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Home My WebLink Aboutsigned_ WPA Form 1 PDF (1)wpaform1.doc • rev. 7/27/2020 WPA Form 1 – Request for Determination of Applicability • Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Barnstable City/Town A. General Information Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 1. Applicant: Amy Collins, President of Cape Cod Village Condominiums Name amycollins28@gmail.com E-Mail Address 207 Main Street Mailing Address Maynard City/Town MA State 01754 Zip Code (617) 797-7476 Phone Number Fax Number (if applicable) 2. Representative (if any): Civil Engineer No. 31510 Civil Firm Roger W. Bacon Contact Name rwbacon1@aol.com E-Mail Address 281 North Street Mailing Address Belchertown City/Town MA State 01007 Zip Code Home:(413) 256-8988 Cell:(413) 348-8248 Phone Number Fax Number (if applicable) B. Determinations 1. I request the Conservation Commission Conservation Commission make the following determination(s). Check any that apply: a. whether the area depicted on plan(s) and/or map(s) referenced below is an area subject to jurisdiction of the Wetlands Protection Act. b. whether the boundaries of resource area(s) depicted on plan(s) and/or map(s) referenced below are accurately delineated. c. whether the work depicted on plan(s) referenced below is subject to the Wetlands Protection Act. d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: Barnstable (Cummaquid) Name of Municipality e. whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). wpaform1.doc • rev. 7/27/2020 WPA Form 1 – Request for Determination of Applicability • Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Barnstable City/Town C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): Harbor Point Road Street Address Barnstable City/Town 352035 Assessors Map/Plat Number Between 35203500N and 35203500L Parcel/Lot Number b. Area Description (use additional paper, if necessary): Existing vegetated detention/infiltration basin (BMP) used for Stormwater Management: Approximately 5,800 square feet with an average depth of 2 feet.Inadvertently constructed over 40 years ago in the completion of an approved DEP tight tank waste disposal system (approved J une 22, 1987). c. Plan and/or Map Reference(s): Stormwater Mitigation & Maintenance Plan for BMP at Cape Cod Village Title 11/10/22 Date Title Date Title Date 2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary): This BMP has performed well but needs a maintenance plan that will conform it with an approved view cut permit (DEP File No. SE3-0346 dated March 19, 2002) to assure its continued operation maximizes the removal of pollutants. Specific activity is as follows: 1. Inspect the BMP for damage/dune influx (annual); 2. Prune vegetation in BMP and adjacent swale (annual); 3. Mow adjacent grass lawn and vegetated filter strips (as needed): 4. Monitor and remove invasive vegetation (as needed); Conformance with existing Certificate of Compliance DEP file no SE3-0346 dated 19-March-2002. This permit limits pruning for view cuts to 4 feet (annual). wpaform1.doc • rev. 7/27/2020 WPA Form 1 – Request for Determination of Applicability • Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Barnstable City/Town C. Project Description (cont.) b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all or part of the described work (use additional paper, if necessary). The affected area appears to be outside of but bordering the 100 foot buffer. See attached Wetland and Wetland Change Areas Map: source is maps.massgis.stte.ma.us/images/dep/omv/wetviewer.htm 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. Single family house on a lot recorded on or before 8/1/96 Single family house on a lot recorded after 8/1/96 Expansion of an existing structure on a lot recorded after 8/1/96 Project, other than a single-family house or public project, where the applicant owned the lot before 8/7/96 New agriculture or aquaculture project Public project where funds were appropriated prior to 8/7/96 Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the Riverfront Area for the entire subdivision Residential subdivision; institutional, industrial, or commercial project Municipal project District, county, state, or federal government project Project required to evaluate off-site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality Certification from the Department of Environmental Protection. b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/or attach appropriate documents, if necessary.) wpaform1.doc • rev. 7/27/2020 WPA Form 1 – Request for Determination of Applicability • Page 4 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Barnstable City/Town D. Signatures and Submittal Requirements I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional Office were sent a complete copy of this Request (including all appropriate documentation) simultaneously with the submittal of this Request to the Conservation Commission. Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability. Name and address of the property owner: Amy Collins, President of Cape Cod Village Condominiums Association Name 207 Main Street Mailing Address Maynard City/Town MA State 01754 Zip Code Signatures: I also understand that notification of this Request will be placed in a local newspaper at my expense in accordance with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations. Signature of Applicant 12/08/2022 Date Signature of Representative (if any) 12/08/2022 Date