Request for Determination of Applicability 2000 „. ..„(st.yri.,:..,....
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...0 •_ _ Dartmouth Building Department
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...‹.....L 64::�' 400 Slocum Road
P.O. Box 79399 ! r c k n , 508-999-0720
Dartmouth,MA 02747 L6 toivi i FAX 508-999-0738
MEMORANDUM
To: Dartmouth Conservation Commission
From: David J. Silveira,Building Commissioner&Zonin Enforcement Officer
Date: August 21,2000 ' -
Reference: Technical Review&Written Report,Medeiros Lane,Plat 79 Lot 6-8 (Paul&Kimberly
Alves)
The above mentioned property is located in a Single Residence B District. This lot has an existing
dwelling and the proposed addition is an allowed use. The setbacks for the addition will be not
less than twenty (20) feet from side yards and may require a certified"As-Built”plan.
This lot is also located in a F.I.R.M. Zone C,but not located in an Aquifer Zone.
Building permits will be required and no further zoning action is.required subject to review of the
building permit application.
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yy 400 Slocum Road • P. O. Box 79399
1884- y Dartmouth, Massachusetts 02747-0985 -
CONSERVATION COMMISSION a , ,, ,- (508) 999-0722
' ''FAX: (508) 999-0797
http://www.town.dartmouth.ma.us
August 4, 2000
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 Paul & Kimberly Alves re: Map 79, Lot 6-8,
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 14,
2000.
Thank you for your cooperation and assistance in this matter.
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30 — y 400 Slocum Road • P. O. Box 79399
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sy Dartmouth, Massachusetts 02747-0985
CONSERVATION COMMISSION (508) 999-0722
FAX: (508) 999-0797
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 Paul & Kimberly Alves regarding land
located at Map 79, Lot 6-8, Medeiros Lane in Dartmouth. The meeting will begin at 7:00 p.m.,
Tuesday, August 15, 2000 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 9, 2000.
PRE-PAYMENT CHECK ENCLOSED
' A
Massachusetts Department of Environmental Protection DARTMOUTH
t� t Bureau of Resource Protection -Wetlands Cityrrown
I iii '= i WPA Form 1 - Request for Determination of Applicability
l Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and
The Dartmouth Wetlands Protection Bylaw
A. General Information
Important:
When filling out 1. A licant:
forms on the ‘—KkrYlbk9 r( A\\JQs
computer, use N e
only the tab key E-Mail Address(if applicable)
to move your f� de,, r Voorw,_.
cursor-do not 7ddSS �/ h I //�� yi
j_ 1 l l ► k U ,, 1.-k ! Y 1 j ?V /key. State ``�` Zip Code /
. -137)g q9S7 cgo?
4 Phone Number Fax Number(if applicable)
2. Representative (if any):
IL___j,iee
Firm
Contact Name E-Mail Address(if applicable)
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
B. Determinations
1. I request the Dartmouth make the following determination(s). Check any that apply:
Conservation Commission
❑ 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.
tip 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:
Dartmouth
Name of Municipality
El e. whether the following scope of alternatives is adequate for work in the Riverfront Area as
depicted on referenced plan(s).
WPA Form1
Pace 1 of
Massachusetts Department of Environmental Protection DARTMOUTH •
Z Bureau of Resource Protection -Wetlands City/Town
'al t WPA Form 1 - Request for Determination of Applicability
� r I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and
The Dartmouth Wetlands Protection Bylaw
C. Project Description
1. a. Project Location (use maps and plans to ide tify theeIo tion of the area subject this request):
Stre
? /ed�aro S• ( ?/2 / r?h tt ad;
et Address City/Town
`I-4
Assessors Ma-7p/Pla Number Parcel/Lot Number
b. Area Description (use additional paper, if necessary):
7)1 NCth Sp r i ngc 5-4 '_ iki k ( 0 rl
c. Plan and/or Map Reference(s): S ,-- - c)0-
Title
Date
2. a. Work scription (use additional paper a d/or provide plan(s) of work, if necessary):
rla Q *) (i/// 1/)1A/ a
a ' W -X-/Qhdd.
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).
WPA Fortnt
Paoe 2 of d
. .k:, Massachusetts Department of Environmental Protection DARTMOUTH
': ' = -' , Bureau of Resource Protection -Wetlands
cftyR�
�'"i r WPA Form 1- Request for Determination of Applicability
\„,- 1 - Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and
The Dartmouth Wetlands Protection Bylaw
C. Project Description (cont.)
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.
O 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 8R/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.)
Pan"..1 n/4
Massachusetts Department of Environmental Protection DARTMOUTH
:j ' _ ,. Bureau of Resource Protection -Wetlands cayRown
WI; -
•-==�`.I _� WPA Form 1- Re quest for Determination of Applicability •
r i : Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and
The Dartmouth Wetlands Protection Bylaw
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 (see Appendix A)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:
afne,
/a
M it g Address
. t D/?, 7 '7fo/
Statfi4 Zip Code
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
in accordan ith Section 10 05(3)(b (1) of the Wetlands Protection Act regulations.
- /4'zd-e. t-
Si natjre of Applicant Date PNZIZ
Signature of Representative(if any) Date
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