HomeMy WebLinkAbout[A] NOI SE3-6326 , parcel 71 Sunset Lanewpaform3.doc • rev. 12/4/2023 Page 1 of 9
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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 Number
Document Transaction Number
Barnstable
City/Town
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
Note:
Before
completing this
form consult
your local
Conservation
Commission
regarding any
municipal bylaw
or ordinance.
A. General Information
1. Project Location (Note: electronic filers will click on button to locate project site):
71 Sunset Lane
a. Street Address
Barnstable
b. City/Town
02630
c. Zip Code
Latitude and Longitude: 41.709158
d. Latitude
70.296576
e. Longitude
301
f. Assessors Map/Plat Number
024
g. Parcel /Lot Number
2. Applicant:
Jeffrey F & Danielle S
a. First Name
Hamel
b. Last Name
Hamel Family 2018 Revocable Trust
c. Organization
920 Damian Way
d. Street Address
Los Altos
e. City/Town
CA
f. State
94024
g. Zip Code
h. Phone Number i. Fax Number
jeffreyfhamel@gmail.com
j. Email Address
3. Property owner (required if different from applicant): Check if more than one owner
a. First Name b. Last Name
c. Organization
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number i. Fax Number j. Email address
4. Representative (if any):
Briony
a. First Name
Angus
b. Last Name
Tighe & Bond
c. Company
940 Route 28, P.O. Box 6
d. Street Address
South Harwich
e. City/Town
MA
f. State
02661
g. Zip Code
617-640-2055
h. Phone Number i. Fax Number
bangus@tighebond.com
j. Email address
5. Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form):
220.00
a. Total Fee Paid
97.50
b. State Fee Paid
122.50
c. City/Town Fee Paid
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