20221011 NOI CCMA 915 Craigville Beach RoadAPPLICANT
Christian Camp Meeting Association
39 Prospect Ave.
Centerville, MA 02632
REPRESENTATIVE
Environnemental Consulting & Restoration, LLC
P.O. Box 4012
Plymouth, MA 02361
(617) 529-3792
NOTICE OF INTENT
915 Craigville Beach Road, Centerville
SUBMITTED TO
Barnstable Conservation Commission
September 2022
P.O. Box 4012, Plymouth, Massachusetts 02361 617-529-3792 | www.ecrwetlands.com
September 21, 2022
Town of Barnstable
Conservation Commission
367 Main St
Barnstable, MA 02601
Attn.: Darcy Karle, Conservation Administrator
RE: Notice of Intent, Proposed Beach Sand Relocation Project, 915 Craigville Beach Road, Centerville, MA 02632
Dear Ms. Karle & Members of the Barnstable Conservation Commission:
Please accept this Notice of Intent application for the proposed beach sand relocation project at
915 Craigville Beach Road in Centerville (the site). The Town of Barnstable Assessors
Department references the site as Parcel ID #225001. The proposed project includes relocating
the accumulated beach sand from under the existing structures within the back shore beach to a
portion of the beach seaward. The proposed project is located within a Barrier Beach/Coastal
Beach and Land Subject to Coastal Storm Flowage. This application is being submitted in
accordance with the Massachusetts Wetlands Protection Act and the Town of Barnstable
Wetlands Protection Bylaw.
If you have any questions or require additional information, please contact me at (508)
648-3957.
Sincerely,
Environmental Consulting & Restoration, LLC
Cameron Larson, WPIT
Manager
CC: Department of Environmental Protection, Wetland Division, 20 Riverside Drive, Lakeville,
MA 02347
Christian Camp Meeting Association
MA NHESP, 1 Rabbit Hill Road, Westborough, MA 01581
Barnstable Marine & Environmental Affairs, Attn.: Shellfish Biologist, 1189 Phinney's
Lane, Centerville MA 02632
Barnstable Harbormaster, 1189 Phinney's Lane, Centerville, MA 02632
NOTICE OF INTENT
TABLE OF CONTENTS
Item Attachment
Barnstable NOI Application Checklist 1
Notice of Intent Form 2
Project Narrative 3
Photograph Pages 4
USGS Site Locus Map 5
FEMA Map 6
Massachusetts Natural Heritage & Endangered Species Map 7
Abutter Information 8
Property Access Form 9
Barnstable Waiver 10
Site Plan 11
Chap 707/rev. March 2022 Page 1
CHAPTER 707
Regulation Governing Minimum Submission
Requirements for a Notice of Intent Application
The Barnstable Conservation Commission has adopted the following requirements in order to obtain more
consistently complete submission documents necessary for a thorough and efficient review of all Notice of Intent
(NOI) applications. Failure to complete any of the items in this checklist may result in your application being
denied.
Applicant or applicant’s agent should check each box denoting that the task has been completed or in certain
instances, like field staking, denoting that the task will be completed. The following submission checklist covers the
requirements of Chapter 237, Wetlands Protection, of the Part I General Ordinances of the Code of the Town of
Barnstable. This checklist shall be submitted to the Barnstable Conservation Division with the NOI application.
1.Requirements
a. The applicant understands, unless they’ve instructed otherwise, they are applying both
under the Massachusetts Wetlands Protection Act M.G.L. c.131,§40 and
Chapter 237 of the Town of Barnstable General Ordinances.
b. Attach a written narrative to the NOI application (WPA Form 3), available at:
www.mass.gov/eea/agencies/massdep/service/approvals/wpa-form-3.html
describing any project impacts and proposed mitigation as they relate to the following:
1) Any of the interests of Chapter 237 of the General Ordinances and the MassDEP
Wetlands Protection Act M.G.L. 131, §40.
2) The performance standards contained in the MassDEP Wetlands Protection Regulations
(310 CMR 10.00)
3) Chapter 704: Regulation Governing Activity in the 100-ft. Buffer Zone.
4) Chapter 703: Private Docks and Piers.
5) Any other applicable regulations (310 CMR 10.00 or as promulgated under Chapter 237
of the General Ordinances).
c. Enclose proper payment to cover the fee for Chapter 237 filings. Consult current Fee
Schedule at www.townofbarnstable.us/Conservation
d. Please indicate who is to record the Order of Conditions (check one):
Applicant Agent
2.Abutter Notification (See Abutter Notification Regulation, Chapter 706)
Town of Barnstable
Conservation Commission
200 Main Street
Hyannis Massachusetts 02601
Office: 508-862-4093 E-mail: conservation@town.barnstable.ma.us FAX: 508-778-2412
Chap 707/rev. March 2022 Page 2
a. Contact the Conservation Division office at (508) 862-4093 regarding the docketing
process, or see current schedule of Conservation Hearings and submission deadlines at:
www.townofbarnstable.us/Conservation/
b. Provide a copy of the list of abutters within a 100 ft radius of the project parcel.
c. Provide a copy of the Assessor’s Map indicating the parcel of the project site and
showing the 100 ft radius of the project parcel.
d. Provide a copy of the abutter notification letter. Use the form letter provided in our Abutter
Notification Regulation (Chapter 706), available on the Conservation Division
website.
e. Bring the green return receipts, from the certified mailings to the abutters, as proof of
notification to the public hearing. If any mailings are returned, bring the entire envelope,
indicating by postal service stamp the reason for return. You will retain the receipts
afterwards, not the Conservation Division.
f. I further certify under the penalties of perjury that all abutters were notified of the Notice of
Intent Application, pursuant to the requirements of Chapter 237 of the General Ordinances of the
Code of the Town of Barnstable. Notice must be made in writing by certified mail to all abutters
within 100 ft of the property line of the project location.
_______________________________________
Signature of Applicant or Representative Date
3.Field Staking:
a. On or before Tuesday, @ 8:30 a.m., one week prior to the scheduled public hearing, have
your project staked by a professional engineer or registered land surveyor showing all
outside corners of all proposed structures and the continuous proposed “limit of work” line.
b. Have a wetland scientist or other qualified professional flag all wetland resource areas on or
within 100 ft of the work area. Make sure that the flags are sequentially numbered.
c. Provide a project identification stake with bright painted top and applicant name and address,
easily visible from the street approaching the site.
4.Legal Advertisement Fees:
a. Conservation will submit the legal ad for publication in a local newspaper. The applicant or
his/her agent is responsible for payment, by check (payable to the Town of Barnstable), at the
hearing or by mail. The cost of the legal ad will be pre-calculated and posted on the hearing
agenda prior to the hearing.
5.Minimum Documentation for a Complete Application:
a. Provide a completely filled-out (in all parts) NOI application as locally
adopted for the Town of Barnstable, including MassDEP Vegetated Wetland Field Data Form.
Indicate Assessor’s map and parcel of the project, as well as the street or road address, and
pertinent village (i.e., Hyannis, Centerville, Barnstable, etc).
b. Provide two (2) original project plans, stamped in blue or red ink (wet stamp). Plans must be
signed and dated by a Massachusetts licensed, professional engineer, land surveyor, architect or
landscape architect (as applicable), and shall be drawn at a readable scale (1" = 20' preferred).
For multi-acre sites, a second site plan, drawn at larger scale showing the entire site, should also
be provided.
9/21/2022
Chap 707/rev. March 2022 Page 3
c. Provide a signed Permission to Access Property, Form PA. The form must be signed by the property
Owner, or legal representative and submitted prior to NOI being docketed and application advertised.
Form PA is available at www.townofbarnstable.us/Conservation/. Do not send the abutter letter
out until the form is submitted to the Conservation Division office.
d. For projects requiring mitigation plantings under Chapter 704-3, 704-4, and 704-5,
mitigation planting location(s) shall clearly be shown on landscaping planting plan. The
planting plan shall include species list (chosen from the Town of Barnstable Conservation
Commission approved planting lists), sizes, densities and/or quantities. The plan shall
also provide area calculations between 0 to 50 and 50 to 100 separately for the amount of
mitigation planting required, and the amount of mitigation planting proposed.
e. Provide detailed, written street directions to the locus (site).
f. Provide a copy of a U.S.G.S. locus map indicating the general area of the project site.
g. Provide a check for the Town of Barnstable portion of the required filing fee. (The portion
payable to the Commonwealth, see 7. e. below)
h. Provide any other documentation, photographs, architectural renderings or other supporting data
prepared by professionals competent in the field which may be relevant to the application.
6.The site plan shall also show:
a. All existing and proposed contours at 2-ft. minimum intervals (1-ft. preferred).
b. Clear delineation of all existing and proposed structures and features. Building structures must
be accurately dimensioned (fixed location) from property lines and wetland resource areas. Plans
shall provide sufficient detail to show all potential wetland impacts, mitigation, compensatory
areas, engineered structures, utilities, landscaping, etc. within the area of jurisdiction. On
complicated sites, existing and proposed conditions must be shown on separate sheets.
c. Locus inset map of the site clearly showing its location relative to surrounding public streets.
d. All wetland resource area flags by individual flag number (matched to the field) to clearly
identify all resource areas on or within 100 feet of the work area. The individual who performed
the flagging and date of flagging shall be identified on the plan next to the resource line.
e. Section views showing changes in grade, cuts and fills.
7.SUBMISSION OF THE COMPLETED APPLICATION WITH PLANS:
a. Provide a signed Permission to Access Property, Form PA. The form must be signed by the property
Owner, or legal representative and submitted prior to NOI being docketed and application advertised.
Form PA is available at www.townofbarnstable.us/Conservation/. Do not send the abutter letter
out until the form is submitted to the Conservation Division office.
b. Email NOI application and all associated materials in PDF format to
Kimberly.Cavanaugh@town.barnstable.ma.us AND Darcy.Karle@town.barnstable.ma.us .
Do not include copies of checks.
All attachments must be named with the hearing date (year first), type, name, address. Examples
20220301 NOI Smith 21 Main Street or 2022031 NOI Plan Smith 21 Main Street.
c. Provide two (2) full NOI applications with folded plans (colored ink stamp) with signature/date
to the Town of Barnstable Conservation Division Office for administrative use;
□ d.Provide seven (7) additional copies of the NOI (with folded plans and all pertinent dataattached) to the Barnstable Conservation Division Office for distribution to, and review by,Conservation Commission members. Any supplementary documentation for administrativeand commission review should be submitted as soon as possible prior to the scheduled publichearing.*e.Mail one (I) copy of the complete NOi with plan(s) to the Massachusetts Department ofEnvironmental Protection (MassDEP) Southeast Regional Office, 20 Riverside Dr., Lakeville, MA02346. Send MassDEP portion of filing fee to: MA Department of Environmental Protection, Box4062, Boston, MA 02211.f.For roadway construction or repair projects, provide one electronic copy of the NOi and plans tothe Senior Project Manager Special Projects, c/o the Town of Barnstable Department of PublicWorks, 382 Falmouth Road, Hyannis, MA 02601.g.For coastal piers, dredging, coastal engineering structures or other coastal erosion controlprojects, provide two hard copies of the NOI and plans to the Shellfish Biologist, c/oTown of Barnstable Natural Resources, 1189 Phinney's Ln., Centerville, MA 02632. In_addition, email a (PDF) version to:I)shellfishNOI@town.barnstable.ma.us. (Email must be sent the same day as submissionto the Conservation Division); and 2)conservationprojects@town.barnstable.ma.ush.Also, for coastal piers, dredging, coastal engineering structures, provide two hard copiesof the NOI and plans to the Harbormaster, c/o Town of Barnstable Marine and EnvironmentalAffairs (MEA), 1189 Phinney's Ln., Centerville, MA 02632. In addition. email a (PDF) versionto:I)harbormaster@town.barnstable.ma.us. (Email must be sent the same day as submissionto the Conservation Division); and 2)conservati onproj ects@town. barnsta b le. ma. usNote: Please title the file for your NOI project as follows: a. Submission date, b. Last name of applicant, c.Map/parcel of property, e.g., 082316-Smith-076024.
*Note: If a revised plan needs to be submitted prior to a hearing, please follow same instructions as 7. b. above (and submit to other
entities as may be applicable). Plan revisions must be clearly noted and dated in the revision block. (The same individual who
stamped the original plan must also stamp and sign the revised plan).
5 i}>-11 f ,z,,, Submitted this ___ , __ day of /f-'j//'}. in the year zvi, in accordance with the Townof Barnstable "Regulation Governing Minimum Submission Requirements for a Notice of Intent Application" by: (Print Name) 1. r CCMA r.Uf ;;i.-j1,, .-._ Owner / Applicant Cameron Larson Owner's Authorized Agent Approved: May 28. 1997
Revised: May 12, 2015 Signature Signature Revised: August 23, with minor rev. Sept. 6, 2016
Revised March 15, 2022
Chap 707 /rev. March 2022 Telephone Number Page 4
508-648-3957Telephone Number
wpaform3.doc • rev. 6/18/2020 Page 1 of 9
4
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):
915 Craigville Beach Rd
a. Street Address
Barnstable
b. City/Town
02632
c. Zip Code
Latitude and Longitude: 41.63631"N
d. Latitude
70.33674"W
e. Longitude
Parcel ID # 225001
f. Assessors Map/Plat Number g. Parcel /Lot Number
2.Applicant:
a. First Name b. Last Name
Christian Camp Meeting Association
c. Organization
39 Prospect Ave
d. Street Address
Centerville
e. City/Town
MA
f. State
02632
g. Zip Code
h. Phone Number i. Fax Number j.Email Address
3.Property owner (required if different from applicant):Check if more than one owner
a. First Name b. Last Name
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):
Cameron
a. First Name
Larson
b. Last Name
Environmental Consulting & Restoration, LLC
c. Company
PO Box 4012
d. Street Address
Plymouth
e. City/Town
MA 02360
g. Zip Code
617-529-3792
h. Phone Number i. Fax Number
f. State
cameron@ecrwetlands.com
j. Email address
5.Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form):
$500.00
a. Total Fee Paid
$237.50
b. State Fee Paid
$262.50
c. City/Town Fee Paid
wpaform3.doc • rev. 6/18/2020 Page 2 of 9
4
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
A. General Information (continued)
6.General Project Description:
Proposed beach sand relocation project located at the Craigville Beach Association property off
Craigville Beach Road. The proposed project includes relocating the accumulated beach sand from
under and around the existing structures within the back shore beach to a portion of the beach
seaward. For more information, please refer to the attached narrative.
7a. Project Type Checklist: (Limited Project Types see Section A. 7b.)
1. Single Family Home 2. Residential Subdivision
3. Commercial/Industrial 4. Dock/Pier
5. Utilities 6. Coastal engineering Structure
7. Agriculture (e.g., cranberries, forestry) 8. Transportation
9. Other
7b. Is any portion of the proposed activity eligible to be treated as a limited project (including Ecological
Restoration Limited Project) subject to 310 CMR 10.24 (coastal) or 310 CMR 10.53 (inland)?
1. Yes No If yes, describe which limited project applies to this project. (See 310 CMR
10.24 and 10.53 for a complete list and description of limited project types)
2. Limited Project Type
If the proposed activity is eligible to be treated as an Ecological Restoration Limited Project (310
CMR10.24(8), 310 CMR 10.53(4)), complete and attach Appendix A: Ecological Restoration Limited
Project Checklist and Signed Certification.
8.Property recorded at the Registry of Deeds for:
Barnstable
a. County b. Certificate # (if registered land)
9086
c. Book
0011
d. Page Number
B. Buffer Zone & Resource Area Impacts (temporary & permanent)
1. Buffer Zone Only – Check if the project is located only in the Buffer Zone of a Bordering
Vegetated Wetland, Inland Bank, or Coastal Resource Area.
2. Inland Resource Areas (see 310 CMR 10.54-10.58; if not applicable, go to Section B.3,
Coastal Resource Areas).
Check all that apply below. Attach narrative and any supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
wpaform3.doc • rev. 6/18/2020 Page 3 of 9
4
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
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
For all projects
affecting other
Resource Areas,
please attach a
narrative
explaining how
the resource
area was
delineated.
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a. Bank 1. linear feet 2. linear feet
b. Bordering Vegetated
Wetland 1. square feet 2. square feet
c. Land Under
Waterbodies and
Waterways
1. square feet 2. square feet
3. cubic yards dredged
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
d. Bordering Land
Subject to Flooding 1. square feet 2. square feet
3. cubic feet of flood storage lost 4. cubic feet replaced
e. Isolated Land
Subject to Flooding 1. square feet
2. cubic feet of flood storage lost 3. cubic feet replaced
f. Riverfront Area 1. Name of Waterway (if available) - specify coastal or inland
2.Width of Riverfront Area (check one):
25 ft. - Designated Densely Developed Areas only
100 ft. - New agricultural projects only
200 ft. - All other projects
3.Total area of Riverfront Area on the site of the proposed project:square feet
4.Proposed alteration of the Riverfront Area:
a. total square feet b. square feet within 100 ft.c. square feet between 100 ft. and 200 ft.
5.Has an alternatives analysis been done and is it attached to this NOI? Yes No
6.Was the lot where the activity is proposed created prior to August 1, 1996? Yes No
3. Coastal Resource Areas: (See 310 CMR 10.25-10.35)
Note: for coastal riverfront areas, please complete Section B.2.f. above.
wpaform3.doc • rev. 6/18/2020 Page 4 of 9
4
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
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
Check all that apply below. Attach narrative and supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including
standards requiring consideration of alternative project design or location.
Online Users:
Include your
document
transaction
number
(provided on your
receipt page)
with all
supplementary
information you
submit to the
Department.
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a. Designated Port Areas Indicate size under Land Under the Ocean, below
b. Land Under the Ocean 1. square feet
2. cubic yards dredged
c. Barrier Beach Indicate size under Coastal Beaches and/or Coastal Dunes below
d. Coastal Beaches Approx. 60,000 sq. ft.
1. square feet 2. cubic yards beach nourishment
e. Coastal Dunes 1. square feet 2. cubic yards dune nourishment
Size of Proposed Alteration Proposed Replacement (if any)
f.Coastal Banks 1. linear feet
g.Rocky Intertidal
Shores 1. square feet
h. Salt Marshes 1. square feet 2. sq ft restoration, rehab., creation
i.Land Under Salt
Ponds 1. square feet
2. cubic yards dredged
j. Land Containing
Shellfish 1. square feet
k.Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the
Ocean, and/or inland Land Under Waterbodies and Waterways,
above
1. cubic yards dredged
l.Land Subject to
Coastal Storm Flowage
Approx. 60,000 sq. ft.
1. square feet
4. Restoration/Enhancement
If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the
square footage that has been entered in Section B.2.b or B.3.h above, please enter the additional
amount here.
a. square feet of BVW b. square feet of Salt Marsh
5. Project Involves Stream Crossings
a. number of new stream crossings b. number of replacement stream crossings
wpaform3.doc • rev. 6/18/2020 Page 5 of 9
4
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
C. Other Applicable Standards and Requirements
This is a proposal for an Ecological Restoration Limited Project. Skip Section C and
complete Appendix A: Ecological Restoration Limited Project Checklists – Required Actions
(310 CMR 10.11).
Streamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review
1.Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on
the most recent Estimated Habitat Map of State-Listed Rare Wetland Wildlife published by the
Natural Heritage and Endangered Species Program (NHESP)? To view habitat maps, see the
Massachusetts Natural Heritage Atlas or go to
http://maps.massgis.state.ma.us/PRI_EST_HAB/viewer.htm.
a. Yes No If yes, include proof of mailing or hand delivery of NOI to:
Natural Heritage and Endangered Species Program
Division of Fisheries and Wildlife
1 Rabbit Hill Road
Westborough, MA 01581 August 2021
b. Date of map
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321
CMR 10.18). To qualify for a streamlined, 30-day, MESA/Wetlands Protection Act review, please
complete Section C.1.c, and include requested materials with this Notice of Intent (NOI); OR
complete Section C.2.f, if applicable. If MESA supplemental information is not included with the NOI,
by completing Section 1 of this form, the NHESP will require a separate MESA filing which may take
up to 90 days to review (unless noted exceptions in Section 2 apply, see below).
c.Submit Supplemental Information for Endangered Species Review∗
1. Percentage/acreage of property to be altered:
(a)within wetland Resource Area 1.37 acres
percentage/acreage
(b)outside Resource Area percentage/acreage
2. Assessor’s Map or right-of-way plan of site
2. Project plans for entire project site, including wetland resource areas and areas outside of
wetlands jurisdiction, showing existing and proposed conditions, existing and proposed
tree/vegetation clearing line, and clearly demarcated limits of work ∗∗
(a) Project description (including description of impacts outside of wetland resource area &
buffer zone)
(b) Photographs representative of the site
∗ Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review (see https://www.mass.gov/ma-
endangered-species-act-mesa-regulatory-review).
Priority Habitat includes habitat for state-listed plants and strictly upland species not protected by the Wetlands Protection Act.
∗∗ MESA projects may not be segmented (321 CMR 10.16). The applicant must disclose full development plans even if such plans are
not required as part of the Notice of Intent process.
wpaform3.doc • rev. 6/18/2020 Page 6 of 9
4
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
C. Other Applicable Standards and Requirements (cont’d)
(c) MESA filing fee (fee information available at https://www.mass.gov/how-to/how-to-file-for-
a-mesa-project-review).
Make check payable to “Commonwealth of Massachusetts - NHESP” and mail to NHESP at
above address
Projects altering 10 or more acres of land, also submit:
(d) Vegetation cover type map of site
(e) Project plans showing Priority & Estimated Habitat boundaries
(f)OR Check One of the Following
1. Project is exempt from MESA review.
Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14,
https://www.mass.gov/service-details/exemptions-from-review-for-projectsactivities-in-
priority-habitat; the NOI must still be sent to NHESP if the project is within estimated
habitat pursuant to 310 CMR 10.37 and 10.59.)
2. Separate MESA review ongoing. a. NHESP Tracking #b. Date submitted to NHESP
3. Separate MESA review completed.
Include copy of NHESP “no Take” determination or valid Conservation & Management
Permit with approved plan.
3.For coastal projects only, is any portion of the proposed project located below the mean high water
line or in a fish run?
a. Not applicable – project is in inland resource area only b. Yes No
If yes, include proof of mailing, hand delivery, or electronic delivery of NOI to either:
South Shore - Cohasset to Rhode Island border, and
the Cape & Islands:
Division of Marine Fisheries -
Southeast Marine Fisheries Station
Attn: Environmental Reviewer
836 South Rodney French Blvd.
New Bedford, MA 02744
Email: dmf.envreview-south@mass.gov
North Shore - Hull to New Hampshire border:
Division of Marine Fisheries -
North Shore Office
Attn: Environmental Reviewer
30 Emerson Avenue
Gloucester, MA 01930
Email: dmf.envreview-north@mass.gov
Also if yes, the project may require a Chapter 91 license. For coastal towns in the Northeast Region,
please contact MassDEP’s Boston Office. For coastal towns in the Southeast Region, please contact
MassDEP’s Southeast Regional Office.
c. Is this an aquaculture project? d. Yes No
If yes, include a copy of the Division of Marine Fisheries Certification Letter (M.G.L. c. 130, § 57).
wpaform3.doc • rev. 6/18/2020 Page 7 of 9
4
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
C. Other Applicable Standards and Requirements (cont’d)
Online Users:
Include your
document
transaction
number
(provided on your
receipt page)
with all
supplementary
information you
submit to the
Department.
4.Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a. Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or MassDEP
Website for ACEC locations). Note: electronic filers click on Website.
b. ACEC
5.Is any portion of the proposed project within an area designated as an Outstanding Resource Water
(ORW) as designated in the Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a. Yes No
6.Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands
Restriction Act (M.G.L. c. 131, § 40A) or the Coastal Wetlands Restriction Act (M.G.L. c. 130, § 105)?
a. Yes No
7.Is this project subject to provisions of the MassDEP Stormwater Management Standards?
a. Yes. Attach a copy of the Stormwater Report as required by the Stormwater Management
Standards per 310 CMR 10.05(6)(k)-(q) and check if:
1. Applying for Low Impact Development (LID) site design credits (as described in
Stormwater Management Handbook Vol. 2, Chapter 3)
2. A portion of the site constitutes redevelopment
3. Proprietary BMPs are included in the Stormwater Management System.
b. No. Check why the project is exempt:
1. Single-family house
2. Emergency road repair
3. Small Residential Subdivision (less than or equal to 4 single-family houses or less than
or equal to 4 units in multi-family housing project) with no discharge to Critical Areas.
D. Additional Information
This is a proposal for an Ecological Restoration Limited Project. Skip Section D and complete
Appendix A: Ecological Restoration Notice of Intent – Minimum Required Documents (310 CMR
10.12).
Applicants must include the following with this Notice of Intent (NOI). See instructions for details.
Online Users: Attach the document transaction number (provided on your receipt page) for any of
the following information you submit to the Department.
1. USGS or other map of the area (along with a narrative description, if necessary) containing
sufficient information for the Conservation Commission and the Department to locate the site.
(Electronic filers may omit this item.)
2. Plans identifying the location of proposed activities (including activities proposed to serve as
a Bordering Vegetated Wetland [BVW] replication area or other mitigating measure) relative
to the boundaries of each affected resource area.
wpaform3.doc • rev. 6/18/2020 Page 8 of 9
4
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
D. Additional Information (cont’d)
3. Identify the method for BVW and other resource area boundary delineations (MassDEP BVW
Field Data Form(s), Determination of Applicability, Order of Resource Area Delineation, etc.),
and attach documentation of the methodology.
4. List the titles and dates for all plans and other materials submitted with this NOI.
Conservation Plan Proposed Beach Sand Relocation Project
a. Plan Title
Envrionmental Consulting & Restoration
b. Prepared By c.Signed and Stamped by
August 4, 2022
d. Final Revision Date
1"=100'
e. Scale
f. Additional Plan or Document Title g. Date
5. If there is more than one property owner, please attach a list of these property owners not
listed on this form.
6. Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed.
7. Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed.
8. Attach NOI Wetland Fee Transmittal Form
9. Attach Stormwater Report, if needed.
E. Fees
1.Fee Exempt: No filing fee shall be assessed for projects of any city, town, county, or district
of the Commonwealth, federally recognized Indian tribe housing authority, municipal housing
authority, or the Massachusetts Bay Transportation Authority.
Applicants must submit the following information (in addition to pages 1 and 2 of the NOI Wetland
Fee Transmittal Form) to confirm fee payment:
4268
2. Municipal Check Number
9/13/2022
3. Check date
4261
4. State Check Number
9/13/2022
5. Check date
The Christian Camp Meeting Assoc.
6. Payor name on check: First Name 7. Payor name on check: Last Name
�
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
F.Signatures and Submittal Requirements
4
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Barnstable
City/Town
I hereby certify under the penalties of perjury that the foregoing Notice of Intent and accompanying
plans, documents, and supporting data are true and complete to the best of my knowledge. I understand
that the Conservation Commission will place notification of this Notice in a local newspaper at the
expense of the applicant in accordance with the wetlands regulations, 310 CMR 10.05(5)(a).
I further certify under penalties of perjury that all abutters were notified of this application, pursuant to
the requirements of M.G.L. c. 131, § 40. Notice must be made by Certificate of Mailing or in writing by
hand delivery or certified mail (return receipt requested) to all abutters within 100 feet of the property line
of the project location.
1. Signature of ApplicantP ,1( 0.AA-L--Y"'=/ ,__ l-, cc,111+
3. Signature of Property owi{er (if different)
5. Signature of Representative (if any)
For Conservation Commission:
2.Date�pt L. )<n-L4.Date '
6. Date
Two copies of the completed Notice of Intent (Form 3), including supporting plans and documents,
two copies of the NOi Wetland Fee Transmittal Form, and the city/town fee payment, to the
Conservation Commission by certified mail or hand delivery.
For MassDEP:
One copy of the completed Notice of Intent (Form 3), including supporting plans and documents, one
copy of the NOi Wetland Fee Transmittal Form, and a copy of the state fee payment to the
MassDEP Regional Office (see Instructions) by certified mail or hand delivery.
Other:
If the applicant has checked the "yes" box in any part of Section C, Item 3, above, refer to that
section and the Instructions for additional submittal requirements.
The original and copies must be sent simultaneously. Failure by the applicant to send copies in a
timely manner may result in dismissal of the Notice of Intent.
wpaform3.doc • rev. 6/18/2020 Page 9 of 9
9/20/2022
noifeetf.doc • Wetland Fee Transmittal Form • rev. 10/11 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Important: When
filling out forms
on the computer,
use only the tab
key to move your
cursor - do not
use the return
key.
A.Applicant Information
1.Location of Project:
915 Craigville Beach Rd
a. Street Address
Centerville
b. City/Town
4261
c.Check number
$237.50
d.Fee amount
2.Applicant Mailing Address:
a. First Name b. Last Name
Christian Camp Meeting Association
c. Organization
39 Prospect Ave
d. Mailing Address
Centerville
e. City/Town
MA
f. State
02632
g. Zip Code
h. Phone Number i. Fax Number j.Email Address
3.Property Owner (if different):
a. First Name b. Last Name
c. Organization
d. Mailing Address
e. City/Town f. State g. Zip Code
h. Phone Number i. Fax Number j.Email Address
To calculate
filing fees, refer
to the category
fee list and
examples in the
instructions for
filling out WPA
Form 3 (Notice of
Intent).
B.Fees
Fee should be calculated using the following process & worksheet. Please see Instructions before
filling out worksheet.
Step 1/Type of Activity: Describe each type of activity that will occur in wetland resource area and buffer zone.
Step 2/Number of Activities: Identify the number of each type of activity.
Step 3/Individual Activity Fee: Identify each activity fee from the six project categories listed in the instructions.
Step 4/Subtotal Activity Fee: Multiply the number of activities (identified in Step 2) times the fee per category
(identified in Step 3) to reach a subtotal fee amount. Note: If any of these activities are in a Riverfront Area in
addition to another Resource Area or the Buffer Zone, the fee per activity should be multiplied by 1.5 and then
added to the subtotal amount.
Step 5/Total Project Fee: Determine the total project fee by adding the subtotal amounts from Step 4.
Step 6/Fee Payments: To calculate the state share of the fee, divide the total fee in half and subtract $12.50. To
calculate the city/town share of the fee, divide the total fee in half and add $12.50.
noifeetf.doc • Wetland Fee Transmittal Form • rev. 10/11 Page 2 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Fees (continued)
Step 1/Type of Activity Step 2/Number
of Activities
Step
3/Individual
Activity Fee
Step 4/Subtotal Activity
Fee
Cat 2.) Beach Sand Relocation 1 $500.00 $500.00
Town Bylaw Fee (Ch. 237 Fee) $300.00
Step 5/Total Project Fee: $500.00
Step 6/Fee Payments:
Total Project Fee: $500.00
a. Total Fee from Step 5
State share of filing Fee: $237.50
b. 1/2 Total Fee less $12.50
City/Town share of filling Fee: $262.50
c. 1/2 Total Fee plus $12.50
C. Submittal Requirements
a.) Complete pages 1 and 2 and send with a check or money order for the state share of the fee, payable to
the Commonwealth of Massachusetts.
Department of Environmental Protection
Box 4062
Boston, MA 02211
b.) To the Conservation Commission: Send the Notice of Intent or Abbreviated Notice of Intent; a copy of
this form; and the city/town fee payment.
To MassDEP Regional Office (see Instructions): Send a copy of the Notice of Intent or Abbreviated Notice of
Intent; a copy of this form; and a copy of the state fee payment. (E-filers of Notices of Intent may submit these
electronically.)
Notice of Intent
915 Craigville Beach Rd, Centerville
PROJECT NARRATIVE
1.Introduction
This Notice of Intent (NOI) application has been submitted for the proposed beach sand relocation
project at 915 Craigville Beach Road in Centerville (the site). The Town of Barnstable Assessors
Department references the site as Parcel ID #225001. The proposed project includes relocating
the accumulated beach sand from under the existing structures within the back shore beach to a
portion of the beach seaward. The proposed project is located within a Barrier Beach/Coastal
Beach and Land Subject to Coastal Storm Flowage. This application is being submitted in
accordance with the Massachusetts Wetlands Protection Act and the Town of Barnstable Wetlands
Protection Bylaw.
2.Site Description
The site is located immediately south of Craigville Beach Road, bordered by the public access to
Craigville Beach to the west, residential properties and Coville Beach to the east, and Centerville
Harbor to the south. The site is home to the Craigville Beach Association (CBA), a member’s only
beach club owned and operated by Christian Camp Meeting Association (CCMA). Gravel parking is
located along Craigville Beach Road. The site consists of a main beach house with numerous
storage sheds/bathhouses abutting directly east and west of the main beach house and
interconnected by decking. A snack bar is located at the eastern end of the property. All structures
are raised on pilings and/or concrete blocks above the barrier beach/coastal beach. Windblown
sand from the beach has begun to collect and mound below the structures in many areas
throughout the site. Environmental Consulting & Restoration, LLC (ECR) performed a review of
the site on July 18, 2022. The intent of the site review was to classify all wetland resource areas
on and near the site as well as document the existing conditions of the site. Wetland resource
areas were reviewed in accordance with Massachusetts Department of Environmental Protection
(DEP) regulations found at 310 CMR 10.00 as well as Chapter 237 of the Barnstable Town Bylaw.
As a result of ECR’s wetland review at the site, ECR is able to confirm that the site contains the
following wetland resource areas and areas of Conservation Commission jurisdiction:
•FEMA Flood Zone VE
•Barrier Beach/Coastal Beach
•Coastal Dune
•Land Under the Ocean
Also review of the MassGIS wetlands database reveals the following:
1.The site is located within Estimated/Priority Habitat for Rare Species according to the
Massachusetts Natural Heritage & Endangered Species Program (MaNHESP). The southern
portion of the site is in both areas.
2.The site does not contain a Certified Vernal Pool according to the MaNHESP.
3.The site does not contain a U.S.G.S. mapped stream.
4.The site is not located within an Area of Critical Environmental Concern.
Mapped Resource On or Within Proximity to Site Yes No
Area of Critical Environmental Concern X
NHESP Certified Vernal Pool X
NHESP Potential Vernal Pool X
NHESP Estimated Habitat of Rare Wildlife X
NHESP Priority Habitat of Rare Species X
DFW Cold Water Fisheries Resources X
Outstanding Resource Waters X
FEMA Flood Zones X
Notice of Intent
915 Craigville Beach Rd, Centerville
3. Proposed Activities
This NOI has been submitted to permit the proposed relocation of beach sand at the Craigville
Beach Association property. As noted above, windblown sand from the beach has collected and
mounded below the structures in many areas throughout the site. Historically, CCMA has managed
this issue under a Determination issued by the Barnstable Conservation Commission in October
2005 (File #DA-05080). Recently, CCMA was notified by the Barnstable Conservation Staff that an
NOI would be required to continue this work, prompting CCMA to submit this NOI.
Relocating the windblown sand from under the structures to the recreation beach area is a way to
recycle the sand in the form of nourishment to the resource area. CCMA has benefitted from this
sand recycling in the past rather than nourish the beach with offsite sand or dredged material. The
proposed project has been designed to minimize impacts to the site and will follow the
methodology below:
•Notification – Prior to any site work all appropriate local authorities shall be notified to
include the Barnstable Conservation Commission as well as the MA Natural Heritage &
Endangered Species Program.
•Access – Equipment and machinery shall utilize the existing access along the eastern-most
end of the property. The eastern end of the site includes gated access with an existing
sandy path directly adjacent to the snack bar. This access abuts a small vegetated dune to
the east that shall be avoided. At this time, the accessway is not proposed to be widened
or altered in any way.
•Sand Relocation – The windblown sand that has accumulated and mounded below the
existing structures is proposed to be relocated seaward to the coastal beach. This work will
require a small skid steer loader (Bobcat or similar) to excavate the sand adjacent and
immediately under the structures. The sand shall be immediately transferred to the
specified area seaward within the coastal beach. Laborers may be required to excavate
sand further below the structures which will be completed by hand. The areas below the
structures shall be excavated no further than the natural grade surrounding the structures
where mounding has not occurred. Once the sand has been transferred to the coastal
beach the recycled sand shall be graded flat.
The applicant expects this work to be completed on an annual or biannual basis (once every two
years) to maintain the use of the property and provide adequate recreational access Craigville
Beach.
4.Summary
The proposed project to relocate windblown sand at the Craigville Beach Association has been
historically undertaken in accordance with a Determination issued by the Barnstable Conservation
Commission in 2005. At this time, based on the requirement of Conservation Staff, the applicant is
seeking approval to continue the work that has historically been untaken at the site under a new
Order of Conditions. The project shall be overseen by an environmental monitor to ensure the
methodology is followed and all wetland resource areas are adequately protected. The applicant
understands that time-of-year restrictions may be required for this work and fully intends to
comply with that restriction and any other conditions set forth in the anticipated Order of
Conditions.
CCMA 915 Craigville Beach Rd, Barnstable
Site Photographs
Photograph #1 – View looking west along the seaward side of the storage sheds/bath houses.
Photograph #2 – View looking east along the seaward side of the storage sheds/bath houses. The main beach
house can be seen with the flag pole.
CCMA 915 Craigville Beach Rd, Barnstable
Site Photographs
Photograph #3 – View of the windblown sand that has accumulated under and around the structures.
Photograph #4 – Another view of the windblown sand that has accumulated under and around the structures.
CCMA 915 Craigville Beach Rd, Barnstable
Site Photographs
Photograph #5 – View across the coastal beach where the sand that has accumulated under and around the
structures is proposed to be relocated.
Photograph #6 – View of the existing beach access at the eastern-most end of the property.
USGS SITE LOCUS MAP
915 Craigville Beach Road
Centerville, Massachusetts
Source: MassMapper
N
SITE
FEMA MAP
915 Craigville Beach Road
Centerville, Massachusetts
Map: 25001C0564J Eff: 07/16/2014
N
SITE
Priority Habitat of Rare Species, Estimated Habitat of Rare Wildlife
& Certified Vernal Pool Map
915 Craigville Beach Road
Centerville, Massachusetts
Source: MassMapper
N
Site
NOTICE OF INTENT
ABUTTER NOTIFICATION LETTER
DATE:
RE: Upcoming Barnstable Conservation Commission Public Hearing
To Whom It May Concern,
As an abutter within 100 feet of a proposed project, please be advised that a NOTICE OF INTENT
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 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.
Brad Holmes
PO Box 4012
Plymouth, MA 02361
Christian Camp Meeting Association
915 Craigville Beach Road
225 001
Proposed beach sand relocation project. Existing sand under and around structures is proposed to be relocated seaward within the Coastal Beach.
Commission, 367 Main Street, Hyannis (508-862-4093)
NOTE: Plans and application describing the proposed activity are on file with the Conservation
Conservation Notice of Intent (NOi) Abutter List for Subject Parcel 226137 Property owners within 100 feet of the perimeter of the subject parcel upon which work is proposed. Parcel ID 226015 226016 226017 226023 226044001 226050 226053 226054 Page 1of2 Owner1 Owner2 Address Line 1 GA VITI, JULIA G TR JGG CRAIGVILLE NOMINE TRUST 11 DROWNE PKWY GREENE, THOMAS M & STEPHANIE 22 BUTLER AVENUE REAL1Y 287 COMMONWEALTH M TRS TRUST AVE UNIT 3 KIRK, ELEANORE H S TR C/O KIRK, JAMES W 24 GRANVILLE BAKER WAY Address Line 2 GREENE, JOHN J & BARBARA L C/O NRG CONCEPTS, INC 165 MAIN ST, STE 307 PLONOWSKI, THADDEUS J & 23 DORSET LANE KATHLEEN FETAL REILLY, WILLIAM E JR 71 CHURCH STREET SHEA, KEVIN D & BLAKE, KIMBERLY 167 SALT MEADOW S ROAD DALESSANDRO, VINCENT A & DALESSANDRO FAMILY REV TRUST 1857 ATWOOD A VENUE CAROLE B TRS 2011 99 LAKE ELIZABETH LLC 28 SUMMERBELL A VE HERZOG, ELIZABETH HEIRS OF 61 LOUNSBURY PLACE FARQUHAR,DOUGLAS B& 1601 OLNEY-SANDY THERESE-FRANKLIN, ANN SPRING ROAD CRORY, ROBERT R & LAUREN C 39 THOMSON ROAD GATES, BARBARA H & CLARK R TRS GATES HEWITI FAMILY TRUST 8219 N FAIRWAY VIEW DRIVE Total Number of Abutters: 24 City State Zip RUMFORD RI 02916 BOSTON MA 02115 PLYMPTON MA 02367 MEDWAY MA 02053 MILL VALLEY CA 94941 SOUTH EASTON MA 02375 FAIRFIELD CT 06824 JOHNSTON RI 02919 CENTERVILLE MA 02632 KINGSTON NY 12401 SANDY SPRING MD 20860 WEST HARTFORD CT 06107 TUCSON AZ 85742 Report Generated On: 8/4/2022 3:03 PM This list by itself does NOT constitute a "Certified List of Abutters" and is provided only as an aid to the determination of abutters. If a Certified Abutter List is required, you must contact the Assessing Division tohave this list certified.
Parcel ID Owner1 Owner2 Address Line 1 Address Line 2 City State Zip 226055 BROUILLARD, JOHN C & ELAINE F BROUILLARD LMNG TRUST 270 GREEN DUNES WEST HYANNIS PORT MA 02672 TRS DRIVE 226056 DELANEY, RYAN TR DELANEY FAMILY NOMINEE 41 LEDGEWOOD DRIVE COHASSET MA 02025 TRUST 226057 PARKE, AVIS-ANN S 135 LAKE ELIZABETH CENTERVILLE MA 02632 DRIVE 226065 WALTERS, GARY D & SUSAN B 128 SAYRE DRIVE PRINCETON NJ 08540 226066 MATTHIJSSEN, JUDITH E 8 SKINNER TRAIL CHESTER NJ 07930 226071 BARKSDALE, KENNETH P & LISA F 947 SPERRY WAY SYKESVILLE MD 21784 226098 CHRISTIAN CAMP MEETING ASSOC 39 PROSPECT A VE CENTERVILLE MA 02632 226136 LEE, CHRISTINA A TR CHRISTOS V & MENI E 17 IVEY ROAD BELMONT MA 02478 DAFNOULELIS IR TRS 226137 CHRISTIAN CAMP MEETING ASSOC 39 PROSPECT A VE CENTERVILLE MA 02632 226138 GA VITT, JULIA G TR JGG CRAIGVILLE NOMINEE TRUST 11 DROWNE PKWY RUMFORD RI 02916 226187 GRIFFIN, SUZANNE M PO BOX627 WEST HYANNISPORT MA 02672 Page 2 of2 Total Number of Abutters: 24 Report Generated On: 8/4/2022 3:03 PM This list by itself does NOT constitute a "Certified List of Abutters" and is provided only as an aid to the determination of abutters. If a Certified Abutter List is required, you must contact the Assessing Division to have this list certified.
Town of Barnstable Conservation Commission
367 Main Street
Hyannis Massachusetts 02601
Form PA
Office: 508-862-4093 E-rnail: conservation@town.barnstable.ma.us FAX: 508-778-2412
Permission to Access Property
Property owner's name(s): Christian Camp Meeting Association
Applicant's (Representative's) Name(s)_________________ _
Project street address 915 Craigville Beach Rd
Barnstable Assessor's Map & Parcel: Map 225001 Parcel ____ _
Applicant's Contact Phone Number: 6_1_7_ -_5_2_9_-3_7_ 9_2 __________ _
ACCESS TO PROPERTY PERMISSION
As the Owner(s) of the above referenced property, I/we have been advised that under the provisions of
the Massachusetts Wetlands Protection Act (MGL Ch 131, Section 40) and the Town of Barnstable
General Ordinances (Chapter 237), the Barnstable Conservation Commission, its Agents or its
designated staff are authorized, as a matter of law, to enter the outside areas of the property for the
purpose of reviewing the existing conditions and the proposed work as described in my/our application
(Notice of Intent or Request for Determination) to the Barnstable Conservation Commission. Where
possible, notice will be provided to the applicant prior to the visit. Visits will occur during daylight hours on
either weekdays or weekends as necessary for the Commission and its agent to examine said property. I
understand that if attempts to contact me are unsuccessful, the Commissioner or its agent may proceed
to inspect the outside areas of said property under this application.
I/we confirm my/our understanding the purpose of this permission and I/we grant permission to
. Commissioners, its agent, and its designated staff, to enter the outside areas of my/our property
regarding this application for the period as described below:
�. From the submission of the Application (Notice of Intent or Request for Determination) until the
approval of the Notice of Intent Request or Request for Determination; and
2.From the issuance of the Order(s) of Conditions (approval for Notice of Intent) to the completion
of the project and the final inspection by the Conservation staff to confirm the completion of the
project.
I have read the above and I understand and agree to allow inspections as described.
Signature of property owner Date signed
Representative's signature Date signed
Adopted March 15, 2022, effective April 18, 2022.
9/21/2022
Cameron Larson
Q:\Conservt\DEPFORMS\Form W.doc rev: 03 MAR 2009
Waiver Request
WAIVER OF REQUIREMENT FOR HEARING WITHIN 21 DAYS
I agree to waive the requirements of the MA Wetlands Protection Act MGL Ch. 131
Sec. 40 and the Town of Barnstable Code - Ch. 237 (Wetlands) for a hearing before the
Conservation Commission within 21 days of receipt of my Notice of Intent or Request
for Determination of Applicability application.
Applicant name (please print): ___________________________________________
Signature of applicant
or authorized agent: ___________________________________________
Date: ____________________
Town of Barnstable
Conservation Commission
200 Main Street, Hyannis, MA 02601
E-mail: conservation@town.barnstable.ma.us
Office: 508-862-4093 Fax: 508-778-2412
Form W
Christian Camp Meeting Association
9/21/2022