Request for Determination of Applicability DARTMOUTH :�"°`_T',,�•'"�. .. ,-\\ MAS,SACHUSETTS
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CONSERVATION COMMISSION %34_. .,ffi `' MI -IAiiEL O'REILLY
400 SLOCUM ROAD• P. O. Box 79399 ��• /664 5�" ENVIROI�TMEN`I'AI?IFFAIRS COORDINATOR
DARTMOUTH, MA 02747-0985 TEL: (508) 910-1822 • FAX: (508) 910-1897
http://www.town.dartmouth.ma.us
August 5, 2003 REV l s
TO: Building Department
Department of Public Works
Planning Board
Board of Health
FROM: Dartmouth Conservation Commission
SUBJECT: Request for technical review and written report on the accompanying Request for
Determination and plans from Troy Morgado re: Map 79,Lot 6-4 at 6 Medeiros
Lane.
Please review the attached Request for Determination and plan(s). If you have any comments
regarding the proposal and/or plans, please submit them to the Conservation office by August 18,
2003.
Thank you for your cooperation and assistance in this matter.
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DARTMOUTH !°UT '�
4 ,.��1►, � � MASSACHUSETTS
CONSERVATION COMMISSION _ ,�3' MICHAEL O'REILLY
400 SLOCUM ROAD • P. O. Box 79399 "< . _r S1/y`f ENVIRONMENTAL AFFAIRS COORDINATOR
1664 '
DARTMOUTH, MA 02747-0985 � '� TEL: (508) 910-1822 • FAX: (508) 910-1897
http://www.town.dartmouth.ma.us
DARTMOUTH CONSERVATION COMMISSION
NOTICE OF PUBLIC MEETING
Notice is hereby given that a meeting will be held in accordance with the provisions of the
Dartmouth Wetlands Protection Bylaw and M.G.L., Ch 131, §40, the Wetlands Protection Act,
on the Request for Determination of Applicability from Troy Morgado regarding land located at
Map 79, Lot 6-5, Medeiros Lane in Dartmouth. The meeting will begin at 7:00 p.m., Tuesday.,
August 19, 2003 in Room 103 at the Dartmouth Town Hall, 400 Slocum Road in Dartmouth, and
all interested parties should be present at that time.
Gerald Franklin
Chairman
CC: D.E.P.
Dartmouth Board of Health
Dartmouth Building Department
Dartmouth D.P.W.
Owner
Applicant
Engineering Firm
THE CHRONICLE:
LEGAL AD: Please run once in your issue of August 13..2003.
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WIN 04 Request for Determination of Transmittal Number
Applicability
Request for Determination of Applicability
I, the undersigned, hereby request that the Department of Environmental Protection make a
determination as to whether MGL Chapter 91, the Public Waterfront Act, and the regulations
Important: implementing that Act, 310 CMR 9.00, presently apply to the area of land,water, or activity thereon
When filling described below.
out forms on
the computer,use only the 1. Applicant:
tab key to Troy Morgado
move your Name
cursor-do 6 Medeiros Lane
not use the Mailing Address
return key.
N. Dartmouth Bristol MA 02747
tior.b
County State Zip Code
508-998-9641
Day Telephone#
2. Property Information (all information must be provided):
same
Owner Name(if different from applicant)
0079-00006-0005
Tax Assessor's Map and Parcel Numbers
6 Medeiros Lane N. Dartmouth
Location(street address) City/Town
Bristol 02747 41N37 70W58
County Zip Code Longitude Latitude
3. Name of the water body:
4. Summary of the Project/Activity:
Installation of a 16'x 3inground swimming pool
5. Detailed description of existing and/or proposed fill, structure, dredging or uses(s) (attach additional
paper, if necessary and see#6 for plan requirements):
Approx. 6"of loam, 3' of common fill, and 5'of undisturbed glacial till. No dredging or pumping
required.
ww04 Page 1 of 2
Rev.08/15/00
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 04 Request for Determination of Transmittal Number
Applicability
Request for Determination of Applicability Cont.
6. Attached is a plan or plans showing:
a. an appropriately scaled site location map;
b. references to any previous Chapter 91 licenses, permits or other authorizations for existing
structures, fill, or dredging at the site, including the license number(s)and the date(s)the
license(s)was recorded at the Registry of Deed or Land Court;
c. appropriately scaled principal dimensions and elevations of proposed and existing fill, structures,
or dredging in waterways;
d. any historic dredging, filling, or impoundment at the site; and
e. a delineation of the present high and low water marks, and the historic high and low water marks.
Please note the source information for all items provided in Section 6.
7. At the same time that this request was submitted to the Department of Environmental Protection, I
submitted copies of it to all persons identified in 310 CMR 9.13(1)(a), and have attached their names
and addresses to this form.
8. I understand that the Department of Environmental Protection may, at its discretion, require that a
public hearing be held and that a newspaper notice be published at my expense regarding this
request.
9. I understand that any person may submit written comments to the Department of Environmental
Protection on this request within twenty-one(21)days of the date the request is received by the
Department or the newspaper notification date, if applicable. I hereby certify under the pains and
penalties of perjury that the foregoing statements, information and accompanying material are true
and complete to the best of my knowledge.
Applicant's signature ` ,,,� :
Troy Morgado
Applicant's Name
ww04 Page 2 of 2
Rev.08/15/00
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