ! 31 HOLLY LN Owner: HILDRETH ANDREW J HILDRETH PAULA M 37 FARMINGTON RD WEST ROXBURY, MA 02132 Location: 33/ 152/ / / 23 HOLLY LN Owner: MONTCRIEFF JON MONTCRIEFF CAITLIN 16 MEADOW LN MANSFIELD, MA 02048 NOTIFICATION TO ABUTTERS UNDER THE TOWN OF YARMOUTH WETLAND BY-LAW, CHAPTER 143 In accordance with the Town of Yarmouth Wetland Regulations Section 2.03, you are hereby notified of the following: A. The name of the applicant is Stacey Joyce B. The applicant has filed a Request for Determination of Applicability with the Yarmouth Conservation Commission, seeking knowledge of whether a project is subject to the Wetlands Protection Act (MGL c. 131 s. 40) or Bylaw (Town of Yarmouth Wetland By -Law, Chapter 143). C. The address of the lot where the activity is proposed is 27 Holly Ln. South Yarmouth, MA 02664 D. Proposed work is the construction of an addition. The structure will extend 5 fee: horizontally beyond the current footprint along the east elevation. E. Copies of the Request for Determination of Applicability may be examined at the Yarmouth Town Hall at the Conservation Commission office between the hours of 9:00 a.m. and 4:00 p.m. Monday thru Friday. For more information, call (508) 398-2231 ext. 1288. F. Copies of the Request for Determination of Applicability may be obtained from either the applicant or applicant's representative. Applicant's phone number 781-307-5182 Or Applicant's representatives phone number G. Information regarding the date, time and place:.of the public hearing may be obtained by calling the Yarmouth Conservation Commission office at (508y398-2231 ext. 1288 H. Person sending this notification (applicant, representative or other) Note: Name Stacey Joyce 11 Katie Lane Address Town Pelham State NH Zip 03076 Telephone 781-307-5182 • Notice of the public hearing, including date, time and place will be published at least five (5) days in advance in a newspaper of general circulation. • Notice of the public hearing, including date, time and place will be posted on the Town Website not less than forty-eight hours in advance. • You may also contact the Southeast Regional Office of the Department of Environmental Protection at (508) 946-2800 for more information about this application. CERTIFIED MAILO" RECEIPT M Domestic Mail Only 9. 1.11 MINOR— Fwm nansf I eld ,MA 02048 rU Certified Mail Fee t, 5. 30 & 1. 2A 0076 ul Extra'Serfices & Few (Check b", add Ift aif A 04 $ M r(i 0 Return Receipt (h-oopy) i1q, . ❑ Return Receipt (electronic) ilk Postmark Cl ❑ Certified Mail Restricted Davey $ 10.0re0 e r- ❑ Adult Signature Required $ ru Ln Adult Signature Restricted Davey $ Postage $0. 78 AY 2 C3 I-q T"llP, 0 071/ 81!V�fjl "6 "e and r C3 $ Sent jr . ajl-11.1� 13 ee6ff*[-,V,�� m cQ st' r;OY6 ........ 6. -------- &`11— U.S. Postal Service T" CERTIFIED MAIL"RECEIPT Domestic Mail Only r-q IMP-dwag Y IM1 A 10 212 10 5 3 (19 ru Ln C;.,tfiw C;erRed Mail Fee • 13 — 30 C1076 Ln ru Extra r"":., & F $4 40 Extra ervices, & Fees (check add fee Bp ❑ Return Receipt (hardcopy) $ 04 E3 rl- ❑ Return Receipt (electronic) $ El Cerfifted Mail Restricted Delivery $ j Postmark Here rU OAdult Signature Required $ (J. — El Adult Signature Restricted 13.41—y $ zt 8 Postage C3 f-qOTItO 0 I. Ve and Fees Cl 5 183 12 (12 6 S tT( - ---- CCtre U1 117 et d ------ ---------------------------------------------- 7_ �� 1- -4 .4".; _ --------------------------- • 17-91 West Roxbumj? MP ru GaMed Mail Fee *15.30 Ln !t Lr] Extra Services & Fees (Ww-kbM a& rU❑ Return Receipt (wdwpy) $ ❑ Return Receipt (ale—ie) $ C3 0 Certified Mail Restricted Ddifty $ E) Adult Signature ReqWrod $ ru L.n [] Adult Signature Restricted Delivery S Postage $0.78 C-3 1$ Q $11T— 4. L.Mle and Fees $TT1 SPn Tg�� fie, 0 ox No 011176 114 --- 04 Here)i0' A(A Y 2 8 ab, I Tn U.S. Postal Service- ir CERTIFIED MAIL'�'RECEIPT Domestic Mail Only Y 1114 LIZ6-67 ru 7r—.d Mall Fee Lf -- Ln $ $4.40 0076 Lr) Extra &Fees �F— .,r add fee S� 04 rU ❑ Return Receipt QwdcoM $ - ❑ Return Receipt (sectroft) $ Postmark C3 0 Certified Mall Restricted Delivery $ ru - r0 Adult Signature Required $, to Here 0 Adult Signature n"bwd D.11,_y $ postage• MAY 29 2vppp 3, to $ TdMees and 05/28/2026 CM3 sent 5 Ir Co .,o ox No- ---- ........... . . ....................... Ir 108.48' a E. LEACHING FIELD BH LLJ ji EX. W/F Z o DWELLING Q cV o J 00 00 0 0 TANK / 00 BLOCK PATIO C) PROPOSED 5'x24' _ Z ADDITION 32.43' EX SHED EX. 13 PAVED DRIVE 102.79' u-i SEPTIC FROM DESIGN PLAN ON FILE AT THE TOWN HEALTH DEPARTMENT BUILDER TO CONFIRM CER TIFIED PLOT PLAN MBLU 33-153 OF {ASS 27 HOLLY LANE I CERTIFY THAT THE IMPROVEMENTS SHOWN ��``P q�yG SOUTH YARMOUTH, MA HAVE BEEN LOCATED BY A FIELD SURVEY. ROBE DATE: 5-29-2026 DRAWN: RBS 128 o SYKES JOB #: 57289 No_ 35418 �" SCALE: 1 "=20' DWG. CPP F4) �� ROBB SYKES 1SLAN0 SJ�a LAND SURVEYOR P.O. BOX 442 FORESTDALE, MA 02644 ROBB SYKES, RLS. DATE 508-783-8265