HomeMy WebLinkAbout0267 SEAPUIT ROAD (2) lecv- -
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Waterways Regulation Program Tr 108945
Transmittal No.
Chapter 91 Waterways License Application -310 CMR 9.00
Water-Dependent,Nonwater-Dependent,Amendment
Important A. Application Information Check one
When filling out PP
forms to the NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing
computer,use P P� PP� 9
ony the tab key Package for BRP WW06.
to move your
cursor-do not Name(Complete Application Sections) Check One Fee Application#
use the return
key. WATER-DEPENDENT-
General (A-H) ❑ Residential with <4 units $175.00 BRP WW01a
Other $270.00 BRP WW01 b
❑ Extended Term $2730.00 BRP WW01c
Forassistance ....................................................---------------------•-------•------------.-..-.:-..-..--------------------------------------------------
in completing this Amendment(A-H) ❑ Residential with <4 units $85.00 BRP WW03a
application,please
seethe
"Instructions". ❑ Other $105.00 BRP WW03b
NONWATER-DEPENDENT-
Full(A-H) ❑ Residential with <4 units $545.00 BRP WW15a
❑ Other $1635.00 BRP WW15b
❑ Extended Term $2730.00 BRP WW15c
Partial(A-H) ❑ Residential with <4 units $545.00 BRP WW14a
❑ Other $1635.00 BRP WW14b
❑ Extended Term $2730.00 BRP WW14c
Municipal Harbor Plan(A-H) ❑ Residential with <4 units $545.00 BRP WW16a
❑ Other $1635.00 BRP WW16b
❑ Extended Term $2730.00 BRP WW16c
Joint MEPA/EIR(A-H) ❑ Residential with <4 units $545.00 BRP WW17a
❑ Other $1635.00 BRP WW17b
❑ Extended Term $2730.00 BRP WW17c
Amendment(A-H) ❑ Residential with <4 units $435.00 BRP WW03c
❑ Other $815.00 BRP WW03d
❑ Extended Term $1090.00 BRP WW03e
CH91App.doc-Rev.6/06 Page 1 of 13
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Waterways Regulation Program W 108945
• • Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No.
Water-Dependent,Nonwater-Dependent,Amendment
B. Applicant Information Proposed Project/Use Information
1. Applicant:
Three 9iysPreservatton fh—F P 7
Name E-mail Address
,b-9ox 21.6
Mailing Address
Note:Please refer �•-^te ille
to the"Instructions" Ostelvllle NA Q2655
City/rown State Zip Code
50.8-420-U78U
Telephone Number Fax Number
2. Authorized Agent(if any):
Sullivan Sohn
Engmee�ng cnl cnt '�`'�-�'-' "
'@sultivanengin:com
Name E-mail Address
P=�0t3ox659:
Mailing Address
Qst lervl� MA 02655
Cityrrown State Zip Code
508428-3344
Telephone Number Fax Number
C. Proposed Project/Use Information
1. Property Information(all information must be provided):
Comm_'onweeaalth:of-Massachusettss
Owner Name(if different from applicant)
NA 41 38'09" 70 24'13"
Tax Assessor's Map and Parcel Numbers Latitude Longitude
NA(Entrance:Chbnnel.taDam-Pond); Barn tas b_ el MA t)2655
Street Address and City/rown State Zip Code
2. Registered Land ❑Yes ❑ No
3. Name of the water body where the project site is located:
Entrance Channel to Dam Pond
4. Description of the water body in which the project site is located (check all that apply):
Type Nature Designation
❑ Nontidal river/stream ® Natural ❑Area of Critical Environmental Concern
® Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area
❑ Filled tidelands ❑ Uncertain ❑Ocean Sanctuary
❑ Great Pond ❑ Uncertain
❑ Uncertain
CH91App.doc•Rev.6/06
Page.2of 13
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Waterways Regulation Program Tr 108945
Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No.
water-Dependent,NonwaterZependent,Amendment
C. Proposed Project/Use Information (cont.)
Select use(s)from
Project Type Table 5. Proposed Use/Activity description
on pg.2 of the
"Instructions" Proposed maintenance dredging of the entrance channel to Dam Pond to access existing residential
piers and moorings.
6. What is the estimated total cost of proposed work(including materials&labor)?
$15,000.00
7. List the name&complete mailing address of each abutter(attach additional sheets, if necessary). An
abutter is defined as the owner of land that shares a common boundary with the project site, as well
as the owner of land that lies within 50' across a waterbody from the project.
Carl Redfield, Tr. P O Box 65, Osterville, MA 02655
Pine Island Nom. Trust Address
Carolyn C. Rowland P O Box 246, Osterville, MA 02655
Name Address
Name Address
D. Project Plans
1. I have attached plans for my project in accordance with the instructions contained in (check one):
❑ Appendix A(License plan) ® Appendix B(Permit plan)
2. Other State and Local Approvals/Certifications
®401 Water Quality Certificate pending
Date of Issuance
®Wetlands SE3-4540
File Number
❑Jurisdictional Determination JD-
File Number
❑ MEPA
File Number
❑ EOEA Secretary Certificate
Date
❑21 E Waste Site Cleanup
RTN Number
CH91App.doc•Rev.6/06 Page 3 of 13
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Waterways Regulation Program Tr 108945
Transmittal No.
Chapter 91 Waterways License Application -310 CMR 9.00
Water-Dependent,Nonwater-Dependent,Amendment
E. Certification
All applicants, property owners and authorized agents must sign this page.All future application
correspondence may be signed by the authorized agent alone.
"I hereby make application for a permit or license to authorize the activities I have described herein. Upon
my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of
Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the
premises of the project site at reasonable times for the purpose of inspection."
"I hereby certify that the information submitted in this application is true and accurate to the best of my
knowledge."
Applicant's signature Date
Property Owner's signature(if different than applicant) Date
✓ � //- -.-,29-�/G
Agent gnature( applicable) Date
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CH91App.doc-Rev.6/06 Page 4 of 13
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Massachusetts Department of Environmental Protection
45
Bureau of Resource Protection -Waterways Regulation Program Tr 1089
Chapter 91 Waterways License Application -310 CMR 9.00 Transmittall
No.
Water-Dependent, Nonwater-Dependent,Amendment
F. Waterways Dredging Addendum
1. Provide a description of the dredging project
® Maintenance Dredging (include last dredge date& permit no.) ❑ Improvement Dredging
last dredged about 1983 under DEQE permit#62
Purpose of Dredging
2. What is the volume(cubic yards)of material to be dredged?
820
3. What method will be used to dredge?
❑ Hydraulic ® Mechanical ❑ Other
4. Describe disposal method and provide disposal location (include separate disposal site location map)
Disposal to be spread over the beneficial reuse area as beach/dune nourishment. Disposal location
is Dead Neck, Barnstable(Osterville).
5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the
Department recommends that the dredged material be used as beach nourishment for public
beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310
CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by
applicant and submitted to the Department.
fi&-clk2if4L
CH91App.doc•Rev.6/06 Page 5 of 13
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Waterways Regulation Program Tr 108945
Transmittal No.
Chapter 91 Waterways License Application -310 CMR 9.00
Water-Dependent,Nonwater-Dependent,Amendment
G. Municipal Zoning Certificate
Three Bays Preservation, Inc.
Name of Applicant
NA(Entrance Channel to Dam Pond) Dam Pond/North Bay Barnstable
Project street address Waterway Citylrown
Description of use or change in use:
Maintenance dredging of the entrance channel to Dam Pond to access existing residential piers and
moorings.
To be completed by municipal clerk or appropriate municipal official:
°I hereby certify that the project described above and more fully detailed in the applicant's waterways
license application and plans is not in violation of local zoning ordinances and bylaws."
=144 0 AD
Printed Name of Municipal Official Date
w CO't","rJ /OJT J
u of Municipal off' ' Tale Cityrrown
LCH91App.doc-Rev.6/06 Page 6 of 13
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THREE BAYS PRESERVATION, INC. _ ,.2 � �., - t .i B EFIEIAh 14
864 MAIN STREET ! SE AREA
P.O. BOX 215
OSTERVILLE, MASS $ '
FOR MAINTENANCE DREDGING fLE: 1 :, 20 �
IN DAM POND --� ``
2000 o
NOVEMBER 3, 2006 °'L' Cy� $0 4000
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OSTERVILLE, MASS. y
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NOTES PERMIT HISTORY
1.) The property line information shown was SE3-348 / To: Town of Barnstable
compiled from available record information. Ch. 91 D.E.Q.E. Permit No. 62
2.) The topographic information was obtained Water Quality Cert. / Date: 1979
from an on the ground survey performed on SE3-1003 / To: Cabot / Date: 1983
or between 171JUL104 and 29/JUL/04. NEDOD—R-24-8300381
3.) The topographic datum used is NGVD '29, DREDGING PLAN VIEW
a fixed mean, sea level datum.
4.) The hydrographic information was obtained
SCALE. 1 = 40
N� from an on the water survey performed on 40 0 20 40 80
or between 041OCT105 and 18/NOV/05.
5.) The hyrdographic datum used is MLW,
Q based on a NGVD +0.90 conversion.
M.MW. 25 ALW. 1.6 N.C.V.D.
PETER
& SULLIVAN q r
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SHEET 2 OF 4
THREE BAYS PRESERVATION, INC.
864 MAIN STREET ❑❑
P.O. BOX 215
OSTERVILLE, MASS
FOR MAINTENANCE DREDGING
IN DAM POND 1
NOVEMBER 3, 2006 � 2 p djiW
SULLIVAN ENGINEERING, INC. I I (SE3-1716)
OSTERVILLE, MASS.
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864 MAIN STREET C,
P.O. BOX 215
OSTERVILLE, MASS
FOR MAINTENANCE DREDGING
IN DAM POND
NOVEMBER 3, 2006
SULLIVAN ENGINEERING, INC.
OSTERVILLE, MASS.