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Home My WebLink AboutRDA 7.20.2026Page 1 of 2 / o " t Conservation m a o Office � HnTlAEHEESE • A I/� �"'" ` \cORPORASE� All filings must be made on Town of Yarmouth The filing deadline is two weeks prior to the next scheduled Conservation Commission meeting for new applications. Failure to follow #his 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. SuMdUing art api2cication.: _Does the property have any outstanding/expired Orders of Conditions? If so, please file a ReC1Ue5t for Ceificate 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 files/hermits for the property address online, go to www.varmou'd- ..maus/LF Hardcopy filing dropped off or mailed to the Conservation Office including: tZ 1 RDA Administrative Checklist 1 complete RDA application WPA form 1 with original signatures (double sided). 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. 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 fist 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. x/ Certified Mail Receipts (PS Form 3800) for all abutters notified. y/ 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. V By-law filing fee: Separate check made payable to "Town of Yarmouth" ifs Legal ad fee: Separate check made payable to "Town of Yarmouth" Please list project property's street address on checks. Refer to Fee Schedu➢e. Digital and DEP filing A pdf of the entire application emailed to bdirienzoyarmouth.ma.us and JJerolimo@yarmouth.ma.us and (ct� DEP Southeast Region at SERO_N,0!@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. Initial below: - 4'yj 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 I1 staked or flagged. Please consult the Yarmouth Wetland Regulations, page 17. Ala i .A I understand that in person representation is required at the scheduled hearing to present tot e conservation commission. Yarmouth Conservation Commission • 1146 Route 28 ^ South Yarmouth, MA 02664-4492 Tel. (508)-398-2231 Ext- 1288 • Fax (508)-398-0836 e TTD# (508) 398-2231 • bdirienzo(ri,.yarrrrouth.ma.uRev 12/18/202` Page 2 of 2 'If the applicant is NOT 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- south(a)-mass.gov, Amanda. Davis(a)-mass.gov,, CC: bdirienzo(a�yarmouth.ma.us and jierolimo@yarmouth.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 &-yannouth.ma.us Rev 12/18/2025 Important: When filling out forms on the computer, use only the tab key to move your cursor•- do not use the return key. ran ranm Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 9 - Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality A. General Information Applicant: f t aox- oLk Z t L) First -Name Last Name Phone Number 2. Property Owner (if different from Applicant): 1 iDu" cat First Name - U -P- City/Town Phone Number 3. Representative (if any) First Name Company Name Address City/Town Phone Number B. Project Description U2 (,`70" State Zip Code Email dress U' Last Name M A 11 "ALp iq7 "! `T,CO3 StateS— Zip Code Email Address (if known) Last Name State Email Address (if known) Zip Code 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): np ckke-, 56,ce- CLAit a.�� 16kyctvlc��c Street Address City/Town How to find Latitude and Longitude Latitude (Decimal Degrees Format with 5 digits after decimal Longitude (Decimal Degrees Format with 5 digits after e.g. XX.XXXXX) . decimal e.g.-XX.XXXXX) and how to convert 1A-), 1-5 L 4, I- to decimal degrees Assessors' Map Number Assessors' Lot/Parcel Number b. Area Description (use additional paper, if necessary): c. Plan and/or Map Reference(s): (use additional paper if necessary) VA Title Date Title Date wpaforml.doc • rev. 4/28/2023 WPA Form 1 — Request for Determination of Applicability • Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands LWPA Form 1- Request for Determination of Applicability jai,. I b T Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality r! f De Project Description (cont.) (. 2. a. Activity/Work pDescription (use additional paper and/or provide plan(s) of Activity, if necessary)_ 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). 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 8/7196 ❑ 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.) wpaforml.doc • rev. 412812023 WPA Form 1 —Request for Determination of Applicability • Paoe 2 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability i '• Municipality Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Determinations 1. 1 request the (j/�� Ltl— make the following determination(s). Check any that apply: Conservatio ommission ❑ 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. [r 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: 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 that notification of this quest will be placed in a local newspaper at my expense in accordance with S�.ottotr10. )5 3)(b 1)e Wetlands Protection Act regulations. Signature plicant Date Signature of Representative Date wpaform1.doc • rev. 4/28/2023 WPA Form 1 — Request for Determination of Applicability • Page 3 of 3 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 64-IjItL. ?WLt f 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, Chaptetr�143). C. The address of the lot where the activity is proposed is QCX I L Y % 1 1 4 -R-bIl L f3 Tit' r7`Gi� Sd�lnr A D. Proposed work is 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 ��l -- 9,3`i - (,y' ,7 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 (508) 398-2231 ext. 1288 H. Person sending this notification (applicant, representative or other) Note. Name r I�+Y)IL Olt Address 10 dill 641-C,4�L �S Town h( (Y! OGL1 t 10) ( State th A Zip Telephone ��'' r,� 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. i 0 hi t Fr ,ua r3i. cn C) Mo��OQOII -T =Tgom mou�` 0 7 — n �g ME �—qo-llmil 7kSy�-q-5egli