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Home My WebLink AboutInterim RDA Form Final - PACKET FOR CONSV REVIEW 1-6-25wpaform1.doc • rev. //2023 WPA Form 1 – 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 Municipality A. General Information Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 1. Applicant: First Name Last Name Address City/Town State Zip Code Phone Number Email Address 2. Property Owner (if different from Applicant): First Name Last Name Address City/Town State Zip Code Phone Number Email Address (if known) 3. Representative (if any) First Name Last Name Company Name Address City/Town State Zip Code Phone Number Email Address (if known) B. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): Street Address City/Town How to find Latitude and Longitude Latitude (Decimal DegreeV Format with 5 digits after decimal e.g. XX.XXXXX) Longitude (Decimal DegreeV Format with 5 digits after decimal e.g. XX.XXXXX) and how to convert 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) Title Date Title Date BARNSTABLE SHAWN MACINNES 461 S. MAIN ST CENTERVILLE MA 02632 5082742091 MACINNES1@GMAIL.COM SAME SAME 461 S. MAIN ST. CENTERVILLE 41.64222 -70.34801 207 067 RESIDENTIAL LOT PROPOSED TREE REMOVAL SITE PLAN 1/5/2025 wpaform1.doc • rev. //2023 WPA Form 1 – 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 Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality B. Project Description (cont.) 2. a. Activity/Work Description (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 8/7/96 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.) BARNSTABLE REMOVAL OF THREE (3) APROX. 8" DIAMETER TREES WITHIN 50' WETLAND BUFFER AREA DUE TO ROTTING. (SEE ATTACHED SITE PLAN FOR LOCATIONS) Plan Reference: Conservation Commission Filing Plan 2006 Proposed Tree Removal Locations PROPOSED TREE REMOVAL SITE PLAN JANUARY 5, 2025 86*67KH1DWLRQDO0DS1DWLRQDO%RXQGDULHV'DWDVHW'(3(OHYDWLRQ3URJUDP*HRJUDSKLF1DPHV,QIRUPDWLRQ6\VWHP1DWLRQDO+\GURJUDSK\'DWDVHW1DWLRQDO/DQG&RYHU'DWDEDVH1DWLRQDO6WUXFWXUHV'DWDVHWDQG1DWLRQDO7UDQVSRUWDWLRQ'DWDVHW86*6*OREDO(FRV\VWHPV86&HQVXV%XUHDX7,*(5/LQHGDWD86)65RDGGDWD1DWXUDO(DUWK'DWD86'HSDUWPHQWRI6WDWH+,812$$1DWLRQDO&HQWHUVIRU(QYLURQPHQWDO,QIRUPDWLRQ'DWDUHIUHVKHG$SULOLOCUS Conservation Request for Determination (RDA) Abutter List for Subject Parcel Property owners actually touching on the subject parcel upon which work is proposed. Parcel ID Owner 1 Owner 2 Address Line 1 Address Line 2 City State Zip206063 LAVINDER, KATHY TR THE LAVINDER -DORAN TRUST A 106 CAMPING RIDGE NELLYSFORD 22958VA 206064 JACKSON, STEPHEN R TR THE JANE M JACKSON TRUST 295A SOLON RD CHAGRIN FALLS 44022OH 207064 RIST, BRIAN D & KIM M 5644 DELIDO COURT CAPE CORAL 33914FL 207067001 MACINNES, SHAWN & WHITE, DEANNA461 SOUTH MAIN STREETCENTERVILLE 02632MA 207067002 AIKEN, STEVEN L & RACHAEL PO BOX 2938 HYANNIS 02601MA 1/1/2025 5:15 PMReport Generated On:Page 1 of 15Total Number of Abutters:This list by itself does NOT constitute a "Certified List of Abutters" and is provided only as an aid to the determination of abutters. If a Certified Abutter List is required, you must contact the Assessing Division to have this list certified. 2,100.00Conservation Request for Determination (RDA) Abutter Map for Subject Parcel This map is for illustration purposes only. It is not adequate for legal boundary determination or regulatory interpretation. This map does not represent an on-the-ground survey. It may be generalized, may not reflect current conditions, and may contain cartographic errors or omissions.LegendProperty owners actually touching on the subject parcel upon which work is proposed. Parcel lines shown on this map are only graphic representations of Assessor’s tax parcels. They are not true property boundaries and do not represent accurate relationships to physical objects on the map such as building locations.88Town of BarnstableGIS Unit1751/1/2025gis@town.barnstable.ma.usPrinted on:0ft.175Subject ParcelAbuttersft.1 inch = approx.ParcelsTown BoundaryRailroad TracksBuildingsApprox. BuildiBuildingsParking LotsPavedUnpavedRoadsPaved RoadUnpaved RoadBridgePaved MedianWater Bodies REQUEST FOR DETERMINATION OF APPLICABILITY ABUTTER NOTIFICATION LETTER DATE: RE: Upcoming Barnstable Conservation Commission Public Hearing To Whom It May Concern, As an immediate abutter of a proposed project, please be advised that a Request for Determination application has been filed with the Barnstable Conservation Commission. APPLICANT: PROJECT ADDRESS OR LOCATION: ASSESSOR’S MAP & PARCEL: MAP PARCEL PROJECT DESCRIPTION: ________________________________________________________ APPLICANT’S AGENT: PUBLIC HEARING: WILL BE HELD REMOTELY VIA ZOOM See agenda posting on Town Clerks website available at least 48 hours in advance of the meeting for details. DATE: / / TIME: P.M. NOTE: Plans and applications describing the proposed activity are on file with the Conservation Commission at https://itlaserfiche.town.barnstable.ma.us/WebLink/Browse.aspx?id=825530&dbid=0&repo=TownOfBarns table, by email to Kimberly.Cavanaugh@town.barnstable.ma.us or by calling (508-862-4093) 1/2/2025 SHAWN MACINNES 461 S MAIN ST. CENTERVILLE 207 067 REMOVAL OF THREE (3) APROX. 8" DIAMETER TREES WITHIN 50' WETLAND BUFFER AREA DUE TO ROTTING. 106 CAMPING RIDGE NELLYSFORD, VA 22958 206063 LAVINDER, KATHY TR THE LAVINDER -DORAN TRUST A Property ID: 295A SOLON RD CHAGRIN FALLS, OH 44022 206064 JACKSON, STEPHEN R TR THE JANE M JACKSON TRUST Property ID: CAPE CORAL, FL 33914 207064 RIST, BRIAN D & KIM M 5644 DELIDO COURT Property ID: CENTERVILLE, MA 02632 207067001 MACINNES, SHAWN & WHITE, DEANNA 461 SOUTH MAIN STREET Property ID: HYANNIS, MA 02601 207067002 AIKEN, STEVEN L & RACHAEL PO BOX 2938 Property ID: