HomeMy WebLinkAboutEOOC request for SE3-5704, 111 George St.Q:\Conservt\DEPFORMS\Form E.doc rev: 09/01/2022
Extension Permit Request
SE3- _____ OOC expiration date: ________ Applicant Name: __________________
Project Location ____________________________ Map: ______ Parcel: _________
1. Why is extension being requested? _____________________________________
__________________________________________________________________
2. What parts of project are completed? ___________________________________
__________________________________________________________________
__________________________________________________________________
3. What parts of project are not completed? Include estimated completion date.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
4. Are completed parts of project in compliance with the approved plan and Order
of Conditions ? _____________________________________________________
__________________________________________________________________
5. Have special conditions been met to date? E.g. Forms A & B, photographs of
undisturbed buffer, certified foundation plan? __________________________
_________________________________________________________________
_________________________________________________________________
6. How long is extension request for? _____________________________________
7. Are sediment controls in effective condition? _____________________________
8. Have any previous Extension Permits been issued for this project? When?
__________________________________________________________________
_______________________ _____________
Representative’s Signature Date
Please submit this form, a cover letter, and a $ 125 check made payable to
the Town of Barnstable. Also, prepare an additional eight collated sets for
distribution to the commissioners.
Town of Barnstable
Conservation Commission
230 South Street
Hyannis Massachusetts 02601
Office: 508-862-4093 E-mail: conservation@town.barnstable.ma.us FAX: 508-778-2412
Form E
5704
111 George Street 319 052
6/16/2024 Joshua Garvey
The project is nearing completion, but will not be completed by 6/16/24.
The dwelling is constructed.
The landscaping is not completed. Estimated completion date: approx. 9 months
Yes
Yes
1 year
Yes
No
4/24/24
Kieran J. Healy, PLS