HomeMy WebLinkAboutAmended Notice of Intent 13 September 11 amImportant:
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
Provided by MassDEP:
MassDEP File Number
4
WPA Form 3 -Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction Number
BARNSTABLE
City/Town
A.General Information
1.Project Location (Note: electronic filers will click on button to locate project site):
Red Lily Pond & Lake Elizabeth
a.Street Address
Latitude and Longitude:
226/227
f.Assessors Map/Plat Number
2.Applicant:
Kathleen
a.First Name
Red Lily Pond Project Association, Inc.
c.Organization
260 Elizabeth Lake Drive
d.Street Address
Barnstable
e.City/Town
781-956-1329
h.Phone Number i. Fax Number
MA
Barnstable
b. City/Town
41.64014
d.Latitude
N/A
g.Parcel /Lot Number
Brady
b. Last Name
f.State
ham ill 101@hotmail.com
j.Email Address
02632
c. Zip Code
-70.33235
e. Longitude
02632
g.Zip Code
3.Property owner (required if different from applicant):[gl Check if more than one owner
a.First Name b. Last Name
Commonwealth of Massachusetts, Department of Environmental Protection
c.Organization
1 Winter Street, 5th Floor
d.Street Address
Boston
e.City/Town
617-292-5500
h.Phone Number
4.Representative (if any):
i. Fax Number
a. First Name
Red Lily Pond Project Association, Inc.
c.Company
39 Prospect Ave.
d.Street Address
Centerville
e.City/Town
508-775-7121
h.Phone Number i. Fax Number
MA
f.State
j.Email address
b. Last Name
MA
f. State
deyton@comcast.net
j.Email address
5.Total WPA Fee Paid (from NOi Wetland Fee Transmittal Form):
$500.00 $237.50 $262.50
02108
g. Zip Code
02632
g. Zip Code
a.Total Fee Paid b.State Fee Paid c. City/Town Fee Paid
wpaform3.doc • rev. 6/18/2020 Page 1 of 9
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Provided by MassDEP:Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands MassDEP File Number WPA Form 3 -Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Document Transaction Number
BARNSTABLE
City/Town
A.General Information (continued)
6.General Project Description:
The proposed project is to cut and remove nuisance aquatic weeds from Red Lily Pond and Lake
Elizabeth, to reduce the internal Phosphorus load and improve the water and habitat quality of these
waterbodies.
?a. Project Type Checklist: (Limited Project Types see Section A. ?b.)
1.□ Single Family Home 2.□ Residential Subdivision
3.□ Commercial/Industrial 4.□ Dock/Pier
5.□ Utilities 6.□ Coastal engineering Structure
7.□ Agriculture (e.g., cranberries, forestry)8.□ Transportation
9.12] Other
7b. Is any portion of the proposed activity eligible to be treated as a limited project (including Ecological
Restoration Limited Project) subject to 310 CMR 10.24 (coastal) or 310 CMR 10.53 (inland)?
D y 12] N If yes, describe which limited project applies to this project. (See 310 CMR1 · es O 10.24 and 10.53 for a complete list and description of limited project types)
310 CMR10.53(4)(e)(5) -removal of aquatic nuisance vegetation
2.Limited Project Type
If the proposed activity is eligible to be treated as an Ecological Restoration Limited Project (310
CMR10.24(8), 310 CMR 10.53(4)), complete and attach Appendix A: Ecological Restoration Limited
Project Checklist and Signed Certification.
8.Property recorded at the Registry of Deeds for:
BarnstableCounty
35358 (Order of Conditions)
c.Book
N/A
b. Certificate# (if registered land)
144 (Order of Conditions)
d. Page Number
B.Buffer Zone & Resource Area Impacts (temporary & permanent)
1.12] Buffer Zone Only -Check if the project is located only in the Buffer Zone of a Bordering
Vegetated Wetland, Inland Bank, or Coastal Resource Area.
2.D Inland Resource Areas (see 310 CMR 10.54-10.58; if not applicable, go to Section B.3,
Coastal Resource Areas).
Check all that apply below. Attach narrative and any supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
BARNSTABLE
City/Town
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
For all projects
affecting other
Resource Areas,
please attach a
narrative
explaining how
the resource
area was
delineated.
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a. Bank 1. linear feet 2. linear feet
b. Bordering Vegetated
Wetland 1. square feet 2. square feet
c. Land Under
Waterbodies and
Waterways
1. square feet 2. square feet
3. cubic yards dredged
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
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 available) - specify coastal or inland
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)
Note: for coastal riverfront areas, please complete Section B.2.f. above.
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
BARNSTABLE
City/Town
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
Check all that apply below. Attach narrative and supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
Online Users:
Include your
document
transaction
number
provided on your
receipt page)
with all
supplementary
information you
submit to the
Department.
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 Beach Indicate size under Coastal Beaches and/or Coastal Dunes below
d. Coastal Beaches 1. square feet 2. cubic yards beach nourishment
e. Coastal Dunes 1. square feet 2. cubic yards dune nourishment
Size of Proposed Alteration Proposed Replacement (if any)
f. Coastal Banks 1. linear feet
g. Rocky Intertidal
Shores 1. square feet
h. Salt Marshes 1. square feet 2. sq ft restoration, rehab., creation
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
213,444
1. square feet
4. Restoration/Enhancement
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 enter the additional
amount here.
a. square feet of BVW b. square feet of Salt Marsh
5. Project Involves Stream Crossings
a. number of new stream crossings b. number of replacement stream crossings
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
BARNSTABLE
City/Town
C. Other Applicable Standards and Requirements
This is a proposal for an Ecological Restoration Limited Project. Skip Section C and
complete Appendix A: Ecological Restoration Limited Project Checklists – Required Actions
310 CMR 10.11).
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 State-Listed Rare Wetland Wildlife published by the
Natural Heritage and Endangered Species Program (NHESP)? To view habitat maps, see the
Massachusetts Natural Heritage Atlas or go to
http://maps.massgis.state.ma.us/PRI_EST_HAB/viewer.htm.
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 01581August1, 2017
b. Date of map
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321
CMR 10.18). To qualify for a streamlined, 30-day, MESA/Wetlands Protection Act review, please
complete Section C.1.c, and include requested materials with this Notice of Intent (NOI); OR
complete Section C.2.f, if applicable. If MESA supplemental information is not included with the NOI,
by completing Section 1 of this form, the NHESP will require a separate MESA filing which may take
up to 90 days to review (unless noted exceptions in Section 2 apply, see below).
c. Submit Supplemental Information for Endangered Species Review
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 right-of-way plan of site
2. Project plans for entire project site, including wetland resource areas and areas outside of
wetlands 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
Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review (see https://www.mass.gov/ma-
endangered-species-act-mesa-regulatory-review).
Priority Habitat includes habitat for state-listed plants and strictly upland species not protected by the Wetlands Protection Act.
MESA projects may not be segmented (321 CMR 10.16). The applicant must disclose full development plans even if such plans are
not required as part of the Notice of Intent process.
wpaform3.doc • rev. 6/18/2020 Page 6 of 9
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
BARNSTABLE
City/Town
C. Other Applicable Standards and Requirements (cont’d)
c) MESA filing fee (fee information available at https://www.mass.gov/how-to/how-to-file-for-
a-mesa-project-review).
Make check payable to “Commonwealth of Massachusetts - NHESP” 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
f) 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,
https://www.mass.gov/service-details/exemptions-from-review-for-projectsactivities-in-
priority-habitat; 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 # b. Date submitted to NHESP
3. Separate MESA review completed.
Include copy of NHESP “no Take” determination or valid Conservation & Management
Permit with approved plan.
3. For coastal projects only, is any portion of the proposed project located below the mean high water
line or in a fish run?
a. Not applicable – project is in inland resource area only b. Yes No
If yes, include proof of mailing, hand delivery, or electronic delivery of NOI to either:
South Shore - Cohasset to Rhode Island border, and
the Cape & Islands:
Division of Marine Fisheries -
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 South Rodney French Blvd.
New Bedford, MA 02744
Email: dmf.envreview-south@mass.gov
North Shore - Hull to New Hampshire border:
Division of Marine Fisheries -
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
Email: dmf.envreview-north@mass.gov
Also if yes, the project 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.
c. Is this an aquaculture project? d. Yes No
If yes, include a copy of the Division of Marine Fisheries Certification Letter (M.G.L. c. 130, § 57).
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
BARNSTABLE
City/Town
C. Other Applicable Standards and Requirements (cont’d)
Online Users:
Include your
document
transaction
number
provided on your
receipt page)
with all
supplementary
information you
submit to the
Department.
4.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 MassDEP
Website for ACEC locations). Note: electronic filers click on Website.
b.ACEC
5.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
6.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
7.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
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:
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. Check why the project is exempt:
1.Single-family house
2.Emergency road repair
3.Small Residential Subdivision (less than or equal to 4 single-family houses or less than
or equal to 4 units in multi-family housing project) with no discharge to Critical Areas.
D. Additional Information
This is a proposal for an Ecological Restoration Limited Project. Skip Section D and complete
Appendix A: Ecological Restoration Notice of Intent – Minimum Required Documents (310 CMR
10.12).
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.
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.
No new impervious surface proposed
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4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
BARNSTABLE
City/Town
D. Additional Information (cont’d)
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.
Red Lily Pond/ Lake Elizabeth Vegetation Harvesting, Barnstable, Massachusetts
a. Plan Title
Horsley Witten Group, Inc.
b. Prepared By
N/A - Only proposing vegetation management
c. Signed and Stamped by
November 20, 2020
d. Final Revision Date
1:120
e. Scale
f. Additional Plan or Document Title g. Date
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:
19479
2. Municipal Check Number
3/3/2021
3. Check date
19478
4. State Check Number
3/3/2021
5. Check date
Horsley Witten Group, Inc.
6. Payor name on check: First Name 7. Payor name on check: Last Name
noifeetf.doc • Wetland Fee Transmittal Form • rev. 10/11 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Important: When
filling out forms
on the computer,
use only the tab
key to move your
cursor - do not
use the return
key.
A. Applicant Information
1. Location of Project:
Red Lily Pond & Lake Elizabeth
a. Street Address
Barnstable
b. City/Town
19478
c. Check number
237.50
d. Fee amount
2. Applicant Mailing Address:
Kathleen
a. First Name
Brady
b. Last Name
Red Lily Pond Project Association, Inc.
c. Organization
260 Lake Elizabeth Drive
d. Mailing Address
Barnstable
e. City/Town
MA
f. State
02632
g. Zip Code
h. Phone Number i. Fax Number
hamill_101@hotmail.com
j. Email Address
3. Property Owner (if different):
a. First Name b. Last Name
Commonwealth of Massachusetts, Department of Environmental Protection
c. Organization
1 Winter Street, 5th Floor
d. Mailing Address
Boston
e. City/Town
MA
f. State
02108
g. Zip Code
617-292-5500
h. Phone Number i. Fax Number j. Email Address
To calculate
filing fees, refer
to the category
fee list and
examples in the
instructions for
filling out WPA
Form 3 (Notice of
Intent).
B. Fees
Fee should be calculated using the following process & worksheet. Please see Instructions before
filling out worksheet.
Step 1/Type of Activity: Describe each type of activity that will occur in wetland resource area and buffer zone.
Step 2/Number of Activities: Identify the number of each type of activity.
Step 3/Individual Activity Fee: Identify each activity fee from the six project categories listed in the instructions.
Step 4/Subtotal Activity Fee: Multiply the number of activities (identified in Step 2) times the fee per category
identified in Step 3) to reach a subtotal fee amount. Note: If any of these activities are in a Riverfront Area in
addition to another Resource Area or the Buffer Zone, the fee per activity should be multiplied by 1.5 and then
added to the subtotal amount.
Step 5/Total Project Fee: Determine the total project fee by adding the subtotal amounts from Step 4.
Step 6/Fee Payments: To calculate the state share of the fee, divide the total fee in half and subtract $12.50. To
calculate the city/town share of the fee, divide the total fee in half and add $12.50.
noifeetf.doc • Wetland Fee Transmittal Form • rev. 10/11 Page 2 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Fees (continued)
Step 1/Type of Activity Step 2/Number
of Activities
Step
3/Individual
Activity Fee
Step 4/Subtotal Activity
Fee
Category 2.h. 1 500 500
Step 5/Total Project Fee: $500
Step 6/Fee Payments:
Total Project Fee: $500
a. Total Fee from Step 5
State share of filing Fee: $237.50
b. 1/2 Total Fee less $12.50
City/Town share of filling Fee: $262.50
c. 1/2 Total Fee plus $12.50
C. Submittal Requirements
a.) Complete pages 1 and 2 and send with a check or money order for the state share of the fee, payable to
the Commonwealth of Massachusetts.
Department of Environmental Protection
Box 4062
Boston, MA 02211
b.) To the Conservation Commission: Send the Notice of Intent or Abbreviated Notice of Intent; a copy of
this form; and the city/town fee payment.
To MassDEP Regional Office (see Instructions): Send a copy of the Notice of Intent or Abbreviated Notice of
Intent; a copy of this form; and a copy of the state fee payment. (E-filers of Notices of Intent may submit these
electronically.)
Red Lily Pond Management Plan Horsley Witten Group, Inc.
Centerville (Barnstable), MA March 2021
WPA Form 3, Section A. General Information
A.3. Property owners
Commonwealth of Massachusetts
Department of Environmental Protection
1 Winter Street, 5th Floor
Boston, MA 02108
617-292-5500
Christian Camp Meeting Association
39 Prospect Ave
Centerville, MA 02632
508-775-1265
WPA Form 3, Section D. Additional Information
D. 5. Property Owners
Commonwealth of Massachusetts
Department of Environmental Protection
1 Winter Street, 5th Floor
Boston, MA 02108
617-292-5500
Christian Camp Meeting Association
39 Prospect Ave
Centerville, MA 02632
508-775-1265