HomeMy WebLinkAboutDA-25040 Determinationwpaform2.doc • rev. 4/28/2023
WPA Form 2 – Determination of Applicability • Page 1 of 5
Massachusetts Department of Environmental Protection
Bureau of Water Resources - Wetlands
WPA Form 2 – Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and §237-1
to 237-14 Town of Barnstable Code
DA-25040
Barnstable
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.
From:
Barnstable
Conservation Commission
To: Applicant Property Owner (if different from applicant):
Theresa Carson
Name
Name
27 Clinton Avenue
Mailing Address
Mailing Address
Maplewood
City/Town
NJ
State
07040
Zip Code
City/Town
State
Zip Code
Phone Number
Phone Number
Email Address
Email Address (if known)
1. Project Location:
101 Bay Shore Road
Street Address
Hyannis
City/Town
How to find Latitude
and Longitude
Latitude (Decimal Degrees Format with 5 digits after
decimal e.g. XX.XXXXX)
Longitude (Decimal Degrees Format with 5 digits after
decimal e.g. -XX.XXXXX)
and how to convert to
decimal degrees 325
Assessors Map/Plat Number
113
Parcel/Lot Number
2. Date Request Filed:
B. Determination
Pursuant to the authority of M.G.L. c. 131, § 40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the
following Determination.
Project Description (if applicable):
To remove existing shed and tennis court and construct a SFD with gravel drive and utilities .
Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
Site Plan
Title
10/24/2025
Date
Title
Date
Title
Date
wpaform2.doc • rev. 4/28/2023
WPA Form 2 – Determination of Applicability • Page 2 of 5
Massachusetts Department of Environmental Protection
Bureau of Water Resources - Wetlands
WPA Form 2 – Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and §237-1
to 237-14 Town of Barnstable Code
DA-25040
Barnstable
Municipality
B. Determination (cont.)
The following Determination(s) is/are applicable to the proposed site and/or project relative to the
Wetlands Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of
Conditions (issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) has been
received from the issuing authority (i.e., Conservation Commission or the Department of Environmental
Protection).
1. The area described on the referenced plan(s) is an area subject to jurisdiction under the Act.
Removing, filling, dredging, or altering of the area requires the filing of a Notice of Intent.
2a. The boundary delineations of the following resource areas described on the referenced plan(s)
are confirmed as accurate. Therefore, the resource area boundaries confirmed in this Determination
are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations
regarding such boundaries for as long as this Determination is valid.
2b. The boundaries of Wetlands Resource Area(s) and Buffer Zone(s) listed below are not
confirmed by this Determination, regardless of whether such boundaries are contained on the
plans attached to this Determination or to the Request for Determination.
3. The work described on referenced plan(s) and document(s) is within an area subject to
jurisdiction under the Act and will remove, fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will
alter an Area subject to jurisdiction under the Act. Therefore, said work requires the filing of a
Notice of Intent
5. The area and/or work described on referenced plan(s) and document(s) is subject to review
and approval by:
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
Name
Ordinance or Bylaw Citation
wpaform2.doc • rev. 4/28/2023
WPA Form 2 – Determination of Applicability • Page 3 of 5
Massachusetts Department of Environmental Protection
Bureau of Water Resources - Wetlands
WPA Form 2 – Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and §237-1
to 237-14 Town of Barnstable Code
DA-25040
Barnstable
Municipality
B. Determination (cont.)
6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not
subject to the Massachusetts Wetlands Protection Act:
7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s)
and document(s), which includes all or part of the work described in the Request, the applicant
must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)(c) 2. for
more information about the scope of alternatives requirements):
Alternatives limited to the lot on which the project is located.
Alternatives limited to the lot on which the project is located, the subdivided lots, and any
adjacent lots formerly or presently owned by the same owner.
Alternatives limited to the original parcel on which the project is located, the subdivided
parcels, any adjacent parcels, and any other land which can reasonably be obtained within
the municipality.
Alternatives extend to any sites which can reasonably be obtained within the appropriate
region of the state.
Negative Determination
Note: No further action under the Wetlands Protection Act is required by the applicant. However, if
the Department is requested to issue a Superseding Determination of Applicability, work may not
proceed on this project unless the Department fails to act on such request within 35 days of the
date the request is post-marked for certified mail or hand delivered to the Department. Work may
then proceed at the owner’s risk only upon notice to the Department and to the Conservation
Commission. Requirements for requests for Superseding Determinations are listed at the end of
this document.
1. The area described in the Request is not an area subject to jurisdiction under the Act or the
Buffer Zone.
2. The work described in the Request is within an area subject to jurisdiction under the Act, but
will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of
a Notice of Intent.
3. The work described in the Request is within the Buffer Zone, as defined in the regulations,
but will not alter an Area subject to jurisdiction under the Act. Therefore, said work does not
require the filing of a Notice of Intent, subject to the following conditions (if any).
4. The work described in the Request is not within an Area subject to jurisdiction under the Act
(including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent,
unless and until said work alters an Area subject to jurisdiction under the Act.
wpaform2.doc • rev. 4/28/2023
WPA Form 2 – Determination of Applicability • Page 4 of 5
Massachusetts Department of Environmental Protection
Bureau of Water Resources - Wetlands
WPA Form 2 – Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and §237-1
to 237-14 Town of Barnstable Code
DA-25040
Barnstable
Municipality
B. Determination (cont.)
5. The area described in the Request is subject to jurisdiction under the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act
and the regulations, no Notice of Intent is required:
Exempt Activity (site applicable statutory/regulatory provisions)
6. The area and/or work described in the Request is not subject to additional review and approval
by:
Barnstable
Name of Municipality
Pursuant to a municipal wetlands’ ordinance or bylaw.
Name
Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the representative and delivered as follows:
By hand delivery on
Date
By certified mail, return receipt request on
11/19/2025
Date
Certified Mail Number
A copy of this Determination has been sent on the same date, considered the date of issuance, to the
appropriate DEP Regional Office and the property owner (if not the applicant) in the manner as follows:
DEP
By email
By USPS mail
11/19/2025
Date
By hand delivery
Date
Property Owner (if not applicant)
By mail
Date
By hand delivery
Date
wpaform2.doc • rev. 4/28/2023
WPA Form 2 – Determination of Applicability • Page 5 of 5
Massachusetts Department of Environmental Protection
Bureau of Water Resources - Wetlands
WPA Form 2 – Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and §237-1
to 237-14 Town of Barnstable Code
DA-25040
Barnstable
Municipality
C. Authorization (cont.)
This Determination is valid for three years from the date of issuance (except Determinations for
Vegetation Management Plans which are valid for the duration of the Plan). This Determination does
not relieve the applicant from complying with all other applicable federal, state, or local statutes,
ordinances, bylaws, or regulations.
This Determination must be signed by a majority of the Conservation Commission. As noted above, a
copy must be sent to the appropriate DEP Regional Office (see https://www.mass.gov/service-
details/massdep-regional-offices-by-community) and the property owner (if different from the applicant)
on the same date that the Applicant is issued this Determination.
Barnstable
Issuing Authority
Signatures:
s/F.P. Tom Lee
Signature
F.P. Tom Lee
Printed Name
s/Angela Tangney
Signature
Angela Tangney
Printed Name
s/John Abodeely
Signature
John Abodeely
Printed Name
s/Robert DeMelo
Signature
Robert DeMelo
Printed Name
s/William Hearn
Signature
William Hearn
Printed Name
s/Jeffrey Kaschuluk
Signature
Jeffrey Kaschuluk
Printed Name
s/Peter Sampou
Signature
Peter Sampou
Printed Name
Pursuant to the vote taken by the Barnstable Conservation Commission on October 28,
2025, the foregoing signatures are made in accordance with M.G.L. c.110G and pursuant to
said Conservation Commission’s electronic signature authorization vote recorded on
October 31, 2025, with the Barnstable County Registry of Deeds in Book 37277 Page 233.
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, or any ten residents of the city or town in which such land
is located, are hereby notified of their right to request the appropriate Department of Environmental
Protection Regional Office (see https://www.mass.gov/service-details/massdep-regional-offices-by-
community) to issue a Superseding Determination of Applicability. The request must be made by
certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal
Form (see Request for Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7)
within ten business days from the date of issuance of this Determination. A copy of the request shall at
the same time be sent by certified mail or hand delivery to the Conservation Commission and to the
applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to
the Determination which is being appealed. To the extent that the Determination is based on a
municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the
Department of Environmental Protection has no appellate jurisdiction.
wpaform2.doc • rev. 4/12/2023
WPA Form 2 – Request for Departmental Action Fee Transmittal Form • Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee
Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
Provided by DEP
A. Request Information
1. Location of Project
a. Street Address
b. City/Town, Zip
c. Check number
d. Fee amount
Important:
When filling
out forms on
the computer,
use only the
tab key to
move your
cursor - do
not use the
return key.
2. Person or party making request (if appropriate, name the citizen group’s representative):
Name
Mailing Address
City/Town
State
Zip Code
Phone Number
Fax Number (if applicable)
3. Applicant (as shown on Determination of Applicability (Form 2), Order of Resource Area Delineation
(Form 4B), Order of Conditions (Form 5), Restoration Order of Conditions (Form 5A), or Notice of
Non-Significance (Form 6)):
Name
Mailing Address
City/Town
State
Zip Code
Phone Number
Fax Number (if applicable)
4. DEP File Number:
B. Instructions
1. When the Departmental action request is for (check one):
Superseding Order of Conditions – Fee: $120 (single family house projects) or $245 (all other
projects)
Superseding Determination of Applicability – Fee: $120
Superseding Order of Resource Area Delineation – Fee: $120
Send this form and check or money order, payable to the Commonwealth of Massachusetts, to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpaform2.doc • rev. 4/12/2023
WPA Form 2 – Request for Departmental Action Fee Transmittal Form • Page 2 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee
Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
DEP File Number:
Provided by DEP
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a
Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP
Regional Office (see https://www.mass.gov/service-details/massdep-regional-offices-by-community).
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant.