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Home My WebLink About521 SHR RDA complete packagewpaform1.doc • rev. //2023 WPA Form 1 – Request for Determination of Applicability • Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality 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: First Name Last Name Address City/Town State Zip Code Phone Number Email Address 2.Property Owner (if different from Applicant): First Name Last Name Address City/Town State Zip Code Phone Number Email Address (if known) 3.Representative (if any) First Name Last Name Company Name Address City/Town State Zip Code Phone Number Email Address (if known) B.Project Description 1.a. Project Location (use maps and plans to identify the location of the area subject to this request): Street Address City/Town How to find Latitude and Longitude Latitude (Decimal DegreeV Format with 5 digits after decimal e.g. XX.XXXXX) Longitude (Decimal DegreeV Format with 5 digits after decimal e.g. XX.XXXXX) and how to convert to decimal degrees Assessors’ Map Number Assessors’ Lot/Parcel Number b.Area Description (use additional paper, if necessary): c.Plan and/or Map Reference(s): (use additional paper if necessary) Title Date Title Date Tyler Thomas 35 Nauset St Sandwich MA 02563 508-922-0106 ledgewoodmanor@gmail.com Jack McGuiness 521 Shootflying Hill Rd Centerville MA 02632 508-254-0624 521 Shootflying Hill Rd Centerville 41.67882 -70.35038 193 049 Existing residence wpaform1.doc • rev. //2023 WPA Form 1 – Request for Determination of Applicability • Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality B.Project Description (cont.) 2.a. Activity/Work Description (use additional paper and/or provide plan(s) of Activity, if necessary): 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). 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.) Partial demolition of existing building and reconstruction and small addition to existing footprint to construct a two-car garage. wpaform1.doc • rev. //2023 WPA Form 1 – Request for Determination of Applicability • Page 3 of 3 Massachusetts Department of Environmental Protection Bureau of Water Resources - Wetlands WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Municipality C.Determinations 1.I request the Conservation Commission make the following determination(s). Check any that apply: a. whether the area depicted on plan(s) and/or map(s) referenced above 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 above are accurately delineated. c.whether the Activities depicted on plan(s) referenced above is subject to the Wetlands Protection Act and its regulations. d. whether the area and/or Activities depicted on plan(s) referenced above is subject to the jurisdiction of any municipal wetlands’ ordinance or bylaw of: Name of Municipality e. whether the following scope of alternatives is adequate for Activities in the Riverfront Area as depicted on referenced plan(s). 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. 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 Date Signature of Representative (if any) Date Conservation Commission 9/30/2023 Ap N RING NOV 2 5 2003DATE 261 PROJECT LOCATION M 1 521 Shootflying Hill Road 6 1 CSC Id BARNSTABLE CONSE N — 36.82 GIS MAP Mqq .3 = 3 5 APMox. V" y 0 s, p PESCE OWL a I--- 40, IV AP Lake Wequaquet 0 Pesce Engineering & Associates 451 Raymond Road MjkP Plymouth, MA 02360 Lake Wequaquet Shallow Pond Bearse Pond Garrett's Pond Lumbert Pond Sand\ Hill Pond Spruce Pond Weathervane Pond Shallow Pond No Bottom Pond Lil\ Pond Gooseberr\ Cove illPondSnow's Cove Melod\ Pond Lake Wequaquet Shallow Pond Bearse Pond Garrett's Pond Lumbert Pond Sand\ Hill Pond Spruce Pond Weathervane Pond Shallow Pond No Bottom Pond Lil\ Pond Gooseberr\ Cove illPondSnow's Cove Melod\ Pond RACE LA N E M AIN S T R E E T /R O U T E 6 A P H IN N E Y 'SLANEP A R K ER R O A D IY A N N O U G H R O A D/R O U TE 132 O L D FALM O UTHROADOLD ST AG E RO A D F A L M O U T H R O A D /R O U T E 2 8 SERVICE ROAD CHURCHSTREET PLUMSTRE E T MID-CA PE HIGHW A Y (W E S T )/R O U T E 6 MID-CAPEHIGHW AY (E A ST )/R O U T E 6 NYEROADSHOOTFLYINGHIL L R O A D TRZQ Rf BaUQVWableTRZQ Rf BaUQVWable CRQVeUYaWiRQ DiYiViRQCRQVeUYaWiRQ DiYiViRQ http://www.town.barnstable.ma.us 200 Main Street, H\annis, MA 02601 (508) 862-4093 Ã¿N E S W 1 LQcK = 2,000 IeeW 0 1,000 2,000 3,000 4,000500 Feet 123- Wooded Areas 1 Catchbasins *Lamp Posts L Manholes .Utilit\ Poles >Signs Flagpoles Street Trees Monuments (d Satellite Dish Fuel Tanks Water Tanks Address Street Numbers Town Boundar\ Approx. Building Buildings Decks / Patios Above Ground Swimming Pools In Ground Swimming Pools Paved Walkwa\s Unpaved Walkwa\s Paths Stairwa\s Paved Roads Unpaved Roads Paved Drivewa\s Unpaved Drivewa\s Painted Lines Paved Parking Lots Unpaved Parking Lots Bridges Railroad Fences Guardrails Retaining Walls Stone Walls Other Walls Hedges Sports Areas Golf Areas Docks / Piers Boardwalks Jetties Streams Drainage Ditches`Marsh Areas Water Bodies Spot Elevations (NAVD88) Topo 10 ft Contours (NAVD88) Topo 2 ft Contours (NAVD88) This map is for planning purposes onl\. It is not adequate for legal boundar\ determination or regulator\ interpretation. This map does not represent an on-the-ground surve\. Enlargements be\ond a scale of 1´=100¶ ma\ not meet established map accurac\ standards. Parcel lines on this map are onl\ graphic representations of Assessor¶s tax parcels. The\ are not true propert\ boundaries and do not represent accurate relationships to ph\sical objects on the map such as building locations. DiVclaiPeU Human-made features, h\drograph\, topograph\, and vegetation were interpreted from 2014 aerial photos and ma\ have been updated from more current sources. Parcel lines were digiti]ed from FY2023 Town of Barnstable Assessor¶s maps. DaWa SRXUce I00EDIA7E AB877E56 2F A66E6625¶6 0A3 BBBBBBB 3A5CE/BBBBBB Map________ Parcel ________ Name: ____________________________ Address: __________________________ __________________________ __________________________ Map________ Parcel ________ Name: ____________________________ Address: __________________________ __________________________ __________________________ Map________ Parcel ________ Name: ____________________________ Address: __________________________ __________________________ __________________________ Map________ Parcel ________ Name: ____________________________ Address: __________________________ __________________________ __________________________ Map________ Parcel ________ Name: ____________________________ Address: __________________________ __________________________ __________________________ DATE ABUTTERS WERE IDENTIFIED: ________/________/_________ SIGNATURE ____________________________ REQUEST FOR DETERMINATION OF APPLICABILITY ABUTTER NOTIFICATION LETTER DATE: RE: Upcoming Barnstable Conservation Commission Public Hearing To Whom It May Concern, As an immediate abutter of a proposed project, please be advised that a Request for Determination application has been filed with the Barnstable Conservation Commission. APPLICANT: PROJECT ADDRESS OR LOCATION: ASSESSOR¶S MAP & PARCEL: MAP PARCEL PROJECT DESCRIPTION: ________________________________________________________ APPLICANT¶S AGENT: PUBLIC HEARING: WILL BE HELD REMOTELY VIA ZOOM See agenda posting on Town Clerks website available at least 48 hours in advance of the meeting for details. DATE: / / TIME: P.M. NOTE: Plans and applications describing the proposed activity are on file with the Conservation Commission at https://itlaserfiche.town.barnstable.ma.us/WebLink/Browse.aspx?id=825530&dbid=0&repo=TownOfBarns table, by email to Kimberly.Cavanaugh@town.barnstable.ma.us or by calling (508-862-4093) 10/10/2023 Tyler Thomas 521 Shootﬂying Hill Rd Centerville, MA 02632 193 049 John P McGuiness Partial demolition of existing building (former garage) Construct new two-car garage 35 Nauset St Sandwich, MA 02563 10 31 2023 6:30 David Thomas 508-922-0761 CSL #001714 HIC #102026 Tyler Thomas 508-922-0106 CSL #108664 HIC #102026 October 10, 2023 Directions to 521 Shootflying Hill Rd Turn left onto Main St .2 miles Turn right onto High School Rd Ext .3 miles At the roundabout, take the first exit onto Bearse’s Way 1.7 miles Turn left onto Iyannough Rd 1.2 miles Turn left onto Shootflying Hill Rd .6 miles Keep left onto Shootflying Hill Rd .9 miles Arrive at 521 Shootflying Hill Rd on your right P.O. Box 617 West Barnstable, 02668 ledgewoodmanor@gmail.com www.ledgewoodmanor.com