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310 CMR 10.99 <br /> Form S DEP FM Nn i <br /> Commonwealth • • (lo Do ra-00 by OM <br /> i ., <br /> of Massachusetts � Gh To.n ZIA$IiPFE <br /> i <br /> 7,j; , Aocwnt <br /> Notice of Intent <br /> Under the <br /> Massachusetts Wetlands Protection Act, G.L. c. 131, §40 <br /> and <br /> Application for a Department of the Army Permit <br /> CHAPTER 172, ARTICLES. 1_14. OF.JHE TOWN. OF.. MASHPEE-BYLAW - <br /> Part 1:General Information <br /> 1. Location:Street Address 16 Bowsprit Point <br /> Lot Number 70 Ass . Map 105 Lot 225 <br /> 2. Project:Type Dock Description Existing 46 ' dock in <br /> Popponesset Creek . <br /> 3. Registry:County-La r n s t a bl e Current Book &Page- <br /> Certificate(If Registered Land) <br /> 4. Applicant Charles L. Mack Tel.477-3256 <br /> Address 16 Bowsprit Point, Masshpee, MA 02649 <br /> 5. Property Owner same Tel. Uo'11125- 1793 <br /> Address 10 Intervale Rodd Darien CT 06820 <br /> 6. Representative Taylor Design Associates Inc. Tel. 790-4686 <br /> Address 28 R rnst bl a Road H�-nni a MA n�ant <br /> 7. a. Have the Conservation Commission and the Departments Regional Office each been sent by certified <br /> mail or hand delivery,2 copies of completed Notice of Intent with supporting plans and documents? <br /> Yes M No VC <br /> b. Has the fee been submitted? 3 Yes Mo <br /> c. Total Fling Fee Submitted <br /> d. City/rown Share of Filing Fee State Share of Firing Fee <br /> (sent to City/Town) ph of fee in excess of 525.sent to DEP) <br /> e. t5 a brief statement articled indicating how the applicant calculated the tee? = Yes = No <br /> Effective 11110189 <br />