HomeMy WebLinkAboutPark City Wind signed NOI_0001wpaform3.doc • rev. 2/8/2018 Page 1 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
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
Note:
Before
completing this
form consult
your local
Conservation
Commission
regarding any
municipal bylaw
or ordinance.
A. General Information
1.Project Location (Note: electronic filers will click on button to locate project site):
Craigville Public Beach, 2 Short Beach Rd. and Nantucket Sound, Barnstable
b. City/Town
02632
c. Zip Code
N/A
d. Latitude
N/A
e. Longitude
a.Street Address
Latitude and Longitude:
Map 206
f. Assessors Map/Plat Number
Parcels 13 and 44
g. Parcel /Lot Number
2.Applicant:
Hans van Lingen
b. Last Namea. First Name
Park City Wind LLC
c.Organization
125 High Street, 6th Floor
d. Street Address
Boston
e. City/Town
MA
f. State
02110
g. Zip Code
(401)714-2584
h. Phone Number i. Fax Number
hvanlingen@vineyardwind.com
j. Email Address
3.Property owner (required if different from applicant):Check if more than one owner
b. Last Namea. First Name
Park City Wind LLC,Town of Barnstable (c/o Mark Ells, Town Manager), and Commonwealth of Mass.
c. Organization
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number i. Fax Number j. Email address
4.Representative (if any):
Jack Vaccaro
b. Last Namea. First Name
Epsilon Associates, Inc.
c. Company
3 Mill and Main Place, Suite 250
d. Street Address
Maynard
e. City/Town
MA
f. State
01754
g. Zip Code
(978) 461-6256
h. Phone Number
(978) 897-0099
i. Fax Number
JVaccaro@epsilonassociates.com
j. Email address
5.Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form):
$1,950.00
a. Total Fee Paid
$962.50
b. State Fee Paid
$987.50
c. City/Town Fee Paid
c. Organization
367 Main Street
Hyannis MA 02601
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