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page of this document
° Massachusetts Department of Environmental Protection
Transmittal Form for Permit Application and Payment
�nstvctaorits _ A. Applicatar� 11nfolrrnatran _
DEP Permit Code(the 7 or 8 character code from first page of permit application instructions):
1. Please type or print. BRP WW 01
A separate Transmittal Name of Permit Category:
Form must be WATERWAYS LICENSE OR PERMIT
completed for each Type of Project or Activity:
permit application. PRIVATE PIER FOR RECREATIONAL USE
2. Your check should B. ApptfCatlt lnfarmatan"{Fisrn"olr Indwrd�ra�
be made payable to Name of Firm:
the Commonwealth of
Massachusetts. Or,ff a needling this approval is clearlyan individual:
along with a copy of
Please mail your check Individuars Last Name: First Name MI this form to:DEP,P.O. MITCHELL JAMES P
Box 4062,Boston,MA
02211. Street Address
20 WEST EMERSON STREET
3. Three(3)copies of CPty/Town State Zip Code Telephone Number
this form will be MELROSE MA 02178
needed (781-662-9195 ext.
Contact e-mail address (optional)
Copy 1(the original)
must accompany your
permit application. Cr■ ''-F C 1/t ,"S to or Indniiduai Re ll III I Akpplra�raf
Copy 2 must Name of Facility,Site or Individual DEP Facility Number(if Known)
accompany your fee JAMES P.MITCHELL
payment Street Address—'
Copy 3 should be ci y } e-mail address: (optional)
retained for your 6"Poponessett ROad•
records 'Cityfrown State Zip Code Telephone Number
COTUIT MA 02635 ( ) ext
4. Both fee-paying
and exempt applicants d- ` 1pp[icatan"prepae ( difFerert from_5econ �)
must mail a copy of Name of Individual or Firm.
this transmittal form to CRAIG R.SHORT,P.E.
DEP,P.O.Box 4062, Address
Boston,MA 02211 P.O.BOX 1044 .
For DEP Use Only Cityrrown State Zip Code . Telephone Number
Permit No. SOUTH DENNIS MA 026H0 508-398-8311 ext. -
Rec'd Date Contact: LSP Number(21 E only)
Reviewer CRAIG R.SHORT
Pelrtl»l
11natliltt
Is this project subject to MEPA review? ❑yes no
if yes, indicate the project's EOEA file number(assigned when an Environmental Notification Form-is submitted to the MEPA unit)
EOEA
I # Is an Environmental Impact Report Required?0 yes no
s this application part of a larger project for which two or more DEP permits are being or will be sought? , ❑yes �(no '
List a other DEP ermits that a to this. ro'ect
fi Is�ertiategoty Ibe of 9ulxtt hve yr ac�ai) itraenitt�ftNwinber(tf application akeady mtt69A
Special Provisions. El Fee Exempt*(city,town or municipal housing authority)(state agency if fee is$100 or less)
❑ Hardship Request[payment extensions according to 310 CMR 4.04(3)(c)]
❑ Attemative Schedule Project(according to.310 CMR 4.05 and 4.10)
*There are no fee exemptions for 21 E,regardless of applicantstatus
Check#: 2448 1 Dollar Amount:$100 Date:01/23/01
Please make check payable to the Commonwealth of Massachusetts and mail check and one copy of this form to DEP, P.O. Box
4062, Boston, MA 02211
w:021M
I' CERTIFY THAT THIS PLAN CONFORMS
.-T-0 THE 1976 RULES AND REGULATIONS
OF THE REGISTERS OF DEEDS;
DATE PROFESSIONAL ENGINEER
f
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tot D'ofiuouth;MA 02963 - —r- -
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SCALE 1'
/ORAL
a
PLAN AckdHPANYING PtTIfi10N OF
PUPUNESSETT. tAY REALITY TRUST
fd >lu1Lb, Lltthtt,ANb MAINTAIN A Pikk
IN SNNLStOING DAY
DAPWADLL COUNTY, MASS;
CRAIC R. SHORT; P,E
I P,. O, BOX W44
SOUTH DENNIS, MA
I 02660
` DATE O1/25/01 508-398-8311 SHEET ( DF3
I CERTIFY THAT THIS PLAN CONFORMS
TO THE 1976 RULES AND REGULATIONS
OF THE REGISTERS OF DEEDS,
DATE PPTIFESSIONAL ENGINEER
f
r
13'-6' 8'-3'
30'-0' 4'-.6' 4'-6' 4'-6'
MIN.
EL. 14,8.3
f _
2x10's 16'o,c.
3x10 2x8 4x4 -9'-3'
, PLAN vFW 0 2 4 8 16
t .
MWiwwww
30'-0' MIN ' 13'-6' 8.-3. ..... 20
4,-6' 4'-6' 4'-6:.. .
EL.. 14,83 18
16
I. X.�.$...F.I.12
10-0' 10-0' 9'=10 1/4' I I 16'o.c.
f ��.. .... .... .... •10
12 6
EL 5.5 MLW ... .. ........................ .... .... ........ ...
.
... 4.
3x10 2x8 4X4
J1c...J1�3 6' 2
pl.. �I. r.••r... !'• ....... ..... ........ 0.
PROFILE
li II It SCALE 1'=8' 0 2 4
II II Il _ _. .<.. •,.
it it it CRAM' G
a SHOW
IST
PLAN ACCOMPANYING PETITION OF i
PUPUW-SSETT BAY REALITY! TRUST
fib OWLb, Littkk ANb MAINTAIN A PIE6
IN tHlbUtRING DAY
WNPAbLC CI WWY, MASS,
CRAIC P i SHORT, R,EI
P. 0. btik 1o44
SdUtN.UE:NNIS, MA
02660 1
bATE 01/25/01 509-398-8311 SIDE?1,or
- r
i
lE
f
I CERTIFY THAT THIS PLAN CONFORMS
TO THE 1976 RULES AND REGULATIONS
OF THE REGISTERS OF DEEDS.
v zs o �
DATE PROFESSIONAL ENGINEER
�41_0s�
5/4' X 6" DECKING T x6 TOP RAIL
CD
W/3/4' SPACING x4 POST MID—SPAN
340 JOIST
(`` — 3) DECK EL, = 5,0
/2` L
2x8 JOIST EACH 1 DIA GA V, BOLT,
c .._ ��_, , . NUT;A,WASHERS
- SIDE O PILE _�w {
3/8 GALV. BOLTS .
MSL EL `1,25 = MLW EL 0,0
2x4 CRASS BRACE. (1929 DATUM).
4x4 PILE/POST
(Per Con Comm)
EXLSTING, GRADE
-
PILE EMBEDMENT
TO REFUSAL
10 MINIMUM
a
THIS PLAN PROPOSES TO ATTACH, A DOCK TO THE REPLACEMENT
STAIRWAY BEING PERMITTED TO REPLACE AN EXISTING GROUND LEVEL
STAIRWAY,
ALL LUMBER AND PILES ARE TO BE TREATEP, WITH 'WOLMAN SALTS` ;.
ALL STRUCTURES ARE TO BE CONSTRUCTED WITH HANDRAILS . AND
IN COMPLIANCE WITH ALL STATE AND LOCAL BUILDING CODE REQUIREMENTS.
STRUCTURAL SPIKES ARE TO BE 29d,
ALL BOLTS, NUTS, WASHERS, SPIKES AND HARDWARE ARE Tq BE HOT �j{
DIPPED GALVANIZED, CRAK
THERE IS TO BE 3/4' SPACING BETWEEN THE DECK BOARDS.
THE DECK OF THE DOCKS TO. BE *3' ABOVE MEAN HIGH WATER. r t
THE DOCK IS TO HAVE TWO STAIRWAYS, ONE NORTH AND QNE -SOUTH . Na 2740
LOCATED ABOVE THE MEAN HIGH WATER MARK,
•tt'3�R�ni. E�G��►
PLAN ACCOMPANYING PETITION OF .
POPONESSETT BAY REALITY TRUST
TO.BUILD, LICENSE AND MAINTAIN A PIER
IN SHOESTRING BAY
BARNSTABLE COUNTY, MASS,
CRAIG R, SHORT, P,E,
P. ❑• BOX 1044
SOUTH DENNIS, MA {
02660
DATE 01/25/01 508-39878311. SHEET3OF3