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HomeMy WebLinkAbout12225-TOUSIGNANT-229060WRS Engineering 467 Ocean St Hyannis MA 02601 508-776-0956 royokurowski@gmail.com December 2nd, 2025 By Hand Delivery Edwin Hoopes Conservation Agent Barnstable Conservation 508-862-4093 Re: Proposed dock and reconstruction of stairway Stephen Tousignant 1017 West Main St Centerville MA 02632 Map 229 Parcel 060 On behalf of our client, Stephen Tousignant, we are submitting 2 original and 7 collated copies of a proposed package for your review, including a Notice of Intent application filing package and administrative checklist. Please schedule this for the December 16th public hearing. If you have any questions or require additional information, please give our office a call. Thank you. Sincerely, Roy Okurowski WRS Engineering LLC Chap 707/rev. February 2025 Page 1 CHAPTER 707 Regulation Governing Minimum Submission Requirements for a Notice of Intent Application The Barnstable Conservation Commission has adopted the following requirements in order to obtain more consistently complete submission documents necessary for a thorough and efficient review of all Notice of Intent (NOI) applications. Failure to complete any of the items in this checklist may result in your application being denied. Applicant or applicant’s agent should check each box denoting that the task has been completed or in certain instances, like field staking, denoting that the task will be completed. The following submission checklist covers the requirements of Chapter 237, Wetlands Protection, of the Part I General Ordinances of the Code of the Town of Barnstable. This checklist shall be submitted to the Barnstable Conservation Division with the NOI application. 1. Requirements a. The applicant understands, unless they’ve instructed otherwise, they are applying both under the Massachusetts Wetlands Protection Act M.G.L. c.131,§40 and Chapter 237 of the Town of Barnstable General Ordinances. b. Attach a written narrative to the NOI application (WPA Form 3), available at: www.mass.gov/eea/agencies/massdep/service/approvals/wpa-form-3.html describing any project impacts and proposed mitigation as they relate to the following: 1) Any of the interests of Chapter 237 of the General Ordinances and the MassDEP Wetlands Protection Act M.G.L. 131, §40. 2) The performance standards contained in the MassDEP Wetlands Protection Regulations (310 CMR 10.00) 3) Chapter 704: Regulation Governing Activity in the 100-ft. Buffer Zone. 4) Chapter 703: Private Docks and Piers. 5) Any other applicable regulations (310 CMR 10.00 or as promulgated under Chapter 237 of the General Ordinances). c. Enclose proper payment to cover the fee for Chapter 237 filings. Consult current Fee Schedule at www.townofbarnstable.us/Conservation d. Please indicate who is to record the Order of Conditions (check one): Applicant Agent 2. Abutter Notification (See Abutter Notification Regulation, Chapter 706) Town of Barnstable Conservation Commission 230 South Street Hyannis Massachusetts 02601 Office: 508-862-4093 E-mail: conservation@town.barnstable.ma.us Chap 707/rev. February 2025 Page 2 a. Contact the Conservation Division office at (508) 862-4093 regarding the docketing process, or see current schedule of Conservation Hearings and submission deadlines at: www.townofbarnstable.us/Conservation/ b. Provide a copy of the list of abutters within a 100 ft radius of the project parcel. c. Provide a copy of the Assessor’s Map indicating the parcel of the project site and showing the 100 ft radius of the project parcel. d. Provide a copy of the abutter notification letter. Use the form letter provided in our Abutter Notification Regulation (Chapter 706), available on the Conservation Division website. e. Email copies of the green return receipts, from the certified mailings to the abutters, as proof of notification . If any mailings are returned, email a copy of the entire envelope, indicating by postal service stamp the reason for return. You will retain the receipts afterwards, not the Conservation Division. f. I further certify under the penalties of perjury that all abutters were notified of the Notice of Intent Application, pursuant to the requirements of Chapter 237 of the General Ordinances of the Code of the Town of Barnstable. Notice must be made in writing by certified mail to all abutters within 100 ft of the property line of the project location. _______________________________________ Signature of Applicant or Representative Date 3. Field Staking: a. On or before Tuesday, @ 8:30 a.m., one week prior to the scheduled public hearing, have your project staked by a professional engineer or registered land surveyor showing all outside corners of all proposed structures and the continuous proposed “limit of work” line. b. Have a wetland scientist or other qualified professional flag all wetland resource areas on or within 100 ft of the work area. Make sure that the flags are sequentially numbered. c. Provide a project identification stake with bright painted top and applicant name and address, easily visible from the street approaching the site. 4. Legal Advertisement Fees: a. Conservation will submit the legal ad for publication in a local newspaper. The applicant or his/her agent is responsible for payment, by check (payable to the Town of Barnstable), at the hearing or by mail. The cost of the legal ad will be pre-calculated and posted on the hearing agenda prior to the hearing. 5. Minimum Documentation for a Complete Application: a. Provide a completely filled-out (in all parts) NOI application as locally adopted for the Town of Barnstable, including MassDEP Vegetated Wetland Field Data Form. Indicate Assessor’s map and parcel of the project, as well as the street or road address, and pertinent village (i.e., Hyannis, Centerville, Barnstable, etc). b. Provide two (2) original project plans, stamped in blue or red ink (wet stamp). Plans must be signed and dated by a Massachusetts licensed, professional engineer, land surveyor, architect or landscape architect (as applicable), and shall be drawn at a readable scale (1" = 20' preferred). For multi-acre sites, a second site plan, drawn at larger scale showing the entire site, should also be provided. Chap 707/rev. February 2025 Page 3 c. Provide a signed Permission to Access Property, Form PA. The form must be signed by the property Owner, or legal representative and submitted with the NOI. . Form PA is available at www.townofbarnstable.us/Conservation/. d. For projects requiring mitigation plantings under Chapter 704 -3, 704-4, and 704-5, mitigation planting location(s) shall clearly be shown on landscaping planting plan. The planting plan shall include: 1. species (chosen from the Town of Barnstable Conservation Commission approved planting lists), sizes, densities and/or quantities. 2. area calculations in 0’ - 50’ and 50’ – 100’ separately for the amount of mitigation planting required. 3. the amount of mitigation planting proposed. 4. a note or indication stating the area between the proposed plants will either be planted with an appropriate native seed mix or left to naturalize. 5. a note stating mulch may only be used under the dripline of proposed plants. 6. demarcation markers along the landward side of the mitigation planting area. The type of demarcation marker shall be selected from the list approved by the Conservation Commission. e. Provide detailed, written street directions to the locus (site). f. Provide a copy of a U.S.G.S. locus map indicating the general area of the project site. g. Provide a check for the Town of Barnstable portion of the required filing fee. (The portion payable to the Commonwealth, see 7. e. below) h. Provide any other documentation, photographs, architectural renderings or other supporting data prepared by professionals competent in the field which may be relevant to the application. 6. The site plan shall also show: a. All existing and proposed contours at 2-ft. minimum intervals (1-ft. preferred). b. Clear delineation of all existing and proposed structures and features. Building structures must be accurately dimensioned (fixed location) from property lines and wetland resource areas. Plans shall provide sufficient detail to show all potential wetland impacts, mitigation, compensatory areas, engineered structures, utilities, landscaping, etc. within the area of jurisdiction. On complicated sites, existing and proposed conditions must be shown on separate sheets. c. Locus inset map of the site clearly showing its location relative to surrounding public streets. d. All wetland resource area flags by individual flag number (matched to the field) to clearly identify all resource areas on or within 100 feet of the work area. The individual who performed the flagging and date of flagging shall be identified on the plan next to the resource line. e. Section views showing changes in grade, cuts and fills. 7. SUBMISSION OF THE COMPLETED APPLICATION WITH PLANS: a. Email NOI application and all associated materials in PDF format to Kimberly.Cavanaugh@town.barnstable.ma.us AND Edwin.Hoopes@town.barnstable.ma.us Do not include copies of checks. All attachments must be named with the hearing date (year first), type, name, address. Examples 20220301 NOI Smith 21 Main Street or 2022031 NOI Plan Smith 21 Main Street. b. Provide two (2) full NOI applications with folded plans (colored ink stamp) with signature/date to the Town of Barnstable Conservation Division Office for administrative use; 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: Transaction ID: Document: Size of File: Status of Transaction: Date and Time Created: 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. 1955550 12/1/2025:3:07:31 PM 271.72K WRSPERMITTING WPA Form 3 - NOI In Process a.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: A.General Information 1. Project Location: a. Street Address 1017 WEST MAIN ST b. City/Town BARNSTABLE c. Zip Code 02632 d. Latitude 41.65703N e. Longitude 70.33065W f. Map/Plat #229 g.Parcel/Lot #60 2. Applicant: Individual Organization a. First Name STEPHEN b.Last Name TOUSIGNANT c. Organization d. Mailing Address 280 AUBURN ST e. City/Town BRIDGEWATER f. State MA g. Zip Code 02324 h. Phone Number i. Fax j. Email 3.Property Owner: more than one owner a. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANT c. Organization d. Mailing Address 280 AUBURN ST e. City/Town BRIDGEWATER f.State MA g. Zip Code 02324 h. Phone Number i. Fax j.Email 4.Representative: a. First Name ROY b. Last Name OKUROWKSI c. Organization WRS ENGINEERING LLC d. Mailing Address 467 OCEAN ST e. City/Town HYANNIS f. State MA g. Zip Code 02601 h.Phone Number 508­776­0956 i.Fax j.Email royokurowski@gmail.com 5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form): a.Total Fee Paid 111.20 b.State Fee Paid 43.10 c.City/Town Fee Paid 68.10 6.General Project Description: RECONSTRUCTION OF STAIRS AND PERMITTING A DOCK 7a.Project Type: 1. Single Family Home 2. Residential Subdivision 3.Limited Project Driveway Crossing 4.Commercial/Industrial 5.Dock/Pier 6.Utilities 7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry) 9.Transportation 10.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)? 1.Yes 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 36558 315 B. Buffer Zone & Resource Area Impacts (temporary & permanent) 1.Buffer Zone & Resource Area Impacts (temporary & permanent): 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 Size of Proposed Alteration Proposed Replacement (if any) a.Bank 1. linear feet 2. linear feet b.Bordering Vegetated Wetland 123.2 1. square feet 2. square feet c.Land under Waterbodies and Waterways 123.2 1. Square feet 2. square feet 3. cubic yards dredged d.Bordering Land Subject to Flooding 1. square feet 2. square feet 3. cubic feet of flood storage lost 4. cubic feet replaced e.Isolated Land Subject to Flooding 1. square feet 2. cubic feet of flood storage lost 3. cubic feet replaced f.Riverfront Area 1. Name of Waterway (if any) 2. Width of Riverfront Area (check one)25 ft. ­ Designated Densely Developed Areas only 100 ft. ­ New agricultural projects only 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?Yes No 6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No 3.Coastal Resource Areas: (See 310 CMR 10.25 ­ 10.35) Resource Area Size of Proposed Alteration Proposed Replacement (if any) a.Designated Port Areas Indicate size under Land under the ocean below, b.Land Under the Ocean 1. square feet 2. cubic yards dredged c.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, below d.Coastal Beaches 1. square feet 2. cubic yards beach nourishment e.Coastal Dunes 1. square feet 2. cubic yards dune nourishment f.Coastal Banks 1. linear feet g.Rocky Intertidal Shores 1. square feet h.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea. i.Land Under Salt Ponds 1. square feet 2. cubic yards dredged j.Land Containing Shellfish 1. square feet k.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 Storm Flowage 1. square feet 4.Restoration/Enhancement  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.3.h above, please entered the additional amount here. a. square feet of BVW b. square feet of Salt Marsh 5.Projects Involves Stream Crossings  Project Involves Streams Crossings If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings. a. number of new stream crossings b. number of replacement stream crossings C. Other Applicable Standards and Requirements Streamlined Massachusetts Endangered Species Act/Wetlands 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 State­Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program (NHESP)? a.Yes 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. Percentage/acreage of property to be altered: (a) within Wetland Resource Area percentage/acreage (b) outside Resource Area percentage/acreage 2. Assessor's Map or right­of­way plan of site 3. 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.Project description (including description of impacts outside of wetland resource area & buffer zone) b. Photographs representative of the site c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/natural­heritage/regulatory­ review/mass­endangered­species­act­mesa/mesa­fee­schedule.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.Vegetation cover type map of site e.Project plans showing Priority & Estimated Habitat boundaries d. OR Check One of the following 1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/laws­regulations/cmr/321­cmr­1000­massachusetts­endangered­ species­act.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. Separate MESA review ongoing. a. NHESP Tracking Number RC­96869 b. Date submitted to NHESP 12/01/2025 3.Separate MESA review completed. Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan. *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. Not applicable ­ project is in inland resource area only b.Yes 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.Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or DEP Website for ACEC locations). Note: electronic filers click on Website. b. ACEC Name 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.Yes 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.Yes No 6.Is this project subject to provisions of the MassDEP Stormwater Management Standards? 1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management Handbook Vol.2, Chapter 3) 2.A portion of the site constitutes redevelopment 3.Proprietary BMPs are included in the Stormwater Management System b.No, Explain why the project is exempt: 1.Single Family Home 2.Emergency Road Repair 3.Small Residential Subdivision (less than or equal to 4 single­family houses or less than or equal to 4 units in multi­family 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 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 [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). 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. a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale: 1017 WEST MAIN ST CENTERVILLE MA PROPOSED SEASONAL DOCK AND STAIRWAY REPAIR WRS ENGINEERING LLC ROY OKUROWSKI 11/18/2025 1"­20' 5.If there is more than one property owner, please attach a list of these property owners not listed on this form. 6.Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7.Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8.Attach NOI Wetland Fee Transmittal Form. 9.Attach Stormwater Report, if needed. E. Fees 1. Fee Exempt: No filing fee shall 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 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 2. Municipal Check Number 3. Check date 4. State Check Number 5. Check date 6. Payer name on check: First Name 7. Payer name on check: 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 (return receipt requested) to all abutters within 100 feet of the property line of the project location. Stephen Tousignant 12/1/2025 1. Signature of Applicant 2. Date Stephen and Bernice Tousignant 12/1/2025 3. Signature of Property Owner(if different)4. Date Roy Okurowski 12/1/2025 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 1­3, 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. 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 #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 1 of 7 * ELECTRONIC COPY a.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: A.General Information1. Project Location:a. Street Address 1017 WEST MAIN STb. City/Town BARNSTABLE c. Zip Code 02632d. Latitude 41.65703N e. Longitude 70.33065Wf. Map/Plat #229 g.Parcel/Lot #602. Applicant:Individual Organizationa. First Name STEPHEN b.Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f. State MA g. Zip Code 02324h. Phone Number i. Fax j. Email3.Property Owner:more than one ownera. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f.State MA g. Zip Code 02324h. Phone Number i. Fax j.Email4.Representative:a. First Name ROY b. Last Name OKUROWKSIc. Organization WRS ENGINEERING LLCd. Mailing Address 467 OCEAN STe. City/Town HYANNIS f. State MA g. Zip Code 02601h.Phone Number 508­776­0956 i.Fax j.Email royokurowski@gmail.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 111.20 b.State Fee Paid 43.10 c.City/Town Fee Paid 68.106.General Project Description: RECONSTRUCTION OF STAIRS AND PERMITTING A DOCK 7a.Project Type: 1. Single Family Home 2. Residential Subdivision 3.Limited Project Driveway Crossing 4.Commercial/Industrial 5.Dock/Pier 6.Utilities 7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry) 9.Transportation 10.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)? 1.Yes 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 36558 315 B. Buffer Zone & Resource Area Impacts (temporary & permanent) 1.Buffer Zone & Resource Area Impacts (temporary & permanent): 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 Size of Proposed Alteration Proposed Replacement (if any) a.Bank 1. linear feet 2. linear feet b.Bordering Vegetated Wetland 123.2 1. square feet 2. square feet c.Land under Waterbodies and Waterways 123.2 1. Square feet 2. square feet 3. cubic yards dredged d.Bordering Land Subject to Flooding 1. square feet 2. square feet 3. cubic feet of flood storage lost 4. cubic feet replaced e.Isolated Land Subject to Flooding 1. square feet 2. cubic feet of flood storage lost 3. cubic feet replaced f.Riverfront Area 1. Name of Waterway (if any) 2. Width of Riverfront Area (check one)25 ft. ­ Designated Densely Developed Areas only 100 ft. ­ New agricultural projects only 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?Yes No 6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No 3.Coastal Resource Areas: (See 310 CMR 10.25 ­ 10.35) Resource Area Size of Proposed Alteration Proposed Replacement (if any) a.Designated Port Areas Indicate size under Land under the ocean below, b.Land Under the Ocean 1. square feet 2. cubic yards dredged c.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, below d.Coastal Beaches 1. square feet 2. cubic yards beach nourishment e.Coastal Dunes 1. square feet 2. cubic yards dune nourishment f.Coastal Banks 1. linear feet g.Rocky Intertidal Shores 1. square feet h.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea. i.Land Under Salt Ponds 1. square feet 2. cubic yards dredged j.Land Containing Shellfish 1. square feet k.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 Storm Flowage 1. square feet 4.Restoration/Enhancement  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.3.h above, please entered the additional amount here. a. square feet of BVW b. square feet of Salt Marsh 5.Projects Involves Stream Crossings  Project Involves Streams Crossings If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings. a. number of new stream crossings b. number of replacement stream crossings C. Other Applicable Standards and Requirements Streamlined Massachusetts Endangered Species Act/Wetlands 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 State­Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program (NHESP)? a.Yes 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. Percentage/acreage of property to be altered: (a) within Wetland Resource Area percentage/acreage (b) outside Resource Area percentage/acreage 2. Assessor's Map or right­of­way plan of site 3. 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.Project description (including description of impacts outside of wetland resource area & buffer zone) b. Photographs representative of the site c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/natural­heritage/regulatory­ review/mass­endangered­species­act­mesa/mesa­fee­schedule.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.Vegetation cover type map of site e.Project plans showing Priority & Estimated Habitat boundaries d. OR Check One of the following 1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/laws­regulations/cmr/321­cmr­1000­massachusetts­endangered­ species­act.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. Separate MESA review ongoing. a. NHESP Tracking Number RC­96869 b. Date submitted to NHESP 12/01/2025 3.Separate MESA review completed. Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan. *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. Not applicable ­ project is in inland resource area only b.Yes 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.Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or DEP Website for ACEC locations). Note: electronic filers click on Website. b. ACEC Name 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.Yes 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.Yes No 6.Is this project subject to provisions of the MassDEP Stormwater Management Standards? 1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management Handbook Vol.2, Chapter 3) 2.A portion of the site constitutes redevelopment 3.Proprietary BMPs are included in the Stormwater Management System b.No, Explain why the project is exempt: 1.Single Family Home 2.Emergency Road Repair 3.Small Residential Subdivision (less than or equal to 4 single­family houses or less than or equal to 4 units in multi­family 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 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 [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). 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. a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale: 1017 WEST MAIN ST CENTERVILLE MA PROPOSED SEASONAL DOCK AND STAIRWAY REPAIR WRS ENGINEERING LLC ROY OKUROWSKI 11/18/2025 1"­20' 5.If there is more than one property owner, please attach a list of these property owners not listed on this form. 6.Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7.Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8.Attach NOI Wetland Fee Transmittal Form. 9.Attach Stormwater Report, if needed. E. Fees 1. Fee Exempt: No filing fee shall 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 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 2. Municipal Check Number 3. Check date 4. State Check Number 5. Check date 6. Payer name on check: First Name 7. Payer name on check: 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 (return receipt requested) to all abutters within 100 feet of the property line of the project location. Stephen Tousignant 12/1/2025 1. Signature of Applicant 2. Date Stephen and Bernice Tousignant 12/1/2025 3. Signature of Property Owner(if different)4. Date Roy Okurowski 12/1/2025 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 1­3, 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. 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 #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 2 of 7 * ELECTRONIC COPY a.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: A.General Information1. Project Location:a. Street Address 1017 WEST MAIN STb. City/Town BARNSTABLE c. Zip Code 02632d. Latitude 41.65703N e. Longitude 70.33065Wf. Map/Plat #229 g.Parcel/Lot #602. Applicant:Individual Organizationa. First Name STEPHEN b.Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f. State MA g. Zip Code 02324h. Phone Number i. Fax j. Email3.Property Owner:more than one ownera. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f.State MA g. Zip Code 02324h. Phone Number i. Fax j.Email4.Representative:a. First Name ROY b. Last Name OKUROWKSIc. Organization WRS ENGINEERING LLCd. Mailing Address 467 OCEAN STe. City/Town HYANNIS f. State MA g. Zip Code 02601h.Phone Number 508­776­0956 i.Fax j.Email royokurowski@gmail.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 111.20 b.State Fee Paid 43.10 c.City/Town Fee Paid 68.106.General Project Description:RECONSTRUCTION OF STAIRS AND PERMITTING A DOCK7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 36558 315B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):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 Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 123.21. square feet 2. square feetc.Land under Waterbodies and Waterways 123.21. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. ­ Designated Densely Developed Areas only 100 ft. ­ New agricultural projects only 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?Yes No 6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No 3.Coastal Resource Areas: (See 310 CMR 10.25 ­ 10.35) Resource Area Size of Proposed Alteration Proposed Replacement (if any) a.Designated Port Areas Indicate size under Land under the ocean below, b.Land Under the Ocean 1. square feet 2. cubic yards dredged c.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, below d.Coastal Beaches 1. square feet 2. cubic yards beach nourishment e.Coastal Dunes 1. square feet 2. cubic yards dune nourishment f.Coastal Banks 1. linear feet g.Rocky Intertidal Shores 1. square feet h.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea. i.Land Under Salt Ponds 1. square feet 2. cubic yards dredged j.Land Containing Shellfish 1. square feet k.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 Storm Flowage 1. square feet 4.Restoration/Enhancement  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.3.h above, please entered the additional amount here. a. square feet of BVW b. square feet of Salt Marsh 5.Projects Involves Stream Crossings  Project Involves Streams Crossings If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings. a. number of new stream crossings b. number of replacement stream crossings C. Other Applicable Standards and Requirements Streamlined Massachusetts Endangered Species Act/Wetlands 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 State­Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program (NHESP)? a.Yes 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. Percentage/acreage of property to be altered: (a) within Wetland Resource Area percentage/acreage (b) outside Resource Area percentage/acreage 2. Assessor's Map or right­of­way plan of site 3. 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.Project description (including description of impacts outside of wetland resource area & buffer zone) b. Photographs representative of the site c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/natural­heritage/regulatory­ review/mass­endangered­species­act­mesa/mesa­fee­schedule.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.Vegetation cover type map of site e.Project plans showing Priority & Estimated Habitat boundaries d. OR Check One of the following 1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/laws­regulations/cmr/321­cmr­1000­massachusetts­endangered­ species­act.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. Separate MESA review ongoing. a. NHESP Tracking Number RC­96869 b. Date submitted to NHESP 12/01/2025 3.Separate MESA review completed. Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan. *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. Not applicable ­ project is in inland resource area only b.Yes 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.Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or DEP Website for ACEC locations). Note: electronic filers click on Website. b. ACEC Name 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.Yes 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.Yes No 6.Is this project subject to provisions of the MassDEP Stormwater Management Standards? 1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management Handbook Vol.2, Chapter 3) 2.A portion of the site constitutes redevelopment 3.Proprietary BMPs are included in the Stormwater Management System b.No, Explain why the project is exempt: 1.Single Family Home 2.Emergency Road Repair 3.Small Residential Subdivision (less than or equal to 4 single­family houses or less than or equal to 4 units in multi­family 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 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 [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). 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. a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale: 1017 WEST MAIN ST CENTERVILLE MA PROPOSED SEASONAL DOCK AND STAIRWAY REPAIR WRS ENGINEERING LLC ROY OKUROWSKI 11/18/2025 1"­20' 5.If there is more than one property owner, please attach a list of these property owners not listed on this form. 6.Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7.Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8.Attach NOI Wetland Fee Transmittal Form. 9.Attach Stormwater Report, if needed. E. Fees 1. Fee Exempt: No filing fee shall 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 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 2. Municipal Check Number 3. Check date 4. State Check Number 5. Check date 6. Payer name on check: First Name 7. Payer name on check: 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 (return receipt requested) to all abutters within 100 feet of the property line of the project location. Stephen Tousignant 12/1/2025 1. Signature of Applicant 2. Date Stephen and Bernice Tousignant 12/1/2025 3. Signature of Property Owner(if different)4. Date Roy Okurowski 12/1/2025 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 1­3, 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. 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 #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 3 of 7 * ELECTRONIC COPY a.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: A.General Information1. Project Location:a. Street Address 1017 WEST MAIN STb. City/Town BARNSTABLE c. Zip Code 02632d. Latitude 41.65703N e. Longitude 70.33065Wf. Map/Plat #229 g.Parcel/Lot #602. Applicant:Individual Organizationa. First Name STEPHEN b.Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f. State MA g. Zip Code 02324h. Phone Number i. Fax j. Email3.Property Owner:more than one ownera. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f.State MA g. Zip Code 02324h. Phone Number i. Fax j.Email4.Representative:a. First Name ROY b. Last Name OKUROWKSIc. Organization WRS ENGINEERING LLCd. Mailing Address 467 OCEAN STe. City/Town HYANNIS f. State MA g. Zip Code 02601h.Phone Number 508­776­0956 i.Fax j.Email royokurowski@gmail.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 111.20 b.State Fee Paid 43.10 c.City/Town Fee Paid 68.106.General Project Description:RECONSTRUCTION OF STAIRS AND PERMITTING A DOCK7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 36558 315B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):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 Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 123.21. square feet 2. square feetc.Land under Waterbodies and Waterways 123.21. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. ­ Designated Densely Developed Areas only100 ft. ­ New agricultural projects only200 ft. ­ All other projects3. Total area of Riverfront Area on the site of the proposed project square feet4. 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?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 ­ 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 1. square feet 2. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above1. cubic yards dredgedl.Land Subject to CoastalStorm Flowage 1. square feet4.Restoration/Enhancement  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.3.h above, please entered the additional amount here. a. square feet of BVW b. square feet of Salt Marsh 5.Projects Involves Stream Crossings  Project Involves Streams Crossings If the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings. a. number of new stream crossings b. number of replacement stream crossings C. Other Applicable Standards and Requirements Streamlined Massachusetts Endangered Species Act/Wetlands 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 State­Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program (NHESP)? a.Yes 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. Percentage/acreage of property to be altered: (a) within Wetland Resource Area percentage/acreage (b) outside Resource Area percentage/acreage 2. Assessor's Map or right­of­way plan of site 3. 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.Project description (including description of impacts outside of wetland resource area & buffer zone) b. Photographs representative of the site c. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/natural­heritage/regulatory­ review/mass­endangered­species­act­mesa/mesa­fee­schedule.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.Vegetation cover type map of site e.Project plans showing Priority & Estimated Habitat boundaries d. OR Check One of the following 1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/laws­regulations/cmr/321­cmr­1000­massachusetts­endangered­ species­act.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. Separate MESA review ongoing. a. NHESP Tracking Number RC­96869 b. Date submitted to NHESP 12/01/2025 3.Separate MESA review completed. Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan. *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. Not applicable ­ project is in inland resource area only b.Yes 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.Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or DEP Website for ACEC locations). Note: electronic filers click on Website. b. ACEC Name 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.Yes 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.Yes No 6.Is this project subject to provisions of the MassDEP Stormwater Management Standards? 1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management Handbook Vol.2, Chapter 3) 2.A portion of the site constitutes redevelopment 3.Proprietary BMPs are included in the Stormwater Management System b.No, Explain why the project is exempt: 1.Single Family Home 2.Emergency Road Repair 3.Small Residential Subdivision (less than or equal to 4 single­family houses or less than or equal to 4 units in multi­family 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 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 [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). 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. a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale: 1017 WEST MAIN ST CENTERVILLE MA PROPOSED SEASONAL DOCK AND STAIRWAY REPAIR WRS ENGINEERING LLC ROY OKUROWSKI 11/18/2025 1"­20' 5.If there is more than one property owner, please attach a list of these property owners not listed on this form. 6.Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7.Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8.Attach NOI Wetland Fee Transmittal Form. 9.Attach Stormwater Report, if needed. E. Fees 1. Fee Exempt: No filing fee shall 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 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 2. Municipal Check Number 3. Check date 4. State Check Number 5. Check date 6. Payer name on check: First Name 7. Payer name on check: 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 (return receipt requested) to all abutters within 100 feet of the property line of the project location. Stephen Tousignant 12/1/2025 1. Signature of Applicant 2. Date Stephen and Bernice Tousignant 12/1/2025 3. Signature of Property Owner(if different)4. Date Roy Okurowski 12/1/2025 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 1­3, 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. 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 #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 4 of 7 * ELECTRONIC COPY a.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: A.General Information1. Project Location:a. Street Address 1017 WEST MAIN STb. City/Town BARNSTABLE c. Zip Code 02632d. Latitude 41.65703N e. Longitude 70.33065Wf. Map/Plat #229 g.Parcel/Lot #602. Applicant:Individual Organizationa. First Name STEPHEN b.Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f. State MA g. Zip Code 02324h. Phone Number i. Fax j. Email3.Property Owner:more than one ownera. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f.State MA g. Zip Code 02324h. Phone Number i. Fax j.Email4.Representative:a. First Name ROY b. Last Name OKUROWKSIc. Organization WRS ENGINEERING LLCd. Mailing Address 467 OCEAN STe. City/Town HYANNIS f. State MA g. Zip Code 02601h.Phone Number 508­776­0956 i.Fax j.Email royokurowski@gmail.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 111.20 b.State Fee Paid 43.10 c.City/Town Fee Paid 68.106.General Project Description:RECONSTRUCTION OF STAIRS AND PERMITTING A DOCK7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 36558 315B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):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 Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 123.21. square feet 2. square feetc.Land under Waterbodies and Waterways 123.21. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. ­ Designated Densely Developed Areas only100 ft. ­ New agricultural projects only200 ft. ­ All other projects3. Total area of Riverfront Area on the site of the proposed project square feet4. 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?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 ­ 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 1. square feet 2. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above1. cubic yards dredgedl.Land Subject to CoastalStorm Flowage 1. square feet4.Restoration/Enhancement Restoration/ReplacementIf the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has beenentered in Section B.2.b or B.3.h above, please entered the additional amount here.a. square feet of BVW b. square feet of Salt Marsh5.Projects Involves Stream Crossings Project Involves Streams CrossingsIf the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.a. number of new stream crossings b. number of replacement stream crossingsC. Other Applicable Standards and RequirementsStreamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review1.Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recentEstimated Habitat Map of State­Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program(NHESP)?a.Yes NoIf yes, include proof of mailing or hand delivery of NOI to:Natural Heritage and Endangered SpeciesProgramDivision of Fisheries and Wildlife1 Rabbit Hill RoadWestborough, MA 01581b. Date of map:FROM MAP VIEWERIf 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. Percentage/acreage of property to be altered:(a) within Wetland Resource Area percentage/acreage(b) outside Resource Area percentage/acreage2. Assessor's Map or right­of­way plan of site3. Project plans for entire project site, including wetland resource areas and areas outside of wetland jurisdiction, showingexisting and proposed conditions, existing and proposed tree/vegetation clearing line, and clearly demarcated limits of work **a.Project description (including description of impacts outside of wetland resource area & buffer zone)b. Photographs representative of the sitec. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/natural­heritage/regulatory­review/mass­endangered­species­act­mesa/mesa­fee­schedule.html )Make check payable to "Natural Heritage & Endangered Species Fund" and mail to NHESP at above addressProjects altering 10 or more acres of land, also submit:d.Vegetation cover type map of sitee.Project plans showing Priority & Estimated Habitat boundariesd. OR Check One of the following 1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/laws­regulations/cmr/321­cmr­1000­massachusetts­endangered­ species­act.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. Separate MESA review ongoing. a. NHESP Tracking Number RC­96869 b. Date submitted to NHESP 12/01/2025 3.Separate MESA review completed. Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan. *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. Not applicable ­ project is in inland resource area only b.Yes 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.Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or DEP Website for ACEC locations). Note: electronic filers click on Website. b. ACEC Name 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.Yes 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.Yes No 6.Is this project subject to provisions of the MassDEP Stormwater Management Standards? 1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management Handbook Vol.2, Chapter 3) 2.A portion of the site constitutes redevelopment 3.Proprietary BMPs are included in the Stormwater Management System b.No, Explain why the project is exempt: 1.Single Family Home 2.Emergency Road Repair 3.Small Residential Subdivision (less than or equal to 4 single­family houses or less than or equal to 4 units in multi­family 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 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 [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). 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. a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale: 1017 WEST MAIN ST CENTERVILLE MA PROPOSED SEASONAL DOCK AND STAIRWAY REPAIR WRS ENGINEERING LLC ROY OKUROWSKI 11/18/2025 1"­20' 5.If there is more than one property owner, please attach a list of these property owners not listed on this form. 6.Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7.Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8.Attach NOI Wetland Fee Transmittal Form. 9.Attach Stormwater Report, if needed. E. Fees 1. Fee Exempt: No filing fee shall 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 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 2. Municipal Check Number 3. Check date 4. State Check Number 5. Check date 6. Payer name on check: First Name 7. Payer name on check: 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 (return receipt requested) to all abutters within 100 feet of the property line of the project location. Stephen Tousignant 12/1/2025 1. Signature of Applicant 2. Date Stephen and Bernice Tousignant 12/1/2025 3. Signature of Property Owner(if different)4. Date Roy Okurowski 12/1/2025 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 1­3, 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. 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 #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 5 of 7 * ELECTRONIC COPY a.Yes, Attach a copy of the Stormwater Report as required by the Stormwater Management Standards per 310 CMR10.05(6)(k)­(q) and check if:A.General Information1. Project Location:a. Street Address 1017 WEST MAIN STb. City/Town BARNSTABLE c. Zip Code 02632d. Latitude 41.65703N e. Longitude 70.33065Wf. Map/Plat #229 g.Parcel/Lot #602. Applicant:Individual Organizationa. First Name STEPHEN b.Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f. State MA g. Zip Code 02324h. Phone Number i. Fax j. Email3.Property Owner:more than one ownera. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f.State MA g. Zip Code 02324h. Phone Number i. Fax j.Email4.Representative:a. First Name ROY b. Last Name OKUROWKSIc. Organization WRS ENGINEERING LLCd. Mailing Address 467 OCEAN STe. City/Town HYANNIS f. State MA g. Zip Code 02601h.Phone Number 508­776­0956 i.Fax j.Email royokurowski@gmail.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 111.20 b.State Fee Paid 43.10 c.City/Town Fee Paid 68.106.General Project Description:RECONSTRUCTION OF STAIRS AND PERMITTING A DOCK7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 36558 315B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):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 Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 123.21. square feet 2. square feetc.Land under Waterbodies and Waterways 123.21. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. ­ Designated Densely Developed Areas only100 ft. ­ New agricultural projects only200 ft. ­ All other projects3. Total area of Riverfront Area on the site of the proposed project square feet4. 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?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 ­ 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 1. square feet 2. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above1. cubic yards dredgedl.Land Subject to CoastalStorm Flowage 1. square feet4.Restoration/Enhancement Restoration/ReplacementIf the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has beenentered in Section B.2.b or B.3.h above, please entered the additional amount here.a. square feet of BVW b. square feet of Salt Marsh5.Projects Involves Stream Crossings Project Involves Streams CrossingsIf the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.a. number of new stream crossings b. number of replacement stream crossingsC. Other Applicable Standards and RequirementsStreamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review1.Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recentEstimated Habitat Map of State­Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program(NHESP)?a.Yes NoIf yes, include proof of mailing or hand delivery of NOI to:Natural Heritage and Endangered SpeciesProgramDivision of Fisheries and Wildlife1 Rabbit Hill RoadWestborough, MA 01581b. Date of map:FROM MAP VIEWERIf 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. Percentage/acreage of property to be altered:(a) within Wetland Resource Area percentage/acreage(b) outside Resource Area percentage/acreage2. Assessor's Map or right­of­way plan of site3. Project plans for entire project site, including wetland resource areas and areas outside of wetland jurisdiction, showingexisting and proposed conditions, existing and proposed tree/vegetation clearing line, and clearly demarcated limits of work **a.Project description (including description of impacts outside of wetland resource area & buffer zone)b. Photographs representative of the sitec. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/natural­heritage/regulatory­review/mass­endangered­species­act­mesa/mesa­fee­schedule.html )Make check payable to "Natural Heritage & Endangered Species Fund" and mail to NHESP at above addressProjects altering 10 or more acres of land, also submit:d.Vegetation cover type map of sitee.Project plans showing Priority & Estimated Habitat boundariesd. OR Check One of the following1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/laws­regulations/cmr/321­cmr­1000­massachusetts­endangered­species­act.html#10.14; the NOI must still be sent to NHESP if the project is within estimated habitat pursuant to 310 CMR10.37 and 10.59.)2. Separate MESA review ongoing.a. NHESP Tracking Number RC­96869b. Date submitted to NHESP 12/01/20253.Separate MESA review completed.Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan.*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. Not applicable ­ project is in inland resource area onlyb.Yes NoIf 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 StationAttn: Environmental Reviewer836 S. Rodney French Blvd New Bedford, MA 02744 North Shore ­ Hull to New Hampshire:Division of Marine Fisheries ­ North Shore OfficeAttn: Environmental Reviewer30 Emerson AvenueGloucester, MA 01930If 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.Yes No If yes, provide name of ACEC (see instructions to WPAForm 3 or DEP Website for ACEC locations). Note:electronic filers click on Website.b. ACEC Name4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in theMassachusetts Surface Water Quality Standards, 314 CMR 4.00?a.Yes No5.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.Yes No6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management HandbookVol.2, Chapter 3)2.A portion of the site constitutes redevelopment 3.Proprietary BMPs are included in the Stormwater Management System b.No, Explain why the project is exempt: 1.Single Family Home 2.Emergency Road Repair 3.Small Residential Subdivision (less than or equal to 4 single­family houses or less than or equal to 4 units in multi­family 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 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 [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). 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. a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale: 1017 WEST MAIN ST CENTERVILLE MA PROPOSED SEASONAL DOCK AND STAIRWAY REPAIR WRS ENGINEERING LLC ROY OKUROWSKI 11/18/2025 1"­20' 5.If there is more than one property owner, please attach a list of these property owners not listed on this form. 6.Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7.Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8.Attach NOI Wetland Fee Transmittal Form. 9.Attach Stormwater Report, if needed. E. Fees 1. Fee Exempt: No filing fee shall 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 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 2. Municipal Check Number 3. Check date 4. State Check Number 5. Check date 6. Payer name on check: First Name 7. Payer name on check: 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 (return receipt requested) to all abutters within 100 feet of the property line of the project location. Stephen Tousignant 12/1/2025 1. Signature of Applicant 2. Date Stephen and Bernice Tousignant 12/1/2025 3. Signature of Property Owner(if different)4. Date Roy Okurowski 12/1/2025 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 1­3, 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. 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 #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 6 of 7 * ELECTRONIC COPY a.Yes, Attach a copy of the Stormwater Report as required by the Stormwater Management Standards per 310 CMR10.05(6)(k)­(q) and check if:A.General Information1. Project Location:a. Street Address 1017 WEST MAIN STb. City/Town BARNSTABLE c. Zip Code 02632d. Latitude 41.65703N e. Longitude 70.33065Wf. Map/Plat #229 g.Parcel/Lot #602. Applicant:Individual Organizationa. First Name STEPHEN b.Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f. State MA g. Zip Code 02324h. Phone Number i. Fax j. Email3.Property Owner:more than one ownera. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANTc. Organizationd. Mailing Address 280 AUBURN STe. City/Town BRIDGEWATER f.State MA g. Zip Code 02324h. Phone Number i. Fax j.Email4.Representative:a. First Name ROY b. Last Name OKUROWKSIc. Organization WRS ENGINEERING LLCd. Mailing Address 467 OCEAN STe. City/Town HYANNIS f. State MA g. Zip Code 02601h.Phone Number 508­776­0956 i.Fax j.Email royokurowski@gmail.com5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form):a.Total Fee Paid 111.20 b.State Fee Paid 43.10 c.City/Town Fee Paid 68.106.General Project Description:RECONSTRUCTION OF STAIRS AND PERMITTING A DOCK7a.Project Type:1. Single Family Home 2. Residential Subdivision3.Limited Project Driveway Crossing 4.Commercial/Industrial5.Dock/Pier 6.Utilities7.Coastal Engineering Structure 8.Agriculture (eg., cranberries, forestry)9.Transportation 10.Other7b.Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310CMR 10.53 (inland)?1.Yes No If yes, describe which limited project applies to this project:2. Limited Project8.Property recorded at the Registry of Deeds for:a.County:b.Certificate:c.Book:d.Page:BARNSTABLE 36558 315B. Buffer Zone & Resource Area Impacts (temporary & permanent)1.Buffer Zone & Resource Area Impacts (temporary & permanent):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 Size of Proposed Alteration Proposed Replacement (if any)a.Bank 1. linear feet 2. linear feetb.Bordering Vegetated Wetland 123.21. square feet 2. square feetc.Land under Waterbodies and Waterways 123.21. Square feet 2. square feet3. cubic yards dredgedd.Bordering Land Subject to Flooding 1. square feet 2. square feet3. cubic feet of flood storage lost 4. cubic feet replacede.Isolated Land Subject to Flooding 1. square feet2. cubic feet of flood storage lost 3. cubic feet replacedf.Riverfront Area 1. Name of Waterway (if any)2. Width of Riverfront Area (check one)25 ft. ­ Designated Densely Developed Areas only100 ft. ­ New agricultural projects only200 ft. ­ All other projects3. Total area of Riverfront Area on the site of the proposed project square feet4. 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?Yes No6. Was the lot where the activity is proposed created prior to August 1, 1996?Yes No3.Coastal Resource Areas: (See 310 CMR 10.25 ­ 10.35)Resource Area Size of Proposed Alteration Proposed Replacement (if any)a.Designated Port Areas Indicate size under Land under the ocean below,b.Land Under the Ocean 1. square feet2. cubic yards dredgedc.Barrier Beaches Indicate size under Coastal Beaches and/or Coatstal Dunes, belowd.Coastal Beaches 1. square feet 2. cubic yards beach nourishmente.Coastal Dunes 1. square feet 2. cubic yards dune nourishmentf.Coastal Banks 1. linear feetg.Rocky Intertidal Shores 1. square feeth.Salt Marshes 1. square feet 2. sq ft restoration, rehab, crea.i.Land Under Salt Ponds 1. square feet2. cubic yards dredgedj.Land Containing Shellfish 1. square feetk.Fish Runs Indicate size under Coastal Banks, Inland Bank, Land Under the Ocean, and/or inland LandUnder Waterbodies and Waterways, above1. cubic yards dredgedl.Land Subject to CoastalStorm Flowage 1. square feet4.Restoration/Enhancement Restoration/ReplacementIf the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has beenentered in Section B.2.b or B.3.h above, please entered the additional amount here.a. square feet of BVW b. square feet of Salt Marsh5.Projects Involves Stream Crossings Project Involves Streams CrossingsIf the project involves Stream Crossings, please enter the number of new stream crossings/number of replacement stream crossings.a. number of new stream crossings b. number of replacement stream crossingsC. Other Applicable Standards and RequirementsStreamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review1.Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on the most recentEstimated Habitat Map of State­Listed Rare Wetland Wildlife published by the Natural Heritage of Endangered Species program(NHESP)?a.Yes NoIf yes, include proof of mailing or hand delivery of NOI to:Natural Heritage and Endangered SpeciesProgramDivision of Fisheries and Wildlife1 Rabbit Hill RoadWestborough, MA 01581b. Date of map:FROM MAP VIEWERIf 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. Percentage/acreage of property to be altered:(a) within Wetland Resource Area percentage/acreage(b) outside Resource Area percentage/acreage2. Assessor's Map or right­of­way plan of site3. Project plans for entire project site, including wetland resource areas and areas outside of wetland jurisdiction, showingexisting and proposed conditions, existing and proposed tree/vegetation clearing line, and clearly demarcated limits of work **a.Project description (including description of impacts outside of wetland resource area & buffer zone)b. Photographs representative of the sitec. MESA filing fee (fee information available at: http://www.mass.gov/eea/agencies/dfg/dfw/natural­heritage/regulatory­review/mass­endangered­species­act­mesa/mesa­fee­schedule.html )Make check payable to "Natural Heritage & Endangered Species Fund" and mail to NHESP at above addressProjects altering 10 or more acres of land, also submit:d.Vegetation cover type map of sitee.Project plans showing Priority & Estimated Habitat boundariesd. OR Check One of the following1. Project is exempt from MESA review. Attach applicant letter indicating which MESA exemption applies. (See 321CMR 10.14, http://www.mass.gov/eea/agencies/dfg/dfw/laws­regulations/cmr/321­cmr­1000­massachusetts­endangered­species­act.html#10.14; the NOI must still be sent to NHESP if the project is within estimated habitat pursuant to 310 CMR10.37 and 10.59.)2. Separate MESA review ongoing.a. NHESP Tracking Number RC­96869b. Date submitted to NHESP 12/01/20253.Separate MESA review completed.Include copy of NHESP "no Take" determination or valid Conservation & Management Permit with approved plan.*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. Not applicable ­ project is in inland resource area onlyb.Yes NoIf 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 StationAttn: Environmental Reviewer836 S. Rodney French Blvd New Bedford, MA 02744 North Shore ­ Hull to New Hampshire:Division of Marine Fisheries ­ North Shore OfficeAttn: Environmental Reviewer30 Emerson AvenueGloucester, MA 01930If 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.Yes No If yes, provide name of ACEC (see instructions to WPAForm 3 or DEP Website for ACEC locations). Note:electronic filers click on Website.b. ACEC Name4.Is any portion of the proposed project within an area designated as an Outstanding Resource Water (ORW) as designated in theMassachusetts Surface Water Quality Standards, 314 CMR 4.00?a.Yes No5.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.Yes No6.Is this project subject to provisions of the MassDEP Stormwater Management Standards?1.Applying for Low Impact Development (LID) site design credits (as described in Stormwater Management HandbookVol.2, Chapter 3)2.A portion of the site constitutes redevelopment3.Proprietary BMPs are included in the Stormwater Management Systemb.No, Explain why the project is exempt:1.Single Family Home2.Emergency Road Repair3.Small Residential Subdivision (less than or equal to 4 single­family houses or less than or equal to 4 units in multi­familyhousing project) with no discharge to Critical Areas.D. Additional InformationApplicants 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 yousubmit 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 theConservation 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[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).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.a. Plan Title:b. Plan Prepared By:c. Plan Signed/Stamped By:c. Revised Final Date:e. Scale:1017 WEST MAIN STCENTERVILLE MAPROPOSEDSEASONAL DOCKAND STAIRWAYREPAIR WRS ENGINEERINGLLC ROY OKUROWSKI 11/18/2025 1"­20' 5.If there is more than one property owner, please attach a list of these property owners not listed on this form. 6.Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed. 7.Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed. 8.Attach NOI Wetland Fee Transmittal Form. 9.Attach Stormwater Report, if needed. E. Fees 1. Fee Exempt: No filing fee shall 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 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment: 2. Municipal Check Number 3. Check date 4. State Check Number 5. Check date 6. Payer name on check: First Name 7. Payer name on check: 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 (return receipt requested) to all abutters within 100 feet of the property line of the project location. Stephen Tousignant 12/1/2025 1. Signature of Applicant 2. Date Stephen and Bernice Tousignant 12/1/2025 3. Signature of Property Owner(if different)4. Date Roy Okurowski 12/1/2025 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 1­3, 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. 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 #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 7 of 7 * ELECTRONIC COPY A. Applicant Information 1. Applicant: a. First Name STEPHEN b.Last Name TOUSIGNANT c. Organization d. Mailing Address 280 AUBURN ST e. City/Town BRIDGEWATER f. State MA g. Zip Code 02324 h. Phone Number i. Fax j. Email 2.Property Owner:(if different) a. First Name STEPHEN & BERNICE b. Last Name TOUSIGNANT c. Organization d. Mailing Address 280 AUBURN ST e. City/Town BRIDGEWATER f.State MA g. Zip Code 02324 h. Phone Number i. Fax j.Email 3. Project Location: a. Street Address 1017 WEST MAIN ST b. City/Town BARNSTABLE Are you exempted from Fee?  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 Number Activity Fee RF Multiplier Sub Total A.) WORK ON DOCKS, PIERS, REVETMENTS, DIKES, ETC. (COASTAL OR INLAND).27.8 4.00 111.20 City/Town share of filling fee $68.10 State share of filing fee $43.10 Total Project Fee $111.20 Massachusetts Department of Environmental Protection Bureau of Resource Protection ­ Wetlands WPA Form 3 ­ Notice of Wetland FeeTransmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by MassDEP: MassDEP File #: eDEP Transaction #:1955550 City/Town:BARNSTABLE Page 1 of 1 * ELECTRONIC COPY MassDEP Home | Contact | Privacy Policy MassDEP's Online Filing System Username:WRSPERMITTING Nickname: CAPECODPERMITTING Transaction Overview Trans# 1955550 ID# WPA Form 3 - NOI Payment print Exit Payment Confirmation Thank you. Your payment has been received and payment reciept has been emailed. DEP TRANS # 1955550 Payment Amount: $43.1 Payment Date: 12/1/2025 3:06:16 PM DEP Payment Confirmation ID: 3ebe2303-9101-4f0f-85ea-42e383f96e2c Note: Payment received after 3:30pm will not be posted until the next business day. MassDEP Home | Contact | Privacy Policy M a s s D E P 's O n l i n e F i l i n g S y s t e m v e r.1 7 .2 2 .2 .1 © 2 0 2 5 M a s s D E P My eDEP Forms My Profile Help Notifications Forms Signature Payment Submit 12/1/25, 3:06 PM eDEP - MassDEP's OnlineFiling System https://edep.dep.mass.gov/eDEP/Pages/Payment/PaymentConfirmation.aspx 1/1 d Seasonal Dock and Stairway Replacement NOTICE OF INTENT FILING LING Date: 11/10/25 Filing Date: 3/23/23 Filing Date: 3/23/23 1017 West Main Street Centerville, MA Prepared by: WRS Engineering 33 Prince Road Yarmouth, MA Prepared by: WRS Engineering 33 Prince Road Yarmouth, MA Tousignant Family Trust Mr. Jeffrey Cutter Mr. Jeffrey Cutter Mr. Jeffrey Cutter Table of Contents 1. eDEP online filing application including original owner signature 2. Town of Barnstable Checklist for NOI 3. Existing and Proposed Conditions narrative 4. Construction Sequence narrative (equipment, staging locations, etc.) 5. Alternatives Analysis narrative 6. Performance standard narrative (Guidelines for Private Freshwater Docks, Piers & Floats and Chapter 703 Private Docks and Piers) 7. Certified abutters list and Notice to Abutters 8. Additional information (research, deeds, licenses, tax assessors’ card) 9. Certified mail receipts 10. Copies of checks 11. 1 original and 7 copies of Notice of Intent Plan Property Description The property is located on Long Pond in Centerville with a single family residence. The property sits on top of an inland sloping bank that is sparsely vegetated. There are two sets of inground landscape timber stairways with associated timber retaining walls that lead to the waterfront. Portions of the property are located within a Natural Heritage and Endangered Species Program regulated area. Project Description This proposal includes the following: - Installation of a seasonal pier/float that extends approximately 27.8’ from freshwater high water line in Long Pond - Reconstruction of stairways/retaining walls down the inland bank to allow adequate and safe access to the waterfront - Implementation of planting plan prepared by Environmental C onsulting & Restoration, LLC. Performance Standards Guidelines for Private Freshwater Docks, Piers and Floats The terms “dock, piers & floats” are used interchangeably. While each application for a freshwater pier will be reviewed on its own merits, the Commission expects that the proposed pier will generally comply with the following guidelines: 1. Seasonal: The pier should be seasonally deployed no earlier than April 1, and removed no later than November 1. Noted. 2. Materials: The pier should be manufactured from suitable materials such as aluminum, plastic or composite, but not pressure treated wood. Seasonal pier will be made from aluminum materials. 3. Length and width: The pier length should reflect that of existing nearyby piers on the pond or similar ponds. Floats should not be allowed to ground the substrate. The maximum pier width should be 4 feet. The end floats or platform for berthing vessels should be no greater than 96 square feet. The total length of the pier is 32’ and the square footage of the float is 42 SF. 4. Access: Access should be provided as a means for along-shore public traverse. If the pier is located on a great pond, *access is required by Ch. 91. Lateral access will be provided above the water line over the proposed pier and stairway. 5. Off-Season Storage – Pier sections should be stored in an upland location and not in the buffer zone. The pier will be restored on the property above the Top of Inland Bank. 6. Centering: The pier should be near the centerline of the lot and perpendicular to the shore. The pier is in line with the existing path/stairway. 7. Depth: When a motorboat is to be berthed at the pier, the minimum depth should be 12 inches under the draft of the boat, with the motor in the downward position so as to avoid damaging the substrate and causing re-suspension of sediments that could be harmful to any shellfish, finfish, or aquatic plant species that may be present. The amount of water at the end of the structure is proposed at approximately 3.9’. The proposed watercraft drafts approximately 18” so the water is 3.1’ deep at the downward position of the outboard motor. § 703-3. Filing protocols. A. A notice of intent is required for any new pier or dock, whether fixed or floating, permanent or seasonal; also for any substantial alteration or extension of an existing pier or dock. B. one copy of the notice of intent shall be sent to each person or office on the following list, by certified mail or hand-delivered, and a receipt obtained at the time of filing of the notice of intent with the Conservation Commission: (1) Shellfish Biologist/Marine and Environmental Affairs. (2) Harbormaster. (3) Waterways Committee. C. The applicant shall provide evidence to the Conservation Commission at the time of the notice of intent filing that such copies have been mailed or delivered. The project shall be clearly identified and staked or marked with a buoy at pier end within three weeks prior to the hearing. D. The notice of intent shall include: (1) Brief comments, where appropriate, on each of the Guidelines. (2) Length, draft and type of boats, horsepower and type of propulsion system intended for docking or use at the pier, including the depth of the propulsion system in its lowest position. (3) Locus identified by Town Assessor's map and parcel number, and by street number, street and village. (4) Locus shown on Assessor's map. (5) Daytime telephone number of applicant, or name and telephone number of applicant's agent. (6) A shellfish survey, including an analysis of shellfish habitat suitability, and substrate sediment analysis. The minimum area surveyed shall include a 50-foot radius from the proposed project. The actual samples shall represent no less than 0.5% of this area. (7) The shellfish survey report shall include as a minimum: (a) The resume of the person(s) conducting the survey, including their qualifications for conducting such a survey; (b) The date, time of day and tidal conditions at the time of the survey; (c) A narrative explaining the methodology and equipment utilized, location and number of transects/quadrants utilized, results obtained, observations and conclusions. E. The project plans shall show: (1) A description of all materials to be used and the method of construction, including the method of pile installation; when near shellfish habitat, the type of precautions used to insure the barge and equipment used will not damage shellfish habitat. (2) Where the structure is seasonal or includes seasonal floats, a statement indicating the site for winter storage and the method of hauling, if any. (3) Soundings within 100 feet of the dock and from the dock to the closest marked channel. Depth shall be measured to the top surface of soft sediments. Soundings shall be of sufficient density to allow the exact determination of water depths around the proposed pier and floats, and to the closest navigable channel. The soundings shall show the MLW in the areas where the proposed boat will be berthed. (4) Data shall be supplied to the Commission showing the time and date of the depth survey, the existing weather conditions, the state of the tide and the actual depths measured from water surface to the bottom. The methodology used to determine MLW and MHW shall be given. If MLW or MHW is derived from NGVD or other reference Datum, an explanation of the calculations used must be included in the narrative. (5) Eel grass within 200 feet of dock. (6) Marked or recognized navigation channels within 200 feet of pier. (7) Any moorings within two hundred feet of the proposed pier and information affixed to those moorings (8) Location of existing Town, commercial and private piers, Town landings (ways to water), public or Association beaches, shellfish propagation or relay areas and designated Town shellfishing areas within three hundred feet of the proposed pier. (9) Approximate shoreward boundary of any existing public or commercial mooring area within 200 feet of the pier. (A recent aerial photograph, taken during the summer boating season, may be used for this purpose if desired.) Proximate moorings shall be shown on plan. (10) Location of existing Town, commercial or private piers and docks, and Town landings, within 300 feet of pier. (11) The plan shall have the official stamp of a registered civil engineer or land surveyor. F. In addition to the above requirements, the applicant shall comply with the Submission Requirements Checklist available at the Conservation Commission Office. G. a notice of intent may not be accepted or approved by the Conservation Commission unless all of the foregoing requirements have been completed. If any section does not apply, such inapplicability shall be indicated. § 703-4. Regulations. A. Private, noncommercial docks, being structures accessory to and appurtenant to dwellings, will be permitted only on land contiguous to the dwelling being served, except where unusual circumstances of longstanding may apply, such as where the dwelling is separated from the shore by a road. B. No dock, even if otherwise permitted, may be constructed when it is appurtenant to a residential dwelling until an occupancy permit has been issued for that dwelling. C. Only non-CCA material may be used in the construction of the dock. Lead caps are not permitted. No creosote treated materials may be used. [Note: CCA piles and structural timber three inches or more in thickness may continue to be used until such time as the Commission determines that suitable alternatives exist.] D. Lighting, if installed, shall not exceed a 25 watt incandescent bu lb, set a minimum of 12 feet apart and a maximum of two feet high from the walking surface. These lights must be baffled or shaded to direct light downward only. The lights cannot utilize timers and should be switched at the beginning and end of dock. No lighting shall interfere with safe navigation. E. All piers and walkways shall be provided with access stairs at or proximate to MHW or other means provided for along shore public traverse. All structures shall be provided with suitable signage notifying the public of its right to free access as provided by the commonwealth, or equivalent. F. The DEP permit number shall be permanently and conspicuously placed on the dock so as to be visible from seaward. G. Storage of floats, other seasonal pier material, and boats shall not be allowed on marshes, dunes, or coastal banks. All such materials must be stored in a permitted area and transported thereto without causing damage to any resource area, or outside of conservation jurisdiction. H. Where the project includes the use of floats, the combined size of all floats shall be consistent with the impact of the entire project on the protected values at the site, but not greater than 200 square feet. A minimum depth of 12 inches of water measured at MLW is required under the floats. I. Plank spacing shall be a minimum of 3/4 inch. However, where any portion of the dock (walkways, ramps, pier, etc) crosses a salt marsh, a minimum of 65% light penetration is required. The maximum dock width shall be 4 feet, measured center of pile to center of pile. For single pile construction, maximum deck width shall be four feet. J. No dock, including pier, floats, dolphins, etc., shall extend further from shore than: (1) A point equaling 1/2 of the lot's water frontage measured in a straight line between the lot's waterfront corners. Owners of two adjoining lots may combine frontage and erect a shared pier, provided that such agreement is registered in perpetuity at the Registry of Deeds. (2) A point 35 feet from a publicly used channel, either a marked channel or a channel as defined by historic use. This dimension includes the beam of the vessel being berthed. (3) Is necessary to attain a depth of water at mean low water suitable for a private use of the pier that is consistent with protection of the wetland resources adjacent to the site and uses of the adjacent waters and wetlands by the public in pursuit of the interests protected under the Town of Barnstable Wetlands Protection Ordinance, but under no circumstances greater than 100 feet from mean low water, including all "ells" and "tees," regardless of configuration. (4) Twenty percent of the width of a linear waterway at MLW except where the location of an existing channel shall dictate otherwise. This width shall include the beam of the berthed vessel. In such waterways, i.e., rivers, narrow estuaries, etc., sufficient open water shall be maintained to sustain a variety of activities not simply related to safe transit. K. Notwithstanding any other provision pertaining to length, no dock shall be longer than is necessary to attain the minimum depths required herein, and may not obstruct waterways normally used for recreation. L. The base of the pier shall be as close as possible to the center line of the lot, and it shall project outwards at an angle as nearly perpendicular to the shoreline as possible. M. Within the limits of performance standards governing overall length of docks, the following depth requirements must be met for motorized vessels, with these draft requirements continuing over time: (1) In areas determined to be of high-value shellfish habitat, the minimum depth under the draft of the boat must be 30 inches at MLW. High-value shellfish habitats are those found to be significant to the provision or protection of the wetland values protected under Chapter 237, Wetlands Protection, of the General Ordinances of the Code of the Town of Barnstable.. Any area rated six or above on any maps or reports developed by the Natural Resources Division and filed with the Commission and the Town Clerk shall be presumptively considered a high-value shellfish area. (2) In areas determined not to be high-value shellfish habitat, the minimum depth under the draft of the boat must be 12 inches at MLW. (3) For vessels using unconventional drive systems, such as but not limited to jet - drives, the applicant, in addition to meeting the above minimum depth requirements, must further demonstrate that the water depth is adequate to protect the interests herein referenced. (4) To prevent bottom scouring, the above-described minimum depths must exist not only at the dock where a boat(s) is to be berthed or used but also between the dock and the nearest navigable channel or open water. N. Notwithstanding any other provisions contained herein, no new or expansion of an existing dock shall be permitted within an ACEC (area of critical environmental concern). O. Private piers shall be constructed so as to not interfere with any longstanding public recreational use of the waterway, e.g., an area used by sailboats tacking through a narrow waterway, an area used by boaters or others because of unique wind or current conditions, a structure that would interfere with public access to or from a way to water or public. P. Where there is a substantial expansion of an existing dock, the Commission may require compliance with all or part of these regulations. Q. (1) Boat lifts, boat elevators and boat davits are prohibited for any proposed new dock except where necessary for handicapped access for a resident of the property where the dock is proposed. Where there is no longer a demonstrated medical need, or when the property is transferred or sold, the boat lift, elevator or davits must be removed and the Conservation Division notified. (2) Boat lifts, boat elevators and boat davits are prohibited for any existing, permitted dock except: (a) where necessary for handicapped access for a resident of the property where the dock is located. Where there is no longer a demonstrated medical need, or when the property is transferred or sold, the boat lift, elevator or davits must be removed and the Conservation Division notified, or, (b) where extraordinary circumstances are proven to exist such as wind, tides, currents and boat wakes, and, where the commonly-used alternatives of boat whips and dolphins/tie-off piles are proven by the applicant as being unable to provide stability for vessels berthed at the dock. (3) Boat lifting devices that qualify above in paragraphs 1 or 2 must comply with the following: (a) be either mechanically operated or electrically driven. The use of hydraulic fluid is prohibited. (b) be painted a neutral color or anodized. (c) be elevated so that the hull of the vessel is no more than 12” above Mean High Water except that greater heights can be set for extreme tides, not to exceed the spring tide line. Notwithstanding this provision, elevated vessels should be removed during storm events. Due to extreme tidal range, boat lifts, elevators and davits are prohibited in Barnstable Harbor. (d) have a specific vessel identified with its use; such vessel having a neutral hull color and having either no bottom paint or a non-toxic bottom paint. The applicant will provide bottom paint specifications to staff for review. R. (1) Improvement dredging to create water depths to otherwise meet the requirements of these regulations is prohibited. Improvement dredging is not allowed to provide greater depths at a shallow site that otherwise would qualify only for either a non -motorized, dinghy dock or a small-draft motorized dock. (2) Improvement dredging to create greater water depths at the site of an existing, permitted pier and /or in a fairway from the permitted pier to the nearest channel is prohibited except that a waiver may be sought where accretion of sub-surface sediments has occurred as a result of either: (a) the littoral drift of sediments from nearby beaches, dunes and banks that have been artificially nourished, or, (b) the passage and re-passage in the nearest channel of large passenger/car/truck ferries or other large observation, freight or tanker vessels. Under either ‘a’ or ‘b’, improvement dredging is allowed to restore the depths that existed at the time the dock was permitted by the Commission. § 703-5. Presumption of adverse effect; burden of proof; cumulative impact . A. When a proposed project involves the dredging, removing, filling, altering or causing of a potentially adverse effect to an area subject to protection under the ordinance by the construction or enlargement of a dock, the Commission shall presume that the proposed activity will have a significant or cumulative adverse effect upon the resource values specified in Chapter 237, Wetlands Protection, of the General Ordinances of the Code of the Town of Barnstable. These presumptions are rebuttable and may be overcome only by a preponderance of evidence showing that the work does not have a significant or cumulative adverse effect upon the resource values. The burden of proof to overcome the presumption shall be borne by the applicant. Moreover, the Commission will consider the impact of both existing docks and future docks with pending applications in determining the cumulative effects upon the protected resource areas. Where appropriate, the applicant may be required to submit a drawing showing all possible docks (docks that may meet Commission guidelines) within 1/2 mile of the proposed dock or other agreed to cumulative physical location. The cumulative impact of such docks and the related boat use pattern on the values protected by the ordinance will be considered by the Commission. A project which may otherwise comply with these regulations and guidelines may be denied where its cumulative effect would result in an adverse impact upon the protected resource areas. B. In most cases seasonal piers present less impact to the resource because of their seasonal nature and because they can be constructed entirely with environmentally benign materials. Accordingly, the presumptions set forth herein may be more easily overcome for this type of construction. C. These regulations notwithstanding, the Conservation Commission will consider any and all pier proposals on a site-specific basis, disposing of each according to its merit and to the degree that the preponderance of evidence shall show that the statutory interests have been preserved and protected. § 703-6. Construction protocol. A. The Natural Resources Department shall be given written notice by the applicant not less than 10 working days before the start of construction in order to arrange shellfish removal, reseeding, replanting, monitoring, and subsequent replanting if necessary, at the applicant's expense. B. The Conservation Commission shall be given written notice by the applicant not less than five business days before the start of construction. 1 C. All construction shall proceed in compliance with the plan of record and the order of conditions. No alterations for which revised plans have not been approved prior to construction will be allowed. Alternatives Analysis Option 1: Current proposal – construct pier to approximately 27.8’ beyond high water. This is the required distance to reach a depth of 3.9’ at the end of the pier. This does not extend or encroach into the navigational channel and will not interfere with nearby piers/docks. Option 2: Construct a smaller pier that extends approximately 20’ beyond mean high water. This would preclude the owner from utilizing their boat as it would result in only 2.5’ of depth at the end of the pier. Option 3: Construct a permanent wooden pier. This would not follow the regulations and would not be as environmentally beneficial as a seasonally removable pier. Construction Protocol The proposed work shall be performed with the minimum amount of equipment necessary to follow through with the project objectives. Staging areas for the proposed pier will be on the owner’s upland property only and accessed from the driveway or working barge. Pre-construction Meeting Prior to construction, a pre-construction meeting shall be held on-site with the Contractor, Property Owner, Conservation Commission and/or agent, and the Project Manager (WRS Engineering LLC). The purpose of the meeting is to clearly delineate the limits of work and access, as well as the staging area. The Contractor will describe the proposed means and methods for performing the work within the requirements of the plans, order of conditions and construction protocol. The contractor will comply with mitigation measures as established by the Conservation Commission. To be discussed at the meeting: - Existing property conditions, necessary precautions to be taken by the Contractor; - Means and methods for construction; - Necessary post-construction remedial efforts - Procedure for post construction inspection; - WRS Engineering’s responsibilities for inspections and project coordination During construction, the site shall be accessible for inspection during reasonable hours by all parties, members of the conservation commission and their agents, and the Project Manager. Post-construction meeting Upon completion of construction, but prior to equipment being removed from the site, a post- construction meeting shall be held on -site with the Contractor, Property Owner, Conservation 1017 West Main Street – NOI 11/10/25 2 Commission and/or Agent, and the Project Manager (WRS Engineering LLC). The purpose of this meeting is to determine that the project has been satisfactorily completed in accordance with all permits, and that no additional work or mitigation is required by the Contractor. Restoration of Project Area Upon completion of construction any and all areas disturbed by the construction effort shall be returned as much as practical to their pre-construction conditions to the satisfaction of the property owner and conservation agent. All disturbed marsh or vegetated areas shall be re -vegetated with indigenous or grass vegetation to match pre-construction conditions for the surrounding areas, or as determined during the preconstruction meeting. P.O. Box 4012, Plymouth, Massachusetts 02361 617-529-3792 | www.ecrwetlands.com WETLAND DELINEATION MEMO TO: WRS Engineering LLC FROM: Cameron Larson, Wetland Scientist DATE: November 24, 2025 RE: 1017 West Main Street, Centerville Per your request, Environmental Consulting & Restoration, LLC (ECR) performed a review of the existing conditions at the property located at 1017 West Main Street in Centerville (the site) on November 11, 2025. The purpose of the review was to identify wetland resource areas on and near the site. The site is located to the south of West Main Street along the northern shore of Long Pond. The site consists of a single-family home with an associated paved driveway, porch, patio, maintained lawn/landscaped areas, retaining walls, etc. Wetland resource areas are located within the southern portion of the site to the rear of the existing home. ECR placed Bordering Vegetated Wetland (BVW) flags (pink/black striped ribbons) #F1 to #F6 along the limit of the vegetated wetland associated with Long Pond. The vegetated wetland was delineated following the methodology established by the Massachusetts Department of Environmental Protection (DEP) regulations found at 310 CMR 10.55 pertaining to the delineation of Bordering Vegetated Wetlands. The delineation was performed by analyzing vegetation, hydrology within 12 inches of the surface, and soil conditions within 20 inches of the surface. The wetland contains hydric soils, saturated soils, and dominant wetland indicator plants. ECR also delineated the Inland Bank/Ordinary High-Water line (IB/OHW) of Long Pond to the south of the site. IB/OHW flags (blue ribbons) #IB/OHW1 to #OHW4 were placed along the limit of the pond in order to identify this resource area located downgradient of the BVW described above. The Inland Bank was delineated in accordance with DEP’s requirements for Bank (310 CMR 10.54). As a result of ECR’s wetland delineation at the site, ECR confirms the site contains the following wetland resource areas and areas of Conservation Commission jurisdiction: • Bordering Vegetated Wetlands (BVW) • Inland Bank to pond • 100-foot Buffer Zone to BVW Also, a review of the MassMapper database reveals the following: 1. The southern portion of the site is located within Estimated/Priority Habitat for Rare Species according to the Massachusetts Natural Heritage & Endangered Species Program (MaNHESP). 2. The site does not contain mapped Certified or Potential Vernal Pools according to the MaNHESP. 3. The site does not contain a USGS mapped stream. 4. The site does not contain areas mapped as Land Subject to Flooding according to the FEMA Maps. 5. The site is not located within an Area of Critical Environmental Concern. Upon review of this wetland delineation memo, please contact me at (508) 648-3957 or cameron@ecrwetlands.com with any questions or requests for additional information. NOTICE OF INTENT ABUTTER NOTIFICATION LETTER DATE: RE: Upcoming Barnstable Conservation Commission Public Hearing To Whom It May Concern, As an abutter within 100 feet of a proposed project, please be advised that a NOTICE OF INTENT 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) Conservation Notice of Intent (NOI) Abutter List for Subject Parcel 229060 Property owners within 100 feet of the perimeter of the subject parcel upon which work is proposed. Parcel ID Owner 1 Owner 2 Address Line 1 Address Line 2 City State Zip 229058 FAIR, MATTHEW G & SARAH K 40 RIVERFIELD DRIVE WESTPORT 06880CT 229059 AUBREY, JONATHAN T TR AUBREY REAL ESTATE TRUST 15 GLENDALE AVENUE, APT. 2 NORTH HAMPTON 01060MA 229060 TOUSIGNANT, STEPHEN I & BERNICE P TRS TOUSIGNANT FAMILY TRUST 280 AUBURN STREET BRIDGEWATER 02324MA 229061 SVERDLIN, GERRY I & MESCHANSKY, ANNA F 16 FAIRMOUNT WAY QUINCY 02169MA 229062 PYNE, ELAINE M TR ELAINE M PYNE TRUST 15 SCOTTSDALE RD CENTERVILLE 02632MA 229100001 ARC ROCK17MA LLC C/O ROCKLAND TRUST ATTN: FACILITIES DEPT 288 UNION ST ROCKLAND 02370MA 229100003 PERSAM FALMOUTH LLC C/O JUAN PEREZ 118 KNICKERBOCKER AVE BROOKLYN 11237NY 229121 1000 WEST MAIN LLC 1000 WEST MAIN STREET CENTERVILLE 02632MA 12/1/2025 2:39 PMReport Generated On:Page 1 of 1 8Total 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. 2,100.00 Conservation Notice of Intent (NOI) Abutter Map for Subject Parcel 229060 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. Legend Property owners within 100 feet of the perimeter of 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. 88 Town of Barnstable GIS Unit 175 12/1/2025 gis@town.barnstable.ma.us Printed on: 0 ft.175 Subject Parcel Abutters 100 ft. Buffer ft. 1 inch = approx. Parcels Town Boundary Railroad Tracks Buildings Approx. Building Buildings Parking Lots Paved Unpaved Roads Paved Road Unpaved Road Bridge Paved Median Water Bodies NOTICE OF INTENT ABUTTER NOTIFICATION LETTER DATE: RE: Upcoming Barnstable Conservation Commission Public Hearing To Whom It May Concern, As an abutter within 100 feet of a proposed project, please be advised that a NOTICE OF INTENT 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) 2,000.00 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. 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. 3330167 Feet feetApprox. Scale: 1 inch =167 Legend Town of Barnstable GIS Unit 367 Main Street, Hyannis, MA 02601 508-862-4624 gis@town.barnstable.ma.us Map printed on:12/1/2025 Road Names Imagery ©2025 , Map data ©2025 Google 2000 ft Drive 2.8 miles, 7 minBarnstable Town Assessors, 367 Main St, Hyannis, MA 02601 to 1017 W Main St, Centerville, MA 02632 12/1/25, 2:52 PM Barnstable Town Assessors to 1017 W Main St, Centerville, MA 02632 - Google Maps https://www.google.com/maps/dir/Barnstable+Town+Assessors/1017+W+Main+St,+Centerville,+MA+02632/@41.6524031,-70.3271476,14z/am=t/data=!3m1!4b1!4…1/2