HomeMy WebLinkAboutNOI 6.12.2026DOWN CAPE ENGINEERING, INC.
939 Main Street
Yarmouth Port, MA 02675
508-362-4541
Date: June 12, 2026
To: Brittany DiRienzo, Conservation Administrator
Joseph Jerolimo, Conservation Agent
Town of Yarmouth
1146 Route 28
South Yarmouth, MA 02664
From: Priscilla Leclerc
DCE Job# 25-122
Subject: NOi Filing for Karen & Wayne Roberts, 42 Mill Lane, Yarmouth Port Delivered. Enclosed for the NOi Filing submittal for Karen & Wayne Roberts, 42 Mill Lane,
Yarmouth Port are the following:
♦Checklist
♦WPA Form 3 -Notice of Intent application
♦eDep confirmation of submission email
♦Fee transmittal form
♦Project Narrative
♦Building plans
♦Wetland and Upland Data Sheets
♦USGS Locus Map
♦Photos
♦Abutters notification letter, list & map
♦Site Access Authorization
♦Checks for the town share of state fee, town bylaw fee & legal ad
♦Certified Mail receipts for abutters
♦Site Plan of 42 Mill Lane, Yarmouth Port, MA, prepared for Wayne and Karen
Roberts, dated June 4, 2026
Please call/email should you have any questions.
cc: MassDEP-SERO (online)
DOWN CAPE ENGINEERING, INC.
939 Main St, Suite C
Yarmouth Port, MA 02675
Phone: 508-362-4541
priscilla@downcape.com
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Office
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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#m4t4ny. an 4p�icaiuur:
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 of Conditions 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 NOI Administrative Checklist
1 complete NOI application WPA form 3 with original signatures. Typed signatures will not be accepted.
7 copies: 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 current.- �-ers I:st identifying the property owners who are to be notified and form.
All abutters to be notified via certified mail, Certified Mail Receipts (PS Form 3800) must be provided.
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 and must meet all plan requirements.
Yarmouth's share of State filing fee: Separate check made payable to "Town of Yarmouth"
(Refer to the 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's share of State filing fee (Refer to NOI Form) shall be sent to: Dept. of Environmental Protection
Box 4062
Boston, MA 02211
Digital and DEP 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 the entire 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
"YARMOUTH - NOI - Street Address - Applicant Name" and CC: bdirienzo(CDyarmouth.ma.us and
iierolimo[@yarmouth.ma.us. We must receive a copy of this email with the application as proof that it has
been submitted to DEP.
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 a(7yarmouth.ma.us
Rev 1/7/2026
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. Information
on MESA project review can be found here.
W Certified Mail Receipt for Massachusetts Division of Marine Fisheries. If filing via email,
drnf.envreview- south (a_mass. gov, Amanda. Davis_,c massgov, CC: bdirienzo(abvarmouth.ma.us and
iierolimo(a)-varmouth.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
lotinquiry form?
*To view all Conservation files/permits for the property address online, go to www.yarmouth.ma.us/LF
Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 02664-4492
Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231 • bdirienzo(c),yarmouth.ma.us
Rev 1/7/2026
Massachusetts Department of Environmental Protection
eDEP Transaction Copy_
Here is the file you requested for your records.
To retain a copy of this file you must save and/or print.
Username: DOWNCAPE
Transaction ID: 2020861
Document: WPA Form 3 - NOI
Size of File: 271.02K
Status of Transaction: In Process
Date and Time Created: 6/12/2026:11:14:28 AM
Note: This file only includes forms that were part of your
transaction as of the date and time indicated above. If you need
a more current copy of your transaction, return to eDEP and
select to "Download a Copy" from the Current Submittals page.
Massachusetts Department of Environmental Provided by MassDEP:
Protection MassDEP File #:
t., Bureau of Resource Protection - Wetlands eDEP Transaction #:2020861
{ WPA Form 3 - Notice of Intent City/Town:YARMOUTH
— Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
1. Project Location:
a. Street Address
b. City/Town
d. Latitude
f. Map/Plat #
2. Applicant:
r Individual r Organization
a. First Name
c. Organization
d. Mailing Address
e. City/Town
h. Phone Number
3.Property Owner:
r more than one owner
a. First Name
c. Organization
d. Mailing Address
e. City/Town
h. Phone Number
4.Representative:
a. First Name
c. Organization
d. Mailing Address
e. City/Town
h.Phone Number
42 MILL LANE, YARMOUTH PORT
YARMOUTH c. Zip Code
41.70539N e. Longitude
121 g.Parcel/Lot #
02675
70.25832W
29
KAREN AND WAYNE b.Last Name ROBERTS
42 MILL LANE
YARMOUTH PORT f. State MA g. Zip Code 02675
i. Fax j. Email
KAREN AND WAYNE b. Last Name ROBERTS
42 MILL LANE
YARMOUTH PORT f.State MA g. Zip Code 02675
i. Fax j.Emai1
DANIEL A. b. Last Name OJALA, PE, PLS
DOWN CAPE ENGINEERING, INC.
939 ROUTE 6A SUITE C
YARMOUTH PORT f State MA g. Zip Code 02675
508-362-4541 i.Fax j.Email info@downcape.com
5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):
a.Total Fee Paid 110.00 b.State Fee Paid 42.50 c.City/Town Fee Paid 67.50
6.General Project Description:
PROPOSED SUNROOM AND PORCH ADDITIONS AND CONSTRUCTION OF A SMALL PATIO.
7a.Project Type:
1. r Single Family Home 2. r Residential Subdivision
3. r Limited Project Driveway Crossing 4. r Commercial/fndustrial
5.r Dock/Pier 6. r Utilities
7. r- Coastal Engineering Structure 8. r Agriculture (eg., cranberries, forestry)
9. r Transportation 10. r 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)?
Page 1 of 7 * ELECTRONIC COPY
Massachusetts Department of Environmental Provided by MassDEP:
Protection MassDEP File #:
1Bureau of Resource Protection - Wetlands eDEP Transaction #:2020861
1 WPA Form 3 -Notice of Intent City rown:YARMOUTH
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
1. r' Yes I✓ 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 31042 209
B. Buffer Zone & Resource Area Impacts (temporary & permanent)
1.Buffer Zone & Resource Area Impacts (temporary & permanent):
r 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
a. i Bank
b. r- Bordering Vegetated Wetland
c. r- Land under Waterbodies and Waterways
d. r- Bordering Land Subject to Flooding
e. s Isolated Land Subject to Flooding
£ r- Riverfront Area
Size of Proposed Alteration Proposed Replacement (if any)
1. linear feet 2. linear feet
1. square feet 2. square feet
1. Square feet 2. square feet
3. cubic yards dredged
1. square feet 2. square feet
3. cubic feet of flood storage lost 4. cubic feet replaced
1. square feet
2. cubic feet of flood storage lost 3. cubic feet replaced
1. Name of Waterway (if any)
2. Width of Riverfront Area (check one) r 25 ft. - Designated Densely Developed Areas only
r 100 ft. - New agricultural projects only
r 200 ft. - All other projects
3. Total area of Riverfront Area on the site of the proposed project
square feet
4. Proposed Alteration of the Riverfront Area:
a. total square feet b. square feet within 100 ft. c. square feet between 100 ft.
and 200 ft.
5. Has an alternatives analysis been done and is it attached to this NOI? r Yesr" No
Page 2 of 7 * ELECTRONIC COPY
Massachusetts Department of Environmental Provided by MassDEP:
Protection MassDEP File #:
Bureau of Resource Protection - Wetlands eDEP Transaction #:2020861
WPA Form 3 - Notice of Intent City/Town:YARMOUTH
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
6. Was the lot where the activity is proposed created prior to August 1, 1996? r Yes r No
3.Coastal Resource Areas: (See 310 CMR 10.25 - 10.35)
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a. r Designated Port Areas Indicate size under Land under the ocean below,
b. r Land Under the Ocean
1. square feet
2. cubic yards dredged
c. r Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, below
d. r Coastal Beaches
e. r Coastal Dunes
f r Coastal Banks
g. r Rocky Intertidal Shores
h. r Salt Marshes
L r Land Under Salt Ponds
1. square feet 2. cubic yards beach nourishment
1. square feet 2. cubic yards dune nourishment
1. linear feet
1. square feet
1. square feet 2. sq ft restoration, rehab, crea.
1. square feet
2. cubic yards dredged
j. r Land Containing Shellfish
1. square feet
k. r 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 1900
Storm Flowage 1. square feet
4. Restoration/Enhancement
I 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.31 above, please entered the additional amount here.
a. square feet of BVW b. square feet of Salt Marsh
5.Projects Involves Stream Crossings
i- Project Involves Streams Crossings
If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.
Page 3 of 7 * ELECTRONIC COPY
LlMassachusetts Department of Environmental Provided by MassDEP:
Protection MassDEP File #:
Bureau of Resource Protection - Wetlands eDEP Transaction #:2020861
WPA Form 3 - Notice of Intent City/Town:YARMOUTH
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
a. number of new stream crossings b. number of replacement stream crossings
C. Other Applicable Standards and Requirements
Streamlined Massachusetts Endangered Species Act1wetlands Protection Act Review
1. Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recent
Estimated Habitat Map of State -Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program
(NHESP)?
a. r Yes 1v 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. r Percentage/acreage of property to be altered:
(a) within Wetland Resource Area
percentage/acreage
(b) outside Resource Area
percentage/acreage
2. r- Assessor's Map or right-of-way plan of site
3. r 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. r Project description (including description of impacts outside of wetland resource area & buffer zone)
b. r Photographs representative of the site
c. r MESA filing fee (fee information available at: hM://www.mass.gov/eea/agenciesidfg/dfw, natural-heritage/regulator-
reviewimass-endangered-species-act-mesa/mesa-fee-schedule 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. r Vegetation cover type map of site
e.r Project plans showing Priority & Estimated Habitat boundaries
d. OR Check One of the following
1. r Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321
CMR 10.14, h!W://www.mass.gov/eea/agencies/dfQ/dfw/laws-regulations/cmr/321-cmr-1000-massachusetts-endangered-
species-act.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. r Separate MESA review ongoing.
a. NHESP Tracking Number
b. Date submitted to NHESP
3. r Separate MESA review completed.
Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan.
Page 4 of 7 * ELECTRONIC COPY
Massachusetts Department of Environmental Provided by MassDEP:
Protection MassDEP File #:
Bureau of Resource Protection - Wetlands eDEP Transaction #:2020861
Ll
1
WPA Form 3 - Notice of Intent City/Town:YARMOUTH
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
* 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.l ` Not applicable - project is in inland resource area only
b. i Yes ry 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. r- Yes r7o No
b. ACEC Name
If yes, provide name of ACEC (see instructions to WPA
Form 3 or DEP Website for ACEC locations). Note:
electronic filers click on Website.
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. r Yes rr 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. r- Yes l✓ No
6. Is this project subject to provisions of the MassDEP Stormwater Management Standards?
a. F Yes, Attach a copy of the Stormwater Report as required by the Stormwater Management Standards per 310 CMR
10.05(6)(k)-(q) and check if:
1. Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management Handbook
r Vol.2, Chapter 3)
2. A portion of the site constitutes redevelopment
r
3. Proprietary BMPs are included m the Stormwater Management System
r-
b.% No, Explain why the project is exempt:
I . Single Family Home
1r
2 Emergency Road Repair
3. Small Residential Subdivision (less than or equal to 4 single-family houses or less than or equal to 4 units in multi -family
Page 5 of 7 * ELECTRONIC COPY
Massachusetts Department of Environmental Provided by MassDEP:
Protection MassDEP File #:
Bureau of Resource Protection - Wetlands eDEP Transaction #:2020861
WPA Form 3 - Notice of Intent City/Town:YARMOUTH
Ll
H
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
r 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
ry 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
r [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).
r 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.
r
a. Plan Title: b. Plan Prepared By: c. Plan Signed/Stamped By: c. Revised Final Date: e. Scale:
SITE PLAN OF 42 DANIEL A OJALA P.E.
MILL LANE P.L.S.
6-4-2026
5. If there is more than one property owner, please attach a list of these property owners not listed on this form.
r
6. Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed.
r-
7. Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed.
r
8. Attach NOI Wetland Fee Transmittal Form.
r
9. Attach Stormwater Report, if needed.
r-
Page 6 of 7 * ELECTRONIC COPY
LlMassachusetts Department of Environmental Provided by MassDEP:
Protection MassDEP File #:
Bureau of Resource Protection - Wetlands eDEP Transaction #:2020861
WPA Form 3 - Notice of Intent City(TowmYARMOUTH
_ Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
E. Fees
Fee Exempt: No filing fee shalt 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 ( and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment:
1Z.7-90 1?-30, tz31 W 1Z1zL:-
2. Municipal Check Number 3. Check date
4. State Check Number 5. Check date
kiyjrtJLNl L- u L —
6. Payer name on check: First Name 7. Payer name on cheek: 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 (retain receipt requested) to all abutters within 100 feet
of the property line of the project loc 'on.
1. Si aat am 2 Date
I.
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 1-3, above, refer to that section and the Instructions for additional submittal
requirements.
The original and copies must be sent simultaneously. Failure by the applicant to send copies in a timely manner may result in dismissal of the
Notice of Intent.
Page 7 of 7 * ELECTRONIC COPY
Priscilla Leclerc
From:
edep.confirmation@mass.gov
Sent:
Friday, June 12, 202611:12 AM
To:
Heatherlee Vermette
Cc:
Priscilla Leclerc
Subject:
eDEP Submittal Confirmation for DEP Transaction ID: 2020861
Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection. Your
transaction is complete and has been submitted to MassDEP.
This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for
your records.
Please do NOT reply to this message, this email address will not receive messages. For assistance with eDEP Online
Filing, please email the eDEP-Support at mailto:edep-support@mass.gov or call 617-626-1111.
MassDEP is interested in how we can serve you better. To help us make improvements to eDEP, please take a minute to
complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/service/online/edep-contacts-
and-feedback. html.
To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm.
DEP Transaction ID: 2020861
Date and Time Submitted: 06/12/2026 11:11:46 AM
Form Name: WPA Form 3 - NOI
Project Location
City/Town Name: YARMOUTH
location: 42 MILL LANE, YARMOUTH PORT
General Description: PROPOSED SUNROOM AND PORCH ADDITIONS AND CONSTRUCTION OF A SMALL PATIO.
Applicant Information
Name: KAREN AND WAYNE
ROBERTS
Company
Address: 42 MILL LANE
YARMOUTH PORT
MA
02675
Payment Information
Your fee for the state share is $: 42.50 If you have paid by credit card or ACH, thank you for your payment. If you are
paying by check or money order, please send your check (payable to the Commonwealth of Massachusetts) to MassDEP,
Box 4062, Boston, MA 02211 Additional Forms Submitted WPA Form 3 - NOI (Fee Transmittal)(ONLINE ONLY) Ancillary
Document Uploaded/Mailed :
25-122 Roberts Abutter Notice
25-122 Roberts Abutter list and map
25-122 Roberts Access Authorization
25-122 Roberts BHall data sheets
25-122 Roberts Photos
25-122 Roberts Project Narrative
25-122 Roberts Site Plan 6-4-2026
25-122 Roberts USGS Locus Map
**************************************************************************************
EMAIL ID OF THE USER: info@downcape.com
EMAIL ID OF THE OTHER USERS: priscilla@downcape.com
Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands MassDEP File #:
WPA Form 3 - Notice of Wetland FeeTransmittal eDEP Transaction #:2020861
City/Town:YARMOUTH
Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Applicant Information
1. Applicant:
a. First Name KAREN AND WAYNE b.Last Name ROBERTS
c. Organization
d. Mailing Address 42 MILL LANE
e. City/Town YARMOUTH PORT f State MA g. Zip Code 02675
h. Phone Number i. Fax j. Email
2.Property Owner:(if different)
a. First Name KAREN AND WAYNE b. Last Name ROBERTS
c. Organization
d. Mailing Address 42 MILL LANE
e. City/Town YARMOUTH PORT f.State MA g. Zip Code 02675
h. Phone Number i. Fax j.Email
3. Project Location:
a. Street Address 42 MILL LANE, YARMOUTH PORT b. City/Town YARMOUTH
Are you exempted from Fee? i
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 Activity Fee RF Multiplier Sub Total
Number
A.) WORK ON SINGLE FAMILY LOT; ADDITION, 1 110.00 110.00
POOL, ETC.;
City/Town share of filling fee State share of filing fee Total Project Fee
$67.50 $42.50 $110.00
Page 1 of 1 * ELECTRONIC COPY
p
PETER L. SANDORSE. AIA
WAKEFIELD, MA
781.246. 0966
I
NOTE.
ALL DIMENSIONS TO BE FIELD
VERIFIED & CHECKED.
CONTRACTOR TO REPORT
CHANGES AND OMISSIONS TO
ARCHITECT.
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4.14.26
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781.246098
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A VERIFIED 8 CHECKED.
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4.14.26 1
BORDERING VEGETATED WETLAND DETERMINATION FORM
Project/Site: 42 Mill Lane City/Town: Yarmouth Port Sampling Date: Feb 14. 25
Applicant/Owner: Wayne & Karen Roberts Sampling Point or zone: WET 3
Investigator(s): Bradford Hall Latitude / Longitude:
Soil Map Unit Name: Soil Survey of Barnstable County, 1993 NWI or DEP Classification: NWI
Are climatic/hydrologic conditions on the site typical for this time of year? Yes =No =(If no, explain in Remarks)
Are Vegetation �_, Soil , or Hydrology significantly disturbed? (If yes, explain in Remarks)
Are Vegetation , Soil , or Hydrology 0 naturally problematic? (If yes, explain in Remarks)
SUMMARY OF FINDINGS — Attach site map and photograph log showing sampling locations, transects, etc.
Wetland vegetation criterion met? Yes
L..�lNo Q Is the Sampled Area Yes No
Hydric Soils criterion met? Yes No =
C-] ✓= within a Wetland?
Wetlands hydrology present? Yes=No 0
Remarks, Photo Details, Flagging, etc.:
HYDROLOGY
Field Observations:
Surface Water Present? Yes= No
Water Table Present? Yes= No
Saturation Present (including capillary fringe)? Yes Q No
Wetland Hydrology Indicators
Reliable Indicators of Wetlands
Hydrology
[]✓ Water -stained leaves
=Evidence of aquatic fauna
=Iron deposits
_✓ Algal mats or crusts
=Oxidized rhizospheres/pore
linings
RThin muck surfaces
Plants with air -filled tissue
(aerenchyma)
_Plants with polymorphic leaves
®Plants with floating leaves
= Hydrogen sulfide odor
Indicators that can be Reliable with
Proper Interpretation
Hydrological records
Free water in a soil test hole
Saturated soil
Water marks
Moss trim lines
Depth (inches)
Depth (inches) surface
Depth (inches) surface
(� Presence of reduced iron
_✓ Woody plants with adventitious
roots
= Trees with shallow root systems
= Woody plants with enlarged
lenticels
Indicators of the Influence of Water
Direct observation of inundation
Drainage patterns
Drift lines
Scoured areas
Sediment deposits
Surface soil cracks
Sparsely vegetated concave
surface
Microtopographic relief
Geographic position (depression,
toe of slope, fringing lowland
Remarks (describe recorded data from stream gauge, monitoring well, aerial photos, previous inspections, if available):
This form is only for BVW delineations. Other wetland resource areas may be present and should be delineated according
to the applicable regulatory provisions.
Form Revised July 2023
Sampling Point WET 3
VEGETATION - Use both common and scientific names of plants.
Tree Stratum Plot size None
Indicator Absolute Dominant? Wetland
Status % Cover (yes/no) Indictor?
Common name Scientific name (yes/no)
1.
O
:'
O
2.
O
0
O
3.
O
O
4.
5.
6.
7.
8.
9
= Total Cover
Shrub/Sapling Stratum Plot size small
Indicator Absolute Dominant? Wetland
Status % Cover (yes/no) Indictor?
Common name Scientific name (yes/no)
1. Winterberry
FACW
63.0
Yes
Yes -
2.,�
3.
O
l
4.
5.
6.
7.
8.
1
9.
63.0 = Total Cover
Herb Stratum Plot size small
Indicator Absolute Dominant? Wetland
Status % Cover (yes/no) Indictor?
Common name Scientific name (yes/no)
1. Skunk Cabbage
OBL
20.5
Yes
Yes
2.
O
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
20.5 = Total Cover
Form Revised July 2023
Sampling Point WET 3
VEGETATION — continued.
Woody Vine Stratum Plot size none
Indicator Absolute Dominant? Wetland
Status % Cover (yes/no) Indictor?
Common name Scientific name (yes/no)
1.
2.
3.
4.
= Total Cover
Rapid Test: Do all dominant species have an indicator status of OBL or FACW? Yes
✓
No
Dominance Test:
Number of
dominant species
Number of dominant species that are
wetland indicator plants
Do wetland indicator plants make up
>_ 50% of dominant plant species?
Yes E_No=
Prevalence Index:
OBL species
Total % Cover (all strata)
Multiply by:
Result
20.5
X 1
= 20.5
FACW species
63.0
X 2
=126.0
FAC species
X 3
=
FACU species
X 4
=
UPL species
X 5
=
Column Totals
(A) 83.5
(B) 146.5
Prevalence Index
B/A =
1 ��
Is the Prevalence Index S 3.0?
Yes _F_t/_1 No
Wetland vegetation criterion met? Yes
No
Definitions of Vegetation Strata
Tree - Woody plants 3 in. (7.62 cm) or more in diameter at breast height (DBH), regardless of height
Shrub / Sapling - Woody plants less than 3 in. (7.62 cm) DBH and greater than or equal to 3.3 ft. (1 m) tall
Herb - All herbaceous (non -woody plants, regardless of size, and woody plants less than 3.3 ft. (1 m) tall
Woody vines - All woody vines greater than 3.3 ft. (1 m) in height
Cover Ranges
Range
Midpoint
1-5 %
3.0 %
6-15 %
10.5 %
15-25 %
20.5 %
26-50 %
38.0
51-75 %
63.0 %
76-95 %
85.5 %
96-100 %
98.0 %
Form Revised July 2023 3
Sampling Point WET 3
SOIL
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Location' Texture Remarks
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains 'Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators (Check all that apply)
Indicators for Problematic Hydric Soils
Histosol (Al)
Polyvalue Below Surface (S8)
Q2 cm Muck (A10)
Histic Epipedon (A2)
Thin Dark Surface (S9)
0
5 cm Mucky Peat or Peat (S3)
Black Histic (A3)
Loamy Gleyed Matrix (F2)
❑ Iron -Manganese Masses (F12)
Hydrogen Sulfide (A4)
Depleted Matrix (F3)
❑ Mesic Spodic (A17)
Stratified Layers (AS)
=Redox
Dark Surface (F6)
Q Red Parent Material (F21)
Depleted Below Dark Surface (A11)
Depleted Dark Surface (F7)
❑ Very Shallow Dark Surface (F22)
Thick Dark Surface (Al2) n Redox Depressions (F8)
Sandy Mucky Mineral (S1)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
❑ Other (Include Explanation in
Remarks)
Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed) Type: Depth (inches):
Remarks: Soils not evalueated due to all FACW & OBL plant species.
Hydric Soils criterion met? Yes _j= No
Form Revised July 2023
W OF �E INTEMOR
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NOTIFICATION TO ABUTTERS UNDER THE
MASSACHUSETTS WETLANDS PROTECTION ACT &
TOWN OF YARMOUTH WETLAND BY-LAW, CHAPTER 143
In accordance with the second paragraph of the Massachusetts General Laws Chapter 131,
Section 40, you are hereby notified of the following:
A. The name of the applicant is Karen and Wayne Roberts
B. The applicant has filed a Notice of Intent with the Yarmouth Conservation Commission,
seeking permission to remove, fill, dredge or alter an Area Subject to Protection under
the Wetlands Protection Act (MGL c. 131 s. 40 & Town of Yarmouth Wetland By -Law,
Chapter 143).
C. The address of the lot where the activity is proposed is 42 Mill Lane, Yarmouth Port
D. Proposed work is: PROPOSED SUNROOM AND PORCH ADDITIONS AND
CONSTRUCTION OF A SMALL PATIO
E. Copies of the Notice of Intent may be examined at the Yarmouth Town Hall at the
Conservation Commission office between the hours of 9:00 a.m. and 4:00 p.m. Monday
thru Friday. For more information, call (508) 398-2231 ext. 1288.
F. Copies of the Notice of Intent may be obtained from either the applicant or applicant's
representative. Applicant's phone number:
Or Applicant's representative's phone number: 508-362-4541
G. Information regarding the date, time and place of the public hearing may be obtained by
calling the Yarmouth Conservation Commission office at (508) 398-2231 ext. 1288
H. Person sending this notification (applicant, representative or other)
Down Cape Engineering, Inc
939 Route 6A
Yarmouth Port, MA 02675
508-362-4541
NOTES:
• Notice of the public hearing, including date, time and place will be published at least five (5) days
in advance in a newspaper of general circulation.
• Notice of the public hearing, including date, time and place will be posted in the Town Hall not
less than forty-eight hours in advance.
• You may also contact the Southeast Regional Office of the Department of Environmental
Protection at (508) 946-2800 for more information about this application.
Abutting Properties for
42 MILL LN YARMOUTH PORT, MA 02675
121/29///
(100 Feet)
Location:
121/4///
46 ROUTE 6A
Owner:
MORTON ELIZABETH G
46 ROUTE 6A
YARMOUTH PORT, MA 02675
Location:
121/25///
23 HILLSEA RD
Owner:
TYLEC WILLIAM J
72 SE 6TH AVE UNIT J
DELRAY BEACH, FL 33483
Location:
121/28///
48 MILL LN
Owner:
THE MILES-CAMPBELL FAMILY LTD
PARTNERSHI
20 BEACON ST UNIT 5
BOSTON, MA 02108-3709
Location:
121/29///
42 MILL LN
Owner:
ROBERTS WAYNE
ROBERTS KAREN
42 MILL LN
YARMOUTH PORT, MA 02675
Location:
121/37///
57 WHARF LN
Owner:
WILKINS ROBERT
COURCIER SUZANNE
57 WHARF LANE
YARMOUTH PORT, MA 02675
Please use this signature to certify this list of properties
abutting within 100' of the parcel located at:
42 Mill Ln., Yarmouth Port, MA 02675
Assessors Map 121, Lot 29
Andy Mg6hado, Director of Assessing
June 3, 2026
Location:
121 / 36/
WHARF LN
Owner:
TOWN OF YARMOUTH
1146 ROUTE 28
SOUTH YARMOUTH, MA 02664-4463
Location:
121/5///
MILL LN
Owner:
MILES-CAMPBELL FAMILY LTD
PARTNERSHIP
20 BEACON ST UNIT 5
BOSTON, MA 02108-3709
21.6E M.26 r Pan and Zoom 121.38 tZ
121.27.2.1`� '} Q
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DEPARTMENT
OF
CONSERVATION
',.:,. _ _cam..; ►_� u_'�:
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: 42 Mill Lane, Yarmouth Port
Assessors Map/Lot: 121 / 29
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).
l�-
Authorized Signature: Date: C
Please Print Name:
If other than owner, please state whether tenant, agent, or other:
Mailing Address: 42 Mill Lane
Phone:
Email:
Yarmouth Port, MA 02675
Cell:
Fax:
Yarmouth Conservation Commission • 1146 Route 28 • South Yarmouth, MA 026644492
Tel. (508)-398-2231 Ext. 1288 • Fax (508)-398-0836 • TTD# (508) 398-2231